2002-337 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20020337 Date Issued: Thursday,January 30,2003
This is to certify that work requested to be done as shown by Permit Number P20020337
has been completed.
Tax Map Number: 523400-297-005-0001-001-003-0000
Location: 31 HILAND SPRINGS Way
Owner: HILAND SPRINGS,L.L.C.
Applicant: SCHEMRHORN PROPERTIES,INC.
This structure may be occupied as a:
By Order of Town Board
Garage- I Car Attached TOWN OF QUEENSBURY
Townhouse
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020337 Application Number: A20020337
Tax Map No: 523400-297-005-0001-001-003-0000
Permission is hereby granted to: SCHERMFRHORN PROPFRTIFS- INC.
For property located at: PAR P1
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: SCHERMERHORN PROPERTIES,I Garage- I Car Attached
15F BIRDIE Dr Townhouse 140,000.00
QUEENSBURY,NY 12804 Total Value 140,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
SCHFRMFR14ORN CONSTRUCTION CO COMMONWFALTH ELECTRICAL A
15 BIRDIE Dr
OIJEFNSBI:JRY.NY 12804
PO BOX 706
HAGUE.NY
Plans&Specifications
2002-337 LOT#4 BLDG. #5 HSE#31 HILAND SPRINGS WAY
5664 SQ FT 4 UNIT TOWNHOUSE WITH 1-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
a.
$822.96 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 22,2003
(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 t 2002
SIGNED B 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
(518)761-8256
A permit must be obtained before beginning construction. Permit File No.-=:20WQ,2-3 37
No inspection will be made until applicant has received a Fee Paid
valid building permit. All applicants' spaces on this Rec. Fee Paid
application must be completed and must appear on the Reviewed By:
application form.
Applicant: 0 4..
cAr,�, wner: f�; td-io-,
Address: Address:
Phone )7% 66-7!Wit- Phone# -7
Property Location: Lot Number: Hous er
Subdivision Name: Tax Map Numberi,.2-19�
New Building: residence /commercial Estimated Market Value'of Construction: oo&
a Addition: residence/ commercial If an Addition, what will use of new addition be?
E3 Alteration: residence/ commercial
C3 No change to exterior size: residence com'l
C3 Other work(describe
Check Occupancyluformation V'Floor 2"d Floor Other floor -Total
Below sq.ft. sq.ft. sq.ft. Square Feet
U Single family dwelling
0 Two farAily dwelling RFF�QFMIVEE)
0 Townhouse
Multifamily dwelling vAY
#of units__:!9__ 6-eiL 3 %F Q_ 'Ry 157 16,&_1�
U Office ,
C3 Mercantile
0 Manufacturing
[a 1 car detached garage
A 0 2 car detached garage
C3 3 car detached garage
_>C I car attached garage 2.-IV 6 2-f6
E3 2 car attached garage
C3 3 car attached garage
U Storage building-
commercial
0 Storage building-
residential
0 Other 7_1
What is the proposed height of the structure feet 0 —inches
Will any second-hand-or ungraded lumber be used? If so, for what?
Type of Heating System: electric/ oil /egas)wood /forced hot air baseboard other:
Number of Ffrentaces to be installed <� Number of Woodstoves to be installed
List below the person(s)responsible for super-vision of work as regards to building codes:
Name. Address Phone Numl?er
Builder
Plumber eG
Mason /tom- 2 60 /'M/ -z-
Electrician 01.1 C 4 L,K
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 Uwe shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or D* ector of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
i 'I of all nL. �
location n onstrucvn.
_Signature: owner's agent,architect,contractor
Richard A.-Missita
Ht G Highway Superintendent
OWN Home(518)'798-5127
DEA,JIL AL i
742 Bay Road Queeasbury,NY I2804_ lII chael F. Travis
Deputy Highway Superintendent
Office Phbne:.(518) 764-8.211 (518)798-0413
Fax: (.50) 745-4466
DRIVEWAY PERMIT . q
DATE, 3 ICY/Zoe;
APPLICANT NAME: 4 c t.-
TELEPHONE NO.: —7 ri '7 G f- f
ADDRESS TO BE INSPECTED:,
RETURN ADDRESS: 1r�cr�jE
Applicant must show'exact location and width of driveway(s)6 be•connected to the highway by
placing stakes at the.specified location.
The Superintendent of Highways of the Town'af Queensbury has reviewed this application, The
following action has been taken:
STEP l: O Preliminary Approval
NEED: O Slight swale
(' )Level with the.road
{ ) Deep swale
.Size pipe to be used(if necessary)
( )IT! ( )15" { )18" { )24" ( )36"
Preliminary inspection completed by DATE
Approval byHighway Sipt. Deputy'Supt
Upon completion,please resubmit this approved permit for,a final'approval.
STEP 2: ( )Final Approval,
O Rejected
DATE:
Richard A. Missita,Highway.Superintendent
ENERGY CODE COMPLIANCE APPLICATION C
TOWN_ OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Comoliance Methods: PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
• PART b* -' 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
*Reau res submission, of worksheets
49
APPLIC?YT' S NA..ME:' PROPERTY' LOCATION: � ��Pn
4nct-4®C%+-r C b�►S�t� �C tGzr Ifl/ .ef J/'G-tom C �1Q(44
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - -5�- 6 64 square feet
2 . `rye ;oi Heat - Electric Oil >< Gas Other
3 . _s building mechanically cooled? Yes ?c Na
4 . p.e.rcen.tage of area of windows and doors Over 17% X Under 17%
5 . R—V_.LUES FOR INSU AT ION LIVEN BELOW
M'u S T CORRES?0`iD s0 R-V_ ,iJE S AS
S=O"r4ti ON PLANS. Su-bMITTED:
a . ` -Roof R 30
b . Exterior wa?is g �,---
c . Glazed areas R Z_�--
d . uxter_or doors R
e . Floors o've_ unheated spaces R
Edge of slab on grade (heated building) R _L6
g. Basement/cellar walls (above grade) R di
h . Basement/cellar walls (below grade) R
_ . r'eating/coo=ing-cucts-piping in unheated Space R
6 . Service (domestic) hot water heating device
Confo;rns to mi..lmum e=-wciency pe-r code _ Yes No
TE M_ E RATUR CONTROL M4XIMUM SETTING 1400 - WILL NOT BE EXCEEDED
Apn1_c -_ , s t _w Date Pho-e Nu_n,b
-71e - o6 7.ei,
INSP'C*GR3,' S REMARKS:
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MULTIPLE DWELLING,HOTEL,MOTEL,APARTMENT
FINAL INSPECTION REPORT
Office No.(518)761-8256
Building&Code Enforcement Date inspection request received:
Dept.of Community Development
Town of Queensbury Arrive aam/pm Depa to
742 Bay Road Inspector's -
Queensbury,NY 12804 \
NAME PERMIT#
LOCATION i n DATE
TYPE OF STRUCTURL�`' ,
t�!!6
N/A YES NO COMMENTS /
t
Chimney Heigbt/"B"Ve nt/Direct Vent Location_ —
Fresh Aar Intake
Plumb Vent through roof
Roof oomplete
Exterior finish complete
Interior/exterior railings 34 in to 38 in.
Exterior handrails,balconies,landing 18 in.or more
Interior handrails stairs both sides 3 or more risers
Guardrails 42 in.
Ballisters 4 in.spacing-
Doors 36 in.
Headroom 7 ft.on stairs
Handrail exterior stairs both sides more than 3 risers
Floor finish
Bathroomtkitche n watertight
Interior handrails balconiesdanding 18 in.or mare
Railing across window in stairwells
Smoke detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
Fire separation 3/a,1,2 hour
Fire walls 1,2,3,hour
Fire doors 3/4,1 r/a,2 hour
Handicapped Accessibility
Handicapped parkin
Handicapped sigrage
Finish grade
Gas valve shut-off exposed/regu ator 18 in.above grade_
Gas furnace shut offwithin 301 or within line of site
Oil furnace shut-off at entrance to firmace area
Fumacelhot water heater operating
Relief valve(s)installed
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(m garage)
Light ventilation per room
Safety glazing 18 in,or less from floor
Final Electrical
Site Plan/Variance required '
Final Survey Plot Plan
As-built septic system layout required
Okayto issuotem p C/O
Okay to issuepermanentt C/O(CeAZ of Occupancy)
Okay to issue C/C(Certif.of Compliance)
Office Use
.GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time .It
Dept of Community Development Request received: 6- 6� Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbui3,, AT 12804 ARRIVE amlpm: DEPAR71 t anilpm Notes:
(518) 761-8256 Inspector's Initials �
NAME; PERMIT
LOCATION: INSPECT ON(date):
V
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
FoundationfWallpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
RoughPlumbing_
Heating Rough-In
' sulatioii
Toju-2dEat:ion�WallsInterio�rR-
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/Bridgmig—
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation t,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour—
Firestopping
L:\SueHemiiigway'%Building.Codes.Inspecdon.FORMS\GF,NIERAL INSPECTION REPOR'f-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: DEPARTTLlmlpm Not
(518) 761-8256 Inspector's Initials
NAME: PERMIT#
LOCATION: INSPECT ON(date): 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-
Duct work or piping in
unheated space
s R-
P er nt,y 'd Vent
rang
ack Studs/Headers
Bracing/Bridging_
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
/PeIration Sealed ---
al 2-3, Four'
re)
re W op,P
FireZ4�po—
OW"
L:\Suel4emingway\Building.Codes.Inspection.FORMS\GENERAT,INSPECTION REPORT.doc
• 'moo
Office Use
-�NERAL INSPECTION REPORT '2- Inspector:
Town of Queensbury - Ready at time:: .:
Dept, of Community Development Request received: Meet:
Building& Code Enforcement At time:,
742 Bay.goad
Queensbury, NY,12804 ARRIVE amlpm: DEPARJ' amlpm Notes: �
(518) 761-8256 Inspector's Initials
- P
NAME: PERMIT# S 3
LOCATION: PJ�j.i1 INSPECT ON(date):
TYPE.OF STRUCTURE:
RECHECK.
N/A YES f NO COMMENTS"
Footings/Piers
Monolithic Pour Form <
Reinforcement in Place
The contractor is_re,sponsible 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-hi ;
Insulation
Foundation Walls Interior' R
Foundation Walls Exterior R-
Floors R-
Walls,: : R-'
Cng, R-
Duct woik or..piping in
unheafed-spaces R-
ro e ent;�Attic Vent- �-
raming
��
J ek Studs/Headers
fBracing/Bridging G
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,`,3,hour
P netration Sealed
ire Wall 2,3,,4•hou'
iestoppiirg:
L:iSueHemingwaylBuilding.Codes.Inspecdon.FORMStGENERAL INSPECTION REPORT.-doe
Office Use
GENERAL, INSPECTION REPORT Inspector:
Town of Queensbury
,` Ready at time;
Dept. of Community Development Request received: C� 2�- Meet.
Building& Code Enforcement r'' At time:
742 Bay Road �� a
Queensbury, AT 12804 ARRIVE am/pm: DEPART am/pm Notes
(518) 761-8256 .Inspector's Initials
NAME: :S c i v—tA PERMIT# 2,00- �33 7
LOCATION: ific� INSPECT ON(date): G7i'
TYPE OF STRUCTURE:-. -
RECHECK
N/A 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/D ampproofing
Backfill Approval
Plumbing U er-Slab
uml ing Vent/-V-enfs in Place
` asugll Plumbing
lemming IZou�,
l_nsula ion
Foundation Walls Interior R-
Foundation Walls Exterior R- %
Floors R- 1 ,✓� PO 0"/
Walls R- d V
Ceiling R- _
Duct work or
piping mi j ley
- unheated spaces R-
1w5rAt-t C OLC-V
Proper.Vent Attic Vent
dk ramtng � s
ck Studs/Headers "+ Cc (pjr2t '/2 �t�U� Ai
Bracing/Bridgmg 4 ''� {
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
n �tt1 9"' bL
L:\SueHemingwaytBuilding.Codes.Inspeetion.FORMS\GF,NERAL INSPECTION REPORT.doo
3
L Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:.
Dept. of Community Development Request received:
Meet:
Building chi Cade Enforcement
At time:
742 Bay Road
Queensburyp AT 12804 ARRIT'e,115'arm, tes:
m ova CE>�-
L
(518) 761-8256 Inspector's Initial
NAME, PERMIT# 33
LOCATION: -; AICUi INSPECT ON(date):
0,
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Four Form
Reinforcement in Place
The contractor is responsible for
prDvidingprotection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
.FoundationNallpour
Reinforcement in Place
-Foundation/Dampproofing_
Bdckfill Approval
Plumbing Under Slab 7—
Plumbing Vent/Vents in Place
`(Rough Plumbing
-'Heating Rough-In_
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Coiling R.-
Duct work or piping 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
0 'trat'on Sealed
iresWall 2�3,4 hour
toppin
L:\SueHemiiigwaylauildi,ig.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION TION REPORT Inspector:
Town of Queensbuiy
Ready at time:
Dept. of Community Development Request received: �v� ��, Meet:
Budding& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPAJ am/pm Notes:
(518) 761-8256 Inspector's InitialA�
NAME PERMIT 23,3
LOCATION: A- [ �.L INSPECT ON(date): 1 d / 0 Z
TYPE OF STRUCTURE:
RECHECK
_ N/A YES i 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__ ff'II
Reinforcement in Place
Foundati on/Dampproofmg
Backfill Approval
Plumbing Under Slab_
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-Iv
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
BracingBridging
Joist Hangers
Jack Posts/Main Beam
. it Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping _
L:\.SueHemingwaylBuiiding.Codes.Inspeetion,FORMS\GENERAL INSPECTION REPORT-doe
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at timh� M
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE--am/pm: DEPART(LInIpm Notes:
(518) 761-8256 Inspector's Initials
NAME: 'In J.A � PERMIT# do 2
I-ot q
LOCATION: INSPECT ON(date): eK M67 ,
V
TYPE OF STRUCTURE: 4vwb 40tsc--
RECHECK N/A i NO COMMENTS
34Footings/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-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgmigm-
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\B,.iilding.Codes.Inspection.FORMS\GENERAI,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, AT 12804 ARRIVE amIpm: DEPARrZ-1qam1pm Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT# a4l 2-J92
LOCATION j 4:?Z INSPECT ON(date):
TYPE OF STRUCTURE: Al,�
RECHECK
Footings/Piers N/A MS COMMENTS
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
ackfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
R gh Plumbing__
eating Rough-In--N
'su
sulation�- VNIZ-
T
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\Btiilding.Codes.Inspection.FORMS\GFNERAL INSPECTION REPORT.doe
GENERAL INSPECTION REPORT
( 518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: 7 G �—--
Building& Code Enforcement
742 Bay Road '
Queensbury,NY 12804 Arrive am/pm Depar��
�
Inspector's Initials
NAME: l f l'�-� PERMIT#
LOCATION: - n DATE :
TYPE OF STRUCTURE:
RECHECK x
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/Walipour
Reinforcement in Place
Foundation/Dampproofing
qla`ckfill Approval
lumbing Under Slab �GO 40
Plumbing Vent/Vents in Place
Ro
Hea ' g Rough--Ir-
sulation
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
Office Use
GENERAL INSPECTION REPOKY Inspector:
Town of Queensbury Ready at time:.A�f-�-
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE amlpm: DEPART' amlpm Notes:
(518) 761-8256 Inspector's Initials
NAME: — Ar.AA eAt- af?=4 PERMIT# ?,Cod—--aS7
LOCATION: P. /WP-1 54tbV�; CtA4-,l 6 J� 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/Dampproofmg—
,)03ackfill Approval
Plumbing Under Slab
PI big Vent/Vents in Place
R gh Plumbing
fea�ng Rough-Ity-1
nsi a"tion
r�
7—
n" ,
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/Bridgmig—
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
` O _ �0E
Office Use
GENERAL INSPECTI N RErPOT = -°- r:
Town of Queensbury
time:
Dept. of Community Development Request received: Meet:
Building& Code.Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE c EF a Notes:
(518) 761-8256 Inspector's Initials f
NAME: PERMIT#
LOCATION: INSPECT ON(date): —
TYPE OF STRUCTURE:
RECHECK
NIA YES NO OMMENTS
Footings/Piers
Monolithic Pour Farm
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
Fours on/Dampproofmg
ckfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation 14
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
.foist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
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: 16 ZMeet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE am AR 6/p Notes:
(518) 761-8256 Inspector's Initi
NAME: 5 ;md- -
- PERMIT#
LOCATION: /_DT �,,J D S INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YE NO COMMENTS
'30botings/Piers
Monolithic Pour Form 7
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
Reinforcement in Place
Foundation/Dampprooting_
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-
zi Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Bearn
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
L:\Sueffemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc