2014-441 , r � 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: P20140441 Date Issued: Monday, December 22, 2014
This is to certify that work requested to be done as shown by Permit Number P20140441
has been completed.
Location: 14 MELDON Cir
Tax Map Number: 523400-289-020-0001-017-000-0000
Owner: THE MICHAELS GROUP, LLC
Applicant: THE MICHAELS GROUP, LLC
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEENSBURY
Single Family DwellingIss
owner e of this Cerponsibcate of compliance
DOES NOT relieven, athe
an 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 Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
Vte742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
rS
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140441 Application Number. A20140441
Tax Map No: 523400-289-020-0001-017-000-0000
Permission is hereby granted to: THE MICHAELS GROUP. LLC
For property located at: 14 MELDON Cir
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: THE MICHAELS GROUP, LLC
10 BLACKSMITH Dr Fireplace
MALTA,NY 12020-0000 GaAttached
Singlege Familyed
Dwelling $240,000.00
Total Value $240,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2014-441
SFD 1,432 sq ft w/Garage 455 sq ft.
$354.65 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, September 29,2015
(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 o Quee ury; 10 i , . :;• I ber 29,2014
�d
SIGNED BY - for the Town of Queensbury.
Director of Building&Code Enforcement
7 i-, , : (1), 1; 0 \J E: 9
Frit,-------1 \
pn OFFICE USE ONLY / u�I �'U
TAX MAP NO. 'a Sq.Do '1"I h PERMIT NO. C'� ! 44 1 u �C? 1 8 Z�14
FEES: PERMIT q l a TO'a4 OF QUEENSBURY 1
3��I,t� :REATION N //, ENGINEERING 1-iittILDINt CODES
-fP 5U / (If applicable) L_--- -;
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: THe M1ckIAE1S C{Rc..P OWNER:
ADDRESS: ID 6LACIGS %TM DR, f-h+wTrn ,M'( %tot° ADDRESS: "
PHONE NOS 51S-S99- to n PHONE NOS. '•
CONTACT PERSON FOR BUILDING & CODES` COMPLIANCE: -T• I-ota`cAc• PHONE: B61 -314 4-
LOCATION OF PROPERTY: 14 !masts. C-Ilte.A.E
SUBDIVISION NAME: \4114443: er—CCS15C %
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR 0 C[ 0 0H
PROJECT p p 0 CO< ci co ii L`®
uj
I= w OLL OJLL w ¢ -oi 0
Z G C 4-d i•1d OIL Ori atm
SINGLE FAMILY x %A32 t Zit ,4/-
TWO-FAMILY T�
MULTI-FAMILY(NO
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED 4
GARAGE 3) X
OTHER
aTown of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
9 . ,
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
-STIDATED CONSTRUCTION-COST: yUEL TYPE: C1
HEAT TYPE? P I-+A *HOW MANY FIREPLACE(S) AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: St%4t-E PkMtt-v Tzesioemc e.
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
*Please 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 and agree to e above.
Signed
Director of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 761.8256 OR EMAIL
regarding Building Permits, construction codes or septic codesC<ilqueensburv.net
systems)
VISIT OUR WEBSITE FOR MORE INFORMATION
Zoning Administrator: 761-8218 (for questions regarding www.nueensburv.net
required permits, the permit process, application requirements or to
schedule an appointment)
This application/proposed action described Permission is hereby granted to the above
herein is found to be in accordance with the Applicant to erect or alter the building described
zoning Laws of the Town of Queensbury. herein in accordance with said Application:
ZONING APPROVAL DATE BUILDING & CODES APPROVAL DATE
aTown of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
Town of Queensbury U I Michael F. Travis
/*
* I Highway Superintendent
Highway ' 111 Illi SEP1 $ 2014Home (518) 798-0413
Department
742 Bay Road—Queensbury,NY 12804 TOWN OF QUEENSBURY Thomas R. Van Ness
Office Phone: (518) 761-8211 BUILDING& CODES Deputy Highway Superintendent
Fax: (518)745-4466 Home (518) 745-0929
DRIVEWAY PERMIT
DATE: � 16/14
APPLICANT NAME: 114e M1cS Cap, LLC
TELEPHONE NO.: 512•425"10 (.01%
ADDRESS TO BE INSPECTED: t 4 Comte
RETURN ADDRESS:
Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes
at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following
action has been taken:
STEP 1: ( ) Preliminary Approval
NEED: ( ) Slight swale
( ) Deep swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( )12" ( )15" ( )18" ( )24" ( )36"
Preliminary inspection completed by: Date:
Approval by Highway Supt: Deputy Supt:
Upon completion, please resubmit this approved permit for a final approval.
STEP 2: ( ) Final Approval
( ) Rejected
Date:
Michael F. Travis, Highway Superintendent
Thomas R Van Ness, Deputy Highway Superintendent
/ '9.- i'll . . - _ ...-
i.e. Fire Marshal's Office p� �1, \I
vcrie Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 ' ste p
k li kl w r 8 si
Michael J.Palmer, Fire Marshal-Gary Sttli nan, Deputy Fire Marshal U a 1.2t
Towscr.
;1liEE2 -9ff"
BU_I L�,ii4v -.5r
APPLICATION FOR FUEL BURNING APPLIANCE F� 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 and
also will allow all inspectors to enter premises to perform required inspections.
IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED.D.
OWNER: TLie MCl
1vP-QgnS C& 'LL-C_ C3 INSTALLER/BUILDER: -'T R-17"
ADDRESS: ADDRESS: 11100 C,4scTAIs.a_ A"•tel SL 5'-( NY
PHONE NOS. 5%$•etCI9•(03 jI PHONE NOS. S\8• INS9•°1/4,00
LOCATION OF PROPERTY: SUBDIVISION NAME: L-\Il_a.t.L� C.- S•E .S.imc.S
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 14 ``Mt
IO , C le-Ca
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: T• l-e.r-bSGO PHONE:x'95.951.3144
✓ FUEL BURNING AP ,,LIANCE ` < "COAL.
�_ ' ;WOOD" :.. i ' .PELLET. ' GAS OIL
. -INFORMATION;. '` `.. -
STOVE
FIREPLACE INSERT
XC FIREPLACE, FACTORY BUILT" X
FIREPLACE,MASONRY
FURNACE (GARAGE ONLYJ
IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURER NAME: HEIR-NI- CO-0 MODEL NO. DY 3.732-SBI
LISTED BY: NUMBER: QUESTIONS?
CALL 761-8205 or 761-8206
s- --:-4. ?�1"�_i--?,;Qt,- " - .� ,.>: .,2�-..{ , ;-7._- .:,._:;4:. OR EMAIL:
CHIMNEYINFORMATIONl " r BLOCK: `BRICK :STONE, f:.
-., . - . - . , z :', . + . .1.2. _@t .�,< . . , firemarshalaqueensbury.net
MASONRY" CHECK ONE ✓ VISIT OUR WEBSITE
- - '..z,.:^n^*i - - -'r .:3"` -t'- %SIZE'IN5,. FOR MORE INFORMATION
-TILE ' ..STEEL--' - -, '_,s"Ii-r-..r -
q= _:,;; _ , ; -•-; _;, �.-lNGHES ,' www.queensbury.net
FLUE CHECK ONE I.
-- „t ” - iTRIPLE WALL INSULATED %< °DIRECT VENT-
- - . .. _•fi -?" '-.WALLLINER
CHIMNEY MATERIAL CHECK ONE ✓
**IF NON-MASONRY, PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO.
ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR
MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED
INSPECTIONS.
Moa 9 -< 11
Queensbury Building & Code Enforcement - Residential Final Inspection L ?\
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Office No. (518) 761-8256 Arrive: am/pm Depart:2 t•15 am/pm
Date Inspection request received: Inspector's Initials` �/ !'
NAME M u tts ( Anct$ PERMIT#: I 7 '— 7
LOCATION: / / m�p I. DATE: i ra (y
TYPE OF STRUCTURE: / n h S cf'
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Dired Vent Location
Fresh Air Intake 1J
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete y'
Platform at all exterior doors
Handrail 4 or more risers rl/
Guards at stairs, decks,patios more than 30 inches above grade �/
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall I/i+
Interior/Exterior Railings 34 inches to 38 inches 1
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
Bathroom/Kitchen watertight
Safety glazin /Wind in stairwells safety g g 7Interior Smoke DeJ Gors/Carbon M oxid etedors /
Every level: Eve Bedrogdh: `/
Outside every bedroom a: ✓
Inter Connected: r Battery backup: tr
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures VFoundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification A
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site /
Oil Furnace shut-off at entrance to furnace area / t/Fumace/Hot Water Heater operating ✓
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 1/1
Enclosed Stairs Sheetrock Underside minimum IN Gypsum 17
Basement stairs dosed rise>4 inches I7/
Garage Floor Pitched
I Garage fireproofing/%,hour fire door/door closerGas Logs in Sealed or Glass EnclosureFinal Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot PlanArc Fault Breaker Habitable Spaces/TamFlex Gas Pipe Bonding �
As Built Septic System/Sewer D . spection Stick
Site PVariance required
Floodd Plain
CerYfication,if required
Okay to issue C/C or C/O[Temporary/Permanent] 0
L:\Building&Codes Forms1Building&CodesUnspection Forms Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: (73.;-!5-of
NAME: M 6/1.43-tap
LOCATION: / "N Meier)-4
PERMIT#:
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:
a
Craig Br. .t Zoning Administrator
Notes:
LaSueHemingwayU3uildmg.Codes.lnspection.FORMS\Final Survey
Zoning Administrator.doe
III
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Date December, 4, 2014.
S N'UNAUTHORIZED
P LEAFINGIA ryIERDALAND SURVEY RS SEEAE s A ` Map of a Survey made for Scale 1'=20' 9 ¢
(1�
NOLATON OF SECnGIj nae. SUP DlVlsroN P, OF THE III
& NEW YORK STATE EBUCANON LAV
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ME ORIGINAL OF mis SURVEY -
S t e Y e s SEALRANKALWITL
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COPT
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IS SO FICA DNS S 1 ,4
THIS
SURVEY WAS {UIOAIED HEREON s1GNIFT Ill P ,(/�� Group
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PREPARED IN ACCORDANCE MM AD T h lj. M 1 C haO S <A O U Y' N V
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L a iad S U ir4 7 e Y%® 1 S DT THE NEW YORK -.TARE ASSOCIATION OF UL RUN
: ���� 1 OF
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LANG SURVEYORS. 5 A CERTIFICATIONS SHALL RUN ONLY 1JIq
TO THE PERSON FOM WHOM THE SURVEY G IRNMENp:NJO ,1 y
ON NC BEHALF L iQ IIIE PRE COMPANY GHERE N. AND
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AGENCY AND LENDIS{31THE LENDIN LISTED HEREON, AND Town of Queensbury, Warren Count New York
169 Haviland Road Queensbury New York 12804 @ Y Y
� iD THE AsswNCEs. SF THE LENDING wsmm�oN.•
.. - THE MICf1AEL5 GROUP
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION owe. NO. 99131 z P3-Lorz
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MAP REFERENCE'
HILAND CROSSINGS
A SUBDIVISION MADE FOR
THE. MICHAELS GROUP
BY VAN DUSEN & STEVES
DATED APRIL 15, 2009
LAST REVISED APRILS23, 2012"
FILED IN THE WARREN COUNTY CLERK'S OFFICE
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Date December, 4, 2014.
S N'UNAUTHORIZED
P LEAFINGIA ryIERDALAND SURVEY RS SEEAE s A ` Map of a Survey made for Scale 1'=20' 9 ¢
(1�
NOLATON OF SECnGIj nae. SUP DlVlsroN P, OF THE III
& NEW YORK STATE EBUCANON LAV
�T/ ONLY COPIES FRO
ME ORIGINAL OF mis SURVEY -
S t e Y e s SEALRANKALWITL
E o IewAE OF THE HANVAU ST RUE TORS
COPT
SEAL SHALL BE COI{ IDERED i0 BE VAOD TRUE COPIES.' li y' r"
IS SO FICA DNS S 1 ,4
THIS
SURVEY WAS {UIOAIED HEREON s1GNIFT Ill P ,(/�� Group
`� f ,LMf
PREPARED IN ACCORDANCE MM AD T h lj. M 1 C haO S <A O U Y' N V
r BYTHEXISTING CODE R f_TA ELE FOR GINS OF PROFES ZONAL 111
L a iad S U ir4 7 e Y%® 1 S DT THE NEW YORK -.TARE ASSOCIATION OF UL RUN
: ���� 1 OF
v ✓`/ I
LANG SURVEYORS. 5 A CERTIFICATIONS SHALL RUN ONLY 1JIq
TO THE PERSON FOM WHOM THE SURVEY G IRNMENp:NJO ,1 y
ON NC BEHALF L iQ IIIE PRE COMPANY GHERE N. AND
I
HIS
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AGENCY AND LENDIS{31THE LENDIN LISTED HEREON, AND Town of Queensbury, Warren Count New York
169 Haviland Road Queensbury New York 12804 @ Y Y
� iD THE AsswNCEs. SF THE LENDING wsmm�oN.•
.. - THE MICf1AEL5 GROUP
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION owe. NO. 99131 z P3-Lorz
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Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: (/,a'ji�J�
Queensbury Building &Code Enforcement Arrive: am/pm Dep ((( pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials I "'—
NAME: Ltickds 6otzO PERMIT#: 02,Q I/ - ��4"" 4
LOCATION: I 4f McTAc t . Gi ., INSPECT ON: 1c / as
TYPE OF STRUCTURE: 1tk-
Comments
Y N N/A
Footings
Piers
Monolithic Slabf—ci ` `" C,
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
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 12/18/2013 2:44:00 PM
/-3
Rough Plumbing / Insulation Inspection Report 'Pr s•
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: amam/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials-
(
nitials
NAME: 11\(�COA1ar S fr/O(1 I PERMIT#: /C -i C1
LOCATION: 1 <4 M e n() INSPECT ON: /1 -fC-ly
TYPE OF STRUCTURE: S FD
Y N N/A
Plumbing under slab
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
VA 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
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 l?! "'
COMMENTS: f-3 v tr,s-C
Rough Plumhing_Insulation Inspection_02 0513
torte.
Rough Plumbing / Insulation Inspection Report /PM
Office No. (518) 761-8256 Date Ins ctioq uest received: trial'9
Queensbury Building & Code Enforcement Arrive: \ am/pm
742 Bay Road, Queensbury, NY 12804 Inspect° !nal Is:
NAME: klikef``s / PERMIT#: ani -111/4
LOCATION: /5 n Cite . INSPECT ON: htfed-A4K la ;d//
TYPE OF STRUCTURE:
Y N N/A
Plumbing under slab
Wiag. Nail Plates
Plumbing Vent/Vents in Place V
11 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 ^V/
Air/Head
50 P.S.I. for for 15 minutes
Insulation /Residential Check/Commercial Check
Window Sealing
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
<6
Air Sealing .
(\
COMMENTS:
Rough Plumbing_Insulation Inspeclion_02 0513
Town of Queensbury Building & Code Enforcement ttEcti 1/ — /er
Office No. (518) 761-8256
Framing 1 Firestopping Inspection Report
Inspection request received:` Ott to 1-01Y /
Name: Nje(( 6rSup Inspected on: 'GL" N0 4 a-641
Location: fit Al data Cn.GC Arrive: a.m./p.m.
Permit No.: €94 14- - 9 'f I Inspector's Initials:
TYPE OF STRUCTURE:
,/ v ` N NIA COMMENTS:
Framing J
Attic Access 22"x 30"minimum .
Jack Studs/Headers V/
Truss Specification Provided
Bracing I Bridging
Joistk hangers
Jack Pasts/Main Beams AV//
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 1/2(w)16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2,3,4 hour
C 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
Design Professional Sign-off,if required
Framing/Firestopping Inspection Report
It /
j Town of Queensbury Fire Marshal Wedge/x/7
� J742 Bay Road
J Queensbury,NY 12804
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
�orrsspecifications is allowed.
Permit
/'� �{
Permit#21)1`q Schedule Inspectiort".' 1tHMITimelf ,'.Yinlpm anytime Inspectof� >
Namr IT Mello n et It.C_, Address/-67 ed./S 64-up
n9t �/ Rough In�Finai_
Appliance Manufacturer P Model#-TIY Zel 2
Direct Vent Factory Built Chimney Flue Size_ Double Wall + --ljriple Wall Insulated
Yes No N/A Comments
Floor Protection
` �-�, - C3C:52-3 ,a
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase /
Wall Penetration
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 7/
Combustion Air
Hearth Extension (if any) 7'
Mantel 7
Height above f/p opening
Witness Operation
Tank Placement(if LP)
CO Detection
CSST Bonding
White—Building Dept. Yelton—Customer Pink—Fire Marshal
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: a •
m/ �e
742 Bay Road, Queensbury, NY 12804 Inspectors Infials:�p� ��3it)
NAME: �—✓) /�
PERMIT#. �"T
LOCATION: 1G� M C (
/� INSPECT ON:
TYPE OF STRUCTURE: cc-VI)
Y N NIA COMMENTS:
Framing
Attic Access 22° x 3011 minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed property
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 5 (w) 16 gauge (8) 16D nails each aide
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
16 inch insulation in cavity min.
Garage Fire Separation
House side i inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilingtwali
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above I below grade
, 5.0 sf grade
L:\Buiiding&Codes Forms-OLDtuilding&Codeslinspedion Fommsfiandrg Eirestopping inspection Repatdoc Revised January 7,2008
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Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Deparn/pm
742 Bay Rd., Queensbury,sbNY 12804 1 �, Inspector's Initials:
•
NAME: l t \ t Pi 15 PERMIT#:
LOCATION: 19 (4 i d4m n INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Eli 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
6 inches above footing
_ po r wet areas under slab
ac pproval
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 12/18/2013 2:44:00 PM
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Foundation Inspection Report ,1 /
Office No. (518) 761-8256 Date Inspection request received: (, (6' !
Queensbury Building&Code Enforcement Arrive: am/pm Depart: ' '\ .m
742 Bay Rd., Queensbury, NY 12804 / Inspector's Initials-/ libems
NAME: r ` {{ '' ((` 6r ( PEIRMIIT#:
LOCATION: \ t l COCSJJ (- r C( P/ INSPECT ON: 1° t Jjt1
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 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 /
•lumbing Under Slab
el
i.��
/Cast/Copper
oundation 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 12/18/2013 2:44:00 PM
Foundation Inspection Report 02 (iP764.14
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Office No.(518)761-8256 Date Inspection request received: /Q/ /O//'7''
Queensbury Building&Code Enforcement Arrive: am/pm Depart ` 9n/pm
742 Bay Rd.,Queensbury,NY 12804 r Inspector's Initials:�.1 K) /—�U. Ic
NAME: cls
PERMIT/e: 020 ('i
LOCATION: 1 cF Me (rrtte INSPECT ON: At. '. :t ari 0//,/
TYPE OF STRUCTURE:
await
Y £j NLA
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
o 'aterproofing
Footing Drain Daylight oi&I) V
Footing Drain Stone:
12 inch width V/
6 inches above footing
6 mil poly for wet areas under slab
:rS mi Approval
lumbmg U ,er Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Bultding&Codes\Inspectton Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
C(0S tt j - �
Foundation Inspection Report
Office No. (518) 761-8256Date Inspection request received: I D( �/r
Queensbury Building&Code Enforcement Arrive: am/pm Depart: / . - --am/pm
742 Bay Rd., Queensbury, NY 12804 / Inspector's Initials:/{ / S
NAME: r1 1 o1 I4 € S 6t c? PERMIT#: �� f I I
LOCATION: I i fre e(C`m.. (i r-C ( INSPECT ON: 0 a / J
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
ofthe concrete.
Materials for this purpose on site.
oundation/Wallpour CL,.
Reinforcement in Place r• , JV
Footing Dowels or Keyway in place 1 C' `��
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 12/18/2013 2:44:00 PM
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Foundation Inspection Report /la&
Office No.(518)7614256 Date Inspection request received: (0la/201'
Queensbury Building&Code Enforcement Arrive: am/pm Depart:1rpm
742 Bay Rd.,Queensbury,NYG'V128044 Inspector's Initials:
NAME: 1114114€ 4° PERMIT#: (/
i" — I 7'
LOCATION: 14 Me I an - -.a J , INSPECT ON: 1 0 /r1
TYPE OF STRUCTURE:
Comments
N N/A
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 /f
Reinforcement in Place �// ��
Footing Dowels or Keyway in place f -7`
Foundation Dampproofing
-F�\v�
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\Inspedlon FormsWoundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM