2006-723 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20060723 Date Issued: Friday, August 09, 2013
This is to certify that work requested to be done as shown by Permit Number P20060723
has been completed.
Location: 27 TREASURES PI
Tax Map Number: 523400-302-008-0001-060-000-0000
Owner: AMEDORE GROUP, INC.
Applicant: AMEDORE GROUP, INC.
This structure may be occupied as a:
Garage - 1 Car Attached By Order of Town Board
Townhouse TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan, Variance, or ` ,/),
approvals other issues and conditions as a result of a ls bythe Planning Board `
pp anngDirector of Building&Code Enfo cemen
or Zoning Board of Appeals.
1
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060723 Application Number: A20060723
Tax Map No: 523400-302-008-0001-015-000-0000
Permission is hereby granted to: AMEDORE HOMES
For property located at: 314 BAY 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: JAMES & GLADYS BROWER TRU
121 POTTER Rd Garage- 1 Car Attached
GANSEVOORT, NY 12831-1011 Townhouse $17,500.00
Total Value $17,500.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2006-723
BUILDING 3
1641 SQ FT CONDO WITH ATTACHED 268 SQ FT 1 CAR GARAGE
$256.54 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 21, 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 of ensb Tl u rs)ay, September 21, 2006
SIGNED BY 1 for the Town of Queensbury.
L-� Q nsbury.
Director of Building_ a.: :.:', Tn orcement
_ rt,
I
LI ; Id!:11 6" '
-- i� ■ iilir`-.Tr-oet
OFFICE USE ONLY
TAX MAP NO. A • — �—
PERMIT NO... )(-) -4L-22.1. ; Date
FEES: PE- T h�
- 'CRE •
p
ATION
• ENGINEERING
801( Nc�s`ii/ tij s� - a (If appllcabte) StlYl
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PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A P`ER +IIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. IS SUBJECT TO
APPLICANT/BUILDER:
2 OWNER: oa_ .
ADDRESS: 4 4. -lI Al -
libEftnxi �) I22C� ADDRESS:PHONO
S. X51 ��S"l — ,,
PHONE NOS, _Qi .
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:
PHONE;
LOCATION OF PROPERTY: ...._... k 2 / ci_so es Act
SUBDIVISION NAME: I a
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
0
PROJECTO YOUR oce
,--7c o
E LL o ° co
w t co
�- S , cn OL• ° a = 0
U p SINGLE FAMILY
0 MP 1 • zzci•.-i4
le;14 TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS_
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACH.
A
GARAG�' ,3) E---"2 VCJ
OTHER
Z .
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION DOST:
�� ` _' -FUEL TYPE:
HEAT TYPE: 'HOW MANY FIREPLACE(S):4pi ian 1ND I OR WOODSTO
ZONING CATEGORY: VES(S):
ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? _.__y_e_5
PROPOSED USE OF BUILDING OR ADDITION: & 0 /
411
*Please complete a separatepp
Application for`Fuel Burning Appliances&Chimneys" :vailable in our office
,` 83.1,01.11-05
,, .., of QueensIntry Community Development Office • 742 Bay Road, Queensburu. MY 11 pm
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /\)(-)
ARE THERE EASEMENTS ON PROPERTY? /di e4,Y,IntkaAJ5
I acknowledge no construction acti sties Shatl be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true aid
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuancerof a certificate of occupancy.
I have read and a7to the above.
Signed t
Director.of Building &_C.des:.•761-8256 (for questions regarding Building Permits, construction
codes or septic systems
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
•
Permission is hereby granted to the above : This application I proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
Ali/
BUILDI GII 0I6ES APP- •' • ZONING APPROVAL
�1.70(�
DAT DATE
QUESTIONS? CALL 7614256 OR EMAIL
odesqueensburv.n0t
VISIT OUR WEBSITE FOR MORE INFORMATION
WH►W,gburv.net
- Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
, c /-_3 Cir))
'Queensbury Building & Code Enforcement - Residential Final Inspecton
Office No. (518) 761-8256 Arrive: am/pm Depart: l 4 am/pm
Date Inspection re uest received:lInspector's Initials:
•
NAME: ` 1 �R c-C�+t-o+. PERMIT#: (.1)(0— , 3
LOCATION: A. 7 I n p c 0 r.::,,, DATE: --41----/ 3
TYPE OF STRUCTURE: (• '-rk rd.,
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location ✓
Fresh Air Intake ,,
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete ,Z.,/
Platform at all exterior doors
Handrail 4 or more risers ✓ t
Guards at stairs,decks,patios more than 30 inches above grade v/,
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more /
Handrail Termination at Newell Post or Wall j
Interior/Exterior Railings 34 inches to 38 inches _ V 7
Deck Bracing/Handicapped Ramp Compliant
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 f/�
Bathroom/Kitchen watertight v/ /`
Safety glazing/Window in stairwells safety glazing r ✓
Interior Smoke Det6ctors/Carbon Monoxide'Oetectors
Every level: r/ E ry Bedro /
Outside every bedroorea:
Inter Connected: --(( Battery backup: f
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 V
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel / o/
Duct work sealed properly/Blower Door Test Certification 4/
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below gradeV, '
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'/:"Gypsum tt06 /:"..-
Basement stairs closed rise>4 inches / I
Garage Floor Pitched v/:,
Garage fireproofing/3/4 hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure ,
l
Final Electrical; Energy Saving Light Bulbs 50% ✓
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding t/
As Built Septic System/Sewer Dept. Inspection Sticker E ,,
Site Plan /Variance required ."\ V
Flood Plain Certification, if required ":,:,/
Okay to issue C/C or C/O[Temporary/Permanent]
ci.....2
L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
� k3
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm • -part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: A, . Ttf"
NAME: PERMIT #: ale)-7a 3
LOCATION: �'7 �e _ INSPECT ON: La-al-1 3
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 % 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
50 P.S.I for 15 minutes
Insulation / Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant \1\cee
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008
1 t.—
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins ction r quest received: y /Y/ 3
Queensbury Building & Code Enforcement Arrive: am/pm
742 Bay Road, Queensbury, NY 12804 Inspecto s l iti Is: . __Ilk
IF
NAME: 4)0\ ((a«_. PERMIT#: 06- 7
2-3
LOCATION: 2-1r(�/rl 5c e 1 L,1 C _INSPECT ON: iW 3
TYPE OF STRUCTURE:
Y N N/A COMMENTS:
Framing
Attic Access 22" x 20" minimum
Jack Studs/Headers
Truss Specification Provided
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
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches / Holes /Bearing Walls
Metal Strapping for Notches Top Plate
11/2 (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 ans water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
cry/
Firestopping r ie,_ I V) 4.'c. f1 ''-e_____), fC,-0) (2-
Penetration
sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 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
Design Professional Sign-off, If required
Framing Firestopping Inspection_Revised_02 0513
Framing I Firestopping Inspection Report N1)r\eioti l0 -IA (( i,.e)
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/p D=• - .: c ' am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
PERMIT#: 44 3
LOCATION: ;a, - fr A 12 ,%i { i --C INSPECT ON: ic'1 c-t
TYPE OF STRUCTURE:
Y N N/A COMMENTS:
Framing
Attic Access 22" x 30" minimum N7/
Jack Studs/ Headers
Bracing /Bridging
Joist hangers V
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in. •
Notches/ Holes I Bearing Walls
Metal Strapping for Notches Top Plate
1 %(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
Firestopping
Penetration sealed ‘5" )
16 inch insulation in cavity min.
Garage Fire Separation
House side %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
L:1Building&Codes Forms-OLD1Building&Codes\nspection Fcmxs\Framing Firestopping Inspection Report.doc Revised January 7,2008
Town of Queensbury Fire Marshal
tivoTO 742 Bay Road
Queensbury, NY 12804
if 761-8205/761-8206
fax 745-4437
Factory Built Gas 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
instructions or specifications is allowed.
Permit#C7a36 `J
— ` S hedule Inspection 6/74..? Time 344am p anytime Inspector(J'
Name �f(S/� 4tJw5Address 07 / ReA9 s p���� Rough In Final
Appliance Manufacturer#10 V..10fres_ iiikr"Model# 19V37gC,
Direct Vent Factory Built Chimney/ Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments �t
Floor Protection gb�L ®D��� - /4",j
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles X.
Vent/ekenEw Termination ,,� �.� �� - /�� ju .s
Chimney height must be 3 feet above roof ® V �,J,G��tj��'
penetration; 2 feet above any combustible EEIIII)
Ci��, lf
construction within 10 feet `P o Coi � cti� Ai V
Gas Shut-Off Valve Lztai /M Jfie
le
Combustion Air X
Hearth Extension (if any)
Mantel —, /1. Aittitild //h,-Mfkej If oit-
Height above f/p opening
Witness Operation X ,
Tank Placement (if LP) ....
444
ii* " ./
r
04,k,
CO Detection V '1 / 0
CSST Bonding x, /"C ` /�
White—Building Dept. Yellow—Customer C- AL Fire Marshal
csv 10
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: _ am/pm Depa am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: re- PERMIT #: Id
LOCATION: e ("it)t r INSPECT ON:
TYPE OF STRUCTURE: (W - ?b =7 -rJ
���. N NIA '�3 3
Rough Plumbing / Nail Plates i — ) `1 3
Plumbing Vent/Vents in Place V
1 % 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
,7y/
Water Supply Piping
Air/ Head
50 P.S.) for 15 minutes
Insulation / Residential Check / Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace f
Duct work sealed properly / No duct tape
(3-((_k:"
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Framing / Firestopping Inspection Report d= lb
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/p Depart: 1 �am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: I
NAME:_ GSI, r e PERMIT#: 069- 7/3
LOCATION: .11„o� INSPECT ON: S /to / 3
TYPE OF STRUCTURE: 01'11"f:3)10
Y N NIA COMMENTS: 0 (9 - 7a 3
Framing
Attic Access 22" x 30" minimum 6(9-7 3 3
Jack Studs/ Headers3
Bracing / Bridging 40(9
Joist hangers
Jack Posts I Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in. •
Notches I Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 ' (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour �- "Th :44
v V
Fire wall 2, 3, 4 hour ---
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side inch or 518 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
L:\Building&Codes Forma-OLDeuilding&Codes\Inspection Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008
L(. ,S D
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/pm DepaJ
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: /"\14'-6D�`� PERMIT#: 0 — / A a
LOCATION: 1°/j c8.6 ��
- r , ♦, INSPECT ON: -9- 1 3
TYPE OF STRUCTURE:
Comments
(0-7a3
Y N N/A
Footings ` _) 3 3
Piers
— 7 f3
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
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 —0/
P x�mbing Under Slab � V J -1
'11V9i 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 request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: ,'am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: L �� lam'
NAME: 19 re PERMIT#: 01.9- ? / 3 "
LOCATION: -13. r_j��� ��'rf� INSPECT ON: 4(--
TYPE OF STRUCTURE: u3K-v it--
II 3 comment,
-7013 '-
®(9
Y N N/A
Footings •
Piers 7
it
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.
F n tion/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation 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 Insulationtenor/ Aterior
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
00,?) / '. a 0
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection re• iv..:
Queensbury Building& Code Enforcement Arrive: 1Z • :-//or, Depart: "7" • p�
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
NAME: _ •VtMIT
LOCATION: AQ INSPECT_ Q ION: (f,3
TYPE OF STRUCTURE:
Comments �d �✓
Y N N/A •VjlW) ,
Footings 1
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing (p 3
for 48 hours following the placement
of the concrete.
Materials for this purpose on site. /
Foundation_/Wallpour �
19f
Reinforcement in Place � / i-3 t t6�E F 3
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
-3 6 butz, 1 4)
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ h De art: a m
742 Bay d.,Queensbury,NY 12804 Inspector's Initials: p
NAME: 1, e a a r p_ PERMIT#: 6& r 7 / .3
LOCATION: /
� �' /-' p L INSPECT ON:
TYPE OF STRUCTURE:
667
Comments
33
Y N N/A 3
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 PlaceTD 9
l
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing 1
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 Forrns\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
C S /0 -I
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/pm Depart:/C pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials
NAME: a-ciprc . PERMIT#: 0(o— M
LOCATION: � INSPECT ON: 3 — o—/ 3
TYPE OF STRUCTURE:
0(9-7
3 Comments O(a r7 3,3
Footings V)
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 Place6/)
Footing Dowels or Keyway in place
Foundation 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
7/3 Final Survey Inspection
Dept. of Community Development
Town of Queensbury
rr 742 Bay Road
Queensbury, NY 12804
• Date received: -1,7Z • (
NAME: c,re
LOCATION: ��11 < ( 3 ( fue\W
PERMIT #: a(SOCA.- 7 j .3
7,A3
73 .3
Final Survey Plot Plan
Approved Denied
The attached final
survey has been •
received by the
Dept. of
Community
Development.
Upon review the
survey has been:
1 _h
Craig BroWii, oning Administrator
•
Notes:
L:1SueI-lemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
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being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date l',,,t
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<<�: Joseph A.Holme'[ ,�: .ire, ;�.:,:; ;.;P;fir. '47?..� g
140864:1'62356EL- r'n3=° .A i'. ? ..,..k!':.,,,-..:-.,:.'' ''' r
Equipment: jx. ': :~<•::• . y
} c�''-Mir :t:r',;',. t- 1 .i•-, : .t` ..,4 i
k. 21 -Switches; 38 - Receptacles; 2'4'{='Fixtures; 1`-Air''condition r'S'I-•- BClrner, Winrigf Controlss, - Dishwasher; (�,�
p, e , Ga 1 ,S
.:,'• 1 -Dryer; 1 -20 Amp. Receptacle Washer; 2 -Vent Fans; 6 -Smoke Detectors; 1 -1.100 Amp Sub Panel; 1 -Water j,
Heater • r.5
o
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1J
Thi&certificate applies to the electrical wiring to the electrical equipment listed Immediately null and void. This certificate applies only to the use-occupancy and 15 yw
�h.
sfl
>GW above end the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use.occupancy or ownership (N
/(<,1) inspection, No warranty Is expressed or implied as to the mechanical safely.effi• 0f the property indicated above,this certificate shall be Immediately null and void. y)
� ciency or fitness of the equipment for any particular purpose, The certificate shall In the event that this certificate becomes invalid based upon the above conditions, 4��
`'S, be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department '.1
l ) System to which this certificate applies be altered in any way,including but not limit- Inspection Agency.Inc. An application for Inspection must be submitted to Middle <;J
(k,tci ad to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation
•'i- any of the components installed as of the above noted date,this certificate shall be
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process. A lee will be charged for this service. •V,,!.
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