2012-374 !flat 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: P20120374 Date Issued: Thursday, January 03, 2013
This is to certify that work requested to be done as shown by Permit Number P20120374
has been completed.
Location: 133 JENKINSVILLE Rd
Tax Map Number: 523400-279-000-0001-021-000-0000
Owner: TOWN OF QUEENSBURY
Applicant: TOWN OF QUEENSBURY
This structure may be occupied as a:
Commercial / Industrial 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 c.� vv1 ///e5�`�'
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code nforcement
or Zoning Board of Appeals.
Temporary Certificate of Occupancy
Y
30 Day
Building Permit No. : 2012-374
Property Location : 133 Jenkinsville Rd.
Property Owner: Town of Queensbury Rec Dept.
il
Approved for the following uses: Maintenance Building
Conditions of approval :
1. Exit Canopies to be installed
$100 fee WAIVED: November 27, 2012
30 Day Temporary CO expires on: December 27, 2012
*A final inspection for this project must be scheduled before the expiration of this
Temporary Certificate of Occupancy — if your pr.':ct is not complete within this
90 day period you will be subject to additional f.- E
Signature of Applicant: :-.1A i
Director of Building & Codes:
Town of Queensbury Building & Codes Office
Dept. of Community Development 742 Bay Road, Queensbury, NY
064 TOWN OF QUEENSBURY
.744 .
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120374 Application Number: A20120374
Tax Map No: 523400-279-000-0001-021-000-0000
Permission is hereby granted to: TOWN OF QUEENSBURY
For property located at: JENKINSVILLE 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: TOWN OF QUEENSBURY
RECREATION DEPARTMENT PARK Commercial/Industrial $236,000.00
742 BAY Rd Total Value $236,000.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
A J CATALFAMO CONSTRUCTION
747-6659
5 SIXTH St
HUDSON FALLS NY 12839-0000
Plans&Specifications
2012-374
2,625 sq ft Maintenance Building
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,August 06,2013
(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 Town f Que bu '� 4Mi f • gust 06,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
TAX MAP NO.2I-a.J1-a.L_____.-_._.PERMIT NO. '' 1 . _
FEES: PERMIT RECREATION ENGINEERING
(If applicable)
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: n8-30 OWNER: %�J
ADDRESS: ADDRESS:
PHONE NOS. PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: e-CKA1E?1\46M \ PHONE: 5 SO-
LOCATION
1)LOCATION OF PROPERTY: 0 t\ r\A
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? D YES a NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
O Q F-
APPLY TO YOUR z h 0 Cl O C! LU LL
PROJECT w O w -j O = LU Q O
o u o CL
W N-� O z O )- ♦- O 1- W -
Z < < v7 N (/) Oti I- U. CL 05
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER +� LDc 5
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: 12,4_
ESTIMATED CONSTRUCTION COST: �3C7, OD?? _ F L TYPE: •A"
HEAT TYPE: n(4A(_Qyo *HOW MANY FIREPLACE(S): if AND/OR , •ODSTOVES(S):
_4___
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: ppJ J�u�
V
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
"Pleas:complete a separate Application for"Fuel Burning Appliances&Chimneys' available in our office
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 a re topp e
Signed lyh � ( 7'G r`°_ I.'I"' "
j.C411
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:
BUy.I iG &COD; APPROVAL ZONING APPROVAL
DAT DATE
QUESTIONS 7 CALL 761-8256 OR EMAIL
codesAqueensbury.net
Office Use Only _ ' VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.net
Operating Permit Issued: Yes No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
,41) t;(
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date lnspectio test n► d:
Queensbury Building & Code Enforcement Arrive: Zs a Depart:
_ li`-Z amlpm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: `�
NAME: Jr. J l coy, (, r PERMIT#: ra-rJ / /
LOCATION: `' ,022 n tC l a )i I (. DATE: / –
COMMENTS:
Y_
N NA
Chimney l'B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete CSU' I
Exterior Finish I Grade Complete 6" in 10'or Equivalent 6u\-3Q
Interior I Exterior Guardrails 42 in. Platform/Decks
Interior[Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.–38 in. I Step Risers 7"I Treads 11"
Vestibules For Exit doors> 3000 sq. ft.
All Doors 36 in. wlLever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36 (w)x 44" (1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Fkaor Bathroom Watertight I Other Floors Okay
Relief Valve, Heat Trap/Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/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 '/2 doors
> 10% > 1000 sq. ft.
' Hour Corridor Doors& Closers
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/Fire
Dampers/ Fire Doors
Ceiling Fire Stopping, 3,000 sq. ft.Wood Frame 4
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 I Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. 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'/ Driveable Surface 20'wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C E et,\ CO`
L_1Builting&Codes Forrns\Building&Codesl1nspection Forms\Commercial Final Inspection Report.doc Revised January 7,2008
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Inspection Form
Town of Queensbury Fire Marshal o Periodic Inspection Date: II Iv` t
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 CO Inspection Permit#: I ' 3?-7 U/
Fi Marshals Representative
MJ Palmer Business Name: _____Z_�__ ni S��►l�
Location:
_ GK Stillman Contact: --CEJ
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
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906 7( . �r 51)
Inspection of extinguisher FC 906 'eXX
EVAC Plan FC 404.6
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 A _
Exterior FC 1006.3 0-1\0-
y
Clearance to Electrical FC 605.3 ii
Electric Wiring Enclosed/Labeled FC 605.3.1
Combustibles In Equipment Rooms FC315.2.3
F.D.Signage- FC 510
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1
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 21 DAYS
lnsp 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 Fire Marshai Ins
.ornF;ate
Kitchen Suppression Semi Annual CO ma` be;ss'.ied C7hl'{\vlj
Fuel Island Suppression Semi Annual Luilfrig&COraes a ioval
Hood Cleaning 3-6-Annual y
Knox Box:Installed/checked FC506 r, i1
Operating Permit, if required will be issued after
Or
:
Completion of Inspection ; —F' e ar hal
'ewn of Queansbilr fr -_
\ O — \Z
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Ins.-ctio - -' =d:
Queensbury Building &Code Enforcement Arrive: 0. • Depart: a • •
742 Bay Road, Queensbury, NY 12804 Inspector's In - ,
NAME: 1 eF M Pt\r TEI\I' A'10 C QA. - PERM! • : \ 'Z 371-1
LOCATION: \„12),3 - \ 1%. 6S N\Ot_-9 ) DATE: 1 L— Z? — 1 Z
COMMENTS:
Y, N NA
Chimney I'S"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in 10'or Equivalent J
Interior/Exterior Guardrails 42 in. Platform/Decks ,//
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in. /Step Risers 7"I Treads 11" ✓
Vestibules For Exit doors> 3000 sq.ft. / ,/
All Doors 36 in.wlLever Handles/Panic Hardware, if required �J/
Exits At Grade Or Platform 36(w)x 44"(I)/Canopy or Equiv. ✓�
Gas Valve Shut-off Exposed&Regulator(18°)Above Grade
Floor Bathroom Watertight/Other Floors Okay /
Relief Valve, Heat Trap/Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/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 <:141?' ‘'k
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 '/z doors
> 10%> 1000 sq.ft.
'/+ Hour Corridor Doors&Closers
—Firewalls I Fire Separation, 2 Hour, 3 Hour Complete/FireC I[.ti l�
Dampers/Fire Doors \0 4j1 -`
Ceiling Fire Stopping, 3,000 sq.ft.Wood Frame `ii\
Attic Access 30"x 20"x 30"(h), Crawl Space Access 18°x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage I Shaft Sealed
,./
Handicapped Bathroom Grab Bars/Sinks/Toilets
4
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp I Handrails Continuous/12 in. 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.
7 c As-built Septic System Layout Required or On File -
Building Number or Tenant Address on Building or Driveway 4'
Water Fountain o a•ler
Building •.«..- All Si— - .y 20'/Driveable Surface 20'wide /
* Okay To Issu Tern.. •r Permanent CIO V
Okay To Iss - C/C
L:\Building&Codes Forms\Building&Codes\inspection Fomrs\Commercial Final Inspection Report.doc Revised January 7,2008
Commercial Final Inspection Report ,. 0,/,c_- _J F -)0
Office No.: (518) 761-8256 Date In •=ction ► - - i d: {( i i •
Queensbury Building & Code Enforcement Arrive: .�• Depart: 4M---
742 Bay Road, Queensbury, NY 12804 Inspector's in la . _
NAME: d i fait (N\,4, - PERMIT••• , - ..)—
.
LOCATION: [ ` nus?, .-e7/ DATE: ANIIIIIIIIIIIIIIMM _ E' 1 .—
`��,� - (� COMMENTS:
Y/ N NA
Chimney/'V Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6" in 10' or Equivalent
Interior!Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in. -38 in. I Step Risers 7"/Treads 11"
Vestibules For Exit doors> 3000 sq. ft.
All Doors 36 in. w/Lever Handles I Panic Hardware, if required
Exits At Grade Or Platform 36(w)x 44" (1)/Canopy or Equiv.
Gas Valve Shut-off Exposed& Regulator(18")Above Grade
Floor Bathroom Watertight/Other Floors Okay '
Relief Valve, Heat Trap I Water Temp. 110 Degrees Maximum 1.7' LL j L __ 4�(2r -,.)
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System `
Fresh Air Supply for Occupancy/Ventilation Combustion C%v
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 '/Z doors
> 10% > 1000 sq. ft.
sh Hour Corridor Doors&Closers
Firewalls I Fire Separation, 2 Hour, 3 Hour Complete I Fire T c2 ;�c
Dampers/ Fire Doors , - �,
Ceiling Fire Stopping, 3,000 sq. ft.Wood Frame
i i� � ''"��
Attic Access 30"x 20"x 30" (h), Crawl Space Access 18"x 24" — C.( ;-;‘-‘12.--17 CC-;---_ _
Smoke Vents Or Fan, if required 1 wr a: c� �y-\-c7
Elevator Operation and Signage/Shaft Sealed �%
Handicapped Bathroom Grab Bars(Sinks/Toilets tilt - •J k- ‘as,‘___ via,
Handicapped Bath/ Parking Lot Signage .,/.
Public Toilet Room Handicapped Accessible �'��
Handicapped Service Counters, 34 in., Checkout 36" -- 1kDty�
Handicapped Ramp I Handrails Contlnuousll2 in. Beyond [Both
sides] -6v Gp� kJ Nk il.---_
Active Listening System and Signage Assembly Space moi' ¢j tiOL Llt--`2 r V i-,
Final Electrical I Flex Gas Piping Bonded
Site Plan/Variance required V\--Q, - vc, L;;-t
Final Survey, New Structure/Flood Plain certification,if req. / �6U
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4' 43-e D ,Nh-�� .L
Water Fountain or Cooler _ h ��
Building Access All Sides by 20'1 Driveable Surface 20'wide /
Okay To Issue Temp. or Permanent C/O h‘k;,vJ �;r
Okay To Issue C/C
L:1Building&Codes Forrns\Buitding&Codesllnspection Fonns\Commercial Final inspection Report.doc Revised January 7,2008
( — r3� �
Rough Plumbing / Insulation Inspec ip Report
Office No. (518) 761-8256 Date Inspection requ ,•-', _ / , -z____
QueensburyBuilding &Code Enforcement Arrive: 7 -)t a part: 7 ° Li 1 a •m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials" . Ir
67,
NAME: i.c,v r\ cf %ve-\ fx.y / (,-:)-t-4 / ,1)-10PERM1;
J.' ( 2_ -371(
LOCATION: 6s ,g --s-e-�, 1/-,�,.�,L, i c r A-cvl INSPECT ON: / i/ i l z
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent I Vents in Place
1 Y2 inch minimum Drain Size
Washin$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
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.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: I srR' a v -part: 22.=t� ar��
742 Bay Road, Queensbury, NY 12804 Inspector's Initial yea
7.1
NAME: a . . _ , : • gm E. RMIT #: VZ--- 3 7'9
LOCATION: 21e>) -7j;_aivv-)s‘ INSPECT ON: \o
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
50 P.S.I 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
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008
1Lt s Ia- ,, ( it )
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection =a - - 6,-iv=•:
Queensbury Building & Code Enforcement Arrive: 4-di- - ;iO+ 10•-part: \- a
742 Bay Road, Queensbury, NY 12804 Inspector's In' - '
NAME: N A! 8� PE MIT #: J,)-3 q
LOCATION: 3, - i rJj K,'rI,c u7l e, INSPECT ON: \t-,-- -z,
TYPE OF STRUCTURE: C , (3cab 4 e
-a_ \ 1.. b\:7' ,.._;-\--\c. t,_ ae,0--1 la g
-_. Y N _ N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 Yz 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.I. or 10 ft. above hi Test connection for 15 minutes
Pressure Test W\‘
Oi Water Supply Piping
\(
Air/ Head
50 P.S.I for 15 minutes `c;1
Insulation /Residential Check I Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent rA'r�D��
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
C' f`' C,'1 ‘ =t?— . ,rt . N\c p� � -
COMMENTS: �Y"
1 -Nog-- \ 1 \ \t L)
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
g -!D
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: , I am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: MJ%
NAME: 1:,\`D)) PERMIT #: / ) L
LOCATION: s INSPECT ON: 1 C% - • +-L .
TYPE OF STRUCTURE: i : ,.
w ris\ cup
79(0
Y N N/11 :3 3.,/
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 1 Head
50 P.S.I 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 s.aces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
// 3 " re_., r�� k Sat Lill
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
--ck"AhAtacs q-ii
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection 4 'e
pec � ed.
Queensbury Building&Code Enforcement Arrive: i' ; rt 4 Depart: 1t\
742 Bay Rd.,Queensbury,NY 12804 Inspector's Ini-a •:�
NAME: i d1 a�i -- RMIT#: ,3 7'-/�
LOCATION: .� e 1'4-1 \}'l\le— 'Rd I SPECT ON: `t /3 -/QA.
TYPE OF STRUCTURE: ( ,•-
Comments
Y N N/A 61.0-
Footings GtYjAQ r
Piers
Monolithic Slab
, ii k), i47;:..-v (,,- ._‘_ •"11
Reinforcement in Place
i\)\ 17
17 tIA- \A N\Z—\7
The contractor is responsible for 1
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
Foot' Drain Stone:
inch width
6 inches above footing
\/
6 mil poly for wet areas under slab I _
:171f/ Backfill Approval
( / Plumbing Under Slab /i'
'---7 —
PVC/Cast/Copper ttN\ —�v TZ 1
--V Foundation Insula '.n Interio• Exterior
R- kQ
Rough Grade 6 inch op within 10 ft. Z ` c Ft 4kt..k
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
/O -
Septic Inspection Report
•
Office No. (518) 761-8256 Date Ins i n �s -- re i /,40
Queensbury Building &Code Enforcement Arrive: v �J art: flWM%
742 Bay Rd., Queensbury, NY 12804 Inspector's Initia s:
NAME: �U(,��`^ t `'`2' ,^S l2U�c�/ PE- Myt NO.: —
J
LOCATION: t . !`// e - IN PECT ON: WHY -2--
RECHECK:RECHECK:
Comments and/or diagram
Soil Type: Sa / Lo Clay
Type of Water: Munic al ell Water
Waterline separation distance ft.
Well separation distance T-2 ft.-
Other wells: ft.
Well Casing Length 50' +/ - Y N N/A
[150'to well required if NO]
Absorption Field: Total length P-ice . ±.
Length of each trench �(� f ft.
Depth of trenches ft.
Size of Stone ?
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank 'j"
Tank to Distribution Box `
Distribution Box to Field/ Pit 'k ``
Opening Sealed: Vy N
End Cap ✓ N
Inlet/Outlet Pipes&Baffles N
Manholes 12"or less below grade •JY
[provide extension collar if Yes] _Y i/N
Location/ Separations
Foundation to tank
Foundation to absorption Z--tet. •
Separation of Pits y
Conforms as per Plot Plan Y
Engineer Report and As-Built Y ���
ETU Maintenance Contract _Y_ N
provided )13
Location of System on Property:
Front •ear L-I Side Right Side Middle Front Middle Rear
System Use Status:
pproved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report03 29 10.doc
Foundation Inspection Report
Office No.(518)761-8256 Date tion uest received:
Queensbury Building&Code Enforcement Arrive: / , am/pm,,' Dep : am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: ( J R C PERMIT#: I 3 /
LOCATION: F til t tris S 1 t e INSPECT ON:
TYPE OF STRUCTURE:
Commenntt
PGA e
Y N N/Acp `cl3dj
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 Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mily for wet areas under slab
Backfill Approval
Plumbing Under Slab � /ej c //yPVC/Cast/Copper /��
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Buiiding&Codes Forms\Buliding&Codes\Inspection Forms\Foundatlon Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Daterequ-: i` -iv :
Queensbury Building&Code Enforcement Arrive: =va= I fp Depart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial-nor Cev-\- -4 a fx-,�� NC�'` 3' PERMIT#: / ( `-)
LOCATION: 5 e n k�A g u v Ile__P-ni INSPECT ON: g -/ ,c-/
TYPE OF STRUCTURE:
� � T) ,
i, — -V � 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
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
VC/Cast/Copper
JFoundation Insulatio i erio tenor
R- '\O -72' . . .
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
R g -
Foundation Inspection Report
Office No.(518)761-8256 Date Ins tion •
Queensbury Building&Code Enforcement Arrive: y $, 4 Depart: It:
Foundation Inspection Report
1� eP
Office No.(518)761-8256 Date Inspection =• ' r,* : : --/
Queensbury Building&Code Enforcement Arrive: r; : , Depart: Cs
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi: s
NAME: (c)c'_ 'ERMIT#: I -3 7
LOCATION: ) 3 3 __i s<2_,.E,.,Q_,.,,j 1 ,z V x_ INSPECT ON: '_ ja
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
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