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2000-710 TOWN OF +QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000710 A plication Number: A20000710 1021- �`� Tax Map No: 523400- 144-00 -0001-022-D00-00 0 Permission is hereby granted to: WALTER HAMMER, JR. Owner of property located at: 55 PALMER Dr in the Town of Queensbury, to construct or place a Residential Addition 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. Owner Address: WALTER HAMMER, JR. 55 PALMER Dr QUEENSBURY, NY 12804 Contractor or Buiidet's Name J Address Electrical inspection Agency Type of Construction: Residential Addition Value : S 10090E1110044 Plans. & Specifications 2000-710 1125 SQ FT RESIDENTIAL ADDTION AND ALTERATION (HALF BATH) AS PER APPLICATION $100.00 PERMIT FEE PAJ1D - THIS PERMIT EXPIRES: 'Thursday, September 19, 2002 (tf 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 gfQueensbuirvo Tuesday, September 19, 2000 SIGNED BY for the Town of Queensbury. Director of Building & IV e orcement Buila'ing Permit Application Ta"'HAof l[4'+E'ftS`b11fy lJe{u. rfCrrr►Nrriirtily Ur°tc {ra{rrrtcrrl, alb l3r�tpRrarrrl, �7ur�rrr.3{rrrrl�, BUILDING rlic CODE ,ENFORC �EAfEN7 NY !2{�[1f 17d{-r425t5/ 0011t] Requirements prior to issuance A permit must be abeained befi>re OF this permit: !'FRrtdlT F! NC3 ~ lmg""91g consseruction. No inspection" /�� will be made until applicant hors received D;aard Acdort !'G14M!'t' hGlitfr lf� Y' � 0 a V,Al,.i17 BUILDING PERMIT. All Area Use applicants' BPacstq can this application RECRE14730dP4 FEE' MUST be completed mod, tile gig]utture of the applicant mtriet appear salt the p►ting Dl aatrd Actlor: REW& WED BY." !lcatian harm, nw..ty.K SPR ! Sulxlivirinn I otber Reereatiun Fee Payment freer rnnr Applicant: Owner., Address: Z2 MeA i4 � a ddress: e f-. / Joax " r � Phone # ]altonc # ( 'SLy_r) Properly Location, Subdivision Name: x Map Number Section 1119Wk 11+t NATURE OF PROPOSEDWORK : New EuIldinguilding : V, ESTIMATED MARKET V F'rjUE O THE CONSTRUC7•XOM6 $ �d ?� residence j Commercial Addition to nuilding : . +sei�c ennc� / c0mmercIa1 „ OCCUPANCY INFORMATION : AIteraesid eDulldingr :ci X 3 ( v Primary Suilding - j commercial Single family Dwelling Re= s nce / commercial Two Family Dwelling no change to exterior size Family Dwelling) office Other Work ( describe below ) Mercantile Manufacturing Other GROSS AREA OF PROPOS STRUCTURED lst Floor . . . . . 0 . . sq . ft . If ADDITION ] what will use 2nd ,Fl` .00r . . 00? . . . sq . ft . of new addition be ? ,, other Fluuta . . . . . sq . f t . _ ! ( not unfinished Geller 0r ba8ement ) ACCESSORY BUILDINGS * -� Detached Garage 1 , 2 car TOTAL FLOOR AREA : SQ . FT . Attached Garage 1 , 2 car Private-. storage building SIZE } oF NEW STRUCT/URE : Commercial Storage Building FEET X ks r FEET Other Foundation Type : will an second - hand or ungraded Number of Stories : lumber bee used ? If so , for what ? ( 11abitable space of {Zy ) Height ( grade to ridge ) : feet TYPE OF ITEATINGt SYSTEM : Number of fireplace: and/ or woo stove ( circle al ch applies ) to be installed :_ (� Electric Oil / Gas / Wood Forced 110 / Baseboard / Other Person reepo ble for supervision of wprk as regards to building codes is : z/ /� 3478:0 Name Addresss 71 Phone Builder : Plumberm lei Mason ; >~ lect> ician • DECTAR'ATICIN" Please slgrs below q ter you have carefully read tine staterrte►tt, pro the best of my knowledge the statements contained in this application , together with the plans aril specifications stlbinitted , are a (rue and complete slateruent of all prollosed work to be clone on tlic described premises and that all provisions of the I3uiic1ing c(xie, the zoning ortlisxance: and ell other laws pertaining to the prolxrsed work shall be complied will] , wttctlter specilied or noted, and that sucli work is authorized by the owner, lwqurther, it is uitcfers(cxxl that llwc shall suf7rrtit prior to n Certificate of Occupancy or C � tificatc of. Cornpliance being, issuccl, an AS RtJ1L'1" PLOT PLAN by a licensed surveyor; drawn Aff scale, showing actual location of project on prernises. �l Signature: o ne owner s agen onlractor Application for Permit — Septic Disposal System Town of Queenshury 742 Bay Road Queensbury, NY 12804 (518) 761-825�5 .. . 1 . OWNER INFORMATION: F .................................................+�..... . U...... ;. .:.....�.............__........ IA1R'atiORll of installation: ���f� ,1 'r'� 1.� Y}«??- +( �/ i 1 ' '1�t7� File Permit No. Tax Map No. �JI" _ f Fee Paid Owners Name: .............................._.........._............ Address: 2. INSTALLER*S NAME : _ PHONE NO. 7 C� Q 3. RESIDENCE INFORMATION: circle year of dwelling, indicate # bedroom(s) and multiply # of bedrooms with applicable gallons per bedroom to equal total daily`,/low) Year of House: No of Bedrooms x Computation Total Daily Flow 1980 or older x 150 gallbdnn = 1980 — 1991 x 130 gaVbdrm = �� 1991 — present 5: x 110 gal/bdrm = Garbage Grinder histalled yes f no Spa or Whirlpool Installed yes . J no 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) Vhy ture GroundWat r Bedrock or ! e ious Material Domestic Water Su 1 l�lat and at what depth at what depth munircipal !ng am feet feet well Steep slope clayr well; water supply slope other from any septic-system depth: absorption is 63 0 f, other !c.%a , Percolation Test: _(To be completed by licensed professional engineer or architect) s f- ;-��. ,�; � /] ,Bate; minute per inch c4r eA 5. PROPOSED SYSTEM: For New Constructign: 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 of the septic tank and �leea-c-,rh field for each Garbage Grinder, Spa or Whirlpool Tub. gallons to the size Septic Tank: f�gallon in. size 1, 000 gal.) Tile Field: each trench, Total System Length: 1i Seepage Pit(s): number size ofeach: — fT, by s- rr Size of Stone to be used: �# I J. l depth or thickness _ _feet Bed System Size: r"-' �� x 7 Alternative System:" length and/or size 6. HOLDING TANK SYSTEM: (if required) �--- Number of tanks: 1 Size of each: /' gallons 1 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. 40 vJ ign re a Bible person ate ENERGY CODE CO MPL= ANCE APPLICA • TOWN OF QUEENSBURX , WARREN COUNTY 9000 HEATING DEGREE BAYS r , - - 2000 Comm la.r_ce Methods : PART 5 -- Acceptable Practice Method - 1 & 2 Family .Dwellings ( Only) PART 6 * - Thermal Rating - Component Trade Offs 1 & 2 FaEmily Dwellings ; Multi--Family Dwellings ( 3 stories o4 Less ) PART ¢ * - Design by Component Perz'Ormance Cormuereial Buildings -Hi Rise Residential *Requires submission_ Of worksheets A_P P L, ! CILN T ' S NAME : PROPERTY LOCATION : 4 PART 5 1'�THOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : l . C-;cis s Floor Area - sau.are feet Z - Tie C3T Heat - Or Electric Oil Gas Other 3 . is bullding mechanically cooled ? Yes 4 - Pe =eentage of area of windows and Coors Over 17 % [Ender 17 % 5 - R-zrAZUES FOR I.SULAT70N GiVBN BE,I_OW MUST CORRES- ND-ND TO R-VA UE5 AS SHC7WN ON PLANS 5UBMT_ TTv.D : a _ Roof R b . Exterlor- walls R c . Glazed areas R C. . E�cterior doors R e . = loons over unheated spaces R _ Edge of s l ah on grace ( h.eat. ed bl.; ilding ) R c . Basement / cellar walls ( above grade ) R V" . Basement /cedar walls ( below c.=ade ) R i . Heating/ coaling-ducts -piping i ^ unheatea space R 6 - Sewvice ( domestic ) hat water head We device Caz=z O =ms to ir_nlretum efflciericy per code Yes No TEMP .RA.TVRE CONTROL MAXIMUM SETTING. 14Oa - WILL NOT BE EXCEEDED Ate^ S ' _^_a.. .:re Date atone NL.i':7.:7e.` S P = vim.. R OR i S T O h. 9z TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE : DEPART : INSP ; . FINAL INSPECTION REPORT COMMERCIAU --___.... MULTIPLE [SWELLING (Hotel, motel, apt. complex) DATE INSPECTION REQUEST RECEIVED : _ NAME ..-kl�y��"— i�flfyg•_�� ...�.� LOCATION ppy�.,, DATE � lif �I PERMIT, 4 W TYPE OF STRUCTURE FOOTINGS BACKFILL FRAMING PLUMBING INSULATION ---- N/A YES NO CF[ ItNNCY,�'=B " VEi^I_ T/iIEIGFI'I' .Pi.UMBING VENT/FIXTURES OOFING EXTERIOR FINISH HEATING/HOT WATER _. � _ RELIEF VALVES FLOORS FOUNDATION INSULATION INTERIOR STAIRS/RAILING $TOCICROOM ECJCLOSURE FIRM/DEMISE WALLS PENET TION FIRE DAMPERS 1 CEILING FIRE STOPPING FIRE 17£1ORS/CLOSE RS EXIT DOOR IIARDWAHE EXIT ST IRS ILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL _ V SITE PLAN/VARIANCE R E4. FINAL SURVEY PLOT PLAJ.__ iF RE OK TO 1SSUn CC/O OR C!C_�, L4Vy RESMENTL&L FTNAL INSPECTION REPORT 0 Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement _ Dept Of Community 1lcweiopnuen# Arrive ve Tow Town of Queensbury s Initial 742 Bay Road Queensbury, New York 12804 ' NAME PER.I UT # LQCATIo XzsDATE Z�� TYPE of STR it NIA YES NO COBu NMNTS Chimney height/B" VentrDirept Vent Location Fresh Air intake Plumb Vent through roof Roof Compiete Exterior Finish Complete Interior/Exterior Rw:! 30" to 36" �.. Exterior Handrails, b81 'es, iandin IS in. or more latenor Handrails stairs th sides 3 more risers Grade 2% sway f own fo dation S" cleaxauce to sill pl Gas Valve shutoff I8" above grade Gas Furnace shut-affwi 3 feet or within line of site Oil Funwxc shut-off at ce to furnace area Furnace/Hot Water Relief Valve(s) install Headroom, on Basement stairs, 6 ft. 4 Handrail exterior stairs shies move than 3 risers Interior privacy/trim/ entrance 36" Floor Finish Bathroom/Kitchen watert ght Interior Handrails Ral ding 18 in, or more Railing across window in Its Smoke Detectors: every level every bedroom outside every bedroom . inter connected Bathroom fans Plumbing fixtures Foundation insulation Jiro hour fire doorldoor closet Garage fireproafin � . Garage penetrations scaled y } Furnace in separate meal protected (in garage) Light ventilation per morn Safety glazing i S" 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. of6ccupxrrrc•3) TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 1_2804 (518) 761-8256 "�1Y SEPTIC DISPOSAL SYSTEM INSPECTION Name Location €?atQ*C Permit # x&._?H b SOIL TYPE: Sand- LoamFinute/1'nch g=- Results of Percol atiest-�, ( if applicable ) Rate- TYPE OF SYSTEM: ABSORPTION FIELD: To al Lengt Length of each trenc Depth of trenches --- Size of stone SEEPAGE PITS : be — Size - ft . ft . Stone size PIPING : Size ype Bldg . to Tank Tank to Dist . Box Dist . Box to Field/Pi tia Openings Sealed ? Y s �1 o ar LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorpt ' on feet Separation of Pits feet Conforms as per Plot Tan �� s No LOCATION OF SYSTEM PROPERTY: ( circle one ) Front - Rear - Left18ide - Right Side Middle Front - Middle Rear COMMENTS : SYSTEM USE APPROVED : NO Arrived : Departed- d R nsp r RESIDENTIAL FTNAL INSPECTION REPORT Office Na (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community Development Arrive � DepaMZU Town of Queenshury tor's Trli742 say RoaaQueensbury, New York 12SO4NAME PFATIONi? TYPE OF STRIIC NIA YES NO COMMENTS Chimney HeightP'll" Vent/i]irect Vent Location_ Fresh Air Intake Plumb Vent through roof Vj Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36' - Exterior Ilandrails balconies, lan ng 18 i or more t * tom. Interior Iiaadraiis stairs both 3 or mare Grade 2"/v away from foundation 8" clearance to sill plate � �— .'._.,1''T�`E � \� Gas Valve shut-off exposedl ator 18" a ve grade Gas Furnace shut-otl'within 30 or witllit line of site t]il F�,r., e shut�ffat entrance furnace FF�jC�Lt tam J 'tTTI C Furnace/Hat Water Heater Relief Valve(s) install Headroom, 6 ft. 6 in_ on Basement stairs, 6 ft. 4 irt. 000 Handrail exterior stairs both s' more than 3 risers Interior privacy/trim/doors/ entrance 36" Floor Finish Bathroom/Kitc;hen wvate I*At Interior Handrails, g doani 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 s/4 hour fire door/door closer �f 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 �1 � t r xt:�x Final Survey Plot Plan BuiltAs 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) err.•+* RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8236 bate inspection request received: Building & Code Enforcement Dept. of Community Development A r rive% 1 Town of Queensbury �far's 742 Say Road Queenshury, New York 128" ,--*� r^�0 f ! /� / NAME '( �8 PERMIT �� 0 LOCATION DATE , TYPE OF STRUCTURE NIA YES NO COMMENTS Chunney Height/"B" Vent/birect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 3 to 36 Exterior Fandrails, balcorri , Iand�ng 18 in. or more Interior Handrails slain bo sides ;3 or more risers Grade 2% away from founda 'on 8" clearance to sill plate Gas Valve shut-off expo sedf for 18" above grade Gas Furnace shut-off within 30 or within line of site Oil Furnace shut,uffat entrance o Furnace area. Fnm icJe/Hot Water Heater Relief Valve(s) install Headroom, 6 ft. 6 in. on stairs _ Basement stairs, 6 ft_ 4 in. Handrail exterior stairs both sides i1fore than 3 risers Interior privacy/trimldoorWinain en ce 36" Fluor Finish BathroomX.itchen watertight Interior Handrails Balconie&Oanding i8 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixnrres Foundation insulation 3/a 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 Complianec) Okay to issue temp. CIO (Certif; of Occupancy) Okay to issue permanent n_t C/O (Certif. of Occupancy) ( 518 ) 761 - 8256 G'ENER4L INSPECTION DEPORT �. Town of Queensburysbury Dept. of Community Development Date inspection request received: U' Building & Code Enforcement 742 Bay Road ,��.--- --� ~ Queensbury, NY 12804 Arrive ` nrillin •,±art ' Inspector's Initi f NAME: `SYl PERMIT # LOCATION: DATE : -- TYPE. OF STRU 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 poem t of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Damppproofin BacMl Approval Plumbing Undcr�Slab 40 Plu 'ng Vent/Vfnts in Place/g gh Plumbing ___ Heating Rough-In Insulation Foundation Walls Interi R- Foundation Walls Exters r R- Floors Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin 1�T `G 2 +�C7LLx�Q_ Jack Studs/Headem Bracing/Bridg3n Joist Hangers Jack PosWMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed aV Fire Wall 21 39 4 hour. c Firestoppin i ' TC] C e% %A — t' .2_ ►;ten GENERALS INSPECTIQN REPC7RT ( 518 ) 76Z -825b .�".— Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement + / 742 Bay Road Queensbury, NY 12804. A rr prn Depart is Initials NAME: _- 4h+ C > �` - /0 LOCATION:k' Art bt� ae . TYPE OF"STRUiCTURE: RE+CII�CK NIA YES NCt COMMENTS Foo ers Mono] c Pour Form _ Reinfo nt in Place The co raetor is responsible for providin on from freezing for 48 h following the placement of the cancr 1vlaterials for thi se on site Foundation/Wall r Reinforcement in Pl Foundation/I7am n r Backfill Approval Plumbing Under Slab Plumbing S/ent/Vents in Pl R ugh Plumbin eal.i.ng Rough ,/ nsulation [ �r�, ,�_. G� y -? r, C• Foundation Walls Interi R- GU! Foundation Walls Exteior R- R 7 Floors R- Wails R- Ceiling R- Duct work or pi ng in unheated spas R- Proper Vent, Attic Vent Framing Jack St eaders Bracing.,r ridging, Joist It2gers Jack "ts/Main Beam Air Infiltration Barrier jFire paration 1, 2, 3, hour tion Sealed Wall 2, 3, restopping_ —i-ia 7 � + I4 f C-4 14� . � PO4 GENERAL INSPECTION REPORT / A)y � ` c � zs � � s � - sac Town of Queensbury Dept of Community Development Date inspection request received: !� Building & Code Enforcement + 742 Bay Road " Queensbury, NY 12804 Arrive am/prn De Inspector' foals NAME: I � — PE # ` ~'i' C? 1_r(]CATiON: 5g l vtn R iti Y DPI 4 TYPE OF STRUCTURE: � y RECHECK N/A. YES N COMMENTS Footings/Piers 1 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/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In F 7 ` Foundation Walls Interior R- I✓' , dry / = / C-t� Z Lf vC r�fGJ uC J Foundation Walls Exterior R- FIoors R- / r1� '"l�ryt Walls R- / +Ceiling R- 030 work or piping in /unheated spaces R» 6p'oper Vent Atti Vent �fFraming min t T i c� Jack Studs/Headers Bracing/Bridging — Joist Hangers / lack Posts/Main Beam Air In€iltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed �e Wall 2, 3, 4 hour C it E1VExi'A 1. ItTICJ" PDRT ( 518 ) 761 -8255 Town of Queensbury Dept.. of Community Development Date inspection request r"eived: Building & +Cade Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am)pm Depa,�� 1 ► Ins is Initials `J NAME: 10 PET # LOCATION: DATE TYPE OF STRUCTURE: a` — RECHECK r� N/A YES COMNffiNTS. Footings/Piers ! Monolithic Pour Form _ nt Reinforcement in Place The contractor is respobie for providing protection from�reezing for 48 hours following the ceme of the concrete. Materials for this purpose on sit Foundation/Wallpour Reinforcement in Place Foundation/Darn. x ►o Back#'a it Approval Plumbing Linder 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/Bridgi Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier ; Fire Separation 1, 22 3, hour Pyfietration Sealed ire Wall 2, 3 h r 1 - irestopping (. - G' Ot}'+' . d GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queenshury Dept. of Community Development Date.impectiaq request received: Building ,& Code Enforcement 742 Bay Road. R_ f Queensbury, NY 12804 Arrive am/pm Depaz 1� inspector's Initials NAME: � 'PEIWIT 4 LZs / ),10 LOCATION: DATE : Z TYPE OF STRU RECHECK F r r N/A YES O COMMENTS Footings/Piers ~f Monolithic 'Pour Form Reinforcement in Place r The contractor is responsible r providing protection froth free ng for 48 hours following the placment of the concrete. Materials for this purpose on site Foundati n/W allpour Reinforcement in Place , Foundation/Darappmofin —_ BackFili Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough4n 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 'rent Framing Tack Stud/Rea�� Bracing/Bridgt Joist Hangers T ck Posts/Main Beam Ai Infiltration Barrier_ �. F' Separation 1, 2, 3, hour eitration Sealed ire Wall 2, 37 4 hour Firestopping J GENERAL INSPECTION REPORT � J ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Cade Enforcement 742 Buy Road , Queensbury, NY 12804 Arrive Depart �RW pm Ins tor's Initials " NAME: PERMIT # 00 LOCATION: DATA : TYPE OF STRUCTURE; e RECHECK , - 4 ,1 N/A . YES NO f" COMMENTS Footings/Piers I r� Monolithic Pour Form r{ Reinforcement in Place The contractor is responsible''(or y providing, protection fo leeaing fi for 48 hours following the plaexgaem of the concrete. Materials for this purpose on site + `F. Foundation/Wallpour Reinforcement in Place Foundation/f?ampproofin Backfill Approval Plumbing under Slab Plumbing Vent/Vents in Place Rough Plumbing Ning on n ation Fk � Foundation Walls Interior R. ; Foundation Walls Exterior R," Floors R- --- Walls R- ; Ceiling R"» Duct work or piping in unheated spaces R- Vent, Attic Vent raini Jack StudsrHeaders Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed � ;Ure Wall 2, 3, 4 hour , / 'Firestoppin /f! c7 r P '.. �S+ SBY THIS CERTIFICATE OF COMPLIANCE THE EW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 5 40 FULTON STREET - NEW YORK# NY 10038 51 �S CERTIFIES THAT SUpon the application of upon premises awned by i SDOUBLE LL ELECTRIC 46 TWIN CHANNELS RD, WALTER HAMMER S QUEENSBURY, NY 1 2 804-7230, 55 PALMER DR, j QUEENSBURY, NY 12804 Located at 55 PALMER DR. QUEENSBURY, NY 12804 S SSApplication Number. 1001748 Certificate Number: 1001748 SSection: Block: Lot: SS Building Permit---- BDC, A239 Described as a r�vt5 - 710 Residential occupancy, trical system consisting of where premises elec electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Swas inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was S found to be in compliance therewith on the S 29th Day of November 2444 7 5 Name UTY Rate Ra_ tine Circuit Type ` Appliances and Accessories CJ GJ'a Exhaust Fan 1 0 5 Wiring and Devices SISReceptacle 23 4 Receptacle Hazardous Location Switch 1 020 GFCI C Fixture 16 0 General Purpose •Lj� Receptacle! Incandescent I 0 30 Special Lighting ack 4 0 Sp Paddle Fan 5 0 �' Service 1 Phase 3'W Service Disconnect: 1 200 cla Meters; I 5 S 7[* seal 1 of I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. S 0 r� rJ� rJ�r�c!'cJ'c1c IrJ� r� rJ� cJ� rJ� c1� r.J rJ� rJ� TOWN OF QUEENSBURY BUILDINGS CODE ENFORCEMENT 742 Bay Read Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name --- Locationr-� �--- Date Permit # 710 SOIL TYPE: Sand- Loam-Clay- Resul is of Percolation T st- ( if applicable ) Rate- Mi ute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tot Length Length of each trenc Depth of trenches Size of stone SEEPAGE PITS : IYum er- Size - ft x ft . Stone size PIPING: Saze =yrpeBldg . to Tank Tank to Dist . ox Dist . Box to F eld/Pit Openings Seal d? Yes fo arta a LOCATION/S>=P RATIONS : Foundation Tank feet Foundation o Absorption feet Separation of Pits ___ feet Conforms per Plot Plan Yees No LOCATION F SYSTEM ON PROPERTY: ( circle e, Front - e - Left Side - Right Side Middle F ont - Middle Rear COMMENTrR SYSTEM USE APPROVED : YES NO Arrived : Departed : Building Inspector C;ENERAL INSPECTION REPORT ( 5 .18 ) 761 - 8256 Town of Queensbury Dept. of Community Development slate inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY I2804 Arrive — am/pm Depar7 a r, Inspector's Initials -� NAM�E����� �1 - PERMIT 4 00 LOCAT ION: 4DATE TYPE OF STRUCTURE: RECHECK Footings/Picrs— N/A YES NO COMMENTS Monolithic Pour Form Reinforcement in Place _ The contractor is responsible f r providing protection from free .in for 48 hours oflowing [lie pla ent of the concrct - Materials for this p sit Foundation/Wallpour _ Reinforcement in Place - Foun A tion/Dampproofing— - Cll Approval_ -- - —^ Plumbing Under Slab — - Plumbing Vcnt/Vcros in Place Rough Plumbing. Heating Rough Insulation Foundation Walls Interior R- Foundation Walls Exterior P, Floors R - �f Walls R- ! Ceiling R- . Duct work or piping in --._ -- -- unheated spaces R- Proper Vent, Attic Vent - -- - -- - Framing- -- - - -- Jack SludOleaders Bracing/13ridging__ .. ...... --- —_ - -- - Joist Hangers - — Jack Posts/Main Beam -- -_� Air Infiltration Barrier Fire Separation 1 , 2, 3. hour Penetration Sealed_ Fire Wall 2, 3, 4 hour TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury MY 12804 (518) 761-9256 SEPTIC DISPOSAL SYSTEM INSPECTIOW NameAla Location Date "ermit # SOIL TYPE• Sand L©am-Clay- Resul is of Percolation es ( if applicable ) Rate- Mi ute Inch TYPE OF SYSTEM: 1, t ABSORPTION FIELD : Total Lengt , Z.Z. 5 Length of each trench �5' Depth of trenches Size of stone SEEPAGE PITS : er- Size - f x t . Stone size PIPING: �1i ype Bldg . to Tanis f,7, ,,, / v s:+ .CC- .�> Tanis to fl-i s- Sox Wrt Dist . Box to Field/PI Openings Sealed ? a No LOCATION/"SEPARATION . Foundation to Tank et Foundation to Abso tion feet Separation of Pits — feet Conforms as per Pi o Plan a No LOCATION of SYSTEM PROPER { circle Front - 'Rear? Mid Lef Side - Right Side Middle le Rear CATS: BAR TCA- t-- SYSTEM USE APPROVED: YES No red: Depa Departed: Building Inspector GENERA .LN,SF. cCTi lY REP 0,RT ' ( 518 ) 761 - 8256 Town of Queenshury 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 # 6�12) f /C , EX)CATI€7N: _ fir'} { _ DATE : /c, dL] TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers _ I T�i Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing, protection frorn fining for 48 .hours following the pla nt of the concrete. Materials for this purpose site FoundationlWallpour Reinforcement in Place FoundationMampprooffin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Xeating Rough-In "(Insulation • tvL :. Foundation Walls Interior R Foundation Walls Exterior u Floors R- C Walls R_ ceiling R. Duct work or piping, in unheated spaces R- Proper Vent, Attic Vent Fran i Jack Studs/Headers BracingMridgi Joist Bangers lack PostslMain Beam Air Infiltration Barrier Fire Separation 1, 22 3, hour Penetration Sealed Eire 'Wall 2, 3, 4 hour _j ✓Firestoppin As d -Joe' GENERAL INSPECTION REEOR7 ( 518 ) 761 -8256 � .F ,. Town of Queensbury Dept. of Community Development Date inspection request received: Building & Cade Enforcement 7A 742 Bay Road Queensbury, NY 12804 Arrive am/ptn Depart atn/ , - Iaspector`s Initials� NAME: ti4th,� 7 d TRUCTLTRE: .ri.-_ �--�Rzuci�c N/A YES NO COMMENTS Footings/Piers j Monolithic Pour Farm Reinforcement in Plane 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 Reini`atxx:ment in Place Foundatian/Dampprool n,a Backfill Approval Plumbing Linder Slab Plumbing VenVVents in Rough Plumbing. r {{ eating Roug n 7 Insulation Z_ t .. Foundation Walls Interior R- Foundation Welts Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in . unheated spaces R.- Proper Vent, Attic Vent Framing Jack SUKWHeaders Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour f 'onSealedWall 2, 3, 4 boor h restoppi.a =� 1 IX GENERAL INSPECTION REPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development .Date inspection request received: Building do Code Enforcement 742 Bay Road : Queensbury, NY 12804 Arrive a WPM Depart axo/pru Inspector's Iuitial-s NAME: c �,v .L..� C (� PERMIT # LOCATION: _\ tip, C'- V 4C k DATE TYPE OF STRUC`ILTRE: RECHECK NIA YES NO COMMENTS Footings/f� j Monolithic Pour Form _ Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the pftitcrnent of the concrete. Materials for this purpose on to Foundation/Wallpour Reinforcement in Place Foundation/f) unpprroofi.ng Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbi Heatirtg Rnu 'In - Insulation I i'� i , Foundation Walls Interior R. Foundation Walls Exterior R Floors R- e. e �+ +��F-^- �'"l✓v if: � t`? �lE� �7 - "�. j F 7�'- Walls R— Ceiling R- Duct work or piping in unheated spaces R- r Vent Attic Vent �ng 1S Jack Studs/Headers Bracing(Briclging_ Joist Mangers v�7 Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4hour '( _ F�restopfitng I �L {�� \ /4rI L . �i f` � ' / 4 �'.`f '/ ��I�4" �• L GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept, of Community Development Date inspection reclueat received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart t m Inspector's Initials NAME: --- +4V._i� PERMIT # � '`� LOCATION: -- $ L a - �2 DATE : tp r TYl"E OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footmgs/Piers I Monolithic Your Farm _ Reinforcement in Place The contractor is response a for providing protection from i for 48 hours following th place ent of the concrete. Materials for t this p'r ose o SI#E FoundationlW Reinforcement in Place Foundation/Dampprooftn Backfill Approval Plumbing Linder Slab Plumbing VentlVents in Pl Rough Plumbin Heating Rough-in Insulation Foundation Walls Interior Foundation Walls Exterior - Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin ,lack Studs/14eaders Bracing/Bridging, Joist Hangers Jack Posts/Main Beam Air Infil tion Barrier Fire tion 1, 2, 3, hour P ration Sealed F' Wall 2. 3, 4 hour / � E-`7 irmtoppmg L L- 1 w i(� - A03 GENERAL .r►MSPECTIOry REPORT ( 5 � 8 } 'Ih3 - 8255 Town of Queensbury Dept, of Community Development Date inspection request received: Building & Cade Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart Inspector's Initials � NAME: r'f\ PERMIT 4 7 LOCATION: DATE ! TYPE OF STR RECHECK. ! NIA YES NO COMIWENTS Footings/Piers l a Monolithic Pour Form Reinforcement in Place The contractor is responsible foY providing protection fro ipg for 48 hours following the nte of the concrete_ Materials for this purpose on site Foundation f Wailpour Reinforcement in Place Foundation/Dampproof n Back611 Approval �'; Plumbing Under Stab Plumbing Vent/Vents in Place gh Plumbin eating Rou In Insulation Foundation Walls Interior R- r + I t Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- 17uct work or piping, in unheated spaces R- PPrgper Vent, Attic Vent lack Studs/Headers J /� BracingMndging f d v %t rL� : L t l> I_� /� J C �� Cr,tiC � Joist Hangers / �f Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 29 3, hour Penetration Sealed re Wall 2. 3, 4 hourOn( Firestoppin 1 r " i f�} L G - f�c'—r2#� a GENERAL LN PEC 10ND REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: !© 5 E1U Building & Code Enforcement 742 Bay Road Queenshury, NY 12804 Arrive�a DeE!!-'T 1 Spector's NAME: GG.�Gr_ I`d PERMIT # I.CICATICIN: —ZZ DATE : 10 — QL5 TYPE OF STRUC _ i5►t7 RECHECK �+ N/A . NO COMMENTS oatings/Piers I Reinforce c Pour Form Reinfarcementin Place The contractor is responsible for providing protection from freezing '- 4 for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour, Reinforcement in Place Foundation/Dampproofi BackFill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R.- Foundation Walls Exterior R- Floors R- Wails R- ceiling R- Uuet work or piping in unheated spaces R- Proper Vent, Attic Vent Framiniz Jack Studs/I3eaders Braeing/Bri Joist Ilatxgers Jack Posts/fdain Beast Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wall 2, 3, 4 hour Firestoppin