2000-940 TOWN OF OUEENSBURY
742 Bay Road, Queensburq, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761=82%
CERTIFICATE OF OCCUPANCY
Permit Number: P20000940 Date Issued: Thursday, November 08, 2001
This is to certify that work requested to be done as shown by Permit Number P20000940
has been completed,
Tax Map Number: 523400-3O9-005-0OOi-Ol4-OOOmOOOO
Location: 440 SHERMAN Ave
Owner: FRANK SEARS
Applicant, FRANK L. SEARS
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Single Family Dwelling
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: P20000940 Application Number: A20000940
Tax I\lap No: 523400-093-000-0002-021 -000-0000
Permission is hereby granted to: FRANK SEARS
For property located at: SHERMAN Ave
in the Town of Queensbury, to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Tie of Construction Value
Owner Address: FRANK 'SEARS Single Family Dwelling 120,000.00
4 STEVENS Rd Garage - 2 Cars Attached
QUEENSBURY, NY 12804 Fireplace
Total Value 120,000,00
Contractor or Builder's Name / Address Electrical Inspection Agency
MILES CUSTOM. HOMES
NY
Plans +& Specifications
2000-940
2074 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR. ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$271.00 PERMIT FEE PAID - THI5 PERMIT EXPIRES: Wednesday, January 08, 2003
(I f 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 pfoQuccusbum Mon a anuary 08, 2001
SIGNED BY for the Town of Queensbury-
Oirector of Building & C de En 6rcement
uildin Permit Application
Town of f' Queensbury - Dept. c>f Cottli tuliav Develointlent, 742 B'riy Rom. Qereeirsbunt. IVY7281}4 f767-82561
BUILDING & CODE ENFORCEMENT
Requirements prior to issuance rT FILE N0
Uy of this permit: 4
permit must be or
ore 'T FEE FrtID $ ------
,tinning constructspections Zoning ,Board Action
11 be nuKle carol as received Area I Use AT7ON FEE P $B[3ILDlrl". All)licants" apa�res licationOrd Action WED BY.
. .Z. be atgrvRture � � 8udtding lrielreitnr
the apelicRmt nu at Rpeear an the SPR 1 Subdivision 1 Other
flicstion form. r � WWIRecreation Fee.
Fee.Fee. Payment I ` WI
f f' — _ ] Owner:Applicant: ,—.��- `
�� �L�-,�.-. C.> +-t�
,�,,,j_ Address;
Address: CJ �r
¢¢. r� / Phone #
/
Phone #
�t �al, dumber
Property Location: Section 131ock lot
r
Subdivision Name:
D MARKET VALUE
NATURE OF pROPOSED WORK : ESTIMATE
!a� THE
CONSTRUCTION : $ —[�`-
- New Building : commercial
7.residence /
Addition to 'Building : 0 OCCtAp"CY INFORMATION :c
residence ! primary teary` Building
Alteration to 'Building : !� Single Family Dwelling
residence / commercial Two, Family Dwelling
Residence / Commercial Family Dwell in DIVED
RF
no change to exterior size +Dffi_ce
• � ����
other Work ( describe below ) Mercantile ❑�C, 2
Manufacturing
Other
TOWN OF 0:..' ': �suaf3l if �Y
GROSS AREA OF pR{yPpSED 5TRUCTZfRE : i
If ADDITION , what w
i I PC iiJ Q -
+a D of new, addition be ? :
1st >~ loor . .. . s ft
2nd .Flc►or • . .r!0010 q
other F lc►ufs . . . . . �- sq ` ACCE5SCIRSC BUILDINGS * 2 car
( not unfinished cal larorktl;$$ e c� cached Garage 1 ,
�tached Garage 1 , car
ng
SQ . FT - Private _ Storage BuI
TOTAL FLOOR AREA :
Commercial Storage Building
SIZE OF NEW STRUCTURE : Other
FEET X j4 c FEET
Will 111111111second- hand or ungraded
If so , fow
Foundation Type :
Will
bernbe used? t
Number of Stories :
habitable space only ) c� feet TXPS OIP HEATING SYSTEMes
Height ( grade to rxd�3e ) circle all whichZebo
/ ood
Number of firepiacela and /or w obi stove C x /to be installed : �-�--� Forced H t AirOther
0
person responsible i�c? � � uperv�.��� ,`s �,,,�-f .�- r �'�, s regards to building
codes is • -4' � phone
I� ,�.eNatn Add ss ov
,--- �� r ;
Builder , z� :y7 �- DO
plumber :
Mason : o4, 1
El,ectriCI ' 11111 Will
DECLARATION'. Please sign belrnv Q fTer you have cure,fully read the sta7.tement.
application,
together with the plans
To the best of my knowledge the statements contained in this ape work to be done on
fete statement of all proposed Ordinance and all
and specificationser'"and that all provisos o ted, are a tru the Building Code, the her s g specified or noted, and
the described p r sed work shall be complied with, whether spec Prior to a
other laws pertaining to the p opo PLAN b
that such work is authot�ed by the owner. Further,lianca is understood that issued, an S B shall LOT p
Certificate of C)ecupancy or
rto Certificate o f C actual location of project on prre��SPLC?f'
a licensed surveyor; drawn
Signature: architect, contractor
{owner, owner`s agent,
Application for Permit — Septic Disposal System
Town of Queeltsbury 742 Bay Road Queensbu►y, NY 12804 (518) 761-8256
1 . OWNER INFORMATION: ........... _......,.._. ,...._..............._.....................................,._...........
�
Office Use i
Location of installation: .... .... 11� ' (`j I
r ) K l4 K 0,V. File Permit No
Tax Map No. 1 1 ` �� /
Fee Paid
Owner's Nam��eer: )k � , ��° 4A r �+ dd' _ __ ...... _...... .. ... ._...._...........�
Address: ^:5f � 9 wetr
2. INSTALLER'S NAME z9 +' C PHONE NO.
3 . RESIDENCE INFORMATION: (circle year of dwelling, indicate 0 bedroom(s) and multiply # of
bedrooms with applicable gallons per bedroom to equal total daily (low)
Year 9f Mug% No. of B droo x Computation — Total Daily Flow
1990 or older x 150 gaVbdnn
1990 _ 1991 x 130 gaVbdrm
1991 present x 110 gaVbdrm _ 4�Z:
Garbage Grinder Installed yes / no .
Spa or Whirlpool Installed yes 1 no
4. PARCEL INFORMATION: (circle applicable information & indicate measurements)
ppograollyt,�{' r _mound W atpr Be _rock_ or lynpe.rvi-q%is Material—Dom _ Water Supply
1.7at .sand at what depth Pit what deptlr nrrrnictlrcrl
rr1 tng ioa r feet feet
well; wafer
Steep slope clay if .supply
slope other from any septic-system
depth: absorption is fl.
other
Percolation Test: (robe completed by licensed professional engineer or architect)
Rate: minute per inch /
+ L 'CC c.� ICUr� i /� p
5. PR POSED SYSTEM: For Neer Canatructlon: All individual sewage disposal systems must be designed by o licensed
professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250 gallons to the sire
of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: / 00 - gallon (min. size 1, 000 gal.) X
Tile Field: each trench ft. Total System Length: Il t
Seepage Pit(s): number of c�— size of each: ,1'l. by 11
Size of Stone to be used: 11 / delath or thickness
Bed System Size: x
Ave Systertt: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: 1 Size of each: gallons l 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 Town of Queensbury Sanitary Sewage Disposal Ordinance.
(OAr - jo
3gnature of respon a person Date
" ENERGY CODE APPLICATIONS
ENERGY CODE COMPLIANCE APPIACATION
TOWN OF QUEENSBURY , WARREN COUNTY (��(
900o PiEATING DEGREE DAYS
Compliance bads : 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
* Requires submission of worksheets
APPLICANT ' S NAME : PROPERTY LOCATION #*
PART 5 METHOD
-�7OF COMPLIANCE BY ACCEPTABLE PRACTICE
10 Gross Floor Are 0 r square feet
2 . Type of Heat - Electric � oil
_ Gas Other
3 . Is building mechanically cooled ? _,. Yes No
4 . Percentage of area of windows and doors Over 17 % Under 17 %
se R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
slJOWN ON PLAINS SUBMITTED : R
a Roof R b . Exterior walls R S
co Glazed areas R 3—
d . Exterior doors R f9`
e . Floors over unheated spaces
f . Edge of slab on grade ( heated building ) R J -
g . Basement / cellar walls ( above grade ) R
h _ Basement / cellar walls ( below grade )
a Heating/ cooling-ducts -piping in unheated space R
6 . Service ( domestic ) hot water heating device
Conforms to minimum efficiency per code �` 'Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140'O -^ WILL NOT BE EXCEEDED
/ D to Phone Number G
Ap p 1 i c s j 1 eC �
INSPECTOR ' S REMARKS :
l 'irc 1T:trslixl 's {)aatcc Town of QtJceii,betry , 742 a3AY I 0.1d, QUVVtulrurt N
(Slfii 7ea -8105
Application for Fuel Burning Appliances ,&a. Chimneys
k applicable to solid fuel & vented gas appliances ]�� L41
Dace [ . �� �{) .. . l3cr-m; t No- CX
flplrlicwior i i.s' hereby- mode to MU Bwldrrrg & C"rill[ i Qific' ^ jrrr nc� 4A3Sllimc e of cr Buildirl!; (old b'sc'
Perwrit pursteaw to the New Y('.Wk _state lire prevewiotl {aril Bled li)l,�r C. oil[ . l he ul�lrlic urrf r>r' o s lral'
ugr-er.s to e{7mp1 vl itith all appltGahlt: ICflt'.s, [)I Idmaol es• rcgulalf ns. {lr!{1 fill colidiriolrs /!Jell are
rhese veCluirerrrews and also will Cr 0111 rill inspectors ro 10 pcl Jurrrr r equired i,rs1xecriurJ.r.
l
1VC) TE to applicant - T auglz -ire a}zd Filial Inspect '
i0ris are req>. red .
Applicaiit Infoa<-mation Friel Burning, Appliance Information
( circle appropriate words)
Nd arne:_r ( 1�-) tv �{� /" �j Stovco WOOZIe. Coal pellet grrs
I I -�. Fireplace insert
Address : _ 44r=' {, �=ram Fireplace, Suntory-built : wood Bras
f T _ r� '�G • r- � • r f :ff; _ Fireplace, rxiasQnry: ivood gcrs
_ Furnace : wood gas nil
Phone : f
If axon-masonary applrcance, please provide
Owner: _.- _ In r ' _ _ (s l tnufacttirer Name: F 0 �3
i
Address: ter# Model Number_
Chimney Infoi-oration
Phone: (circle appropriate N,% ords)
t.Masonj-y l ork- brick stone
Fltte= rile steel sine: irtclres
Exact Address:. 'G,r, . . ; r�• '�-,.,. /'�_: . -
ofcvrzstrrr Clio rt 0Y. if;Surllat. ott F Factory-Built
1 u Manufacturer nanxe:
.Model Number:
; ;'[ate: Listed pay: Number:Construction / Installation rarrrst
corn omit to NYS Fire Prevention & 1`ittidirig Indicate (circle:) chinxney material :
C.`ocle. Consult available Town ofQueerasbw-i>
Ha dotets regarding r'egatirect' rlrspectiolls. Double wali T7iple isafl Irr.sulcrrccd ! L7irccJ serrriuy
Chimne.: !-iiwr
G'a.,rr.h.>i<�ar�°� .D�gc�x�t�•* �x�� .— Tcr�asr.r�. of �y7u��.r�,�rLts
!''�re Alars!Jell Code rr S Co8crreel ti Refilrr[led ccivfiel /ir J11t. clrrJJrleJl ul/: Uy1 .. � 1 I
.4 T ?3 3389 {190) Public Safett - 7 - �___ ----- -- .- ----- -,
l 233 655 (730) AfinoJ' .Sale.N.
\Vhite (Applicant} Green ( Fite Nlarsital ) 1'tllun' { 131d Dopz. ) fink C oldcnrod (Cashier's r)eixi.) J
TOWN OF QUEENSBURY
BUILDING 74'2 CODE
BAY ENFORCEMENT
ROAD
QUEENSBURy NY 12904
761-8256
INSP :
pEPART : .�-------
ARRIVEc ------ _ RESIPE'MTIAL
FINAL INSPECTION REPORT
UhTE INSPECTION REQU E'ST RECEIVED :
DATE
TYPE OF STRUCTURE FRAMING
BA CKFILL
Ft30TINGS-,_„� FpUN,Qi1TION ILiSULriTION
SEPTIC
ROUGIi PLUMBING WOODS
OR FIREPLACE
FINAL ELECTRICAL N. A Yffi5 Np
CKIMNEY JIFIGI, ff VENT Si IGHT
PLUMBING VEN
R FI
MT R ORF NIS
DECK O ST S RA INGS
RE IE V LVE
nc WATER '4°� RATI
F i t a N RC F�f�=�---� —
s NmERI R TR M PR VACY
FIN O S4
_PATH CH N AT TIGH
OT R S SWE ABL
QT R FLOQ C Ei7
STAIR 'C
ARANC RAI NL''S
S OK CTO S
p N
z
P U B F TU ES
't
N ON IQ
GA E F
R OFING
O LO S
F N C R C L
3 4 SITE PLAN V IANCE RE
F A. URV OT PL
OK TO UE C O R
t
i
1
1
RESIDENTIAL F'INAIL INSPECTION REPORT
office No. (518) 761-8256
D.te unspec'tion request received' �--
Building & Code Enforcement Arrive
Deft. of Community Development inspector's initial ,-
Town of Queensbury
742 Bay Road
Queensbury$ New Yar1e 128d4
p 4
BATE
13J4ME
LOCATION
TYPE OF STRLTCTidR) COhS7vLENI S
NIA YES NO
Chimney Heightl"B" VentfDi.rect Vent Location _
Fresh Air Intake
plumb Vent through roof
Roof Complete
Exterior Fitvsh Complete 6„
InteriorfExterior Railing 3D' to l 8 or more
Exterior Handrails, balconies, I g
Interior Iandrails stairs both side 3 or mo a risers
Cmade 2% away from foundation
8" clearance to sill plate . grade
Cras Valve shut-off expo regulat r 1 above
Cras Furnace strut-ofF within
thir► line of site
area
Oil Furnace shut-off at entrance to
Furnac&Hot Water Heater opera
Relief Valve(s) installed
Headroom, 6 a. 6 in, on stairs
Basement stairs, 6 fl. 4 in.
1-landrail exterior stairs both sides more 3 risers
Interior pnvacyltrim/doorslmain entran 36"
Floor Finish
Ba IK.tchen watertight 18 . or more
Interior Handrails Balconiesll.ending
Railing across window in stairwells
Stroke Detectors'
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing,
Garage penetrations sealed .1 '
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 Survev Plot Plan
As Built Septic System layout required
ay to issue C/C (Certif. of C"ornpliancc )_
Ok �_---
Okav to issue tcinp. CIC) (C'�f• of Occupancy)
Okav to issue permanent CIO (Cextif. at" Occupancy)
iGAL iPiSPECTIoN SERVICE, ►�� CJ[,!` GJ
Run R.aad - Manheim, PA 175' Y'lZ'�VAI
office
COMFY ON WEALTH E, CTIi ^ EL C I it[C kL A
Ma'o '76 floe R
giiUiZx�XPA L CEATLFiCATE
O 7 G 1 4 5 Cut-in Card rlo. ....-
PanCl 'Board Nn..........:...........1 ....c`'a . .............-..........,..........._., ............,..
....
Owner...............,... V � !' c" ..........
............,..�..n...... �L .,...... e...,... ..._............
Location "L � rR` .o. t........ ...........
of ... ...............
JJ�
installation Cv h•tinS .. ......................... .................................................. :k
,, ....-...-,.. Lic. moo. .................. i
�k
f1.3 D .,......1..•.........,.�-.... rcviuusiy 5
AJ +C. _ .':.............................. ....fiCa. and any certificate
P
.r uect s
t
canditiuns as of date Upon the k
Installed ay.-.... uverncd the issuance of this certificate, ectI
installation ily inadc for insp
The Cc futluwin,� E ment and shall he promp if its
cancelled'. - xhe electrical egtts lication - _ tanxe, anti "k
Triis certificate only euNers rnspectinns at any
e uipment or alterat,ons. apP �, of making
shall have the prtvale " oke certiticate-
introduction of a f thos companyri ,ht zo r' '
shall have xhe E ..
inspecxors of CamPanY ����'........._. ..... ................ .
.. i.A E.t.
rules are vu�lated, the INSpEG"S DR .. .........—
GENERAL IN,SPECl7[?1V ,REpp NT
( 518 ) 761 - 8256 f
Town of Queensbury Date inapeetion request received: dw!
Dept. of community Development
Building & Code Enforcement
742 Bay Road art
Queensbury, NY 12804 Arrive
9iipimtoes 11
NAME: DATE : ', 71
LOCATION:
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
F000tings+'1'iers r l
Monolithic Pour Fo
Reinforcement in .
The contractor is risible r
Providing prote�ti from ing
for 48 hours fo}3 tacement
of the concrete.
Materials for this on site
Foundation/Wallpour
Reinforcement in Place
FoundationMasuIproO
BackTill Approval
plumbing Linder Slake
Plumbing Vent/Vents in P1
Rough PluMbin
Heating Rough-In
Insulation
Foundation Walls Interior
Foundation Watts Exterior R-
Floors R-
Wails R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Fra
Jack S a�rtr�'r�ers
Bracing0ridgi
Joist lJarigers
Jack Pcs.ets/Main Beam
Air Infiltration Barrier
Fire Separation 1, 27 3, Dour
Penetration Sealed
Fire Wall 2, 3, 4 hour
F" open
GE1VE tAL IPVSFE 'T ON RFFP,RT
( 518 ) 761 - 8256
Town of Queensbury
Dept. of Community Development Date inspection request recelved:
Building 4I Code Enforcement
742 Bay Road Arrive + � Depart
Queensbury, NY 12804 ector's In`
PERMIT * "7 1
NAME: DATE ;
L. CATION: Ell
TYPE OF STRUC I URE:
RECHECK
NIA YES NO COMMENTS
1
Footings/P'iers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f
providing protection from fr ing
for 48 hours following the pl t
of the ooncrete.
Materials for this purpose site
Foundation/Wallpour
Reinforcement in PLace
Foundationf Dampproofin
Bac"lt Approval
Plumbing Under Slab
Ptummbing 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 Studsllleaders
BracingBridgin
Joist Hangers
Jack postsfMain 'F3e$m
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 27 3, 4 hour
Firestoppin
GEN�INSPECTION REWRT
f518 ? 761 - 8256
Town of Queensbury
Date in
Dept, of Community Development
Building received'
Building & Code Enfar cememk
742 Bay Road
Queensbury, NY 12804 Arrive = Depart21CO
pec#ur'sPERMIT #
DAME:
LOCATICEN: I7A TE : I`
TYPE OF STRUCTURE:
RECHECK
N/A YES No CvNDAEN S,
Footings/Piers _
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible far
provKhng protection from fireezing
for 48 hours following the PlaCvV nt
Of the concrete_
Materials for this purpose on site
Fbundadon/Wallpour
Reinforcement in Puce•.
Foundatio
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plutnbi
�Ing Rau -in
Foundation Walls Interior RFoundation Walls Walls Exterior R- [
Floors R-
Walls A-
Ceiling. R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Fra
Jack 5tuds/I�
BracinglBridgin
Joist liarigr+rs
Jack Pbsts/Main . tx
Air Infiltration 'Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire 2, 3, 4 hour
F' n
—fir'
GENERAL VVSPECTI Nl REPORT
( 518 ) 761 - 8256
Town of Queensbury
Dept. of Community Development Date inspection reque9t received:
Building &. Code Enforcement
742 Hay Road
Queensbury, KY 12804 Arrive A Depart
inspector'sPERMIT #
)fniti c
NAME. DATE : 1
LOCATION:
TYPE OJF Sr
REC14ECK
NIA YES NO COMNU� `'iTS
Footsngsl'Piers .�r� 1
Monolithic Pour Form
Reinforcement in Place
The contractor is for
providing protection ing
for 48 hours foll the p at
of the concrete-
Materials for this on site
FoundationJWallpaur
Reinforcement in Place
Foundatio
Back ill
Plumbing Under S
Plumbing VentJVentss in
Rough Plumbi
Heating Rough-In
Insulation
Foundation Walls or R-
Foundation Walls E or R- _
Floors R-
Walls R-
C eiling
Duct work or piping in
unheated spaces -
Proper Vent, Attic Vent
F
jack Studs(Readers
BraoinglBridgi
joist Hangers
Jack Posm%ofain Beam
Air infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Scaled
Fine W4 2, 3, 4
Fi
GENERAL INSPECTION REPORT '
( 518 ) 761 - 8256
Town of Qiu+eensbury
Dept. of Community Development Date inspection request received:
Building 8r Code Enforcement
742 Bay Road
+Queensbury, NY 12804 Arrive in flee �~
inspector's I --.---`�"
NAME: PERMIT
LOCATION;
DATE : �
TYPE OF STRU
RECHECK
NIA YES NO CONEN4ENTS
Footings/Piers — —�
Monolithic Pour Farm
Reinforcement in Place
The contractor is respo ble for
providing protection fro freezin
for 48 hours following plaeem nt
of the concrete,
Materials for this purpose o site
Foundation/Walllaaur
Reinforcement in Place
Foundation/DanWr ooSi
Backfill Approval
Plumbing Under Stab
Plumbing Vent[Vents in Place
Rough Plumbin
Heati Ro In
on
Foundation Walls Interior _
Foundation Walls Exterior R.
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studsffleaders
rir3gin
Joist gers ._
Jack Posts/Main Ream
Air Infiltration Barrier
Fire Separation 1, 21 3, hour
Penetration Sealed
Fire Wall 2, 31 4 hour
Firestoppi
GE1'VERAL 1NS'PE T1+f�N REPCIRT
( 518 ) 761 -- 8255
Town of Qrueensbury
Depts of Community DevelopnleMt Date inspection request received:
Building & Code Enforcement
742 Bay Bond • ,
paw
Queensbnry, NY 12804 a r'Sspecto InitiPERMIT
NAME:
LOCATION-. DATE :
TYPE OF STRUC
RECHECK
NIA YES NO COMMENTS
Footin *} Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibl or
providing protection ing ;
for 48 hours following a eat i
r'
of the concrete. F
Materials for this purpose site
Foundation/Wallpour
Reinforcement in Place
FoundationJDam
Backfill Approval
La
Plumbing nder Slab
Plumbing VenWents in P
(tough Plumbrin
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walks Exterior
Floors R-
Walls R-
Ceiling R-
Dvbct work or piping, in
unheated spaces R-
Proper Went, Attic Vent
Framing
Jack Studsllieadders
Braci-iig/Bridgina",_ —
Joist Hangers _
Jack Posts/Main Beam.
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed _
Fire Wall 2, 3,A hour
Firestoppin � '1- era 7 4
�GENERAL MgECTLQ REPQRT
( 5I8 ) 761 - 8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building, & Code Enforcement 1
Bay ry
Qu =L<ao Depart
eensbury, NY 12804 Arrivev tor's inm
NAME: G r' l PERMIT #
I eC)CAT DATE : _ �i
TYPE OF TRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footingsipiers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from Freerin
for 48 hours following the placem nt
of the concrete.
Materials for this purpose on site
FoundationlWallpcvur
Reinforcement in Place
FoundationfDampproofia
Backfiill Approval
Plumbing Under Slab_
Plumbing Pl cain Vent/Vents i1�I'3ace
Rough. Plumbing '`•--,.,.�--,•- °� �-j '✓ C "�
�tng ,In Yam^
ati4
Foundation Walls Interior R-
Foundation Walls Exterior R- �
Floors R_ C7
Walls R
Ceiling. R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framin
Jack Studs/Headers
Bracing/Bridgit►g
Joist Hangers �` �(Q
jack Post&lMain Beam �\ � .�[7Q ,.A \ �a�i�,N4 �'� 4�*•
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestoppin
GENERAL �VSPECTI(]N REPORT
( 518 ) 761 - 8256
Town of Queensbury
DepL of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive Depart
�- ^ spector's Initi
NAME: �r PERMIT # d
LOCATION: DATE
TYPE OF STRUCTUTRE:
RECHECK
NlA YES NO CO NT'S
FOotings/P'ers _ r
'Monolithic Pour Fo -
Reinforcement in PI
The contractor is poasilsle for
providing protecti n from f 'ng
for 48 hours foil htg the lacernent
of the concrete.
Materials for this n site
Foundation/Wallpour
Reinforce t in PI
Foundatio n
Backfill Approval
Plumbing Under S
Plumbing VentlVen in Place
Rough Plumbi
Heating. Rough-In
Insulation
Foundation Wal Interior R-
Foundation Wal s Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Pr Vent, Attic Vent
Jack S rs
Bracing/Bridgir
Joist
Jack Posts/Main Beam
Air Infiltration Barrier
Firerwan
tiort I, 2, 3, hour
pen Sealed
Fi , 3, 4 hourF tin
GENERAL EV PE "l'1(31w REPORT )
( 518 ) 761 - 8256 " ! '
Town or Queensbury
Dept. of Community Development Date inspection request received:
Building 19i Code Enforcement
742 Bay Road Depart e
Queembury, NY12804 Arrive am/pmzm
inspector,* Initials
nrz�
�
I*Te4ME: ti^�.. PERMIT # � t>
' ^.=l_...
i AME* DATE
TYPE OF STRUCTURE:
RECHECK
N/A YE_-_ NO C+ mNffiNTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respon ble r
providing protection fro ng
for 48 hours following t
of the concrete-
Materials for this purpo on si
FoundabonlW pour
ReinforCX [ne'nt i Place
Foundatio
Backfiil Approv
Plumbing Under Slab
Plumbing Vent/Vents Place
v4(ough Plnmbi
Heating Rough4n
Insulation
Foundation Walls litterior
R-
Foundation Walls 'or R-
Floors R-
Walls R-
Ceiling R-
U►uct work or pipin in
upheated spaces R-
Vent. Attic Vent
Jack Studsfl leaders
Bracing1l3ndg]itg i>c e tf rt1 /4l <_ Ati---
jack
Hangers
Jackk posts/l+ulsin Beam
Infiltration Barrier
Fire Separation 1. 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
.*irestoppin 4
GENERAL INSPECTION REPORT
( 518 ) 761 - 8256
Town of Queensbury tiou request received:
Dept. of Community Developnnent Daft inapec
Building & Code Enforcement
Bay Road Arrive am/pin P
Qu its
eenabury, NY 128114 Inspector's initials
NAME: rs
PERMIT #
i
NA E 4�' � [►� DATE :
'TYPE OF STRUCTURE:
RECHECK / ' s' r'4.. �'7�
N/A YES NO C(]MI ENTS
Footittgs/Piers 4
Monolithic Pour Form
Reinforcement in Place
The Contractor is resgonsi r
providing protection Pram 8
ing the
for 48 hours follawpla ent
of the concrete-
materials for this purpose on ite
Foundation/Wallpour
Reinforcement in Place
FoundationplDampproofin
]Bac "i11 Approval
Plumbing under Slab
Plumbing Vent/Vents in P1
Rough Piutmbin
Heating Rough-In
insulation
.Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R.
Walls R-
+Ceiling
Duct work or piping in
unheated spades R-
Proper Vent, Attic Vent
Framin
Jack Studs/I-Ieaders
Bracing/9ridgin
Joist Hangers , ��
Jack Posts/Main Beam per !� �- �'`�� C•u rJ S
r tration Barrier
Fire Separation , , 3, Dour
Penetration Sealed
Fire Wall 2, 3, 4 hour_.,�.__....__.�
Firestoppin
� r
TOWN OF QUEENSBURY
Bt1It.DING_ & CODE ENFORCEMENT
742 Bay Road.
Queensbury_ KY_ 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ~`
Location Jr �1�
Date l 1 — 1ST_ Permit # 2 r�
SOIL TYPE: Sand-Loam- Clay-
Resul is of Percol ati on Test-
( if applicable ) Rate-Minute/Inch
TYPE 0 SYSTEM:
ABSORP ,ION FIELach D :
length
th 0
Depth of `trenches
Size of stone
SEEPAGE PITS; fumberr ft .
Size - ``
Stone size^ Size We
PIPING: \
B1 d g . to Tank , ------
Tank to Dist . -- -- -
Di st . Sox to Fi el dxpi t ^ Q Tart'
a
Openings Sealed .
LOCATION/SEPARATIONS : :, feet
Foundati on to Tank ------ feet
Foundation to Absorpti O", feet
Separation of Pits
Conforms as per Plot Plan `, Yes R °
LOCATION OF SYSTEM ON PROPtRTY :
( circle one )
Front - Rear - - Left Side - Rtght Side
Middle Front - Middle Rear
COMMENTS :
f3
i
SYSTEM E APPROVED : �~ YES
Arrived :
Dep a �.
ding e t r
f
1
04/ 17/ 2001 16 : 38 7983213 IBS PAGE 02
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OcO74 1
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v.
�i
ti$
TOM OF QUEENSSl3RY
S1immi16 & CQDE �Road
iT
742 Bay a„eensbury_NY _x?8u4
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
tiame -Location
Date permit
SOIL TYP Sand-`. am- C1 ay-
lation Test
Resul is t3f PercoRateMi nu
Inch.'._
( if applicable)
TYPE OF SYSTi EM:
AggORPTION FIELD: Total Length _____
Length of each trench ----- ----�
Depth of '.trenches
Size of s one um er-
gEEPA6E PITS
f t . x f t .
Size -
--
Stone size Size Ypq
PIPING:
Bldg . to Tank.to
Tank Di s ox
B x� to FDi el d/P ~,�j,� ;��- ,�Openings �--
Se sled? Yes�Ro artsa
LOCASEPARA
LOCATIiOM�/ feet
Foundation to Tank Ol feet
Foundation to Absorption _ ._
Separation of Pits - sf No
Conforms as �er Plot pPROpERTY •
LOCATION OF YSTE.jq ON
( circle Rear _ L S-ide=_,r.'&i ght Side
Front i ddl a Rear
Middle Front
COM4ITS,,
i
SYSTEM USE APPROVED =
YES No
' Arrive e' )
Departedl
i ding Spector
(s'EIYERAL LMSPEC7"l N REPQRT
( 518 ) 761 - 8256
Town of Queensbury
Dept. of Co unity DevelopmentDate inspection request received:Building & Code Enforcement /
742 Bay .Road
Queensbury, NY 12844 Arrive ain/prn Depart a
Inspector's initials
NAME: 'tr PERMIT ` 1
LOCATION: BATE : "' ]`�.�•�-G !
TYPE OF STRUCTURE- IzS ��
RECHECK
N/A YES NO COMMENTS
Footings/Piers T
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing, protection ing
for 48 hours followi the went
of the concrete.
Materials for this on site
Foundation/Wallpaur
Reinforcement in Pla
Fo tion/Da n
Vll Approval
Plumbing Linder Slats
Plumbing Vent(Vents i
Rough Plumbin
Beating Rough-In
Insulation
Foundation W n r R-
Foundation ails Extert r R-
Floors
Walls
Ceiling R
Duct work or Piping m
unheated. spaces R-
Proper Vent, Attic Vent
Framing
Jack StcxdsJlleaders
HracingMridging_
joist 13an rs _ —
Jack posts/Main Beam
Air Infiltration Barrier
Fine Separation 1, 2, 3, hour
Penetration Scaled
Fire Wall 2, 3, 4 hour
Firestoppin
ERAL 1NSPEC7'14N REF'�RT
( 518 ) 761 - 8255
Town of Queensbury received:
Dept. of Community Development Date inspection request
Building & Code Enforcement ,, „ frlj��• `W'
742 Bay Road
Arrive
Queensbury. NY 12804 Arr --- amJpm Inspector's
ln'atialss
NAME: ` 5jer * PERMIT #
I.,pCATIClN.
DATE :
TYPE: Of STRUCTURE:
RECHECK.
N/A Na COMMENTS
t
Monolithic Pour Form
Reinforcement in Place
The contractor is respa a for
providing protection from 8
for 48 hours following the t
of the concrete.
Materials for this purpose on ,
Foundation/Wallpour
Reinforcement in Place
Foundation/Dam proofi !
Backfill Approval
Plumbing Under Slab
Ptumbing Ven tace�
Rough Plumbing___ -
Heating Rough-Ins
Insulation
Foundation Walls Interior R-
Foundation Wars Exterior R- -
Floors R-
Walls R'
Ceiling R-
h}uct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Frami
Jack StudslHeaders
Brac'sngfBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Seated.
Fire Wall 2, 30 4 hour
Firestoppin
GENERAL INSPECTION REPORT
( 518 ) 761 - 8256
Town of Queeusbury
Dept. of Community Development Date inspection request received: �7
Building & Code Enforcement p ]742 Bay Road JI /
Queensbury, NY 12804 Arrive amlprn Depa
Inspector's Initials L�
NAME: PERMIT { _
LACATICI DATE
TYPE OF STRUC
RECHECK.
NIA Y E e CON+f 4EiNTS
ootingslF'iers �
Monolithic Pour Form r
Reinforcement in Place
The contractor is respo for
providing protection fro freezing
For 48 hours following placement
of the concrete.
Materials for this purpose n site 41
FoundationlWallpour.
Reinforcement iin Place
FoundationMarn
Backfiil Approval__.- --...
Plumbing Under Slab r
Plumbing Vent/Vents in lace
Rough Plumbing
Heating; Rough-In
Insulation
Foundation Walls I r%or R-
Foundation Walls E erior a.
Floors R-
Walls R-
Ceding R-
Duct work or pips in
unheated s R-
Proper Vent, Attic V t
Franlin
Jack Studs(Headers
l3racinglBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire 'Wall 2, 3, 4 hour
Firestoppin