2000-403 TOWN OF OUEENSBUIRY
742 Bay Road, Queensbury, NY 12845902 (518) 761-8201
Community Development - Building & Codes (518) 76142%
CERTI ATE OF C� l'� 4
't Number. i'20000 Date Issued: Thursday, March 01, 2001
A &JWN
q
This is to that work request o be done as shown by Permit Number P20000483
has been complete .
Tax Map Number, 523400ml2U-400.Q[OOl1 ?48-0OO-0000
Location, 481 SHERMAN Ave
Owner JOHN ADAMS JR
Applicant. ADAMS, JOHN JR
This structure may be occupied as a:
RESIDENTIAL ADDITION By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (S 18)761-8256
VALUE $ 15000 2000403
TAX MAP .NO. 12 0.—1—4 8 Building Permit No.
ADAMS, JOHN JR
Permission is hereby granted to
481 SHERMAN AVE.
Owner of property located at
RESIDENTIAL ADDITION
in the Town of Queensbury,to construct or place a
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.
3"fN ftM ROAD
QUEENSBURY, NY 12804
LOW, Mgder's Nance:
Contractor or Builder's Address:
Electrical Inspection Agency:
NEW YORK BOARD
NEW YORK BOARD- OF-- FIRE_: .UNDERWRITERS_
Type of Construction: „,—RESIDENTIAL:...ADDITION: ......
1 �m5a `y.l&kDENTIALi,:ADDITION-t-_'AS_.-PER PLOT, -FLAN .SPECIFICATIIONS
Proposed Use:
RESIDENTIAL .ADDITION .! =
'4
PEIZ:I RT FEE PAID--TIHS PERAUT EXPIRES
(If a longer period is required,an application for an extension must be made to the Code Enforcement
Officer of the Town of Queensb re the.expirati n late.)
Dated at the Town of eensbury,this Day of
SIGNED BY A for the Town of Queensbury
Code Enforcement Offi er
Au"f,sC tag �'e�' atr'1` 111)1_, Iicati
:gyp,;VIF fQ vtr.
IaeelrsGrll yCrtnuxtrtlily Des e10pnttr/+f, 712 11tt i a RI rr11 U I L D I N G C U U Is L N1%OliCL'Ad, Ch'w elahuty, NI 1280,1 17G/-82561Ii N 7NOTICE Zequir erlienls
pt'lor l0 1SSllaliCC001
LA
( smitten t>a obtctisicd I,eroro oI lhis perlilit: Af/T!%!LI CJ.
ult curNrr Inrgeculieunuuto recelvc(t (_f hc>n/ng tlrxrL iD l)UILDINCI PtiRMt1. All /'/:%lAtt't' ttn' apneas ou Ihis npplicntiosiAicn t Ueot-colliplew", nhd•tlto $
iplicnitt•rittint nillicn♦ (ni the I Inrar/rt� I)Fxtt�l A,11.Ft
on luuit. ir...i N,,,
.: ttcciculiau I�c:u 1'nynscnl _.._ n,-.tl•rt..n. n..rYr..,,�
Api licnnl: �r� . .t
r l Owner:
Address: 1:_3 5 tol'i i- r_1_ _,1 �(� Address: ` t { }
��,.,.3 c l -j_d r1 00c
Prolwrty i.,ocsition;
Subdivision Namc: I'nx Mill) Number J-j/ —
Section tiltxik T i>t L3
NIl'1'URE OF PROPOSED WORK:
New Building:ng: L"s't'zMl\:C1,1) r1nR1tG 1` V?Vt 111; OF THE
revIdellcp� CONS'.1'ItUC'•t.'ION: $ i7t L?L�L1. .I1ddiLion Lo Uu3.ldlot�niercial
rocsl.clotico / cautinor.rlal. occur'r►ttcx xrlrollrt;nxxorrs
hlLarriL3.on Lo Ilti.i.IdJ.'igs Pr.I.tilary i.ltil.l.cYl.tg r`efl i ri.+eirn��f COntItie>> CIFl]. _ >.i.itgl.(3 FFisn.i.l.y t)w(>i.l.i.neJ
IteaidoticeCotctm •1•wo li'atn.l.l.y 1>wcl.l-f.itct
Ito olta erclal iiyo Lo oxt or3:oi: n.i.V.o
_. P'rint.i..ly Dwol..i ilitj (�
Other Work (describe below U.T_T co 1 1
Mercantile
MttliltialcLurit ' I GROSS AREA OF PIIoPOSED STRUCrTUIIE: O�ti JRE'UN 0 gg000
lot: Floor. . . . . . . (r'7� I.l ADDITION,` wlial; wi IVPv��Q CG�Ui✓��J� i5RV
•._�_ ncX. { f of 11eW addition be? : IL[�i 16�Nb-,2CODE
2nd .Floor.'. . . . . . .-
Ot:har Floors . . . . . IJq fL : 5 ._alo.-cl ',i 1�3aj1
(not unfinlslled collar or baseitiOIIL)
ACCESSORY DIULDINGS:
133 1
DeLaclteta Garage 1, 2 Gar.
TOTAL FLOOR llitlsR; SQ. FT. 11i Lachecl Garage 1, 2 car
SIZE - OV NEW STRUCTURE: Private Storage Iluilding
�( Conalier.cial storage Uttildilig
-L�_ 1�'LL'1' X C7l Iic r
Ft�fs`i
Foundation Type : (3i C LC_K Will ally second-hand or tirigraded
Niiabor. oL Stor3.eta: - — lumber. 1>e ttcrocl �It no, for what:.?
(Iiab.Ll:al>l.o opaco ots.l.y)
Itu.i.cJlil: (c�rrt(-to l:ci r.1.c.IcJo) Co(>1: �iY��i —ri�� iFi7iiiattt., ^.yt;j'ie1e --�--
Nutni>pi: ol. J°l.t:pli.l-ricaci tii1C2/(iL' WOC3CIt.{I:.OVQ l..l i to be insLalled: wls ch.> --- - iil
1 / Gas od
rceU 1101; Air OLlier
Person ree onsible: - .
P xor superv3.s.i.o11 of wart( As . regal do t o building
Goclen. .i -_4.:— ,3 q 3 t,Jz 7��r ^ eA 7cir� -� i7 ll
Ndnie \Builder: llciclraann'�� Phone ..l
Plumber: \
Mason:
DCCLARAI7UN' Please sign beloill diet•You have cntefidly rend 111e •sttllenlent.
To tltt> hest of my knowle(ige tile si.Ucnieuts coatainc<i in Ihis ap )lication, togelher with file plans
an(I spccilicntir>ns suhniille(1, sire .1 tilts(, altcl colnlile:te slatr_itic:nt (W nil prolx>sed work to he (tone on
the (Icscribecf pr(,niises sut(t that all"(wovisions of the llcsilctinl; Code, liar_ 44mi,ni; C.)itlinanev .trill all
glitter taws pertaininl; to tile l>rop(,sed work shall be complied with, whether specified or fluled, :mid
that such wearic is authuri•r.ed by ll (>wnei'. I.'uilhes•, it is un(lerstvod that I/we shall suhniil prior to a
Cerlilicate of C cupanc:y'ur C:cstificatc of Conipliatice. beini, issued, an AS IIIJII:I' I't..U'1' PLAN by
n ticerised allu y w; dra> n to scale, showing aieltial location or lwoject on prerisises.
Signature;
ow er, owner's agent, architect, contractor) �• �`
ENERGY 040'CODE COMPLIANCE APPLICATION -3,
TOWN OF QUEENSBURY, WARREN COUNTY ecel VEF0
9000 HEATING- DEGREE DAYS
JUIV 12 2000
C o mo 1 a n c e Methods: P,A_R T 5 Acceptable Practice Methopomor
1&2 Family Dwellings (oni f3t)jLt).fVQueEP4S8UnV
PART 6 Thermal Rating - Component Trade 0 yl-�"-9"4qAnps cooe
1&2 F'dmily Dwellings; Multi_Fajgily
Dwellings. (3 stories or less)
PART 4 Design by Component Performance
Commercial' Buildings-Hi Rise Residential
*Requires submission of worksheets
A.PPLTCA.NLT' S NA14E: PROPERTY LOCATION:
AJAM-S
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 15 3 (4a sauare 'feet
2 . Type of Heat - Electric oil Gas
Other
3 . 7s building mecha_n;dally cooled? Yes >Z- No
4 . Percentage of area of windows and doors Over 17% Under 17%
5 - R-77ALUES FOR JNSUL._T17ON GIVEN BELOW IMUST CORRESPON-D TO R-VALUES AS -
S'1--_0W`_N- ON PLANS SUBMITTED:
el Roof R D -0
b . Exterior walls R 10/
C . Glazed areas R
d . Exterior doors R
e . Floors over unheat6d spaces R
Edge "'o L slab on grade (heated building) R
f
Basement/cellar walls (above grade) R
--I
h . Basement/cellar walls (below grade) R
i . Heating/cooling-ducts-piping in- unheated space
R
6 . Se=--vice (domestic) hot water heating device
Conforms to minli.-aium efficiency per code Y e s No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED
A= t , Signature Pa.e Phone Ni_,7amer
44J — 7 1?
NSPECTO-_R' S REMARKS:
Fire Afill-shays office Town ofQUeensbor.', 742 Bi iy lto,ul,Queensbclr tip'
{;18) 701'-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Date 2Q
- Permit No. 07�OQD -1103z.r1
,4 l)J)f1CCr11011 IS ltel"elJ) !1t(ltfC>10 the�31llICIrPi L( t111C.1' Offlt'('�Ut'the LS'.1'trtiilCC'O,tt Building(!!l(f Use
Permit pursuatlt to the Ne t, York State Dire Prevention and Building Code. 771e ctpl)ficant or otuuc>r
aglve' s to colliply IvIth (lll applicable laths, of dinanc'eJ", iegulatlons, aitd all Conditions that are part q/'
these requirenients and also rt'ill afloir all i17s1)ectol.•to enter preini.Sec to pet fi)rnt i-eeluired inspections.
NOT-.to applicant: Rough-in and Final Inspections are reqLlired:
Applicant Information Fuel Burning Appliance IA1if'ormation
+ (circle appropriate words)
Name:, ` .l f '�� ? Stove: wood coal 41ellet gas.
, ;.
Address: A :; ]~i p1ac factory�t� tilt: wood y",;as)
1 ! tree ace, ntasonrY: wood
1 Furnace: wood gas oil
Phone:
If non-masonary applicance, please provide
Qwner:—� I
t� t Manttfactttter Name: r1f;.
i s
Address: L.� -- 1 -- t1 .r� if sir' k 2 - - ModelNiiml3ei
'�} l n. ,
� Chimney Information
Phone: (circle appropriate words) rt.
Masonry block brick stone
f t t Flue tile steel size: inches
Exact.Address:q �,>#. l. t Y ` �1
t � ,
ofcorrstrt Iron ol,installation Factory-Bttilt
' Manufacturer flame: f`�� 1 , c, � 1
b. . Model Number f t Z r a t
Mtote: Listed Bv: Ntln�ber:
Construction IInstallation must `
con orin to NYS Fire Prevention &, Building Indicate (ci ale) chininey material:
oche. Consult available Town of Queensbuty
Handouts i-egal'ding regiul•ed inspections. Double,Fall I Tlgfile hall / lnsttlatetl / �Direc•t renting
Chinmer Liner ~-
.
j Ca�.lertFz��.�r',t�,��,,�ara.as�ac:ra.,eaczt--�'"'ca►yclsrxx a►.f'�Qr�,�,�, cbu.z-�,r, .2V'",��rr�""or.�c
Fire Marshal Corte#" > �
S Collected S Re/rtnrtctl A,. , f2ecc�i,•z�rl./i-ont tl rJirilr/c>rl to):
-
.-f 173'3359 (190) Public Safen' } . 0C',t ---_ _
.d 333 655 (330)Milor Salc�sp`.
White3(Applicant) Green(Fire itilat'shal) l yello%N,(Bldg. Dept.) jpink& Goldenrod(Cashier's Dept.)
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Dat c inspection request received:
Building&Code Enforcement i
Dept.of Community Development Arrive am/pm Depart
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12904
NAME 1CA PERMIT A::�Tmb
LOCATION' DATE
TYPE OF STRUCTIME
NIA YES NO CON54ENTS
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 . 18 in.or more
Interior Handrails stairs b 'des 3 more risers
Grade 2%away from founda on
8"clearance to sill plate
Gas Valve shut-off expose gulator 8"above grade�__
Gas Furnace shut-off within 3 feet 'within line of site
Oil Furnace shut-off at entranc to ce area
Furnace/Hot Water Heater ow
Relief Val install
Xadrocni,6 ft.6 in.on stairs
V-93asement stairs,6 ft.4 in.
Handrail exterior stairs both si s more than 3 risers
Interior privacy/trim/doors/ma' entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies 18 in.or more
Railing across window in stat*rwl Is
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans'
Pjmnbing fixtures
oundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage
Light ventilation per room 6
Safety glazing 18"or less from floor
Final Electrical I
Site PlantVariance required
Final Survey Plot Plan
As Built Septic System layout required_
Okay to issue C/C(Cerlif.of Compliance)_
Okay to issue temp.C/O(Certif,of Occupancy)__
Okay to issue permanent C/O(Certif.of Occupancy)__L_
FIRE MA,R.a Fi^L_
-r(=)VVM OF ClUE=-F_=NISE3UF;Z)r
QUaIEN,'SE3LJF:;.'-Y-, "-v- 1 :2804
(518) 781 -8205
FIRE MARSHAL INSPECTION REPORT
REQUEST REC-1EIVED PERMIT
NAME
LOCATION
SCHEDULE INSPECTION ON
AM�ANYTIME
APPROVED
N/.^. YES NO
I-X I T_S'
AISLE WIDTHS
EXIT SIGNS
EMER(:3ENCY LIG;HTINO
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIONA(3E
CHIMNEY
WOOD- STOVE
FELFREPLACE, - MASONRY
,I-�FIREPLACE - FACTC:)f:;,--)r BUILT
REMARKS: OK TO THIS DATE
INSP-SA-1P.PUB -INSPECTOR
4y,
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: QL, vZ OU
Building&Code Enforcement ]
Dept. of Community Development Arrive am/pm Depart
Town of Queensbury Inspector's Initials-�
742 Bay Road
Queensbury,New York'12804
NAME S A PERMIT#
LOCATION _DATE
TYPE OF STRUCTURE f
- N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
InteriorlExterior Railings 30"to 3b"
Exterior Handrails,balconies,landing 1 in.or tea-
--Interior Handrails stairs both sid or ore risg�
Grade 2%away from foundation ;G' C4,cstJ•
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 8"abov grade
Gas Furnace shut-off within 30 feet or "thin l' a of site
Oil Furnace shut-off at entrance to ace ar f
Furnace/Hot Water Heater operating
Relief.Valve(s)install
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides mQQ`re than 3 risers 14
Interior privacy/trim/doors/main entrimce 36"
Floor Finish
Bathroom/Kitchen watertight
F. Interior Handrails Balconies/L din 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures p�
Foundation insulation / 11y..r>fj� �� {-
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 le om floor
Final Electrical Z 5 D
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)
FIRS MA PF;Z
-rC>VVM C>I= G2Uf_=a"SE3UF;ZN`
ClUalF_=NS0L)F;VY-, f-J-'Y- I2804
(518) 761 -8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT 0
NAME
LOCATION
SCHEDULE INSPECTION ON
AM (P�DMANYTIME
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 SPRINKLERS
CLEARANCE-TO HEATING; UNITS
REQUIRED SI(3NA<3E
-'CHIMNEY
WOOD- STOVE
FIREPLACE - MASONRY
REPLACE - FACTO B-YPUIL-T G�l
�#Q
REMARKS: Eg--(DK TO THIS DATE
17-7
INS PECTOF:,"
C
GENERAL INSPECTION REPORT /
( 518 ) 76J.-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement L
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart
Inspector's Initials 11'
NAME-- ✓ PERMIT#
LOCATION:Ut t DATE : -( (�
TYPE OF STRUCTURE: t
RECHECK t
N/A YES;'NO COMMENTS
Footings/Piers t
Monolithic Pour Form t
Reinforcemen1\0 Place
The contractorlis responsible for 9"
providing protection from freezing
for 48 hours following the placement °
of the concrete.
Materials for this purpose o►4slite r,
Foundation/Wallpour
Reinforcement in Place , r'
Foundation/Dampproofin,
Backfill Approval
Plumbing Under Slab ! l
Plumbing Vent/Vents in Place
ugh`PF lii bi j
I nn Rough-In
Insulation
Foundation Walls,ulterior R-
Foundation Wall,s'rExterior R-
Floors s
Walls R-
Ceiling R- '�
Duct work/or piping in
,^
unheated spaces R-
Proper Veit Attic Vent
Framing-,/
Jack,Siuds/He.
ders
Bracin, Bridging__
Joist Hangers _
Jack Posts/Main Beam ,
Air;`lnfiltration Barrier
Fire Separation 1,2, 31 hour
Penetration Sealed
ire Wall 2,3,4 hour w;
44-yi ' , .,Y
GENERAL INSPECTION REPORT j
(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 Depar�� ��/
Inspector's Imtrals�l G
NAME: PERMIT 0 3
LOCATION: DATE: / 6 -,-3
:TYPE OF STRUC.C(JRE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form _
Reinforcement in Place
The contractor is responsible for
providing protection from zing
for 48 hours following the 1 1laceme
of the concrete.
Materials for this se on iite
Foundation/Wallpaur
Reinforcement in Place
Foundation/Dampproofing L
Backfill Approval
Plumbing Under Slab
lu. hing U'ent[Vents in Place
�,ltough_Plumbing � � fl-
Heatin - ough 1n 11
r anon
—'-Foundation Walls Interior R-
Foundation Walls Exterior R .-
Floors R-
Walls R-
Ceiling R- `
Duct work or piping in
unheated spaces R
oper Vent,Attic Vent
rami : .�mt5 AP�Y�7"
ikk Studslfleaders
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Eir,c
etration Sealed j
Wall 2,3,4 hour
estoppin
GENERAL INSPECTION REPORT
(518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road 4
Queensbury,NY 12804. Arrive am/pm Depari t
Inspector's Initials
NAME: PERMIT# � 3
LOCATION: v_ iflATE : L
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibIq for
providing protection from ezing
for 48 hours following the p cement
of the concrete.
Materials for this purpose on fie
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo
Backfill Approval
Plumbing Under Slab
Plumbing VentlVents in PIA e l _
rRciugh Pliiiing c�yr i'C�1 G j� t�2 ►1
L`heating Rough-In
Insulation
Foundation Walls Interior R l
Foundation Walls Exterior R-
Floors R- I
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- f /� I
From ent, A enZ !" 6 U 1 R �J 6! %
`--Jack Studs/Headers
Bracing/Bridging
/Joist Hangers
/ Jack Posts/Main Beam
Air.Infiltration Barrier
Fite sepa:ration'-1,2,3,hour
Penetration Scaled
Fie Wall 2,3,4 hour
�Firestoppin
......... ___
�r
GENERAL INSPECTION REPORT
( 518) 761-s256 /
Town of Queensbury Pt Z d
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road 1j`'
Queensbury,NY 12804. Arrive am/pm Depark2' �r�
Inspector's Initials ,
NAME: t -'� _ PERMIT
LOCATION: DATE: J
TYPE OF STRUCTURE:
RECHECK
N/A 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.
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 X. �� ttt t C 12 U PPM-r E
Foundation Walls Interior Rti i
Foundation Walls Exterior R- 1
Floors R
Walls R- w r
Ceiling R-
Duct work or piping in �li
unheated spaces R-
Pro r Vent,Attic VentI �
ming_
Jack Studs/Headers
Bracing/Bridging
Joist Hangers R
/Jack Posts/Main Beam fa 1 p/a o
/Air1n�ltration Barrier �d /E
Fire Separation 1,2, 3,hour
Penetration Sealed
ire Wall 2,3,4 hour
Presto;ping V
F=IF:;.'a MARSHAL
-rC)WN C)F CDlUI==l=NSI3UF;ZNr
Q1-11EEiNSIBUFZN-, NY 12804
(518) 701 -8205-
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME
LOCATION PERMITi#
SCHEDULE INSPECTION ON
AM PM
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 SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIONAOE
CHI EY A:-) C_ wll�
OD STOVE NN—
FIRErL�E MASONRY R�=OL����MIAFACTORY N�S RY�E�E�1 B�LT.�
FINAL
REMARKS: OK TO THIS DATE
Z5, ut -7-
u t r
INSPSUP.PUB INSPECTOR
GENERAL REPORT
(51$ ) 761-8256
'own of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road '�}'
Queensbury,NY 12804. Arrive am/pm Depart'tt `aml
Inspector's Initials
NAME: ® tIS ve-(,A) PERMIT#
LOCATION: 2 44 Q 0,t* DATE
TYPE OF STRUCTURE:
RECHECK.
N/A YES NO COMMENTS
Footers I
Monolithic Pour Form
Reinforcement in Place �� c w-
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
FoundationlWallpour
Reinforcement in Place
Foundation/Dampproofing
Backfili Approval
Plumbing Under Slab
Plumbing VentlVents in Place J._........ ____.
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 INSP'ECTI+aN 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 VOtj m Depart in
Inspector's In`
NAME: PERMIT t
LOCATION: ) DATE:
TYPE OF STRUCTURE:
RECHECK
YES NO COMMENTS
Footings/Piers
Monolithic Four Form
Reinforcement in Flace
The contractor is responsible fo
providing protection from freezi g
for 48 hours following the place ent
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinfor ment in Place
Fo tion/Dampproofing
kfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rougli 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 1
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)DME m/pm D"D �57
Inspector'NAME: J C3`\^cLS PERMIT#
LOCATION: DATE: ✓1 —�-] (�U
TYPE OF STRUCTURE:
RECHECK
N/A YE, NO COMMENTS
otings/Piers V1
Monolithic Pour Form oor
Reinforcement in Place
The contractor is res nsible for
providing protection Pom freezing
for 48 hours folio g the placement
of the concrete.
Materials for this p on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
"\-
Backfill Approval
Plumbing Under Slab
Plumbing VenttVents in Place
Rough Plumbing
Heating Rough In
Insulation
Foundation Walls Interior R
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiiing R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgiu
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping