97-733 Certificate' ' of 06cupancy
Town.of Queensbury
Warren County,New York
Date January 28g 2000 U:
97733
This is to certify that work requested to be done as shown by Permit No. _
has been complete..
This structure in' ay be occupied as a SINGLE FAMILY DWELLING
Location
23 HIGH POINTE DR
Owner _._THOP�P,s__-RU-5.aFZ&& TAMMy -— -- _
TAX MAP NO. 5 7 0-3-10 By q0lerTown Board
Director of Building&Code Enforcement
BUILDING -PERMIT
TOWN OF QUEENSBURY
- .VALUE- $ 225000 -.:; No. - «
TA& MAP N0 " 67:..-3-10 WARREN COUNTY, NEW:PORK"
PERMISSION is hereby granted to PASS RE
OWNER of property located at T nm I ct Hj:rHnp DRI
Street,Road or Ave.
in the Town of Oueensbury,To°Construct or place a
at the above location in accordance to application together with.plot plans and other Information hereto filed and
approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance.
1. OWNER'S Address is
LAKE AVE_. . .,_. .
'��! LAKW� LUZERNEz,, NY:,:-- 12846
2. CONTRACTOR or BUILDERS Name
r:a
4.,--z LAMONT;.. MIKE
3. CONTRACTOR or BUILDER'S Address
k _.45->HERALDa SQUARE,;:„
QUEENSBURY ===NY%:•:12'904,. .
4. ARCHITECT'S Name
n NEW. YORX-.�BOARM;,,.,.,.
5. ARCHITECT'S Address
NnWYORIi =BOARD;-rOF< FIRE»_."UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
,—S-INGLE.,, FAMILY. DWELLINGS== :
1 )Wood Frame 1 )Masonry ( )Steel ( )
7. PLANS and Specifications
�,.: W=269_q�'SQ�:FT 3.INGLE:-.:FAMILY,.:DWELLING e,WITH;,.n2,mCAR,,rAT:tACHEL2,,4ARAGE
I-• ;,,;__;,:'AS���PER��$Lf�<Tf.�LANv.�SPECIF:ICATIONS_y..:
8. Proposed Use -
'..r.SINGL&., FAMILY:,•DWELLING..p,.,:�.,:..... ._. . :..
$" PERMIT FEE PAID—_THIS�PERMIT EXPIRES `"'" 29.1 .= .99 k . .
(If a longer period is required an application for an-extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the,expiration date.)
:29 December ._....19:�. _�;,.:_,�; ,9.7_�.�: •�z,u.:.,�t�-.._;__;��
Dated at the:Town of Oueensbury this Day.of
SIGNED BY - for the Town of Oueensbury
Building and Zoning Inspector .
PTIC DISPOSAL PERMIT
Application fol- ISE
S*lAMPIZI-".(.'I-I Vl:D
l.c)c:itioiiol'l)rc)liertyl*c)i- ilisl:ill:ltioll: A -110 PI14 dl�&20 '127T r� t l,e
Owncr*s N. MITNUMBER
Owncr*s Mailing Address: (016 iZr k4l,
Th Ye
Installer's Name: I'llone #: I All)
JJ
Number of bedrooms (if residential): DEC 16 1997
Total Bail flow (rcsi(lentia! comlitite (q) 150 gal. licr hcdroom): (91919 101:Alf": 7
y _ ;__ . - --RY
Topography: Q Fla L Rolling Steel) Slolic 01b of Mille
Soil Nature: Solid Clay Q Other
Ground Water: at what depth? feet
Bedrock or Impervious Matcrink.'al whavicl)(h., Feet
ParcolationTcst: Q Nut Required Q Required/Rate min. lier inch
Domestic Water Supply: Well Q 011icr
If domestic water sul)liiy is a water supply from any septic absorption is feet
PROPOSED SY.M'E.M:
Scl)tic tank: /-a'T'O gal. (minimum size: 1.000 gnl-)
'life Field: each ti-cueb D feet. u-)t.-ii sy.mcm i.gti, rect.
Seepage 114(s): number of size each: ft. X ft.
Size of stone to be used: # depth or thickness feet.
110 IJ)ING TANK SY.TI'l"-M: (if required)
Num bcr or tanks: Size, or CoCII: gal.
Alarm system and associated electrical stork to he inspected by a certified agency.
For your proreclion, please note that ptirstiont to Section 136-29 of tire Code of the Town of
Queenshury, air), permit or approval grantee!' which is based upon or is granted in reliance upon
any material inisrepreseirtalion or fitiltire to make a material fact or circumstance knon'--ir by or on
behalf of air applicant, shall be void.
I have read the regulalions with respect to this application and agree to abide by these and all
requirements of the Towil'of Queenslit(ry Sanitary Selvage Disposal Ordinance.
Signature of res�J'Y'ansib*e person: Dixie:
Building Permit Application
Town Of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561
BUILDING & .CODE ENFORCEMENT
1�OTICE Requirements prior to issuance -
A permit must be obtained before of this permit: PERMIT FILE NO.
beginning construction. No inspections PERMIT FEE PAID$�
will be made until applicant has received ❑ Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE AI $
applicants' spaces on this application
MUST be completed and.the signature ❑ Planning Board Action REVIEWED B - -%
of the applicant must appear on the SPR / Subdivision /Other Building Inspector''
application form. 7h.�k,.. Recreation Fee Payment
Applicant: di eh al c as Owner: - 6-0 UI
Address: nJ111 Address: q /GOB e �f7 sAl
Phone # (�/ ) 71 - < �aJ Phone #
Property Location: ,4,T �//� /t ��/�JTP S i
Subdivision Name: �r�t9 �L / Tax Map Number_ —� l
Section Block iDt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
_J��New Building: CONSTRUCTION: $
esi ence ,/ commercial
Addition . o uilding:
residence. / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial k-'-Single Family Dwelling
Residence / Commercial Two Family D�,w_elT rin
no change to exterior size Family Dwelling,.
Office -
Other Work (describe below) Mercantile DEC 16 1997
Manufacturing
Other T;0: °. ::.ray
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor. . . . . . . . s If ADDITION, what will use
q• �s of new addition be? :
2nd .Floor.. . . . . . li-glJ Sq. ft
Other Floors . . . . . �� sq. ft. ��
(not unfinished cellar or ba ement�
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: ,,16 oj'7 ST(�� _�/ Attached Garage 1, 2 ca
Q Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
—� FEET X 1 ,2 FEET Other
Foundation Type: Po„rcc[ Will any second-hand or ungraded
' Number of Stories : a _ lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : �� feet TYPE OF_ HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: �_ Electric ,L_�l / as Wood
orced Hot AiV / aseboard / Other
Person responsib}e for supervision of work as regards to building
codes is :
Name Addresss Phone
Builder: f�ryP I� INS�s� xlc �/�: ,/+/r / S�i�t yA -63
9/
Plumber: %fie i r h ;Re_�dAo,-r I —/�f,6 -4�Z 79 7 _
Mason: � >, , 7
Electrician: t- ,j a .f 'rjo7nas �f R'-(a��D
DECLARATION• Please sign below after you have carefully read the statement.
To the best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the Building Code, the Zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is authorized by the owner. Further, it is understood that Uwe shall submit prior to a
Certificate of Occupancy"or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature:
(owner owner's agent, architect, contractor)
T®WN F QUEFN, BURY '
t 742 Bay Rd., Queensbury', NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES,AND CHIMNEYS
)ate
19 Permit No.0 ` ,7,, �
_
APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention andTuilding Code. The applicant or owner agrees to comply with
all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections.
Please fill out additional form if more than one appliance and/or chimney.
Applicant ,� r APPLIANCE check appropriate boxes
Address , y, _5j ❑ STOVE: ❑Wood ❑ Coal ❑ Pellet ❑ Gas
❑ FIREPLACE INSERT
Zip p-,FIREPLACE, FACTORY-BUILT:
vftod ❑ Gas .
Phone � �"�; /� ❑ FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner x ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
-- - - - - Manufacturer: _1 ri yTv.
Zip Model: F'll
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
❑ MASONRY: ❑ Block ❑ Brick 17 Stone
FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST 8 FACTORY-BUI LT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS p'Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ Direct Venting
❑,Chimney Liner
Cashier's Department TdAvn of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
e
/Fee Collected From or Refunded to:
Dated: J s — 1 f� � ��� Town.Clerk or Deputy:
f
White: Applicant Green. Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
37 Chester Street, Glens Falls, NY 12801
Phone-518-745-4400 Fax -518-792-8511
RECFE
IVD April 15, 1999
,JAN 212000 Job#43076
TOv}e a OF Cl'
_;t--r URY
�t11LDiNG AND COIDE
Russell Thomas
27 Platt St.
Lake George, NY 12845
Re: House Foundation
Round Pond Subdivision
Dear Mr. Russell:
At your request, I have inspected the garage foundation of your new house. The foundation has
cracked in the northwest corner where the garage joins the front porch and house. There is a
vertical crack in the west foundation wall of the garage approximately 8 to 10 feet from the
corner. This crack extends the full height of the wall and tapers from a hairline crack at the
footing to approximately 3/4" at the top. At the top the separation is longitudinal and lateral,
indicating an-outward rotation of the top of the wall. There is also a hairline crack in the footing
below. Neither the wall or footing crack show any indication of differential settlement.
The second crack is directly around the corner in the north wall of the garage. This is also a
vertical crack in the foundation wall. This crack tapers from approximately 3/8" at the top to
nothing at the footing. The footing is not cracked at this location. This crack shows only
longitudinal separation which corresponds with the rotation in the west wall noted above.
There is evidence that the backfill under the garage floor adjacent to the cracked wall has settled
away from the floor. This is probably a result of the outward rotation of the wall and subsequent
release of lateral restraint for the material under the slab.
These cracks are a result of lateral pressure acting outward (westward) on the top of the west
foundation wall. ' The cause of the lateral pressure is not apparent. However, it could have
resulted from backfilling on only one side of the wall, heavy equipment loads too close .to the
wall or possibly freezing expansion of saturated soil behind the wall. There were no indications
of settlement of the footings under this section of wall.
At present the cracked portion of wall still provides adequate structural support for the garage
walls and roof. I do not believe that it presents any significant threat of structural failure.
However, I strongly recommend that the displaced portion of wall be replaced or stabilized to
prevent further movement. Stabilization could be done by thru-bolting into the adjacent wall and
floor slab or by pouring a concrete buttress outside of the existing wall.
/r
r�
Additionally, the floor adjacent to the cracked wall needs to be supported. This can be done by
removing this portion of floor, recompacting the backfill. and pouring a new section of floor; or
by pressure grouting under the existing floor after the wall has been replaced or restrained.
I will be happy to meet with you and your foundation contractor to discuss possible ways to
correct this problem. In the meantime, please call me if you have any questions.
Sincerely,
homas W. Nace, P.E.
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
IIDept.of Community Development Arrive am/pm DeparD- 6 gym/M
Town of Queensbury Inspector's Initials -
742 Bay Road .
Queensbury,New York 12804 22
NAME PERMIT# 1 J�
LOCATION �- -� ` DATEOf
.
TYPE OF STRUCTURE
N/A. YES NO CONMIEENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake 0� �U c
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
hiterior/Exterior Railings 30' 0 36
Exterior Handrails,balconies,I g 8 in. ,more
Interior_Handiails stairs both sides 3 r more risers
Grade 2%away from foundation - \LAI
8"clearance to sill plate
Gas Valve shut-off exposed/regul for 18"above grade
Gas Furnace shut-off within 30 f t or within line of site
Oil Furnace shut-off at entrance t furnace area
Furnace/Hot Water Heater opera g
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both si s more than 3 risers
Interior privacy/trim/doors/main trance 36"
Floor Finish
Bathroom/Kitchen watertight
hiterior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom-
inter bonnected
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 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)
Okav to issue permanent C/O(Certif. of Occupancv)
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept of Community Development Arrive am/pm Depart -
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New Stork 12804 Z
NAME U S 4, G. /W owt�s PERMIT# `7 5 J
LOCATION qf&14 Ply DATE I Z da
TYPE OF STRUCTURE
N/A YES NO COND4ENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake t✓ � . P��O UA�— �/U /�s
Plumb Vent through roof
Roof Complete
Exterior Finish Complete -PL I-6 &Z-7-e-- —r6
Interior/Exterior Railings 30"to 36" 6/
Exterior Handrails,balconies,landing 18 in. o re
Interior Handrails stairs both sides 3 or mor,risers
)::
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18" ve gra
Gas Furnace shut-off within 30 feet or with n line o site
Oil Furnace shut-off at entrance to furnace ea
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs
Basement stairs 6 ft.4 in. ���
Handrail exterior stairs both sides more an 3 risers � �� T U
Interior privacy/trim/doors/mam entrance 6" n
Floor Finish
Bathroom/Kitchen watertight pQ / � U t�G O�
Interior Handrails Balconies/Landing 18 . or more 0
Railing across window in stairwells
Smoke Detectors: 6 UT—
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
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
'rte Plan/Variance required
7inal Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518)761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# 73-3
NAME LOCATION rl�� A-
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTE
FIRE SPRINKLER SYITEM
FIRE SUPPRESSION S STEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO PRINKLERS
CLEARANCE TO EATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY _
FIREPLACE-FACTORY BUILT -
REMARKS: ❑ OK TO THIS DATE
T"tR(-- PL. te
Reek. l� 1AIGA
IZi�9rp�
/0 65'*� JL/
INSPSLIP.PUB INSPECTOR
)9Aou l p,c--- 6,edle-K '7o P
FIRE MARSHAL
-�- -TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT#
NAME NtlM `5
LOCATION
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WO D STOVE
F EPLACE-MASONRY
IREPLACE-FACTORY BUILT
REMARKS: /tfm &�-% y��0 ❑ OK TO THIS DATE
INSPSURPUS INSPECTOR
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# � 7- 733
NAME (� Al
LOCATION
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES _
STORAGE:
CLEARANCE TO SPRIN ERS
CLEARANCE TO HEATI G UNITS _
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE _
EPLACE-MASONRY
FIREPLACE-FACTORY BUILT Cep
REMARKS; VOK TO THIS DATE
>D :va
INSPSUIP.PUB INSPECTOR
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
(a 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP,JRC,
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME %aayl�S
LOCATION _ y
DATE _ Z G@J PERMIT N
TYPE OF STRUCTURE
FOOTINGS_ FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION _
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT B VENT II GIIT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILIN
As
RELIEF VALVES
FURNACE HOT WATER OPERATI G
INTERIOR TRIM PRIVACY D00 S
FINISH FLOORS'
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FIN ELECTRICAL
PLAN V NCE REQ.
FINAL SURVE PLAN
OK TO ISS C/O O C C
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement /
Dept.of Community Development Arrive am/pm Depart� •1��
Town of Queensbury Inspector's Initial_
742 Bay Road
Queensbury,New York 12804
r
NAME Ili PERMIT# '" 7��
LOCATION 7 - DATE p
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof rt t_t_ 1/NSA R/6
Roof Complete
�xterior Finish Complete
terior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers—
Grade Grade 2%away from foundation oe-T Pt q TC— !o -r—�e"
8"clearance to sill plate
Gas Valve shut-off exposed/regulat,r 18"Above grade
Gas Furnace shut-off within 30 feet or with line of site IF �Rootoc- C'nl�j , /9PP/�d(/• ��v< FRC57 -
Oil Furnace shut-off at entrance to ace ea (��q � i¢Cyr G.44,
Furnace/Hot Water Heater opera
�Aelief Valve(s)installed
tj
Headroom,6 ft. 6 in.on stairs
Basement stairs,�6 ft.4 in. TAV u1 A, -Ta W V .1f',0f ai14-1 0�A40
Handrail exterior'stairs both�i s more than 3 risers
Interior privacy/trim/doors/ma entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconiesta—ncilng 18 in. or more
Railing across window in s ells
Smoke Detectors:
every level
every bedroom
outside every bedr m
inter connected
Bathroom fans
Plumbing fixtures
Fooundation insula on
E
ur fire door/door closer
e fireproofinge penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or 1 t m floor
vfinal Electrical
Site Plan/Variance re uir
Vyinal Survey Plot Plan s
As Built Septic System layout required �/ r
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) [76 AJ 01 7'/UrUS TH12v
RESIIIDENTIIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive am/pm Depart 0'
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME NO . PERMIT# `
LOCATION -7-3 raa %� 6 , DATE ZP
TYPE OF STRUCTURE Is r—IG?
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake '�. �- �� a i 6'96'J
Plumb Vent through roof
Roof Complete ? /S✓U� � l 6-115 �'O1�
Exterior Finish Complete f �'
Interior/Exterior Railings`30'�to 3
Exterior Handrails,balconies,landing 18 in. or more04tj'iA-e-7— ��� ���� �� ��
Interior Handrails stairs both sides 3 or more risers �bl✓����(�y �v low
Grade 2%away from foundation
8"clearance to sill plate Fule &o i14
Gas Valve shut-off exposed/regulatofr 18"above grade
Gas Furnace shut-off within 30 feet or within line of site d V
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft. 6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 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
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 from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Cerlif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
3 J
RESIDENTIAL CAI,IN ECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive am/pm Depart ' 4ypm
Town of Queensbury Inspector's Initials
742 Bay Road
Queemmsbury ew York 12804
NAME PERMITIT#7n2��� N .
LOCATION DATE
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof V
Roof Complete V t"�i�.QeaFl�
,Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing r. or �vSiRLL /cA r�S A5 A)6,5D�IA !98nInterior Handrails stairs both sides 3 o
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulato 18"above de
Gas Furnace shut-off wi Z 30 feet r within h of site
Oil Furnace shut-off at entrance ase-afea
/Furnace/Hot Water Heater opera ' g
-1 Relief Valve(s)installed
Headroom,6 ft. 6 in. on st
Basement stairs,6 ft.4 in. Q p
Handrail exterior stairs both/ides more than 3 risers ill i¢C�- �G't�^�� AV- �
Interior privacy/trim/doors entrance 36"
Floor Finish (fG te t c)Co l�16
Bathroom/Kitchen wat t
Interior Handrails Balco es/Landing 18 in. or more Tb �-
Railing across window' stairwells
Smoke Detectors:
every level -_
every bedroom
outside every bedroom VZ
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation _
r3/4 hour fire door/door closer
/ Garage fireproofing OA)e-- Cn>AT 'TAP& prod j'� Garage penetrations sealed 5 CA-L A"—
Furnace in separate room protected(in garage)
Light ventilation per room
�afety glazing 18"or less from floor _
JFinal Electrical
Site PlanNariance required
Final Survey Plot Plan
As Built Septic System layout required 6 015v""—� A S &I L 1
Okay to issue C/C(Certif, of Compliance)
Okav to issue temp. C/O(Certif. of Occupancy) S �6�tT�
Okay to issue permanent C/O(Certif. of Occupancy) R ���'
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RE C VED PERMIT#'�7-733
NAME U`?5G LL
LOCATION
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS,, _.
FIRE ALARM SYSTEM
FIRE SPRINKLER SYST
FIRE SUPPRESSION SYST
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINK ERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
IF
OOD STOVE
REPLACE-MASONRY
REPLACE-FACTORY BUILT
_REMARKS: ❑ OK TO THIS DATE
/V a
INSPSLIP.PUB INSPECTOR
foelo U VIC �6��( � �� �rU FO ,
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 Depart g ap/pin
Inspector's Initial
NAME: ti PERMIT# `/—
LOCATION: 10. DATE : /� / 5'
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place .
The.con or is responsible for
providing pr on from freezin
for 48 hours fo wing the pla went
of the concrete.
Materials for this purpose
Foundation/Wallpour,,-
Reinforcement m Pl
Foundation/Damppr fing .
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rougb4n
insulation L C
Foundation Walls-Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R=
Ceiling R-
Duct work or piping in
unheated spaces - R-
oper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bri
Joist Hangers
Jack Posts/Main Beam..
Air Infiltration Barrier
Fire Separation 1;2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour-
Firestopping
r
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road 1112?
Queensbury NY 12804
(518) 761-8256 6
SEPTIC DISPOSAL SYSTEM INSPIECTION
PG\5 S
Name ) .
tt t
Location -
Date f ermi t # Clk�
SOIL TYPE: Sand- oam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: /
ABSORPTION FIELD: Total Len the --�/5—
Length of each trench 1 S-
Depth of trenches
Size of stone
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Si- Type,.
Bldg. to Tank
Tank to Di s ox
Dist. B o Field/Pit ilt �t
Ope ' gs Sealed? Yes No rtia
L ,ATION/SEPARATIONS:
Foundation to Tank 7s feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan Yes (Rol—)
LOCATION OF SYSTEM ON PROPERTY:
e one)
rant Rear - Left, Side - Right Side
1 dl e Front -- Middle Rear
COMMENTS:
'506at u/&T PILE
sT� 5s4—,V!7-4 rW y i eo j
SYSTEM USE APPROVED: YES 0
Arrived:
Departed:
—
�jpe—
Building Inspector
;R �
Nuw
GENERAL INSPECTION REPORT r\
Town of Queensbury
Dept of Community Development Date inspection request received: f l J v
Building& Code Enforcement
742 Bay Road -
Queemsbury,NY 12804 Arrive am/pm Depart Q� - am/pm _ _
— _-
Inspector's Initials
NAME: _ 73-3
PERMIT#
LOCATION: 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 freezing
for 48 hours following the placement
of the concrete.
Materials or this purpose on site
Foundatio allpour
Reinforcem nt in Place
Foundatio mpproofing
Backfill Appro 1
P mbing Under)b6z./lumbing VentfV
Rough Plumbing e4
H gRough-I !1 V:*19012. A.r'- - oTK= --d Fl r�f
Fatibn
ounda • n Walls Interior R- �� �' -:5
Foun 'on Walls Exterior R- LL 2oc�t
Floors R- '�' 1 u 1.7
Walls R- C � 01-0 65-T �
Ceiling R-
Duct work or piping in
unheated spaces R-
oper Vent, Attic Vent Vp 6 r.V Pi=
Framin
g
Jack Studs/Headers >
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTI®N REPORT
Town of Queensbury ^�
Dept. of Community Development Date inspection request received:
Building do Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart am/pm
Inspector's Initials
NAME: Pa.�, 102 V PERMIT# �✓7
LOCATION: DATE : r5 " 1
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Hers I
Monolithic Pour orm
Reinforcement in lace
The contractor n responsibl or
providing protect n fro eezing
for 48 hours followi a placement
f the concrete.
terials for this p se on site
F undation/Wall ur
enforcement ' Place
oundation/Dampproofing
kfill Approval
umbing Under Slab
lumbing Vent/Vents in Place
Rough Plumbing ./4 (-
Heating Rough
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping inC�-�C
unheated spaces R-
Proper Vent, Attic Vent C4� _
Framing "
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour 11
Firestopping
V � (518) 761-8256
TOWN OF QUEENSBURY '
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT:, ARR ow DEP T7t.
REQUEST E.W INSPECTION RECEIVED:
NAME Gl
LOCATION r
DATE PERMIT A
TYPE OF STRUCTURE:
RECHEC APPROVED
�.N A YES NO
F INGS PIERS C
MONOLITHIC POUR FO
REINFORCEMENT IN PL CE'
THE CONTRACTOR IS R �PONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLONI G THE PLACE-
MENT OF THE CONCRETE
MATERIALS FOR THIS PU POSE ON SITE
FOUNDATION WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEAD RS
BRACING[BRIDG G
JOIST HANGER I
JACK POSTS IN BEAM
AIR INFILTRATION'BARRIER —
HEATING ROUGH WN
INSULATION''
FOUND' TION WALLS INTERIOR R-
FOU DATION WALLS EXTERIOR R- _
F ORS R-
ALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES' R-
TT)
\ (518)761-8256
TOWN OF QUEENSBURY
BUILDING b CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
,r.
INSPECTOR'S REPORT:. ARRV DEPART
REQUEST __ INSPECTION IVED:
c �• _ \NAME
LOCATION �---(7 I � � ��'"`-'-7�
DATE -` —� PERMIT N 1.
TYPE OF STRUCTURE:
RECHECK APPROVE
N A YESF NO
OTING5 PIERS
MONOLITHIC POUR FORM }�
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
- BACKFIL-L- APPROVAL- `
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING•
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER _
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-
ELL
TC vv�,
It Dr
-------------
050
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
072429 BUREAU OF ELECTRICITY
111 WASHINGTON AVE., SUITE 704,ALBANY, NY 12210
Date ROM46ER 23,1999 Application No. on file 43897398198 H 457259
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
RUSSE.LL THOMAS, If-1,13-H FT DR.�Qt1 RSV
RY, MY \�in the following location; U Basement L�1 1st Fl. 2nd Fl. OAR ` Section Block Lot
was examined on OCT-OBER 15,1999 and found to be in compliance with tize National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT, H.P.
53 '59 65 53 1 1.5 1 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
ni
OIL WP. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET
AMT. WATTS
2 F 2 —
SERVICE DISCONNECT NO.OF _ -S.._ _ _ E"--- _" -_R _- V _ I -- C E - -
METER - NO.OF CC COND. A.W.G. A.W.G. A.W.G.
!.,T. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3®4W pER 0 OF CC.COND. NO.OF HI-LEG OHI-LEG NO.OF NEUTRALS OF NEUTRAL
200 CB 1
OTHER APPARATUS:
CEILING F.tUJ-7
ELEC. WA TER HEATERS: r I-4.5 K.W.
G.F.C.1:-5
SMOKE DETECTOR.-7
I ..
i
FL'cSi2' CONST. LL
RR2 BOX 2262 PLATT RD.
LAKE GEO.RGED IVY, 12845 GENERAL MANAGER
239
Per
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be Identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
87 Q4,q' • �
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48,434.`� : `ft.
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a° 3�01 o
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• �''`� ...___...-_ LOT 11
�.� `rco 50,421. sq.
1.15 acre _ ui LOT 9
56,378. sq. ft.
t• o . �- 1.29 acres
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