2000-125 TOWN OF OUEENSBURY
Fors
4 _ c
742 Ray Road,Ouccnsbury, N1 1.8O{ 5)t)2 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: 2000125 Date Issued: Monday, February 26, 2001
This is to certify that work requested to be done as shown by Permit Number 2000125
has been completed.
Tax Map Number: 523400-006-000-000 I-0 I 0-000-0000
Location: 73 ASSEMBLY PT. Rd
Owner: KEVIN & MARY BETH MASCHEWSKI
Applicant: MASCHEWSKI, KEVIN
This structure may be occupied as a:
oRESIDENTIAL ADDITION AND ALTERATION Ty Order OWNOF Q Board
TQUEENSBURY
(DJ
4
Director of Building& Code Enforcement
BLDG. PERMIT NO. 2 0 0 0-12 5
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; 73 Assembly Point Road
for the following uses: Residential Addition and Alteration
Kevin Maschewsli
January 17 , 2001
DATE IGN URE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ( )APPROVED
( )DISAPPROVED
with the following conditions: Certificate of Occuapncy to be
issued upon completion of:
1 ) Site Plan issues
2 ) Final Fireplace Inspection
3 ) Correct concrete piers for porch & deck posts.
4 ) No occupancyuntil resolution of setback issue.
TEMPORARY CERTIFICATE OF OCCUPANCY : $10.0 D POS . ( $100.00
received on January 17 , 2001
Date of Issuance - Director of Bldg. & Co e Enfo cement
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 90 DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee.
56_,,46," - ,rx /1/ a J- ���
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 100000 Building Permit No. 2000125
TAX MAP NO. 6 . -1-10
Permission is hereby granted to MASCHEWSKI , KEVIN
Owner of property located at 73 ASSEMBLY P T. R D.
in the Town of Queensbury,to construct or place a ADDITION AND ALTERATION TO RESIDENCE
at the above location in accordance to 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.
Owner's Address:
P .O. BOX 181
LAKE GEORGE, NY 12845
Contractor or Builder's Name:
MCCOMBIE, GLEN
Contractor or Builder's Address:
PLUM POPPY SOUTH
BALLSTON SPA, NY
Electrical Inspection Agency:
Type of Construction:
RES .ALTERATION & ADDITION
Plans and Specifications:
RESIDENTIAL ADDITION AND ALTERATION ( 2 , 432 SQ. FT) AS PER PLOT
PLAN AND SPECIFICATIONS
Proposed Use:
ADDITION AND ALTERATION TO RESIDENCE
$ 27 gERMIT FEE PAID—THIS PERMIT EXPIRES March 30 2002
(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 To f Queensbury this 3 0 Day of March 2000
SIGNED BY ent �l '� for the Town of Queensbury
Code Enforce Officer
.�uu sazng reT/nit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbuly, NY 12804 /761-8256/
r BUILDING & . CODE ENFORCEMENT
NIORCEMLNT
Requirements prior to issuance r
. A permit trust be obtained before of this permit: PERMIT FILE NO. �Q�o /,2J
beginning construction. No inspections �•7
will be made until applicant has received X Zoning Board Action PERMITPERMIT/'E PAIDA/U$ c.2 /�
in
.6„..
a VALID BUILDING PERMIT. All Arca " Usc
applicants' spaces on this application -— f! R 2000 RECREATION FEE I'AID$
MUST be completed atid•Iho signature tl PlanningBoard Action /�,
of the applicant must appear oat the
REVIEWED B}:
SPR / Subdivision I Other sawing buper►or
t►1►plication form. flank yo.s. • .1 Recreation Fee Payment Applicant: 14t=v►l-1 MAL`zL-1- S 4�ii Owner' f/E.. ,'1 J 1�x .- v,.._1`kl
. ' Address: `C7- R Sz 1S i a '41GAddress: ,� ..1,-is.
•
Phone # (SIB, ) 117i- S - � ,5 Phone # ( )
Property Location: 7 A �� 1r ►►`iT_ ?
Subdivision Name: Ae7A--,C-1�ia�- r P, t-i1 Tax Map Number / / /O
Section flock I kit
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ /7O5000
residence / corm► _ •
ls" Addition to Building:
"residena / comet . i.0 OCCUPANCY INFORMATION:
Altetration CBuilding: Prl+tary Building -
residence? / commer = 1 V Single Family Dwelling
Residence / COmmercial Two Family Dwelling
no change to exterior of M ___ Family Dwelling
Office
Other Work (describe belo ) Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE: •
1st Floor t'i' sq. ft . If ADDITION, what will use
2nd .flooriy�o sq. ft. of new addition be? :
Other Floors ----- sq. ft. -T" t1 .( M P '- '�
(not unfinished cellar or basement) tit—«
ACCESSORY BUILDINGS.,
' '/ Detached Garage 1, 2 car
TOTAL FLOOR AREA: 21 32 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
'i Other
FEET X 27 FEET
exe.-rit,1C 1.2' E5tex"..A6 4
Foundation Type: tJt=„-I icy'" t?ztce,._4.4j Will any second-hand or ungraded
' Number of Stories : 2 lumber be used? If so, for what?
( habitable space only) „ _ ir_ pt..i.
Height (grade to ridge) : 28‘'10 r.�
feet: TYPE O tit"SATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which a lies)
to be installed: 1 Electric / Oil Ga / Wood
Forced Hot Air aseboard / Other
Person re
responsible for supervision of work as regards to building
codes is : 11jE1,1t4 t /kA—C-A\C.w•V-ii , fPo i'ssz 181 LING Ci `> >✓ ci%a%e t4 2
Naiite Addresss Phone
Builder: CGIt=t-i f 1,Abie ?I P( ` ;.d,t l ` ?A., Sr ,•cc::I/
P A : N4c.c.0 t-4t3;t= G)a...i. , iLTtclN-t - C--c ta:Gzi°s.A C...v 17•r64-= g._
. M to u i t':
Eilirctacia-n.:
DECLARATION• 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, arc a true and complete statement of all proposed work to be done on 1 '``
the described premises amid that all provisions of the Building Code, the Zoning Ordinance and all
2
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 owlet-Moo(' that I/we shall submit prior to a /rr.� :'
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by '
a licensed surveyor; drawn to seal sho ' ig actual location of project on premises.
Signature:
owner`Owner's agent, architect, contractor)
/ 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:
kE-Vi kJ fri/S.- __.4., ),K i 73 ik-:---4,-64 \i -RI b_rc r.47.,
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 2VSe7 square feet
2 . Type of Heat - Electric Oil Other
3 . Is building mechanidally cooled? Yes v No
4 . Percentage of area of windows and doors t'Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R jC
b . Exterior walls R l'
c . Glazed areas R 7u-ro.Se.)
d . Exterior doors R l .7
e . Floors over unheated spaces R 1c
f . Edge of slab on grade (heated building) R NA.
g. Basement/cellar walls (above grade) R I
h . Basement/cellar walls (below grade)(LaPro l e,E4a ) R 1
i . Heating/cooling-ducts-piping in unheated space R t-ip.
6 . Service (domestic) hot water heating device /
Conforms to minimum efficiency per code V Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
App' car s / Da / Phone Number -INSPECTOR' S REMARKS :
Fire Alarsital's Office "Town of Queensburv. 742 Ray Road,Quecnsburv, NV
(518) 761-8205
Application for Fuel Burning Appliances &Chimneys
applicable to solid fuel & vented gas appliances
Date _MAPr11 22 , 20 0G?_ Permit No.je;V
Application is hereby'wide to the Building& Codes Office.for the issuance of a Building and Use
Permit pursuant to the New+York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable lanes, ordinances, regulations, and all conditions that are purl of
these requirements and also will allots all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final are Inspections required.
#�
Applicant Information Fuel Burning Appliance Information
(circle a . •' words)
Name: }4>„,v1, 3_ t Stove: illrod coal pellet gas
Fireplace insert '
Address: 17.40. e,az, le,i t sr pace, facto '-bur • wood gas
e, cl I E , t Js Fireplace, masonry: wood gas
tln�, Furnace: wood gas oil
Phone: (St$) to ..
If non-masonary applicance, please provide
Owner: i ikJ . 4.c..,.ti.-_E,� M ,t
y A Manufacturer Name: ou ., ,1 , 'p
____ _ dress: _4 1A --A A,l av,rE _x- Model Number: " F-`*'' 6'
F Chimney Information
Phone: (61e) 1 - 14>2 (circle appropriate words)
,�, �,as block brick stone
�t /''Flue tile steel size: ,. inches
Exact Address: 7 rf�r et++t os ^ , e... ,c.,,it
of construction or installation Factory-Built
Manufacturer name: 6 I./ PE0iePi;.
Model Number: ?`F fa, nQ. 11=1a
,Vote: Listed By: UL Number:
Construction /Installation must
conform to NYS Fire Prevention & Building Indi - circ e) chimney material:
Code. Consult available Torun of Queettsbury . -- - °-" . _•
•
rr
�'
Handouts regarding required inspections. Double troll 1 Triple wall Insulated / Direct venting
d.�
Chimney y Liner .._� .._�. --,
Cat,gbtier'st l epartmtex:t—Toast ze of Queezastbzzz-y, _New York !
Fire Marshal Code # S Collected S Refiruded Receired from (refinided to). l } } i � J *
t fit) address;— a,�___ #� "" qL
.-I 173 3389 190 Public Safety
.4 233 2655 (230)Minor Sales -
�"!;` f
rtica-wto - 7J. (midi o2 'l-2cy..,Zi
White(Applicant) Green(Fire Marshal) Yellow(131d��. Dept.) Pink 8:.Goldenrod(Cashier's Dept.)
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive 15`= am/pm Depart n/pm
Town of Queensbury Inspector's Initials DA
742 Bay Road
Queensbury,New York 12804
NAME q_ 1�(�n(�
LOCATION c aperAD k ( DATE r
TYPE OF STRUC
N/A YES NO COMMENTS
Chimney Height/B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more riser ,
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
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
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy) /a//�r/.
j�
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive /04i am/pm Depart am/pm
Inspector's Initials 04;
NAME: {l�G« lr Sc'c i /� PERMIT# i'%�' ` � -
LOCATION: 73 <�� ` �� /�`" DATE: :3 L4 eV6O3 /d6
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing _ vc"ems" �� %)-"`s
for 48 hours following the placement
of the concrete.
Materials for this purpose on site /
Foundation/Wallpour , ,r; ac fPcl)aF-
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inte r R-
Foundation Walls E erior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in r
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
f A
�- /L,)
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement ,,�
Dept.of Community Development Arrive,dr1(1 am/pm Depart ai pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME en). \ Ps1..�S l PERMIT�� —I
LOCATION 3 b �;'1L '^ � DATE a ... I
TYPE OF STRUCTURE j-
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 8 in.or
Interior Handrails stairs both sides 3 o more ri s �?
Grade 2%away from foundation / & hi( Ccrce/p
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"a e grade
Gas Furnace shut-off within 30 feet o wi line of site
Oil Furnace shut-off at entrance to L area
Furnace/Hot Water ' ter opera
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides mot., than 3 risers
Interior privacy/trim/doors/main entran - 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 1:in.or more
Railing across window in stairwells
Smoke Detectors:
everylevel
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certi£of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request $- 'ved:
Building&Code Enforcement
Dept. of Community Development Arrive% _hII •11 t : 'rt
Town of Queensbury ..:--$ s Initial-
742 Bay Road
Queensbury,New York 112880k 04-
NAME \c2\) l► q Q,��s •a• I # .0-/o25
LOCATION —��, Q,mac �j\ DATE -���-�QI O1
TYPE OF STRUCTURE k a m-.
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
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
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_ CORRE.CT' GO
Okay to issue permanent C/O(Certif.of Occupancy) Q` n F09
f7� CH1
ID
TOWN OF QUEENSBURY
Amok BUILDING & CODE ENFORCEMENT
F 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP: (75
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DHELLING
(hotel, motel, apt. complex)
DATE INSPECTION� REQUEST RECEIVED: ,
NAME 1/ l6tr.;( V4..UC�i-, j�}
LOCATION '}�`�✓/v.tp� t1 wJ
DATE .144101 PERMIT # IL VO'e I1)
TYPE OF STRUCTURE C7
FOOTINGS BACKFILL FRAMING PLUMBING
INSULATION
YES NO
CHIMNEY/"B" VENT/HEIGHT _
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILIN .
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS l_
CEILING FIRE STOPPING _t
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN ARIANCE O. e6
\J FINAL SURVEY PLOT PLAN, IF REQ
OK TO ISSUE C/O OR C/C
r2 j/O f
`�Ar yl�� t� S
tit
o m
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request r ived:
Building&Code Enforcement ��
Dept.of Community Development Arrives i_h rpm rt'? J3 •S./'
Town of Queensbury or's Initial �y
742 Bay Road
Queensbury,New York 12804 #
NAME d�/2.-v 1 1 'F't Ql.�J S •'' /025
LOCATION —�?� ` c� � p\ p� DATE o1
v.Qr
TYPE OF STRUCTURE �}- , va-�
N/A YES NO COMMENTS
Chimney Heightf'B"Vent/Direct Vent •... 'on
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,Ian. g 18' or more
Interior Handrails stairs both sides or ...re risers
Grade 2%away from foundation
8"clearance to sill pl.te
Gas Valve shut-off e ••sed/re a • or 18"above grade
Gas Furnace shut-off within 30 f- t or within line of site
Oil Furnace shut-off at entrance t• furnace area
Furnace/Hot Water Heater opera g
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sid s more than 3 risers
Interior privacy/trim/doors/ma' entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconi • 18 in.or more
Railing across window in stairw Us
Smoke Detectors: ,
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation /
3/4 hour fire door/door closer
Garage fireproofmg
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_ CoRREX' CQ l)C E-TE_
Okay to issue permanent C/O(Certif.of Occupancy) PIE K6 rR 1 CH 41 D
6
FIRE MARSHAL
i TOWN OF QUEENSBURY
`� j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSP CTION REPORT
REQUEST RECEIVED l IA 0
NAME I<' i11 M t �
LOCATIONI3A55CMU Pr ERMIT# s2060-•ILA
SCHEDULE INSPECTION ON l
`3Q Pr 1M
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS 1
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY XACTORY BLT.
❑ROUGH-IN
INAL K
REMARKS: 1K OK TO THIS DATE
C" CkmaAAte Rer "tAitf F/17
— 1-lettrAlk Utcopica- oK
— { - OK
5-1-kv-f
INSPSLIP.PUB INS CTOR
. .
7(36 _ ,_,
RESIDENTIAL FINAL INSPECTION REPORT V- /3✓
Office No.(518)761-8256 Date inspection request received: V
Building&Code Enforcement
Dept.of Community Development Arrive Depart('
Town of Queensbury Inspector's Initia
742 Bay Road
Queensbury,New York 12804
NAME MI 1 ..j (F � )c 1 1 PERMIT# ' 9 Id-5
LOCATION - 7 3 , C' m\toi`2., DATE / — •-j(1 C)
TYPE OF STRUCTURE �, 1 %F'='
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake ./
Plumb Vent through roof
Roof Complete ‘,/
Exterior Finish Complete
Interior/Exterior Railings 30"to 36" -
,, �`'"it-k C .L-%'
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers t�
Grade 2%away from foundation _vt,Lc- `vvi ��' :'l'> � _ , i
8"clearance u sill plate tip✓ �--! 1. _V L' �� e .�
Gas Valve shut-off exposed/ = ,tor 18"above grade / C
Gas Furnace shut-off within I . t or within line of site / ✓ �� F E �A
Oil Furnace shut-off at en I : o furnace area / /
Furnace/Hot Water Heater o« ating ✓ \
Relief Valve(s)installed t , �:C��Cc ` C. \ r.
'x C-: C
Headroom,6 ft.6 in.on : •
Basement stairs,6 ft.4 t �1 _ FCC RNL,�'{
Handrail exterior s ' s bo sides more than 3 risers V CAT A
Interior priva doors/ i:in entrance 36" `� '.
Floor Finish
Bathroom/Kitchen waterti• t /
Interior Handrails Balconi- I•_ 18 in.or more / / `� ��
Railing across window ins vells �/ / )`L_. t ,\ 7
21
Smoke Detectors: 'I_IWW.t- . 5 e\E to , t/�
every level //
every bedroom ,//
outside every bedroom ,//
inter connected �/`
Bathroom fans
Plumbing fixtures `
Foundation insulation r / Ni
3 hour fire door/door closer v!
Garage fireproofing
Garage penetrations sealed /
Furnace in separate room protected(in garage) I i
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required /
Final Survey Plot Plan �/
As Built Septic System layout required CAh61 -_..,
Okay to issue C/C(Certif.of Compliance) V
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
TOWN OF QUEENSBURY
-411 BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
< (518) 761-8256
ARRIVE: DEPART: INSP: v,
FINAL INSPECTION REPORT — RESIDENTIAL
DATE INSPyECTT N REQUEST RECEIVED:
(�4 NAME j,r'C-/-( (.C)lj
LOCATION /Qi"I?"Z
]
DATE 1 / i( I ( PERMIT # C121 /z
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL _ WOODSTOVE OR FIREPLACE
N/A YES NO I
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
}
RELIEF VALVES +
FURNACE/HOT WATER OPERATI
INTERIOR TRIM/PRIVA DOI '
FINISH FLOORS:
BATH/KITCHEN WATERTIG
OTHER FLOORS SWEEPABL
OTHER FLOORS CARPETED
STAIR CLEARANCE RAILINe
SMOKE DETECTORS
B. HROSM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINA ELECTRICAL
S E PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/Cc
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GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury i()
0
Dept.of Community Development Date inspection request received: I I 1-5
Building&Code Enforcement
742 Bay Road 1,7'3 .-
Queensbury,NY 12804 Arrive�am/pm Depart a `
Inspector's In'
NAME: /'14 &I ewS U_ , PERMIT# « ! 1 a-
LOCATION: 7 A SSA,-1. /W-vAJ./ y. (1 T Mb-DATE: --/()CT e --TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers ¢,,
Monolithic Pour Form ,..
Reinforcement in Place
The contractor is responsible for /
providing protection from freezing
for 48 hours following the placement
of the concrete. '3
Materials for this purpose on site 4.
Foundation/Walipour / ,
Reinforcement in Place /
Foundation/Dampproofing
Backfill Approval r
Plumbing Under Slab 7
Plumbing Vent/Vents in Place
Rough Plumbing /`
p.peating Rough-In t
(d 4<insulation / , /
h' Foundation Walls Interior R/ ` 1,1/ '��
Foundation Walls Exterior 1- it
Floors R-` Y ; ^"A .ct''.. A � `; '�� ‘fit`v 'tv Gn u�- 11.1)C.lk
Walls7 i 9 ...,/ ,,
Ceiling 'Jl.'
Duct work or piping int
unheated spaces ,d R-
Proper Vent, Attic Vent:'
Framing \ "51 41 "7_� Fiat
Jack Studs/Headers//
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam ,;
Air Infiltration Barrier `'
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
/Firestopping \<j-r Q"7. () Else
\l.33EC\ iOti4
g-- P 11A-
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: (I I/C)0
Building&Code Enforcement
742 Bay Road !`��
Queensbury,NY 12804 Arrive,Z4 j am/ .t,.. Depart '411100
Inspector's Initial
NAME: tvl of Sl'-k etc,5 GC I,L Pv'.1,\ PERMIT# , --
LOCATION: S DATE: 0
TYPE OF STRUCTURE: -
0-t, X. J'1^�
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
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/Walipour
Reinforcement in Place
Foundation/Dampproofing _
Backfill Approval `'
' umbing Under Slab 1'� \ -. . I \�\
_�lumbing Vent/Vents in Place � ,�
ough Plumbing \, �.�
Heating Rough-In � � -�,� �.
o-�
Insulation V‘L.
L
Foundation Walls Interior R- �,
Foundation Walls Exterior R- , � v t
Floors R- f �i
Walls R- `i'j 11
Ceiling R-
Duct work or piping in
unheated spaces -
Proper Vent, Attic Vent :' t
*Framing \b( a L tf Fi t c f.r '
Jack Studs/Headers, ,t/
Bracing/Bridging V ,
Joist Hangers -1k Cat k..,,N -
Ar
Jack Posts/Main Beam t ,,
Air Infiltration Barrier a,
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping E;�TEptcl t.�4i14 0o�'�
-7,44,t 6,
FIRE MARSHAL
` TOWN OF QUEENSBURY
� j QUEENSBURY, NY 12804
- (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME c f,, L. c ks.,t: Y-.e �,'\ n
o k
LOCATION c-c.Q 1 ul , IPPERMIT#; ,NE)
SCHEDULE INSPECTION ON 9'' _` ,_ \ J
1\;6,11 A
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM '\
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES �`
i
STORAGE: # /
CLEARANCE TO SPRINKLERS X
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLAC ❑MASONRY FACTORY BLT. /
ROUGH-IN r/
❑FINAL OK
��
REMARKS: EI TO THIS DATE
A-Teb i C_
cil_ 1-k 1 a Zbo b W 9
'A'
INSPSLIP.PUB / ,INSPEC •"
%1(
GENERAL INSPECTION REPORT o 4 2.
(518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive Depart a.:, )
01.
Inspector's Initial•
NAME: l� ,) PER'vIIT#
LOCATION: •, / DATE Ca
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the pla , t
of the concrete.
Materials for this purpose on si
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
11r ation �r e (-, r��
Foundation Walls Interior R- .
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed •
Fire Wall 2, 3,4 hour
Firestopping
--C7791())
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: \
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 _._ Arrive am/pm Depart a /
Inspector's Initials
NAME: r PERMIT# -C�-S
LOCATION: J 3 'rn , f r) DATE : / 3-- ao
TYPE OF STRUCTURE:
RECHECK
N/A NO COMMENTS
gs/Ners I
Mono 'thicir Form
Reinforcement in Place
The contractor is responsib - for
providing protection from fre- g
for 48 hours following the placem. t
of the concrete.
Materials for this purpose on site
FoundationlWallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
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-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
1�\\ ,t..6
GENERAL INSPECTION REPORT 3 //1
( 518 ) 761-8256 !J1)
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive Vm Depa r pm
Inspector's Init►
NAME:A �� A Ck� C 1� PERMIT#
LOCATION: '""?3 I n DATE: �_ _ >
TYPE OF STRUCTURE: (- C� '`( 1\-
RECHECK
N/A YES NO COMMENTS
tings/Piers t I
Monolithic Pour Form
Reinforcement in P1.
The contractor is -•.•nsible for
providing protectio I from freezing
for 48 ho . folio• 1 g the placement
of the con -.
Materials for thi • •se on site
Foundation/Wall.• r
Reinforcement in Plao-
Foundation/Damppr. •fang
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i k Place
Rough Plumbing
Heating Rough-In
Insulation CCA
Foundation Walls Int: 'or R- \ Rpw__‘-) Foc*-\ t-\ 5 (' C t )
Foundation Walls Exterior R- �i - OT1 Cept1>a_
Floors j R-
Walls R- RC.,e_ R
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
Cj\
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
1115,
Queensbury,NY 12804. Arrive Depart ► 4o, •
Inspector's Init' ►
NAME: i A PERMIT#r.LI r 4(33
LOCATIO : -13 DATE : -- . .rs I T1
TYPE OF STRUCTURE:
RECHECK
Aft 411.1. N/A YE NO COMMENTS
Reinforcement in Place
The contractor is respo' ible for
providing protection •,•m freezi g
for 48 hours followin the pla -ment of the concrete. � \I VC-c\ C.5?o -!— S
Materials for this pu ••se on to
Foundation/Wallpour
Reinfbrrs_Inent in P
Foundation/Isampp ••fing tW.-4A:C CO GCS T�
Back611 Approval
Plumbing Under S :• 'L\? Cs \
Plumbing Vent/V- is in Place
Rough Plumbing
Heating Rough-I
Insulation
Foundation ails Interior R-
Foundation • ails Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct w• k or piping in
unh•.ted spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrivt a 1 m ' Depart =
actor's Initia �---
NAME: ),)
V 1 PERMIT# �C..
LOCATION: Zj S C:\ S`Y`m DATE : S if
TYPE OF STRUCTURE: (s O c1 - y
RECHECK
,/ N/A YE NO COMMENTS
N-Ft ings/Piers �: , I
I �Monolithic Pour Form / 1►�a�, t:�1,�k
Reinforcement in Place 7 v
The contractor is -1.•1 .b1e for
providing protectio' fro I • ::r ing
for 48 hours folio ' g the p cement ` 1-c
of the concrete.
Materials for this purpose on si
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo ng
Backfill Approval
Plumbing Unddr.Slab
Plumbing Vent/Vents ` ace
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Erior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping n
unheated spaces R-
Proper Vent, Attic Ven
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
. _ 1 ..
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TOWN OF QUEEN RY
BUILDING & 7. ,,,4, 2 2
REVIEWED BY
DATE / 4?
1 SEp 4172t_1 t-Lo.&-T1 ot-1 ,4.. ...1,
APPROVED BY: 11
SCALE: Lx�LE DRAWN BY r.,..\,M
DATE: S/41/2,Cknf, REVISED
1:774;2 o 4.17::>1 %T i, roe.. IN/‘A. i
P147Pr erf 0 73 4 E 4, T gam•
�" �� �� DRAWING NUMBER
-'Ouw�/ 6+-1-147t4, �/�.�� Y1- 10tJ.
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