2002-364 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: P20020364 Date Issued: Wednesday, December 18,2002
This is to cettif that work requested to be done as shown by Permit Number P20020364-.
has been completed.
Tax Map Number: 523400-295.020.0001-022.000-0000
Location: 58 FARR Ln '' Via.
Owner: TRA-TOM DEVELOPMENT,INC.
Applicant: THOMAS FARONE
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage-2 Cars Attached
Single Family Dwelling
Director of Building&Code nforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020364 'Apphcation Number: A20020364
Tax Map No: 523400-295-020-0001-022-000-0000
Permission is hereby granted to: THOMASFARONE
For property located at: 58 FARR'Ln
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 N-YSUniform Building Codes and the Queensbury Zoning
Ordinance.
t Type of Construction Value
Owner Address: TRA-TOM DEVELOPMENT, INC. Single Family Dwelling 181,000.00
804 STATE ROUTE 9 Garage-2 Cars Attached
GANSVOORT,NY 12831 Fireplace
Total Value 181,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
FARONE CONSTRUCTION
PO BOX 804 ROUTE 9
GANSEVOORT,NY 12831
Plans &Specifications
2002-364 lot 45 hse#58 FARR LANE
1791 SQ FT'SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$20.72 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,May 13,2003
(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 of Qu sbury; 0 day,May 13,2002
SIGNED BY for the Town of Queensbury;.
Director.of Buil g&-&de Enforcement
Buildintg.Permit Application
l'o�wt of Quccnsbtu y-Dept of Gomns"ttity I�cvclopmcnt, 7'12 13ay Road, Quecusbury,T 1Y
(s 18)761-8256Q Y (/
v /A/ 2002
A permit must be obtained before beginning construclioil. Permit Pile No. y=� '�; �r,f �S'90R,,
No inspection will he made until appliciutt has received it fee Paid x�L` ..- J`/�-' -z. j
valid building permit. All applicant:;' z:pacus on this [tee. Vcc Paid
application must be t:ornpletc(l and r?xtst appear on the Reviewed 13
application lorul.
Thomas' Farone Owner: Thomas Farone
Applicant: ._ - - - --....--- P .-_-B -BO�I -�Ut- 9
Address: �'-�--nox $U 4, Route Address:
_ Gansevoort NY 1.2831 �ansevoor , NY" 8 l
Plionefl(518)587 - 8989 Phonell ( 518) 58? - 8989
FAX; ' 518 584-2093 office con--'tact .person: Geri Pastore
Property Location: Lot Nuniber: S / (louse Number —
Subdivision Niime: I�ndd`ian FtItJ9e Tax Map Number:
a New I3uilttitt resiQe lt:v/conialc+rein? I:stintatcd Market Value of C'onslruelion: $--�
u Addition: su ence/ cotluucrci''I 11':ut Addition, what will use of new addition be?
u Alteration: residence/ Coll nlercial
rJ NO change to exterior size: residence/cont'I —
u Qtlicr work(clescribc
Cheelt OccuprrttcyInfor11I'%Iloll I' i lour 2"'t Fluor t)ti+cr Anne Total1-e[ .
. nelo/v � sit. rt. — sq. !'t. tiquare heel
a single family dwelling
a Two Amity dwelling
Cl Townhouse j
cl. Multifamily dwelling 11
11 ofunils _
ore££ ----- — �
i
cl Mercantile _ _ --
u ManuC:icturing _ - —
ci I car detached gtiragc
02 car rletacherl garage
❑ :3 car delac bed garage _-_-
u I bar r[ttndwd garage --- �^ �✓
2 car altnt:Letl g:tragc ��j c,t- ���
cu 3 car atiaclted garage__
ct Slorupc -
Coulutcrcial --
cl —sloragc building-
_residential -----— -- --.----- ------- — — -__
Cal Olhcr —
Will any second-hand or uiigradec! lulrtbcr be used'? If so, for what?
Type of I leasing System: electric/ oil / gas -�w oo /forced hot Wit-/ baseboard/olher: -
Number of I'!1'en elves to be inslalled Number of 11'oodytohe.y to be insialled
I..ist tlelow the person(s)responsible for supervisicn of work is regards to building codes:
Name Address Phone Number
13uildcr Thomas Farone same as above !
Pluiitbcr C & G Plumbing -_--� 654-7477 _
Mason Heath Russell - - 796-3033 ("
I Iccticiatt Modern .Electric -_ 584- 83411
l2sts irl�tfim: please sibll below after you have a nreti+lly read the staleuleat:
To the best 01,111y knowledge the.slalecoenls cootairled is lilis application,touctller with tile n e plas arid specifications
subtuilted,are a Into and complele stalellicnl of all proposed Work to be done oil tire clescribcd premises Will that all
provisions o1'111c lluilding Code, Ills 7.ouing C)rciinance and all other laws perlainitig it)the proposed work shall he complied
with, whether specilied or noted,and that such wont is aulhorized by the owner. Further, it is tolderslood that 1/we shall
stiholit,prior to it Certificate of occupancy or Certificate cif C'gnlpliauce being issuc.as rcgltested by the L.ouing
Athttioislralor or Uireclor of 131jilding and Codes,all AN BIl t S'tn re by.,licensed surveyor;drawn to settle,showing actual
loca[io+t c I' I+tcty conslruci tnt.
Sigoattre: � �Ncr, er's agent,architect,contractor'
Application for Permit—Septic Disposal System
Towrr of Qrieensb;wy 742 flay Road Qrreerrsberry, NY 12804 (518) 761-8256
OWNER 1NFORMAT,bON: Indian Ridge Subdivision ...................................._.....................
ffice.Use
:!-J .__.................
-_.._..._...__
�)�' O
Location of installation:Lot NO 1 Blouse No_
Road Name: File.Permit
Tax Map No. /. / .
Fee Paid
Thomas Farone A �.
Owner's Name: _._...
..
Address:. P.O. Box 80c1', Route 9 °4!' Zd
Gansevoort, NY 12831 . 1�OU aFQU- Q2
2. INSTALLER'S NAME .r.��SBU "ONE NO.
L?
3. RESIDENCE INFORMATION {circle year of dwelling, indicate #bedr"�oc n(s) and multiply N of
bedrooms with applicable gallprrs per bedroom to equal total daily}losy)
i
Year ofilouse: No'of Bedrooms x Computation = Total Daily Flow
1980 or older x 150_gal/bdrm
1980—.1991 x 130 gal/bdrm = ,
1991. —present 3' x t I0 gal/bdrm
Garbage Grinder In'9talled yes / no
Spa or Whirlpool Installed yes / no
q, PARCEL•INFORMATION: (circle applicable information & indicate rimeastrrements)
Ph a ure Ground Water Bedrock or Imaeryious Material Domestic Wateh SurrnlY
I4al. var at what depth of what depth municipal
r lug. loam feet feet welt I
Sleep slope. clay .tf svell• water supply
Slope other from any septic-system
depth: absorption is� f.
other
Percolation Test: (T)be completed by licensed professional engineer or architect)
Rate: rninitle per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be'designed by a licensed
professional engineer or arcidlecl (tinless 'installed in a Planning Board approved subdivision). Add 250 gallons tb the size
of the septic lank and leach field for each Garbage Grinder,Spa or.Whirlpoot Tub.
Septic Tank: ' gnllan (inin. size ],000 gal)
Tile Field: each trenclt. ��Sf., Total System Length:
Seepage Pit(s): numbernf .•size ofeach: �f. by ,f. f
Size.of Stone to be used: Il / depth or thickness
— I
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if regtiired)
Number oftanks: I Size of each: gallons I TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE & INFORMATION FOR RESPONSIBLE PERSON (please read)
For yonr protection, please note that pursuant to Section 136-29 of tlse Code of the Town
of Queensbtiry, 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
reguireirients of the Town of Queensbu Sanitary Sew a Disposal Ordinance.
• sign U e o es slble esor� ate
.,
RC.- :`.
` &
�A ''• aoz
TOWN of QU'=?��SBURy
Ufl
-TOWN OF QUEENSBURY
Richard A.Missita
HIGHHighway Superintendent
DEPARTMENT HI L e,7g8.5'27
742 Bay Road • Aueensbury, NY 12804 1Kichael F. Trri is
Deputy Highway Superintendent
Qffice Phones (518) 764-•8214 (518)798-0413
Fax: (518), 745-4466
I}RIVEWAV PERMIT
DATE: 2
APPLICANT NAME: Thomas, Farone
587-8989
TELEPHONE NO.:
ADDRESS TO BE INSPECTED;
Lot No. / House No.S 7 Road Nam
RETURN ADDRESS:
P.O. Box 804 , Route 9
_371-
ansevoort, NY 12-11
Applican(must show exact location and width of driveways)to be connected to the highway by .
placing stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The
following action has been taken:
STEP 1:' (.)Preliminary Approval
NEED: ( }Slight Swale.
( } Level with the road
O Deep Swale
Size pipe to be used(if necessary) ,
( )12" O15" . ( }18" ( )24" ( )36"
Preliminary inspection completed by DATE
Approval by Highway Supt. Deputy Supt
Upon completion,please resubmit this approved permit for a final approval.
STEP 2: ( )Final Approval
( ) Rejected
D ATE:
Richard A. Missita,Highway Superintendent
}
NAY C' � 200,E.
"0'�0 DUCE
`a v LJ11 y _ C)Cl p Y
46 EL(REV..11/96) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
THE: NEW YORK.BOARD�OF.;FIRE UNDERWRITERS C>RTIRCAT> NO..,. i
DO NOT;WRITB HERE FOR OEFiCE.USE'ONLY
BUILDING PERMIT NO. .
r , It I
i r ,dwy>l 'TEMP M
iCITY ,VIILAGE nP CODE t TOW NSH -^� COUNTY.
STREET ANO OAD, /V � POLE NUYa R
♦a 157
BETWEEN WHAT TWO CROSS
STREETS 15 PREMISES LOCATED? SECTION BLOCK 1 LOT
` +OCZOPANT'S NAME BUILDING OCCUPANCY
- OWNER'S NAME AND ADDRESS y� � � � � HOME TELEPHONE NUMBER
C RREHT SUPPLIED 8Y FROM
I THEIR , OFFICE WORK TELEPHONE NUMBER
BUILDING IS —•� --1
NEW OLO IJ WORK IS NEW❑ ADDITIONAL❑ DEFECTS REMOVED 0-
LIST BELOW OW ALL EQUIPMENT WHICH YOU INSTALLED
EIA'E
F OUTLETS No.Ol FXtures& MOTORS HEATERS BRANCH .OFFICE USE'.....:
Lamp Receptacles CIRCUITS ��.;r•ONLY'`.•-._:;__.
Attach't H.P, wans A.W.G.
Rece°'1s 5witctr Pendant Bracket No. Type Each N°' Each No' Gauge
..INSPECTION':
)
I
BASE.
i
• 1st „—
FL.
2nd
FL.
3rd - Ir
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABODE.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED.BUT IF AT TIME OF INSPECTION.THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL.EQUIPMENT,At PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS
Applicant affirms that there is not an application for electrical
_-� CHARACTER OF WORK EXPOSED pending inspection P 7 4 with a-qualified electrical inspection
.�� Q CONCEALED' P
DATE WORK TO BE STARTED 'DATE COMPLETED - authority, for the installation listed herein.
! This application is valid for a period not exceeding one year
SERVICE ENTERS BUILDING - from the date received by the Board.
❑ OVERHEAO - L't UNDERGROUND -
' DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER.APPLICANT'S
IDENTIFICATION NUMBER>-
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADORESS-
' NAME OF APPLICANT .DATE OF APPLICATION I NATURE OF APP t N' '
1 TGI FaNf1NF NtT U
Fire Marshal's Office Town of.Queensbury,742 Bay Road,Queepsbury,NY
(518)761-8205
Application for Fuel Burnin Ao)pliances & Chimneys
P VL
applicable to.solid fuel zra S
Date 200 7�e- MAY 0 8 20&rmit 0
Application -
is hereby made to the Building&V k�%", SbiRyanee ofa Building and Use
QiAy,,.W64,0EThe applicant or owner
Permit pursuant to the New York State Fire PreventioiA&-9?ZR.
agrees to comply with all applicable laws, ordinances, regulations, and all co`nditions that are part of
these requirements and also will allow all inspectors to enter premises to petforin required inspections_
NOTE'to, applicant: Rough-in. and Final Inspections are required.
Applicant Inf6rmation. Fuet.Burning Appliance Information
(circle appropriate,words)r
Name: Stove: wood coal pellet gas
V Fireplace insert
Address: qpq 02_tq mejaADf Fireplace, fActory-built: wood
Fireplace,masonry: wood gas
Furnace: wood' gas oil
Phone: If non-masonary applicance, please provide
Owner: Manufacturer Name:
Address: Model Number:.
Chimney Information
(circle appropriate words).
Phone: Masonry block brick stone
Flue tile steel size: inches
Exact AddreA:;;,
of construcdql Factory-Built
g;pr insfallation
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction lInstallation must,
eon f grin to NYS Fire Prevention &Building. Indicate (circle)chimney material:
Code. Consult available Town of-Queensbuq
Handouts regarding required inspections. Double wall / Triple wall- / Insulated' Direct venting
Chinmej,Liner
Fire Marshal Code# $Collected S Refunded Receivedfto?n (refunded to):
address:
A 173 3389, (190) Public Safety
A 233 2655 (230)Minor Sales
DA TE:
White(Applicant) Green(Fire Marshal) 1 Yellow(Bldg. Dept.) Pink Goldenrod(Cashier's Dept,)
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods: PART 5 Acceptable Practice Method
1&2 Family Dwellings (only)
PART 6* Thermal Rating - Component Tiade Offs
1&2 Family Dwellings;. Multi-Family
Dwellings (3 stories or less)
PART 4* Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANTIS 'NAME: PROPERTY LOCATION:
Ll<—
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 17IEt1 square fee
2 . Type of Heat - Electric Oil �/(G a Other
3 . Is building mechanically cooled? Yes Gas
4 . Percentage of area of windows and door's Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED: 3 e
a. Roof R :>
b. Exterior walls R
C. Glazed areas R 3
d. Exterior do6rs R /0
e. Floors over unheated spaces R
f. * Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R
h. Basement/cellar walls (below grade) R
i. Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to. minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED
Applicant's Signature Date Phone Number
INSPECTOR' S REMARKS:
TOWN OF QUEENSBLJRY
BLJZLDSNG & CODE ENFORCEMENT
4Ea� 742 BAY ROAD
QUEEN3SUE2Y NY 1280 4
(51 8) 761-8256
ARR S V E D E PA RT � S N S P
�'Z2�IIAZ, Xl�S�"EC�XCfIi &tEE'Ogi.�'
(hc►t�i, rricrte-.i, aft_ +cc�rnpl�x�
DATE 2NSPECTSON R UEST RECESVED :
NI1ME
DATE K/
T Y P E O F STRUCTUR E ��
FOOTSNGS BACKFSLL FnnmTNG PL,UMBSiV(--
S N S U LA T Z ON
RYIA YES NO
CH ZMNE Y1" "' H " VENT 2iE ZGIiT
PLUMBZNG VENT` FSXTURES
RO OF Z N G
EXT"EF2ZOR FZNSSH
I-IEATXNG/HOT WATER
RE L=E F VALVE 5
FLOOF2S
FOUNDATION Z N S U LA T S ON �
S N T E FZ S O R STAIRS RA Z L Z N G S
STOCKROOM ENCLOSURE
F-IRE/DEMZSE WILLS PENETRATSON
F Z R E DAMPER S
CEZLZNG �'TRE STOPPZNG
FZRE DOORS/CLOSERS
E.X S 2' DOOR IIAk2DWAE2.E
EXIT STASRs/Ftj%lILS
PLATFORM ELEVATOR
H AND Z CAP P E D ACC E S S
F;ANDSCAPPEL? BATHS
H AN D Z CAP P E D PARKIN G
F Z NA L E LE CTR Z CA L
S S T E PLAN/VAR Z AN C E R E Q _
FINAL SURVEY PLOT PLAN S F R E
c)K 'ra X ssvE Ic O pR +c c
INDIAN RIDGE PUD
PHASE ONE
DATED JANUARY 26, 2000
REVISED APRIL 3, 2000
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC
UTILITIES
Y e e • • •Y
e e W" /�+ • `� e
0� 11&��l&MpIa
HEREBY CERTIFY THAT THIS MAP WAS PREPARED
ROM AN ACTUAL FIELD SURVEY.
HIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
OR WHOM THE SURVEY WAS PREPARED. AND ON THEIR
EMALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
ND LENDING INSTITUTION LISTED HEREON.
ERTIFIGATION5 ARE NOT TRANSFERABLE TO ADDITIONAL
ISTITUTIONS OR SUBSEQUENT OWNERS.
ERTIFIED TOl BERNARD BRENNAN AND DIANA BRENNAN
CHICAGO TITLE INSURANCE COMPANY
CERTIFIED BYl� �— ----- -----
MATTHEW C. STEVES. LLS NY5 50135
DATEDs DECEMBER 11. 2002
D u
^
L/�.`f%/VA
eves
Land Surveyors, LLC
169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lie. No. 50135
'UNAUTHORIZED ALTERATION OR ADDITION S A SURVEY
NAP VIOLATION OF A LICENSED LAND SURVEYORS SEAL H A
NOtAt10N OF SECTION 7209, SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.'
'ONLY GOINGS FROM Tm ORIGINAL OF THIS SURVEY
"M WITH AN ORIGINAL OF" LAW SURVfl'OR'.�
SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES.'
-S SURVEY WAS PREPARED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE MITIi THE
ERISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
LA THE NEW ORS, AN) C ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS. SAS CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR MOM THE SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LENDING INSTITUITION LISTED HEREON, AND
TO TMA55M MOrTMU!NDINGINSTITUTION'
Map made for
Bernard and Diana Brennan
Town of Queensbury, Warren County, New York
Date, M 0 02
Scale 1"=30'
S 1
SHEET I OF I
BRENNAN
DWG. NO. IR-45
NO.
DATE
DESCRIPTION
J-L
Office Use
�/
GENERAL:, INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received. �G /7 Meet:
Building& Code Enfor=cement At time:
742 Bay Road
.Queensbury, NY 12804 ARRIVE-am/pm: DEPA am/pm Not . l
(518) 761-8256 Inspector's Initials
NAME: PERMIT# d r 3
LOCATION: fyv 1a--Q— INSPECT ON(date): 60
TYPE OF STRUCTURE: S )
RECHECK •
` N/A YES NO COMMENTS
Footings/Piers
Monolithic PourVorm
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
He 'lag Rou In
nsutafion 0
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
' netration Sealed
e Wa112,3 4 houri—
es of•ung
L:\SueHemingwaylBuilding.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time: A,144 �`s-\
Dept. of Community Development Request received. /0 Z/ Meet:
Building& Code Enforcement At time:
742 Bay Road ,
Queensbury, NY 12804 ARRIVE am/pm: DEPART�t am/pm Notese�"u�5,�o
(518) 761-8256 Inspector's Initials
NAME: cm& PERMIT#
LOCATION: , j j-( L #t fV INSPECT ON(date): 10
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 f`
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place �"CC c�C�
Foundation/Dainpproofmg
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Hcatiirg `oun
frsrs Iatio
oundation Walls Interior R- frfo v 5 ��
Foundation Walls Exterior R- ��''�� �� t / ����
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Frammg
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jac 1 Posts/Main Beam
r L p
Air Infiltiarier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:1.SueHemingway\Building.Codes.hispection.FORMSIGENERAL INSPECTION REPORT.doa
Office Use
GENERAL INSPECTION REPORT Inspector:
Town ofQueensbury
Ready at time:
Dept of Community Development Request received:
Meet:
Building& Code Enforcement At time;
742 Bay Road
I
"rQueensbury, N.Y 12804 ARRIVE am/pm. DEPART'l am/pm
(518) 761-8256 Inspector's Initials
NAME: D A)C--- PERMIT# )Z= Cp
LOCATION: LrJ< INSPECT ON(date): —1b
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 0
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-
.Kop. r, ent, ttic.Vent
-jo n�g
101,
Jack Studs/Headers
Bracing/Bridgmig—
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fw Wall 1 nn2a�Ireso P L
L.-\SueHemingwayN]Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
FIRE M��2SHAL
-VC>WM OF CXUaF-:Vq.'-SE3UF;,,`ir
NY 1.2a04
(518) 761-82-05
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT :#
NAME
LOCATION 00�01�, ,000e
SCHEDULE INSPECTION ONz -z_---
ie5!z
AM PM ANYTIME
APPR40VED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMEROENCY LI(3HTIN(:3
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTA.LLAT,[C3N
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIONAOIE
CHIMNEY V--::> Z— selloo".
WOOD STOVE
FIR LACE - MASONRY
V- LACE - FACTORY BUILT
-40,eZ*
REMARKS: EEJO'bi< TO THIS DATE
INSPECTOR
Office Use
GENERAL INSPECTION REPORT Inspector:
To-wn of Queensbury Ready at time:
Dept. of Community Development Request received: 1 a Meet:
Building& Code Enforcement At time:
742 Bay Road f i
Queensbury, NY 12804 ARRIVE am/pm: DEPARTI,6"Gam/pm
(518) 761-8256 Inspector's Initials
NAME: PERMIT# 2-00 2--,36 V
LOCATION: INSPECT ON(date): 2-T
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 Stab
Plumbing Vent/Vents in Place
jto7u;ggjgP4-,,rY,u mg,
-Rearing Rougll%
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
P open Ve Vent
wag
Jack Studs/Headers
Bracing/Bridging_ P6K4- T§
Joist Hangers
Jack Posts/Main Beam
Toe zf�'
Fi-- eparation 1,2,3,hour
enetration Sealed
ire Wall 2,3,4 hour
M�Sue em-ingway\]3ui2fnUC-Edes.In-spectibii.FORMS\GENERALINSPECTION�REPOPT-doc
Office Use
GENERA, INSPECTION REPORT Inspector:
Tawn of Queensbury Ready at time-�
Dept. of Community Development Request received.- 13 0;)-- e-,
Meet:
Building& Code Enforcement At time:
742 Bay Road 4., amlpm
Queensbury, NY 12804 ARRIVE am/pm: DEPART Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT# �
LOCATION: �° G�`�-►z�2'�r�INSPECT ON(date): Y
TYPE OF STRUCTURE:
RECHECK
F f NIA YES 0 COUNTS
opting ler 0�n
c ur 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-
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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Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept of Community Development Request received: Meet:
Building& Code Enforcement j, At time:
742 Bay Road t'
Queensbury, AT 12804 ARRIVE am/pm: DEPARTI am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME- �o N PERMIT#
LOCATI INSPECT ON(date):
TYPE OF STRUCTURE:
Z
RECHECK
N/A i YES4�0 COMMENTS
Footings/Piers--c Monolithic Pour Form
Reinforcement in Place.� :±P
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 Ron
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
L:\SueHemingway\Building.-Codes.Inspection.FORrv[S\GENERAL INSPECTION REPORT.doe
GENERAL REPORT
51$ ) 761-$256
Town of Queensbury
Dept,of Community Development Date inspection request received: f `.
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 ArriveZ a mr Depart pm
' Inspector's Initial
NAME: PERMIT# r 3
LOCATION: S z rr/'A�TE: �—
TYPE OF STRUCTURE: r
RECHECK �r
N/A YE NO COMMENTS
ootin /Pie l
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 VentlVents 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 4-
Penetration Sealed .�
Fire Wall 2, 3,4 hour
Firestopping
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: Z 0,7
Building&Code Enforcement
Dept.of Community Development Arrive Depart '
Town of Queensbury Inspector's Ini
742 Bay Road
Queensbury,New rk 12804
NAI�E PERWF#
LOCATION
rlr- DATE--17h4ld2-'._
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Heightl"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
FurnacetHot 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
Bathro6m/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing•across window in stairwells Vol
Smoke Detectors.
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation ,l~t 1G,
s/4 hour fire door/door closer
Garage fireproafmg
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room TQ ��[^
Safety glazing 18"or less from floor V1 IC�
Final Electrical ,")T EEL
Site Plan/Variance required C !
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}
RESIDENTIAL FINAL.INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart , ai
Town of Queensbury Inspector's Ini' s
742 Bay Road ,
Queensbury,New York 12804 g /
NAME : P # 7ne
LOCATION
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightM'VentlDirect Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operatin
Relief Valve(s)installed
Headroonr,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
Aumbing fixtures
Foundation insulation
s/4 hour fire door/door closer
Garage fireproofing
Garage penetrations settled
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
E
ElectricalPlanlVariance requid
Survey Plot Plan
As Built Septic System layout required
liiayy to issue C/C(Certif of Compliance)
y to issue temp.C/O(Certif.of Occupancy)to issue permanent C/O(Cer f.of Occupancy)
T4up-
Town of Queensbury SC
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
Received: ZQZ, Permit# INSPECTION ON:
Name: PM ANYTIME
Location:
APPROVED
N/A YES NO COMMENTS vcf k�&—
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING ec+l
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED 5A--S
CLEARANCE TO SPRINKLER A 00u
CLEARANCE TO HEATING rt r
UNITS 10
CLEARANCE TO ELECTRICAL ex
REQUIRED SIGNAGE
EMERGENCY PLAN - vK
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUG IN
CHIMNEY JINAL Fr if
FACTORY BUILT R040H IN
INAL kk
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS Ve)Ad 1A , 6wld1
APPLIANCE ROUGH IN
FIREPLACE FINAL �/\6�e4o(5 AYK ,`ot -
MASONRY ROUGH IN OK THIS DATE OK FORDO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN SPECTED BY
FINAL
COMDEV/CHFZISJNVORD/LETTERS20011FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY