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2010-502 u 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: P20100502 Date Issued: Tuesday, November 15, 2011 This is to certify that work requested to be done as shown by Permit Number P20100502 has been completed. Location: 11 MEADOWBROOK Rd Tax Map Number: 523400-303-005-0001-004-000-0000 Owner: BRADLEY COLLETT Applicant: SUSAN WRIGHT This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the _.. property owner of the responsibility for compliance with Site Plan, p=4 '4 Variance,or other issues and conditions as a result of approvals by the ti Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. Ali ` TOWN OF QUEENSBURY F.4tha erS 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100502 Application Number. A20100502 Tax Map No: 523400-303-005-0001-004-000-0000 Permission is hereby granted to: SUSAN WRIGHT For property located at: MEADOWBROOK 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: BRADLEY COLLETT 23 MAPLE Dr Fireplace QUEENSBURY,NY 12804-0000 Garage Attached Single Family Dwelling $105,000.00 Total Value $105,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2010-502 1320 sq ft single family dwelling&620 sq ft garage with 1 fireplace $220.40 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,November 10,2011 (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 T wn o een ur / M ' esday,November 10,2010 r.\ SIGNED BY ° for the Town of Queensbury. Director of Building&Code Enforcement 3035 , ! _ 3 OFFICE USE ONLY T i--1 -{ �''-0-V-E TAX MAP NO. ;3.S -( - (0- 1 Pin�v�'�\� PERMIT NO. jij FEES: PERMIT vCD,�4 RECREATION ENGINEERING : (If applicable) ; OWN utEE IVSBUR 'L` BU•ILf3114&&-COD•gS" ..... .-... treilecA ,9- PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER:5V 'c?d+ k / F // $ OWNER: Xk l� //e72-i' ADDRESS: I C A DV 1c e Gf ADDRESS:23�f9 ? /0 geevi PHONE NOS. 6-7 T --3 657- `Y 9,5— PHONE NOS. ` i'� ,s//91/4.5-- CONTACT PERSON FOR BUILDING &CODES COMPLIANCEAC( 6!` PHONE: 3 g..5.---/5'9-5- LOCATION OF PROPERTY:, '` 1 -r,..._ 3 -/- 17 HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 /NO / . .ier' .- YES �, NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z 0 cc o Ci W ♦— PROJECT 0 ¢ O co o rz l W � � � � w 0 = = U Z a Q � � N ° OOL~L. 0O I- Q- WZ I— tL 0- = oti SINGLE FAMILYI I OS - /4- , 111 �Am TWO-FAMILY /' 3.;-0 sgEE MULTI-FAMILY ` (NO. of UNITS ) \ 'ii ' ' LI III TOWNHOUSE (V 0, 4 l -"or r :: S0E ESFFIC > L- � � ' !z MERCANTILEIIP FACTO ►- .'IND IAL , j or ' ATTACHE, ( �1 _ (1,2,3) ` Q / 1. ! 4.,,4/"• 010 r. it PIA OTHER ` �i? IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: /Q4®cQ, U FUEL TYPE: /V �6 1 6 - / // / n. B 3-LOL 1145' ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? A" ARE THERE EASEMENTS ON PROPERTY? PIO I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and 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 issuance of a certificate of occupancy. I have read and agree to the above. Signed ' Director of Building & Codes: 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 / 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: BUILDING & CODES APPROVAL ZONING APPROVAL DATE DATE QUESTIONS? CALL 761-8256 OR EMAIL codesCa queensburv.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION irk ,', /6,/, C tG-.5v )-- •-•‘-)._ S ,,/,/,‘ � _ 1. Tp u�. ,' , ..I Bth! ;ems .ODES' . . . - APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS 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 anc also will allow all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED.Jt C OWNER: eradley l_C//L at t- INSTALLER/BUILDER: ,4'k 4J_ Z.65 (5;100,4 ch4 ADDRESS: 02-3kt /e �PgLf Z.'C/tS)k✓ ADDRESS: / 7 7Y Ai 9 a 44 44 PHONE NOS. CS ( 75/--3 6S'—/Yc3 PHONE NOS. S / f3"' )2-3-7-. 2'5)C � k44/ LOCATION OF PROPERTYAC Afip3o •, SUBDIVISION NAME: .03,-5--1-4/ LOCATION OF PROPOSED CONSTRUCTION AND/OR IN L IO76C m • .30 .S- 13 ow/3o3.S-i-tJ CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: B//,4,/in V ra /very- F a0A ie,�, PHONE: 34575--)y9S- ✓ FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL STOVE ■_ FIREPLACE INSERT FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) IIII *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: 'V trip lCOh 'DTIC.- MODEL NO/560"4-q0 -� LISTED BY: NUMBER: QUESTIONS ? CHIMNEY INFORMATION CALL 761-8205 or 761 X206 BLOCK BRICK STONE OR EMAIL: MASONRY** �/ ���'= - t s CHECK ONE '-�- VISIT OUR WEBSITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES _. _:._'��-_F��F.=�� FLUE CHECK ONE I. DOUBLE TRIPLE WALL INSULATED DIRECT VENT 1. 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. January 7,2008; Reviseu orcwuo,r.c..au-.—-- Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: 141-7 [ [ . NAME: _ LOCATION: It A4. `Al),0Wti2'nk-F2-t) PERMIT#: 2 ("IC -573'2.. Final - 32- Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the survey has be • Craig Brown, Zoning Administrator Notes: LASueHemingway\Building.Codes.Inspection.FORMSWinal Survey Zoning Administrator.doc (ear/ler / he Ver) 0 /v /V10 c,4", Queensbury Building & Code Enforcement - Residential Final Inspeels n Office No. (518) 761-8256 Arrive: am/pm Depart Y am/pm Date Inspection requ t rec ved: , Inspector's Initials: NAME: (Ql 1 1 � / PERMIT#: 0 v LOCATION: • /fes 1. . . DATE: ^ AV/ - TYPE OF STRUCTURE: Comments: Yes No N/A i 4" Building Number Address visible from road V Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake ii: i 3 inch Plumbing Vent through roof minimum 18 inches ' Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers / Guards at stairs,decks,patios more than 30 inches above grade /A7L-1 Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or WallL jSIC Interior/Exterior Railings 34 inches to 38 inches h A_, v Deck Bracing/Handicapped Ramp Compliant 11�1- �`� Grade away from foundation 6 inches with 10 feet // L. — (-OM- 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches ti/ { ��`vlit,Okr 4:� Bathroom/Kitchen watertight , Safety glazing/Wi in stairwells safety 'ng 7 T�rl1`- E " -Uzs Interior Smoke '=ectors Carbon MJnoxi Detectors 140C-\1?) — Every level: ery Bedrock / Outside every bedroo area: ✓✓✓✓✓✓ T� Inter Connected: Battery backup: J 1. ,03 Attic access 30 inches x 22 inches x 30 inches(height)in accessible area / 2 �;�- Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents / t/ �1 t.,6_% ,- Bathroom Fans,if no window 1/ C Plumbing fixtures �/ t, ' Foundation insulation to floor/Sticker on Panel ✓� Duct work sealed properly/ ✓ � � Floor truss,draft stopping finished basement 1,000 sq.ft. va _ „,,...„, Emergency egress below grade I ��� ,A o Gas Furnace shut-off within 30 feet or within line of site �,'t-�..v•- Oil Furnace shut-off at entrance to furnace area _ Fumace/Hot Water Heater operating `�`/ Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 + 41111 5 C3' Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs closed rise>4 inches / ,c- Garage Floor Pitched 1.7/. �/ `v v ��' Garage fireproofing/' hour fire door/door closer Gas Logs in Sealed or Glass Enclosure ✓/ l"—� Final Electrical;Energy Saving Light Bulbs 50% 10. �GrFinal Survey Plot Plan Ai,„, Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles V/ Flex Gas Pipe Bonding ✓� ��!'�_ , 1 a As Built Septic System/Sewer Dept. Inspection Sticker / 1 C._�/�+ d{, Site Plan /Variance required p/' Flood Plain Certification,if required Okay to issue C/C or C I 0[Temporary/Permanent] 6)/ L:\Building&Codes Forms\Building&Codes\Inspection FormsResidential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6126/08; Revised 12/22/10,Revised 04/13/11 14-7 Rough Plumbing / Insulation nsction Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: _6449 NAME: f PERMIT#: 5-02— LOCATION:1( - , RI INSPECT ON: TYPE OF STRUCTURE: 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 0 P.--.1 fo 15 minutes 4 Insulation/ ==idential Check/Commercial Check / / , .,_ - milar 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 Duct work sealed properly/No duct tape COMMENTS: 1—c,17 t C� � \fy %, U Rough Plumbing Insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 Rough PlumbingI Insula gtion`inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initiais& 9_ /43*4J,ll NAME: C , /7� PERMIT#: �(���,c c' LOCATION: It /�i�20,4z_-:t11-) ; - INSPECT ON: TYPE OF STRUCTURE: YN NIA R• • Writhing / :it Plates Plumbi '! = ents 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 - • • /Residential Check/Commercial Check o/ (Tyvek or •imilar Exterior Sealant ent, Attic Vent Y Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace a uct work sealed properly/No duct tape COMMENTS: e /v ,e„ Rough Plumbing Insulation Reportrevised Nov 17 2003,revised February 15,2005, revised January 7,2008 Rough Plumbing I Insulation`Inspection Report Office No. (518) 761-8256 Date ins• :«'• e- ed: Queensbury Building &Code Enforcement Arrive: DI 07,.art: • L 742 Bay Road, Queensbury, NY 12804 Inspector's Initi- L. NAME: Cil/ PE IT#: ;,� 11 `(. LOCATION: ,- 77,),/,3reYC� /c. INSPECT ON: /e'7-- 2 / 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 eve 100 feet/chan.e 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 cJ' Air/Head 50 P.S.I for 15 minutes Insulation/Residential Check/Commercial Check Tyvek sir r .xtenor Sealants /Winda+v Sealed (No uistion) Duct!Hot Water ' ' ation �—If requi unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape ?c•C\ '� COMMENTS: �- ��- V--C_-)Cyk* Rough Plumbing insulation Report.rev'ised Nov 17 2003, revised FeMty 15,2005, revised January Framing / FirestoppingInspection- e p!� Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm • • m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ;.�:� '� 1/4• NAME: 6) //t # PERMIT# / ,- ,.S 0 LOCATION: /1 f 1 F=�,, ,i�f INSPECT ON: /2 TYPE OF STRUCTURE: _ S -7 c 1 \ Y N A Framing COMMENTS: A ' ss 22"x 30" minimum �] (.3a4 ,1Jack Studs/Headers t\--)‘ Ada-»( " Bracing/Bridging V Joist hangers �� l Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. ored prc47 Exterior Deck Bracing I r , Headroom 6 ft. 8 in. VZ • Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %(w) 16 gauge (8) 160 nails each side < 'tea Draft stopping 1,000 sq. ft. floor trusses r_..._ Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour irFire wall 2, 3, 4 hour Firestopping Penetration sealed 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:1Buiiding&Codes Forms-OLDiBudding&Codes\1nspsction Fo ms'framing Firestopping Inspection Repod.doc Revised January 7,2008 13 !ti/e-X4- 75,1 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:r„,587/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:_,t_tfe NAME: (]O1/( 1f PERMIT#: _CJ LOCATION: ii f 4 - )Ta INSPECT ON: TYPE OF STRUCTURE: Y N 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 Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/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 6 ft. or less on center Ice and water sty=Id 24 inches from wall w sepax- . 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 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 !rade L:\Building&Codes Forms-OLDSuilding&Code&Jnspection FormsTraming Firestopping inspection Reportdoc Revised January 7,2008 Framing / Firestopping inspection Kep ° Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: t am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:eivt,T) NAME: /44' PERMIT#: `� LOCATION: if ; s01. '? rl INSPECT ON: TYPE OF STRUCTURE: Y N COMMENTS: Framing Attic Access 22" x 30" minimum Jack Studs/Headers Bracing t Bridging 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/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'A(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses An. •; - • = 6 ft. or less on center ce and water s ield 24 inches from wall moire saps = '= 1, 2, 3 hourcv„ic` f., Fire wall 2, 3, 4 hour Firestopping Penetration sealed ,��i�(,.� roq_ faiffrtki4 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:1Buikrmg&Codes Fortes-OLD1BuiIding&CodesUnspection FormssFraming Firestopping Inspection Repot.doc Revised January 7,2008 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:(I NAME: (. 044-Or- PERMIT#: 2.01 C— 5c3 2_ LOCATION: l 1 M.,Af)O t,oanc 2r7 INSPECT ON: 11 1-L1 \ . TYPE OF STRUCTURE: 5 9 Con mit Y ` N/A Footings Piers Menoltthrab 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/Walliour 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 abovtto. polrfoFwetareas under slab E idppFeva� Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Buiiding&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report �r 3 P� Office No.(518)761-8256 Date Inspection request received: /i a 3/;-(9/0 Queensbury Building&Code Enforcement Arrive: am/pm Dep /// am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: • � � NAME: PERMIT#: J/O - U 3 LOCATION: /,Afeaciolsi&ive/L— INSPECT ON: Ii I , /0-4A-e) r p TYPE OF STRUCTURE: .51 Comment% 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 AS'4,EkAk'5174 -6 Footing Dowels or Keyway in place —1 „:s1, z{1 Foundatio �proo g ,/ ic �4A- - on aterproofing 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\Foundadon Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM KGs Foundation Inspection Report � Office No.(518)761-8256 Date Inspection request received: 1 i/i 67/0 Queensbury Building&Code Enforcement Arrive: am/pm Depart:-2pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: Lhg_ Ct.'// NAME: A.; GJ h / PERMIT#: /0 S° 2— LOCATION: e 13ot r}:?NrINSPECT ON: /1//r/ 6/ TYPE OF STRUCTURE: ` Comment Y N NSA Footings Piers 1C2<'1 Monolithic Slab 2.(71-k ?L S 71-4- Reinforcement Reinforcement in Place The contractor is responsible for (_? `. << Tztz `T-05P 014- providing protection from freezing for 48 hours following the placement --- of the concrete. Materials for this purpose on site. rte>%-‘_,-5 X _ Foundation/Wallpour Z.. Reinforcement in Place Y G44Z- ,_.- Footing Dowels or Keyway in placea.),�` 14.4 "2- Foundation Dampproofing Z Foundation Waterproofing �,�� C�- "{� r► 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:\Buliding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM f -- '3 Tr' - Foundation tion Report 7 Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Dep:. : 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: C,C / PERMIT#: 10 _ sI 2 LOCATION: � ;h roc* INSPECT ON: /1-//, /C TYPE OF STRUCTURE: Comment Cotings Y N �L 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 k S ,lace ooting Dowels o in pl • :'. pproofing 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 Reportdoc Last printed 12/20/2005 9:24:00 AM Rough Plumbing I Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: _ Queensbury Building &Code Enforcement Arrive: am/p Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ,. NAME: (1 6L PERMIT#: 2°1° LOCATION: `t . �� INSPECT ON: ( 2 g j to 1. TYPE OF STRUCTURE: -- )(42 Y N NIA I Rough Plumbing/Nail Plates Plumbing Vent I 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 hi.hest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes Insulation/Residential Check I Commercial Check T :k or Similar Exterior Sealant Proper Vent,Attic Vent / 1 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: 2A '`' lj"-? -LA-t/J1/4-4'1(0 Q \ �� Rough Plumbing Insulation Repat.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 r7(,) Fire Town of Queensbury Ft a Marshal j 742 Bay Road IIIP, Queensbury,NY 12804 761-82051761-8206 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# , _ , t..Schedule InspectionTime i0 yam pm anytime Inspector �'`1) Name 2, • Address 4 /n .,-z_._; 10 Cbc, Rough In V.Final Appliance Manuturer lok-.YF" 14._. Model# 'S(0. 1)� rOsi Direct VentFactory Built Chimney Flue Size Double Wall Triple Wall WInsulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) r Firestop(s) Vertical Chase V Wall Penetration . /r / Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve // _ Combustion Air Hearth Extension (if any) 7 Mantel i Height above f/p opening Witness Operation i Tank Placement(if LP) CO Detection z l&I CSST Bonding White—Building Dept. YeUon—Customer Pink—Fire Marshal