2000-373 -� TOWN OF OUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
r 1,TE OF OCCUpANry
C "'IFI
En .L ki-a J.
Permit Number: 2000373 Date Issued: Tuesday, October 31,2000
This is to cer*that work requested to be done as shown by Permit Number 2000373
has been completed.
Tax Map Number: 523400-123-000-0001-008-001-0000
Location: 25 Braeside Cir
Owner: GERALD&SUSAN FITZGERALD
This structure may, be occupied as a:
Single Family Dwelling
By Order of Town Boatd
TOWN OF QUEENSBURY
Director of Building&Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 185000 Building Permit No. 2000373
TAX MAP NO. 123 . -1-8 . 1
Permission is hereby granted to FITZGERALD, GERALD &'
BRAESIDE CIRCLE
Owner of property located at
in the Town of Queensbury,to construct or place a SINGLE FAMILY DWELLING
at the above location in accordance to 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.
"o �S Addrelsl JOHN ST.
QUEENSBURY, NY 12804
Contractor or Builder's Name:
HERLIHY, WILLIAM
Contractor or Builder's Address:
24 FOX HOLLOW LANE
QUEENSBURY, NY 12804
Electrical Inspection Agency:
COMMONWEALTH ELECTRICAL AGENCY
PO BOX 706
HAGUE, NY 12836
Type of Construction: SINGLE FAMILY DWELLING
Plans and Specifications:
2994 SQ' FT- SINGLE FAMILY DWELLING WITH2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
SINGLE FAMILY DWELLING
371 June 6 -2002 .
$ PERMIT FEE PAID—THIS PERAHT EXPIRES
(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.)
6 June 2000
Dated at the T f QueensbuiT this Pay of
SIGNED B)S3N?,U1 r— for the,Town of Queensbury
Code Edorceident Officer
�* Building:Permit .Application
Town Of Queensbury - Dept. of Conu)ll nit v De0eto1J/7tent, 742 Bav Road, Queen.sbury, NY 12804 j�761-8256J
�"��� �� BUILDING & . CODE ENFORCEMENT
Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO.� ( � ' �j�
beginning construction. No inspections PERMIT FEE PAID$ ��, �t �
will be made until applicant has received' F Zoning Beard Action
a VAUD BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEE P /�D�$
MUST be completed and-the signature Q pjanning Board Action n REVIEWED BY.-
of
of the applicant must appear cn the SPR / Subdivision /Other autGttng Inspector
hcatron form. �"" /Recreation Fee Payment
Applicant: 1 1 I xl rrI �-1 lzIt �I ti44 Owner: a Lr rtA4�k tTz c^trR x1L�
Address: Q9\-J Address: a2 Sehio
Phone # (.5"18_) _713_ - _� 2 Phone # ( 9.'" -- ) -
Property Location: -- -- _ `
Subdivision Name: Tax Map Number_
Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
_ New Building: CONSTRUCTION: $ IS-5, aoa
�a;.-jPnc-P j commercial
Addition to Building:
residence' / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial - Single Family eJ ling
Residence / Commercial Two Family Dwe
no change to exterior size Family Dwelling-
Office RAY
Other Work (describe below) Mercantile -r, 0 20OfJ
Manufacture NON
Other
GROSS AREA OF PROPOSED STRUCTURE: /��� Oa� LJ �U�d1`
If ADDITION, what will use
1st Floor l`�76 sq. �.S'
2nd .Floo of new addition be?:
r. . .,.'. . . L,2.tc°, sq. ft
Other Flouts. . . . . sq. •ft. 3�f
(not unfinished cellar or ba" enc,^ ACCESSORY BUILDINGS:
��j � Detached Garage 1, 2 car
TOTAL FLOOR AREA: 4g°f SQ'= 714, C--- Attached Garage 1, Q_car
Private-Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
FEET X _`7i FEET Other
Foundation Type: �vi '. T ��tp Will any second-hand or ungraded
Number of Stories : lumber` be used? If so, for what?
(habitable space orYly)
Height (grade. to rXdge) : �_ feet TYPE OF HEATING SYSTEM:
Number of flreplaCe?s and/or woodstove (circle all which a plies)
to be installed-- ,4g Electric / Oil' / a Wood
Forced Hot Air /egaseboarq / Other
Person responsible for supervision of work as regards to building
codes is : LO t It 0*-m -tPX -
Name ALldresss Phone
Builder: avl'1. / sus 2T9
Plumber: S}oc% tea-✓A At cSv- W IA—e.fK 71,lS �Y31i
Mason: ��1✓f= A-N+� S.3- 2 9
Electrician: 43ob y"uv- iQ=- JV2i y!c/t--- -773- 9
DECf riRATIUIV• Please sign beloiv 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 Occu,ancy`or Certifiea e of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; dr to scat f show g#ctual location of project on premises.
Signature: /
(owner, owner's g nt, architec , 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 ,+ ��73 s
File Permit No `
- -Tax Map No. . . --
Owner's Name �� ��-���`� � I Fee Paid
Address:`_ 2�" S,� i u7 L/ _.......................
2. ` INSTALLER'S.NAME NtJ.
-3.• 'RESIDENCE INFORMATION:. (circle year of dwelling, indicate#bedroom(s)'and multiply#of
bedrooms with applicable gallons per bedroom.to equal•total daily flow)
Year of House: No of Bedrooms x Computation — Total Daily Flow
1.980 or older x 150 gal/bdrm
1980-1991 x• 130 gallbdrnn
1991 —present x "140gallbdrm,: :D
Garbage Grinder Installed yes, .( no
Spa or Whirlpool•Installed yes_ /• no
4. PARCEL-INFORMATION: .(circle applicable information&indicate measurements)
T o r it Nature Ground Water Bedrock or lm'ervious•Material 'Dom stic Water Sub6lv
1%1at 7.sand at what.depth at what depth nict
Rolling oam. J' - feet ��., feet well
.Steep slope: .--clay � ifwell;,water supply
%slope ether -` from onyeeptic-system depth: : absorption is f.
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:. rL2 gallon(min.size I,000gaI). ,
Tile Field: each trench• `O ft Total System Length:
Seepage Pit(s)> number of size of each: 2 `ft. by ft.
Size of Stone to be used:, # c7', t depth or thickness 2 -feet
Bed System Size (,' x, 6
Alternative System; ;. length andtor 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.r
7. SIGNATURE &c INFORMATION FOR RESPONSIBLE PERSON(please read)
. Far-your protection,please note that pursuant to Section 136-29 ofthe 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 this'application and agree to abide by these and all
'requirements of the Town of Queens b ry Sa''tary Sewage Disposal Ordinance.,
. -AT
� .
Signature of responsible per an Date
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
90�00 HzATING DEGREE DAYS
Comr)li ance Methods: PART 5. - Acceptable Practice" Method- -
_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
*Recuires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION:
1 PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area scruare feet
2 . Tvae of Heat - Electric" Oil Ga . Other
3 . Is building mechanidal l_y cool ed? Yes No
4 . Percentage of area of windows and doors Oven 17%� `Under 17%
5 . R=V LUES FOR INSULATION GIVEN BELOW MUST CORRESPOND' TO R-VALUES AS
S'r_OWN ON PLANS SUBMITTED:
a. Roof
R -9
b. Exterior walls R
c Glazed areas R 3.0-
d. -Exterior doors R
e. Floors over unheated spaces R
Edge of slab on 'grade ( "eat'ed building) R ---
g. Basement/cellar walls (above grade) R 63
h. Basement/cellar walls (below grade) R t3
i . Heating/coo ling=ducts-oiging in. unheated space R —
6 . Service (domestic) hot water heating .device
Conforms to minimum efficiency per code . Yes No
TEMPERATURE CONTROL-MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
Appl - S t D 4e f PhonGer Number
_12-OZOV
INSP=C=OR' S REM.IlRK
F7
Firv, INTIrslml's Officc Town oP6811CObSbUry. 742 B,iy Road,Queensi)III-Y, �Ny
(518) 76J-8205
Application for Fuel Burni
ngA. -0 iances & Chimneys.
4-
applicable solid fu�` & vented gas appliances
Date
, 20 Permit Now
h 111)jVicalion is hereb. Itrade to ',Puilding Codes P/ e.for ilie q/'a B11ileli g U,
Z> 'fi� 17 flit ve
Permitpurs'liant to the New York Siote'T`ir' Prevention and Bttildin,�Code. 771e al)lVicant or oivner
agrees to coMl)1y ivith all e1j)j)1iCable! lei 11"s, ordinqqces-r re�u (81011S, (tilt/o//conditions that are part qf'
these requirentents(117d also will allop,all i�ljfi)q'jiors to,enter 1)renjjses to per form required inspections,
A' IOTEt'q applicant: Roqcyh Iii ,and Final hispectioris are required.
Appfl6tit Information Fuel Burning Appliance hiformation
(cii-cie appropriate Nvoi-ds)
Name: stove: wood coal pellet C,5!nipl )
Fireplace insert
Address: Fireplace, factory-wilt: wood crs
Fireplace, masonry: I'Vood -as
Furnace: Wood vets -'oil
Phone:
If iioii-iiiasoiiai,-y"a-"p'l)iicatice, please provide
Owner: 1rt el&frt14 Mall Ll fact&e r Name:
Model NUmber:
Address:-
Chimney Information
(c hle
Phone: 273 -c appropriate words)
Masonry block brick stone
Flue 'tile steel size: inches
Exact Address: 2?
of construction or installatioll Factory-BUilt
Manufacturer name:
Model Number:
Jvotle: Listed By: Number:_
Consti-tiction lInstallation must conform--to NYS Fire Prevention &Building Indicate (circle) chimney material,:"'
Code. Consult available Tolt'71 of Queensbioy,
Handouts regarding required inspections. Doub?ey-a11--? Triple wall Insulated I Direct 110111 M,
Chimnev Liner
XW
%
Fire Alarshal Code# S'C011ectefl S Refioided -o n�lrcJinrdcsrd to
S r.—
Z
C)
A 173 3389 (190) Public Safety.
.4 233 205 (230)Minor Saie_x,
0.
White(Applicant} Green(Fire.Marshal) / ( Yellow(131do. Dept.) Pink& Goldenrod(Cas1iiel-'s Dejjtj*_.1
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building& Code Enforcement 11
Dept.of Community Development Arrive �'' any!PmDepart
Town of Queensbury Inspector's Initials ;
742 Bay Road
Queensbury,New York 128044
NAME \T ZGVE L D PERMIT
LOCATION Fhl CIF C.\P1C.L-1EL DATE
TYPE OF STRUCTURE
N/A YES NO COMMENTS
- ,
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete y
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landi g 18 in.or more
Interior Handrails stairs both sides or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off expose regul tar 18" ve grade
Gas Furnace shut-off within: 0 f t or wi n line of site
Oil Furnace shut-off at entr t fumac area
Furnace/Hot Water Heater o
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sid s more than 3 risers
Interior privacy/trim/door s/m ' entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconte ding 18 in.or more
Railing across window in stai ells
Smoke Detectors:
every level
every bedroom
outside every bedroo
inter connected
Bathroom fans i
Plumbing fixtures
Foundation insulation
314 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
Site Plan/Variance required
Final Survey Plot Plan
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)
o
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive �aK6;�Depat
Town of Queensbury Inspector's Initi
742 Bay Road
Queensbury,New York 12804
3
NAAr1E PE.# V v—
�.�/?_
LOCATION ,— r DATE — --
TYPE OF STRUCTURE
N/A YES NO CONMIENTS
Chimney HeightP B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete.
Exterior Finish Complete
Interior/Exterior Railings 30"td 36" ��� 1? ACAL-,
Exterior Handrails,balconies, anding 18 in.or ore
Interior Handrails stairs both 'des 3 or more ris rs
Grade 2%away from founda'on
8"clearance to sill plate
Gas Valve shut-off e* e regulator 18"abg6e grade
Gas Furnace shut-off wi 0 feet or with" line of site
Oil Furnace shut-off at entr to a area .17
Furnace/Hot Water Heater o era g
Relief Valve(s)installed
Headroom,6 ft.6 in.on sta'rs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/ ain entrance 36"
Floor Finish
Bathroom/Kitchen watertigl t .._,_ ..... .........
Interior Handrails Balconies ding 18 in.or more
Railing across window in sfi drwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation r
3/4 hour fire door/door clos
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
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Cerdf.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certi£of Occupancy)
F=[F;Za MARSHAL
TOWN C)F= ClUElEF-NSE3UF:?,)r
(:ZfUIEa",'SE3UF;Z'Y`, "Y 12-804
(518) 761 -8205.
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME
LOCATION 7, 5- J35f?,00E VE= C-%VC,,=PERMIT # 2
SCHEDULE INSPECTION ON
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINILERSE
CLEARANCE TO HEATI C 3UN ITS
REQUIRED S14GNAC3E
CHIMNEY
WOOD STOVE
FIREPLACE Q MASONRY CTORY BLT.
0UQH-IN
[S2rFINAL
REMARKS: EA OK TO THIS DATE
INSPSLIP.PUB INSPEODTOR,
bx
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC
Main Office 176 Doe Raft Road So Manheim, PA 17545
MUNICIPAL CERTIFICATE do ELECTRICAL,APPR V
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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 makin ' pections at any time, and if its
rules are violated, the Company shall have the right t re ke th ` icat
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IRON ROD
M FOUND
r
� I Lands Now or Formerly
cv
m IRON ROD N UTILITY CLUSTER
`�(ELEC . TEL N) . CA
IRON OD FOUND n Neil and Linda Tatar ,\ t
O r FOU D ' IRON ROD
FOUND (1088/220)
O
J / \
oy�OQ (T SURFACE IR ROD
LL I qy�\ � FOUND �Sa
0-MAIL BOX
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M
LL�DRAINAGE EASEMENT
1
0
0
REFER TO:
- Easement from Braeside Limited to Town of
Queensbury, 8/25/1987 @ 696/542.
- Easement from Braeside Limited to Town of
Queensbury. 8/4/1987 @ 696/545.
0
\ , - Easement from Braeside Limited to Niagara
Mohawk Power Corp_ New York Telephone,
and Haron Communication Corp., 4/14/1987@
750/200.
- Easements, Covenants and Restrictions in deed
from Braeside Ltd. to Kingsley, 12/28/1998 @
1097/53,
DEED REFERENCE:
Scott and Deborah Kingsley
to
Gerald C. and Susan F. FitzGerald
D: 8/25/1999
R:8/26/1999 1129/321
MAP REFERENCE:
"Map of the division of Lot No. 4 -
Braeside Circle," dated 9/12/1998,
made by Coulter & McCormack,
Licensed Land Surveyors, and
filed in the Warren County Clerk's
Office on 10/30/1998 in Plat Cabinet
'B', Slide 113.
Area
TAX MAP NO
I�
I
2.183 Acres + I
123-1-8.1
O�
5�
J�`r OLD
FOUNDATION
A/- jV3 46 D D !,
c9
Now or Formerly Nelson L. Miller /
I
1
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Q
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06
O
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IL
0
9
IRON ROD
FOUND
Q
MAP
of a survey of lands of
Gerald C. and Susan F. FitzGerald
situated in
Town of Queensbury Warren County New York
Scale- 1" = 100' July 5, 2000
I HEREBY CERTIFY TO Gerald A. FitzGerald, Susan F FitzGerald,
Trustco Bank National Association, its successors and/or assigns,
and Chicago Title Insurance Company that this map was prepared by
me from an actual survey on the ground, according to record information.
_L / A � July 5 2000
Charles T.-Nacy, L.S.; N.Y. . Lic n e No. 49117 (Date)
Survey and Map By
CHARLES T. NACY
Licensed Land Surveyor
32 John Street
Queensbury, N.Y. 12804
Oily copies made from the original ofthis
�Irvey map which are marked with an
o`i.ginal of the land surveyor's embossed
sFal and bearing the surveyor's original
signature in red ink shall be considered
gild and true copies.
Unauthorized alteration or addition to a survey
map bearing a licensed land surveyor's seal is
a violation of Section 7209, subdivision 2, of the
New York State Education Law.
i i,�ri//IZ_/_ q9
FIRE ft/9ARSNAL.
'T-C)Wl*4 OF C:lUEEIEN.SE3UlR,"lr
ClUIEIENSE3UF2-vr, NY 12804
(518) 7e9 -8205 .
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME
LOCATION PERMIT
SCHEDULE INSPECTION ONl\, C- -l-
<A
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING'
FIRE EXTINOUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE: ,
CLEARANCE TOpSPRINKLERS
CLEARANCE TGf HEATINO UghTS
REQUIRED SIONAOE
CHIMNEY
WOOD STOVE
FIREPLACE,L-j MASONRY FACTORY BLT
Egh AQUQHAIN
= FINAL
REMARKS: D;aCK TO THIS DATE
INSPSLIP.PUB e--'INSPECT R
F I F::?,'F= M^F:;,S H^l
-VOlWN C:)F= (-;lIJF=r-=NSaUFZY
CkLJE=-F-=N,--,E3IJF:;,)'-v'. N-V- 12804
(51 a) 701 -82-05 ,
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME <;
LOCATION,-
SCHEDULE INSPECTION ON — 0
AM' Pm
r.
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AISLE WIDTHS
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FIRE EXTINOUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
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CLEARANCE TO HEATI UNITSb.
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INSPSLIP.PUB
GE,NERAL 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 m Depart m
Inspector's Initials
NAME: B_ PERMIT#
LOCATION: C -Lz DATE: ,`:--
TYPE OF STRUCTURE: —
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form 1
Reinforcement in Place
The contractor is responsit le for
providing protection from Yeezing
for 48 hours following the acement
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 PI
ce
Rough Plumbing
Heating Rough In
Insulation U
Foundation Walls In eridr R-
Foundation Walls Exte ' r R- E C..�. y F1�E V )C� ReE1)
Floors R _
Walls R
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic/lent Ewe
Framing U�3 —
Jack Studs/Readers
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
rrt
3� 91_4
GENERAL INSPECTION REPORT
(518) 761-8256
Town of Queensbury
Dept of Community Development Date inspection request received: 02—
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive art
Inspector's Initial
NAME: ) PERMIT#11
LOCATION: bt:a�-Slde DATE
TYPE OF STRUCTURE: SffO
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 ti
Reinforcement in Place
Foundation/Dampproofing_
Backfill,Approval
Plumbing Under Slab
Plumbing VentlVents in Place— \NY
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
BracinglBridging
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 am/pm
Inspector's Initials /h
NAME: Z PERMIT#
LOCATION: DATE:
TYPE OF STRUCTURE: �
RECHECK
NIA YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete. P.✓� P''` ' T�``� c/ /
Materials for this purpose-on-site— r
Foundation/Wallpour
Reinforcement in Place t
Foundation/Dampproofing \ 1 Cis 61A
Backfill App�{oval
Plumbing Und r Slab
Plumbing Venent�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 all 2,3,4 hour
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GENERAL REPORT
(518 ) 761-8256
Town of Queensbury
Dept of Community Development Date inspection request received: 'Plis
Building&Code Enforcement
742 Bay Road
In
Queensbury,NY 12804. Arrivcz�,�— !CDepa
t tor's
or's Initial
3)3
NAME: I A*l"h Q 1A PERMIT#
LOCATION: S' DATE
TYPE OF STRUCTURE:
RECHECK
Initials
3)3
COMMENTS
rNA S 0
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/Dampproqfing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
Heating Rough-hi
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- 10
Proper Vent-Altic Vent
*raming
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
--OL—
Jack Posts/Main Beam A,
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping__-----------L--J—
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/prn Depart n/ in
Inspector's Initials
NAME: � ERMIT# t,� 73
LOCATIO `" D TE
TYPE OF STRUC -%�_ {�
RECHECK.
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form r�
Reinforcement in Place j
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on ite
Foundation/Wallpour "
Reinforcement in Place
Fo tion/Dampproofing `
k,Wckfill Approval
Plumbing Under Slab 1�1 tf
Plumbing Vent/Vents in Place a'
Rough Plumbing
Heating Rough-In
Insulation f
Foundation Walls Interior R-
Foundation Walls Exterior R �
Floors R- ZEE]
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
ires�ol2,3,4 hour
pping
r
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� epart
11
Inspector's Ini
NAME: r-,L-z /a PERMIT# 73
LOCATION: C(rc-te DATE:
TYPE OF STRUCTURE:
RECHECK
N/A YE NO COMMENTS
Monolithic Pour Form
Reinforcement in PI V I
The contractor' r sponsib r
providing tion from freezi
for 48 hours fo wing the place nt
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of the concrete.
Materials for this p se on site
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Reinforcement in Place
tl
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Foundation0ampproofi
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Backfill Approval_
Plumbing Un r in P, ce�
Slab
Plumbing Vent/Vents in PI
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls
=r Foundation Walls
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
ra
Jack StudsNIcaders
Bracing/Bridging
Joist Hangexs
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Seated
Fire Wall 2,3,4 hour
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