1999-733 TOWN OF QUEENSBURY
ow742 Bay Road, Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
• Permit Number: 99733 • Date Issued: Thursday, November 09, 2000
41kq°\
?)i) I .\
This is to certi that work requested to be done as shown by Permit Number 99733
has been completed.
Tax Map Number: 523400-125-000-0009-106-000-0000
Location: 16 WAYNE Ct
Owner: JAN D. WENDELL
This structure may be occupied as a: RESIDENTIAL ADDITION (MASTER BEDROOM)
By Order of Town Board
TOWN OF QUEENSBURY
r3a4riPii . 1/
Director of Building&Code Enforcement
1
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 0 Building Permit No. 9 9 7 3 3
TAX MAP NO. 125 . -9-106
Permission is hereby granted to WENDELL, JAN D.
Owner of property located at 16 WAYNE COURT
in the Town of Queensbury,to construct or place a ,m 3 SQ_ FT- A nn T T T nN
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
16 WAYNE COURT
QUEENSBURY, NY 12804
Contractor or Builder's Name:
Contractor or Builder's Address:
• Electrical Inspection Agency:
COMMONWEALTH ELECTRICAL
Type of Construction: •
RESIDENTIAL ADDITION
•
Plans and Specifications:
503 SQ. FT. ADDITION TO RESIDENCE AS PER PLOT PLAN AND SPECIFICATIONS
" Proposed Use:
503 SQ. FT. ADDITION
•
•
$ 40 PERMIT FEE PAID-THIS PERMIT EXPIRES December 10 2001
(If 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 of Queensbury this 10 Day of December 19 9 9
SIGNED BY_ sP� �_. for the Town of Queensbury
Code Enforcement Officer
•
oe_ 733:
1-0,1w- ==_ ENERGY CODE COMPLIANCE APPLICATION
�3�_-_ TOWN OF QUEENSBURY, WARREN COUNTY
_ 9000 HEATING DEGREE DAYS
Compliance Methods: PART 5 - Acceptable Practice Method - -
1&2 Family Dwellings (only) NOV 2 6 r'
0,0
• PART 6* - Thermal Rating - Component 'grade Offs
1&2 Family Dwellings; Multi-Re. ily � ia ,_,J ' -
Dwellings (3 stories or less) +i=
PART 4* - Design by Component Performance
• Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION:
NITRN) \ysi '_-_77/4 ‘ 1::-LL: . k 1 ?/_ 1.-."
1 le k--)0 a•-iN r-___ Cr ao),..iiNhi
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - `�� scuare feet •
•
2 . Type of Heat - Electric Oil __Gas Other
3 . Is building mechanidally cooled? Yes No •
4 . Percentage of area of windows and doors Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
ir
a . Roof R ^)
b . Exterior walls R / G,y
c . Glazed areas R 1.7
d . Exterior doors R f U
e . Floors over unheated spaces R ' 0
. Edge of slab on grade (heated building) R
c. Basement/cellar walls (above grade) R
h . Basement/cellar walls (below grade) R
i . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device 4a Cat_ 6 As
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
mber • , _.--9
•;Pure 4:141/-9 i _o-z 6-1-ilia
2NSP =0R' S REMARKS:
7-im Building Permit Application
Town of Queensbury - Dept. of Conununity Development, 742 Bay Road, Queensbiuy, NY 12804 1761-8256]
' -O • BUILDING & . CODE ENFORCEMENT
NOTICE Requirements prior to issuance
A permit must be obtained before of this permit: , MIT FILEO. `lq- 7�3
beginning construction. No inspections tl
Zoning Board Action PERMIT FEE PAID$ ''�®.�v
will be made until applicant has received n g �`i `�
a VALID BUILDING PERMIT. All Area /Use 1�CCR� ON FEE PAID$
applicants' spaces on this application TOUT -
MUST be completed and.the signature • �'`ll;. :i i-gi �' /
n�Plmutl . .•,.�d Action EiJfLL( =1ZLV�ET�CD�II�I;'r.� c �i
of the applicant•must appear on the SPR / Subdivisio /Other ` NG'�t`''D COL�� Building Inspector
plication.form. Thank yogi. • read. ee Payment
Applicant: Owner: � l Vi ( , . ,,.. 47j1 L
. . Address: iG W i �, C9 Address: )lei A-)? 1)
1 hone # ( JZ 7L-) -LJ c Phone # ' of jte,T2/- �`�J
Property Location: [ L 1JE" C IkaPt. •7 ---..__g_i_.2.d
'
,n � n�/ Tax Mop Number_ -45-1
Subdivision Name:. )- r j (Aire l.)) 0 GTlO
Section Block Tat
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ /1'2 0,2,0,
residence / commercial i
X Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial )( Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
•
Other
GROSS AREA OF PROPOSED STRUCTURE: •
1st Floor sq. ft. If ADDITION, what will use
o new additio be? : ) f - fit(
2nd .Floor Xsq. ft. .W O OYn 1-1;
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: So 3 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
FEET X )t/n FEET • Other
•
Foundation Type: .E.N1S4 itNI 6 Will any second-hand or ungraded NO
' Number of Stories : 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 . .lies)
t�
to be installed: oi\ir E ectric / O / / Wood
Forced Hot Air Baseboard / Other
Person responsi for s erg ision of work as regards to buildin`gg
codes is : y-) .-UOPf CCL 7761 -yi '/
Name Addresss Phone
Builder: •
Plumber:
. Mason:
Electrician:
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 Occupancyor Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; d n t• sc/ale, showing actual location of project on premises.
Signature: �,,��/,
ail�Z(/it,17
(o er, owner's agent, architect, contractor)
Iiii •
i. /
4 11 4r-e.,_
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: T�1 f. (n/h)
Building&Code Enforcement
AlOiliwir
Dept.of Community Development Arriv epartfk,:kgiap.4'0
Town of Queensbury spector's Initia Sr��
• 742 Bay Road 40.-
Queensbury,New York 12804
NAME a,.....„Ai _\ PERMIT# /' 3_
LOCATION /CO 61)G . DATE = 1
TYPE OF STRUCTURE :; 4 '
u N/A YES NO COMMENTS
I
Chimney Height/"B"Vent/Direct Vent Location0
'
Fresh Air Intake '\ l' S 4ee.
Roof mpl through roof',• F` ✓� �,
Roof Complete 1/4_ ( / hp L
Exterior Finish Complete / ,//
Interior/Exterior Railings 30"to'36" e' ,/
Exterior Handrails,balconies,landing 18 in.or more /
Interior Handrails stairs both sides 3'or more risers J
Grade 2%away from foundation r
8"clearance to sill plate ..'
Gas Valve shut-off exposed/regulator 18"above graole
Gas Furnace shut-off within 30 feet or within`line o£fsite
Oil Furnace shut-off at entrance to furnace area ,;. .r�
Furnace/Hot Water Heater operating i'•
Relief Valve(s)installed I
Headroom,6 ft.6 in.on stairs I
Basement stairs,6 ft.4 in. / '\ .
Handrail exterior stairs both sides more than'3 risers N
Interior privacy/trim/doors/main entrance 3�" a ✓/
Floor Finish /'� °'/,��
Bathroomljdtdln auvatertight I
Interior Handrails Balconies/Landing Ain.or more '.
Railing across window in stairwells 'a.
Smoke Detectors: /
every level ./
every bedroom /
outside every bedroom /
inter connected /
Bathroom fans
Plumbing fixtures / ef/
Foundation insulation /
3/4 hour fire door/door oser /
Garage fireproofing ,/
Garage penetrations ealed
Furnace in separate oom 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)_
Okay to issue permanent C/O(Certif.of Occupancy)
•
•
API/et- l Ka p"`
ez....6,,c ,,,,e...__
RESIDENTIAL FINAL INSPECTION REPORT `jeaK,
Office No.(518)761-8256 Date inspection request received: Pp S 6
Building&Code Enforcement
Dept.of Community Development Arrive am/ epart
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,N w York 12804 (.///
NAME e )J�^- J PERMIT#�" ( 3
LOCATION I DATE_[S>/�-e4/ 1-r11)
TYPE OF STRUCTURE Q 54.5 ,y a e Q o) ` l
N/A YES NO COMMENTSVS. '''Jsk
`' ,
Chimney HeightP'B"Vent/Direct Vet Location •J ' Cc) ��'r
Fresh Air Intake - -- .�,,.,®
Plumb Vent through roof l ` t / ;y
Roof Complete ,/ U� / �
Exterior Finish Complete / ,7"'
.2)
��
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,Ianding 1$in.or more / -3 E-N� p \_ '���
f;E
Interior Handrails stairs both sides 3 or more risers ` ✓ rT l, W:\ l
Grade 2%away from foundation ; / i / 0/ 6 V-Pk/t
8"clearance to sill plate, ! •� l- k, 3\ C'1LS ._,
Gas Valve shut-off exposed/regulator 18"ab a grade �}
Gas Furnace shut-off within eet or with line of site ,// CV---- \ jf
Oil Furnace shut-off at entrance to area �/
Furnace/Hot Water Heater operating I V O r -- T 'tA �`A.-- .Vice.
Relief Valve(s)installed i • Ji -
Headroom,6 ft.6 in.on stairs f / •- z
Basement stairs,6 ft.4 in. i _,/j
Handrail exterior stairs both sides more than 3 risers J
Interior privacy/trim/doors/main entrance 36" 4
Floor Finish I ✓`
Bathroom/Kitchen watertight / �/
Interior Handrails Balconies/Landing 18 in.or more J/
Railing across window in stairwells V /
Smoke Detectors: ./
every level �/
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures l
Foundation insulation
3/4 hour fire door/door closer �. , ;` W-ing
Garage fireproofing4
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical 6S?�, `
Site PlanNariance required � C ' �\ �u
Final Survey Plot Plan .- U .
As Built Septic System layout required J e \ �,t)
Okay to issue C/C(Certif.of Compliance) � `= � t, s
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive- eepa m
Inspector's Initi
NAME: 1s�� l� l� PERMIT# a 733
LOCATION: k �,�PA 0.E C DATE. !D —I9.—D(
TYPE OF STRUCTURE: cr4 i1S �LTE 2
RECHECK
N/A YES NO COMMENTS
Footings/Piers !.
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezin
for 48 hours following the plac ent
of the concrete.
Materials for this purpose on si
Foundation/Wallpour
Reinforcement in Place / 1
Foundation/Dampproofing •
Backfill Approval i /
Plumbing Under Slab \ /
Plumbing Vent/Vents in' lace
Rough Plumbing r
Heating Rough-In /
Insulation (Pr ° --E CELL%�(-+
Foundation Walls Interior R-
Foundation Wall Exterior R-
Floors R- fix" C--F1 CEA LA
Walls R-
Ceiling R- , ()
Duct work or pi ing in
unheated spac s R-
Pro s-r en Attic ent
raining
Jack Studs/Headers
Bracing/Bridgin
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive 17"iJ,7a m Depart
spector's Initia
NAME: d, PERMIT#
LOCATION: 1 t, 1 DATE: , —
TYPE OF STRUCTURE: ALTC:
RECHECK
N/A YES NO COMMENTS
Footings/Piers C 1 I
Monolithic Pour Form
Reinforcement in e
The contractor i responsible for
providing prof ion from freezing
for 48 hours foil wing the placement
of the concrete.
Materials for this p rpose site
Foundation/Wallpo r
Reinforcement in P ce
Foundation/Dampp oo g
Backfill Approval
Plumbing Under S 6
Plumbing V�eit is in Place
Rough Plutfibing
VIeating Rough-In
Insulation t)l - ��
Foundation Wa is Interior R-
Foundation W r is Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier_
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping 6 e,,FfiT t 0 C.,,PQACE__ 7
•
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart - ai
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York•�12804 NAMI—.) �61\r-\\ 1\r\c \c C4._ PERMIT# —
LOCATION \\ ` )\')�n L QX.u\ DATE - 7— ')vb
TYPE OF STRUCTURE n \ 6,,--,,.-,
N/A YES NO COMMENTS
Chimney Heightl"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 3 "
Exterior Handrails,balconies,Ian g 18 ' .or more
Interior Handrails stairs both sides or mor risers
Grade 2%away from fo dation
8"clearance to sill plate
Gas Valve shut-off expos regulat r 18"a ove grade
Gas Furnace shut-off within feet wi ' line of site
Oil Furnace shut-off at entrance o ace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs G
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides m re than 3 risers
Interior privacy/trim/doors/main entr ce 36"
Floor Finish
Bathroom/Kitchen watertight 1
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells'
Smoke Detectors: it
every level /
every bedroom r
outside every bedroom i
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(Certif of Compliance)
Okay to issue temp.C/O(Certi£of Occupancy)_
Okay to issue permanent CIO(Certif.of Occupancy) V -
V_EnD ( i- a
1 \)Lf t \ D ta LpC, E
C:UIVIMUN W EAL1li ELLC I KILAL 11VJYEC 11U1V Jr.K V 1L .
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No Cert. Np 1.8949 Cut-in Card No.
Owner ieflU GU e-J
Location /6 CV A-1 C( "
Installation Consisting of..r.i......G'1 rct*, /Va er, z-
Installed By 511-01-6 Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makin 'nspections at any time, and if its
rules are violated,the
-��Company shall have the right to r oke ifi te. n /
Date / 0 �/1��C G! INSPECTOR
Member N.F.P.A.,I.A E.I.
7 t
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive t 11[ a V-
pector's Initia
NAME: 1. .;Ai PERMIT#
LOCATION: 1 � DATE :
TYPE OF STRUCTURE: ).i APO q- 3
RECHECK
N/A NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placemen
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing - - - - — -
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place •
Rough Plumbing
Heating Rough-In
Insulation J t3fl F �ptJ1r� ,
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- �
Walls R- rq
Ceiling R- t
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
GENERAL INSPECTION REPORT
(518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arriveaepao as��
spector's Initia
NAME: PERMIT# CIC4 ZJ
LOCATION: 1 CIF- Ve)( Gc , DATE : 1 s1 o
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place N.
The contractor is re •„+nsible for
providing protection •om freezing
for 48 hours followin_the placement
of the concrete.
Materials for this purpose •n site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place •
Rough Plumbing
eating Rough-In
Insulation ‘Rkirpc‘12i7
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- � \ \\-7Ct51 6P‘V--7
Walls Ceiling
Duct work or piping in R � \\ ��� �
ed spaces R-
oper Ve c Vent
F 'ng \ �`
Jack Studs/Headers
Bracing/Bridging {\ k,. t 1
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour -
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping • it ,\ji v t.3`
T - C .
3 E (i2., a_ 3
fr--
....-----------
GENERAL INSPECTION REPORT
(518) 761-8256 ,,
Town of Queensbury
Dept.of Community Development Date inspection request received: '7 I iv)
Building&Code Enforcement
742 Bay Road ,,.. e . 11..
Queensbury,NY 12804. Arrive D air -Depart i
Inspector's Initi.
NAME: IA— .r- A- PERMIT# idol_ '33
LOCATION: ' W C DATE : ' _,
TYPE OF STRUCTURE: /
RECHECK
N/A YES NO (OMIvIENTS
Footings/Piers Monolithic Pour Form 75-?,ed--ro
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following tie placement
of the concrete. ‘
Materials for this purpose o\site `
`
Foundation/Wallpour ;,
Reinforcement in Place \ °
Foundation/Dampproofing \ • ';
Backfill Approval \ \ti
Plumbing Under Slab \ `��
Plumbing Vent/Vents in PlaceV;Rough Plumbing Y
Heating Rough-In
Insulation
Foundation Walls Interior R- ,
Foundation Walls Exterior R-
Floors R- j
Walls R- i
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent /\
Araming
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 �/ \cJ .�� �E4�1Lk \''' \�L� - �iD
Vir\CY
FIRE MARSHAL
TOWN OF QUEENSBURY
` t j QUEENSBURY, NY 12804
:
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME : y •-W e v ICJ _
LOCATION /(PL1. e` MIT#9C �/ 3 =
SCHEDULE INSPECTION ON s--- / - z) C)
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS �.
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM STEM
FIRE SPRINKLER
FIRE SUPPRESSION SYS EM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SP'INKLERS
CLEARANCE TO HEA ING UNITS
REQUIRED SIGNAGE , J _()
Fl
CHIMNEY LSL r 3 too
WOOD STOVE
FIREPLACyill MASONRY LFACTORY BLT.
ROUGH-IN
❑FINAL
REMARKS: ❑ OK TO THIS DATE
INSPSLIP.PUB INSPECT
" \\(\--‘ri\i-N
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrivem— Depart )" m
Inspector's Ini '
NAME. r1 W�P.P \() P��` PERMIT#
LOCATION: \ )(3t A(t- DATE: 5 — 9 _� b
TYPE OF STRUCTURE: ) 1 �
RECHECK
N/A YES NO COMMENTS
Footings/Piers \ I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo ible for
providing protection fr•'. freezing
`for 48 hours following e placeme t
of the concrete.
Materials for this purpose o site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampptoofing
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 R-
Proper V nt, Attic Vent
Fr ng v' v
Jack Studs/Headers / /
Bracing/Bridging i
Joist Hangers / /VC l��L� tg R\�—t 1 •� �
Jack Posts/Main Beam ./
k�Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive s ' ler Depart' "s'• til
Inspector's IInitia,___.
NAME: --�,3 PERMIT# ia 5-17
LOCATION: - —
DATE : -i fl t5t
TYPE OF STR E: I
RECHECK �
N/A YES COMMENTS
Footin s/Pie --- --I
Monolithic Pour Fonn
Reinforcement in Place
The contractor is responsible
providing protection from fre�erin
for 48 hours following the laccmehit
of the c�ncrete.
Materials for'this purpose on site
Foundation/Wallpo r
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval 1
Plumbing Under Slab 1
Plumbing Vent/Vents in Place
Rough Plumbing ,
Heating Rough-In
Insulation.
Foundation Walls Interior R-
Foundation Walls Exle for R-
Floors R-
Walls R-
Ceiling R •
-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Fi restopping
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I hereby certify that this up was prepared from an
actual field survey. This certification shall run only
to the persons for whom the survey was prepared, and on
his behalf to the Title Conpany, Governuental Agency and
Lending Institution listed hereon. Certifications are
not transferable to additional institutions or
subsequent owners.
Certified To: Jan D. Wendell
PHH US Mortgage Corporation/Secretary of
Veteran Affairs, and/or assigns
Nations Title Insurance of New York Inc.
Certified By:
Leon X. Stoves, LLS NYS Lic JF 35617
Date: September 7, 1995
SEA LANe�••�
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• lq 35617
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"UNAUTHORISED ALTERATION OR ADDITION
TO A SURVEY BEARING A LICENSED LAND
SURVEYORS SEAL, IS A VIOLATION Of
SECTION 7209, SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW."
ONLY COPIES FROM THE ORIGINAL, OF
THIS SURVEY MARXZD WITH AN ORIGINAL OF
THE LANDS SURVEYORS SEAL SHALL EE
CONSIDERED TO DE VALID TRUE COPIES.
HAP OF; A SURVEY MADE FDR I
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TOWN OF Q � F izNs 8 v vL,4 w A f.2r 0 COUNTY, N.Y.
SCALEDATEt 5EP'-r. I SSA
Vaduse n & - steves
LAND SURVEYORS, GLENS FALLS, NEV YORK
N.Y. STATE LIC. NO. 35617
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