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2001-730 TOWN OF QUEENSBURY c 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010730 Date Issued: Wednesday, March 12, 2003 This is to certify that work requested to be done as shown by Permit Number P20010730 has been completed. Tax Map Number: 523400-252-000-0001-036-001-0000 Location: 271 Lockhart Rd Owner: FREDERICK &ROSEMARY PETRI Applicant: FREDERICK& ROSEMARY PETRI This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling (DJ,/ • Director of Building&Code Enforcement TOWN OF QUEENSBURY P742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 *, Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010730 Application Number: A20010730 Tax Map No: 523400-252-000-0001-036-001-0000 Permission is hereby granted to: FREDERICK&ROSEMARY PETRI For property located at: 268 Lockhart Rd 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. Type of Construction Value Owner Address: FREDERICK& ROSEMARY PETRI Single Family Dwelling 230,000.00 35 SUNSET Way Garage-2 Cars Attached TARRYTOWN,NY 10591 Fireplace Total Value 230,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency MIDDLETON CONSTRUCTION 2022 ROUTE 9 LAKE GEORGE,NY 12845 Plans &Specifications 2001-730: Lot No. 1 in the Marianne Granger Subdivision 4-1999 2473 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $369.56 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, October 03,2002 (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 th of Q ens ury W dnesday, October 03,2001 SIGNED BY 6� _,, F for the Town of Queensbury. Director of Buil g& ode Enforcement • Fire Marshal's Office Town or Queensbury,742 Bay Road,Queensbury,NY • (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date 1 , 20 ¢I Permit No. • Application is hereby made to the Building& Codes Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner 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 inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: ttatelmr, C ei :.c)cA,' Stove:• wood coal pellet gas -'replace insert Address: ;?O?-P- 12T ! -• -► ace, actory-built: wood gas L�kE l�k-ace.Ce , 7 ��p '5 Fireplace, masonry: wood gas Furnace: wood gas oil Phone: 022/ If non-masonary applicance,please provide Owner: fi 1-o rneh y/ Manufacturer Name: Address: 3S sveiyd WOK Model Number: Chimney Information Phone: 91 K- 631- 644(6 (circle appropriate words) Masonry block ck stone pl Flue tile steel size: inches Exact Address: o/�` --1-04 4-40-r-G / of constructiln or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction I Installation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbuty Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting Chimney Liner ! Ca16(lit1er'"Depr rtme.rxt--Towrm. of Qzzeeruerbury, New-Thz Rir Fire Marshal Code# $Collected $Refunded 'eceived from r, zderi to):fit"' Y it/1.:,"" f�- "4.'c:X(.1% address: dr- Pr,+.11-; A 173 3389 (190) Public Safety A 233 2655 (230) inor Sal s DATE: 9 — Two,, Go oz D67, White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.) • )4611 -73PE B � ENERGY CODE COMPLIANCE APPLICATION � + •� TOWN OF QUEENSBURY, WARREN COUNTY !RV� - 9000 HEATING DEGREE DAYS SEP b 2001 - TOWN OF QUEENSEURY Compliance Methods : PART 5 - Acceptable Practice Method —BUILDING AP!!7 CODE 1&2 Family Dwellings (only) PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings ( 3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: , tpj � � �I��, ►a,� ,e04-r, c., G. ,v4r ig`C)ys /Wi f .t. COWS77,-veA oz,./ t'a'e yap ?3-/ 3.5 PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - square feet 2 . Type of Heat - Electric Oil V Gas Other 3 . Is building mechanically cooled? / Yes No 4 . Percentage of area of windows and doors Aver 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R 30 b. Exterior walls R (c1 c . Glazed areas d. Exterior doors R / e. Floors over unheated spaces R f. Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R (J h. Basement/cellar walls (below grade) R [1 i. Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic.) hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED App i ,d6s e D t Phone Number 9/i/ c I -747- ©/PS INSP T S REMARKS : Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. tr/ —73.0 No inspection will be made until applicant has received a E ee Paid $ • valid building permit. All applicants' spaces on this ' • jai $ application must be completed and must appear on the Revtewe. �}�•' � C application form. SEP Z 6 2001 pp l•'Ht2JC d, 1 ,i S�ti1,902r Applicant: t O:-� T�� t er�FU / PC�tZi Address: .2 6 >.:�il �rest:�s{u 3 t^x5 r��Zsc-v� 4/ / `ode& o i/- , 5,'$ T� Joule✓ 1!/ `, /6 5.9f Phone#( S'i�) 74/7 - 6l it( / Phone# (5/if�f3/' - (sf�6 3<cit-oo Property Location: Lot Number: / House Number / -/�-1--� Subdivision NameJ mk...,-e_ap. Tax Map Numbe ,23--/ `> h, )...3-I - 37.i 'New3'0 Building: residence /commercial Estimated Market Value of Construction: $ � / bc,o ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial U No change to exterior size: residence/com'l ❑ Other work(describe ) Check OccupancyInformation 1st Floor 2"Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet �/n� kr Single family dwelling l�I p2 ��/ z473 / o Two familydwelling n g o Townhouse o Multifamily dwelling #of units ❑ Office / ❑ Mercantile / o Manufacturing l o 1 car detached garage ' ❑ 2 car detached garage , ❑ 3 car detached garage U 1 car attached garage V✓ V' 2 car attached garage 7 2-r f `72r ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential o Other What is the proposed height of the structure 2 1 feet inches Will any second-hand or ungraded lumber be used? If so,for what? • 0 Type of Heating System: electric/ oil / gas/wood forced hot ai baseboard/other: 111117( Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: P ( ) P P g Name / Address Phone Number Builder M ✓�( 02b)-2 lei 9 L A CA %-4, Plumber /Y/,• /.9-1-oba ,Zo Z l 9 Zsr C k.1•4CM. Mason 14t'd.eu Ca v A o.2 z ler 9 L ( 1, o�2 ��7 Electrician /�� �l e�o� �.sf • � L. G ��•-��� 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 Uwe shall' submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new construction. Signature: owner,owner's agent,architect,contractor Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: 467 2 Loc/<Aelfor /now £D File Permi ►u Tax Map No. a 3 / 7 / 3. f Fee Paid Owner's Name: �--e f �oSF�I�s�' ��e�✓zr CEP 2.0.Q.� Address: 3,� Su:vscA �� `T✓� -/o�V , ,1 ,' S ! TOWN OF-QULENSSURY r ` BUILDING 11P)(,ppy 2. INSTALLER'S NAME : BP/Le„ i6 6—KC AAA- '�. PHONE NO. 792 7757 3. RESIDENCE INFORMATION: "(circle year of dwelling, indicate#bedroom(s) and multiply ii of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980— 1991 x 130 gal/bdrm = 91 —present 3 x 110 gal/bdrni = 3-SO Garbage,Grinder Installed yes / no Spa or Whirlpool_Installed yes— / no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) Topography SoiLNature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sand at what depth at what depth municipal (Rolling) oam feet feet well Steep slope clay if well; water supply slope 40 00RO from any septic-system •epth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: (0015 gallon (min. size 1.000 gal) • Tile Field: each trench SO ft. Total System Length: a'®® ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: i .3 / depth or thickness feet Bed System Size: x Alternative System: _ length and/or size• 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR:RESPONSIBLE PERSON(please read) • For your protection,-please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the To " of Queensbury Sanitary Sewage Disposal Ordinance. L / G Sign t e o nsible person ate RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart p Town of Queensbury Inspector's Initia 742 Bay Road Queensbury,New York 12804 l ' NAME `�c-- -R r PERMIT II �J ` '� () rl LOCATION f�C .��l�XC MuU�STA\tJ �� DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade ` Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level • every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical t�� Site Plan/Variance required n�� I� Final Survey Plot Plan 4. As Built Septic System layout required Okay to issue C/C(Certif of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) ,c . :E0NITEiiiii�;P�,� 4aAOO,p,,_ -f-s, % a'i?.3-,P,:,1:, .-, (sQAR o6=52`,\:<., 11 March 2003 Mr. Mark Middleton 28 Quarry Crossing Hudson Falls, New York 12839 Re: Acceptable As-built Structural Modifications Petri Residence Lockhart Mountain Road Queensbury, New York 12839 Dear Mr. Middleton: Regarding the above referenced project, the following as-built structural modifications are acceptable: 1) Four notches, 1 5/8" (one 2x12" layer) into the 4-2"x12" basement girder to accommodate three plumbing fixtures 2" deep by 2" wide each, and one heating duct 2" deep and 12" wide. Please feel free to contact me if you have any questions or comments. ',illy, 'r Edward K. 1..- "oint, P.E. 8 Ward Lane PO Box 190 Cleverdale, New York 12820 518-656-3059 i COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. ,-.` Main Office 176 Doe Run Road-Manheim,PA 17545 l MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL > Permit No. _ Cert. N Q 7 9 5 5 8 Cut-in Card No ` Owner t ' 'a / Location P 71 LoClc.p 2% 44 7-() MO aa6 Installa „ o ion Consisting of 61 �/ 7 g 13 ‘l L%re'S. 0/zu,. ti-K-, ¢t)i p/A/6 A New Installed By M' 1/0,06C-70).0 Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of ma ' 'nspections at any time, and if its rules are violated,te the Company shall have the right to e ke t s ertific Date 3 / -v s INSPECTOR Member N.F.P.A..I.A.E.I. rill . RESIDENTIAL FINAL INSPECTION REPORT 7.. N Office No.(518)761-8256 Date inspection request received: 1 N Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart - at pQ 7 fl'1/ Town of Queensbury Inspector's Initial ./'_ 742 Bay Road Queensbu New York 12804 l 3 D - .,1 ,3r NAME • S PE II 0 r —/ ' LOCATION dip)., sir rox i MO\1 Lw� � DATE 3ri (, TYPE OF STRUCTURE L N/A YES NO COMMENTS Chimney Height/B"Vent/Direct Vent Location y//'1 Fresh Air Intake VI Plumb Vent through roof Roof Complete / 01 Exterior Finish Complete •,/ i Interior/Exterior Railings 30"to 36" - / � Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation �0 t sJ �— . V/ 8"clearance to sill plate (',r)tj 0 v Gas Valve shut-off exposed/regulator 18"above grade t// Gas Furnace shut-off within 30 feet or within line of site / ,/ Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s)installed .✓� Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: l every level every bedroom ,// outside every bedroom inter connected • Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer if Garage fireproofing Garage penetrations sealedji Furnace in separate room protected(in garage)Light ventilation per room Safety glazing 18"or less from floor VI . g4ls't Final Electrical Site Plan/Variance required ii Final Survey Plot Plan NI As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ �� Okay to issue permanent C/O(Certif.of Occupancy) ' .cD 3 E F`i ` - IT-'R p I`i E Ee. TOWN OF QUEENSBURY Y BUILDING & CODE ENFORCEMENT r � ' ; 742 BAY ROAD . ` QUEENSBURY NY 12804 •''Ao.=' (518) 761-8256 ARRIVE: DEPART: INSP: fliS FINAL INSPECTION REPORT •t'9teffaelgiaL (hotel, motel, apt. complex) DATE INSPECTION REQUE T RE IVED: NAME X- PC71�l�iC.,S LOCATION (3 1 Ilv YI\QI DATE C - a-) -03 PERMIT H ` J`_ -731 ) • TYPE OF STRUCTURE FOOTINGS BACKFILL FRAMING_ PLUMBING_ INSULATION N/A YES NO CHIMNEY/"B" VENT/HEIGHT _ PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH \ \\ . HEATING/HOT WATER RELIEF VALVES FLOORS • 1 FOUNDATION INSULATION INTERIOR STAIRS/RAILINGS STOCKROOM ENCLOSURE i FIRE/DEMISE WALLS PENETRATION FIRE DAMPERS _ CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE ._� EXIT STAIRS/RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS Jr HANDICAPPED PARKING / J FINAL ELECTRICA SITE PL ARIANCE REQ. / FI L SURVEY;PLOT PLAN, IF REO L5 OK TO ISSUE C/O OR C/C _ 1 W. i —7/ .c°1 'i\ ...... ff5 .--- ---431:C16-' -- RESIDENTIAL FINAL INSPECTION REPORT Ot ..--- )� `k'rn Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive 'y. m epart .b IV� <N( \ \ Town of Queensbury Inspector's In' al A/ 742 Bay Road C— Queensbury,New York 12804Q \ PERMIT# / — 7 3 0 NAME �\'`l', 2C RI—A l �C ,LOCATION ( .,- 1 \1 DATE - _ -. TYPE OF STRUCTURE (<.D N/A YES NO COMMENTS \ ' 3-`1.--k - Q 3 :. �. Chimney Height/ B"Vent/Direct Vent Location VI — \�t C`.E) �--`-V\ b1,c7 Fresh Air Intake \(✓ �� Plumb Vent through roof bi* \ y? Roof Complete � � � Exterior Finish Complete V I ® � ckv `i — J\- Interior/Exterior Railings 30"to 36" / Exterior Handrails,balconies,landing 18 in.or more �( ���� } - Interior Handrails stairs both sides 3 or more risers i I ..___ 2 y Grade 2%away from foundation �,C yC i Q/ / C.AV R l, 8"clearance to sill plate (.,� - J/ �� \ J Gas Valve shut-off exposed/regulator 18"above grade ✓! \)Q. ` f Gas Furnace shut-off within 30 feet or within line of site i Oil Furnace shut-off at entrance to furnace area ,/ / i c � � - y'Furnace/Hot Water Heater operating \fr Relief Valve(s)installed �S --- ` V Headroom,6 ft.6 in.on stairs r\L`-- AC', t I\5 0 Basement stairs,6 ft.4 in. � � _�1 �7 Handrail exterior stairs both sides more than 3 risers \ `�V, Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen • gh �t `D ALL watertight Interior Handrails Balconies/Landing 18 in_or more Railing across window in stairwells \-T-) \ i Smoke Detectors: i every level every bedroom -�- �1 ) outside every bedroom / -- c � l inter connected Bathroom fans Plumbing fixtures _ / \ l b•'� �� . -` \E,C Foundation insulati n! �/ 3/4 hour fire doo oor close fi tip, 7f2`s v V �`_ Garage fireproo \ Garage penetrations sealed Furnace in separate room protected(in garage) �,�� Light ventilation per room i j r Safety glazing 18"or less from floor G \ ��f'JL \t5%1 Final Electrical Site Plan/Variance required ''� �'►__. (-% Final Survey Plot Plan As Built Septic System layout required r /\1_�__- 'G� c\ :"----'c-- ' ,.)e_t( Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)- Okay to issue permanent C/O(Certif.of Occupancy) • Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: "A4/1_, Dept. of Community Development Request received: 3 b D Meet: Building& Code Enforcement / At time: 742 Bay Road �- Queensbury, NY 12804 ARRIVE am/pna: DEPART ' am/pm Notes: (518) 761-8256 Inspector's Initials 3{ / NAME: iLeA--fk; PERMIT# 2- L — —73 D . 6 M 1 LOCATION: p` W G W�'i� :�!J1,�O INSPECT ON(date): ///cr — TYPE OF STRUCTURE: 2v i2-cJ1 RECHECK N/A YES NOV' COMMENTS Aootm /Piers Monoli is Po Form �L —�S a 2 Reinforce nt in Place The contractor is responsible for 2 i providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Fa"( RECH Reinforcement in Place Foundation/D amppro o fmg Backfill Approval 1 ' "--)G` � �U ' 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.FORMS\GENERAL INSPECTION REPORT.doc 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 ` Queensbury, NY 12804 ARRIVE am/pm: DEPART 'gym Notes: (518) 761-8256 Inspector's Initials 3 p_C...--- NAME: /G�gA E--- PERMIT# 0 I — 7 3-0 ,� Lr LOCATION: `(! cj44-pirz , peo : INSPECT ON(date): 5 /02/ TYPE OF STRUCTURE: • RECHE 0 �+ N/A YE NO COMMENTS Footing /Piers 0 R_CA Monolit_ 'c Po 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 f Foundation/Wallpour Reinforcement in Place Foundation/D amppro o fing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in PlaceIL,(ill 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.FORMS\GENERAL INSPECTION REPORT.doc \% 6 -‘'C\') GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road ' Queensbury,NY 12804 Arrive Depart � � p Inspector's Initi.'s .-NAME: Y TR i � PERMIT# — LOCATION:. Z-(D( L)CV-1-\1 T k-►Y3 f)DATE : 3 22—Oa-- TYPE - TYPE OF STRUCTURE: I RECHECK N/A YES NO COMMENTS Footings/Piers 1-7-- Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection . freezing for 48 hours followi g the placement of the concrete. Materials for this purpose on •te Foundation/Wallpour Reinforcement in Place\ g Backfill Approval Plumbing Under Slak Plumbing Vent/Vents in Pla e PI ing ti Rough-In / ation / Foundation Walls Interior '- Foundation Walls Exterior R �\ Floors R- < q-VA-\. Walls R- 0‘. �O t...\ov3 ty,Th�Lk____ CF � M2 F _ Ceiling R- Duct work or piping in unheated spaces R- jPr r Vent, Attic Vent % 11-\ k �' CZAR Gi F ming 1 �� Jack Studs/Beaders 1 KJO 9-tl`� \�) j ��_ Jc.3 Bracing/Bridging Joist Hangers \‘1 ‘tA � Jr� Jack Posts/Main Beam ..� Air Infiltration Barrier Fire Separation 1,2, 3,hour . Penetration Sealed Fire Wall 2, 3,4 hour Firestopping ")D NO\ \, \ 46 i, R= Office Use GENERAL INSPECTION-REPORT REPOR.T Inspector: Town of Queensbury Ready at time: . Dept. of Community Development Request received: ,) ,)- OV Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE °fj • DEP .i m Notes: (518) 761-8256 Inspector's InitiAMMEMSIIIMUll s ---p NAME: .P PERMIT# ,tP U I 7 3 v ..� ..__ ,D\t,Z LOCATION: its de /C14 7PLI----INS15-ECT ON(date): c)"'F1sr TYPE OF STRUCTURE: RECHECK �� 1 rin ��"4` � ( "NA YES NO COMMENTS • Footings/Piers Monolithic Pour Form I \} Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. k di Materials for this purpose on site i i Foundation/Wallpour i Reinforcement in Place i / Foundation/Dampproofmg .---'J Backfill Approval lumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing t `�� H . Rough-In vN• Il Ins nation I Foundation Walls Interior R- k„\_. Foundation Walls Exterior R- j �� �' WallFloors R- �� j ���� Walls R- Y� Ceiling R- __ F/ ���' JS� Duct work or piping in unheated spaces R- Proper Vent,Attic Vent r` Framing . Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam � _ Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed 1/ Fire Wall 2,3,4 hour NiFirestopping \A--- <7;:a L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc • GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road ff Queensbury,NY 12804 Arrive t)^ Depart ___ _ Inspector's Initiagrr NAME: P� 1 PERMIT# '7 m\ l LOCATION:__� fC, 1 ( RDDATE : Z-7a -07 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I-7- Monolithic Pour Form Reinforcement in Place The contractor is responsible for 7 providing protection from freezing for 48 hours following the placekient of the concrete. Materials for this purpose on site Foundation/Wallpaur Reinforcement in Place Foundation/Dampproofing Backfill Approval plumbing Under Slab / lumbing Vent/Vents in Place /V _ `p��1 YRough Plumbing ✓ Heating Rough-In Insulation � \--Pkt,�c) 6AFoundation Walls Interior R- Foundation Walls Exterior R- \jhJ Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent } E_6 Nif Framing ✓ -='C���� �11�F�� t Ot Jack Studs/Headers c \- E\/ �t-L�J� C) i\j Bracin. t ding /L_o t-����p"� \,\ Joist Han:- ✓ Jack Posts/Main Beam Air Infiltration Barrier �- �� � ; ` /Fire Separation 1,2, 3,hour / Penetration Sealed �Fire Wall 2,3,4 hour ,/ Firestopping `��' �' t Ft� — \_ycS . JNOMOk /0,erin' TOWN OF QUEENSBURY BUILDING' & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location / Date -0 Permit # T SOIL TYPE: Sand-Loam-Clay- Results of Percola 'on Test- (if applicable) R. - Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD • al Length . Length of each t - 1.17, Depth of trenche• Size of stoneA-12L SEEPAGE PI S: _'ber- Size - ft x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box n Dist. Box to Field Pit J i %)C; j Lp;rc Openings Sealed? Yes No Partial LOCATION/SEPARATION : Foundation to Tank _ feet Foundation to Absor tion . feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: — AYC--Z--'c) .7.--(1) QE_ _\F--\k \"7\ - • F� \..)5 \ w t..t_ '7 tN - vrJ� �1/ " Z° Of:, SYSTEM PR ED: YES 0 De rted: / 7 /// ilding Inspec r' ' V_ _C,‘.k TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queens bury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name G- 1---aj Location _ Z-(©S 1.-ichAPtB-1 a R Date 7-y -OZPermit # 7f\ 'T3r) SOIL TYPEVMP oam-Clay- Results o`'Rercolation Test- (if appl i bl�e,) Rate-Minute/Inch TYPE OF SY TEM ABSORPTION IELD:\Total Length ‘..k Length of ea h trench Ft`3L— Depth of tree ches k Size of stone SEEPAGE PITS: Numb r- Size - ft. x ft. Stone size PIPING: Size T pe Bldg. to T. - 001- 1 VEC. _D Tank to Dist. B. . y" N(' Dist. Box to e#ri .,'Pit L4' 4D vo v Openings Sealed? Yes No 'artial LOCATION/SEPARAT ONS: Foundation to Tan ID feet Foundation to Abs.rption 2{- feet Separation of Pit• feet Conforms as per Plot Plan TYesiNo LOCATION OF SYST ON PROPERTY: (circle one) Fro - r - Left, Side - Right Side idd t Middle Rear MMEitlfiS. L6FLt___ `o D-Bo -6E-( io: vb lob fir • 6 C�TkC��in C3 \ SYSTEM USE APPROVED: YES O Arrived: ° s /0411)1111 Depa ed: • o /"B '1ding Insp- it Liii4AA__,4 ii ,.... 4.71.= Qom, GENERAL INSPECTION REPORT I.,�LA ��� ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: G�/( di) )--- Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive a am Depart /-' '[mow �'• - Inspector's Initi A NAME: � )-/ PERMIT# i- 73 v LOCATION: 1k �e-iti���. ii' ,C - 'RATE : `r7�� ,c,)-- TYPE OF STRUCTURE: 5 RECHECK 517 2-,e( N/A YES NO CORK ENTS Footings/Piers r I I I Monolithic Pour Form Reinforcement in Place 1 The contractor is responsible for providing protection from freezin for 48 hours following the placem nt of the concrete. Materials for this purpose on site Foundation!Wallpour_ / Reinforcement in Place , Foundation/Dampproofin', Backfill Approval ` Plumbing Under Slab --\1// . 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 / , Jack Studs ea ers s 1 t,,'� v` (3L� \4 4 t�6 Q LI km 4—b `+�'.-E 11� t 1ST -zt €� Ft , Bracin ndgin /bL i gam`g °`S r1 O,� 0 g�-QUt z Joist Hangers a Jack Posts/Main Beam t�1,6� nAt L_1 EU�G NFL kJ 1 Air Infiltration Barrier A 6E. Fire Separation 1,2,3,hour Penetration Sealed E`' SCR ' CR( (k )Db66 Qy" Fire Wall 2,3,4 hour t--\R P Firestopping 1 dot M _\ RtiC_\-cc 7-6 fu ? GENERAL INSPECTION REPORT l , ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received:_// A. A UL/ Building&Code Enforcement / 742 Bay Road arrt 7 il Queensbury,NY 12804 Arrive am/pm Dep Inspector's Initials ?ire/ NAME: /1 6rAS PERMIT# ( 7de LOCATION: Loc,fifr� try P DATE : // 02/ 1L)/ TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers ---I I I Monolithic Pour Form Reinforcement in Place \ The contractor is responsible r ' providing protection from free ing for 48 hours following the pla me t of the concrete. terials for this purpose on site - /1/ . ou Reinforcement in Pface f� 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 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 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart Inspector's Initials NAME: PERMIT# o 736 LOCATION: Lot, 1,1 r. Ro, DATE : S TYPE OF STRUCTURE: RECHECK • N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place F.) The contractor is respo sit c for 0 �, providing protection from freezing C� t �( for 48 hours following the pla cment of the concrete. Materials for this purpose on site Foun •lion/Wallpour / 7fforcement in Placendation/Dampprooting kfill Approval Plumbing Under Slab Plumbing Vent/Vents in Plate • Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior N- Foundation Walls Exterior R Floors R- Walls R- \ Ceiling R- Duct work or piping in unheated spaces It- _ 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 Scaled Fire Wall 2, 3,4 hour Firestopping - GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road o U Queensbury,NY 12804 Arrive am/pm Depart pm/pgi n Inspector's Initials NAME: '1". t C. `P. U , PERMIT t ) ~ 73D LOCATION: p` DATE : --' p ( l TYPE OF STRUCTURE: RECHEC N/A YE COMMENTS F+, ings/Piers /0 OA I I I onolithic Pour Forni Reinforcement in Place %f The contractor is responsi le r n ✓ providing protection from reezi g S for 48 hours following the lacem nt of the concrete. Materials for this purpose on lite Foundation/Wallpour Reinforcement in Place I Foundation/Dampproofing I / Backfill Approval Plumbing Under Slab PO U • QU)(1 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 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 -----•���a x--- ~ ze �y - - -• -- - _ _ -� _ \ may.- ... ,, � , ._,� - _ . _ J� 00 dL '31IS NO 03NIVINOO 38 Ol kVM3AIdQ CINd 3SnOH r ANV 30 311S 3H1 WOd3 330Nn2� my ONV 101 3H1 NIHIIM . :���bs t6l' tr£ ' •$�, •` �/ �` �J3q �4 1 ,: a31d00t1 1NIOd M0�1 b 01 NNW 01 S,AYM3AWO '11b 'L JOS LZ$ #9l , '302I1N00 1N3W1035 ONb f , 051 NOIS083 NVe8n 803.S3N113am 31V1S NdOJI M3N H11M , 3ONVOd000V NI 38 11VHS 1081NOD 1N31AI103S QNV NOIS083 '9 'A8n8SN33no 30 NMOI 3H1 30 SNOILVln038 NOISIA108nS 3H1 30 9Z—i:9 tV N01103S Ol Wd03N00 11VHS JNIOVdJ 101 1Vn01AIONi 'S _ '08VZVH H11V3H 80 co A133VS V S1N3S38d 1VH1 N011V1393A 83HIO ANV 80 S3381. 030VWV0 d0 N31108 'NOI1V1303A 03SV3S10 60 \_ - ' w �, 0V30 30 IVAOV138 803 1d33X3 3dO13AN3 ON18Y310 3H1 301SIn0 0311IWd3d 38. 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