96-121 ..411bk TOWN OF QUE EN SB URY
oft-4
pitto
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. 96121 Date Issued: Thursday, January 12, 2006
This is to certify that work requested to be done as shown by Permit Number 96121
has been completed.
Tax Map Number. 523400-240-006-0001-022-000-0000
Location: 44 HANNEFORD Rd
Owner. HAROLD A SMITH
Applicant: SMITH, HAROLD A.
This structure may be occupied as a:
Ga'uzge with upz-tc s Apauc tment (SeazonaJ U-oe)
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, ( , 24
- ,\
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY FILE CO
.04,1 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: 96121 Application Number: 96121
Tax Map No: 523400-240-006-0001-022-000-0000
Permission is hereby granted to: SMITH, HAROLD A.
For property located at: 44 HANNEFORD 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: HAROLD A SMITH Unknown $60,000.00
167 PILOT KNOB Rd Total Value
KATTSKILL BAY, NY 12844-0000 $60,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
SMITH, HAROLD A. NYB
Plans&Specifications
GARAGE WITH UPSTAIRS APARTMENT(SEASONAL USE) / 864 SQ FT UPSTAIRS APARTMENT
WITH GARAGE AS PER PLOT PLANPERMIT RENEWED Permit renewed for 1 year, paid $25
on June 16, 2005 sh
$175.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Monday, July 10, 2006
(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 u e expiration d,te.)
Dated at the T wn of een f A., "i esday, July 10, 1996
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Department of Community Development Reviewed By: `.jOr- -----
Building & Code Enforcement Building Ins ector
T'owrr��� Queensbury 01-1"--4. �� Permit No. <' _ % 0
742 Bay Road V .,--- W
Queensbury, New York 12804 "' Fee Paid $
(518) 745-4447 Building Permit Application
v�
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. •
A1.11 applicants ' spaces on this application MUST be completed and the
signature of the applicant MUS'i' appear on the application form.
Applicant: ' f/MF L:b EL IVCf `�/YY ITN Owner: -AA - 0L �
,-, Ef r✓Cf-C ...c_ fr1" i Tfy
Address: k 1-`- / > c'r /W1 9blEfr/LY2/ Address: L r > /&'SA Qc.)e2A/' 42)4.y
Phone #f( Ate ) 6s-70 - _.c,37 Phone # ( /8_) j e- - s--- 7-
Property Location: N/✓ e7,e_2:. f Q / / / �
Tax Map Number
Subdivision Name: . Se 41
ction Block Lot
NATO E OF PROPOSED WORK: ESTIMATED MARKET VALUE Op) THE
• * New Building: CONSTRUCTION: $ ‘I C
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial ✓Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size _ Family Dwelling
Office
Other Work '(describe below) Mercantile
Manufacturing
•
Other cu-tZ; kv-... (Cp ,tag2.1444 ,
GROSS AREA OF PROPOSED S RUCTURE: 0 a.erit e..,LE 60
��r1� ,,�pp (J
1st Floor d•m"T �s�fl`ft •\ '� /� If ADDITION, what will use
q• S Q of new addition be? :
2nd .Floor 4.4 _ sq. f t . -�
Other Floors sq. f_t .�a --� -�
( not unfinished cellar or basement) �C�` _
l!(�.:�5SORY BUILDINGS
(p� . /Detached Garage 1 , 2 car
TOTAL FLOOR AREA: ' __ SQ. FT. // Attacli_ed Garage 1 , ? car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
36, FEET X 4- FEE T --
Foundation Type : yasette..atemt4.. __— Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only) -42
Height (grade to ridge): • feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: Electric / Oil / Gas / Wood
CETTFE;U Hot Al. / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : e,\,(1j-10-T2
Name 6�' Addresss Phone
Builder:
Plumber: --
Mason:
Electrician :
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN
drawn to scale, showing ac -ual lca9n o p oject on premises .
/
Signature : G" > 01,06. 9k.c
(owner, owner ' s agent, architect, contractor)
J
1v11icatio11 for
SEPTIC DISPOSAL PERMIT, STAMP It1 C1:IV1:1)
Location of property for installation: rtiX 01'►AP 17,1 ‘7'1
PERMIT NUMIi1',IL
Owner's Name: -fdfl&)L A f�c A/t�0-��- �.M + -f4-I
Address: *4-0— i (SSA m-1.1 nlc--FeV) -�
Installer's Name: • FEE PAID
Phone #: ( ) �+ � T� )
Number of bedrooms (if residential): � 5 s J wQ
'Total daily flow (residential -compute g i10 gal. per bedroom): JSo GAL 17ALi
Topography: flat I-1 Rolling I 1 Steep Slope QI. of Slope
Soil Nature: I-1 Sand 17fl.oam [ I Clay I Other /Depth:
Clround Water: at what depth? feet
I)edrock Or Impervious Material: at what depth'? feet
Percolation Test: � Not Required I I Required/(Late min. per inch
Domestic Water Supply: (-1 Municipal (Well I I Other
if domestic water supply is a WELL: water supply-from any septic absorption is feet
PROPOSED SYSTEM: ;/�l/ .,
Septic tank: gal. (minimum size: I.r)Ot) gal.)
'tile Field: each trench feet. / total system length feet.
Seepage Pit(s): number of / size each: ft. x ft.
• Size of stone to be used: # • I depth or thickness feet.
11t)1.1)INO TANK SYSTEM: (if required) 341
9 Number of tanks: Size of each: /0 gal. 6C-4 CA'41— V 62412'l l)
•
I1 Alarm system and associated electrical work to he inspected by a certified agency.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of
Queensberry, any permit or approval granted which is based upon or is granted in reliance a pan
any material misrepresentation or failure to make a material fact or circumstance known by or on
behalf o f an applicant, shall he void.
I hare read the regulations with respect to this a pplication and agree to abide by these and all
requirements of the Town of Qrreenshur•y Sanitary Sewage Di.cp7.a rdinance. G
- / ll� U—/h, ! /
Signature o f responsible person: ` r Date: `7-� 1O
PLOT PLAN
SEPTIC SYSTEM
Notice: The following statement must be "stamped" on your plot
plan. This sheet of paper may be used for purposes of
drawing your plot plan . After drawing such plot plan,
please read the statement and sign it. If you choose to
use other paper for your plot plan, the office will stamp
those plans for your signature.
Avaie?
•.
"I have seen or observed,or believe I saw evidence ol,
all objects such as houses, wells, trees, fences, etc.,
shown on this document. I also represent that I have
personally measured the istances for h on the diagt;mi."
SIGtJAJURE I?111E
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)
CART 6* -- Thermal Rating - Component Trade Offs
1&2. Family Dwellings; Multi-Family
Dwellings ( 3 stories or less )
PART 4* - Designs by Component Performance
Commercial. Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT ' S NAME : PROPERTY LOCATION :
1 A TAxrnAP {4A,_,Weraz
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE :
1 . Gross Floor Area - ___ square feet
2 . Type of Heat - Electric ` VOil Gas Other
3 . Is building mechanically cooled? Yes f/ No
4 . Percentage of area of windows and doors Over 17% /A:nder 17%
5 . R-VALUE'S FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R--VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R 30
b. Exterior walls R ZP
)' Glazed areas R
r-L_d. Exterior doors R 2
e . Floors over unheated spaces R
f . Edge of slab on grade ( heated building) R
g. Basement/cellar walls (above grade) R -4/J
h . Basement/cellar walls (below grade) R c�
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
Applic it ' s Vegure "Le Phone Number
INSPECTOR' S REMARKS :
Final Survey Inspection
Dept.of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: i— / Ob
NAME: \Ala
Yc:A(`�
LOCATION: it 3 HQ n apeyre)e...0)
PERMIT#: ( -/ L/
Final Survey Plot Plan
A 1 !roved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review LngAdmatOr
survey has be
Craig Br ,
Notes:
L:\SueHemingway\Building.Codes.Inspection.FORMSWinal Survey
Zoning Administrator.doe
Queensbury Building & Code Enforcement - Residential Final Inspection
qf
Office No.(518)761-8256 Arrive: 9 t. /llam/p De a : am/pm
Date Inspection request received: Inspector's Initials:
NAME: uf1O4- 7 Z /ail
LOCATION: -V A /b IC I, DATE: #: 1 d 4
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Inake Cate1eseT l D N S 4 'K._
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
IGuard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more r �C� � ��
Guard at deck,porches 36 in. or more / V.., /
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in. y
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/2"
Gypsum
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
• /
ow water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight / .
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: I Battery backup:
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
7
Basement stairs closed rise>4 inches
arage Floor Pitched
Garage fireproofing/%hour fire door/door closer
f Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"aces , 1 sq. ft.-150 sq. ft. vents
Building No./Addres v ' from road
Final Electrical a /r ��� J��?4 , �/GN r"e�
to Plan /Variance n uir ,// ��� 4Ti1 d[J�Ve
Final Survey Plot Plan 7 d
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required /
Okay to issue C/C or C/0[Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. 77
Main Office 176 Doe Run Road-Manheim,PA 17545 SO
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL /_)
Permit No. Cert. N2 93670 Cut-in Card No. /
Owner T --
Location Y (74 l�Lf:?'l `!! 5 1 �/2i) I'O. p L ��r:
Installation Consisting of 6114 �l/2/00G� i� G' .h
Installed By `t �-- � Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of maki 'nspections at any time, and if its
rules are violated,the Company shall have the right t re ke th. ificat .
Date./— frl —� INSPECTOR...............
Member N.F.P.A.,I.A.E.I.
Queensbury Building & Code Enforcement - Residential Final Inspection {.---'2l 9
Office No. (518)761-8256 Arrive:gl'. b J am/pm e am/pm
Date Inspection request received: Inspector's Initials: /
NAME: Un.•1 PERMIT#: '6 /2-(
LOCATION: AM) Crot .D Ir . _ DATE: 6 6
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location / -1< �12 t�
Fresh Air Intake �J/
3 inch Plumb Vent through roof minimum 6" ✓/
Roof Complete/Exterior Finish Complete ✓
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more /
Exterior Finish Complete ✓/
Interior/Exterior Railings 34 in.to 38 in. ✓r
Platform at all exterior doors l
Interior Handrails stairs 2 or more risers J
Enclosed Stairs Sheetrock Underside minimum %"
7Gypsum /
Grade away from foundation 6 in.with 10 ft. /// 1 at PQiG�%/ON
Handrail Termination at Newell Post or Wall / �/e / "" N /`�
6 inch clearance to sill plate ✓ 6,f/K
Gas Valve shut-off exposed/regulator 18"above grade 1(/
Gas Furnace shut-off within 30 ft. or within line of site JJJ /
Oil Furnace shut-off at entrance to furnace area !
Furnace/Hot Water Heater operating / /
Low water shut-off boiler /
Relief Valve(s)installed/Heat Trap/Water Temp 110 i
id 4�k�� � N i P�U
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight i
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
/ /
Every level: i Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup: /�/�D
Carbon Monoxide Detector
Bathroom Fans,if.no window / ��r& Die,
Plumbing fixtures f/
Foundation insulation R/ /
Floor truss,draft stopping finished basement 1,000 sf / 7/
Emergency egress below grade /f/
Basement stairs closed rise>4 inches f� (
Garage Floor Pitched /'� � vo/n!��� 7�'4 L F!fC`� /Po
t 7` Garage fireproofing 1'A hour fire door/door closer ✓ "Sit R1&1 5
I Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area - /
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents i ✓
Building No./Address visible from road ^
Final Electrical V�'�'� 1 d�L— G `�C
Site Plan /Variance required �/
/
Final Survey Plot Plan ✓ AllG&')7 . 104 I, vg l,t G v
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required /
Okay to issue C/C or C/0[Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Aiuk
Septic Inspection Report
Office No.(518)761-8256 Date Inspection re. st r> e' -ed•
Queensbury Building&Code Enforcement Arrive: :m/p ' -.art: �,�, . y•
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi.'-
NAME: P RMIT NO.: \c c\�_1'Z�.
LOCATION: ‘A PI f E-FORD SPECT ON: 1 k--30 --Ok
RECHECK: —FL0 Al"" J ALA R
Comments and/or diagram
Soil Type: Sand/Loam/Clay P.\P_
Type of Water: Municipal/Well Water FLO RTb
Waterline separation distance ft.
Well separation distance ft. B B?NI
Other wells: ft.
Absorption Field: Total length ft. F-, �LE1
7
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Pi in Size T e
'Building to tank -l- -�} 4 LAD
0
T x
Opening Sealed: Y/N/Partial
Location/Separations
* Foundation to tank 'Zj ft.
Fottndationicrabserptien ft.
Sel ft.
Conforms as per Plot Plan Y N
Engineer .epa#and As-Built _ Y N
Location of System on Property:
Front r Left Side " t Sid-
Middle Fron Middle Rear
S stem Use St s•
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
Last revised 1/6/05
Septic Inspection Report
Office No.(518)761-8256 Date Inspection r,quest -c• 'es.
Queensbury Building&Code Enforcement Arrive: am/.1 D, .art: I '30 pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initia
NAME: --
. P EIT NO.: `-
/ i(io
LOCATION: , - CT ON: //r q (5
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone tD
\ . '\
Seepage Pits: Number
Size: x
Stone Size: c-2...‹,--.-:
(:-_-)
Piping Size Type
Building to tank ���%�
Tank to Distribution Box `� \
Distribution Box to Field/Pit
Opening Sealed: Y/N/Partial
End Caps
Location/SeparationsC))/
Foundation to tank ft.
Foundation to absorption ft.
\ V
Separation of Pits ft.
C\ f‘)Conforms as per Plot Plan _Y N ` \):()
Engineer Report and As-Built Y N V
Location of System on Property: 0
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use Stat s:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
Last revised 1/6/05
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. 2,
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. Cert. N2 93754 Cut-in Card No.
Owner !�,,`//,,,,/2-4;
Location 449 ,uA 6 A2' -C 1
Installation Consisting of. a, 4-r2 Z -T!1>�1� Vt 11G"bL-
[nstalled By g V6 Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
;ancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
ntroduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of maki i pections at any time, and if its
•ules are violated,the Company shall have the right to e ake thi certificat
)ate I ff Q INSPECTOR
Member N.F.P.A.,I.A.E.I.
Framing / Firestopping Inspection Report
/(1)
Office No. (518) 761-8256 Date Inspection request received: !� ?�
Queensbury Building& Code Enforcement Arrive: am/p D part:` /pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ��—ri
NAME: �,'ri1 PERMIT#: —t2/
LOCATION: {- .4MN e,/-- 0 +> t t INSPECT ON: e
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Jack Studs/Headers (-rC O
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/s (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 snow shield 24 inches from wall , ,r'y
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 % 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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
'742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials J (--,./
NAME: _ PERMIT# cy, l z-I
LOCATION: tt,t-NiA- o -0 • INSPECT ON(date): c J fo __
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form _
Reinforcement in Place
The contractor is respo ..e for
providing protection fr., eezing
for 48 hours following tl • • acement
of the concrete.
Materials for this purpose o •to
Foundation/Wallpour
Reinforcement in Place
Foundation/D amppro o fin
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-
--
er Vent,Attic Vent
op iraining__
Jaek Studs/Headers
✓13racing/Bridging_i7Z U$S ML0T, / / �.} �,� 66,, � ‘ROC---1-(:—
/,,,st Hangers �i ��ll �—'
k Posts/Main Beam t /' �
Air Infiltration Barriers� l 4575 " ��
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Bui1ding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
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 I •'' m
Inspector's Initials LI
t�
NAME: � .(11& PERMIT# _6-/2-1
LOCATION: I-k.A.tMii-l•G4° DATE : (.o® ')
TYPE OF STRUCTURE:
RECHECK
r N/A YES NO COMMENTS
Footings/Piers ' ' I 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/Wallpour A--'`
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation I
Foundation Walls Interior R
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
junheated spaces R-
Petntr Vent, /10 �C /2 c�i 4 C1,t '
0 mi Jack Studs/Headers ` M i t'9") 34'DG t I �
Bracing/Bridging .� 4;5t,�c 0c�4- 4 4ida2-?S « T41/
Joist Hangers
✓ `-'j�
Jack Posts/Main Beam / //L-4DC i
Air Infiltration Barrier p
Fire Separation 1,2,3,hours��-c�K� ( S a4�iI
Penetration Sealed
Fire Wall 2, 3,4 hour ri) rcr4,� f AJAR__ /If« / 4 it-16)&Z5
Firestopping
\ 12
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive l 1A% am/pm Depart_--t pm
Inspector's Initials
NAME: �LJ�` J �I'— PERMIT#
LOCATION: 4/3 #0' DATE : ZS
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protectio from freezing
for 48 hours followie placeme
of the concrete.
Materials for this purpose o
Foundation/Wallpour
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
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive /4) am/pm Depart am/pm
Inspector's Initials
NAME: r�5 It ki2
PERMIT#LOCATION: DATE : ;far
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place ,�y �c t :/7
The contractor is responsible for
providing protection from freezin �, !, ,.
for 48 hours foil wing the pla ent
of the concrete.
Materials for this p se on to
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo g
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
GENERAL INSPECTION REPORT
Town of Queensbury
0)1
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive • am/pm Depart Iyam/pm
Inspector's Initials "!
NAME: � ��a PERMIT# 0'/ o)
LOCATIO : y v f- f DATE : ; g
TYPE OF STRUCTURE: C-c\.r c._c, � � - Now 'mr•Q,A,„'-
RECHECK
f N/A YES O �COMMEN,T/S /
LMonolgs/Piers V I 1"C— lit L:,X'r�ie66 7 `''�/9)
Monolithic Pour Form
Reinforcement in Place ?--irr
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 7/3
Reinforcement in Place _ � /�Foundation/Dampproofing Cy r ,f r
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
Heating Rough-Ir:
Insulation _ ;
1 Foundation Walls Interior R-
Foundation Walls Exterior R- /7` A� ��
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
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1 B ADD GENERAL SPECIFICATION 14-95
N CATION �I H. SMITH 3-
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DEED REFERENCE: (Coulter t��«*)
ERWIN k ANN D. JOHNSON
TO
HAROLD A. SMITH
DATED APRIL 5, 1994
BOOK 918 PAGE 268
WOOD STAKE
FOUND
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BOOK 922 PAGE 10
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4&r ROBERT L. & JUDI TH A. SCHULZ
BOOK 581 PAGE 997
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nj 5 to d
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A GARAGE
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974
ABRAHAM & CHARLOTTE GUTTERMAM
BOOK 507 PAGE 408
Cma'* I.P.F. LEGEND
(Coulter d�AleCamadc) LP.F.
O I.R.F. IRON ROD FOUND
O I.P.F. IRON PIPE FOUND
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� UTILITY POLE
Q000 STONE WALL
BARBED WIRE FENCE
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CLRF.
q PL PROPERTY LINE
(Coulter h McCorrnadc) I.P.F.
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N
W
I.P.F. RECEIVED
(van Dugan &stoves) JAN 0 6 2006
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TOWN OF (auEtNSrSURY
o
BUILDING AND CODE
0
NOTES:
MAP OF A SURVEY MADE FOR
1) THIS SURVEY WAS PREPARED WITHOUT THE
M 1-
THERETO OF AN ABSTRACT OF TITLE AND IS ET�P tiM 09 HAROLD A . SMITH
THEREFORE SUBJECT TO ANY EASEMENTS, �'
COVENANTS OR RESTRICTIONS OF RECORD y y .>�
ANY STATEMENT OF FACTS SUCH DOCUMENT
WOULD DISCLOSE. r
�. TOWN OF QUEENSBURY, COUNTY OF WASHINGTON, STATE OF NEW YORK
2) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY O O J
VIo TIONING A OF SECTIONSUB—DIVISION 2ORS ,of IS
LAND 5� B OL S TER AND ASSOCIATES
NEW YORK STATE EDUCATION LAW. PROFESSIONAL LAND SURVEYORS
3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS RUSSELL E. HOWARD, PLS N.Y.S. LIC. NO. 50540 DATE. MAY 25, 1999 SCALE- 1" = 30'
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.
DATE SEALED f 4 d") REV. JAN. 6, 2006 DWG. NO. 99052B C
LMV5 OF G+t1'f1;&AN ' LM V5 OF WOW A.Ate ftZMM M.5WM i L*V5 OF Roof Y
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TOWN�F QUEENSBURY
B VARIANCE NEEDED
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t Of have seen or obaervK or believe I saw evidence of, MAY
t all ob**such as houses,wells, trees,fences, etc., I
I shown on ft documalnt I also represent that I have
` t Tni
persor�ht Inasdrod the distances rth On diagram." { � `�\ t 7o o wr�ng Aini ;tor pF pUEENSBURY
1 - �
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SIGNATURE DATE g \1 C ADD GENERAL SPECIFICATION #I H. SMITH 3 14 95
1 B HOLDING TANK CAPACITY H. SMITH 3-I'4-�5-
A SEPARATION DISTANCE TO NEAREST WELL H. SMITH 3-14-95
1 NO. REVISIONS I BY DATE
100,00. W\OLP A, 5MITH k-I 5
PROP05EV 59 PLAN
51S PLAN
LMns OF fOM01M 1 NANEEOd� POV, fOWN OF CtfeN5aLi�Y, WARN COLM, WW YOLK
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S-1 5UV E I"-10'-O" `` r- -- �, DRAWN BY 5, 1." DATE 1048-94 DRAWING NO.
SCALE A5 WW SM.
PRINT ISSUED 5