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2002-446
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: P20020446 Date Issued: Monday,March 10,2003 This is to certify that work requested to be done as shown by Permit Number P20020446 has been completed. Tax Map Number: 523400.308-018-0002-036-000-0000 Location: 14 KIMBERLY Ln Owner: PATRICK&DANA POMERVILLE Applicant: PATRICK&DANA POMERVILLE 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 Enforcement TOWN OF QUEENSBURY F L E 01— 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 - Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20020446 Application Number: A20020446 Tax Map No: 523400-308-018-0002-034000-0000 Permission is hereby granted to: PATRICK & DANA POMERVILLE For property located at: KIMBERLY 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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance. I Type of Construction Value Owner Address: MARGARET MC DONALD Fireplace 593 CORINTH Rd Pa rage-2 Cars Attached QUEENSBURY,NY 12804-0000 Single Family Dwelling 170,000.00 Total Value 170,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency MILES CUSTOM HOMES- INC- 6 COTTACTF HILL Rd CTLENS FALLS.Mr 12801 Plans&Specifications 2002-446 PATRICK&DANA POMERVILLE Lots 28 and 29 being combined; 14 Kimberly Lane, Southern Exposure Subdivision: Construction of a 2999 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $413.88 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 21,2003 (If a longer peri'od 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 of WFidZP 12002 SIGNED BY r7w for the Town of Queensbury. Director of Building&Codelnforcement 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. QQpQ)--4 No inspection will be made until applicant has received a Fee Paid $ valid building permit. All applicants' spaces on this Rec. Fee Paid t1 CI- application must be completed and must appear on the Reviewed B / + application form. I #p Applicant: S-���$_ T����s `Yl:les Ctt*sl�a�e,Owner: Address: � b �� ,ryaf Address: Phone#C51�) og Phone#(a'!$}�t/� - U 7-71a --561- d.7 7 a \ r Property Location: Lot Number: / House Number// ��.b y-/V s�•-a,. 2 Subdivision Name: Sfl�� .mot x;��suc e Tax Map Number: w-, (y-P-{ t New Building: esidence I commercial Estimated Market Value of Construction: $ 1 i�d� n-o-� ❑ 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 ) Check OccupancyInformation 1"Floor 2"d Floor Other floor Total Below sq.ft. sq.ft. sq_ft. Square!Feet ,J `J✓•, If Single family dwelling 9 j " ) ✓✓✓ ❑ Two family dwelling ❑ Townhouse ! ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing ! 6 1 car detached garage tO 2 car detached garage MAY S ❑ 3 car detached garage TE)WP. �sr z c 1 ! ❑,/l car attached garagei\ID COD E j .l 2 car attached garage ❑ 3 car attached garage ! ❑ Storage building- commercial ❑ Storage building- residential ❑ Other j. f What is the proposed height of the structure 5 feet C-> inches Will any second-hand or ungraded lumber be used? If so, for what? o Type of Heating System: electric/ oil gas wood forced h t it baseboard/other: SNumber ofTWr Iaces 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 .54,,,,— Mu 72E$boR UP 0 77O Plumber de-r -X-V, Mason R< Electrician. 13c.1c, t`f e+ r / tz �� S'�f. ala 71'3 /9 3 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 Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new cor truction. --- Signature: f s' x2 owner,owner's agent,archite t contractor __.� Application for Permit-Septic Disposal System i Town of Queensbury 742 Bay Road Queensbury; NY 12804 (518) 761-8256 1. OWNER INFORMATION: ......-----._... ................. ................. - ........................_..... Office Use Location of installation: i1 /�• 4 'I,� '"` .File Permit No. �- qq� Tax Map No. ii ( Fee Paid �L Owner's Name: ��T�r: o'r"rzs l e Address: iv wo_�L K•,_ 2. INSTALLER'S NAME : Y e �. I%�C d ��" PHONENO_ 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 gal/bdrm = 1980— 1991 x 130 gal/bdrm = _ 1991 —present x 110 galfbdrm Garbage Grinder Installed yes 1 no X Spa or Whirlpool Installed y_es f no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) a h ire Ground Water Bedrock or I ervious-Material7munjci�pal a-water Su 1 Flat s n at what depth at wh t depth Rolling''; loam feet feet Steep slope clay water supply slope other y septic-system % depth: ption is ft. other• Percolation Test: (To be completed by licensed professional engineer or architect) 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-251X gallons to die size of the septic tank and leach field for each Garbage Grinder,-Spa or Whirlpool Tub. s Se t c Tank J ��' gallon(min..size 1,000 gal.) �,p f- '7i�fit Z R''_w ' Tile Field: each trench Sr'� fi Total System Length: Seepage Pit(s): number of / size of each: ft. by Jr a ft. Size of Stone to be used: # - -2- / depth or thickness feet " Bed System Size: x , Alternative System- length'and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: ! Size of each: gallons t 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 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 of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel vented gas appliances Date 20 Q Permit No.0 Application is hereby made to the Building& Codes Of,ficefor the issuance of Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part o these requireinents and also will allow all inspectors to enter premises to perform required inspections. NOTE to.applicant: Rough-in and Final Inspections are required. Applicant Information, Fuel Burning Appliance Information (circle appropriate words) Name: J_ V%;Z, Stove: wood coal pellet rja5R-:) Fireplace insert Address: Fireplace, factory-built: wood es-) Fireplace,'.masonr wood gas Furnace: wood gas oil Phone: If non-masonary applicance,please provide Owner Manufacturer Name: : + J" Address: IQ4 Model Number: Chimney Information Phone: 2"1 0 23 y (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address: J r f La-e/ of construction or bistallati6i Factory-Built A4 I\Ii4lvlvl 15'X-?01 Manufacturer name; Model Number: Note: Listed By: Number:- Construction lInstallation must conform to NYS Fire Prevention &Building indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall 1 Triple wall I Insulated Direct venting Chimney Liner Fire,[Varshal Code# S Collected S Refunded Receivedfrom (refunded to)-S. e L ' 00 address: A 173 3389 (190) Public Safety cgs A 233 2655 (230)Minor Salay DATE: Y'I White(Applicant) Green(Fire Marshal) 1 Yellow(Bldg.Dept.) l Pink&Goldenrod(Cashier's Dept.) ENERGY CODE COMPLIANCE APPLICATIONC�M�,.iq4o TOWN OF QUEENSBURY, WARREN COUNTY 9000 BEATING DEGREE DAYS Compliance Methods:Part 5 Acceptable Practice Method— 1&2 Family Dwellings (only) Part 6 Thermal Rating—Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings (3 Stories or less) Part 4*- Design by Component Performance, Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPt ICANT'S AME- PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: I Gross Floor Area-— ,� ............. square feet 2. Type of heat- Electric—Oil �Gas—Other 3. Is building mechanically cooled? es No 4. Percentage of area of windows and doors Over 17% Under 17% 5. R.-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: R JR a. Roof b. Exterior walls R 17 C. Glazed areas R .3-d' d. Exterior doors R_Z,6 e. Floors over unheated spaces R..r.1c) Edge of slab on grade(heated building) R 9. Basement/cellar walls (above grade) R 11 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—Z,//Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED Appli is S, aature Date___ Phone Number INSPECTOR'S REMARKS: BY THIS CERTIFICATE OF COMPLIANCE THE 5 5NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 t 40 FULTON STREET - NEW YORK, NY 10038 Q�10' 5CERTIFIES THAT 5 � 5 5 Upon the application,of upon premises owned by / 5 5 c5 5 MURTHA, BOB PAT POWERVILLE 5 28 FITZGERALD ROAD 14 KIMBERLY LN 5 5 QUEENSBURY, NY 12804-1358, QUEENSBURY, NY 12804 5 _ ; . 5 5 �7 Located-at- 1-4 Klrv]BERL-Y-LN QUEENSBURY,-NY-12804:---- .— -- , - - � = — - = 5 Application Number: 1079557 Certificate Number: 1079557 Section: Block: Lot: Building Permit: BDC: A239 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: C5, 5 Basement,First Floor,Second Floor,Attached Garage,Outside, S CS 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was 5 found to be in compliance therewith on the 6th Day of February,2003. 5' 5 Name = Rate Rating Circuit Type 5 Arc Fault Circuit Interrupter 4 0 General Purpose Receptacle 66 0 General Purpose 5 Receptacle 9 0 GFCI 5 Receptacle 1 0 Range -7 0 Odtldt Telephone 5 Outlet 9 0 CATV Paddle Fan 1 0 Residential 5 Fixture 32 0 Incandescent 5 Service 5 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb 5 Meters: 1 5 5 _ 5 seal 5 2 of 2 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at flee locla-tioAK"diciated. I 1 01 IN] -L3 L3 a 0 M L L L L Q Upr _P R MUM PL PL rQ.rL3 rL3 PL PL PL rL3�0�0 Ull I�9 RM E,�02�19 1 E U E-U E I rL3 PL rr3j'[3j L3�N I Z L3 rl 3L I M 10 UL3 PL PL PE J L3 rL3 Pr L PL PL j Pi [@I@g arj-r3 . . .3- E-101MIULPOPME -3 -[3jffl rr3 Pr,Q,0��'-LJ,Q,RrL3 rr3 -r3 _r_r _P _rr ar Prj-L3 rrJ3 _PL rL3 rr3 _r J-LJ�E,�r3�EjPLPLJ-L3�r3�E-rL3 Pr r3 L3 rr3-L3'-LJ,I a pEj-r3 !rL3rL3rr3j-r3 _�rJ L3PL 3jr r3j _Pr rjr3jC3 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 5 40 FULTON STREET - NEW YORK, NY 10038 5 �S± 5 CERTIFIES THAT 5 5 5 Upon the application of upon premises owned by 5 5c 5 MURTHA, BOB PAT POWERVILLE c5 28 FITZGERALD ROAD 14 KIMBERLY LN 5 QUEENSBURY, NY 12804-1358, QUEENSBURY, NY 12804 5 c5 --5 Located-at== ---=-lr4-KIMBERL-Y-LN-QUEENSBURY,--Ny--,i°2804 5c 5 Application Number: 1079557 Certificate Number: 1079557 5 Section: Block: Lot: Building Permit: BDC: A239 5 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring,described below, located in/on the premises at: 5 Basement,First Floor,Second Floor,Attached Garage,Outside, 5 CS 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was 5 found to be in compliance therewith on the 6th Day of February,2003. 5 5 c5 Name _QTY Rate ggjU Circuit Type 5 Miscellaneous 5 1-low voltage trans 500w 5 Alarm and Emergency Equipment 5 Sensor 7 0 Smoke -Appliances and Accessories- -- — ___ __ _ _ _ . -_ _ _.n--_ _ -- 5 . Bell Transformer 1 0 KW 5 Dish Washer 1 0 1.5 KW 5 Disposal 1 0 F.H.P. 5 Exhaust Fan 3 0 F.H.P. 5 Furnace 1 0 Gas Air Conditioner 1 0 50 Amps 5 5 Panels 5 2 100 20 5 Wiring and Devices Fixture 36 0 Incandescent ...... 5 Fixture 13 0 Fluorescent 5' " z-: � seal ; 5 outlet 4 0 Fixture Switch 81 0 General Purpog�-- Continued on Next Page 1 of 2 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indic ted. ff@PLPL1 2j LJ�N�MFL3J PL PL JL3 rL3 rr "r-�I IENED OR EJ�E......................2 r-J EJ U E,M-EJJEJJ-LJJ U�U M EMAU 1 1 E!j ul NJ rj i 1 3 PL rE3j(M ' Framing / Firestopping Inspection Report at _�3 3 Office No. (518) 161-8256 Date Inspection request 'ived• _ Queensbury Building,&Code Enforcement Arrive: a pm a pm 742 Bay Road, Queensbury,NY 12804 Inspector's Init' ., a i NAME: LX PERMIT#: — LOCATION: 1, INSPECT ON: 7 —� TYPE OF STRUCTURE. Y N N/A Framing COMMENTS Jack Studs/Headers Bracing/Bridging \ - Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly , O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/-Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 f2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses .Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2,3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade . 5.0 sf grade Li\.SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 �0T��HD�S�F�NGE 9 Businm ��� �����������.130 �� ��" �y� r�owmnm>a.000muwum�,ro��1*sm -^ ^�^^~^^ ^`~«^ x n�` ~~~ User zunnaxuxa/pm Page Engine Version:1.5.12 THIS PRODUCT MEETS OR EXCEEDS THE SE][ DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED 5es 'Fu ,�� ' �a ��vbl�— l2�3k>��t. ^^,- -Ps-TAXI-- 31e�� | ���— � M�� '�~ \ p~~~ 18^ 10 �V o �(� �mt� Produu�K�agrumuimCmnxcmmNuml. /� LOADS: W\ WCO Analysis io for o Joist Member. PrimuryLoodGpoup-ReeidenUq|-LivingAream(peo:4D.OLiveat1VDY6durabon' 12,0 Dead SUPPORTS: !uput, --Bearing Vert|-ro<Boocuions(|bo} 'Detail Other - Width Length Line/Deod/VplitUToto| 1 Stud wall 3.50" 3.50" 480/144/0/624 Al:Blocking 1 Ply TJ|@VPrn(TKX)'13O ` 2 Stud wall 3.50" 2.25" 480/144/0/624 A3:Rim Board i Ply 1/4"0.8ETJ^Gtrand Rim Boord60 ~ -See TJGPEC|F|ER'8/BUILDERS GUIDE for detsi|(a):Al:8|ocNng.A3:Rim Board LOCATION ANALYSIS: User Location "X"(Hmriz.)Dimension Comment 1 1'81/2" C.L.OF1.5"D|AHOLETHRUCTeOF TOP FL WITH O"x3''WEB NOTCH 2 1'5 3/4" C.L,OF3/4"Dk\HOLE THRU TOP FLANGE 3 i'11 1/4" C.L.OF3/4"D|A HOLE THRU TOP FLANGE DESIGN CONTROLS: Maximum Design Control Control Location Shnar(|bn) -610 -004 1710 Pmsoed(35%) Rt.end Span 1 under Floor loading Vertical Reaction�n(|bo) O1O O�� 1�15 Pooaed(4O6) Bearing under Floor loading N|oment<Ft-Lba> 2680 2680 4519 Paaoed(50Y6) MID Span 1 under Floor loading Live Load oo0(in) 0.262 0.440 Puoond(uDO4) MID Span 1 under Floor loading Total Load DoO(in) 0.841 0.879 Paoeod(U018) MID Span 1 under Floor loading TJPno 42 30 Poouod Span -Deflection Criteria:8TANDARD(LI_:L/48V,TL:y240), -Allowable moment was increased for repetitive member usage. -Deflection analysis is based on composite action with single layer of 19132",5/8"Panels(20"Span Rating)GLUED&NAILED wood decking. 'anooing(Lu):All compression edgoa(bopondbuunm)muot ba]braced at 4'O'`o/c unless detailed otherwise. Proper attachment and positioning cf lateral bracing io required uouohiova member stability.TJ-Pro RATING SYSTEM -The TJ-Pro Rating System value provides additional floor performance information and is based on a GLUED&NAILED 1S/3��5/8"Panels(2O"Span Rating)decking. The controlling span io supportedby walls. Additional con iderations for this rating include:Ceiling None. A structural analysis of the deck has not been performed bythe program. Comparison V | � JOIST WITH HOLES IN FLANGE TJ-Beam(TM)6.05 Serial N.m 00214" 14" TJIO/Pro(TM)-130 u@ 16" o/c Page2 Eng eVersion:15.12 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist(TJ). Allowable product values shown are in accordance with current TJ materials and code accepted n values. TJ Engineering has verified the analysis.The input loads and dimensions have been provided by others( AMSb%kp4SpN " �desl_ }and must be verified and approved for the specific application by the design professional for the project. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code NER analyzing the TJ Distribution product listed above. Operator Notes: MILES CUSTOM HOMES 21 McDONALD DRIVE QUEENSBURY,NY 12804 ATTN:STEVE MILES PHONE:518-793-8008 FAX :518-761-9860 REF:MARK JOHNSON FAX �3r4tt �3��'I G~�l 5 T 1 ha C'� 5�'f't�CZ C'�I✓� :�t'S 7'"�'S� GUT' wI+4 GK. 'TCO L^{Lt ST I nL t� B ¢ll2 t 14(a. {ta 50 l� ('3/4 APa t.>,c7 lFor-ECTN �45Tt�ic� wsr it _F'K t sI,t t4 l.-1 `tP A MCA LIG5 h an1,57 4-I o a _-M ec tt�5��u.Ep �t.o1J� SlTx=_TT�KMIACZE�.3�?LST�__�P�-bU-T - -- _ 7-CI'VJ Fo f�lG-l�t'r .Wrrlb (t) twS_Of RCCL AAJLI 5 (o" ©► .__�_._ .L1�J.C}1rcD-_ � wES_oP_1>AMtU4fQD �b 15Y• APPt,.�t_C.�t,SS'Ctw[,T{fl�-C�t�ADC A�1c1GStVG BGIRSZI n1,ca "ot,� I+lt� Kflu- Nt-1�'itA FbKetAt-m I. IAOF•SSI GFtT 40 PROJECT INFORMATION: `nc� R PERATOR INFORMATION: 14 KIMBERLY LANE ,zh m Oliver QUEENSBURY,NY; t d `^ o a rusJoist,A Weyerhaeuser Company %3008 104 A Centre Boulevard OR EW NjO `' Marlton,NJ 08053 Phone:856-596-5555 Fax :856-985-9806 Copyright 0 2002 by True Joist, a Weyerhaeuse Business TJI0 and TJ-Beam° are registered trademarks o Trus Joist. e-I Joist"',Pro"' and TJ-Pre are trademarks of rus Joist. C:\WINDOWS\Desktop\TECH CALL$\MARK JOHNSON\MILE CUSTOM HOMES-14 KIMBERLY LANE-HOLED FLANGE JOIST-02-26-03.sms Residential Final Inspection Of No. (518)761-8256 Date Inspection reques c Queensbury Building&Code Enforcement Arrive: a p a requ cc 60� ;es op i6 r a p rt. 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials 'Pb P qq& NAME: P IT LOCATION: t ATE:9 """�Z:;h 0 A AGa TYPE OF STRUCTURE: V16 kid X/ N N/A omments V Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete fV., I Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ftj Handrail Termination at Newell Post or Wall/ 8 inch clearance to sill plate it/ Gas Valve shut-off exposed/regulator 18"Above grade Gas Furnace shut-off within 30.ft. or withifi line of site Oil Furnace shut-off at-entrance to furnaa hrea Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entran e 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke DeActors: Every level: f Eve room: Outside every bedroom � Inter Connected: f Battery backu Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches %hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, I sq.ft,-150 sq. ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C f 0(Cert. Of Occiipancy) Okay to issue Permanent C 1 0(Cert. Of OccUP ancy LASueHernin-gway\]3uilding.Codes.inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 Residential Final Inspection Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p rt: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake Comments LP �OA 3 inch Plumb Vent throw roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut'-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector jWumbing fixtures Foundation insulation Floor truss,draft stopping fmished basement 1,000 sf EmMency egress below grade Basement stairs closed rise>4 inches %hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(lit.)In accessible area A) Crawl Spaces 18"x 24"access, I sq.ft.-150 sq.ft.vents Building No./Address visible from road Final Electrical Site Plan Wariance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C I 0(Cert. Of Occiipancy) c � Okay to issue PermanentC 0(Cert.Of Occupancy) L:\SueHen-ingi,vay\Buildin-..Codes.Inspection-FORMS\Res.Final Insp.form 2.doc edited January 28,2003 ALL/ TOWN OF Q U E E N S B U RY SUZLDING !S. CODE ENE'ORCEMENT 4E:I� 742 SI4Y ROAD QUE:ENSSURY NY IL2804 (518) 761-8256 Ps.RR=VE x ]DIE PART : xk7SP s �hote:I. rncaul. apt_ ccarnpl x� ' ]DATE i �.'xON REQUEST RECE i EIa z �� E"'- NI'%.M E TX PE RDE' STRUC`£'URE F'00"'I'xNGS E3ACKFxLL FR2'1'MING PLUMF3xNG xNSULr�TxoN IE E3 GI-iiMNEY/ " Z3 " VENTlI-IESGIiT F L UM S Z IIG VENT/F Z XTU RE S RO O F Z N G E X TE R Z O R F Z N x S H Ii E AT S NG HOT WAT E R RELIEF VALVE S FLOORS F O U N I?AT Z O N Z N S U LAT Z ON x N T E R i O R S TA Z R S RA x L x NG S STOCKROOM ENCLOSURE F-=REIL3EMZ SE WALLS PENETRATZO F Z RE DAMPER S C E=L x NG F Z R E S T O P P Z N G FIRE Z?OORS/CLOSERS EX x lr 1:)C)40n IIARL7WARE EXST STAZRS RAZLS PLATFOI�"._'�1 �L,EVATOR ' HAt3I3ZCAPFJH:D ACCESS I-IAI?I�SCI-�.PP�L] I3A"T"I3S �3ANDZCAPPEIa PARKZNG FSNAL L�'S,ECTRxCA.L S ZTF�...�P--L-AN 1 �JARxANCE REO � .�r� OK TO ISSUE C C) OR C C LEGEND 0 R. �RON ROD FCUND p 'RON PIPE FOUND o : R. S. IRON ROD SET ,TL,TY P'.`E =XX�J STDNt NA_L x-- - BARBED 'N RE PENCE o POIN' WC�OD cENCE POST --o,w -- OVERHEAD WIRES r/f N'DW OR FORMERLY LOT 30 NOTES: 1) THIS SURVE" WAS PREPARED WITHOUT THE BENEFI" OF AN ABSTRACT OF T'TLE 4ND IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS OR RESTRICTIONS OF RECORD ANY STATEMENT OF FACTS SUCH DOCUMENT WOULD DISCLOSE. 2) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB —DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. 3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE .AND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. LOT 27 2 MAP REFERENCE: MAP ENTITLED "SOUTHERN EXPOSURE" A SUBDIVISION OF LANDS A SUBDIVISION BY ROBERT E. McDONALD" PREPARED BY RAYMOND J, BUCKLEY L.S. DATED APRIL 1981 FILED N THE OFFICE OF THE WARREN COUNTY C-ERK Oac:q - j v r If 1226�c) RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement p. Dept.of Community Development ArriveV%46epart 9 toe Town of Queensbury s Ini, s 742 Buy Road Queensbury,New York 12804 NANE-j�u E-L C ))-)T-r)m On�AF, i6-,-WaLO PERMIT# LOCATION DATE ?- TYPE OF STRUCTURE N/A YES NO COMVIENTS Chimney HeightPT"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 r,161 x--nt60 Gas Valve shut-off exposed/regulator 1833 above grade L_ 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 BathroomMitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells V Smoke Detectors: V/ every level V/ every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation l�P--PR 3/4 hour fire door/door closer b3 f a—X-Tb tA D Garage firLTroofing_ V/ I Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing IS"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) RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: a Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart pm Town of Queensbury Inspector's Ini als 742 Bay Road Queensbury,New York 12804 NAME �` 1 '��. PE �� LOCATION 1 DATE — — TYPE OF STRUCTURE Sfr� N/A YES NO COMMENTS Chimney Heightt"B"Vent/Direct Vent Location Fresh Air Intake ' s Plumb Vent through roof D Roof Complete Exterior Finish Complete 1 � � 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 vet 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 p C-Z:;,v Furnace/Hot Water Heater operating V�os- t Relief Valve(s)installed �[7 Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. e Handrail exterior stairs both sides more than 3 risers Interior privacy/him/doors/main entrance 36" Floor Finish Bathroom/Mtchen watertight Interior Handrails Balconiesfi anding 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom \ outside every bedroom inter connected Bathroom fans 1 Plumbingfixtures Foundation insulation %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 l Survey lot required Final Survey Plat Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Ceitif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) V 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 f Received: Permit a — ( INSPECTION°-ON:cz>� Nam I' ��(� AM (LM) ANYTIME Location: I l APP olED 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 ROUGH IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK TH AT K F CCU NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN ED AL INSPCT O............. 7 COM EV/CHRSJNVORD/LETTERS20011FIRE ARSHALINSPECTION T WHITE-BUILDING DEPARTMENT COPY OCCUPANT COPY Na ipjr / 56I ar770 Town of Queensbury Fare Marshal's Office Cio4742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHIEDULE Received: Permit# ;ZZpD -Y& INSPECTION ON: 6 -oo Nanne: l AM M ANYTIME Location: !'{�� c( '0/a1 APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS �t FIRE ALARM SYSTEM ��/L 1�i (� �d�C � - F/OD V FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM 1 HOOD INSTALLATION Y2- �JYZ '' INTERIOR FINISHES J STORAGE l COMPRESSED GAS CLEARANCE TO SPRINKLERS 4 CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN 1 /Z 7 bA CHIMNEY MASONRY ROUGHIN FINAL 7 CHIMNEY / FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGH IN FINAL VENTED GAS , APPLIANCE ROUGH IN -- �� FINAL FIREPLACE MASONRY ROUGH IN OK THIS BATE K FOR O NOT OK FINAL FIREPLACE �/.� ti FACTORY BUILT ROUGH IN IN BY FINAL COMDEVICHRISJIUVORD/LETTERS200liFIREMARSHALINSPECTIONREPOR 11022001 YELLOW-OCCUPANT COPY WHITE-BUILDING DEPARTMENT COPY ���. o R oK 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 0�00tq., SCHEDULE Received: Pe it# INSPECTION ON Name: Ali)z C0,4,,5 AM ANYTIME C7L, Location: 71, 4 if APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS , FIRE ALARM SYSTEM WOE) 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 FINAL CHIMNEY FACTORY BUILT ROUGH IN 4bi FINAL V71 WOOD STOVE ROUGHIN FINAL �( p VENTED GAS APPLIANCE ROUGH IN FIREPLACE FINAL +C, cc)4 v :�7 MASONRY ROUGHIN OK THIS DATE OK RCO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGHIN INSPECTS BY FINAL (j COMDEV/CHRISJIWORD/LETTERS20GI/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY keAn "A'1A Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 7415-4437 Fire Marshal's Inspection Report Request 4,X00i77, /'146 SCHEDULE Received: Permit# INSPECTION ON: 0, Name: J&� POW I.I[t) -'� P ANYTIME- /0 Z�D AM F- L Location: A/ IIA444YL-_&d50A) /APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS 7' EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING 7 FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION AJO� INTERIOR FINISHES STORAGE COMPRESSED GAS ut CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN otkt FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL PA OAJ WOOD STOVE ROUGH IN �Q � FINAL V APPLIANCES ROUGH IN DO Nor Fe4fdfq ENTED GA FINAL /A FIREPLACE oj MASONRY ROUGH IN OKMTHI DATE, OK "'R. CO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/CHRISiNVORD/LETTERS20011FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Office Use GENERAL INSPECTION REPORT Inspector: 110(tq Town of Queensbury Ready a e: 4vq Dept of Community Development Request received: -AA1�2— Meet: Building& Code Enforcement At time: 742 Bay Road Queenshury, AT 12804 ARRIVE a ART ].��a m tes: A M cpf!, (518) 761-8256 Inspector's 1nit* Is MIT I NAME: 5PERMIT# ZOO ' f , LOCATION: 1-4-4,� INSPECT ON(date): ZLA10Z 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/Dampproofin 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 Z-6 L Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\Suel-lemingway\Bttilding.Codes.Inspection.FORrvlS\GE,NERAI,INSPECTION REPORT.doc .rice Use OTIETI-TFIR-AIL 1T%ZSPF-1C1r1OT-'1T RIEPOR-'r Inspector: Y;o>wn of Queensbuvy Ready at time- Dept. o -) 1162 f Community Development Request received: Meet- Building &- Code Enfo rcement At time: 742 Bay.Road Queensbury, ArY 12804 ARRIVE V't 0 RY'IN r'>4�mNotes: (5-18) 761-8256 Inspector's Zni ict s �GS �oi (Ce- PEP-Mi-r # CQ j'5Z-eL'e— 1114SPRCr ON(date): TYPE OF S'r1-'UC'rUr--'E: (date): NIA YES NO COMMENTS �� Footings/Piers 4�7%-:t' Monolithic Pour Form Reinforcement in Place i2>v---V:>V�-Ocn-A" The contractor is responsible for 1136S providing protection from freezing L I v:)� for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/L)artipproofing—_ l3ackfillApproval Plumbing Under Slab C>i > Plumbing'Vent/Vents in Place ol tAf= Rough Plumbing L-P\tA Beating Rough-In ]Insulation Foundation Walls Interior P-- Foundation Walls Exterior P-- Floors P-- Walls P-- Ceiling P-- ]Duct work or piping in unheated spaces a- Proper Vent, Attic Vent Framing Jack StudsMeaders Bracing/Bridging Joist 11angers- Jack Posts/Main Beana .Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wall 2, 3, 4 hour Firestopping 1--\SueHemingway\13uilding.Codes.h-ispection.FC)P-MS\CiF-'NF-R-Al-INSPECTION P-F-PC>P-T.dOCk afflee Use IT--TSP�C'rIQN R-UPORX Inspector: Y,O-""n of Queonsbu.-y Ready at time: ,Dept. o received: -72 f Community Development Request rece' Meet. Building cfz Code -Enfo)-cejvnerit At time: 742-Bay Road Queensbu.-y, ATY 12804 ARRIVE 4Z Notes:T amn (518) 761-8256 Inspector's-Tilifi-, llqAME: PERMIT I-G1C-A,'rICDQ1T: n*,ZSPF-C-r ON (date): -ry-PE OF S-rp-uc-rT-JP-F-: RECHECK _ NIA YES NO COMMENTS 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 R-einfordeituent in Place '.V3A-' V-Ev vz)� t-A,%zn.-b Foundation/Dampproofing_ Backfitll,kpproval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating P-oug"--'-., VT -sulation Foundation Walls Interior P-- Foundation Walls Exterior � � �1''� �- Floors P-- Walls P-- Ceiling Duct work or piping in unheated spaces a- Proper Vent, Attic 'Vent Framing Jack Studs/Fleaders Dracing/Bridg Joist Ilangers i-g————————ZZ— Jack Posts/Main Beai-n .Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wall 2, 3, 4 hour Firestopping 1-:\Suel-lemingway\Building.Codes.Inspecticxr)-.F(:)I2MS\OENERA-T-1NSPr--CT10W RF-POR--r-doc- TOWN OF QUEEgSBURY BUTEDING. &.-CODE ENFORCEMEN-r 74Z Bc--*_y Road Qu'eC--nsb0ur.X__HY 12SO4 SEPTXC DISPOSAL SYSTEM INSPECTION N am a- Loca -tion Date -7 7,A-7-, P a Y-m 1 # SOIL TYPE : an - Loam- Cla_v- Re-sul -ts O-F Pear-cola -tierr Te- s-t- ( i -F applicable ) Rate-Mlnu-ta_/Ijll,��h -TYPE OF SYSTEM= ABSORPTION FIEID : To-tal Len g4, h Length o-F each trench k Depth 0-F trenches Size 0-f stone SEEPAGE PITS : Numba_ r--_ ,f#- SlZa - -Ft - x -Ft- Stone size PIPING : 4s ,-f iz i a- Typ Ef B1 dg . to Tank Tank- -to Dist . Box � Dis7t . Box to Fla zd / P- - LA openlngs sealfs-- Yes Na par-tial ILOCA-F-YON/SEPA T1110141s : Found a-t r -F a-a-t ! cm -to/ Tank / 6> Founda -tion -t. ' Absor-p -tion -F a-a t S op a t-a "t 1 on . -F PI -Gs _fr a a-t Conf:*orms a per- Plo-t Plan a sG. LOCA-TION SYSTEM ON PROPERT ( cir-cle- cart a) Fr-on t ear- - -F*t s i Righ-t- Side middl a rant - M! a- Rear COM7MEN.-,6; z - SYSTEM USE APPROVED YES No Atwr z vt--cf D tep a r-u-ta-ci Bul_IC1 -' no � . so 200 100 10 . 77 ..:7,7 ;G:l�o�}.'� IF ,{�yj1yJ Ok"��ly] 90 100 X", 4 1 38 , "I hav een or observed,or believe I sew eviden 6. 201 all ob' cts such as houses,wells,trees,fences,etc,, 0 eylo n on this document.I also represent that I have ' sonally me d the distances s forth on the di gram" /j� SIGNATURE' DATE ,� 40071ce Use G-JEWIETZ-AIL 1T,-TSPFC P!70T-4 PO\JUN6- JL Inspector: Ready at time: Tbwn of Queensbwy .Dept. of Community Development -Reque.�t�eceivea: Meet- Building c!Z-- Code -Enforcement At time: 742.Bqy.R-oe,zc1 Queensbu.-y, NY 12804 az otes- Ir P (-518J 761-8256 PERMI1'r# INSPECT C)1*-T (date): -ryP-E OF S'rp-UC-rup-E. RECHECK 1--TAA YES NO CC)MM-F-1-1-rS Footings/Piers Monolithic Pour rrn Reinforcement in PI e fw The contractor is res us le for providing protection fi- I freezing for 48 hours following e Jacement of the concrete- Materials for this purpo e on site Foundation/Wanpour Reinforcement in Plac Foundation/r)arnppro An& 13ackfill Approval Plumbing Under Sla rl—t-bing-NZCVNrent in place— Kloug417-Plumb u Heating Rough-In Insulation Foundation Walls Interior P- Foundation Walls Exterior F-- Flo ors Walls Ceiling P- ]Duct work or piping in unheated spaces iz- Pro per Vent, Attic Vent Jack,Studs/fleaders Dracing/Dridgmig— --- Joist Ilangers. Jack Posts/Main 13earn Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fir 4 hour <Jf�--toppin - T-:\Suel4emingway\]3uilding.Codes.Inspection.FOP-MS\(aF-WERAE INSPECTION RBPOR-T.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: ( Z— Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, ArY 12804 ARRIVE m P RT Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# W LOCATION: i vt INSPECT ON(date): ! TYPE OF STRUCTURE: 1"- RECHECK N/A YESINQ COMMENTS -4Footings/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- 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 ( 518) 761-8256 GENERAL MSPECTI®N REPORT Town of Queensbury Dept.of Community Development ]Date inspection request received. �''"�� Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart 1 / - Inspector's Initials NAME. / f ( .�J cS� PERMIT# - 4�a LOCATION: TYPE OF STRUCT RECHECK N/A YES NO COMMENTS Footings/Piers E 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 ac 1 Appro P um ing 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 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 Queensburj� NY 12804 ARRIVE am/pm: DEPAR?,-., ,/�am/pm Notes: (518) 761-8256 Inspector's Initials N�LL--- NAME: )C) "Z— PERMIT#- - LOCATION: ( )N�-19 L 01 LJ - INSPECT ON(date): TYPE OF STRUCTURE: 2,OF,/.0- YS REC CK N/A YE 0 ENTS 7ootings/Piers 9 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 Fou-ndation/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging— Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAT,INSPECTION REPORTAOC Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: .Dept. of Community Development Request received. Meet: (4 i Building& Code Enforcement At time: 742 Bay Road /� Queensbury, AT 12804 ARRIVE am/pm: DEPART � l m/pm Notes: *1/! (518) 761-8256 Inspector's Initials NAME: Eom' efi Ur ,GZ,, , ! PERMIT# 6,o2` LOCATION: fj� �_p ni� INSPECT ON(date): �71 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS ~*?ootings/Piers Monolithic Pour Form Reinforcement in Place S` '� 12 C�Fo6 f (e0 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 ampproo fang 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 BracingBridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier. Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour. Firestoppmg L:\.SueHerningway\Building.Codes.Inspection.FORMSIGF,NERAL INSPECTION REPORT.doc