96-274CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
April 5 99
Date 19 _
This is to certify that work requested to be done as shown by Permit No. 96274
has been completed.
RESIDENTIAL ADDITION (BATHROOM & BED WM)
This structure may be occupied as a
10 ST. ANDREWS DR.
►'MMT
Owner MADDEN, CAROL
TAX MAP NO. 6 6 . - 5 -1 . 5 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
VALUE $ 25000TOWN OF QUEENSBURY
TAX MAP NO. 66. -5-1. 5 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MADDEN
rAROT
OWNER of property located at 10 ST ANDREWG DR Street, Road or Ave.
in the Town of Queensbury, To Construct or place a RE-SID NTTat ADDITION r ^e.M -EDR00
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. OWNER'S Address is
310 ST ANDREWS DRIVE
QUEENSBURY, NY 12804
2. CONTRACTOR" BUILDERS Name
CACCAVO, VINCENZO
3. CONTRACTOR or BUILDERS Address
15 CASHMERE DRIVE
4. ARCHITECT'S Name
COMMONWEALTH
5, ARCHITECTS Address
6. TYPE of Construction — (Please indicate by X)
( ) Wood Frame 1 1 Masonry ( 1 Steel REP{DENTIAL ADDITION
7. PLANS and Specifications
No.
B. Proposed Use
RESIDENTIAL ADDITION (BATHROOM & BEDROOM)
8 PERMIT FEE PAID -THIS PERMIT EXPIRES June t 7 19_ga
(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
SIGNED BY
Building
17 ,Dh of June 19--96
Inspector
the Town of Queensbury
separlrllenl of Community Development
Building & Code Enforcenrenl
Town of Queensbury
742 Bay Road
Queensbury, New York 12804
(518) 761-8256
Building Permit
Reviewed By: =�
13w ding Inspector
Permit No.
('
Fee Paid $
pplication
v " ` ` DV 1LU lN" YL'11U`Yl '
ltll applicants' spaces on this app'aication MUST be completed and the
signature of Lhe appli.canL- NUS17,appear. oil the applicaL-ion form.
Applicntrt:
Owner:0')7i
Address:/t7
!
S<, h`'i4�L"'c✓f
,QQyy�.'
Ad d wss:
I'houe # ( ) %�2 =zzG_ Phone #
Property Location:
Subdivision Namc: ®LID O—RcikfaeySuB�wrsro�t
NATURE OF PROPOSED WORK:
New Building:
residence / commercial
Addition to Building:
_ eaen/ commercial
Alteration to Building:
residence / commercial
Residence / Commercial
no change to exterior size
Other work (describe below)
OSS AREA OF PROPOSED STRUCTURE:
ist- Floor........ /04�- sq. ft.
2nd.Floor........ sq. ft-.
Other Floors.... sq. ft.
(not unfinished cellar or basement)
TOTAL FLOOR AREA: SQ. FT.
SIZE OF NEW STRUCTURE:
�/
J D FEET x /3 FEET
'Foundation Type: %O°
Number of Stories:
(habitable space only)
Height (grade to ridge): �S� feet
Number of fireplaces arid/or woodstove
to be installed: Qip
i)
_'f) 226q'
Tax Map Number 3` o I' 6 / Sr. $—
Section Block lot
ESTIMATED MARKET VALUE OF TIE
CONSTRUCTION:
OCCU ANCY INFORMATION:
Pr' ary Building -
Single Family Dwelling
Two Family Dwelling
Family Dwelling
Office
Mercantile MAY i l 1qq�
Manufacturing
Other
If ADDITION, what will use
of new. addition be',
bq�letx�l — A4,O000n1
ACCESSORY BUILDINGS:
— Detached Garage 1, 2 car
— Attached Garage 1, 2 car
— Private Storage Building
— Commercial Storage Building
Other
Will any second-hand or ungraded
Lumber be used? If so, for what?
TYPE OF HEATING SYSTEM:
(circle al .'ch applies)
E 1 e c c O' Gas / Wood
Forced Hot i Baseboard / Other
Person responsible for supervision of work as regards to building
codes is:
Builder:
Plumber:
Mason:
Electrici"I,.
DECLARA770N.• Please
of er• 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, area 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
otl)cr 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 Occupat y or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor• Yawn to scAc, showing actual)pcation of project on premises.
Signature: AM,& dl{
(owner, owner's agent, architect, contractor)
TOWN OF QUEENSBURY
APPROVED
p Application
d
BUIL(DI�N/IG PERMIT NUMBER pS
1. BASIC/BUILDING PERMIT INFORMATION. A zoning in strata
Applicant/Name & Address Agent/Name & Addres Towiv of aueeNssur�r
app aut agent
C MAP NUMBER*
r
�SFR-l�
2. PROJE DES RIFT ON•
Glot plan (2 copies)
-------------------- ----------- ------ ilding plan (2)
------------------------------------- sewage disposal
energy code
3. PROPERTY INFORMATION; _'cal inspection
C-FEE PAID
Front Yazd
Front (if corner)
I
NEW GONSTRUGTION
Side Yard (1)
ADDITION
Side Yard (2)
LTERATION
Rear Yard
ODIFIC:ATION
Width
EIICTN
PROPERTY IS IN APPROVED SUBDIVISION (5X-D
Meets depth, width & square footage requirementg
Preexisting, nonconforming lot with proper 'setbacks
Required road frontage on public road
Has required off-street parking
Permeable area is adequate / equire : o
Building does not exceed maximum height /' Max. n.
Required setbacks from stream, lake and/or travel corridor
meets requirement
Buffer zones required --------_
Is lot in a Flood Plai Zone?
5. REVIEW ..ouIRED BY ZONING BOARD OF APPEALS.
E
I
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY MAY l
.Y,
9000 HEATING DEGREE DAYS '
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:
Zoe
/ PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. ,/Gross Floor Area - 10q o�
/ square feet
✓ 2. Type of Heat - Electric A Oil Gas Other
3. Is building mechanically Cooled? Yes
_ No
4. Percentage of area Of windows and doors Over 17% x
_ Under 17%
5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
Nt. Roof R
/b Exterior walls R 15
✓ c. Glazed areas
d. Exterior doors R
Je. Floors over unheated spaces R a�
f. Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R -
h. Basement/cellar walls (below grade) R
i. Heating/cooling-ducts-piping in unheated space R to
6. Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes No
TEM RATURE CON OL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
pp a t s Si
'A
Phone Number
4umber6�
INSPECTOR'S REMARKS:
No.
Date
COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC.
(Consulting and Fire Inspection Services)
(Incorporated In the States of MAIN OFFICE: 357 Elwyn Terrace, Manheim, PA 17545 a (717) 664-2347
New York, Maryland, Pennsylvania, Delaware) 8OD-732-0043
LOCATION
Place give full and accurate directions in order to avoid delay
(Use back of sheet if needed)
Desiring Certification of Approval, application is made for inspection of electrical installation in the premises described
below. On demand, applicant agrees to pay for inspection service in accord with schedule of charges. (See Reverse Side).
PLEASE PRINT DATE...........................................................
Owner .......'::._....G........... :..a...........c... z.'1.;..!................................................. Type Bldg. ❑ DWG ❑ Other. .. ........ q
Occupant............................................................................................................................. ............... Bldg. Permit No.......... I.. ...`..
JobLocation ...!........ :...i. City .... :._:;......................... ......... ...................... Slale ....... ................
County........................................................................................... Twp . ............................................... Swimming Pool — New ❑ Old ❑
Owner's Address ........................................ ................................... ...................................... .._'............. Pool Permit No..............................
Directionsto Job Site..........................................................................................-..........................................................................................
Application For Rough Wiring ❑ Fixtures ❑ Service ❑ or .......... ...................... —... .......... ............ ................ ..................................
Work - New ❑ Additional ❑ Bldg. -- New ❑ Old ❑ Ready for Inspection .......... ........................................
Fee Remitted ................................................ Check ❑ Cash ❑ Make Payable To C.E.I.S., Inc.
NUMBER OF ROUGH
WIRING OUTLETS
NUMBER OF
FIXTURES
ELEC HEAT AIR CONDITIONERS
BURNERS
DRYERS-HEATERSHANGES, ETC.
NUMBERI
TYPE OF DEVICE
I H P.OR K W.
NUMBER
TYPE OF DEVICE IH.P,OR
K W.
SWITCHES
MERCURY
LIGHTING
SODIUM
RECEPT.
FLUORESCENT
ELEC. HEAT
QUARTZ
MOTORS: H P.
MARK NUMBER
OF EACH SIZE
1/201/12
1/10
1/9
1/6
1/4
1/3
1/2
3/4
1
1-1/
2
3
5
7.112
10
15
20
25
30
40
50
]5
100
OTHEH EUUIYMtN 1
APPLICANT'S LICENk ♦ PERMIT •
SIGNATURE
SPACE BELOW FOR USE OF INSPECTORS ONLY
ROUGH WIRING
AMP SERVICE
PUMP
OUTLETS
EQUIPMENT
HEAT
OVEN
SWITCHES
PUMP
- SURFACE'
RECEPTACLES
UNITi
DISPOSAL UNIT
MEDIUM BASE
RANGE
FIXTURES
MOGUL BASE
WATER
DRYER
FIXTURES
HEATER
FLUORESCENT
AIR
glvtp RECEPTACLES
FIXTURES
CONDITIONER
MERCURY VAPOR OR
WIRING & CONTROLS FOR BURNER
-. VENT FANS
QUARTZ FIXTURE
MOTORS: H.P.
1/20
1/12 1/10
1/8
1/6
1/4
1/3
1/2
3/4
1
1-1/2
2
3
5
7-1/
715
20
25
30
40
50 75
100
MARK NUMBER
1
OF EACH SIZE
MISC. INFO.
DATE INSPEC.
NOTIFIED
OR-
T
2
w
Z
:0
Q
FEE PAID
C11N-
TRACTOR
TOTAL $
CERTIFICATE ISSUED
OWNER
CHECK NO.
❑ R.W. ❑ DUP
❑ FINAL ❑ SERV.
CUPANT
CHARGE
PROGRESS ❑
AGENT
CASH
-
FTC
LT CO
H.O.
DEFECTIVE ❑
TEMP CARD R DATE
INSPECTOR
FINAL CARD K
BP/0627 Rev. SW APPLICATION EXPIRES ONE YEAR FROM DATE.
WHITE/Office CANARY/Customer PINK/InsiNi GOLD/Officer
Main Office 357 Elwyn Terrace — Manheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No ................... Cert. : Cut -in Card No......_......... _.......
M �
Owner......... Bob .........1e../ � P..............................................................................
Occupant...:........... J............................................................................. .............. /
Location Ja... J�.l..!_RNDRC-7W S 1%/�. U�r/ ..
Sul
....
Installation Consisting of .-..S(J. �..T��..LV.%�..fz:. �.L..p...7..U...�..t.-i.......
47ctVC%[21..pad.....!..:,._....................................
......................................................................................................
Installed By.... J r ./11 C 2 SD ................................. Lic. #
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 making insppec ons at any time, and if its
rules are violated, the ompany shall have the right to revokJhisVarerlifica
Date ...1..-. �.9_.-. >�. (.............. INSPECTOR.e.....
Member N.F.P.A., I.A.E.1.
At(518) 761-8256
TOWN OF EER
BUILDING 6 CODODENFORCEMENT
NFO
E ENFORC F.ME N'f
742 BAY RD., QUEENSBURY NY 12804 i/y�S/ f/D�
INSPECTOR'S REPORT: ARFF_ DEPART ! //INIT �9/�'L
REQUEST F NSPECT 1N RECEIVED: L
NAME _ J .CQ\rr-111
LOCATION �j
DATE PERMIT 1 cj r
TYPE OF STRUCTURE: �..
�•••.•. •, •.•.'
FOOTINGS PIERS
Apr
N/A
^YESu
NO
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RE6PON LE POR
PROVIDING PROTE TION F FREEZrHG
FOR 48 HOURS FOLLONI THE PLACE-
MENT OF THE CONCRETe.
_
MATERIALS FOR THSS PURPOSE 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
_
BRACINGZBRIDGING
_
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-
/LGq$�
IN�Tipppcc Z//�� #f AbO !-o (b 0 20`' /-cvTftJC
f r✓e/ED % o5Xrs7-/✓G
C DiP hnuircK
TOWN OF QUEENSBURY
BUILDING S CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR 'A ODEPART/ XMi
REQUEST FOR INSPECT
ORIINSPECTION RECEIVED:
NAME iA606CTAl
LOCATION !S AW10AeluS
DATE %QQ
PERMIT # "Z,
TYPE OF STRUCTURE:
N/A
YE
NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM ,, ,j�.
REINFORCEMENT IN PLACE'S"'
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOP, THIS PURPOSE ON SITE
FOUNDATI W,LLPOUR
REINFORCEMEB PLACE
FOUNDATIONy AMPPROOFING
_
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK 51'UDS(HEADERS
BRAC ING/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_
Sc,�gw�r>' 1M.nNoSC.A6 ►0�-r�l�
TOWN OF QUEENSBURY
BUILDING S CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
C�
INSPECTOR'S REPORT: ARR/ 'C DEPART INT
REQUEST FOR INSPECTION RECEIVED:
NAME /J
LOCATION /%% AV96W
5 Q
DATE PERMIT #
Efloo %
TYPE OF ST UCTURE:
n c. i,n awn
APPROVED
N/A
YES
NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PHOTO TIO FROM FREEZING
FOR 48 HOURS FOLLONI THEPLACE-
MENT OF THE CONCRETE.
CONCRETE,
MATERIALS FOR THIS PURPO ON SIT
FOUNDATION
REINFORCEMENT IN PLACE
i
FFOUNDATION DAMPPROOFING
'BACKFILL APPROVAL
PLUMBING VENT VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS(HEADE
BRA CI NGLBR IDG I N
JOIST HANGERS
—
_ JACK POSTS/MAI BEAM
AIR INF_I L1'RATION BARRIER
HEATING ROUGH —IN
INSULATION:
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R—
FLOORS R—
WALLS R——
CEILING R—
DUCT WORK ORPIPIN GIN
UNHEATED SPACES R_
Su okt1 T A- 6U14T �-c,vo. cq.J
(518) 761-8256
u
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURYNY 12804 P
INSPECTOR'S REPORT: ARR_4r JDEPART
REQUEST FOR
I SPECTION RECEIVED:
NAME
LOCATION
DATE 7✓ �• PERMIT
TYPE OF STRUCTURE:
N/A
YES
NO
FOOTINGS PIERS
MONOLITHIC P UR FORM
REINFORCEMENT N PLACE
THE CONTRACTOR RESP ISLE FOR
PROVIDING PROTE ION ON FREEZING
FOR 46 HOURS FOL NG THE PLACE-
MENT OF THE CON E.
MATERIALS FOR THIS PURPOSE 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
ATING ROUGH -IN
INSULATION:,
FOUNDATION WALLS INTERIOR R-
_
_
FOUNDATION WALLS EXTERIOR R-
_
_ LOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPA S R-
CALLA, �62 Kc �� 6 +PAS.
Oww5
(518) 761-8256
TOWN OF EER
BUILDING 6 CODODENFORCEMENT
E ENFORCF.MEN'I
742 BAY RD., QUEENSBURY NY 12804
/QG
INSPECTOR'S REPORT: ARR_ DEPARTJ��T
REQUEST FOR INSPEC,TIION RECEIVED:
NAME ,V
LOCATION sr /4N '26-td7 -7
DATE Pf/E1�RMIT 1 n L
TYPE OF STRUCTURE:
RECHECK G/
nrr
N/A
..•..
YES
NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
-
REINFORCEMENT IN PLACE_ THE CONTRACTOR IS RESPONSI'NLR'FOR
PROVIDING PROTE TION FROM FAEELING
FOR CB HOURS FOLLOWING THE Fl�ACE-
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 UMBING UNDER SLAB
RAMING:
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-
.
-
ftm
! l/ \\\ \ (518) 761-8256
5NA' � ?Q Y I r\, Ws �
TOW OF QUEENSBURY
BUILDING S CODE ENFORCF.MEN'I
742 BAY RD., QUEENSBURY NY 12804
- T
INSPECTOR'S REPORT: ARR`V'I�//)� , PA NT
REQU
NAME
LOCA
DATE
TYPE
RECHECK
A
PROVED
N/A
YES
I NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLONING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE E
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
RAMING:
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-
(sls) 76I-8256
TOWN OF QUEENSBURY -;p
BUILDING CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
i
INSPECTOR'S REPORT: ARR/ DEPART _
REQUEST FOR INS
NAME \ �j GV
LOCAT
DATE 0 =1,k_ PERVIN I
l -
TYPE OF STR C E•
RECHECK APPROVED
• N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIB E FOR
PROVIDING PROTE TION FROM RE ZING
FOR 40 HOURS FOLLOWING THE P CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPO ON ITE
FOUNDATION WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION DAMPPROOFIN
BACKFILL APPROVAL
PLUMBING VENT VENTS N PLACE
ROUGH PLUMBING
PLUMBING UNDER SLA�
FRAMING:
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
_
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
INS�ATING ROUGH -IN nnII
ON: Ij + ;
_
_
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
_
_BOORS R-
WALLS R-
CEILING R-
_
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
_
1 . 3 A (518) 761-8256
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR`/ /C DE'.
REQUEST rQR\INSPEWIpN RECEIVED:
'ArIlrairffmi lip.
DATE Imo: L
RECHECK
A
PROVED
N/A
YES
N
FOOTINGS PIERS
I
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIB E FOR
PROVIDING PROTE TION FROM F EZIWG
FOR 48 HOURS FOLLOWING THE P CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON I
FOUNDATION WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT VENTS IN PL E
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS ADERS
_
BRACING BR ING
_
JOIST HANOkRS
JACK POSTS MAIN BEAM
_
AIR INFILTRATION BARRIER
HEATING ROUGH -IN
'INSULATION:
_
kDATIO N NWALLS INTERIOR R-
0UNDATION WALLS EXTERIOR R-
i
FLOORS
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
_
/ ; ol�n
(518) 761-8256
TOWN OF EENSBURY
BUILDING b CODE ENFORCEMENT
742 BAY RD., QUEENSBURYNY 12804
/.5 CC
INSPECTOR'S REPORT: ARR PART f�''
REQUEST FOR INSPECTION RECEIVED: `� /V
NAME _�? ,�406 L)
LOCATION 'n Av fl/EL�GC,JS �_
DATE Cis /.F�CRMIT I Cl�,'—�-7
TYPE OF STRUCTURE: tc;5. kyo
•`u�••u"
N/A
YES
NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN LACE
THE CONTRACTOR IS ESPONSIBLE FOR
PROVIDING PROTE TI N FROM FREEZING
FOR 48 HOURS FOLLO NG THE PLACE-
MENT OF THE COI ;I .
MATERIALS FOR THIS ARPOSE ON SITE
FOUNDATION WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION DAMPPROOFING
BACKFILL APPROVAL
jjMB NG VENT VENTS PL E
ROUGH PLUMBING
PLUMBING UNDER SL B
FRAMING:
JACK STUDS/HEADERS
_
BRAC,IIG/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-
_
)O!Kq'L A-) A\L- FLA-`E-5
(518) 761-8256
TOWN OF QUEENSBURY "--
BUILDING B CODE ENFORCEMENT
742 BAY RD., QDEENSBDRY NY 12004
[qq�
INSPECTOR' S REPORT: ARR /``DEPART t
REQUEST FOR INSPECTION RECEIVED:
NAME 1v\ k .0r)&"0
LOCATION •' % '
DATE PERMIT 1
TYPE OF STR TURE:
OVED
RECHECK
APP
N/A
YES
NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN TLACE
HLE FOR
PAOVIDINO PROTE ON FRFREEZING
THE CONTRACTOR I RESPO/HE
FOR 48 HOURS FOLL VINO PLACE-
MENT OF THE CONCH TE.
MATERIALS FOR THIS PU POSE ON SITE
FOUNDATION WALLPOUR
REINFORCEMENT IN P E
FOUNDATION DAMPPR OFI G
BACKFILL APPROVA
UMBING VENT V NTS IN P ACE
ROUGH PLUMBIN A«- (
PLUMBING UND R 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-
0� TO Lou4 )-
TOWN OF QUEENSBURY
BUILDING CODE ENFORCEMENT `V
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
9 i
ARRIVE: ,JC I/) DEPART: INSP:
FINAL INSPECTION REPORT
COMMERCIAL --- - MULTIPLE DWELLING
(hotel, motel, pt� mlexy., /7
DATE INSPECTION REQU•ST RECEIV nn "l I
NAME 1� 2.2
LOCATION Q �
DATE _ Z 1 - - 1 PERMIT R ` )
TYPE OF STRUCTURE A
1✓i
FOOTINGS BACKFILL FRAMING PLUMBING_ 100014
INSULATION
CHIMNEY/"B" VENT III IGHT
NIA
YES
NO
PLUMBING VENT FIXTU 'S
ROOFING
EXTERIOR_FINISH
HEATING HOT WA E
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 AC ESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
-
SITE PLAN/VARIANCE REO
FINAL SURVEY PLOT PL N IF RE
K TO ISSUE C O OR C C
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256
Building & Code Enforcement
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, New York 12804
NAME
LOCATION
TYPE OF STRUCTURE
Date inspection request received:
Arrive _ am/pm Depart 5 /
Inspector's Initials
N/A YES NO
Chimney HeightP'B" Vent/Direct Vent
Fresh Air Intake
Plumb Vent through roof
Exterior Finish Complete
Interior/Exterior Railings 30" to 36"
Exterior Handrails, balconies, landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers_
Grade 2% away from foundation
8" clearance to sill plate
Gas Valve shutoff exposed/regulator 18" above gra
Gas Furnace shutoff within 0 feet or within line of
Oil Furnace shutoff at -' -- to fllmace area
Furnace/Hot Water Heater o ating
Relief Valve(s) installed
Headroom, 6 ft. 6 in. on stairs
Basement stairs, 6 ft_ 4 in.
Handrail exterior stairs both sides re
interior privacy/trim/doors/main trance 36"_
Floor Finish
Bathroom/Mtchen watertight
Interior Handrails Balconie ding 18 inor more
Railing across window in stairwells
Smoke Detectors:
every revel
every bedroom —
outside every bedre
inter connected_
Bathroom fans
Plumbing fixtures_
Foundation insulation_
3/4 hour fire door/door
Garage fireproofing_
Garage penetrations sealea
Furnace in separate room protected (in
Light ventilation per room
Safety glazing 18" or less) from floor
Final Electrical q8
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic Svstem layout require(
Okay to issue C/C (Certif. of Complies
Okav to issue temp. C/O (Certif. of (k
Okav to issue permanent C/O (Certif.
1Wl4_ /find% (Sc' -7pZ-717
PERMIT p Z 7�
DATE z
COMMENTS
k5wmu&(: ,4FT6R , It /?
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 -I
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury, New York 12804
NAME km& ^j PERMIT # � z(
LOCATION /o V�r pit._ _N (+� DATE z—
TYPE OF STRUCTURE
Chimney Heig
Fresh Air Intel
Plumb Vent d
Roof Complet,
Exterior Finis]
Interior/Exteri
Exterior Hand
Interior Flandr
Grade 2% awe
8" clearance b
Gas Valve sht
Gas Furnace s
Oil Furnace sl
Fumace/FIot N
Relief Valve(;
Headr(am, 61
Basement stai
Handrail extei
Interior privac
Floor Finish_
Bathroom/Kit,
Interior Handy
Railing across
Smoke Detect
every level
every bedr
outside evi
inter count
Bathroom fan.
Plumbing fixt
Foundation in
3/4 hour fire d
Garage firepn
Garage peneb
Furnace in sel
Light ventilat
Safety glazing
Final Electric
Site Plan/Var
Final Survey ]
As Built Sept
Okay to issue
Okav to issue
Okav to issue
N/A YES NO COMMENTS
htP'B" Vent/Direct Vent Location
cc
aoggh roof
r Co lete
or Rail' 30 ' t 36"
rails, bal es, anding 18 ' . or more
ails stairs bo ore risers
ry from foundati n
) sill plate
doff exposed/
hut -off within 3
nit -off at entran
Vater Heater
;) installed
gulator 18" above grade
feet or within line of site
to fiance area
tmg
t. 6 in. on stairs
rs, 6 ft. 4 in.
for stairs both sides more than 3 risers
y/trim/doors/main entrance 36»
,hen watertight
ails Balcomes/Landing 18 in. or more
window in stairwells
ors:
Jom
:ry bedroom
xted
ares
sulation
oor/door closer
rof ng
ations sealed
rarate room protected (in garage)
ion per room
18" or ss o floor
rl 4 �%�
iance req ed
'lot Plan
is System layout required_
C/C (Certif. of Compliance)
temp. C/O (Certif. of Occupancy)
nermanent C/O (Certif. of Occupancy)
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FORT EDWARD, NY 12826
CALL (518) 798-6298
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