2002-140 TOWN OF QUEENSBURY
742 Bay Road,Queensbuty,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
CERTIFICATE. OF OCCUPANCY .
Permit'Number: ",. P20020140 Date Issued: Friday, October 25,2002
This is.to certify that work requested-to be done as shown by Permit Number. P 0020140
has been completed,
Tax Map Number: µ 523400.290-000-0001-082-012.0000
Location: 33 STONEHURST Dr
Owner: JAMIE&HEIDI ST.JOHN
Applicant: , -
JAMIE&HEIDI ST;JOHN
N
This structure may be occupied as a:
By Order of Town Boatd
Fireplace TOWN OF QUEENSBURY
Garage,-.2 Cars.Attached
Single Family Dwelling
Director of Building&Code Enforcement
TOWN- OF QUEENSBURY .
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Comm'unity Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020140 ..: Application Number: A20020140
Tax Map No: 523400-290-000-0001-082-012-0000
Permission is hereby granted to: JAMIE &HEIDI ST. JOHN
For property located at: STONEHURST Dr
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: MAINE ENTERPRISES INC Single Family Dwelling 200,000.00
CHARLES &BEVERLY MAINE Garage-2 Cars Attached
32 TERRACE Ln Fireplace
QUEENSBURY,NY 12804 Total Value 200,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
COMMONWEALTH ELECTRICAL A(
PO BOX 706
HAGUE,NY
Plans &Specifications
2002-140
2858 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$395.92 PERMIT FEE PAID- TMS1 PERMIT EXPIRES- Tuesday,March 18,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town h 18,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application-
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(5.18)761-8256
A permit must be obtained before beginning construction. Permit File No.
No inspection will be made until applicant has received a Fee Paid Y 1 t
valid building permit. -All applicants' spaces on this Rec.Fee Paid 2st, t'T Z
application must be completed and must appear on the Reviewed By:.
application form.
`Sf4r�1�. �° ✓�1�rMs�--
Applicant: } R Owner: e ' _r - -•,/L
Address: o c q 2;1 Address: K2.0 6
.
b c 5 �nI15, _ 1 'o, fins',t.1�"8r� .
Phone#(�iJFS)��` :_� Phone#(-9.K) &GV-
Property Location: Lot Number: l House Number / l,�� � �VCR
Subdivision Name: Ccl, t�5� - Tax Map Number: ��(? - n r1--(O} 1r -
New Buildin : residence /commerce i�. g 'al Estimated Market Value of Canstructi�an�$_-
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'l
❑ Other work(describe ) as
Check Occupancylnformation I"Floor 2° Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling t
❑ Two family dwelling
❑ Townhouse -
❑ Multifamily dwelling
#of units
❑ Office
❑ Mercantile
La. Manufacturing
❑ 1 car-detached garage
-Ea. 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
Y` 2 car attached garage
❑ 3 car attached garage /f _
❑ Storage building-
commercial
❑ Storage building- '
residential- i
❑ Other
What is the proposed height of the structure feet ��inche ,ac ,o 41GV&-Q_ %S
Will any second-hand or ungraded lumber be used? If so,for what? < -=
Type of Heating System: electric/ oil / gas wood /forced hat air/ baseboard/other:
Number of Firentaces to be installed Number of Woodstoves to be installed-
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder ISZ50 , .1 k,_?`Fs- G" y-5 B *:;, 3�^ -
Plumber S _ .I
Mason
Electrician
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,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,as requested by the Zoning
Administrat or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of a w construction.
Signature: owner,owner's agent,architect,contractor
ur
Fire Marshal's Office Tow of Queensbury,742 Bay Road,Queensbury,NY
(518)7,61-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel' & vented gas .appliances
t2
Date 9; ���' ,20 �`�.;_ i� Permit NoDn' .��` G"f
a
Aplilication is hereby made to the Building&,Codes Officcfor the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention and 4ilclirtg Code. ?lae applicant yr 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 enterpreanises to perform required inspections_
's
NOTE to applicant: Rough-in and Final Inspections are required.
I
l
Applicant Information Fuel Burning Appliance Information
lf! ,t (circle appropriate words)
Name: ; t ? - Stove; wood coal pellet gas
Fireplace ins
Address: , , .;`�, ;it place'
factory-built: wood gas
irep ace, masonry: wood g
- r r Furnace: wood gas oil
Phone:
if iron-masonary applicance,please provide
5 A)W ;
(Jrvner• � `� Manufacturer Name:
Address: V0• Pao � Model Number:
Chimney Information
Phone: l alb Ef (circle appropriate words)
Masonry block . brick stone
t Flue tile steel size: _inches
Exact Address;
of construction or installation Factory{Built
a �cr bV'11 10 jjd< Manufacturer naille � t , a�`..
Model.Numb r. , U U I e: "
,Note. Listed By: Q& Number:&I ,Q
Construction llnstallation must
con &Buildigg Lidicate(circle)chimney material:
Code. Consult available Town of Queetrsbttry
Handouts regarding required inspections. Double wd/l 1 Triple wall 1 Insulated %QD-rcct veratirt�r
Ch rnney Luger
C�.�s:h..��e�*'�:,17►,ep����t ct'�rx�i�o#'QsaK�+��,erbux�+-, .2V'�e�][�'vr,�:
Fire Marshal Code# ' $Collected R Rcfirrulcd Rc.cc:�Ned fi•orn (refunded to):_� {�_ ;�_ k --•..;.
3.
r Cti.k flddJ
A 1733389 (190) .Public SirfetY '.:J�.._
A 233 2655 (230).Minor Sales
DATE:
yt�.n.ix�wLa- rflfVw. �C�U�J42 �fitlfv�i2.
White(Applicant) / Green(Fire Marshal) J Yellow(Bldg.Dept:) . / Pink&Goldenrod(Cashier's Dept'.)
V I
IMF 1;irc Marshal's Office Towifl'ofQueensbury,742 Bay Road,Queensbury,NY
(518)161-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & veni 1,d gas appliances.
Date .Q 20 Permit No.
1410
Application is hereby made to-the Building&Codes ioricefor the issuance of a Building and Use
Pertnitpursuant to the New York State.Fire Prei)ention and Building Code., The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
!i
these requirements and also will allow all inspectors to enteripreinises to peiforin.required inspections.
NOTE to applicant: Rough-in and Final Inspections are required,
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
�J St6ve: wood coal 'pellet gas
Fir'eplace insert
- -_ I --I, I l5u t wood -gas
F i fe pl,1-c y f�c t o�r -
Address: Cl- -
fl�r6111A-cje,-masonry: wood yes
Furnace: wood gas oil
oil I q_2
if bon-masonary applicance, please provide
06
Owner: el-VI Manufacturer Name: "3, f C
Model
Address: Number: 6 2
;?
Chimney Information
Phone: rr t ti n. 7
9, Z e (circle appropriate words)
Masonry block brick stone
7
FlU`e tile steel size: inches
Exact Address: 3 m Qt J,(PrP VoA
of construction-or installation Factory-.,'Built
Manufacturer name: zrm
Model'Number: _1 ti 12-3" /I P' it)
Note: Listed By: t )I • -NumVer"-44h_
Construction lInstallation must
con Lorin to NYS Fire Prevention &Building ffidicate(circle) chimney material:
Code. Consult available Town of Queensbui),
Donble wall Triple wallInsulated 11"Direct venting
Handouts regarding required inspections.
Chinineil Liner
J
Imt—
A
Fit-e Marshal Code# S Collected S Refunded- Reeieivedfi-onz (i-efunded to): S
addj`,ess:
A 173 3389 (190) Public Safety
A 233 2655 (230)Minot-Sales
DATE.
iw� oil
White(Applicant) Green(Fire Marshal) 7 Yellow(Bldg.Dept.) P Pink&Goldenrod(Cashier's Dept.)
ENERGY CODE "compl-.1ANcE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Comoli ance Methods: PART 5 - Accer)-'M-able Practice Method'
1&2 Family Dwellin' gs '(onily)
PART 6* - Thermal Rating — Component Trade Offs
; i,i ,
1&2 Fdm—; ly Dwellings; Mui`E__-paml y
Dwellings (3 stories or less)
PART 4* -- Design by Component Pe_rfLormiance
Commercial Buildings-Hi P,,:se Residential
*Reau-;-res submi-sislon, of worksheets
APPLICA—N-T' S NAB: PROPERTY LOCATION:
p
_Q_0f,0,,tSbc_) ,A-)
PART 5 MHOD OF COMPLIANCE BY ACCEPTABLE F16ICTICE:'
1 . G=-o s s Floor Ar scr-L,-a-?-e feet
2 . e or Heat - Electric Oil
Gas Other
3 . Is building mec'_,a:,__Jdally cooled? Yes Rio
4 . Pe=centaae of area of windows and doors Over 17 under 17
5 . R-77�r,_ZJUES FOR 1NNSULMIMIT GIVEN BELOW Zxf-UST CORMSPO-NiD. TO R-',j2Lj,_u=-s AS
S 0
ON PLANS SUBVL7m, 7')-
a _R 0 o.-2 30
b Ext-er-Lor walls
C . Glazed area S R 1,7
d . --.:'x t e r--' o r doors )1 5-
Floors over unheated saaces
'zdge of siph oa arrace (heat e,4 bu i 1 di ncr) R
C. 3 a s e:tent/cellar walls (above grade) R
3aSe tent/Cellar wall_= (beloTw grade)
e a t-in cr-/coo' na i- -dL ctz-pl p; ng in ur- d Oneate space R
6 . Se---.r-* c:e (domest..-Lc) hot- water heatin(= device
C 0 T-a_`o~aS to M i a e z. I c i.erri c y p e r, code Yes
TEMPERATURE C0,11TROL M_:LX.1_,XUM SETTING 1.400 WILL NOT BE EXCEEDED
D P`cra N,
TVS� _vim u
4
Application-for Permit—Septic Disposal System.
Town of QueenJsbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256_
1. OWNER INFORMATION:
3 Office Use
} Location of installation: cl(S �C o _
File Permit No. .
Tax Map No. E
Fee Paid
Owner's Name: 0-wt i L d Nejt .................._..... ."......:
—O n e s601
Address: 3 3 S �t u--, t r. 1—a+ 60 1 -
Q
2. . INSTALLER'S NAME PHONE NO.
3. RESIDENCE INFORMATION:" (circle year of dwelling,indicate#bedroom(s)and multiply#of
` bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gaybdrm =
1�$0 1991 x 130 gal/bdrm =
�199.1—present — x 110'gaUbdrm = 410
Garbage Grinder Installed yes_ / no
Spa or Whirlpool Installed. yes_ I no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
o h". Soli N re Ground Water Bedrock or Impervious Material Domestic Water Su 1
at what depth at what depth municipal,
Rolling feet feet We
steep slope clayv -"�/' i well;watersupply
_%slope otherV�r `e. from any septic-system
depths °I' absorption is_ft
other.
Percoiatsori Test: (!o`be completed by licensed professivnat engzneer or archi recr)
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field
h field for each Garbage Grinder,Spa or Whirlpool Tub.
Septic Tank: 1 r1�' gallon(min. size 1.000 gal.)
Tile Field: each trencher. Total System Length:
Seepage Pit(s): number of size.of each: ft by
Size of Stone to be used: # / depth or thickness feet
Bed System Size: �cJ� x
Alternative System: length andlor size
6. HOLDING TANK SYSTEM: (if required)
Number oftanks: / Size of each: gallons /TOTAL Capacity: gallons
Note_: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE 8c INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to-Section 136-29 of the Code of the Town
of Queensbury,any permit or approval granted-which is based,upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on Behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements ofthe Town of Queensbury Sanitary Sewage Disposal Ordinance.
�j ------- 6 fe
Sig�tu rsp si lepens f�
7K,
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept of Community Development Arrive am/pm Depa n/ inTown of Queensbury Inspector's Initi s
742 Bay Road
Queensbury,New
York 12804
NA.I E �f . �./��1� PERMIT#
LOCATION DATE_ fd
TYPE OF STRUCTURE
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,Ianding 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valye 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 watertigh#
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
314 hour fire door/door closer
Garage fireproofing 0
Garage penetrations sealed /' D
Furnace in separate room protected(in garage) ( /
Light ventilation per room
Safety glazing 18"ortle s fr fJpo
Final Electrical Q (J
Site plan/Variance reqbire&
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)
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE i
Received: Permit# e2, INSPECTION ON: o z5 .�
Name: !�: �1y � AM PM ANYTIME
Location:
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
CHIMNEY t_ -�
FINAL ,,,.. �-y 7_1 ,,
FACTORY BUI T ROUGH IN L Tw6f
R66 A I FINAL
WOOD . j 2
STOVE. ROUGH IN
' FINAL
VENTED GAS,
APPLIANCE ' Roll H III
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DATE rOK'FOR CO � NET OK
FINAL
FIREPLACE -
FACTORY BUILT ROUGH IN INSPECTED BY
FINAL
c4MDEV/CHRISJIWORD/LETTERS20OI/FIREMARSHALINSPECTIONREPOR YELLOW-OCCUPANT COPY
WHITE--BUILDING DEPARTMENT COPY
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4 4 37
Fire Marshalls Inspection Report
Request SCHEDULE
Received: —Permit# INSPECTION ON:
Name: AM PM ANYTIME
Location;
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL_
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
/CHIMNEY
FACTORY BUILT ROUG)i IN
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DATE OK FOR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGHIN I INSPECTED B
=INAL
COMDEV/CHRISJIWORDILETTERS200I/FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept of Community Development Arrive am/pm Depart ,,am/pni
Town of Queensbury Inspector's Initials U4
742 Bay Road
Queensbury,New York-12804
NAIVE PERMIT#
LOCATION DATE
TYPE OF STRUCTURE
N/A YES NO CONB4ENTS
Chimney HeightPB"Vent/Direct Vent Location
FreshAir Intake
Plumb Vent through roof
Roof Complete
Exterior FinishComplete
Interiorffixteriok Railings 30-to 36"
Exterior Handrails,balconies,landing 18 in.or more
InteriorHandrails 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 gradeL_
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/him/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 gJaAhg 18"or less from floor
V;2' �Iectrical
P lan/Variance required
Fina'18I1,urvey 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)___L
MAP REFERENCE:
MAP OF SECTION TWO
STONEHURST
A SUBDIVISION DEVELOPED BY
CHARLES & BEVERLY MAINE
DATED: JULY 29, 1987
LAST REVISED: JANUARY 25, 1995
BY: VAN DUSEN & STEVES S9
W
WELL PROPANE
M„ 4 ® $ TANK
F� WOOD
DECK
2 STORY
FwOOD FRA
39.7a HOUSE
LLJ
0 61
t NO
O U-i
C O N
Tn Z
N
DY
W
O
� an D u s eh
Steves
Land Surveyors, LLC
169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lic. No. 50135
S86'37'32"E
1188.38'
'083.53'
N86'37'32"W
1175.64'
1. 5
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SMALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TOv JAMIE P. ST. JOHN
HEIDI 5T. JOHN
HSBC MORTGAGE CORPORATION
TICOR TITLE INSURANCE COMPANY
CERTIFIED BYs�----�M
-----------------
's. 0 tii " MATTHEW C. STEVES. LLS NYS 50135
DATED,
C.
�IAND
'UNAUM0111ZED ALTERATION OR ADDITION TO A SURVEY Map made for
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.'
1JNLY COMES FROM THE ORIGINAL OF THIS %AM
MARAED WNH AN ORIGINAL OF THE LAID SU VEM"
SEAINS SHALL CONSIDERED TO BE VAUORDD TRUE COPIES.- JAMIE P . AND HEIDI A . S T . JOHN
CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE SNCC KITH THE
E%ISTINC CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YM STATE ASSOCIATION OF PROFESSIONAL
LAID SURVEYORS. SAO CERTIFICATIONS SMALL RUN ONLY
TO THE PERSON FOR WOW THE SURVEY IS PREPARED, AND
ON HIS BEHALF TD THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LENDING INSTITUTION USTED HEREON. AND Town of Queensbury, Warren County, New York
TO THE AW*NEES OF THE LENDING INSTITUTION'
54-7-61
NO. I DA TE
DESCRIPTION
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COMMONWEALTH ELECTRICAL INSPECTION SERVICE$ INC,
Main Office 176 Igoe Run Road - Manheim, PA 17545 •
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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The conditions following governed the issuance of this certificate, and any certificate previously issued is
cancelled: -
This certif cafe only covers the electrical equipment and installation conditions as of dater Upon the
introduction of additional equipment or alterations, application shall he promptly made for inspection!
Inspectors of this Companyshall have the rivilege of m `n inspections at any time, and if its
p p
rules are violated, the Company shall have the right t re ke is certificate.
DateINSPECTOR it 4tlylrfHiiiifi 14fitfffe/ffttfiitfiHii,fffeef#Iffif#if♦ +feeifti{yiitri•#fttlei/rif
elf fffffyy}i}f reef!#}}}}lff rifle liellyyiifitfeetf
Member N.F.P.A.t I.AtEe1l
_IrOWN OF QUEEKSBURY
BUIL-DING &--CODE ENFORCEMENT
742 Bc-k_y
Qut--*---n sb,u r-
,y My X2SO4
SEP-rIC DIsPOSAU SYSTEM INSPEC71-10K
Name - /I- &-I
Loca-tj an Z-6_/_ --s
Date Per-rn-i -t
SOIE Typ Sand- Loa -Cl ay-
p,asul is 0-f a -t! 4c)n Tas-t-
( 1 -F applicable- ) Ra-ttea-Minu-te/Inch
-TYPE OP SYS-TEM=
ABSORP-UrOM VIEUD: Total Lengt-h ,
Lang-th of:* each -ty-ench
Dep -th of trenches
S -ize of stone
SEEPAGE PITS ;Numt>a r--
t7t�x r
a 4--- - -F-t . x -F-t
S *tone size
PIPING : S T%
Bldg - to -lank
5G N O
Tank- -to Dis-t - Box 1%. __51
Dist-- . Box to F-i el P Lk L.
Op ta_rf 1 n g s Seal e-- d ? es No _Far-�' t 1 a I
I OCA-VXOM,/SEPARA-rlr :
Founda-tian to Tan 1 0 -F4-__0-t
Fc)unda7tion to Ab or-p -tion -F L-_0 t
Separation of p - s ee-t
Conforms as p4-- Plo-t Plan yyier s No
L -r OCAXON OF s TENS ON PROPJER_rt�T_
( cir-cle one ) _
Front - Rear- - Le-Ft Side
Middla Front - Middle Rea i-
COMMENTS
SYS-IrEM USE APPROVED YES NO
A r-r--f Art-act =
D 6--p a r-t;iad
��� _ W A
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept of Community Development Arrive am/pm, D
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME dw Me' ✓ PERNff#
LOCATION DATE
TYPE OF STRUCTURE
N/A YES NO CONEVIENTS
Chimney HeightfB"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 IS in.or more
Interior Handrails stairs both sides 3 or more risers n i �� _, ' tL.
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
OilFurnace 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
'/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)___j_
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbuty Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE—am/pm: DEPAR�40 amlpm Notes:
(518) 761-8256 Inspector's Initials
NAME: 471 Jek..J PERMIT#
LOCATION: e—R5r .0,42 INSPECT ON(date): iiO 14oz—
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.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofmg_
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-
Ddct work or piping in
/ unheated spaces R-
Xoper Ve ttic,Vent
aming-
Jack Studs/Headers
Bracing/Bridgmg—
Joist Hangers
Jack Posts/Main Beam 44-(-.s
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Buildin&Codes,lnspection.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at tirnq
Dept, of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE-am/pm: .DEPART�o am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: IA-- PERMIT#
l
LOCATION: INSPECT ON(date):
<---1
TYPE OF STRUCTURE: Df6L
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.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Fo undati on/D amppro o fmg
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-
Pr. Vent, ttic Vent
70
ack Studs/Headers X
Bracing/Bridgmig-
Joist Hangers
Jack Posts/Main Bearn T'0
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppi
Ing- L I
L:\SueHemitigway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet: — CA
Building& Code Enforcement ,- At time: 1
742 Bay Road
Queensbury, NY;12804. ARRIVE am/pm: _DEPART l O'3am/prn Notes:
(518) 761-8256 Inspector's Initials'
NAME: % 'd"") PERMIT# C
LOCATION: 15n�WAO INSPECT ON(date): /-,L4/blz_i
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.
Materials for this purpose on site
Foundation/W allpour
Reinforcement in Place
Foundation/D ampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rqdgh Plumbing '
eating Ro -In J
Insulatton N t itlCr1�L-G= "a+41v� c �i> i1'
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- fiU�
Walls R- T 0(— l.v s 0 L. G Cl�.. 4t
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging—
Joist Hangers
Jack Posts/Maini Beain
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wail 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspcction.FORMSIGENERAL INSPECTION REPORT.doc
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 amlpm Notes:
(518) 761-8256 Inspector's Initials
NAME: 0 PERMIT#
LOCATION: 6A-0 tla-M ca INSPECT ON(date): (?/Z-q to 2—
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piexs
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
Reinforcement in Place
Foundation/Dampproofffig
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
R gh Plumbih
eating Rough-ja
V T
Von�
u ti
o 01
undation 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/Bridgmg—
Joist HangersL_
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
L:\SueHemingway\Building.Codes.inspection.FORMS\GENERAT,INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time:
Dept. of Community Development Request received. Meet:Ma
Building& Code Enforcement At time: _
742 Bay Road am/pm No
�1
Queensbury, NY 12804 ARRIVE am/pm: DEPARTEy.I
(518) 761-8256 ; Inspector's Initials-S`b
NAME:. IrtN PERMIT# 2
LOCATION: PTO NCB l}'(ZS tpz — INSPECT ON(date): `�-�—?
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.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/D ampproofng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In 1
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
oper Vet - Ve /
ramie
Tack Stud
BracingBridgmg'
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
P netration Sealed
axe WaI12 3 ur
op
pin
L:\SueHemingway\Bui}ding.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbuty Ready at time:
Dept. of Community Development Request received:
Meet:
Building& Code Enforcement At time:
742 Bay Road
ARRIVE amlpm: DEPAIT am/pm ro
Queensbury, AT 12804
(518) 761-8256 Inspector's Initials
3M�j PERMIT L9Z —
NAME: 0
LOCATION: INSPECT ON(date): X j
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.
Materials for this purpose on site
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-
uct work or piping in
unheated spaces R-
oper Vent,A WVn
,arcing
Jack Studs aders-
Bracing/Bridging—
Joist Hangers 1 Ir rPI&X— VIVO R (2— AW 1A)0
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3 4 hou
A6
L:\SueHemingway\Biiilding.Codes.hispection.FORMSNGENERAT,INSPECTION REPORT.doe
Office Use
GENERAL INSPECTION REPORT ins pec or
t :
Town of Queensbuty y time 9,
Dept. of Community Development Request received: ee
144M
Da�
It&d -at
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE m: EPA amIp D RZe- Notes:
,,
(518) 761-8256 Inspector's Initials
NAME: PERMIT#
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK N/A YE NOCOMMENTS
Footings/Pier
Mono ithic 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
Poundation/Wallpour
Reinforcement in Place
Fgundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough I'lumbing_
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_ F
L:\SueHei-ningway\Building,Codes,Inspection,FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement f At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE am/pm: DEPART .lam/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: IS-T- J b k.d PERMIT#
LOCATION: 47D(OC—a�J&5-r INSPECT ON(date):
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.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place_
Y0
g Plum......b ing
eating Ron rsulation
rUC
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_
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
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 i QA U#Z
Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pmNotes:"
(518) 761-8256 Inspector's Initials
NAME: PERMIT# C)Z
LOCATION: '5rblve AviR' 7— INSPECT ON(date): 7//6 A 21/
TYPE OF STRUCTURE:
RECHECK
NIA i 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.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
PI ing Vent/Vents in Place
ugh Plumbing_
eatingu -.In
8 ion t IIJ
Foundation Walls Interior R- Fr-, 7—
Foundation Walls Exterior R-
Floors R-
Walls R- I bA
Ceiling R- 74--
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
JackStuds/Headers
BracingBridging
Joist Hangers,_
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3, ur
enetration Sealed
Fire Wall 2,14-11, r
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doc
C)Ueer4SE3UF;t,%e, MY 12804
4E21W (ilk 8) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT #
NAME
LOCATION
SCHEDULE INSPECTION ON
AMPFP;M ANYTIME
APPROVED
N/A YES 4 NO
EXITS
AISLE VVIDTHS
EXIT S14SN8
EMERGENCY 1-1431-ITIW!
FIRE E><TtNC3;UISHEf:ZS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOc)D INS-f-ALI-ATIC)N L
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
Rf=-QUfRr-=E) SI(3NA0E-= y
CHIM,NEYE
WO OD STOVE
'I*-EPLACE - MASONR-Y
I-F REPLACE - FACTOR l BUILT
REMARKS: (DK TO THIS DATE
->
1 N S P---4-V P.FU 13 INSPECTOR
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at
Dept. of Community Development Request received: Meet.
..V
Building& Code Enforcement At time:
742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART t(aml pm Notes
(518) 761-8256 Inspector's Initials
�6
NAME. PERMIT# O'Z
LOCATION: Ole INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
L
Footing s/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.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Danipproofmg__
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 eparation 1,2,3,hour,
P etration Sealedn
ire Wall 2,3,4 rA A
Flirrevestopping
L:\SueHemingwaylBuilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
GENERAL INSPECTION REPORT f
( 518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: x`
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart
Inspector's Initials /}
NAME: 01 ITOL, PERMIT#
LOCATION: I_o F- ( JO-3 DATE : �-
TYPE OF STRUCTURE: Sf r
RECHECK
N/A YES NO COMMENTS
Footings/Piersµ
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
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,4ttic Vent
raining, �'� 0
l cOStu eaders
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 �fI
F=IF;ZF-=
-rC)VVM 4Z>f= CDtUaaN8E3UF;Z-Y'
CiU5=r-=NI,-SE3UF:Z-V-, tsl-v- lf>804
(518) 781-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT gV
NAME ",J-0 " t;j
LOCATION 5y-e>ev c—
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INST^l-L.ALTl(DN
INTERIOR FINISHES
STORAGE_
CLEARANCE TO SPPJNKLEI::Z-S
CL RANCETO, HEATING UNITS
REQUIRED S1<3NAG;E
CHIMNEY
WOOD- STOVE
FIREPLACE - MASONRY
FIREPLACE- - F,4kCTC:)R)r BUILT
REMARKS: 0 OK TO THIS DATE
INSPSLIP.Pis .INSPECTOR
Office Use
GENERAL INSPECTION REPORT Inspector:
Ready at time: r
Town of Queensbury � Rea.
Dept. of Community Development Request received. Meet:
Building& Code Enforcement At time:
742 Bay Road ff
Queensbury, NY 12804 ARRIVE am/pm: DEPART � am/pm Note
(518) 761-8256 Inspector's Initials"
NAME: PERMIT# CJ 0 y 0
LOCATION: INSPECT.ON(date): ?
TYPE OF STRUCTURE: `S
RECHECK
N/A YES NO COMMENTS
Footings/Piers j
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours fallowing the placement
of the concrete. '
Materials for this purpose on site
Foundation/Wallpour i
Reinforcement in Place '
Foundation/Dampproofmg' I' DfR, CavCY . 1<R4,-TT FA-e--IA)
Backfill Approval
Plumbing Under Slab (I C
Plumb g Ve t/V nts in Place
Rough bing
eating 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 fir
rrigr !
JackStuds/Headers r /' 1$ c(,!,., � 4- A10A ic►2c�L
Bracing/Bridging
Joist Hangers : ACC—"�Ca�pC► /� l L t h3�
Jack Pasts/ Taro Beam:
tration B ,Pier
Fire Separation 1,2,3,ho,
Penetration Sealed
Fire V I12aur -/
&-1 L r 41 C� Q �oP � ���r/2
L:1SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.dac
Office Use
GENERAL INSPECTION REPORT ector:
Town of Queensbury Ready
Dept. of Community Development Request received.- / Meet:
Building& Code Enforcement f At time:
742 Bay Road �I
Queensbury, AT 12804 ARRIVE am/pm: DEPAR?"��-am/pm Notes:
(518) 761-8256 Inspector's Initials _
NAME: —�Iy� +—� PERMIT# —
LOCATION: INSPECT ON(date): — �
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.
Materials for this purpose on site
Foundation/W allpour_
Reinforcement in Place
Foundation/D amppro ofing
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-
U
Walls R-
Ceiling R-
Duct work or piping mi
un�pated spaces R-
Propvrvlent,Attic Vent
F ng
Jack Studs/Headers
Bra
JoistHangers ing
Joist Hangers
Jack Posts/Main Beam � `
Air Infiltration Barrier p _ O u tJ Ps L.L
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.hispection.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
G ENERAL INSPECTION REPORT -Inspector:
Town of QueensburyReady'at time
Dept. of Community Development Request received. Meet:
Building chi Code Enforcement At time:
742 Bay Road i
Queensbury, NY. 12804 ARRIVE am/pm: DEPART am/pni Notes:
(518) 761-8256 Inspector's Initials
NAME: �,��_ .-\Cj- A_ o PERMIT#< Wo
LOCATION: '�` �Il'-�6 I�� L�j�. INSPECT ON(dale}: =—F—I 0
TYPE OF STRUCTURE:
RECHECK
N/A YES O COMMENTS
otings/Piers
Monolithic four Form
Reinforcement in Place '"
The contractor is responsible for
providing protecti om freezing.
for 48 hours follo ing he placement
of the concrete.
Materials for this p se o site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi
Backfill Approval
Plumbing Under Slab_
Plumbing VentlVents in Pl ce
Rough Plumbing
Heating Rough-
Insulation—
Foundation Walls Interior R-
Foundation Walls Exterio R-
Floors
Walls R
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Tack Studs/Headers
Bracing/Bridging
,.Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Seale_d
Fire Wall 2,3,4 hour
Firestopping
L.\SueHemingway\Buiiding.Codes.Inspection.PORMSIGENERA.I.INSPECTION REPORT.doe
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 Notes:
Queensbury, NY 12804 ARRIVE am/pm: DEPARTJ amlpm
(518) 761-8256 Inspector's Initials
NAME: PERMIT# Ll 0
LOCATION: INSPECT ON(date): (o -c>100 c-�--
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 concre!
Is for or thit\- ose on site
-
Foundat-0 a!1p;u
ac Reinforcement I' / I
F on/Dam proofs 9 1 .0
�o�un ? g— 7
:)Of
ill Approv -3/—
Plumbing Under ab_
t
Plumbing Vent/V s Place
Rough Plumb"
HeatingRough-In�__
Insulation
Foundation Wa Interior R-
Foundation Wall t Exterior R-
Ex
Floors R-
Walls R-
Ceiling R-
Duct work or pipin in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgmig—
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Scaled
Fire Wall 2,3,4 hour
Firestoppin
L:\Suel4emingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
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 V.,
Queensbury, AT 12804 ARRIVE�4a, p E P a Notes:
7 .. _
(518) 761-8256 Inspector's Initia
NAME: PERMIT#
LOCATION:�` - ems'' �1' INSPECT ON(date): J=4 6
TYPE OF STRUCTURE:
RECHECK
N/A NO COMMENTS
tings/Piers
/0 ��'-
Monolithic Pour Form
Reinforcement in Place
The contractor is respons' e fox
providing protection fro freezin
for 48 hours following t e placer nth
of the concrete. �-�M
Materials for this purpose site.
Foundation/Wallpour-
Reinforcement in Place
Foundation/Dampproofm
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
Heating Rough-In
Insulation
Foundation Walls InteFidr� 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
PenetrationSealed
Fire Wall 2,3,4 hour
Firestoppig-
L:\Sueffeiningway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc