2002-733 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CE RTIFICATE OF OCCUPANCY
Permit Number: P20020733 Date Issued: Tuesday,March 18,2003
This is to certify that work requested to be done as shown by Permit Number P20020733
has been completed.
Tax Map Number: 523400-308-005-0001.017-000.0000
Location: 1 GLEN Ct
Owner: MICHAEL J VASILIOU INC
Applicant: MICHAEL J VASILIOU INC
This structure may be occupied as a:
By Order of Town Board
Garage-2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling ('-'O\ a
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020733 Application Number: A20020733
Tax Map No: 523400-308-005-0001-017-000-0000
Permission is hereby granted to: M1CT-TAFT.JVASTT,101JTNC
For property located at I GLEN Ct
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. T Value
Type of Construction
Owner Address: MICHAEL J VASILIOU INC Garage-2 Cars Attached
23 SUNNY WEST Ln Single Family Dwelling 200,000.00
LAKE GEORGE,NY 12845 Total Value 200,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
MICHAEL VASIT,TOTJ- TNC.
14 STONE PINE Ln
01JEENSB TRY.NY 12804
Plans&Specifications
2002-733 House#1, Glen Court
Construction of a 2,213 sq ft single family dwelling with a 484 sq ft.
2 car garage with one fireplace as per plot plan and specifications.
$313.96 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 10,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town"nsb T d September 10,2002
y� zz-
SIGNED BY for the Town of Queensbury.
Director of Building&eode&-orcement
Building Permit Application
Town of Queensbury-Dept of Community Development, 742 Bay Road, Queensbury,NY
(518)761-8256
i
A permit must be obtained before beginning construction. Permit File No. kob2= �J _
No inspection will be made until applicant has received a Fee Paid $
valid building perni t. All applicants' spaces on this Ree.Fee Paid $ f _
application must be completed and must appear on the R
eviewed By
application form.
Applicant: . _.� Owner: �� AUr g ODZ
Address: _ Address: --. r �'U!V OF,-.-• 2
Phone#( E= ) --- — Phone
Property Location: Lot Number: _ _ / House Number
Subdivision Name: . 44_5LL .____ -_ Tax Map Number: ,0 -.f /
w Building: resFne
ommercial Estimated Market Value of Construction: $'I,)-
A' D
ddition: res / comtercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'l
❑ Other work(describe. )
Check Occup aneylnformation 1so Floor 2� Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
--
o Single family dwelling p ip _
o Two family dwelling
❑ Townhouse
❑- Multifamily dwelling
#of units ._
❑ Office
o Mercantile
❑ Manufacturing
0 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage ] '
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building- `�-2-
commercial_ zz--
❑ Storage building-
residential
o Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so;for what?
Type of Heating System: electric/ oil / gas wood(/forced hot air/ baseboard/other:
Number of Fireplaces to-be installed - (- Number of Woodstoves to be installed l/
List below the person(s)responsible for supervision of work as regards to building codes:
N e _ Address _ "_ Phone Number
Builder f/o-�. _ - -t Lo 1 Z
Plumber i4l 7
Mason It d 5' G -
Electrician - . 7� �
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Buil g and Cod ,an.4s Built Survey by a licensed surveyor;drawn to scale,showing actual
tru
location of all new co e`dn.
Signature: caner;owner's agent,architect,contractor
Application for SEPTIC .DISPOSAL PERMIT o
i5�
AUG, 2 8 200E Q
Location of property for installation: 7 j 5.ee�� + .aVAT ►"Tj
ni III na:a^ r, ten:
Owner's Name d P
,���� ERMIT NUMBER"
Owner's Mailing Address: ZV /mac -,Z4 2-d6Z -73
FEE PAID
Installer's Name: � OES" Phone #: =d_- � C/1
Number of bedrooms (if residential): Ito
Total daily flow (residential -compute a 15"vgal. per bedroom): r,3 3
Topography: Flat Q Rolling Steep Slope % of Slope
Soil Nature: U Sand Loam
/ Q Clay Q Other /Depth:
Ground Water: at what depth? J 101 _ feet
Bedrock or Impervious Material: at what depth? Z ' feet
Percolation Test: (bpi! Not Required Q Required/Rate min. per inch
Domestic Water Supply: 0 Municipal Well Other
If domestic water supply is a WELL: water supply from any septic absorption is feet
PROPOSED SYSTEM
Septic tank: al. (minirrmu=1,000
Tile Field: each trench 4 CJE—feet. / total system length feet.
Seepage Pit(s): number of / size each: ft. x ft.
Size of stone to be used: # / depth of thickness feet.
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gal.
IJ� l st Dci' t !
_gym;=
For your protection, please note that,pursuant to Section 136-29 o f the Code o fthe Town of
Queensbury, any pertnit or approval granted which is based upon or is granted in reliance upon
any Material misrepresentation or failure to make a material factor circumstance known by or on
behalfofan applicant, shall be voild.
I have read the regulations with respect to this a pplicati it and agree to abide by these and all
requirements o f the Town o f Queensbu S nitar Sew ge Disposa C7�rdinance.
Signature o f responsible person: r'y �i 'ate: _�Z
2,--7
TOWN OFOUEENSBURy
Richard A.Miss ita
HIGHWAY Highway Superintendent
DEVAupirMENT Home(518)798-5127
JL A-&JL%A
742 Bay Road - Quecnsbury, NY 12804 RE COVED MichadE Travis
Deputy Highway Superintendent
Office Phone: (518) 761-8211 AUG (518)798-0413
Fax: (518) 745-4466
T UP IN OF E l I S r,')'J'y
D R I V 1 E,WAIV f!E R M IT----
DATE: �i� a'C
APPLICANT NAME: J VAS Are
TELEPHONE NO.:
ADDRESS TO BE INSPECTED: arm
���C Aore
RETURN ADDRESS:
Applicant must show exact location and width of driveway(s)to be connected to the highway by
placing stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed p ap lhion. The
following action has been taken:
STEP 1: Preliminary Approval
X. ,
NEED: )Slight swale
Level with the road
Deep s�vale
Size pipe to be used (if necessary)
)12" ( )15" ( )18" ( )24" )36"
Preliminary inspection completed by —DATE
Approval by Highway Supt. Deputy Supt
Upon completion,please resubmit this approved permit for a final approval.
STEP 2.: Final Approval
Rejected
DATE:
Richard A. Missita, Highway Superintendent
Fire Marshal's Office Town of'Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys.. ,
ap "cable to solid fuel & vented gas appliances
Date 20 Permit No. >
Aepliel'tion is hereby made to the Building Codes Office.for the issuance of a Building and Use
Perinitpztk��adt to the New York State Fire Prevention and Building Code. The applicant orowner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow All inspectors to enter premises to perform required inspection-v.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant information Fuel Burning Appliance Information
(circle appropriate words)
Name: Stove wood coal pellet gas
Fireplace insert'
Address: Fireplace, factory-built: wood (0gas
Fireplace, masonry: wood gasZAJ
Furnace: wood gas oil
Phone: f1kl
If non-masonary applicance,*please provide
Owner: 44� Manufacturer Name: 4W
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry bloc 'one
Flue the size. inches
Exact,AAdress: 1, 4
I
of construction or installation Factory-Built
:Manufacturer name;
Model Number:
Note: Listed By: Number:
Construction lInstallation must
conforin to NYS Fire Prevention &Building Indicate(circle)chimney material:
Code. Consuff available Town of Queensbury
Insulated Dire
Handouts regarding required inspections. Double wall / Triple wall Insulated
Chimney Liner
-'Alf"4qP1VX-tMMt-_JM t To Ica cs Qxx ce,4--AXAK Xv xxx-y-, x4rie VV-X-txX-jjr
Fir 0
-e Uarshal Code# $Collected SflcyitndedL Received' (wfun&?dto):
ai L
A 173 3389 (190) PUP lic Sa"ty
A2332655. (230)Mi orSaFes
DA 7,E:
White(Applicant) f Green(Fire Marshal) Yellow(131dg. Dept.) l Pink&Goldenrod(Cashier's Dept.)
Sent by:AK H ty e s 518-792-7173 8127/2002 12:09AM Page 2 of 8 0' 02
401 1, ---733
SEC EKED
AU(, ? 8 2002 62,
Permit Number
TOWN OF
r "I
L Checked ByJ`Dai'e--\
-'ri-evvXoek'Stati6.Eher&'-c6tiservati-on—q.;-o'nst'ruC'tf6n'U.i6d,6
Data filename:C:\Program Files\Check-\N4EC6eck\2002-12 RadLeck
COUNTY,Warren
STAj-E4-New York
HDD:763S
CONMIRUCTIOINT-TYPg:Detached-1 or2 Family
HEATING TYPE:Non-Electric
DATE-.-OM-7102-
DATE OF PLANS. :08/2 1/2 002
Pi OJJECT INr`CWv1AT10.L-,j:
Pat&Ray Radl
CCN1-P.A-Ny--INFORMATION:
Michael J VasilioT.�C.
14 StOne Pule Lane
QueensbuTy,NY 12804
COMPLIANCR,PaRRes,
Yonr Nor-U-46'3 It LL
4.3%Better-Than Code.
Oro--_ -Glaz-ing
Area or- Cavity- Cont. or Door
:U�F uji- Ui M'
Cai I ing'I Flat Cei I in a- S t;i sAor<'Fn is-- (M) is
Ceilinp-2;Flat Ceiling of Scissor Truss 282, 30:0 0.0 10
.-R 3&-0. 0,0 5
Ceiling 4:Cathedral Ceiling(noatti.c) 186 . 354 0.0. 5
C-e-ii-i -5.-Cathearatl-ckLvilU i �-
(neafti 169- 304- 0-0 6
In.p
Wall 1:AVood Frame,16".o.c.- 1708. 21.0- 0.0. .81
Window-P- 21-0 .0,490 '103
Dow-I-Glass 42 0.490 21
Door.9-.SolidL 42. 0.280 12
Wall.2:Wood Frame,16"o.c., 1144 21.0 0.0 62
-Window...2..Wood-Frame,.DoubleP.ane. 59 -0-49.0 - -29
Basement Wall-1:Wood-Frama,7.5'ht-/6.8'bgJ-7.5'm' sU1- 127-9 11.0- -0.0- 75
Fleor-!- 52 i 0.0 .36
Furnace 1:Forced Hot Air,78 AFUE
C-0 C.E.-STA-TEN-19INT-t- bluildinga plans,
snecifications,.and other calculations submittedwith this vermit application- The proposed systems have-been designed-to meet
and signed-this page,thay.are,attestingthatto-th best of his/her knowledge,belief,and professional judg;nent,.such plans or
Builder/Designer Date, 0 A
Sent by:AK Hayes 51 B-792-71 73 8/27/2002 i 2:69 AM Page 4 of 8
.MECCheekt.htWctionCheckrhA--.
New-York State.Eneigy-Conservation.Construction'Coide_,
MEC&&ck S6ffware Version 11'Release I'e
DATE:08/27/02
Bldg, I
Dept_ j
Use
Ceilings:
1, -CeihngJ:,FlaLCeilm&4c>r.Scissor Truss,R-3-8.0.,cavity-insulation
Comments:
2. Ceiling 2-Flat Ceilin&or--Scissor ThL%j,,�30.0 cavity insulation
Comments:
-1. Ceiling.3:..CathedraL.Ceiling-(m attid),R-38.0 cavity insulatiorr.
Comments:
4.. Cciling-4.,Cat-hedral,,Caing,.(noattk),i.R-;,35.4 cavity insulation
Comments:
S. Ceiling.5:,Catj edraL.Cefl*(Uo.altic),.R-30.0 cavity.insulation
Comments:
Above-Grade Walls:
I... Wall.l:.Wood Fxame�-16"-a.c.,R-21..O cavity insulation
Comments:
Wall-2:Wood.Framej]-G!o,,c.-j]Z-21A.cavity insulation.
Comments:
Basement Walls:
Comments:
Windows:_
1, -Window..1:.WaodFrame;.Deptak Ydaej U. factor,OA90
For windows without labeled U-factors,describe features:
9 Panes. Frame.'rym. Tbeund Break? ]:Yes ]No
Comments:.
2. Windowif W_bD&-_FramenoubR;_Nne,;U44cter-.0.490r-
For windows without labeled U-factors,describe features:
#Panes_ Framejypa_Themal Break? 1-.Y=j_-INc,
Comments:
Doors:
L Door 1:Glass;U-factor-0.490
#Panes_._Frame Type- Thermal Break? Yes-[. No
Comments--
2. Door 2:Solid,U-factor:0.280
Comments:.
L Floor-1:Heated Slab>On-Grade;4-01•insulatiort•depft,R-1p.0 continuous-insulation
Comments;
Slab insulation 4,01L.011&wn to at
least the bottom of the slab-then horizontally for a total distance of 4.0 ft..
Exteriorinsulatiorrmust-have-.a-rigid;opaque;-weather-resist t protective covering that.
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
1. Furnace 1:Forced Hot Air,78 AFLIE or higher
Sent by:AK Hayes 51 B-792-7173 8127/2002 12:09 AM Page 5 of 8
tr
( Air LealtW.,
Joints,..penetrations,.and.all.other.such openings in.the,building.anvelope•that.are-sources of air
( leakage.must be sealed...
[ ]• ( •Recessed lights•�riust:lie-l)•Type.IG rated;.ox 2)installed•insidean�ap�rc�priate•�r:tiglit assembly
( Khth a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a-
f -3".clearance.from insulation.
(
Required-orrthe-wa-mr-in-winteriside-of all•non-vgnted•fivnwd-ceilings,walls,and floors.
(
j..MateriakJklentificatiow_
[ ] ( -Matenals and equipment must be installedin accordance withthernanufactar''s installation instructions.
Materials and equipment must be identified so that compliance can be determined.
Manufacturer.manuals.for all.installed.heatingand cooling-equipment and zervire.water.heating
( equipment must be provided.
] ( Insulation R-values and glaring U.facto#,must:be•clearly marked.on.dw buils(ing1Aans or specifications.
(
( ..Duet lusulation:
Supply ducts•in-unconditioned-attics-or outside the birildingmustb&insulaleri.to—RA I.-
Return-ducts in-unconditioned attics os outside the building must be insulated to R-6.
[ ] ( Supply ducts irrunconditioned-spascmust be insulated to R-1 I�
[ • ]- ( Return rlucts.m.unconditioned spaces.except basements)must be insulated to R-2.
( .Insulation•is,not•requiret=on.xetumducthdn.basements..
( Duct Construction=
[ ] (_ •All joints,seams,.and connections.must.basecurely..fastenedx;#welds, eM-mastics
( (adhesives),mastic-plus-embedded-fabric,or.tapes. Duct tape is not permitted.
( Exception.-ContinuetWy.weldedaad locking-type longitudizaUaints aad:siwarns-onducts
( operating it less than 2 in.w.g.(500 Pa).
Ducts,shall.be_supporte&zvei3 l 0.fine:or irc a=ordar=with tl ura cf umr's imdructiaw. .
Cooling ducts with.exterior insulation must be covered with a vapor retarder.
Air•filters-are:required in-the.returnainsysteur.--
[_ ]• ( The HVAC system must provide a means for balancing air and water systems.
(
( Temperature Controls-
[ }' ( Each dwelling.unit.bAsat:lesat:one.thermostat capable of autargatically adjusting tlie-space
( temperature set point of the largest zone.
(
( Electric Systems:
[ }- ( Separate electric:nietemar-e--requirf-d€er-each{hvelling.uniL-
(
' ( Ftitxplsues:.
(•. } ( .Fireplaces•mustb�installed=ivitli:iaght:fi€tsng-non-ccimlustiEile:firepIaeerdoors> .
[ ] ( Fireplaces must be provided with a.souice of combustion-air,as required by the Fireplace-construction
( provisions-of�the-Building-Code-of,Vew York State-,the•Residenlial-Code-of New York Slate or
( the New York City Building Code,as applicable.
(
f Service Water Heating.
[ } ( Water heaters•with:vertiealtpipe�risers must have-a heat-trap•orr both-the-inlet and outlet unless the.
( water-heater-has an integral,heat trap-or is part ofa circulating system.
Insulate-cimulatiWhot ivater:pipes to the levelsdn.T�bls L.:
( Circulating-Hot.Water
Insulate circulating hot water pipes to the levels in Table 1.
(
( Swimming Pools-
[ } ( All•heated swimmingpools,musthave•an•on/of heater•switelr•and--require acover unless over 20%
3 of the heating energy is from non-depletable sources. Pool pumps require a time clock.
(
( Heating and-C�oIiu,;�piiig.Lisutatien:
[ ] ( HVAC piping conveying•fluids•above 105-OF-orchilled fluids below 55•°F-must be insulated to the
Sent by:AK Hayes 518-792-7173 8/27/2002 12:09 AM Page 6 of 8
s
d n
( levels•in-T-able:2
Sent by.AK Hayes 518-792-7173 8/27/2002 12:09 AM Page 7 of 8
a 7
Table l Miuimunr-fmsntatiarrThickmess fort Cirqulatrng Hot Water.Pipe .
Insulation Thiclaiess in.Inches.by Pipe Sizes
HeatedWater Non Circulating=Rtrnouls.." QireWatin&Mains.andhunouts
Temperature{F). Un to 9„. Up to I.25„ 15"-io 2.0" Over 2" j
170-190" 0.5 1'.0 L5 2.0
140-160. 0"5. 0.5. 1.0. 1.5..,
I00-130 0:"5- 0:5" 0.5 1•.0
Table-2: Minimuru Insulation•Thickness forHFACPipes. -
F1uid-Temp: Insulation•Thiclk=ss in Inches by.Pipe Sizes
Piping S s Types Ran e F i 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4".
Beating Systems
Low Pressure/Temperature " 201--250" 1,0, 1.5 1.51 2.0,
Low Tensperature- : 1.20=200 05. 1.0- 1.0 1.5
Ste=Condensate(for feed water) .Any 1.0 1.0 1.5 2.0
Cooliug.systems
Chilled Water.,Riftigerant, 40 55 0,5 0.5:, -035 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO,FIELDS(Building Department.Use Only)
Residential Final hispection
Office No. (518)761-8256 Date Inspection request eive-A.
Queensbury Building&Code Enforcement Arrive. a pm t e : -7—'.140 a2�
742 Bay Rd., Queensbury,NY 12804 Inspector's Initia
NAME: \Ictc-,,*\ 1 r)-L& H T M
LOCATION: \ /��_--1 ,." DATE: C-13
TYPE OF STRUCTURE:
Comments
Y N N/A
Chinmey Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in. or more @ stairs,decks,patios
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area x I
Furnace/Hot Water Heater operating
-Low water shut'-off boiler
Relief Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: _ / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
hour fire door/door closer
Garage fireproofing
Duct work Scaled properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, I sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Ins p ection Sticker
Flood Plain Certification,if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary C/0(Cert. Of Occiipancy)
Okay to issue Permanent C/0(Cert. Of Occupa cy
L:\SueHemin'gNvay\Building.Codes.Inspectioii.FORMS\Res.Final Insp.form 2.dac ited January 28,2003
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Residential Final Inspection
Office No--'(518)761-8256 Date Inspection request x eived_;.n�JJ
Queensbury Building&Code Enforcement Arrive: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi s:
NAME: 149--o IT#: '733
LOCATION: I Ler ATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht.J"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete V/
Interior/Exterior Railitigs 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate V,
Gas Valve shut-off exposed/regulator 18"above jr—ade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
-Low water shut-off boiler
Relief Valves)installed V/
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing V
Window in stairwells afety gluing
Interior Smoke:Dot ctors,
Every level: very je/o 0 M:
Outside every bedroo Inter Connected: — Battery backup: "A
Bathroom Fans,if no window,
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4hoiir fire door/door closer
Garage fireproofina
Duct work Scaled properly
Attic access 30 in.x 24 in,x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq.ft.-150 sq.ft.vents
Building No./Address visible from road
Final Electrical C_c�VV—_- �-k V f3j t.Aot_�
Site Plan [Variance required
Final Survey Plot Plan
As Bui4,Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C(Cert, Of Compliance)
Okay to issue Tenriporary C/0(Cert.Of Occupancy)
Okay to issue Permanent C/0(Cert.Of Occupancy
L:\SueHen-dn'gway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Residential Final Inspection
Office T*-To. (518) 761-8256 Date Ins'nection re t re ei.L-ved:
Queensbury ]Building 82- Code Enforcement Arrive: IN a epa
742 Day ad., Queensbury, .NY 12804 Inspector's Initials
P
'rY'P]F- OF SrP-'UC-rUR�F-:
Comments
Chimney Mt. /"B" Vent/]Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in. or more (�_D stairs, decks, patios
Guard at stairwell at 34 in. or more
Guard at deck, porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in. to 38 in.
Platform at all exterior doors
Interior nandraiIs stairs 2 or more risers
Grade away from foundation 6 in. with 10 ft-
Mandrail -rern-jination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off eLcposed/regulator 18" above grade
Gas Furnace shut-off within 30.ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
,]Low water shut'-off boiler
Relief Valve(s) installed
>
L>Czy
Interior privacy/trim/doors/main entrance 3 6 in.
Bathroom It Kitchennwatertight
Safety glazing
Window in stairwells safe ty glazinr,,
Interior Smoke ]Deteswrs.
Every level IF-very B!e4room:
bedroom every bedroo a_rez
Inter Connected: je�'_ / Battery backup:,
Bathroom Fans, if no window
Carbon Monoxide detector V N.ks N
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>-4 inc es
3Z. hour fire door/door closer
-(j—arage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in-(ht.) In accessible area
Crawl Spaces 18"x 24" access, I sq. ft.-150 sq. ft. vents
13uilding o. /Address visible from road
Final Electrical .
Site Plan / 'Variance required-
Final Survey Plot Plan
As Built Septic System/ Sewer 1>ept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/ C (Cert. Of Compliance)
Okay to issue Temporary A--t 0 (Cert. Of Occupanc
Okay to issue Permanent C 0 (Cert. Of C>ccupan y)
1-:\SucHerriingNvay\13uilding.Codes.Inspection.FORM3\P-es.Final Insp.form 7 don edited 3anunry 28,2003
TOWN OF QUEEN"' BURY
&__C_ O-DE ENFORCEPGENY
7421 BayR"c-ja I I i
Qut-_4ennbPuy3r MY 12SO4
SEP`7rIC OISPOSAU SYS-rEM INSPEC-TION
Name
Eoc,a-tion 000 0�
gate J�47 49, _Z' P e- rm 1 -t #
SOIL -"PE: Sand- Loam-Cl a_v-
Rt-E-Sul -ts of Pter-cc:)Ia-tion Te-s-t-
( 117, applicable ) Rate-M! nu-te_,/1nch
_"PE OF SYSTEM=
ABSORP-rION FIEt0 : Total Lengt-h
Length o-F each trench
Dep -th o-F -trenchers
Size of stone
SEEPAGE PT-US : N umb te Y--
size -F-t
Stone size
PIPING : Type
Bldg - -to Tank-
Tank- to Dis-t -
. �G_�_t 7t 0
c
z
D
e is
n
t
k-
7t�o d/p -,
Dis-t - Box to F - Id/Pi -t
n s Y4
Openings Sea d ? yes No, Par-7tial
.1 - NS -
L_OCATY0HZS ARA-F S :
Founda-t! 1--o Tan -Fee-t
0 o
Founda -t ' n to Abs. r-p t--J on -F te e-t
.0 I-P �t
o
Separ- ion o-F P ! t-
I - - -F e-e-t
Con-Forms as per pi o-t plan Yes No
EOCA-UXON OF SYSTEM ON PROPERTY_
( ci r-c-1 e- one )
Front - Rear- - Le-Ft Side - Righ-t Side
Middle Front - Middle Rear
CONVIEN-TS
SYSTEM USE APPROVED- YES No
A. +1 0 tU tD A n C
4- 4- 4-
I I ua
M
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+ C I ''
E5 � or.
� u m i 04J v V) 1It. lop a
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Cam p ,.� ro it 0) E\ a 0 .!� 0 o rw S 4- 1v L
L6 U! `' I' 0 G cU z 4` 0 01 o'° ro.0 'r CLW (�� Q
W z U X U. QN 0 i i L , 't7
m U C 0 " i I k
r—9 0• A 4. aft, � :CL P+
t � anMLs 0NC� v (0 4JV0 � �- P r
C � rota 0) � OP +) N W 0 Lt a) fo c
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Q 01 N G ".% 0 0 0 0
10
J C + Ir M# 0 or 0 'r*r +r tl! !i, f, ' '�
0 0 LILL� 04-W ;n �• � 0M 4J � � 0 i h �'
r- (S 9 4J Z IC 0) Z - U 4J
J a) 0 J W0rn4-) (uL (V rn.Y. P CC04-IC CO � �-
E U -P H o4-10cC NWNOLUC U :33aCU 0 ,0
rd 0 ro 0 4i'w >0 Q) (}°r-W 'r -P 0 0 0 U
J G1 fY F� j0V)0inin LL LLit} U LL2: U 0 `,
�-r INSPECTION Office Use
.GENERALREPORT Inspector.
Town of Queensbury
Ready at time:: _.
Dept. of Community Development Request received: V1 1 a Meet:
Building& Code.Enforcement At time:
742 Bay.Road
Queensbury, 1T 12804 ARRIVE o am F �m Notes:
(518) 761-8256 Inspector's Initia
NAME: t� -�'fi t PERMIT# 7i0 0 2—_--173 3
LOCATION: t_' � G.32'-s�w. INSPECT ON(date): l t /( ® —Y' ul C'
TYPE OF STRUCTURE:
RECHECK jb t l_ 3 rr 7i ',
N/A YES NO COMMENTS i!i�• -e--e `1—T
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofmg
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
'Insulation `
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Ceiling R- �3�; �
Duct work or piping in
unheated spaces R- - ` �
Proper Vent,Attic Vent
Framing
Tack Studs/Headers
Bracing/Bridging
Joist Hangers
Tack Posts/Main Beam
Air Infiltration Barrier '
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour_
Firestopping
L:\SueHemingway`,Building.Codes.Inspection.FORMSIGF,NERAL INSPECTION REPORT.doc
Office Use
N"OERAL INSPECTION RE
PORT'REPRT
-(—J11, I Inspector:
Town of Queensbuty Ready at time.
Dept. of Community Development Request received: 7�6 Meet:
Building& Code.Enforcement At time:
742 Bay Road
Queensbuiy, NY 12804 ARRIVE am/pm: DEPART anilpm Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT# 006 2--7 3
LOCATION: INSPECT ON(date): -111-7
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
'Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval'Plumbing Under Slab
Plumbing Vent/Vents in Place
RoughPlumbing_
Heating Rough-in
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- r-C &A
Duct work or piping mi
. unheated spaces R-
Proper Vent,Attic Vent
Framing N-S A
./
7 t /j
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
'k
Jack Posts/Main Beam I ru
Air Infiltration Barrier
Fire Separation 1,2,3,,hour 45
Penetration Sealed
Fire Wall 2,3,4 hour
.1kiiestoppin
L:\SueHemiiigway',Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORTAOC
Ftime:
e Use
.GENERAL INSPECTION REPORT
Town of Queensbury .
Dept. of Community Development Request received: �! O y
Building& Code Enforcement
742 Bay.Road
Queensbut3; NY 1.2804 ARRIVE 42b am/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: r Z�^- PERMIT
LOCATION: ���"` INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours fallowing the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/D ampproofing
Backfill Approval
Plumbing Under Slab
Plumbin&AZwVents in Place a
ou h Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation t,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection,FORMSIGENERAL INSPECTION REPORT.doe
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road 4,
Queensbury, AT 12804 ARRIVE am/pm: DEPART
am/pm Notes:
(518) 761-8256 Inspector's Initials V VZ�
NAME: VASSt L I PERMIT#
LOCATION: INSPECT ON(date): 6 llelov
J
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dainpproofmg__
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
/unheated spaces R-
oper Vent, c Vent
-IFraming Lll)-�6 z
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppmg_
L:\SueHemingway\Building.Codes.Inspecfion.FORMS\GENERAI,INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time: 161"
Dept. of Community Development .Request received: 0117102 Meet:
Building&Code Enforcement t time.
742 Bay Road � � � � y
Queensbury, NY 12804 ARRIVE-am/pm: DEPART LAmIpm Notes:
(518) 761-8256 Inspectors Initials
NAME: PERMIT# 2A62,733
LOCATION: I,�-�'7 INSPECT ON(date):
TYPE OF STRUCTURE: '/
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing,
for 48 hours following the placement
of the concrete.
Materials for this purpose on site /--�
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent(Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent �J
Framing lS� �2� ors �cSRltir� I Li-t7619S
�
Jack Studs/Headers ��
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam It
Air Infiltration Barrier *6&P- `v 0tt t"l'OG G� �-
Fire Separation 1,2,3,horn: Pon L 2
Penetration SealedCi
Fire Wall 2,3,4 hours l
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
To,wn of Queensbury __
Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE '= am na P ' l
1 T r pyre otes:
(518) 761-8256 Inspector's Initi
NAME: f ? 1-0 (A PERMIT#
LOCAT N: T l�'E-t� VI` , INSPECT ON(date):
TYP TURF:
RECHECK
N/A YE NO COMMENTS
/-�Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials far this purpose on site
Foundation/Wallpour
Reinforcement in Place _
Foundation/D amppro ofmg
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\.SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time:Arm
Dept. of Community Development Request reeeffiel- Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 , ARRIVE R Notes:
(518) 761-8256 Inspector's Ini
NAME: PERMIT#gj
LOCATION: l INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Danipproofmg—
<�Backf�IA��Ap-p-r�—o-v-LT-
uni Ing nder Slab
Plumbing Vent/Vents in Place
Rough Plumbing-_
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior-R-
Floors R-
Walls R-
Coiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgig—
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L.,\SueHemingway\Building.Codes.Inspecfi on.FORMS\GENERAL INSPECTION REPORTAOC
Office Use
GENERAL R-4SPECTION REPORT Inspector:
Tomm of Queensbury Ready at time:
A
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road 2��amlpm Notes:
Queensbury, NY 12804 ARRIVE—amlpm; DEPART
(518) 761-8256 Inspector's Initials
NAME: PERMIT# �00
LOCATION: INSPECT ON(date):
1 04
TYPE OF STRUCTURE:
RECHECK
N/A YES i COMMEN
ootinglll,s�/Piers
ourForm Mono�1
Reinforcement in Place
The contractor is responsible for
providing protection from freezing L
for 48 hours following the placement ot
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgmig—
Joist Hangers
Jack Posts/Main Beam 7—
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
L:\SueHemingway\Building.Codes.inspection.FORMS\GENERAI,INSPECTION RFPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
� �����Z
Dept. of Community Development Request received, Meet:
Building& Code Enforcement At t' e:
742 Bay Road
Queensury, IVY 12804 ARRIVE `o b am : D R a otes:
(518) 761-8256 Inspector's Initia tc/'
NAME: 4t t (I 014 PERMIT# � )3 3
LOCATION: I �-� t INSPECT ON{d el. �l j��aZ
TYPE OF STRUCTURE: v 1`1 z CaA .0, l�1 CLY
RECHECK
N/A O CO Z�'
.�=Footings/Piers
r
Monolithic Pour Form `����00
Reinforcement in Place ��> �
The contractor is responsible for
providing protection from freezingA �cS�
for 48 hours following the placement pQ
ticJ F�-CieJ�
of the concrete. Q iJ V fib �3 �� \
Materials for this purpose on site
Foundation/Wallpour i f gp,tS�
Reinforcement in Place
Foundation/Dampproofing (ALL
Backfill Approval f'
Plumbing Under Slab J
Plumbing Vent/Vents in Place ;
Rough Plumbing
Heating Rough-In
Insulation %
Foundation Walls Interior R- /
Foundation Walls Exterior R-
Floors R
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- _
Proper Vent,Attic Vent
Framing
Jack Studs/Headers /
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORIvIS\GENERAL INSPECTION REPORT.doc