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2000-796 TOWN OF OVEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761=8256 CERTIFICATE CIF OCCUPANCY Permit Number; P200007% Date Issued: Friday, May 25, 200I This is to certify that work requested to be done as shown by Permit Number P20000796 has been completed, Tax Map Number: 523400-137-O40-0002-004-0{}8-O000 Location, 25 EAGAN Rd Owner: JEFFREY & TARA THREW Applicant: JEFFREY THREW This structure may be occupied as a: By Order of Town Baud Single Fatuity Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached Fireplace Director of Building & Code Enforcement TOWN OF QUEENSBURY - 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000796 Application Number: A20000796 Tax Nlap No: 523400- 137-000-0002-009-008-0000 Permission is hereby granted to: JEFFREY THREW z For property located at: 35 EAGAN Rd in the Town of Queensbury, to construct or place g at the above location in accordance ;with application toether with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning value ructio Ordinance. Type of Constn Owner Address. JEFFREY THREW Single Family Dwelling 130,000.00 35 EA.+GAN Rd Garage - 2 Cars Attached QUEENSBURY, NY 12804 Fireplace Total Value 130,000.00 Contractor or Builder's Name / Address Electrical Inspection Agency y +- plans & Specifications r25 gle Family Dwelling, other floor is finished space Eagen Road $297A0 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, October 30, 2002 (Ifa bnger period is required, an application for an extension most be made to the code Enforcement officer of the Town of Queensbury before the expiration date.) Dated at the To ueens M , October 30, 2000 SIGNED BY for the Town of Queensbury- Director of Building & Code Fnforcement ---- Bul4ding .Permit Application Town ofQueensbu y - Dew. of ctNl►I►►r,.t,'ry Develfplyinent, 742 lkr v Romig Qr►rerrvlrur•p, NY 12804 1761-82561 OT CE BUILDING I& CODE ENFORCEMENT Requirements ,prior to issuance s� A twrout must be obtainod before of this permit: PERMIT FILE No. Imstuning construction. No inspections will bo made until ■pplicant has receiver# � ze "Ing ,96ard� ACI&M PERMIT ,FE& 13AID $ a VAWD BUILDING PERMIT'. All Area I Uwa applicants` Sparces on this application 4RJVCIiEATION FEESP S MUST be cornpleted &ad flue aiglurture O PlalrreGiB �� �ctlwe - of the applicant ntuat appear an the �12GiY� U FY. _ SPR f sifiWivi�siorl I Other lY�rlfrl nR Ir►.I.rrrnr ltcation form. r�..e �. Recreation Fee Payment Applicant:���� -. ^ -•-#--� � Owner: �� yi'Y" 1� IItC� 41 Address: ` .4 Address, 1'honc # Pliune # Property J.ocaticrlfi -! x�Subdivision Name: Tax Map Number Section Mock l twt NATURE OF PROPOSED WORK : ESTIMATED M F'ARKET VALUE O THE New Bu i lei + neESTIMATEDCONS'TRUCTION : _ residence commercial AdC1 CSTr-"C� Sft-ilciing4 residence / commercial OCCUPANCY INFOP14A7I0N : Alteration to Building : Pri a,ry Building - residence / commercial mSingle Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) Mercantile Manufacturing GROSS AREA OF PROPOSED STRUCTUREt Other 1st Floor . . . . . . . . / SSS s . ft , � If ADDITION , what will use 9 i of new addition be ? : 2nd .F1'oor . . .,I ? * . . _ -� seq . ft . Other Fluuta . . . . , __ 6,� -z _ sqo f a:, ;, { not unfinished cellar o b #P1 �.� o � ACCESSORY BUILDINGS : Detached Garage 1 , 2 car TOTAL FLOOR AREA : mil / SQ . FT _ Attached Garage 1 car Pri.vate:. Storage Su 3. rt�'"'��l SIZE OF NEW STRUCTURED Commercial Storage Building �}} 4 A tither FEET X �-�j FEET Foundation Type : yj�x'Q � Cp�C#�-z. {,441z.::� Will any second- hand or ungraded Number of Stories : / lumber be sed ? if so , for what ? ( habitable space or yly ) -7 0 Height ( grade to ridge ) : A I ,sect 'TYPE OF H AWINGt SYiSTEMs Number of fireplaCeo and /or woo stove ( circle all which lies ) to be installed :_ z Electric / Oil / . Ga / wood Forced Hot Air / Baseboard / Other Person responsible for supervision of work a regards to building codes .19 . ,� +�•' �'�"r.--- - ,75/ Name Address Phone Builder : ��sk 'eJ armor, �y6 Plumber : .► AC>I e 7G/- Cy Mason : c _ Electrician : r / s - as� z- Is DECZ,tP4T10N.• Please sign below q/3eir you have carefully read the statentertf. wro the; best of my knowledge the statements contained in this application. together with the plans :and specifications subrrritted , are a true and cornplele statement of all profx7sed work to be done (m (tic described premises and that all provisions of the Building Cexle, [lie Zoning Ordinance and all caber laws pertaining to the proposed work sliall be complied with , whellier specified or noted, and iltat sticii work is atrtborired by the owner. Ftirtlter, it is understocxl drat I/we slsall subnik pricer to n Certificate of t7ucup:rncy or Certificate of Compliance being issttccl , an AS BIUIUr PLOT PLAIN by a licensed 9tuveyor; r scale, slso actual location of project on premises. Signature. {o , owner's agent, architect, contractor) _ r Application for Permit — Septic DispOsal System Town of Queensbury 742 Say Road Queensbury, NY 12804 (518) 761-8236 1 . OWNER INFORMATION: _............._._, ................. ........ 011rlce Use Lacatiarr of installation: �A- File Permit N O ) y lam' Tax Map No. $ ,� 1 ! —i, R Fee Paid Owner's Name:-;Sor "7h Address: r::9,5� _.tac� Psi���`►�C ,Ci �_ PHONE NU, 2. INSTALLER'S NAME '%�/�3 J� �/ ' l 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate if bedroom(s) and multiply ft of bedrooms with applicable gallons per bedroom to equal total daily,Jlow) Year of House: No of Bedrooms x Computation = Total Daily F_ Iow 1980 or older x ISO gallbdrm 1980 - 19 1 x 130 gaVbdrm 1991 present x 110 ,gaUbdrm = 3 Garbage Grinder Installed yes 1 no Spa or Whirlpool Installed yes _ 1 no t �' d. PARCEL INFORMATION: (circle applicable information & indicate measurements) graptyy 7other r andW$t�r Bedrodis ar ltnpe q�rsMateri�l__.Dom stir 1Nater�upply at who depth at w at depth nr1rrticiRolling ,O� _ feet feeet weSteep slope if well; water supply slope from any septic-system absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch S . PROPOSED SYSTEM: Egr New Construction: Ali individual sewage disposal systems must be designed by it licensed professional engineer or architect (unless installed in a Planning Board approved subdivision), Add 250 gallons to the size or the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: 12,�CQT gallon (min. size 1, 000 gal) Tile Field: each trench ft. Total System Length: Seepage Pit(s): number af size ofeach: ft. byft Size of Stone to be used: d .. / depth or thickness .feet Bed System Size: x Alternative System: length andlor size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: I Size of each: gallons J TOTAL Capacity: gallons Nate: 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 Town of Queensbury Sanitary Sewage Disposal Ordinance. � �'��; no ature of responsible person bate ENERGY CODE COMPLTA.NCE APPLICATION TOWN OF QUEENSSUR.Y , WARREN COUNTY 9000 HEATING DEGREE DAYS d ,. Comm i ante Methods : PART 5 - Acceota.ble Practice Method - 1 & 2 Family Dwellings ( only ) PART 6 * - Ther-mal 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 o *Requires submission of worksheets P�D'PLIC� '3T ' S N PROPERTY LOCATION : K UR,1 PART 5 METHOD OF COMFLI.ANCE BY .ACCEPTABLE PRACTICE : ? Gross Floor Agee. - $ =are feet 2 . Tv-0e of Heat - Electzia oil w Gas Other 3 . Is building meca.anidall_v cooled? No ,,. $ . Percentage of area o � windows and Coors ✓�.Over 17 % Lam" Under 1 7 % 5 . R-V`-_LLTES FOR P2iS�3LATT_0N GIVEN B;=IOW iIUST COR.RESPCN`D TO R-VA UES AS S �C3rrv'.1 ON PLANS 5UUSM=TIED : a _ Rvof R � b . Ext er*or wa?15 R C . Glazed arena R do c4xtew for doors R r: e w loors over unheated spaces R E cice of slab oa grade ( heated bin i .ding ) R cr . Basement / cellar walls ( above S-ode ) R ?: . 3asement / calrar walls ( below grade ) R 1— i E: eatin.g/ cgo1ln.g-ducts -piain�a. i . unheated space 60 S e =viee ( domest.lc ) hot water heati-.g device Con - o =ms to car nlmum efficiency per code �f Yes No 2EM.= E:RATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED gnat T. D ate Phone Num"be. = xSPL ..._YCR ' S R ZIVL2 R S . MOW a c € ] 'ire NZ :srslr:tl'ti C)fti« •€•rrzt`lt rrl Q0tPe13SbU1 S . 742 i3ati N.U:r[l , QUQe1L%h 1_N N '% ( 518 ) 7tr1 -820:; Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances ! j� Date �(} tXJ Yer€�tit �'v. �- 00 ' i flf3laliCrzfirrrt is lrc rc hS' trl ct.lc to the l3rtiltlirr C'rrtfc'-ti 0/1i, c frtr fhr is.ti rrct rzr rtJu 131ri lrlizr rtrtrl %,1`L` { Permii pursrruut to the New }'nrl State Hire Pr-evelttioir alld 131ciltlwg ( -rrcic 7be uj,rI)licrtm «r 011 el, I k ut tees' In enrttltly With rill 6rP,9licrth1c kl+,'J.r. nr•u•izrr'rrtces. Lewd rtlf c•orrrltricrrts' lhol are peirf nj l I rfrc.rc regttirerzretrts and also tx=iff crlfrrtY• rrlf iva'pccrorr to titter pt'ctz+i.sc.s trl f)rrJc>rvrl r•crlrrirec! itt.s'ftetvirirt_s_ { NOTE to applicant- Routgh-in and Final Inspectimis are required . I —�— Applicarit Information Fliel Burllinor r A13pliance fniformatioit ( circle appropriate Nvor3s) tiame: .._3P '� � � ,,cam s StOv Wood coed 1_)ellet "Os Fireplace inscrt Address Fireplace, factory-wilt : ttc+vct C Fireplace, masonry: wood gas m Furnace: Wcrad gas oil Plione: If ljoll-111asonary applicance, please provide Owner:J �Y� '_-�' 1l � o t� th� Manufacturer Name: �.� r•�� iJd �J+� � � `"C ► n.�t.., 1 Address: ��•'�Tr�� P ► � Nelodel Number: _ Chimney Infoi-niation Phone : .57F %rl �s ' [ ' tcircle aE3Ur4priate " i�rds ) Masonry block ht-iek stone Flue rile steel size: inn-hes Exact Address; � `- A r� ofconsrr•zrcdoa t or hisralkation Factory- Built 1 Manisfacturer name: =-'' A Model NNUM per: "Vote: Listed Bv Number: � l Cottstr uctiar2 ! Itzstallcztic rz zrrrrsI Econ orm to NyS Fire Prevention &, Building Indicate (circle) chimney material - 1 Cocle. Consult available Towii of Qzfeensbui v Hcoi louts regai-ding i-egzdi -ed inspecliotls. Do+lhle troll Triple mill f Msrtlated .f Directvewitr5 { r Chirrrrtet Lrr;c•r i 4C=�!,VtASL1X14eLX� 4CP i"e @►u404!�% "X30XX-x'.*r, 2W'OEsrrr Yo►rl�cf i fir 11rrr•s'haI CO de # y He°ftrrtrterl Hecei ' ^aL fru» c°jrrrrrl4c! rrtf . W�> eC-'y�---_ -.- 'I .4 1 T_ 3389 (190) Public Safer- f 33 26.55 (230) AIirrr�r Sale. �f • •'t• � �1r,,t , �� yy� White (Applicant) Green { Dice ZIarsliall Ycllww ( L3k1j,,v- DepE[ ) Pink Goldenrod ( Cashier's [7c)31. ) TOWN OF 4UEENS6[JRY BUILDING & CODE ENFORCEMENT QUEENS2 SAY URY NYOAD 122804 (518) 761-8256 ARRIVE : -------_ DEPART : INSPECTION REPORT - RE$IbiSNTIAL DATE INSPECTION RE4UES'I' RECEIVED . NAME LOCATION DATE Cy" TYPE OF STRUCTURE PERMIT i�71 FOOTINGS FOUNDATION ROUGH PLUM8ING BhCKFILr, FRAtpING FINAL ELLC',t'RSCAL SEPTIC INSULATION . - _ WOOUSTOVEy OR FIREPLACE_ �MN+EY fi IGHT_/ VEN 1 E'I HT N A x$ NO PL E F EC OR N 1tELI VAr tare,5 F' O WA O ERA G ERIO IM VACY F S : 8 T KITC EN T GF1 OT E LOO S WE PA9rE OTHER. FLOG C spEnep STAIR CLEARANCP �v -----.-c��.ASLTN_____ ry�� SMOKE )-- E���.`J.�iS .�-�,-��xrrc FrxTUREs ouWDAT IN s oIa 93 GEA ctE PR[ nrr �� G 4OOR CLOSERo F L +SCT IC L SI P N V IA C RE URVE P OT N TO ISSUE O OR C C FIRE. MARSHAL AVEM TOWN OF C.IUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT # 6 NAME . W LOCATION _ SCi-1EQULE INSP'EGTION ©N `,�"_,��, �;� A P ANYTIME APPROVED EXITS + NIA YES NO AISLE WIDTHS EXIT SIGNS EMERGENCY BIGHTINGI- r FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM _ FIRE SUPPRESSION YSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: _ CLEARANCE TO SPRINK RS _ CLEARANCE TO HEATIN UNITS REQUIRED SIGNAGE CHIMNEY 1 WOOD STOVE FIREPLACE - MASONRY _ FIREPLACE - FACTORY BUI REMARKS: [� OK TO THIS DATE 1 NSPECTO r RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-,8256 Date inspection request received: Building & Code Enforcement Dept, of Community Development Arrive 343 am/pm Depart 'Town of Queensbury Inspector's Initials--=�� 742 Buy Road Queensbury, New York 128W NAME PER' "' — s LOCA"nok DATE "TYPE OF STROCTITRE 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 Lo Exterior Handrads, balcasxies, 1 Is in. or more Interior Handrails stairs both si 3 more risers Grade 2% away f vm foundati S" clearance to sill plate Gas Valve shut-off ercpcssedlre ator 1 " above grade Gras Furnace shut-off within 30 eet or "thin line of site Oil Furnace shut-off at entrance to area Furruw4 lot Water Heater Relief Valve(s) installed Headroom, 6 fl, 6 in, on stairs Basement stairs, 6 ft, 4 in. Handrail exterior s more than 3 risers Interior privacy/trim/doorstnun x entrance 3+6" Flan Finish Bathroonn/Kitchen watertight Interior Handrails Balconies/Lin 18 in_ or more Railing across window in s Is _.....__ Smoke Detectors: everylcvei every bethrpotn 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 fume 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. +ofOrcupancy3. Okay to issue permanent C/O (Certi€ of t]ocupaney} RESIDENTIAL FINAL INSPECTION REPORT OMce No. (518) 761-8256 Date inspection request received: Building SL Code Enforcement " ILAW Dept. of Community Development Arrive arn/pm Ilep�fY7 OL Town of Queensbury Inspector's Initials 742 Buy Road Queensbury. New York 12804 NAME 1 �✓� PERMIT 0 LOCATION si �*A �i' DATE :5 02 .__. TYPE OF STRUCTURE NIA YES NO COMMENTS Chimney HeighU"S" 'Ventmirect vent Location I Le. —1 cI2U Fresh Air Intake Plumb Vent through roof 5 / Roof Complete (+�]� C CG C�tE►� � t Exterior Finish Complete Interior/Exterior Railings to 3 �- Exterior Handrails, ta►1 es, land' 18 in. or more Interior Handrails stairs th sides 3 more risers Gracie 2% away from fo tion W' clearance to sill plate Gras valve shut-off expo regulat 1w above grade Oas Furnace shut-off wi 30 feet within line of site oil Furnace shut-off at en ce to area FurnacwHot Wader Heater _ 1 Relief Valve(s) installed Ad S%At e' At►C 6- - t� i� �1/� \6A.>t Headroom, 6 ft. 6 in. on Basement stairs, 6 f L 4 ' Handrail extern bo sides more than 3 risers Interior privacy/trim doors/ entrance 36 Floor Finish Bathroom/Kitchen watertr t _ ........... Interior Handrails Balconi. I8 in. or more Railing across window in s lls _ Smoke Detectors: every lea fi c> C /t v bedroom y vel every bedroom '`ter, � /�' - �'���'`• outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation r -`/a hour fire doorldoor closer Garage fireproo£mg '( L- I� Garage penetrations sealed Furnace in separate roam protected (in garage) Light ventilation per room Safety glazing I8" or less from fluor Final Electrical Site Plan/Variance required .p Final Survey Plot Plan 1/F W.t kUC- As Built Sceptic 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) 645 �/�� SCAL [S�Marit+e M A L Ap1�F•i7VAv vxEC"C U woad - �1lCA ( / .... COMt AO `A t,,wato o'�►eR�x 1Cp,SCE but in acd ° ................. 7 39t3 ............... " M�TytC�YA'� CTe 3•..t �!................ permit �y�, ..-.-...... h I -�.......... .... $! . far .` ..,... wttet.................. O -........... <27 ....... -.- .... �,1 igs �+ teviau: y �pca co�StStiTsi'� J.. l.ic. . c i�,c ate PVC n the �. i�gtallt°Yt` nd anY e tJP'? w.................. ............................................... ^ Ge3ftcau nsC n. 7 - .-.... castaition� a` ana ii 4ts L a C1�.�--- e of '�1'"'' ade.. ,Fr'Ct J o ed the :ssuane cc" and instal\gibe PtomptlY at any t s'ne• Z ................ ........ vein ent sRall _ titan' ��,Stali�a �S naitions folluw,nb zhe etectticat tifln P aPPticeato f nakint ate- cancTh a4aceRtficata 4unat equ5'C'n"CIO atl have t� n�htto S v. e th1b ........ .................... . ......A„4A t. ... elle of aa'aiCi "This shalt have th .......... lS. .p• etton this C,�uxnPanY in lcs4ar� lots of gLbe, arty COMP .,�.©ft, ... area. a 7 � GENMAL INSFECTION J2EPQR7' ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Deve�pment Daft inspection request received: �.- Building & Code Enforcement 742 Bay Road Arrive amlpm Depart pm Queeusbury, NY 12804 inspector's Initials �7_�_t""� zC ] pEl fIT # I NAME: LOCATION: TYl'E OF STRlJC IJRE: RECHECK NIA YES NO COMMENTS Fovtingt±lPi.ers M¢molithic Pour Farm Reinforcement in Place The contractor is responsible for .l providing protecoon from frees=in for 48 hours following the p of the concrete. Materials for this purpose an s Foundation/Wallpour Reinforcement in Place Foi n lationA3amppmofin Badrfill Approval Plumbing Under Slab Plumbing VentlVents in Rough P3utssbin J� Q nsuing -In r i '► �� "e O U ��M131 /� C +t1 C''� / rF'� atio�a" C Foundation Walls Interior R- Foundation Walls Exter'io R- C C Floors R R ` Ceiling pipingDuct work or in unheated spaces R- rya St� Attic Vent f Jack Studsfi-leaders U' ~' +� [� •� lJ Bracing/Bridgi:n Gv 30ist Hangers Jack Posts/Main Beam Air Infiltration Harrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPEG'T'IQN REPQRT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request reined; Building & Code Enforcement 742 Bay Road Arrive am/pm .Depart' � � Queensbury, NY 12804 Inspectors Initials PERMIT AT � t -.-.N✓ �``� ! Nei► DATE LOCATION: TYPE OF STRUCTURE: RECHECK NIA YES NO COMNIENT'S a Footinga(P"iers Monolithic Pour Form Reinforcement in Plane The contractor is responsible for providing protection from freer_ing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundatlon/Dumpproofin Bacicfill Approval Plumbing Under Slab Plumbing VentlVents in Place IPlumbi Rcatgh In 'on c� Foundation Walls Interior R- Foundation Walls Exterior R- Floors R.- Walls R- ceiling R' I]uct work or piping in unheated spaces R.- proper Vent, Attic Vent Frami Jack Suxds/Eleaders BracingBridain Joist IiangFs Jack. Posts/Main Seam Air Infiltration Barrier Fire Separation I, 2, 3, Dour Penetration Sealed Fire Wall 2, 37 4 hour Firestoppin GENERAL iN,SPECTI N REPORT ( si $ ) 761 - s256 Town or Queensbury Date inspection sMequest received' Dept. of Community Devetopment Building & Code Enforcement ,D^, 742 Bay Road Arrive am/ptn Depart Queensbury, Nat 12804 lnspectoes initials �� PEF.IvLI'T' # NAME: ++C� ___-�_,_ DATE : L)OCArlION:�r A-A I I�ci TYPE OF STRUCTURE: TUBE: RECHECK N/A. YES NO CpMME 13'I'S I Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respotusible fo providing protection froth freeai g for 48 hours following the place t of the concrete. Materials for this Purpose on site Foundadon/Wailpour Reinforcement in Place F.uwndation/Dampproofin Backftil �►pproval Plumbing Under Slab Plumbing Vent/Vents in I Place , Ptu tng Rough-In AJ Insulation �� "` { Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- ceiling R- Duct work or piping to unheated spaces R- -Y proper Vent, Attic Vent Frumi Jack S rs Bmcing/Bridgin joist Hangers -•• Jack POSMOAain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration seated - tre Wall 2, 3, ' E+L OV u L Lcfc� GENERAL PE T QN IN ,REPORT ( 518 ) 761 - 8256 Town of Queensbury received* Dept. of Community Development Date inspection request Building & Code Enforcement t 742 Bay Road Queensbury, NY 12804 Arrive amJpzn Depart ���.. InmumtorN Initials . PERMIT 0 ... N ) I.00ATICIN: DATE : 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 fre=in for 48 hours following the Pl kent i �y of the concrete- 1 MaSer►ais for this Purpose on si Foundation/Wallpour Reinforcement in Place Foundation/Darnpproofin Backfall Approval Pl. ng Under Slab A Vent/Vents in p / gh Plumbi T - k�-�d< (0+� 'S Z(+JF� 'ng Rough-In insulation Foundation Wafts Imerio R.- Foundation Walls Exteri r R- Floors Walls Ceiling R- Duct work or piping, in unheated spaces R- Pro ent, Attic Vent Jack StuclsJl'leaders 13racing/Bridging - joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled ,! F,�' Wall2. 3, 4hour 1nirestoppin GENERAL LNSPEGTI N REPORI ( 518 ) 761 - 8256 Town of Queensbury treceived• Dept. of Community Development Bate inspection request Building & Cade Enforcement 742 flay Road pa �Queensbury, NY 12804 Arrive " �eIn spet�tor's initials G� PERMIT # NAME: DATE : C� LOCATION- TYPE OF ST'RUC RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is re nsi for providing protection Ivm fr ing for 40K hours followi the pl ent Of the concrete- Materials for this purpo on si Foundation/Wallpour. Reinforcement in Place Foundatio Bauckfill Approval Plumbing Under Slab Plumbing Vent/Vents in lace Rouh Plumbi tng Rough-In lotion Foundation Walls Inte 'ar R- Foundation 'Walls E or R- Floors R- Walls R.- Ceiling R- Duct work or piping in heated spaces R- Vent, Attic Vent thin rack sr,uaµ/ueaders HracinglBridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire all 2, 31 4 hour FjLtstopping 1 GENERAL INS 'ECTIUN,R.EPQRT ( sia ) 761 - a256 Town of Queensbury est received: / 3 00/ Dept. of Com munity Development Date inspection re" co & Code Enforcement 742 Bay Ro*d A.rr[4Tj Queensbury, NY 12804 a Depart 0 PERMIT # YR L f NAME: I " r DATE : LOCATION: TYPE OF STRUCTURE: RECHECK. e�2 - NIA YES NO CONIMENTS Foatings+Piers Monolithic Pour Form C%) l_.L_- Reinforcement in Place The contractor is resW for providing, protection fro ng for 48 hours fallowing a entof the concrete. - Materials for this on st Foundation/Wallpour Reinforcement in Pl Foundatio tnItp ft BaCkfikl Approval ►.. Plumbing Uiuler Slab Plumbing VenWents n Place Rough Plumbi Beating Rough-In V --V_7 '�`�� r ' Insulation Foundation Walls I rior R- C' - Foundation Walls E or R- Floors R" ';y Walls R- Ceiling R- Duct work or piping in t5 unheated spaces r Vent, Attic Vent rni fl Jack St itis/Rcadm — Bracing/Bridging j Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, 'flour Penetration Sealed 4 1r Fire Wail 2, 37 4 hour - Firestoppin GEINER.4L ATV CTJ N REPQRT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay (toad Queenshury, NY 12804 Arrive OLM pm � Departr spector's Initial NAME: PERMIT # LOCATION: DATE TYPE OF STRUCTURE: RECHECK _ N/A YES NO O COMMENTS FaatingsJPiers ��-� � Monolithic Pour Form Reinforcement in Place The contractor is responsible r providing protection ftrnn ing for 48 hours following the p ent of the concrete. Materials for this purpose on si Foundation/Wallpour Reinforcement in Place Foundati on/Dampproofin Backfill Approval Plumbing Under Slab Plumbing VenVVentsi lace Rough Plumbing-� Heating Ron Tn Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- W'alls R- Ceiling R' Duct work or piping in unheated spaces R- Proper Vent, Attic Attic Vent Framin Jack Studs/idgi ers ry C-1 Bracingf€iridgi K- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour ,�, ` ,c�r-- Firestoppin =!'�-�[ � !� � '� 1�J" a= � C , 0 GENERAL I1V,SFE TION REFQRT ( 518 ) 761 - 8255 Town of Queensbury received' Dept. of Community Development Date inspection request Building & +Code Enforcement 742 Bay Road Queensbury, PAY 12804 Arrlve t�___ - Depart Inspector's I PERMIT 0 962 NAME: DATE "T ; LOCATION 1" a rT xl4 TYPE OF STRUCTURE:RECHECK RECHECK NIA YES O COMMENTS ngs/Piers Monolithic Pour Form �� 7 Reinforcement in Place tAz) 13 The contractor is responsible for providing protection from freml for 48 hours following the PI t of the concrete- Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/DampproofLn Backfill ?.pproval Plumbing Under Slab Plumbing Vent/Vents in Rough Plumbi Heating Rough-In Insulation Foundation Walls Interior R Foundation Walls Exterior R Floors R' Wails R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Stirs Bracing/Bridgin Joist I;angers Jack Pkasts/Main Beam Air Infiltration Flamer Fire Separation 1, 2, 37 hour Penetration Scaled Fire Wall 2, 3, 4 hour Firestop pin GENERAL ItW.S"PECTICI!'k' REPO ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building; & Code Enforcement 742 Bay Road Queensbury, NV 12804 Arrive = a m Depart ' Inspector's Initials NAME: �� �r� "5 '��C'�] PERMIT # LOCATION: kZOOU DATE TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS r-Foatings/Ficrs -•_ �� F V-am!�- V % lr� W nol ithic Pour Form -_� �� 7-p v1kcinforcement in Place The contractor is responsible f r providing; protection from Fr ' ng l 1< 'I� hr,� � l �• for 48 hours following the plac ment of the concrete. Materials for this purpose on site Foundation/Wal I Pour — Reinforcement in Place 000, Foundation/Dampprooh ng 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 It- Proper Vent. Attic Vent -- - --- -- - Framing - Jack Studs/1-leaders Bracing/Bridging-- Joist Hangers,.—.. _ Jack Posts/Main E3cam __ Air Infiltration Barricr 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. or Community Development Date inspection request received: Building & Code Enforcement 742 Bsty Road ,r 742 Ba Roa NY 12804 Arrive amlpm Depara L) 0 p Inspector's Initials J _ NAME: Y PERMI I.,OCATION: DATE OF STRi3CTURE: RECHECK NIA. YES NO COMMENTS FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsi a for providing protection from ng for 48 hours following; the ment of the concrete. Materials for this purpose on s to FoundationlWallpour Reinforcement in Place Fo tionMampproofin „" kfill Approval / f Plumbing Linder Slab Plumbing Vent/Vents in Place Rough PlumW Beating Rough-In Insulation Foundation 'Walls Interi R Foundation Walls E or R- Floors R' Walls R_ Ceiling R- Duct work or piping in unheated spaces R m proper Vent, Attic Vent Frami Jack StuKS/t ie�rle+ Bracing/Bridgi joist Bangers lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour penetration Scaled Fire Wall 2, 3, 4 hour Firestoppin TOWN OF R BUILDING i_ CODEEEMFOIRCEMENT 742 Bay Road Queensbury MY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM -INSPECTION Name � 'r`�,1 �,► �r. „� Location Date] -C) Perm ! SOIL TYPE Sand- oam- a Results of Percolatio Test ( if applicable ) Rate- inute Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tota L gth Length of each trench Depth of trenches Size of stone - SEEPAGE PI r_ Size - ft� x fit . Stone size 3� PIPING : Bldg . to Tank + Ype Tank to Dist . Box w Dist . Box to FieldJP Openings Sealed? " a LOTION/SEPARATION . Yes No art� a O Foundation to Tank feet Foundation to Abso►'p ti feet Separation of Pits _ feet onforms as on LFro ATION OF per Plot PROPF=RT No rcle one ) nt - Rear - Left Si e - Right Si dle Front - Middle a EMTS SYSTEM USE APPROVED = CS No Arrived: b f1 Departed: Bui ding nspector LOT 2 AREA 430742 sq, ft. l oOO acres Z � w 400,10 ``. 760 �4. "I have seen or observed, or believe 1 saw ?= all objects such as houses, shown on this docume ,werls" tre ' feu, 04 personally ed the "present Li cft set fort, sue$ IGNArURE - so GENERAL LXIeG-C IQNREPQRT { 51 $ } 76Z —$ 25ti Town of Queensbury Dept. of Community Development .Date inspection .request received. Building & Code Enforcement r/ 742 Bay Road 1 Queensbury, NY 12804 Arrive am/pm Depart {� Inspector's Initials NAME: 7714�� PERI MT 4 �J •r LOCATION: DATE : 1 04wo TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers j 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/Wailpour Re orc entent in Place undation/Dampproofii Backriill 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 Frami Jack Studs/Headers Bracing/Bridging, Joist Hangers Jack Post&`Main Beam Air Infiltration Barrier .Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin ( 51 $ ) 761 - 8256 GENERAL ,INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received* Building & Code Enforcement 742 Bay Road Queensbury. NY 12804 Arrive am/pm Dep10- 7094� Inspectors InNAME- 1 [J' PERMIT # I"ATION- 6�741;;P�A Mj� DATE : 4 TYPE OF STRUCTURE: w RECHECK. %400N/A YES 0 COAR4ENTS ootings/Fiers Monolithic Four 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, Reinfaroement in Place Foundation/Dampproofing. BackoJl Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough»In Insulation Foundation Walls Interior It- Foundattion Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or griping in unheated spaces Proper Vent, Attic Vent Frami Jack Stu;&cupa ice BracingBridgin Joist Bangers Jack Posts/Main Bea Air h iitration Barrier Fire Separation 1, 2, 3, ur n I I Penetration Sealed Fire Wall 2, 37 4 hour Firestoppin CrENERAL INSPECTIQN REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept of Community Development Dace inapectiot# tFegireceived• 5 Building & Code Enforcement ill 742 Bay Road � �Queenabury, 12904 Arrive am/pm ,`Deparx) Ioapec�ir's Ini#iala NAME: E YCATI ; �E�T # 'TYPE O Tft LJRE: •" RECHECK ootiL$V N/A YES COMMENTS � ono is Pour Form Reinforcement in Plane _ C'"7 ► l� UC— f�ri'S -- t+� The contractor is responsible for Providing protection from freezing Por.48 hours following the placement of tlib:ooncrete. Materials'fb f this purpose on site Fonndationf'o Reinforcedation eni t Place d Q� - c Fou.ix#atian/Dampp' fin Backfill Approval Plumbing Lander Slab Plumbing VenLA ents in Rough Plumbin Heating Rough-In insulation Foundation 'Walls Interior Foundation Walls Exterior Floors R Walls Ceiling Duct work or lnping in unheated spaces R- Proper Vent, Attic Vent Frami Jack Studs/Headers Bracing/Bridgi Joist Hangers Jack P+osts/Main B Air Infittration Barrier L3� Fire Separation 1, 2, 3, hour Penetration Sealed. Fire Wall 2, 3, 4 hour Firestoppin