96-711 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
December 8 97
Date 19
This is to certify that work requested to be done as shown by Permit No. 96711
has been completed.
RESIDENTIAL ALT. /SEPTIC ALT. /2-CAR GARA-A
This structure may be occupied as a
BIRDSALL RD.
Location
Owner MILLER, STEPHEN C.
TAX MAP NO. 40. -1-1 9 2 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 2500T OWN OF QUEENSBURY No.
96711
TAX MAP NO. 40. -1-19 . 2 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MTT.T,F,.P STEPHFN C .
OWNER of property located at B T R D B ALL RD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a RESIDENTIAL ALT. /SEPTIC ALT yi/22-CAR GARA
at the above location in accordance to application together with plot plans andother information hereto a
rta-
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
PO BOX 4172 .
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
FRENCH MOUNTAIN ENT
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
( )wood Frame ( ) Masonry ( )Steel RFfS)IDENTIAL ALTERATIONS
7. PLANS and Specifications
480 0 FT RESIDENTIAL ALTERATION, SEPTIC ALTERATION AND 2-CAR
ATTArliTtn--6AAACE AO PER PLOT PLAN SPE'ci. iLA1.lUNb
8. Proposed Use
RESIDENTIAL ALT. /SEPTIC ALT. /2-CAR GARAGE
$ 80 PERMIT FEE PAID -THIS PERMIT EXPIRES November 20 .19--98
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 20 Day of November 19 96
SIGNED BY for the Town of Queensbury
Building and Zo ng Inspector
.rsuilaing Fermi- Application
Town of Queensbury - Dept. of Community Development,' 742 flay Road, Queensbury, NY 12804 1761-82561
BUILDING & CODE ENFORCEMENT
NOTICEJ Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO. (0— J
beginning construction. No inspections C)
30will be made until applicant has received I x I Zoning Board Action PERMIT FEE PAID$ r d
a VALID BUILDING PERMIT. All Area /use
applicants' spaces on this application RECREATION FE P $
MUST be completed and•the signature (—i Planning Board Action
of the applicant must appear on the REVIEWED Et .
`pplication form. r ym,. SPR t Subdivision /Other
But ding Inspector
J Recreation Fee Payment
Applicant: 5(Ii3PC4is(-{ - )A,ltt-t_' .2. Owner: 5A-tuk_
Address: P 0. Li l+'Z aoccm550ity Address:
12 0 .
Phone ( IB ) _
# - - (p _ - Phone # ( ) -
Properly Location: StR-l5r7tAt.(_ F.061) .
Subdivision Name: Tax Map Number Lb / I. / 14-2.
Section Block I.ot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ slow--
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alte ati Building: Primary Building -
( si enc / commercial k', Single Family Dwelling
Resid Commercial Two Family Dwelling
no change to exterior size . Family Dwelling
Office 't`
Other Work (describe below) Mercantile
Manufacturing '
Other
GROSS AREA OF PROPOSED STRUCTURE: '2--(3 •
1st Floor If ADDITION, what will use
sq. ft. � �; of new addition be? :
2nd .Floor sq. y ,EC.Ut c.
Other Floors GD sq. f t.-� �( `""`
(not unfinished cellar or basemen
R c n ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: SQ. FT. ')- Attached Garage l, 0car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
;2. ) FEET X a FEET Other
coUDWAit
Foundation Type: a 7fff6 /P zL Caf. Will any second-hand or ungraded
' Number of Stories : / lumber be used? If so, for what?
(habitable space only) p
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle' all which a pli s)
to be installed: --- Electric / Oil / Ga ood
Forced Hot Air aseboard / Other
Person responsible for supervision of work as regards to building
codes is :
Name Addresss Phone
Builder: Z ft.4c t 1 G-toc.w EZs t -( .1.-cr . 1 v.,--ii r 3
Plumber: ` ` tt .,,
. Mason: t.c t t ,.
Electrician: “ it
DECLARAT70N' Please sign below after you have carefully read the statement.
To the best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the Building Code, the Zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is authorized by the owner. Further, it is understood that Uwe shall submit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature: C
kA..12:=1
(owner's agent, architect, contractor)
Application for SEPTIC DISPOSAL PERMIT
STAMP RECEIVED
Location of property h,r installation: Fl+ 544-L' T O
Owner's Name --t t'ttu'r L �ll�lt L�I��Z t' 'AM PI'NUMBER
Owner's Mailing Address: ?O. "1r4-2 sce_7 613( W
(.10 7/) (71
lZg '�
FEE PAID
Installer's Name: "ovMw Phone I#: 5— (2.-(3 C/D
Number of bedrooms (if residential):
)i
Total daily flow (residential -compute q� ISO gal. per bedroom): 3 CC,
Topography: Ilat r'1 Rolling r-1 Steep Slope ere of Slope
Soil Nature: f5751 Sand n Loam F-1 Clay Other —/Depth:
ti
Ground Water: at what depth? 3 feet
Bedrock or Impervious Material: at what depth? reel
Percolation Test: (-1 Not Required [1 Required/Rate min. lx'r inch
Domestic Water Supply: Q Municipal 1721 Well n Other
- If domestic water supply is a WEI.J.: water supply from any septic absorption is Feet
PROPOSED SYSiEM:
Septic tans, /Dor) gal, (minimum size: I.UUO gal.)
The Meld: each trench feet. I total system length feet.
Seepage Pit(s): number or I size each: d ft.z ft.
Size of stone to be used: # I depth or thickness a• feet- •
HOLDING 'TANK SY.STiiM: (if required)
Number of tanks: • Size of each: gal. •
Alarm system and associated electrical work to be inspected by a certified agency.
s
For your protection, please nose that pursuant to Section 136-29 of the Code of the 'Town of
Queensbury, any permit or approval grunted which is based upon or is granted in reliance upon .
any material nrisre!{Fesentation or failure to snake a material fact or circumstance known by or on
behalf of an applicant, shall be void_
I have read the regulations Wills respect to this application and agree to abide by these and all
requirements o f the ?'own o f Queen.tbury Sanitary Sewage Disposal Ordinance.
Signature of respatrsib a person: Date:
71!,I
td-sccA
RESOLUTION APPROVING SANITARY SEWAGE DISPOSAL VARIANCES
FOR STEPHEN C. MILLER, APPLICANT FOR PROPERTY OWNERS,
HARLEY & RITA DEWEY
RESOLUTION NO. 20, 96
INTRODUCED BY: Mr. Theodore Turner
WHO MOVED ITS ADOPTION
SECONDED BY: Mrs . Carol Pulver
WHEREAS, Stephen Miller, applicant for property owners Harley
and Rita Dewey, previously filed a request for three (3) variances
from certain provisions of the Town of Queensbury On-Site Sewage
Disposal Ordinance, such provisions being more specifically those
requiring that there be a 150 ' separation between the seepage pit
and a well or suction line, and
WHEREAS, a notice of public hearing was given in the official
newspaper of the Town of Queensbury and a public hearing was held
in connection with the variance requests on August 19, 1996, and
WHEREAS, the Town Clerk advises that property owners within
500 feet of the subject property have been duly notified,
NOW, THEREFORE, BE IT
RESOLVED,
a) that due to the nature of the variances, it is felt that
the variations will not be materially detrimental to the
purposes and objectives of this Ordinance or to other
adjoining properties or otherwise conflict with the
purpose and objectives of any plan or policy of the Town
of Queensbury;
b) that the Local Board of Health finds that the granting of
the variances is necessary for the reasonable use of
the land and that the variances are granted as the
minimum variances which would alleviate the specific
unnecessary hardship found by the Local Board of Health
to affect the applicant; and
c) that the Local Board of Health imposes a condition upon
the applicant that he must also secure the approval of
the New York State Department of Health;
and
BE IT FURTHER,
RESOLVED, that the Town of Queensbury Local Board of Health
hereby grants the variances to Stephen Miller, as applicant for
property owners Harley & Rita Dewey, to allow placement of the
seepage pit at the existing location rather than placing it at the
mandated 150 ' distance(s) , on property situated on Birdsall Road,
1
TOWN OF QUEENSBURY
„/; BUILDING & CODE ENFORCEMENT
ift__ 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL n-
DATE INSPECTION EQUEST REC ED• / I Lf
NAME
LOCATION w OG�
DATE ) "') 7 PERMIT PV - / ((
TYPE OF STRUCTURE
FOOTINGS FOUNDATION _ BACKFILL _ FRAMING
ROUGH PLUMBING _ SEPTIC _ INSULATION _
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE _
N/A YES NO
CHIMNEY HEIGHT/B V NT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS RAIL GS
RELIEF VALVES
FURNACE/HOT WATER OPERA NG
INTERIOR TRIM/PRIVACY DOO
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
r
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAI LECTRICAL
E PLAN/VARIANCE REQ.
FINAL SURVEY Pt T PLAN
OK TO ISSUE C/O OR C/C
cif ;-3- I '1 f e t()ay,
ret v 'eoYl kti( b ars
QW \iO( 0 i
•kJC� ,i3 0
Pillit 9:3400
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
� - 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: Vim DEPART: _ A _ I
FINAL INSPECTION REPORT - RE I E'IAL Tci--/7
DATE INSPEC IO�J REQUEST R CEIVED:
NAME Iltt
LOCATION
DATE eS �
RMC\ -..
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL _ WOODSTOVE OR FIREPLACE
- N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING /
EXTERIOR FINISH y
DECK/PORCH/ST PS/RAILINGS I/ . •
RELIEF VALVES
FURNACE/HOT WATER OP NU
INTERIOR TRIM/PRIV Y DOORS
FINISH FLOORS: .-` \,/
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE
OT
HER FLOORS C PETED
NtAbe..STAIR CLEARA N ILT,aCy__-'
/ /
SMOKE DETECTORS
BATHROOM FANS i
ij
PLUMBING FIXTURES i? ��
Fi.)CC��F�C ��� L Q�
FOUNDATION INSULATION FQti"'^
GARAGE FIRE PROOFING� , //:////:
POOR CLOSERS ae 1-11136-E-- I i
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C .
c'-'-- i Gam.
(518) 761-8256
TOWN OF QUEENSBURY
3
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR/ DEPART t'/ON'R I / /
REQUEST FOR INSPECTION RECEIVED:
NAME 0 /ea-e'
LOCAT ION 32'l M/11 c-
DATE a0/i3/g7 PERMIT 1 916-7//
TYPE OF STRUCTURE:!!!!lI
RECHE K _ APPROV
N/A YE NO
OTINGS/PIERS Q
MONOLITHIC POUR FORM f�
REINFORCEMENT IN PLACE
)it it .
Li -
THE CONTRACTOR SPONSIBLE FOR
PROVIDING PROTE TIO ,,FROM FREEZING
FOR 48 HOURS FO LORIN THE PLACE-
MENT OF THE ZOliC TE.
MATERIALS FOR THI RPOSE ON SITE -
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB _-
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM ,
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R- y_
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY !
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR YZ.I DEPART INT'L•y
REQUEST FOR INSPECTION R EIVED:
NAME P�
LOCATION /�"%
DATE S, PERMIT # 96- 21
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
FLUM$ING VENT/VENTS IN PLACE
r ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS _
JACK POSTS/MAIN BEAM r
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R- _
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R- _
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
lOket.J al re-Al (34 FL.
i 3 he/ 4-
c J
C1 er
(518) 761-8256
TOWN OF QUEENSBURY (011/
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR 3i2IJ DEPART INT --
REQUEST FOR INSPECTIION RECEIVED:
NAME /y/C Q� /f
Q
LOCATION /�YJ..4// U10-f /�J"/J
DATE oG�` /7 PERMIT A 5-4
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
jONOLITHIC POUR FORM _
REINFORCEMENT IN PLACE _
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR _.
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING
PLUMBING UNDER SLAB _
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
)EATING ROUGH-IN
)a NSULATION:
FOUNDATION WALLS INTERIOR R- _
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- _
_CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(r--f�/).�'C'(1) S (518) 761-8256
TOWN OF QUEENSBURYOD
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR1 cDEPART IN QUAY
REQUEST FOR INSPECTION RECEIVED:
NAME IL-Nle(/
9
'L✓
LOCATION 'f ci / .kae
DATE C' (gill PERMIT , 9& - / //
TYPE OF STR T RE:
1
RECHECK4�� �SI�. : APPROVED
N/A YES _ NO
FOOTINGS/PIERS `
t
MONOLITHIC POOR FORM -
REINFORCEMENT \fN PLACE
t t
THE CONTRACTOR'\IS RESPONSIBLE FOR
PROVIDING PROT TION FROM tREEZINO
FOR 48 HOURS FO LOWING THE PLACE-
MENT OF THE CON RETE.
MATERIALS FOR TH\S PURPO,$E ON SITE
FOUNDATION/WALLPd R
h
pP
REINFORCEMENT IN t1[,ACE/
1 b'
FOUNDATION/DAMPPROAI$G _
BACKFILL APPROVAL 'f
PLUMBING VENT/VENTS/1\N PLACE
jUGH PLUMBINGf \
PLUMBING UNDER SLAB
FRAMING: R
JACK STUDS/HEADE
BRACING/ RIDGING \
JOIST HANGERS
JACK POSTS/MAIN BEAT
AIR INFILTRATION BARRIER \
HEATING ROUGH-IN
4SULATION: kAf
� \ k//--
\
FOUNDATI20 WALLS INTERIOR R- \
FOUNDATION WALLS EXTERIOR R-
FLOORS R-3
WALLS R-) \ -% -
CEILING ,' R-
DUCT WOK OR PIPING IN
UNHEATa+b SPACES R-
// �I€ fr
� wnt 6A u
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR A2} DEPART INT (/,(/—
REQUEST FOR INSPECTION RECE VED:
NAME
LOCATION LOCATION P G�.J�/�tKG�
DATE /� PERMIT Q`0"
TYPE OF STRU URE:
RECHECK I AP""sVED
N/A YES NQ
FOOTINGS/PIERS'. /
MONOLITHIC POUR'F.RM
REINFORCEMENT IN PLACE
THE CONTRACTOR I RESPONSIBLE FOR
PROVIDING PROTE TON FROM FREEZIN
FOR 48 HOURS FOL •' ING THE PLACE—
MENT OF THE CONCRE E.
MATERIALS FOR THIS ';URPOSE ON $ TE _
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACk _L
FOUNDATION/DAMPPROOFIN4 _
BACKFILL APPROVAL _
PLUMBING VENT/VENTS IN P CE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: 9
JACK STUDS/HEADERS
BRACING/BRIDeING
JOIST HANGE" .
JACK POSTS/ 'IN BEAM
AIR INFILTRATION B:RRIER
HEATING ROUGH—IN
INSULATION:
FOUNDATION WALLS INTERIOR R—
FOUNDATION ALLS EXTERIOR R—
FLOORS R—
WALLS R—
CEILING R— _
DUCT WORK OR PIPING IN
UNHEATED PACES R— •
C
Qf e /3ccfSe�/ v
Q.� (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT • �!
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR _- EPART ,. --
REQUEST FOR INSP CTION RECEIVED:
NAME S
LOCATION k c'd5 ���
DATE �[ -L1-- ^7 PERMIT } 7 [
V
TYPE OF STRUCTURE: T- 1\ J-\
RECHECK APPROVED
N/A YES NO
FOOTINGS/P ERS
MONOLITHIC 'OUR -ORM
REINFORCEMEN I PLACE
THE CONTRACTO ,' IS RESPONSIBLE FOR
PROVIDING PRO E TION FROM FREEZING
FOR 48 HOURS F+LLONINO THE PLACE-
MENT OF THE ONCRETE.
MATERIAL FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
046I NG:
441/
JACK STUDS/HEADERS _
BRACING/BRIDGING
JOIST HANGERS _
JACK POSTS/MAIN BEAM
AIIRJ. INFILTRATION BARRIER
/4TING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R- _
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
‘ -N . C1--6-c>
ltb u31 tt� C
TOWN OF QUEENSBURYLl C-*\1)()
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name l 'AeX ) S
Location (?:)'\," S C 11
Date J ),1+6J('permit # "7/i
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of eac trench
Depth of trenc
Size of stone
SEEPAGE PI S. umber- %
Size - t. x 1p ft.
Stone siz
PIPING: Size Type
Bldg. to Tank 41%
Tank to Dist. Box y ItVAL1?)
Dist. Box to Field/Pit
Openings Sealed? es --_)No Partial
LOCATION/SEPARATION!
Foundation to Tank _. feet
Foundation to Absorption feet
DAISETerattunTs6f Pits feet
Conforms as per Plot Plan
LOCATION OF SYSTEM ON PROPER :
(circle one)
Front - Rear - Left Side - Right Side
CMMNFrom ddleR r
COMMENTS: �t'��
%IL) E1.167404
liltt?.4-‘4°
SYSTEM USE APPROVED:
f6FS�-- NO
Arriv- . - W-5--
Depa ed.
wilding n.pector
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT 010
742 BAY RD., QUEENSBURY NY 12804
`
INSPECTOR'S REPORT: ARR�f./j DEPART,o, 0-
REQUEST FOR INSPECTION RECEIVED:
NAME _ tQr 1 11 der
LOCATION DATE I L�Sra PERMIT t -Q
ttC1 1 r
TYPE OF STRUCTURE:
RECHECK APPROVED
p J ,5 N/A YES 0
FOOTINGS/PIERS f-t\ A V-6
MONOLITftIC POUR FORM
REINFORCEMENT IN PLACE 7�" 1�
THE CONTRACTOR IS FOM IL EFZOIR
GPROVIDING PROTE O
FOR 48 HOURS FOLLO THE PLACE-
MENT OF THE CONCRE
MATERIALS FOR THIS P RPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB .
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM _
AIR INFILTRATION BARRIER _
HEATING ROUGH-IN
INSULATION: _
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- _
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRI( J DEPART`/'- INT J
REQUEST FOR INSPECTION RECEIVED:
NAME - '` ((.L..L, ��jC76l / ��r n
LOCATION CU L - 60I-er t B/41e/Q' - i2 )
DATE rillit[2 O%(Q PERMIITT A %- 7(1
TYPE OF STRUCTURE: 4
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS !
MONOLITHIC POUR RM -
REINFORCEMENT IN PLACE _
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR --_
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER _
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
gmRESIDENIJAL FINAL INSPECTION REPORT AfF ',.
Office No. (518) 761-8256 a cC>
Building &Code Enforcment Arrive: Ins..-" - c.
Dept. of Community Development
Town of Queensbury Date Inspection Request •eceived:
742 Bay Road
Queensbury, NY 12804 4 /
NAME � T \
PERMIT NO. A ( -1J
LOCATION ��,c- c� , DATE
TYPE OF STRUCTURE 57 %
. •- • •j kiivot•
Chimney Height/"B" Vent/Direct Vent Location -�-
Fresh Air Intake
Plumb Vent Through Roof INN=��'
Roof Complete
Exterior Finish Complete III IIA�
Interior/Exterior Railings 30" to 36" MI IIFA_
Exterior Handrails, Balconies, Landing 18 in. or more IIIINIIIII
Interior Handrails Stairs Both Sides 3 or More Risers =wi�
Grade 2% Away From Foundation �'-
8" Clearance To Sill Plate
Gas Valve Shut-Off Exposed/Regulator 18" Above Grade �Allignill
Gas Furnace Shut-Off within 30 Feet or within Line of Site 1111111M11111
Oil Furnace Shut-Off at Entrance to Furnace Area
Furnace/Hot Water Heater Operating ___ 411111.
Relief Valve(s) Installed III EU Ill
Headroom 6 ft. 6 in. On Stairs Mar,_
Basement Stairs 6 ft. 4 in. INIIIMIIIII 1-��—�
Handrail Exterior Stairs Both Sides More Than 3 Risers
Interior Privacy/Trim/Doors/Main Entrance 36" =
Floor Finish
Bathroom/Kitchen Watertight �;�
Interior Handrails Balconies/Landing 18 in. or more M,M—
Railing Across Window in Stairwells -EN-
Smoke Detectors:
every level MI MINIM
every bedroom -Irl=
IN
outside every bedroom
inter connected MI-�A-
Pathroomluming Fans =WA=
Plumbing Fixtures
Foundation Insulation
3/4 Hour Fire Door/Door Closer �FirM
,=Garage Fireproofing
Garage Penetrations Sealed It OM
Furnace In Separate Room Protected (In Garage) NNW_
Light Ventilation Per Room- it MI
Safety Glazing 18" or Less From Floor rilNM
pnal Electrical 11111V•NIP
ite Plan/Variance Required Elt-=�
Final Survey Plot Plan
As Built Septic System Layout Req. MI WA
11/7
Okay to Issue Temp C/O 111_t
N.
Okay to Issue Permanent C/O t
Okay to Issue C/C
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SMOKE DETECTORS REQUIRED IN ! `r h: :} '
ADJACENT TO BEDROOMS,ANO ON EACH FLOOR Lam)
INCLUDING CELLAR OR BASEMENT.`IArr.=K " —7
EtTED ON B�UU•SSi•11
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UPPER STRUCTURE
LIVING AREA
BEARING VALL
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WASHER
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ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURy, WARREN COUNTY
• 9000 HEATING DEGREE DAYS '
Compliance Methods : PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings ( 3 stories or less)
PART 4* - Design -by Component Performance -'
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION: •
Y -( E G [l c L-LeR- l3(Pb5AL(_ 1oAtQ
PART 5 METHOD OF COMPLIANCE� BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - c/J CX) scuare feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanically cooled? Yes No
4 . Percentage of area of windows and doors / Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof • _• R 3D
b . Exterior walls R cg.7
c . Glazed areas R
d . Exterior doors R
e . Floors over unheated spaces R
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls ( above grade) R
h. Basement/cellar walls (below grade) R
i. Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes_ No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
A�pl icat�' s S,i nature Date Phone Number
INSPECTOR' S REMARKS: