2013-381 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: P20130381 Date Issued: Tuesday, August 19, 2014
This is to certify that work requested to be done as shown by Permit Number P20130381
has been completed.
Location: 620 AVIATION Rd
Tax Map Number: 523400-302-006-0001-030-000-0000
Owner: DOUBLE "H" HOLE IN THE WOODS RANCH IN(
Applicant: BURGER KING
This structure may be ocPasS P. RIIEL, ARCHITECT
Commercial Alteration By Order of Town Board
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
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code nfor‘>, ent
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130381 Application Number: A20130381
Tax Map No: 523400-302-006-0001-030-000-0000
Permission is hereby granted to: ANDRES H. RIIEL.ARCHITECT
For property located at: 620 AVIATION 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: DOUBLE "H" HOLE IN THE WOOD
C/O CARROLS CORP Commercial Alteration
P.O. BOX 6969 Total Value
SYRACUSE,NY 13217-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
CARROLS CORP.
315-424-0513
968 JAMES St
SYRACUSE NY 13217-0000
Plans&Specifications
2013-381 BURGER KING
COMM. ALT. 2,928 sq. ft.
Cross Ref. SP 43-2013 Planning Board August 27, 2013
$585.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,December 03,2014
(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 Tow of Qu nsbu A T • d• 1 • ember 03,2013
11
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes
Received: 2Q13
Tax Map ID: NUL)
PRINCIPAL STRUCTURE APPLICATION Permit No.: 1 3 -.2 871
A permit must be obtained before beginning construction Permit Fee: $ S g 5—, Li
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $
units, including single-family dwellings, duplexes or two-family dwellings, multiple family Site Plan No.:
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.:
homes,but not including mobile homes. This is in addition to the permit fee.
Date f U CS U ST 13 , 201'5 Applicant _/-� N)DR E S
Tax Map ID 3o2. . CP — l — 30 Address VI IZo OLD ►D€T1ZoIT D.
Zoning Cl RocI<T 1 VE . OH�o 4411(.D
Phone/E-mail `f o -33 3 - Co 4 0 0
A Rt EL Ar € reGN.NES. aro
Property Owner "Dott6LE (a I-t t.. [N Tt+E wociD S Contractor/Agent C►a2 -° S Cog.?
Address P.o. BO)C (a 9 C.o9 Address 9 Co 8 3A-PIES ST.
STRFlCuSE , >JT 13211 57RAeuSE., NY"( (321—I
PhonelE-mail Phone/E-mail 3 I S— tt 21{ — 0 S 13 /i
P eADtOI 26262kC'ro(s ,ck)
Contact Person for Building&Code Compliance: RNtYRes i'-1. 12t1EL, Azc i Fre cc. Day Phone: 44v•333 ia�CO
Building Street Address: Cod- 0 AVFR T IoN. RO/1
Subdivision Name: Lot#: Historic Site: Yes No
Estimated cost of construction: $ p� (fib(OD
Type of Construction:
Check all that apply Please indicate measurements as required below:
c
0 g
1st Floor 2nd Floor Other Total Height
F a a
Single Family
Two-Family
Multi-Family(#of
units )
Townhouse
Business Office
Retail-Mercantile X 2 19 l
Factory-Industrial
Attached Garages(# )
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
If commercial or industrial indicate name of business ,1 URGER_ K I
Proposed use of building or addition
�.�
Source of heat(circle one) Ga Oil Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" Yes >CNo
Are there structures not shown on plot plan?
Are their easements on the property?
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot?
c. Will the grade be changed as a result of construction: Yes }CNo
d. Public water or Private well 'U PJU L
e. Sewer or Private Septic System 5€w E t.
Value of all work to be performed(labor and materials) $
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. 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.
Print Name: Ai'J1Y-ES • 2 i E L
Signature: � �/�iC,ci�' Date: ei,//3
FOR OFFICE USE ONLY:
Operating Permit Issued: _Yes No
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Inspection Form 3d
Town of Queensbury Fire Marshal o Periodic Inspection Date: fATimell
742 Bay Road,Queensbury NY 12804 Re-Inspection
518 761 8206/518 761 8205 '5:-4CO Inspection Permit#: ,1_31
,-Fjre Marshals Representative
i• MJ Palmer Business Name: 6({(`t-R:( lei
Location: LO b P^d {n n rid
GK Stillman Contact: )<to,-}-An i
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 y
Secondary Aisle Width FC 1025&FC1029.11 l X)
FIRE EXTINGUISHER: Hung FC 906C\
AA9 {1
Inspection of extinguisher FC 906 _
EVAC Plan FC 404.2 1 y
TRUSS ID SIGNAGE FC 505.3 O1r' Ci(' (i\
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8
Exterior FC 1006.3
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1 j--
Combustibles in Equipment Rooms FC315.2.3 �Y j tt -�Uc -- t
F.D.Signage- FC 510 1 l
No Smoking Signs FC 310.3
Storage FC 315.2 I Vsl --pi 5104 I l
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1 K/ y` 1:1")(3),,
Interior Finishes FC 803-804
Smoke Detectors FC 907
CO detectors FC 610
Clearance to Sprinkler/Ceiling FC 315.2.1
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 &R2)
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
Emergency Disconnect FC 2203.2 21 DAYS
Insp OK NC DATE: OK NC
SYSTEMS: FC 901.6 Date
Generator _ Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE:_ OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6-Annual
Knox Box:Installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
Town of Queensbury Building&Code Enforcement 1 .J\12c\sCjit, g D
Office No.(518)761-8256
Commercial Final Inspection Report
Inspection request received:
4r'A.> Lc C.
Name: u.A K _ Inspected on: 71-441)1/V
Location: - Arrive: � a.m.l p.m.
Permit No.: 3 Inspector's Initials: iC�R7
k \ 3 COMMENTS
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in 10'or Equivalent
Interior/Exterior Guardrails 42 inch Platform I Decks
Interior/Exterior Balusters 4 inch Spacing Platform/Decks
Stair Handrail 34 inch-38 inch/Step Risers 7"1 Treads 11"
Vestibules For Exit doors>3000 sq.ft.
All Doors 36 inch w/Lever Handles/Panic Hardware,if required
Exits At Grade Or Platform 36"(w)x 44"(I)1 Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight 1 Other Floors Okay
Relief Valve,Heat Trap 1 Water Temperature 110 Degrees Maximum
Boiler!Furnace Enclosure 1 hour or Fire Extinguishing System
Fresh Air Supply for Occupancy 1 Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft.or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 1/2 doors > 10%>1000 sq.ft.
3/4 Hour Corridor Doors&Closers
Firewalls I Fire Separation,2 Hour,3 Hour Complete/Fire Dampers I Fire Doors
Ceiling Fire Stopping,3,000 sq.ft.Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan,if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars!Sinks/Toilets/Mirrors
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 inch,Checkout 36 inch
Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides]
Active Listening System and Signage Assembly Space •
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4"
Water Fountain or Cooler
Building Access All Sides by 20'/Drivable Surface 20'wide
Special Inspection -:.• -r or Architect Approval �' /
Okay To Issue emporary o "ermanent C/O •/b►/4S4Okay To Issue C
Commercial Final Inspection_11 27 12
Inspection Form
q
Town of Queensbury Fire Marshal o Periodic Inspection Date: 1� ')ti Time:
742 Bay Road,Queensbury NY 12804 o Re-Inspection 2
518 761 8206/518 761 8205 3
CO Inspection Permit#: 13 - 1
Fir Marshals Representative
MJ Palmer Business Name: �;t(�
Location: L› 41“1.-4-1 w �
KGK Stillman Contact: 1al'
Type of Inspection N/A Yes _ No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024&FC1029
Locks and latches FC1008& FC1029.2 I.) NIVQ15 c;4•i 1 A4 •
Sign:Normal FC 1011 &FC1029
Sign:backup FC 1011.5.3&FC1029.7.5 QE:11A-t Y1ri Mci.Vt1 C,S%y Qin N.p914A+'
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11U r
Secondary Aisle Width FC 1025&FC1029.11 "Ci t,n c 1h-1k' ��1I4 t.-
FIRE EXTINGUISHER: Hung FC 906 ,
Inspection of extinguisher FC 906 ` \ �Q`1G-' ,-OS 4 �/
NC
EVAC Plan FC 404.2 J
TRUSS ID SIGNAGE FC 505.3 Li I ` 5 5 0 �r r P 3 (010164-4EMERGENCY LIGHTING: /J
Interior FC 1006.3&FC1029.8 1 c r Co,
Exterior FC 1006.3 ..
Clearance to Electrical FC 605.3 �j t/
Electric Wiring Enclosed/Labeled FC 605.3.1 5 V-^kms `�C_i\ C t-ic
Combustibles in Equipment Rooms FC315.2.3
F.D.Signage- FC 510 b )
_No Smoking Signs FC 310.3 c i c fi
Storage FC 315.2 C.1 0..ii) (I,%W.;(\c" / t-1-1\lith S
Compressed Gas FC 3003 ,
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803 -804 7) .. ....7.: 'i jw- S n-t i S'S i !r)
Smoke Detectors FC 907 {±-(1 i z tt.1 C441:-) v)
_ CO detectors FC 610 �,�L
Clearance to Sprinkler/Ceiling FC 315.2.1 f7�'y •-v 19/4.---C9-
18" / 24"
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) �
Fuel Pump Warning Signs FC2205.6 e -'r`�`."264_, y d,„„„/L,1z4 ,
Fuel Station Emer Procedures FC2204.3.5 (2--) 1261)110` Aj hot te.tr- cG .
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMA TEL Y
Vacant Buildings FC 311
Emergency Disconnect FC 2203.2 �) l 21 DAYS
vim- 1lb 4 .
SYSTEMS: FC 901.6 Insp OK NC DATE: /*� f�/
Date
_Generator Annual DATE: O C v
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual -
Sprinkler FDC L ot\f'
Kitchen Suppression Semi Annual _
Fuel Island Suppression Semi Annual Cv h (2� s-
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 n�n ReC(\,0\ 1\
Operating Permit, if required will be issued after lJ
Completion of Inspection
6I W(1 (L Gc\i°
Town of Queensbury Building&Code Enforcement ill (, a,L :)-" 'f
' 'Office No. (518)761-8256 /� _�
Commercial Final Inspection Report 1
Inspection request received: j -rQ a-- J<I
Name: t"�(',4, ,rni,, Inspected on: /-?3 7
Location: (O C�d �- (Dn Arrive: ICJ a.m./p.m.
t
Permit No.: /3' ,3lj Inspector's Initials: 31
. COMMENTS
YN NA
Chimney/"B"Vent!Direct Vent Location r, 1 et
Plumbing Vent Through Roof 6"!Roof Complete
Exterior Finish/Grade Complete 6"in 10'or Equivalent / {h, ( --g". 56-DInterior!Exterior Guardrails 42 inch Platform/Decks V/
Interior/Exterior Balusters 4 inch Spacing Platform/Decks V
Stair Handrail 34 inch—38 inch/Step Risers 7"!Treads 11" / D
cfpVestibules For Exit doors>3000 sq.ft. / _ ripls J 6rc N'� 1
All Doors 36 inch w/Lever Handles/Panic Hardware,if required ✓ / fro✓� E>G�� �����<
Exits At Grade Or Platform 36"(w)x 44"(I)/Canopy or Equiv. / V
Gas Valve Shut-off Exposed&Regulator(18")Above Grade ✓/
Floor Bathroom Watertight/Other Floors Okay ` Fin/ ( ,.,/ � ��•
Relief Valve,Heat Trap!Water Temperature 110 Degrees Maximum ✓ /
Boiler/Furnace Enclosure 1 hour or Fire Extinguishing System ✓
Fresh Air Supply for Occupancy/Ventilation Combustion /
Low Water Shut Off For Boilers ✓ f
Gas Furnace Shut Off Within 30 ft.or Within Line Of Site ✓/
Oil Furnace Shut Off at Entrance to Furnace Area ✓✓✓✓
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 '/2 doors > 10%>1000 sq.ft.
3/.Hour Corridor Doors&Closers
Firewalls I Fire Separation,2 Hour,3 Hour Complete/Fire Dampers I Fire Doors fi
Ceiling Fire Stopping,3,000 sq.ft.Wood Frame ✓/.
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" ✓
Smoke Vents Or Fan,if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars 1 Sinks/Toilets/Mirrors 1//:
✓
Handicapped Bath/Parking Lot Signage a /
Public Toilet Room Handicapped Accessible ✓
Handicapped Service Counters,34 inch,Checkout 36 inch /
Handicapped Ramp/Handrails Continuous/12 inch Beyond[Both sides] J
Active Listening System and Signage Assembly Space
Final Electrical I Flex Gas Piping Bonded ✓
Site Plan I Variance required yr Final Survey,New Structure/Flood Plain certification,if req. /
As-built Septic System Layout Required or On File /
Building Number or Tenant Address on Building or Driveway 4" V/1 / "
•
Water Fountain or Cooler ✓
Building Access All Sides by 20'!Drivable Surface 20'wide /
Special Inspections ' er or Architect Approval ✓/
Okay To Issue empora ermanent C/O t/
Okay To Issue
4/I oaf
Commercial Final Inspection_11 27 12 /
60/1- � i /s- Gnt WeEIL
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. ,
,,,,,,,,,,:,,,,,,,,,„,:,
,..,,,,,,,-,, .
:,,,,,,,,„.„ aR 1 1 E L ARCHJECT
1 91 20 OLD DETROIT RD. ROCKY RIVER. OHIO 441 _ 6
TEL: 440-333-6900 FAX: 440-333-6902 email:ariielOsbcglobal.net
January 21, 2014
Mr.John O'Brien
Building&Codes Office
Town of Queensbury
742 Bay Road
Queensbury, New York 12804
Re: Burger King Alterations
620 Aviation Road
Queensbury, New York 12804
Dear Mr. O'Brien:
This correspondence shall serve as certification that all construction work on the above referenced
project has been constructed in accordance with the approved plans and specifications and has been
completed in conformance with all provisions of the Building Code of New York State.
Sincerely, ,J
A. H. Riiel Archill
• 6fre
t614 � *
'9j. 0,266 go GQ
F NES y .
Q
Andres H. Riiel,Architect
Cc: Paul Lenowicz, Carrols Corporation
17\
. .
•
. .
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
•
Main Office 176 Doe Run Road-Manheirn,PA 17545
. .
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
. ,
. .
. .
. ..
.. ,
Perrnit No )3 -a 1 cert. N2 27781
Cut-in Card No
... • • .
. .
. .
. Owner .6 si./1.6.-. .<4, g e r? c- • •
Location..... Q A 1-1 IA PfM/ AO Ci. I/ cc.4.4
•
• Installation Consisting of.. ph -J... 3.0 ./4fut.f,%,,,,Zi-'414, 7. A9472.7.10.... •
•
.3...i.A:a.A rit......7...gems-.n.qnrivi.47-4: / •ed4olZ Z...ZeoP.4 oid!.C.0 L45. 1 A
•
/ ,k5-..0 cr.€12c•
• Installed By....D.act,6.4.A%.lair /6 '<=-7.(41C - Lic.No
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 11» Company shall have the privilege of making inspections at any time, and if its
rules are violated.the Company shall have the right to revoke this certificate.
Date i-02.2 / Li INSPECT014, 21- 4,-rweleef----" •
TO 39VcI 0-1Eivinvi NON 14. .. IVDA I A G.1
08S186L
EIS :EI t7I0Z/EZ/T2
1.00'd V8S L86L SZ:l l V KIVU/LO aWilielea n1
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection r •. •.
Queensbury Building&Code Enforcement Arrive: ♦: �- Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Ini
NAME: GORGES 1tJC� '!• ' �T#: 1„�—Ll
LOCATION: (p ZO v 1 f rTi 10 ilia)INSPECT ON: E — ZZ — l
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings � > �EC
c �l E� CCS tkY Q- I
Piers
Monolithic Slab \ EJo .
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 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
THE Special F _
Inspector, LLC
instruction Testing and Special Inspections
PROJECT: Catalfamo Burger King Qby INSPECTION Plastic Concrete
CATEGORY:
CLASS/LOCATION: Footing/Walkway SI PROJECT#: 841
DATE: 12/11/13 YARDS POURED: 3.5
FIELD TECHNICIAN: Doug Fiore-ACI Field Technician Level 1 REPORT NUMBER: 841-CT-1
SUPPLIER: Clemente Latham AIR TEMPERATURE: 30
DESCRIPTION OF TESTING SERVICES
The SI performed field testing of plastic concrete for footing/walkway
PROPERTIES OF FRESH CONCRETE
TRUCK TICKET SLUMP AIR CONC. DENSITY TEST
TIME NO. NO. IN. CON TENT TEMP.°F LB/FT3 CYLINDERS
9:50 AM 570203 40601179 5.5 6.7 55.6 148 0 NO YES
❑ NO ❑YES
❑ NO ❑YES
❑ NO ❑YES
❑ NO ❑YES
❑ NO ❑YES
COMPREHENSIVE STRENGTH TEST RESULTS
CYLINDER TEST AGE MAX COMPREHENSIVE TYPE OF
NO. DATE (DAYS) LOAD(LB) STRENGTH (PSI) FRACTURE
841.12.11.13.1 12/18/13 7
841.12.11.13.2 12/18/13 7
841.12.11.13.3 12/18/13 7
841.12.11.13.4 1/8/14 28 73680 5860 5
841.12.11.13.5 1/8/14 28 72110 5740 5
841.12.11.13.6 1/8/14 28 73930 5880 5
See Test Results Continuation Sheet 0 NO ❑YES
NG••-Cylinder exceeded tolerance requirements and was not tested.
REPORT DISTRIBUTION
I certify to the best of my knowledge; the accuracy of the above OWNER/CLIENT
report information, and that all inspection and testing noted above CONTRACTOR catalfamoconstruction@verizon.net
was completed in general conformance with standards and
specifications applicable to each. RDP
BUILDING CODE
OFFICIAL codes@queensbury.net
Daniel W. Ryan, P.E.
OFFICIAL
Special Inspector/Lab Technician Digitally signed by Daniel W. Ryan P.E.
Date:2014.01.17 14:37:37-05'00'
16 Pearl Street•Suite 200•Glens Falls, NY• 12801 •P: 518.636.3177 • F: 518.792.9282
You get what you inspect, not what you expect!
Framing / Firestopping Inspection Report Z-
Office No. (518) 761-8256 Date Inspection reque •' ,r z/ /
Queensbury Building & Code Enforcement Arrive: ' 1i . a ,�0
742 Bay Road, Queensbury, NY 12804 Inspec or's Initials �d�
•
NAME: )nom fa. yik u �,✓`�; PERMIT# I
LOCATION: 2 0 �, (M F--O INSPE A ON: FM L
TYPE OF STRUCTURE:
Y N N/A COMMENTS:
*4raming o aLil re t l �
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
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1 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
.k-/0Rou h Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Insp ction requ• : e •i •d: 11`y l l
Queensbury Building & Code Enforcement Arrive: i
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: , __
VA t
NAME: (3,N' j�j PERMIT#:
LOCATION: tJ t)Ai ,a`�"i ln' INSPECT ONII 1W ti
TYPE OF STRUCTURE:
y Z_ nINlj�� -toutl�—
Y N N/A
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 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. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I. for for 15 minutes
sulation /Residential Check/Commercial Check\--\?--
Window Sealing ���
,. (Tyvek or Similar Exterior Sealant \,/ Ex=)(`A
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
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbing_Insulation Inspection_02 05 13
S-- -/C
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date In ection requ: t re.eiv•d•
Queensbury Building & Code Enforcement Arrive: .m/p
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: '.?LAQ- -0l Let PERMIT#• '
LOCATION: (p Av4 7 IPA-C3 INSPECT ON: Z l
TYPE OF STRUCTURE:
Y N N/A COMMENTS:
.fir
Framing 64_
Attic Access 22" 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
Firestopping
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 05 13
Rola h Plumbin / Insulation Ins ection Report
g 9 p p _
Office No. (518) 761-8256 Date Inspection request received: / /5 ( c/
Queensbury Building & Code Enforcement Arrive: /..3' 1099
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME:
6.4t6e-2 n PERMIT#: ( 3-3K/
LOCATION: 1) INSPECT ON: MY/(7
TYPE OF STRUCTURE:
Y N N/A
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 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. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I. for for 15 minutes
Insulation /Residential Check/Commercial Check
Window Sealing o c
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
Duct work sealed properly/ No duct tape
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbing_Insulation Inspection_02 05 13
I6
Rough Plumbing I Insulation 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 Initials: ,-,i2
NAME: ( ) , 4 ► PERMIT * f 3- 3g L_____
LOCATION: �; � � a� INSPECT ON: / ,`)--1t.,, -/
TYPE OF STRUCTURE:
Y N N/A—
Rough Plumbing / Nail Plates
Plumbing Vent I Vents in Place _
1 '/s 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 / ResidentialCheck I 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 Supplyfor Furnace
Duct work sealed properly/ No duct tape —f
COMMENTS:
Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
i
NAME: 4rvito PERMIT #: 3---3
LOCATION: INSPECT ON: Z-i73/i)
TYPE OF STRUCTURE:
Y N N/A COMMENTS:
Framing
Attic Access 22" x 20" minimum
(9t.4et 1/eJ" '-. ,/ co ,�
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
Firestopping
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 05 13
oOOI3
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection requ;i t - •-ived:
Queensbury Building & Code Enforcement Arrive: tal I - •art: 17 9, a pra___)
742 Bay Road, Queensbury, NY 12804 Inspector's Initialsf 1'
NAME: GU R�E_P, l t a--, _ PER #:
LOCATION: INSP TON: 1 .2--\ 7 - ‘ 3
TYPE OF STRUCTURE: ►•�E�� D �i rJ� R7D1��o� ASA
Y N N/A
Rough Plumbing 1 Nail Plates
Plumbing Vent/Vents in Place
1 '/z inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction
Pressure Test
Drain /Vent
Air/ Head
5 P.S.1. 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 I Commercial Check
Tyvek or Similar Exterior Sealant -�
b\-\7E.-1
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 Report.revlsed Nov 17 2003, revised February 15,2005, revised January 7,2008
huith. --I
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Ins•ection re•ues - • - •:
Queensbury Building & Code Enforcement Arrive: - ' - u •. D -p.rt: 9 Z4aml
742 Bay Road, Queensbury, NY 12804 Inspector's Initial. • - -
NAME: 2UYr , k� ,,,n PERMIT ##: / 3-3 3 /
LOCATION: t ;, a, MI INSPECT ON: ,' -j A,L3
TYPE OF STRUCTURE:
Z
-...._. Y N
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washin• Machine Drain 2 inch minimum
Cleanout every 100 feet 1 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
A 50 P.S.I for 15 minutes
CSV
Insulation / Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant , yi
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation ( D�C�
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS: �O o
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection • 1 �►'a• iv:d:
Queensbury Building & Code Enforcement Arrive: C- i,
742 Bay Road, Queensbury, NY 12804 Inspector's Initis ,/
NAME: ttiZC� �L . 1/VNA PERM4: l r S(
LOCATION: - '1 ^ J ` INSPECT ON: / -)6) -/-3
TYPE OF STRUCTURE: Z ��� \C)1U
Yl N N/A
,� COMMENTS:
Framing �� f\ \
Attic Access 22" x 20" minimum I — .t�O .�
P �\ E.�
Jack Studs / Headers 1\ .\) CT��`�
Truss Specification Provided /
Bracing / Bridging
Joist hangers — e.PVL3\---- C\- A-\ t Q
Jack Posts / Main Beams D Q_V-�'750t �- V `G
Exterior sheeting nailed properly
12" O.C. F- M \1.k i -
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Z-V/--
Notches / Holes / Bearing Walls
Metal Strapping for Notches Top Plate ‘ -\)E ---, CA -V1Pt\____. CA
11/2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses --OD��A E� ') kk- \ 1 t Oti\
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
Firestopping
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 Firestapping Inspection_Revised_02 05 13
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection requ: •-ived:
Queensbury Building &Code Enforcement Arrive: ti a *apart: a /p.
742 Bay Road, Queensbury, NY 12804 Inspector's I s:
I
NAME: "-)0 C, Ell" � "PERMIT#: 1��.77Y.>>
LOCATION: INSPECT ON: I Z-- l D--\-72
TYPE OF STRUCTURE: u�EFj� aU \i . e OCF vQ� S
•
1P N NIA COMMENTS:
Framing ,
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing I 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 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
te; chor Bofts 6 ft. or less on center
t Ice and water shield 24 inches from wall kv LA
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour \c\N
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. (N)
5.7 sf above/ below grade
5.0 sf grade
L:\Building&Codes Forms-0LDV3uilding&CodesMnspection Forms'Framing Firestopping Inspection Report.dac Revised January 7,2008
Foundation Inspection Report
'r'�
Pc
‘1..\-\,,.\_,
Office No. (518)761-8256 Date Ins - tion - - •t r:- - v i,.
Queensbury Building&Code Enforcement Arrive: ' :-`- : u :/ ►• . : . !: ,, ;,
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: /
NAME: F-1i aC,Ei2 1 k.;C 'ERMIT#: j j ---2jF3 l
LOCATION: Cn ZC) q�,\ .a 1 \L l) RC) INSPECT ON: 1 Z—Lc \3
TYPE OF STRUCTURE:
Comments
/ V c\TO w\ V E LTA \31 7--1 2L1 -
Y N NA
Footings /
Piers U` 1
7Monolithic Slab \ � ��
Reinforcement in
orce t 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 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
P C/Cast/Copper
Foundation Insulatio tenor for 7 ��
V- -4N ' (
R- U
RoughGrade 6 inch dropwithin 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 .,. tion ,• -. -..
Queensbury Building&Code Enforcement Arrive: :- 4M,,1 0 i� Depart: �'
_qr_____M.--
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials i ,: 4-
NAME:
NAME: -;' : - E.-t_ aC� ' RMIT#: I3----2-1?)
LOCATION: t \ ` ,, tr ' INSPECT ON: 1 Z._.—lo-1
TYPE OF STRUCTURE:
•
Z 1O 15 Comments
Y N N/A
6P/ootings
�7
Piers / `N\
/Monolithic Slab
Reinforcement in Place "Z-4-545 1 V1 `
LLF0 �tcS1.sE
� 7"---�
The contractor is responsible fort6-1--1 ��.k-virov -)
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site. _
Foundation/Walipour
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
/C/Cast/Copper
Foundation Insulation Ititerio /Exterior
r
R- 10 7_11 FNw\
Rough Grade 6 inch drop within 10 ft.
L:\Buiiding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM