98-320 CERTIFICATE OF OCC1.JPA.N1.0.",`.Y
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
October 13 98
Date 19
98320
i
This is to certify that work requested to be done as shown by Permit No.
E
has been completed,
SINGLE FAMILY DWELLING
This atrucrure Ma3rbe occupied as a
9j MARIGOLD DR
Location """�
COLLETTE CONSTRUCTION ,
Clwtter
TAR MAP NO * 121 . - 1 - 5 3 . 111 By Order Town Board
TC WT4 OF +QUEENSBURY
Director of Bldg. & Code Enforcement
I Id
i
BUILDING PERMIT I I I ;
.. i
TOWN OF QUEENSBURt'� �.
Z1A7:FFF A 4 ? p1$$fa fVo. 9832Q1
TAX MAP NO . 121 . - 1 - 5 3 . 11IkAR R EN CC)UNTY. NEW YOR K .
PERMISSION is hereby granted to COLLETTE CONSTRUCTION r
OWNER of property located at 38 MARIGOLD DR . Street, Road or Ave.
in the Town of Queensbu+ry. To Construct or place a I SINGLE FAMILY DWELLING
at the above location in accordance to application together with plot plans and other inforrnation herato filed and
approved and in compliance with the Town of Oueel'I Building and Zoning Ordinance.
t. OWNER'S Address is
INC . 9 COLLETTE LANE
HUDSON FALLS , NY 12839
2. CONTRACTOR of BUi LDE RS Name
COLLETTE CONSTRUCTION
3. CgN&tL% 11Ujj EB�s" Address
HUDSON FALLSr NEW YORK 0
♦. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
HAGUE , NY 12836
6. TYPE of Construction — tPiease indicate by X) SINGLE FAMILY DWELLING
t } Wood Fraaru t F fRasonrY t I Steel ( i
7. PLANS and SpeCHidtionaMID L }%
r 5 ^
187 SQ FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE
AS R PLOT PLAN SPECIFICATIONS
8. Proposed Use11 d 1. "
SINGLE FAMILY DWELLING
233 June 11 2$
S PERMIT FEE PAID - THIS PERMIT EXPIRES �
(if a longer period is squired an application far an extension anvat be -node is the Bunning and Zoning kespectt►e oft,"
town of Ckwansbury before " expiration data Jtlriel 1998
Dated at the Town of Oueensbury this kDay of 18
� 1 c for Ow Town of C3ueensbury
SIGNED BY -..—
(3ui ir+a and 2annne IttePactior
l tng Permit Application
Town of QItCy['.nSLr ury - Dept, of C'onuawdoy Develolnueul. 742 Bray Road, Queembury, NY 12804 1761-S256f
BUILDING & . CODE ENFORCEMENT
NOTICERequirements prior to issuance _
of this permit; rRECREATION
ILE NO.
A permil must be obtained before 7
,.spinning construction. No inspections. EE PAID $ � 0,3 S ►
will be made until applicant has receives,. � Zwrtreg Board Action
a VALID BUILD1140 PERMrr. All Area I Use FEE P applicants' spaces on this applicationMUST be completed an& lite signature Q Pi4ruting hoard Action D DYe ��.
of the applicant must appear on the S," R I Subdivision I Other bulwaor
plicalion form# r&.rr ya. Recreation Fee Payment
Applicant: -i g + f //C-fip I I � Owner;
Address: / '' � ` 'r, 11. Address:
w1 3 3
�,�y�� � � Tax Mali Number
Subdivision Name: - C IIr° [ar J Ye t� � 3a� ,^ - —` Section 13lock lint
tiA'3?U E OF PROPOSER HO RK S ESTI14ATED MARKET VALUE OF THE
New Building ,. CONSTRUCTION *
residence / commercial
Addition to Building :
residence / commercial OCCUPANCY THrO,RMATIONt
. Alteration to Building *. Primary Building -
residence / commercial t/ Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size . Family DwellinjUN . 0 8
Office
Other Work ( describe below ) Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE %
p0
1st Floor . . . . . . . �1S~ a t // If ADDITION , what will one
9 ' of new addition be ? :
sq . f
Other Floors . . . . . - aq . ft .
( not unfinished cellar or basemen ACCESSORY DUILDINGSSs
Detached Garage 1 , 2 car
TOTAL FLOOR AREA * "-��� +� SQ . FT . _�/ Attached Garage 1 ` (� '
Private Storage Bu ng
SIZE OF NEW STRUCTURE : Commercial Storage Building
5 FEET X FEET Other
Foundation Type : /%, C- eTlt! Will any second-hand or ungraded
Number of Stories : lumber be used ? If so $ for what ?
( habitable space only ) A ) -
Height ( grade to ridge ) : g' feet TYPE or HEATING SYSTRMt
Number of fireplaces and/or woo stove ( circle all which ' li s )
to be installed : Electric Oil / (4as / /Mood
rce Hot / Baseboard / Other
Person respopelble for su ervieion of work as regards to building
codes iB o r° L C // , so 1 rti ZI I L
Name Addreses Phone
Builder : r' c�-�IwI�L`� � �, � ,� a 3w -) S'/ ?-
Plumbert �j� i � 2S' LIR 97
Mason :
Electrician *
DECIARA770N• Please sign below gfte'r you have carefi4ly read the statentera.
To tite best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, are a true* and complete slaternent of all proposed work to be done on
the described premises and that all provisions of the Building Code, [lie 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 tO iccupancy'•or Certificate of Compliance being issued, an AS BUILT PLADT PLAN by
a licensed surveyor, drawn to scale, showing actual location of project on premises,
Signature; met.--= a ��r ��'A -a
(owner, owner's agent, architect, ontracto
T 7
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury Permit No
Dept. of Community Development
Building & Codes Office
742 Bay Road. Fee Paid $
Queensbury, NY 12804
Location of property for installation: ' //� +2 + 1 Q kL
"l
Property Owner's Name: [ f1rIZ// n 57`• '�-c -- JUN .d 8 1998
Property Owner's Mailing Address: � Cry � r /fP //��' �A)
Installer' s Name: La 002P I2 Phone #
Number of bedrooms (if residential): Total daily flow:
(residential - compute Q 150 gal,Ibdrm.)
Topography: rflat, rolling, steep slope % of slope
✓/
Soil Nature: sand, loam? clay, other I depth:
Ground water: at what depth? ' feet / Bedrock or Impervious Material: at what depth? � feet
Percolation test: -xz not required, required f rate rain. per inch ]
Domestic water supply: ✓/municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tank: gallon (minimum size: 1 ,000 gal.)
Tile field: each trench �'70 feet / Total system length: �'-� feet
Seepage pit(s) : number of 1 size each: ft. by ft.
Size of stone to be used: # / depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: — Size of each; gallons
Alarm system and associated electrical work to be inspected by a certified agency.
For your protection, please note that pursuant to Section I36--29 of the Code of the Tour of Quesnsbury, 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 013iavance.
Signature of responsible person: Date:
TOWN OF Q UEENSB URA'
742 Say Rd. , Queensbury , NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date " _ t' 119 ' Permit No ,
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 and Building 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 andlor chimney.
Applicant - ?rs �` ! w APPLIANCE (check appropriate boxes)
Ad d ress 7 r le /4 f" L A E3 STOVE: ❑ Wood ❑ Coal ❑ Pellet ❑ Gas
❑ FIREPLACE INSERT
AJ ,y Zip i FiREPL►4CE,�FWood R ❑ Gas r rY.
Phone "7 {I 7 - 5' ° ': ❑ FIREPLACE, MASONRY :
❑ Woad ❑ Gas
Owner '-,4 0 FURNACE, p Wood ❑ Gas ❑ ,Oii
Address IF NON-MASONRY APPLIANCE:
Manufacturer: AY-& ;Is
Zip Model :
Phone
CHIMNEY (check appropriate boxes)
E
ACT ADDRESS of proposed construction
��yy ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone
/rFFar f ' FLUE : ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION 1 INSTALLAT'ION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION &. Manufacturer: Model :
BUILDING CODE, CONSULT AVAILABLE Listed By : Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑ Triple Wall
REGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ Direct Venting
a Chimney Liner
Cashier's Department Town 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
f
Fee Collected From or Refunded to: f
Address:
Bated : - Town Clerk or Deputy
White: .Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept,
ff
3r
6;) )
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY , WARREN COUNTY
9000 HEATING DEGREE DAYS
now
Compliance Methods : 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 OF COMPLIANCE BY ACCEPTABLE PRACTICE :
1 . Gross Floor Area - ,� s� 4 square feet
2 . Type of Heat - Electric Oil ,Z Gas Other
3 . Is building mechanically 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 : R 36
a . Roof
b . Exterior walls R` - l
c . Glazed areas R ? ty
R J'
d . Exterior doors �
ee Floors over unheated spaces R
f . Edge of slab on grade ( heated building ) R
g . Basement. / cellar walls ( above grade ) R
h . Basement / cellar walls ( below grade ) R J �
i . Heating/ caoling-ducts -piping in unheated space R
6 . Service ( domestic ) hot water heating device /
Conforms to minimum efficiency per code t/ Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 14O0 - WILL NOT BE EXCEEDED
Applicant ' Sig t e Date Phone Number
INSPECTOR ' S REMARKS :
TOWN OF QUEENSBURY
j BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
( ! (518) 761-8256
ARRIVE : DEPART ! INSP :
FINAL. INSPECTION REPORT - RESIDENTIAL
DATE INSPEC ON REQUEST RECEIVED :
NAME � !Cf/
I
LOCATION ,r Q/ Gf',�!,_, ►�" �Ql OLO
q ^DATE jg PERMIT # f
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL. FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL M10ODSTpVE OR FIREPLACE
H A YES No
CHIMN T V N H G
PLUm8IjNG VEN
N
C $ P LI
BELIEF A V S
O W T RA ING
O IV DOORS
N
W TE HT
OTHER ELOORS SW P
CA ZPETED
STAIR CLEARANCE/RAILFNG
AMOKE S
BATHROOM S
U BI G FIXTURCS
EQUNDATE INS12LATION
RA E RE OO NG
R
ELECTRICAL
SITE PL N V R A CE R
AL URV P ANSS E O OJr—
I C C
RESIDENTIAE FI.NA.L INSPECTION REPORT
Office No. (518) 76I,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 York 12MM
NAME PERK YT
LOCATION DATE
TYPE OF STRUCT{JRE � fl
NIA YES N I COI4K4ENTS
Chimney Heightl"B" Vent/Direct Vent Location V Z Row— � P":� Q
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30" to 36"
Exterior Handrails, balconies, landing in. or morel.
Interior Handrails stairs both sides 3 more risers Loose
Grade 2% away from foundation
8" clearance to sill plate
Gas Valve shut-off exposed/re ator 18" above grade
Gas Furnace shut-off within 3 feet or within line of site
Oil Furnace shutoff at entrunfe to furnace area
FurnaceMot Water Heater opera
Relief Valve(s) installed
Headroom, 6 ft. 6 im on stairs
Basement stairs, 6 fit. 4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doorstmain entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balcomes/Lsanding 18 in. or more
Railing across window in stairwells
Stroke Detectors:
every level �
every bedroom T oj;P4 AUs,,
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/a hour fire door/door closer
Garage fineproofing
Garage penetrations sealed 46A-c /c- ACE t A f + • (.
Furnace in separate room protected (in garage) Styes GCS
thisw in o l +b�c-t
Light ventilation per room
Safety glazing 18" or le fro r
Final Electrical !! I
Site Plan/Variance req low
Final Survev Not Plan
As Built Septic Svstem layout required
Okay to issue C/C (Certif. of Compliance)
Okav to issue temp C/O (Cettif. of Occupancy)
Okav to issue permanent C/O (Certif. of Occupancy)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC ��
Main Office 176 Doe Run Road - Manheim, PA 17545 V
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. ................_-..........0 crt- NO. 66224 Cut-in Card Nn.�.� $ 5 �. �...
Gf e r fe. G o
Owner. .........0 t......!�,.............................................t ' .5...1..-......_................................,,_-.......... ..........,
Location ........,, '^ ". `.ar M e--4 ez l,Crc? � lf- ..............................................
Installation Consisting of..txp.p.�....ue'< r...... C..! .k .�. ..���.......,,.. .. _ .c �c^.t......._
..,,<-:�... ..... ...!V":-�3.....�`1...`.'1,._.<.. .... ..._ '....,.-'`-...k'.Y?.Q_l.G:�.._
Installed B Q-''J 4 -.!.�.. ...-...L-,CC,c.T7!i.;,ce !A...I,_........ Lice Noe ..................................................
y............ .... ...... !
The conditions following govcrned the issuance of this, certificate, and airy certificate previrrusly 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 making inspections at any time, and if its
rules are violated, the Company shall have the right to revoke this certificate-
1NSPECTOYR. e, -.... ... .....................................................................
.
I Member N.F.P.A., 1.A E.R.
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 Date inspection request received:
Building & Code Enforcement r
Dept of Community Development Arrive am/pin Depart
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury, New York 12804
NAME LC E 1! PERK TF #
77,90
LOCATION DATE o
TYPE OF STRUCTURE
N/A YES NO CONRAENrS
Chimney Heightr"B Vent/Dwect Vent Location " per, r A/4-t , - OK,
Fresh Air Intake I !
Plumb Vent through roof
Root'Complete
Exterior Finish Complete
Intenor/Extenor Railings 30" to 36"
Exterior Handrails, balconies, landing 1 in. or m e
Interior Handrails stairs both s 3 o more ri s
Grade 2% away from foundation
8" clearance to sill plate
Gas 'Valve shut-off exposedlreg ator 18" above grade
Gas Furnace shut--off within 3 eet or within line of site
Oil Furnace shut-off at en to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s) installed
Headre,am, 6 ft. 6 in. on stairs
Basement stairs, 6 ft. 4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacyltrimldoorstmain entrance 36"
Floor Finish
Bathroorntritchen watertight
Interior Handrails Balconies/Landing 18 in. or more
hailing across window in stairwells toe
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire doorldoor closer
Garage fireproof
Garage penetrations sealed
Furnace in separate mom 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 %vstem layout required
Okay to issue CIC (Certif. of Compliance)
0kav to issue temp. C/o (Certif. of Occupancy)
Okav to issue permanent C/O (Certif of Occupancy)
i
TOWN OF QUEENSBURY
BUILDING A CODE ENFORCEIIENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 40
Location
Date D Permit #
SOIL : San - Loam- CTay-
Results of Percolation Test-
( if applicable ) Rate-Minute/ Inch
TYPE OF SYSTEM: J
ABSORPTION FIELD: Total Len i
Length of each trench
Depth of trenches
Size of stone �-
SEEPAGE PITS : er-
Size - ft . x ft ._..._ _
Stone size
PIPING: i e e
Bldg . to Tank
Tank to Dist . Box . a
Dist . Box to Fi el d/P
Openings. Sealed ? es No Partial
LOCATION/SEPARATION
Foundation to Tank feet
Foundation to Absorpti n feet
Separation of Pits feet
Conforms as per Plot Plan No
LOCATION OF SYSTEM ON PROPER
( circle
Front - Re - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
SYSTEM USE APPROVED : YES NO
Arrived :
Departed:
Building Inspector
JUN 1998
"j 'fFSM!! Edell Ilr el�l+Me�, OR bl�eMe! 1 !#w e�+dettce el _�.....__ ._, . __ ... .... . .. . . .. ..
all ObO tlw net n hotals�,� td, � �
shown on tbk docmn0 I An relp+eoent that I haws
persas►al the tum eel s d fw& on llte d` LM."
SIGNATUREVDA ` $
0
�f
033 IL AA
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
i
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
RMIT #
NAME ._
i
LOCATION
SCHEDULE INSPECTIO ON
PM ANYTIME
APPROVED
EX S —� N/A + YES + NO
AISLE WIDTHS -
EXIT SIGNS -
EMERGENCY LIGHTING y- --
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTE -
HOOD INSTALLATION ---f
INTERIOR FINISHES
STORAGE: - - - - - �-
CLEARANCE To RINK ERS _
CLEARANCE To EATIN NITS
REQUIRED SIGNAGE
CHIMNEY
WOOL] STOVE --- — r--�
FIREPLACE - MAS NRY
FIREPLACE _ FA CRY BUILT - -
REMARKS: ------
❑ o To THIS DATE
{ j
G.-
IN3P9l.IP.PIAB
INSPECTOR
GENERAL FECT"IU1V REPONT
Town. of Queensbury
Dept. of Community Development ]late inspection request received:
Building & Code Enforcement
742 Bay Road _
Queensbury, NY 12804 Arrive am/pm Depart ` ,/=
,��^^ Inspector's Initials - S'
NAME: 1.�.. b C.CG�C: PERM UT 4 ( ► 3Z G"
LOCATION: DATE : Z
TYPE. OF STRUCIVRE:
RECHECK
N/A YES J COMMENTS
.. Footings/Piers (�
Monolithic Pour Form ,.P�' +K , { . � ( A) nK
Reinforcement in Place
The Contractor is responsible for ,r
providing Protection from freezing ,py,A P 3 `P
for 48 hours following the placement
of the concrete.
Materials for this Purpose on site
Foundation/Wallpour
Reinforcement in Place
FoundationMa nipproofin Of
Backfin Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbin
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R.-
Walls R-
Ceiling R,
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Sack Studs/Headers
Bracing/Bridgin
Joist Hangers
Jack Posts/Main Beane
Air Infiltration Barrier.
Fire Separation. 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestoppin
GF.IVER'41" LNSPEC77l?NREPORT {
Town of Queensbory
Dept. of Community Development Date inspection request received;
Building & Code Enforcement
742 Bay Road q�
Queensbury, NY 12804 Arrive amlpm Depart l - 1� anihmn
Inspector's Initials
NAME:
L tfi k ' c PERhIlTT # ' -
LOCATION: 171Ae1Az,,o DATE :
TYPE OF STRUCTURE: --
RECHECK
NIA YES NO COMMENTS
FootingslPiers
Monolithic Four Form
Reinforcement in Place
The contractor is res}aonsible or
providing protection from
for 48 hours following the nt
of the concrete.
Materials for this site
Foundation/Wall ur
Reinforcement in
Foundation
Backfill. Approval
Plumbing Under S
)?Iu bing VentfV is in Place
,./Rough Plumbin A)
Heating Rou n
L Fr la#ion ftl�'f
Foundati n Walls Interior R-
Foundataon Walls Exterior R-
Floors R._
Walls R- L
Ceiling R.
Duct work or piping in
unheated spaces R-
oper Vent, Attic Vent /
ack Studs/1-lea�fers
Bracing/Bridgin
Joist Hangers
Jack PostslM,ain Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestoppin
GENERAL M3CECTIly REPORT 'C
.._
Town of Queensbury
Dept. of Community Development Date inspection request received•
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive am/pm Depart arnfpan
Inspector's Initials
NAME 0 PERMTO 9 2-
LQCATI4N• DATE
TYPE OF STRUCTURE:
RECHECK.
NIA YES NO COMMENTS
Footings/Piers I T j
Monolithic Pour FagrM ,
Reinfo nt in P
The nIractar ' for
provi pro ezing
for 48 ho lla placement
of the co te_
Mate or Qus purpose on site
Foun tion/Wallpour
Re orceme tin Place
Foundanon/Daxnpproo6a
Back" Approval
Plumbing Under Slab
Plumbing VentfVents in Place
ugh Plumbin
eating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- "3
Duct work or piping in
unheated spaces R-
/ roper Vent, Attic Vent
t Frarnin
ack 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
Firestoppin
- 11q S 1 GENERAL INS`FEG 1 1y"pORT
I�igY1�
Town of Queensbury
Dept„ of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road _
Queensbury, NY 12804 Arrive am/pzn Depart/O
G Inspector's Initials
NAME: �a PERMIT # c - 3
LOCATION: DATE :
TYPE OF STRUCTURE:
RECHECK
Footings/PiersNIA YES NO COMMENTS
1
Monolithic Pour Form
RBinforrF.-rr ent in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this on site
Foundation/Wall
Reinforcement in
Foundation/Dam oo
Bacldill
Plumbing Under lab
I<'lumbing Ven en in Place
,/Rough Plumbin C�►v.traC�T� 7`u�3 1��2h R.�.J
�ieating Rou Insulation
F un on cells Interior R-
Foundation ails Exterior R-
Floors R-
Walls R- Lc� Q Ceiling R- i
Duct work r piping in
unheated species R-
Vent, Attic Vent
raxrun r�uST�-1G U 4{ `�' 4 �'c K h�K
�t�""�i•e'n. .rr5 A
Bracing/Bridgin , t 7tRog;�7,pe ""�Jzuep.o3
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 AS .
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742
Bay RoadQueenabury, NY I2804 Arrive am/pm Depart am/pm
Inspector's Inniitws
NAME: ZP PERMIT 4 7
LOCATIOI DATE
TYPE OF STRUC 1 ]
RECHECK
NIA YES NO COIVBVIENTS
FootingslPiers I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo 'ble r
provi protection ing
for 48 followin a ent
of the con
Materials for this on site
Foundation/Wallpour
Reinforcement in
Foundation/Dam
Back fill Approval
Plumbing Under Stab
Pughing Vent/Vents Place
Plumbing,
'4ring Rough-In
nsulation
Foundation Walls Interior R.
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Pt
�qper Vent, Attic Vent
n �b2 ,Qs .
Jack Studs/Headers 1+ Igrr + t> t N4Ca 4ra? R trr c g&6(� F"e
Bracing/Bridgin
Joist Hangers
lack PostslMatn Beam
Air Infiltration Barrier a �p
Fire Separation 1, 2, 3. hour SAW~
Penetration Sealed C � �
Fire 'Wall 2. 3, 4 hour r�
Fircstopping V FIAJ
G \'u ea<'e,
45t 45>0 .•
GE.NER4L MSPECTION REPORT
Town of Queensbury � n
Dept. of Community Development Date inspection request received: +�
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive am/pm Depart �� � am/pm
]Inspector's Initials
NAME: PERMIT #
8 301 ,
LOCATION: c� DATE
TYPE OF STRUCTURE: rg
RECHECK
N/A YES NO CC NIMIENTS
Footings/Fiers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from' f erring
for 48 hours following th t
of the concrete_
Materials for this purpose on
Foundation/'W a l 1pour
Reinforcement in Place
FoundationlD n
c AQckf'ill Approval
CC Plumbing Under S
Plumbing Vent/Vents in Place
Rough Plumber
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
Framin
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.
w6,GENERAL �1YS'PE�"l'I N REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12904 Arrive •„ �epart
Inspector's In' '
NAME: PERNffr #
LOCATION-- BATE
TYPE OF STRUCTURE.
RECHECK
v�N/A YES O CON4MENTS
Y►v tinwpiers I
Monolithic Pour Form
Reinforcement in Place -- 1,4 -
The contractor is risible
providing protection m ing
for 4$ hours following a merit
of the concrete.
Materials for this purpose site
Foundation/Walipour
Reinforcement in P
FoundatiuniUam fin,.
wwfloack511 Approv . . XAMA-2e �
Plumbing Un Stab
Plumbing Vent/vents in Place
Rough Plumbi
Heating Roughdn
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper `dent, Attic Vent
Framing
lack Studs/Headers
Bracing/Bridgmg
joist Haxtgers
Jack Posts/Main Beam
Air Infiltration Harrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT
i i nrrrrrr
Town of Queensbury
Dept. of {Community Development Date inspection request received; ^/ 7--fir
Building & Code Enforcement
742 Bay Road _ "'
Queensbury, NY 12804 Arrive 1D�O Depart !
Inspector's Ini
NAME: - L PERMIT # ca _
LOCA77ON: + ' ATE :
TYPE OF STRUCTURE:
RECHECK
N/ YESONO S
ootings Tiers I
Monolithic Pour Form
Reinforcement in Place *Z r
The contractor is responsible for
providing protection f *rn freezing
for 48 hours following the placement
of the concrete,
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin
Backfll Approval
Plum1nng Under Slab
Plumbing VentlVcnts in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging'
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 27 3. hour.
Penetration Sealed
Fire Wall 2. 31 4 hour
Firestoppin