2006-620 4111aii TOWN OF QUEENSBURY
Foow
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20060620 Date Issued: Thursday, February 08, 2007
This is to certify that work requested to be done as shown by Permit Number P20060620
has been completed.
Tax Map Number. 523400-308-016-0001-028-000-0000
Location: 376 CORINTH Rd
Owner. GAYLE GREENO
Applicant: GAYLE GREENO
This structure may be occupied as a:
Fireplace By Order of Town Board
Porch TOWN OF QUEENSBURY
Residential Addition ! f
Issuance of this Certificate of Occupancy DOES NOT relieve the (
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
1
O.` TOWN OF QUEENSBURY
I.
f 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060620 Application Number. A20060620
Tax Map No: 523400-308-016-0001-028-000-0000
Permission is hereby granted to: GAYLE GREENO
For property located at: 376 CORINTH Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with 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. Type of Construction Value
Owner Address: GAYLE GREENO
GAYLE GREENO Fireplace
Porch
435 E 85TH St
Residential Addition $200,000.00
APT. G.B.2# Total Value $200,000.00
NEW YORK, NY 10028-0000
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2006-620
RESIDENTIAL ADDITION AND PORCH
$137.20 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 28, 2007
(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 To o eensb `- , T,h rs ay, September 28, 2006
�"�'
SIGNED BY c,L 42 for the Town of Queensbury.
Director of Building& .de E orcement
31°13 . /6 1---ZR Permit No. /�
Building&Codes Office-Department of Community Development-Town of Queensbury
Fee Paid I .�'f�
742 Bay Road,Queensbury,NY 12804 , ///��� Recreation 'e
Dave H: (51 )Director c (518) 4-443v.net 0/ 7 ,
- _.„...._,,
Phone: (518)761-8256 FAX: (518)745-4437 /�//1
• • S -P jj-ilt54:2C0:0:6'
Principal Structure Building Permit Applicatio�i
Application & Plans subject to review before issuance of a valid permit for construction:.`• OF QENSRY
r_tUILDIn!�` DE_
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the-------
applicant
he
applicant has received a valid building permit. All applicants'spaces on this application must be completed and
must appear on the applicati „_,,_
- n form.
Applicant/Builder /j//I"� �0�`”' Owner: ay/e eke Q
Address: 55 2DW/ey Roa4 Address: LY 71, (1o,ei A-I-h /'Oa_d
,H ds.n f.a//s,Hy /a�'il 9 4Jueenstury, _,y hagdY
Home Phone: 'W-033 r Home Phone:
Email Address: . Email Address:
Cell Phone: co?.Q_ Y1/4:24 Cell Phone:
FAX Phone: `7qe. /.23 FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance: I
Name: �0 P ��reel�-t' ! �9��33�
Address: 5 i c rth Lot-el Road -f-4-Ualson FCc.r!6 Phone /
Location of proposed construction: Lot No. Legal Address:394P, rota/fl RV d Gt'
Tax Map Number: Subdivision Name:
Estimated Cost of Construction: $ 00
Proposed construction is for: _Residential Use _Commercial Use
Name of Business: •
) ��
If proposed construction is an addition,what will use of new addition be? //V/A 6 Si ' 'e t�� [I�ecer- $
New Addition Alteration Proposed Construction 1d Floor 2^d floor Other Total Proposed ./1
structure (Occupancy Type) Sq.Ft. sq.ft. Sq.Ft. Square feet Height
7 Ft.&
'ti,/r- - Single-Family Dwelling *.-5 _ 911.5— }5 70
U
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office T at,
Mercantile 1 (/�
Manufacturing �O� f r J ) "il f
Other: 'srF� 17L`''1 /7 / ,
Attached Garage 1, 2, 3
i
Type of Heating System: Electric, Oil, Gas, Woodr�orced Hot , Baseboard, Other:
If a fireplace and/or woodstove are being installed,please refer to a separate application.
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge,the statements contained in the 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 Codes,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,as requested.by the Zoning Administrator or Director of Building and Codes,an As-Built Survey by a
licensed s e •r,drawn to scale,showing actual location of all-new constructio ���L�
Date: `" Applicant/Builder Signature: /
The application of dated is hereby approved and
permission granted for the construction,reconstruction or alteration of a building/and or accessory structure as set
forth above.
Date: Authorized Signature:
1:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04
OG -6zo
,.,_.. Community Development Office R FEC E!VE D
- Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 rt
1 �1r r;lr_rlr�
Marilyn Ryba, Executive Director• David Hatin, Director of Building&Codes � 0 5 2�6 r f
Craig Brown, Zoning Administrator•Michael J. Palmer, Fire Marshal 1 3
i
APPLICATION FOR FUEL BURNING APPLIANCE & CHI
dd
Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit
pursuant to the New York State Fire Prevention & 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.
IMPORTA NOTE TO APP CANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED.
////ppp{��'►►►STT G' 00(1.5 OWNER:��'L /G �I^C��� � INSTALLER/6UILDER: �.yi�/� •
y CEO
�
ADDRESS:,.?�^ �0�(nM eq1 ADDRESS: 5) C EO t(,)1 ,�O a C�
PHONE NOS. PHONE NOS.
o e
LOCATION OF PROPERTO?& (Oki /, a SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: //
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: loth Itl b It/ C `(- PHONE: I[Q
F 033k
✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL
INFORMATION /
OVE
FIREPLACE INSERT
FIREPLACE, FACTORY BUILT*
FIREPLACE, MASONRY
FURNACE (GARAGE ONLY)
*IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO.
LISTED BY: NUMBER:
QUESTIONS?
CALL 761-8205 or 761-8206
CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL:
firemarshal(@_queensburv.net
MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE
TILE STEEL SIZE IN FOR MORE INFORMATION
INCHES www.queensburv.net
FLUE CHECK ONE ✓
DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY
WALL LINER
CHIMNEY MATERIAL CHECK ONE ✓
**IF NON-MASONRY, PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO.
ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION& BUILDING CODE AND/OR
MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED
INSPECTIONS.
Queensbury Building & Code Enforcement - Residential Final Inspection 1 '
Office No. (518)761-8256 Arrive:/U•70 am/pm epzrt: am/pm
Date Inspection request received: Inspector's Initials: ` C--
5' . 06-- ' W
NAME: (�.c_i UI`' 0� r PERMIT#:
LOCATION: (0/2,w i� 4'. . DATE: Far 0
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road l"� k16� '
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs, decks,patios more than 30 inches above grade
G rd at stairwell at 34 inches or more
ward at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior I-Iandrails t7a,stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq,ft.-150 sq.ft.vents
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq. ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%s"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly _
_Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required '
Flood Plain Certification, if required
Okay to issue C/C or C/0 [Temporary/Permanent]
L:\Building&Codes FormsU3uilding&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc
Town of Queensbury Fire Marshal
742 Bay Road
` .3, Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Wood Burning Fireplace/Stove Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
[� '��>
instructionsor specifications is allowed. /�
Permit# �V-6 2 Schedule Inspection 2--11:407 Time am pm anytime Inspector �l' /-1-5
Name j„�i Address 376 C.2 1 242 Rough In Final)
Appliance Manufacturer (/Ca/71W,- Model# ,/ 5c) / -)
Masonry Chimney Factory Built Chimney.)( Flue Size Double WallTriple Wall Insulated_
Yes No N/A Comments
Floor Protection ,A7...'
Clearances to Combustibles (all sides) A”'
Safety Strip Installation (fireplaces only) A."
Firestop(s) Vertical Chase/
Wall Penetration f
Chimney Clearances to Combustibles
Ch/�nAy�efrno er- -- )3-v
Chimney Termination
3 feet above roof penetration; 2 feet above
any combustible construction within 10 feet
Combustion Air k----
Hearth Extension x
Mantel (height above f/p opening) A"' (__ \CIZO- Yviefri4441-`1-Th
r/00 i
Fireplace,Doors /Screen (required) )(-- Or GI-e4(410 OjGi Jrn ,6 Z.k) 1
White-Building Dept. Yellow-Customer Pink-Fire Marshal
2 - /. Oed 2 te
.... .-4 ./7/0---7c
Queensbury Building & Code Enforcement - Residen ial Final Inspection
Office No. (518)761-8256 Arrive: 2` . am/pm „ Depart: am/pm
Date Inspection request received: l 't Inspector's Initials: \itee----(--
•
NAME: r '( 0/ . PERMIT#: 06 -62C>• .
LOCATION: 737 -7 : ,'-i.+�.I _ DATE:
TYPE OF STRUCTURE:
Comments
Yes NN/A ! l
Building Number/Address visible from road I cy J ko 0 X— 5
_Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches :9-
Roof Complete/Exterior Finish Complete
Platform at all exterior doors 1
Guards at stairs,decks,patios more than 30 inches above grade ✓
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more j ,/
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches ,�
Interior Handrails @ stairs 2 or more risers / ✓ (0e6-17Ir�no1/49 {�q./L_
Grade away from foundation 6 inches with 10 feet ✓�
6 inch clearance to sill plate ✓✓(
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches 7,..
Bathroom/Kitchen watertight , /
Safety glazing/Window in stairwells safety glazing ./
Interior Smoke Detectors:
Every level: Every Bedroom:
/
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector t/�
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area ;
Crawl Spaces 18 inch x 24 inch access, 1 sq. ft.-150 sq.ft.vents
Bathroom Fans,if no window
//
Plumbing fixtures
Foundation insulation !/
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade / ....4--
Gas Furnace shut-off within 30 feet or within line of site ,/ /
Oil Furnace shut-off at entrance to furnace Furnace/Hotarea
�/
Water Heater operating /
Low water shut-off boiler 1/
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum V2"Gypsum /
Basement stairs closed rise>4 inches V/
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer /
Duct work Sealed properly
Gas Logs in Sealed or Glass net..ure
Final Electrical Z 1 0 ---( t/ /
Final Survey Plot Plan Vj
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required L
Flood Plain Certification,if required f
Okay to issue C/C or C/0[Temporary/Permanent]
/
L:1Building&Codes Forms\Building&CodeslInspection Forms\Residential Final Inspection Form_revised_100405.doc
2- -Li'. --TUE-syil /2//7
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart:3 I0D am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: `
NAME: r /1 4ni' PERMIT #:
LOCATION: ,376
_ INSPECT ON: I4,0
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet / change of direction
Pressure Test
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air / Head
15 minutes
Insulation LResidential Check / Commercial Check
Proper Vent, Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed ro erI o duct tape
COMMENTS: ` `T
_ t�
L:1Pam Whiting\Building&Codes\Inspection Forms\Rough Numbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
,2 -7--/ /10,ubAki /2/ /o6
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: a
Depart: _75---- am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:am/pm
NAME: Prii)c. --p _ PERMIT #: as-- • .
LOCATION: r�riskik / INSPECT ON: _ i ,
TYPE OF STRUCTURE:
�_(- __.__� Y /N N/A
Rough Plumbing /'Nail Plates \\V
lurnbing_lent-/Vents in Place /),‘: kVce
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
. 7
Pressure Test
,,,''Drain,,/ Vent �, . V
s Air/Head \--K-)
5 P:S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping ''7
Air / Head
��
50 P,S.I for 15 minutes
Insulation / Residential Check / Commercial Check _
Proper Vent, Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape /
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Fortns\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
- -7,
l Sbi11^Y ///2//a)
Framing / Firestopping Inspection R- p ort
i
Office No. (518) 761-8256 Date Ins ecti n requ- . ce. ed•
Queensbury Building&Code Enforcement Arrive: E). i►- ..rt: m
742 Bay Road,Queensbury,NY 12804 Inspector's Initi. ..
NAME: 0_, • PERMIT#: "AI - r
LOCATION: *eekt
or-4., INSPECT ON: — —
TYPE OF STRUCTURE:
Y N I N/A COMMENTS
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 1/z(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
har-bolts 6 ft. or less on center / I
7Ice and water shield 2 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection r:,, est - -
Queensbury Building &Code Enforcement Arrive: tp-tD -part: 11am pm
742 Bay Rd., Queensbury, NY 12804 Inspector`s Initial-.
V
NAME: C-72_GEO0 • IT NO.: O(o—
LOCATION: 'T 7b Ci)P l fY H RCS 'ECT ON: 11 —3Q -C) p
RECHECK:
Comments and/or diagram
Soil Type: Sand/ Loam/ Clay
Type of Water: Municipal/Well Water 6E‘)-nC tJ.—SEA-1 LP\` c 3\
Waterline separation distance ft.
Well separation distance ft.
Other wells: _ft.
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size:
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field/ Pit
Opening Sealed: Y/ N/ Partial
End Cap
Inlet/Outlet Pipes&Baffles Y N
Location/ Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan ____Y N
Engineer Report and As-Built �-..Y_.N
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
S st-m Use .
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection nest received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspec r i ials:+
NAME: 6r .��/ ,30 PERMIT#: P ` Q Z o
LOCATION: r a 2 I AJ 7 eo INSPECT ON: /02'7 -c
TYPE OF STRUCTURE: /
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
F ing Dowels or Keyway in place /
oundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
1?
- 1
0
Foundation Inspection Report ��/ _� �Z
C�-� H.-
Office
Office No. (518)761-8256 Date Ins tion uest received: b �' i II!
Queensbury Building&Code Enforcement Arrive: m Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector s Initials` i
NAME: ‘.r , CXJ�`tiS� PERMIT#: OJ
LOCATION: 31 i C®�v` � ' INSPECT ON: ;2.1 l O .?.-7 C7�o
TYPE OF STRUCTURE: /
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
oundatrrrWatzr d-r 4-0 V
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection t re iv-
Queensbury Building&Code Enforcement Arrive:1• 1 Depart:
742 Bay Rd.,Queensbury,NY 12804 Inspectof's Initials:
,
NAME: a _ RMIT#: I
LOCATION: /., / 1'�-D�` �r --` INSPECT ON: _
TYPE OF STRU °A4)
Comments
Y N N/A
Footings
Piers71,-0,-)---3s-
`4- C.-f -
Monolithic Slab C/IV .spit-�'
Reinforcement in Place � "
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials fork' arpese on site. /
Foundationra[l /
V
_Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
7 - . �/iAUES biV . AY- s� .
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:Z '.'TMJ)am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: r y\D / B PERMIT 4: dr. '2l10
LOCATION: 3`7 COrr L) Rei . _ INSPECT ON: ` WM4 •
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour _ \
(reinforcement in Place'``----_ i�J C�' �C -�
Foot g Dowels or Byway in place ii.,
Foun Dam roofm y,`f2 I�a- -/ �___ h/7 �
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L•\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
7si /0//7/c
Foundation Inspection Report
Office No. (518)761-8256 Date Ins do request received:
Queensbury Building&Code Enforcement Arrive: , ()am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto s , itials: 1`
NAME: fT' PERMIT#:
LOCATION: ,r7 6 (J; INSPECT ON: D/Er 0 -
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place Z—
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforce in Place
ting Dowels Keyway in place1.7
Foundation Dampproofmg
Foundation Waterproofmg
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: 1\3-5' am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:C& )
NAME:
/-67(+0p PERMIT#:
LOCATION: �, Thr I wit INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Fr
g '
• cress 22"x 30"minimum
Jack Studs/Headers
'/<-
Bracing/Bridging of
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in. r
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2,3 hour
Fire wall 2, 3,4 hour 7
Firestopping V
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
•
Town of Queensbury Fire Marshal
742 Bay Road
VA"
Queensbury,NY 12804
761-8205/761-8206
{--_ fax 745-4437
Facto Built Gas Fires la / tove Ins section Re sort
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the installation Manual accompanying the appliance. No deviation from the manufacturer's
instructions or specifications is allowed.
Permit#i)(—' 2Schedule Seedule Inspection Time l ' ' ��_am pm anytime Inspector(f
Name_L �� _-_Address �J (t? _____ Rough In Final__,
Appliance Manufacturer Es'Ask: +'%.► P \tX- )
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
---._._...---
Yes
__.____.-...- Yes No N/A Comments
Floor Protection
ls:ptgo4._v_465
Clearances to Combustibles (all sides)
�� �1\?\;6_,
Firestop(s) Vertical Cbasc ____,
Wall Penetration C,.- '-C
Vent Clearances to Combustibles
Vent/Chimney Termination ? -
Chimney height must be 3 feet above roof `Zfrt iJ )
penetration;2 feet above any combustible --- —"
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if 12)
White—Building Dept. Yellow-Customer tomer Pink--Flre Maialtal