97-427 TOWN OF OUEENSBURY
low
Bay (518) 761-8201
742 Road, Queensbury,NY 12804 5902
Community Development -1 Building & Codes (518) 761-8256
CERTIFICATE • F OCCUPANCY
Permit Number: 97427 Date Issued: Friday, July 13, 2001
This is to certify that work requested to be dodiie as shown by Permit Number 97427
has been completed.
Tax MapNumber: 523400-296-009-0001-007-002-0000
Location: 1110 STAl'E ROUTE 9
Owner: GUIDO PASSAREtLLI
Applicant: MOUNTAINSIDE I UTO SALES
This structure may be occupied as a:
By Order of Town Board
New Commercial Building TOWN OF QUEENSBURY
(**". .P4'
r�_-
Director of Building&Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. a7��7
VALUE $ 9000
TAX MAP NO. 67 . —2-1 . 3 WARREN COUNTY,NEW YORK
PERMISSION is hereby granted to T,1 UCI, JOSEPH
OWNER of property located at RfTTT1' 9 Street,Road or Ave.
in the Town of Queensbury,To Construct or place a COMMERCIAL N-EW BUILD
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 Queensbury Building and Zoning Ordinance.
1. OWNERS Address is
465 LAKE AVE.
LAKE LUZERNE , NY 12846
2. CONTRACTOR or BUILDER'S Name
PASSARELLI , GUIDO
3. CONTRACTOR or BUILDERS Address
4. ARCHITECTS Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
COMMERCIAL BUILDINGS
( I Wood Frame ( 1 Masonry ( )Steel
7. PLANS and Specifications
288 Sr *FT SALES OFFICE AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
COMMERCIAL NEW BUILD
$ 45 PERMIT FEE PAID —THIS PERMIT EXPIRES July 29 19 99
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 29 Day of July 19 97
SIGNED BY ( A ^� for the Town of Queensbury
Building and Zoning Inspector
,_,_____________,: i Building Permit Application
Town of Queensbuty - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561
-O BUILDING & CODE ENFORCEMENT
NOTICE Requirements prior to issuance r -
' of this permit: PERMIT FILE NO. 9- ��7
A permit must be obtained before
beginning construction. No inspections PERMIT FEE PAID$ C: CSb
will be made until applicant has received n Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$
applicants' spaces on this application hMUST be completed and the signature 1-7PPlanning Board Action REVIEWED BY. •) __
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
Lpplication form. Thank
-yo. Recreation Fee Payment I
Applicant: Z3 Z E'M i,P,�)(�;i Owner: �V-{a P4?S�c? j
Address: 92ov1 ' LJ/�. �}17l y Address: �difil Are. /Al Gs--1 Zv, ,v e
l'hono # (S(3 _)zIF_ . 9i 73 .n norm # (S7Yoan um)7 Y's^ • 42
Property Location: efr" q d- e®v- P Poo 12.0C / / /fR2
(Tax Map Number ./ ! �)
Subdivision Name: Q,Ov r-44 (101" cl Section Block Tnt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
(/New Building: CONSTRUCTION: $ 9, 0-0-0
residence / commercial
Addition to Buil rig: 7- -
5 r- =a
residence 'i : .r
/ commercial OCCUPANCY INFORMATION: ��`! :° , -
Alteration to Building: Primary Building - I
residence / commercial Single Family Dw1ellisgL 25 1997
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwell :ng. , -, 4r y
L "Office , ;; ”Ivi MND
Other Work (describe below) Mercantile ,.
Manufacturing
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Other
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor 6917 sq. ft. If ADDITION, what will use
2nd .Floor sq. ft. of new addition be? :
Other Floors sq. ft.
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(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: a.. AT? SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
J"pL FEET X - I(/ FEET .
Foundation Type: (out. €.0r-Ci►p' { Will any second-hand or ungraded
Number of Stories : I 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 e�all which applies)
'
to be installed: 0 lectr.7 / Oil / Gas // ood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : /-)
Nainen Builder: �xutd1:1 s &S'Sgee.(i �k;drA-Are-s LK L.Liz',ALe Ph 7e�5 -j�WJ
Plumber: - ( , J-S �-� it/- /jt-eL � '7 S1. -T00Q.
Mason: ' Ee.ct V.-6' C P.'*
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 I/we 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: 9.Q&ai -A (x eA,ok-
c9._
(owner, owner's agent, architect, contractor)
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• ENERGY CODE COMPLIANCE APPLICATION
3„S ' TOWN OF QUEENSBUP_Y, WARREN COUNTY
9000 HEATING DEGREE DAYS •
Cornol i ance 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:
l YVIGu rs i�t /4 Se,/tj If/ ou f Q
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
I . Gross Floor Area - 0288 scuare feet
2 . Type of Heat - )0 Electric Oil Gas Other •
3 . Is building mechanically cooled? )0 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:
a. Roof • R 38
b . Exterior walls R Sri/(00I.,
c . Glazed areas R
d. Exterior doors ' R
e . Floors over unheated spaces • R
f. Edge of slab on grade (heated building) R i o
9.. Basement/cellar walls ( above grade) R
h. Basement/cellar walls (below (grade) R
1. Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code x% Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
plita7.ncVASi gature ' DaL6/g Phone Number
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INSPECTOR' S REMARKS:
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Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury CA 1 (./
Dept. of Community Development Permit No. /J l 0(7
Building &Codes Office
742 Bay Road Fee Paid $
Queensbury, NY 12804
Location of property for installation: ,� I cJ Quw4, PO r-e( i2o(
Property Owner's Name: ((;) aL04-0 "67 5S'9 Le//,
Property Owner's Mailing Address: /Me- l G.if.
Installer's Name: NN ..C( N.a e L/i Phone # 7gg.' 0 ci
Number of bedrooms (if residential): 0 Total daily flow:
(residential - compute @ 150 gal./bdrm.)
Topography: ✓ flat, rolling, steep slope 90 of slope
Soil Nature: t/ sand, loam, 'I clay, other/depth:-_l x« �-
v
Ground water: at what depth?` feet / Bedrock or Impervicus Material: at what depth? _ feet
Percolation test: not required, required [rate min Jg r in h]1997
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Domestic water supply: 1/ municipal, well, c•=. er
If domestic water supply is a WELL, water supply from any sec absorption is feet.
PROPOSED SYSTEM
Septic tank: /010 gallon (minimum size: 1,000
Tile field: each trench /C feet / Total system'cgth: 73 feet
Seepage pit(s): number of / size each: ft. by ft.
Size"of stone to be used: # . 3 / depth or thickness Z 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 136-29 of the Code of tba 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 iese and all requirements of the Town of
Queensbury Canitary Sewage Disposal • -
Signature of responsible person: I tIL Date: 7/23 7
BLDG. PERMIT NO. 9 7-4 2 7
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
Joe Leuci/Mountainside Auto Sales
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; 1110 Route 9
for the following uses: Mountainside Auto Sales
November 18 , 1997 )6'0,1 avu.J•::
62
DATE SIGNATURE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby P(PROVED
( )DISAPPROVED
with the following conditions: Certificate of Occupancy to be
issued upon completion of:Landscaping Details in Spring
TEMPORARY CERTIFICATE OF OCCUPANCY FED: 0.00 DEPOS T: $100.00
received on November .18, 1997 (�
Date of Issuance Director of Bldg. & Code Enforcement
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 180 DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee.
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J, IY
THE NEW YORK BOARD OF FIRE UNDERWRITERS tiAG T�; .i
' 80 6-,c1(• BUREAU OF ELECTRICITY r
j; F 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210
�' Date O .T .t: 2 . 9 /.^7 15 ��
i,d£ E;L.x ! i' Application No.on file = ` 5 A b}- 7� .3, (# '1._ s?% 1. ',.
THIS CERTIFIES THAT ° ',- a7 ,
• only the electrical equipment as described below and introduced by the applicant named on a above application number in the premises of 'y
a: SAL
y 17� C T J '�-a q�� y }�s +`i•� �y l Pl
i.
I 1O1U NT'1MMN 3/DE AUTO SALT.S.. J 1Z IT GEOPG11 1 , , QtJFai:��'1{'-Jk URY, N N. tr.
..i, in the following location; E Basement ® 1st Fl. ❑ 2nd Fl. Section Block Lot 1.T
was examined on OC"TOI?i',1 t 1 d,1`i9' and found to be in compliance with the National Electrical Code. }
-c. rr
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;:
T .•ECEPTACLES SWITCHES r_
IA, OUTLETS INCANDESCENT••FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. �,T
r
t
• DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 'r
l: r
1 AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. H.P. NO.OF FEET AMT. WATTS
. 'T-i!
�' SERVICE DISCONNECT NO.OF S E R. V I C E '
AMT. AMP. TYPE METER I�,2W 1 3W 3,B'3W NO.OF CC.COND. A.W.G. NO.OF HI•LEG A•W G• NO.OF NEUTRALS A.W.G. '�
'AlEQUIP. PER% OF CC.COND. OF HI-lEG OF NEUTRAL '�
j OTHER APPARATUS: '
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Y
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FEE._ BOX 2t? , ..y `vi�t' , 'Y
•y:�.j 'c .i GENERAL MANAGER
1, I;t� t tlf;C , f15I t 12845 �-`;;•1 sue.
• - I -• _ = xtPer r
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.
f'ieP q;•aa7'i.0 i.: /.Y;i4fYes"iAf..`%Ai'i.Y'r.'fY,,i[ii'iai-iAi.; 7iCY.fYs;-ii,1.i-z?ai ioi YfCY.?Y•i,ie:i.Y:iA •i.?ll\'YACY.YYA2YeYY�YYAr YAPY�r,,Y�;Y.YYAYY.YY•\'YA`C7Ac(YAYS.YY.YYaY 7ii''i YYiii-4? -
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
j "".... °"., BUILDING & CODE ENFORCEMENT
742 BAY ROAD
.. ,' QUEENSBURY NY 12804
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++#.;ai (518) 761-8256
ARRIVE: DEPART: INSP: C7
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE SPECTION TU=EIVED:
NAME (`)C��' � � A 1-0
LOCATION WX)
DATE ^` --a00) PERMIT N /
TYPE OFURJ// �TURE
FOOTINGS BACKFILL FRAMING PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT _
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS •
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF REO
OK TO ISSUE C/O OR C/C
rit• 0Vvik- 6 54—�J
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury Dept. of Community Development Date inspection request received: 1 q qi�1
Building& Code Enforcement •
742 Bay Road
Queensbury,NY 12804 Arrive /04 am/pm Depart am/pm
Inspector's Initials ?
NAME: G PERMIT# C
0..
LOCATION: .6) DATE : i
TYPE OF STRUCTURE: c`C ef.i ,'l,_.--
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form / /�v�s��� t-S
Reinforcement in Place So ",
The contractor is responsible for
providing protection from frc .ing 0/.. 4 Ale. wa , C`cwy/
for 48 hours following the plat ment
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
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, 2, 3.hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping •
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COMMERCIAL FINAL INSPECTION REPORT
Building& Code Enforcement Date inspection request received:,
Office No. (518)'761-8256
Dept. of Community Development
Town of Queensbury Arrive am/pm Depart am/pm
742 Bay Road Inspector's Initials
Queensbury, NY 12804
NAME c
_ ),� �-`�l PERMIT# �L
LOCATI '\\( DATE
TYPE OF S"1 RUCTURE 1 e,, 1 Z.,\l9pei
N/A YES NO COMMENTS
ChimneyP'B"Vent/Direct Vent location
Plumbing Vent
Roof Complete
Exterior finish grade comp ete
Interior/exterior guardrails 4 .platfomm/dedcs
Interior/exterior ballasters 4 in. acing platform/ • s
Stair handrail 34 in. -38 in.
Step risers 7%in._
Main door 44 in.
All others 36 in.
Lever handles
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Exits at grade or platform
Canopy to cover req.exit doors
Gas valve shut-off exposed®ulator(18 in.)a.eve grade
Floor bathroom watertight
Other floors okay
Hot water relief valve
Boiler/furnace enclosure
<250,000 BTU N/R
250,000 BTU to 1,000,000 BTU's(1 hour)
>1,000,000 BTU's(2 hour)
Gas furnace shut off within 30 ft.or within line or site
Oil furnace shut off at entrance to furnace area
Stodcroom enclosure(1 hour),'/a hour door
Storage/receiving/shipping room(2 hour), 1 '/z dl rs
1 `i hour doors and closers
.hour corridor doors and closers
Firewalls/fire separation,2 hour,3 hour complete
Fire dampers,2 hour fire wall/separation or greater
Fire door/shutters 1 '/z hour,3 hour
Ceiling fire stopping 3,000/5,000 sq.ft. _
Fan shutdown,smoke vents or fan
Exit door/panic bars assembly hardware
Elevators
Elevator signage
Handicapped bathroom grab bars/sinks/toilets
Handicapped bath/parking lot signage
Handicapped service counters 34 in.,checkout 36 in.
Handicapped ramp/handrails continuous/12 in.beyond
Active listening system and signage assembly space J
Final Electrical rav ��J�G(� l't-(-A�-
V...Sae'Plan/Variance required
Final.Survey,new structures ei
.As-built septic system layout required �iIC,G
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy) C'012 PAP)Okay to issue C/C(Certif of Compliance)
0 L'Y74J
(518) 761-8256 FINAL INSPECTION REPORT 4i
Building &Code Enforcement (commercial -- multiple dwelling)
Town of Queensbury (hotel, motel, apt. complex) Arrive: \ .00
742 Bay Road �o���
Queensbury, NY 12804 Date inspection request rece .: ��
NAME: �GPcc/ /��1G(E� PERMIT NO.
LOCATIO : /,Ilp �/ , . // DATE: //-/82'-9 7
C'/r7� ,'tk
TYPE OF ST:UCTURE: '( ) iri/d
1,11
G /,eC ,f_ja,14/AI YE;/S[,NO1 COMMENTS
Chimney/"B" Vent/Direct Vent Location
Plumbing Vent
Roof Complete •,/
Exterior-Finish Grade C ,mplete
Interior/Exterior Guardr its,42" Platform/Decks
Interior/Exterior Ballas s 4\" Spacing Platform/Decks
Stair Handrail 34\38"
Step Risers Min. 7\3/4" '\ /
Main Door 44" \
All Others 36"
Lever Handles Required
Exits at Grade or Platform y V/
Canopy to Cover Req. Exit D rs
Gas Valve Shut-Off Exposed Regulator (18") above grade, /
Floor Bathroom Watertight
Other Floors OK
Hot Water Relief Valve i
- -Boiler/Furnace-Enclosure --` - ---- — - - —
<250,000 BTU N/R
250,000 BTU to 1,000,000 BTU's (1 hour)
>1,000,000 BTU's (2 hour)
Gas Furnace Shut Off within 30 Feet or within Line of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom Enclosure (1 hour)
Storage/Receiving/Shipping Room (2 hour)
3/4 Hour Doors and Closers
1 1/2 Hour Doors and Closers
3/4 Hour Corridor Doors and Closers
Firewalls 2 hour, 3 hour complete
Fire Door/Shutters 1 1/2 hour, 3 hour
Ceiling Fire Stopping 3,000/5,000 sq. ft.
Fire Dampers, 2 hour fire wall/separation or greater .\//
Fan Shutdown, Smoke Vents or Fan
Exit Door/Panic Bars Assembly Hardware
Elevators
Elevator Signage
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Handicapped Service Counters 34", Checkout 36"
Handicapped Ramp/Handrail Continuous / 12" Beyond
Active Listening System and Signage Assembly Space
Final Electrical `�,
Site Plan /Variance Required r N —�kv �V‘ �� 4
Final Survey, New Structures cj,Y
As Built Septic ystem La out Req. I
Okay to Issu Temp. C/O
Okay to Issue
Okay to Issue C/C
Do
c ,rr o FEE FoZ T MQ C -r l
Cj-1)6, rL (X)) t CCC
TOWN OF QUEENSBURY
yh. BUILDING & CODE ENFORCEMENT
742 BAY ROAD f
QUEENSBURY NY 12804
W110' (518) 761-8256 v
ARRIVE: 1`-�--}'J DEPART: I VA- INSP:
FINAL INSPECTION REP•'T
COMMERCIAL MULTIPL D. LLINO
(hotel, motel . et. complex)
DATE INSPECTION REQUEST RECEIVED:
NAME1� �-t'tc
LOCATION \ `\ Rcn Q
DATE \ 1 \7 PERMIT # -Li c 7
TYPE OF STRUCTURE 1\,142A0 e(11\
FOOTINGS BACKFILL_ FRAMING_ PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
•
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HA D ARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
13LS:s37 two 1t3 v►�UE�--�1tY-fG��L7i��
HANDICAPPED ACCESS P.J044
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELk,AECTRIC AL j; I
SITE PLAN/VV
FINAL SURVEY PLOT PLAN, IF REO
`
OK TO ISSUE /O OR C/C
TOWN OF QUEENSBURY
.i Y', BUILDING & CODE ENFORCEMENT
742 BAY ROAD
;. QUEENSBURY NY 12804 /// fff
` R`'` (518) 761-8256
ARRIVE: 1 DEPART: INSP: OIL-
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel Co�Rpl,
• DATE INSSPECTION REQUEST RECEIVED: 6�d"'"cf.ii"'
EC
NAME `�/ j eoc 0�� 6441,
Q ,�v
LOCATION \M`« Ig q ta
DATE\\ 13 d PERMIT # L 7
-'4a7
Q 4
TYPE OF STRUCTURE Mn`9�_`d ,t)LA
FOOTINGS BACKFILL_ FRAMING_ PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH '
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION 1
INTERIOR STAIRS/RAILI GS
STOCKROOM ENCLOSUR
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR •
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF REO
OK TO ISSUE • OR C/C
11�!/ o�y'j/nn _
"(iftil4 . )
�► `f ltt v
44.,•.,.r.N„;�` TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
r t 742 BAY ROAD
two 3.� QUEENSBURY NY 12804
(518) 761-8256
/
ARRIVE: ' _y
DEPART: -- INSP: - -
FINAL INSPECTION REPORT/
COMMERCIAL MULTIPLE p ELLING
(hotel, motel t. complex)
DATE ��'I INSPECTION� EQUEST REC.IIVED: -C -7
NAME `� (`1 r\lek.A/1/-1t�,( rI 1 () sc,Q-' �LOCATION �`.\\) PU1. �
DATE ` `�1 0 9 PERMIT # C;\.-r-1 9 7
r��TYPE OF STRUCTURE }�r._ . )PA 1, ) -:LD-G�
FOOTINGS BACKFILL_ FRAMING_ PLUMBING_
INSULATION
r
N/A YES/ NO
CHIMNEY/"B" VENT/HEIGHT J
PLUMBING VENT/FIXTURES 1__
ROOFING /
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS • V l�
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION \////:
FIRE DAMPERS /./k/
CEILING FIRE STOPPING \/
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE _
EXIT STAIRS/RAILSV\o/////:/ -IL_
PLATFORM/ELEVATOR
HANDICAPPED ACCESS (N...) /
HANDICAPPED BATHS i//
HANDICAPPED PARKING
ii_
FINAL ELECTRICAL v/
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF REQ
OK TO ISSUE C/O OR C/C
Q OILA i'p \*,: 5 c�rSd " :)%
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kit�a�pc \\\kt 7
(518) 761-8256 FINAL INSPECTION REPORT
Building &Code Enforcement ereial -multiple dwelling)
Town of Queensbury (hotel, motel, apt. complex) Arrive: CV;20
742 Bay Road
Quecnsbury, NY 12804 Date inspection request receiv
NAME: HOl) t h flE_ v��i ,Ijfl —y
L-) PERMIT NO.
LOCATION: Z['*W - ' DATE:
TYPE OF STRUCTURE: C f '- P U G
'N/A YES NO COMMENTS
Chimney/"B" Vent/Direct Vent Location
Plumbing Vent Mil
Roof Complete MINI
Exterior Finish Grade Complete MIN
Interior/Exterior Guardrails 42" Platform/Decks AMIN
Interior/Exterior Ballasters 4" Spacing Platform/Decks Timm
Stair Handrail 34" -38" AMIIMI
Step Risers Min. 7 3/4" AMMO
Main Door 44" �AIN
All Others 36" FFAIN ��'___
Lever Handles Required _ t •:to k � .!_ n
FA , .�)�!>.► _►_
Exits at Grade or Platform "' " MIR_CMC - t . ivt130-k
.•Canopy to Cover Req. Exit • •rs ��i •_•«: _ flit5°
Gas Valve Shut-Off Expo:•• & Regu.tor (18") above grade , Mill im _VI . ► L_F1(j /
Floor Bathroom Wate '1ht M`NIA1 I.:: 71 : ti r To '("A tp
Other Floors. ... ..-_- INI=11.11MM E
Hot Water Relief ' WA=L.
Boiler/Furnace E e losure
<250,1 t1 BTU N/R NM'
250 III BTU to 1,000,000 BTU's (1 hour) 11.111.
>1,111,000 BTU's (2 hour) IMMO
Gas Furnac Shut Off within 30 Feet or within Line of Site �WA=
NE
Furn
a Fua Shut Off at Entrance to Furnace Area
Stockroo Enclosure (1 hour) all.1
Storage Receiving/Shipping Room (2 hour) •INIIIIM
3/4 Hour Doors and Closers • M==
1 1/2 Hour Doors and Closers '
3/4 Hour Corridor Doors and Closers • .11.1
Firewalls 2 hour, 3 hour complete ANINI
==
Fire Door/Shutters 1 1/2 hour, 3 hour
Ceiling Fire Stopping 3,000/5,000 sq. ft. ' MIMI
Fire Dampers, 2 hour fire wall/separation or greater j==
Fan Shutdown, Smoke Vents or Fan •
Exit Door/Panic Bars Assembly Hardware MIN
Elevators 1E11E11
Elevator Signage AV* -NI -
Handicapped Bathroom . ab Bar oilets MI tirAt _+
Handicapped Bath/Parking �Lot Signage . , M a 11...,.....4. .�L Z3. it gm:, iii-- =-
Handicapped Service Counters 34", Checkout 36" INN-
Handicapped Ramp/Handrail Continuous / 12" Beyond AIMMII
Active Listening System and Signage Assembly Space AMIN
Final Electrical M
IMI
Site Plan /Variance Required El=a mil MIL C)
Final Survey, New Structures
As Built Septic System Layout Req. MEI
Okay to Issue Temp. C/O --
Okay to Issue C/O IIIIM
Olacr r tssrte-f7E III '
ORDP OFF VIAL-etW-4\P ATA�C I, Ft-1- Phi-c'r i
3 'f7iYI c)L-A
TOWN OF QUEENSBURY
74/Mt FIRE MARSHAL•
+ - QUEENSBURY, NY 12804
(518) 761-8205
•
FIRE MARSHAL INSPECTION REPORT
REQUEST O INSPECTI N RECEIVED /C-' / /
NAME. Ur\° ��)��C, 44-0&
4
LOCATION / 1/
DATE PERMIT # 9 -7--Lic;7
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SY TEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTE
ALARM SYSTEM
INTERIOR FINISHES
STORAGE: /
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE- FACTORY BUILT
REMARKS: 0 OK TO THIS DATE
xec.,94-76/4:
4/
INSPSLIP.PUB INSPE TOR
(518) 761-8256 FINAL INSPECTION REPORT
Building &Code Enforcement (commercial --multiple dwelling)
Town of Queensbury (hotel, motel, apt. complex) Arrive: s . Ins• I
742 Bay Road ��_�
Queensbu°ROL)
, NY 12804 Date inspection request received 7
NAME: Y\ �(�•VM.S ri e A-7-)--„-t-o_v_) PERMIT NO. 7
LOCATION: ) J ( i�0-\..t; r,C.> DATE: /in
TYPE OF STRUCTURE:
N/A I YES I NOI COMMENTS
Chimney/"B" Vent/Direct Vent Location
Plumbing Vent •1
Roof Complete
Exterior Finish Grade Complete
Interior/Exterior Guardrails 4 " Platform/Decks
Interior/Exterior Ballasters " S,acing Platform/Decks
Stair Handrail 34" -38"
Step Risers Min. T"3/4"
Main Door 44" \ /r
All Others 36"
Lever Handles Requir-1 r• V -1
Exits at Grade or Pla ,rm r" °3�
Canopy to Cover Req. Exit Doors • 'FtA -Nk\ ‘cki
Gas Valve Shut-Off Exposed & Regulator (18") above grade
Floor Bathroom Watertight
Other Floors OK
Hot Water Relief Valve
Boiler/Fumace Enclosure
<250,000 BTU N/R
250,000 BTU to 1,000,000 BTU's (1 hour)
>1,000,000 BTU's (2 hour)
Gas Furnace Shut Off within 30 Feet or within Line of Site ,!
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom Enclosure (1 hour)
Storage/Receiving/Shipping Room (2 hour)
3/4 Hour Doors and Closers
1 1/2 Hour Doors and Closers
3/4 Hour Corridor Doors and Closers
Firewalls 2 hour, 3 hour complete
Fire Door/Shutters 1 1/2 hour, 3 hour
Ceiling Fire Stopping 3,000/5,000 sq. ft.
Fire Dampers, 2 hour fire wall/separation or greater
Fan Shutdown, Smoke Vents or Fan
Exit Door/Panic Bars Assembly Hardware
Elevators
Elevator Signage
Handicapped Bathroom Grab Bars/Sinks/Toilets `f/ S RE. u3Q4' ? 4
Handicapped Bath/Parking Lot Signage N \A o%C�� �+%L•
Handicapped Service Counters 34", Checkout 36"
Handicapped Ramp/Handrail Continuous / 12" Beyond
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan /Variance Required
Final Survey, New Structures
As B • t Sept' stem out Req.
Oka to e Temp. C/O
Okay to Issue C/O
90ktyksyikC..„--
/111111110\ TOWN OF QUEENSBURY
_ 1tkF.1aII: BUILDING & CODE ENFORCEMENT
742 BAY ROAD
�/ ,;' ` QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP: '
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUE T RECEIVED:
NAME 1SN\VA, Q_
LOCATION \ \0
DATE /0 _0S_ r g PERMIT ACI ) ` --1aj7
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
PECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER 0 RATING
INTERIOR TRIM/PRIV C DOORS
FINISH FLOORS:
BATH/KITCHEN ATERTIGHT
OTHER FLOG SWEEPABLE
OTHER FL ORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
PATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAI,✓ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
Ie 4,7
kaY� d Aid 1 U r
dA 6 gth:n s h0 h J(Si b L ?
C .
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10"'0 a tki(5116) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 • .
c_� 1
INSPECTOR'S REPORT: ARf g6 DEPAR'/1� INT
REQUEST FOR INSPECTION
� RECEIVED:
NAME tADv \ P'�\ \V NT N
LOCATION � \ L'a
DATE PERMIT A � 3
TYPE OF STRUCTURE: C o��\'� d l u176
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIER _
MONOLITHIC POUR FORM _
REINFORCEMENT IN °�R:i�L_
THE CONTRACTOR IS RE. . :LE FOR
PROVIDING PROTE TION F'OM FREEZING
FOR 48 HOURS FOLLOWING dHE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
k'OUNDATION/DAMPPROOFING _
BACKFILL 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: gE E= _
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
OORS R-
A
LLLI IR
CEILING
DUCT WORK OR PIPING IN
UNH TED SPAC1�-S-- R-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 �.;
INSPECTOR'S REPORT: AR1(2jr`-kDEPAR
REQUEST FOR INSPECTION RECEIVED:
NAME O U A L'ei. _
LOCATION R1)p -F 9 L/ 7
DATE CI - �-� PERMIT # Ve 9 l-
TYPE OF STRUCTURE: Bk• BLOC-,
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM _
REINFORCEMENT IN PLA_.
THE CONTRACTOR IS R'SPONSIBLE FOR
PROVIDING PROTE TIO` FROM FREEZING
FOR 48 HOURS FOLLOW G TH PLACE-
MENT OF THE CONCRETE
MATERIALS FOR ;OSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING ,
BACKFILL 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: t\ SEVJrIS;) ie!';;Z7/
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES � R-
01 (518) 761-8256 ..
TOWN OF QUEENSBURY .',
x
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR J ✓DEPART/,61"I TU1
REQUEST FOR p.SPECTION RECEIVED: It 1
NAME 16-e- (Te ( . ‘G`re.
LOCATION '4e4 (CIA.,„ d `I IC3I
CCC I ?/-7 - /2^7
DATE ,l 1 7 PERMIT A `7 /
TYPE OF STRU URE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS _
MONOLITHIC POUR FORM ,
REINFORCEMENT IN PLACE
THE CONTRACTOR TS RESPO BLE FOR
PROVIDING PROTE``TION FR M FREEZING
FOR 48 HOURS FOI1 OWING HE PLACE-
MENT OF THE CONCI TE.
MATERIALS FOR THIS PURP EON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING I
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- •
6300O 4-1,e i&iZ16( 04) eieKA
6/A(-5)) 761-8256
TOWN OF QUEENSBURY Y
BUILDING & CODE ENFORCEMENT , ,_'
742 BAY RD. , QUEENSBURY NY 12804 '- •t. .-i; ,.s
t f
INSPECTOR'S REPORT: ARRI'O DEPART • N'1
REQUEST OR'INSPECTION RECEIVED: a.
NAME -_, C-C6 e
LOCATION -A.LO Q\
DATE - 3,----Ck PERMIT 8 ---1 -" l D 1
L
TYPE OF STRUCTURE:
0Q �:) i
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSI E FOR
PROVIDING PROTE TION FROM F EZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
P MBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS _
BRACING/BRIDGING _IC_
JOIST HANGERS -
JACK POSTS/MAIN BEAM Li
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-
•
l4)WTI /Ur5 IP OA-74645 6
AAJCF-(Oie BaLT S
l
V 0 v►., (518) 761-8256
TOWN OF QUEENSBURY t,
BUILDING & CODE ENFORCEMENT 't
742 BAY RD., QUEENSBURY NY 12804 -s f•r,-
INSPECTOR'S REPORT: Mg e5 /DEPART 35 IINT/
REQUEST FOR INSPECTION RECEIVED: �19
NAME Q I . j
LOCAT N CnL ] b;mac( '�jd
DATE/ t S 1-1 PERMIT # 1 7-4z7
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A ' YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLAC
THE CONTRACTO8I.Z-VESP SIBLE FOR
PROVIDING PROTE TION FR M FREEZING
FOR 48 HOURS FOLLOWING T E PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
,FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE I L
laNUNDA RMPT OOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDSJHEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
TING ROUGH- n
' INSULATION: I3P77 A 1/////:
/FOUNDATION WALLS INTERIOR R-0 _ ki
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R •
-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804
'07)
INSPECTOR'S REPORT: ARK'" v DEPART } /�NL`'
REQUEST FOR INSPECTION RECEIVED:
NAME IL`ria1 /�
LOCATION !�J �/ -
DATE 103 AO
PERMIT A 7---eilZ-,7
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO'
REINFORCEMENT IN PL CE _
THE CONTRACTOR S '�'SPO'SIBLE FOR
PROVIDING PROTE I'M F'.M FREEZING
FOR 48 HOURS FOLLk ING THE PLACE-
MENT OF THE CONCRE._ .
MATERIALS FOR THIS '•URPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE -_
FOUNDATION/DAMPPROOFING -
$ACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
7-1
GH PLUMBING
LUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR FILTRATION BARRIER
HE' ING ROUGH-IN
- SULATION:
.OUNDATION WALLS INTERIOR R-
-UNDATION WALLS EXTERIOR R- .
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- _
Cpc5-t- I.R.0.0 t 10 P� �
(518) 761-8256
TOWN OF QUEENSBURY = -=
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRt EPAR
REQUEST FOR INSPECTION RECEIVED:
NAME c
LOCATION KR: I Mb Tf LDWE. Pk
DATE V\C1C11 PERMIT fl 7 ---
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE \
THE CONTRACTOR IS RESPONSIB E tok
PROVIDING PROTE TION FROM EEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
,FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING /
/ To t�..E� CAtJ �10
P=BIN LAB -. e�
Y
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- •
(518) 761-8256
TOWN OF QUEENSBURY i.
BUILDING & CODE ENFORCEMENT r.""fg
742 BAY RD., QUEENSBURY NY 12804 . -
e•'r*j
INSPECTOR'S REPORT: ARR\r26PART ,�' •
REQUEST FOR INSPECTTION RECEIVED: N
NAME C -/��--iv`C
LOCATION
DATE PERMIT #
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
TINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE _
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TIO' ROM FREEZING
FOR 48 HOURS FOLLO, ING HE PLACE—
MENT OF - CONCRaj E.
MATERIALS FOR THI•I PURPOSE ON SITE
FOUNDATION/WALLPOU:,
REINFORCEMENT IN PUCE
FOUNDATION/DAMPPROOFING _
BACKFILL 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—
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT 1
- 742 BAY RD., QUEENSBURY NY 12804 ,
INSPECTOR'S REPORT: ARR/R)DEPARIYIPX-)I.
REQUEST FOR INSPECTION RECEIVED:
NAME C
LOCATIONQ
DATE vt VA-1 PERMIT A � - LVZ I
TYPE OF STRUCTURE:
RECHECK \ APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN P- CE
THE CONTRACTOR IS RE-;ON'; = E FOR
PROVIDING PROTE TION •0 •EEZINO
FOR 48 HOURS FOLLOWING PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPO`.E ON SITE _
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL 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 •
-
TOWN OF QUE SBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 7
Location ,
_Date >3 cI7 Permit. # l ^`2`-7
SOIL T - am-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: 1
ABSORPTION FIE • Total Length 1i7
Length of each it
ch '3 - 15'
Depth of trenc °- 2-1Size of .ne . -
SEEPAGE PI-F. .er-
Size - ft_ x ft.
Stone size
PIPING: Size Type
Bldg. to Tank vS V• kasiVflu'
Tank to Dist. Box 4°e _ - u
Dist. Box to Field/Pit ITI
Openings Sealed? Yes N Partial
LOCATION/SEPARATIONS:
Foundation to Tank ' 'feet
Foundation to Absorption feet
Separation of Pits _ feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
c -Vh c7 i\C- t_\__. \\ 1"
C- t-KA___ _\F.... :
SYSTEM USE APPROVED: YES II
Arrived: I `—
Depart-. B'rrjy,I
:" B ding In-, or
1I
11
. I
7'rr ,72 rg /CV/ � s a3„,v1 y-' (2
cal ms/ 1 •
/ I 27 ' prp � C ("pia/ 4,'/7071,
I
A
S
Job -1/Nn
- ' ' "11 /71 � l� F
� 1
it
0e/ 0/7' re . rS"'71-yety