2002-493 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CEIRTIFICATE of OCCUPANCY
Permit Number: P20020493 Date Issued: Tuesday,December 03,2002
This is to certify that work requested to be done as shown by Permit Number P20020493
has been completed.
Tax Map Number: 523400-308.005-0001-020-000-0000 '
Location, 7 GLEN Ct '
Owner: MICHAEL J VASILIOU INC
Applicant: MICHAEL J VASILIOU INC
This structure may be occupied as a:
By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020493 Application Number. A20020493
Tax Map No: 523400-308-005-0001-020-000-0000
Permission is hereby granted to:
For property located at: 7 GLEN Ct
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 Queensbiny Zoning
Ordinance. Type of Construction Value
Owner Address: MICHAEL J VASIOLIOU INC Single Family Dwelling 200,000.00
23 SUNNY WEST Ln Total Value 200,000.00
LAKE GEORGE, NY 12845
Contractor or Builder's Name Address Electrical Inspection Agency
Plans &Specifications
BP 2002-493
Lot 4, House No. 7 Glen Court. Construction of a single-family dwelling and 2 car attached garage as per
plot plan and'specifications
$274.60 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,June 19,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town fQ ee b; June 19, 2002
SIGNED BY X�v for the Town of Queensbuty.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256 2
A permit must be obtained before beginning construction. Permit File No._ 7a- 3
No inspection will be made until applicant has received a Fee Paid $�
valid building permit. All applicants' spaces on this Rec.Fee Paid 1
application must be completed and must appear on the Reviewed By
application form.
Applicant: Y GLer .�r
Address: �1. Address-
Phone#� �) zr� Phone#
Property Location: Lot Number: ! House Number
Subdivision Name: 671t 10w 1 Tax Map Number:
[a—Z�few Building. resxdence commercial Estimated Market Value of Construction: $ r
�•a'��ci7r on -y'`{��r'e�id�nce! commercial If an Addition,what will use of new addition be?
❑ Alteration: residence 1 commercial
❑ No change to exterior size: residence/com'1
❑ Other work(describe )
Check OccupancyInformation 1"Floor 2 Id Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet {
Single family dwelling C
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units
❑ Office
❑ Mercantile
t� ❑ Manufacturing
❑ 1 car detached garage i
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
(95 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial I
❑ Storage building-
residential
❑ Other
What is the proposed height of the structure feet inches
/W�ill any second-hand or.ungraded lumber be used? If so,for what?
&�Type of heating System: electric/ oil gas wood /forced hot air/) baseboard/other:
Number of Fireplaces to be installed Number of Moodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
-Name Address Phone Number
Builder
Plumber �"
Mason 2<> �a7
Electrician
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building.Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director o Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new cons tion.
Signature: owner,owner's agent,architect,contractor
Applicati oil for Perin it- Septic Disposal
System
Rnvii of Queeitsbuty 742,any l?o(i(fQtieeti.vbttrj4'NY 12804 (518) 76`14236
1. OWNER INFORMATION:
Office Use
Location ci aci-
J!'installation:
File Po"llit No.
Tax Map No., I Of
Fee Paid
Owner's Name: JC Z 14�O<7'
............................... ........... ........................
Address:
2. 'INSTALLEWS NAME ---P,4711 PHONE NO.
3. RESIDENCE INFORMATION- (circle year of dwelling, indicate It bedrooni(i)and multiply 11 of
bedrooms with applicable gallons per bedrooin to equal total daily flow)
[ear of House: No. ofBedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrin =
1980- 1991 X 130 gal/bdrin =
1991 —present y x 110 gal/bdrin =
Garbage Grinder Installed yes i t no
Spa or Whirlpool Installed yes no
4. PARCEL INFORMATION: (circle applicable inforniation&indicate rueasurernents)
41p9 ollips -W tejr,LS�Iliply
verntl eft 16,11citelelpfff fit 10111t clelith
Moil
'et J
ff$veil; ivaier. q)p1j1
Steep slope clay .I
%slope other front allyscime-systent
depth: absorption isl fl.
other
Percolation.Test: (To be completed by ficensedpi-ofesslonal engineer or architect)
1?11111110 pet-Inch llm-'e 1,2ew V/;,
5. PROPOSED SYSTEM: For Nets Construction: All individual sewage disposal systems inust be designed by ii licensed
proressionil engineer or irchilect(unless ins(alled in a I'lanuitig l3oardall)roved subdivision). Acid 250 gallons it)the size
of the septic lank aud leach field for cacti Garbage Grinder, Spa or Wilitl1volTub.
Septic Tank: A906 Sallon (min. size 1,000 gell.)
Tito Field: each trencla Total System Longdc
Seepage Pit(s): nuinber of. size if _J1. by Jl
Size of Stone to be timed: #
Bed System,Size: X
Altemative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: _gallons /TOTAL Capacity: gallons
Note: Alann System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIG,i NATURE &INFORMATION FOR RESPONSIBLE PERSON (please read)
For your protection, j)lonse note dint Purstintit to Section 136-29 or the Code of thOTOW11
orqucenstntry, any permit or approval granted which is based tilion or is granted it%
reliance twoii nity material —i.;rcj)rcsojjt.qtiorj or f'.%iltjj-c to make material fact or
carcunistance known by or on beitair.oraft applicajit, shall bo void.
I]save read the regulations with respect to this application and agree to abide by these and all
requirements of tho Town f q, e tisbury Sanitary Sewage Disposal Ordinance.
pop,
SignoEure of responsible person "Date
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
90,00 HEATING DEGREE DAYS
Compliance Methods: PART 5 Acceptable Practice Method
1&2 Family Dwellings (only)
PART 6* 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
*Requires submission of worksheets
APPLICANT'S NAME:
PROPERTY LOCATION:
94x- 61o,
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area square feet
2 . Type of Heat - Electric Oil AGas Other
3 Is building mechanically cooled? Yes No
4 . Percentage of area of windows and doors Over 17% \-If Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R
b. Exterior walls R
C. Glazed areas R
d. Exterior doors R
e. Floors over unheated spaces R
f. Edge of slab on grade (heated building)
R
g. '"nasiament/cellar walls (above grade) R
h. Basement/cellar walls (below grade) R
Heating/cooling-ducts-piping in unheated space R
6. Service (domestic) hot water heating devic
Conforms to minimum *efficiency per code :5r- Yes No
TEMPERATU E,,CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED
!App!p Da e Ph Number.
an gna e Number.6Z1z;,11) - -
INSPECTOR'S REMARKS: /7
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
Permit No. C 9" 94
0
Date , ZO0 ��
i
Applicati' to is hereby made to the Building& Codes Office for the issuance of a 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 of
these requirements 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: A
Stove: wood coal pellet gas
Fireplace insert
Address: Fireplace, factory-built: , wood gas
Fireplace, masonry: wood gas
9 Furnace: wood gas oil
Phone: � ~'_ �
If non-masonary applicatice,please provide
t
Owner: Manufacturer Name:
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue tile steel size: inches
Exact Address:
of construct' or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction llnstallation must
con orrn to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting
Chimney Liner
1 �a.,6rb�t�z-'�s De�n�rtzne�t--Toi�r�of Qu�e�r,srbu�-y, 1�Te�Yorks:
Fire Mmshal Code'# $Collected $Refunded Rece'red from refunded to) 0 �
address;
A 173 3389. (190) Public Safety
A 233 2655 (230)Minor Sales
DATE:
White(Applicant) / Green(Fire Marshall / Yellow(Bldg.Dept.) / Pink&:Goldenrod(Ca§hier's Dept.)
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive q�LD Depart ai
1U .
Town of Queensbury (4sppnector's Initia1g;,
742 Bay Road
Queensbury,New York,12904
NAME ketS 1. i ("6 LA P # 2,-6 6 2- Y013
LOCATION -7 Cje-m Cal—d- DATE I Z--/ 31-6
TYPE OF STRUCTURE
N/A YES NO COMMENTS N
Chimney Height,"B"Vent/Direct Vent Location s +(L4 7 f ck
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
OilFurnace shut-off at entrance to furnace area
Furnacefflot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight__
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofin
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 19"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)L_
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MAP REFERENCE:
THE GLEN
A SUBDIVISION BY
MICHAEL J. VASILIOU, INC.
DATED JANUARY 1993
LAST REVISED APRIL 30, 1993
BY VAN DUSEN & STEVES
LAND SURVEYORS
N82°23 43RE
105.
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S88026'28'E
52.48'
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414o 45' 43
LOT4
45,816.73 sq ft
1.05 acres
250,561
N88°05R49"W
X1L
S89057'01"E
NSO+11 1410E
9.05'
51.14
71
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL.
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO> ROBERT VOLLARO
ALIDA VOLLARO
TRUSTCO BANI . NATIONAL ASSOCIATION. ITS
S AND/OR ASSIGNS
3diPNAL ITLE INSURANCE COMPANY
OF
CERTIFIED �R�>/�•!�--••-* ..
M T tEW 0: - 51 EVES.- LLS NYS 50135
DATED- NOVEMBER °S FEZ
h.
IlD
a eL N
CN
1
I
rim
N
Du s fr
�r
S t e V e S
Land S u r� e y ors, LL C
169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lic. No. 50135
'UNAUTHORIZED ALTERATION ON ADDITION TO A SURVEY
NAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209. SUB -DIVISION 2. OF THE
NEW YORK STATE EDUCATION LAW.'
VNLY COME PRAM TM ORIGINAL Or THIS SURVEY
SEAL S WITH AN ORIGINAL OF THE LAND SURVlYOR7
L SHALL BE ,D BE N SIG Y COPES.'
CERI1FlCAnON3 INDICATED HEREON SIGNIFY THAT
THIS SURVEY' WAS PREPARED N ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORORS STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS SAIB CERTIFlCATIOIS SHALL RUN ONLY
TO THE PERSON FOR eHON THE SURVEY IS PREPARED, AND
% HIS BEHALF TIX THE nnE CON AWSY. GOVERNMENTAL
AND
AGENCY A� LENDING Lmawe �:TED A�
Ta TFK AbIQNItS or Tne LENDING NSTlrunoNr
Map of a Survey made for
R O B ER T& ALI D A VOLLARO
Town of Queensbury, Warren County, New York
Scale 1'=30'
SHEET I OF 1
VOLLARO
77
DATE DESCRIPTION DWG. NO. 92300-4
NO.
121-16-4/308.5-1-20
1 ,
1� C-46
COMMERCL,L FINAL MSPECTION REPORT
Building&Code Enforcement Date inspection request received: �—
Office No. (518)761-8256
IDepL of Community(Development f �.
Town of Queensbury Arriv rt
742 Bay Road Inspec or's Ini
Queensbury,NY 12804
NAME? 6 Li PERMIT ' Q�_
LOCATION DT K — DATE Z✓r 0
TYPE OF STRUCTURE S �� !t 1
N/A YES NO C60WAENTs
ChmmeyP'B"Vent/Direct Vent location to
�^
Plumbing Vent ✓
Roof Complete
Exterior finish grade complete
hdcrior/ex erior guardrails 42 in.platform/decks
hgerior/eAcrior ballasters 4 in.spacing platform/decks-
Stair handrail 34 in.-38 in. Z �� VDV V.--3
Step risers 7 3/s in.
?Main door 44 in.
All others 36 in.
Lever handles - -C'�IAA-
Exits at grade or platform
Canopy to cover r exit doors
Gras valve shut-off a osed®ulator(18 in.)above gra
Floor bathroom w W
Other floors okay / V
Hot water relief
Boiler/fumaceenclosure
<250,000 BTU N/R /
250.000 BTU to 1,0,00,0 0 BTU's(1 hour)
—>1.000,000 BTU's a hour) `,.�,,//-~
Gas furnace shut off w' in 30 ft. within line of site �,z?t7 t LJ �vp�N V�
Oil furnace shut off at ce to ace area __
Stockroom enclosure( hour),3/6 ho r door
Storagelreceiving/shipping room(2 h ur), 1 '/ doors
I =/z hour doors and closers
?4 hour corridor doors and closers _
Firewalls/fire separation,2 hour,3 ho4 complete I I
Fire dampers,2 hour fire wall/separatiazt or greater
Fire doodshutters 1 1/2hour,3 hour 1
Ceiling fire stopping 3,000/5,000 sq.ft.
smoke vents or fan
Fan shutdown,
Exit door/panic bars assembly hardware
Elevators
Elevator signage
Handicapped bathroom grab bars/sinks/toilets
Handicapped bath/parking lot signage
Handicapped service counters 34 in.,checkout 36 in.
Handicapped rarnp/handrails continuous/12 in.beyond
.active listening system and signage assembly space
Final Electrical
Site Plan/Variance required
Final Survey,new structures ,�A
As-built septic system layout required t"l VC�LN�
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
Okav to issue C/C(Certif.of Compliance) _
�6 k
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart
Town of Queensbury Inspector's Initi s
742 Bay Road
Queensbury,New York'12804
NAME aS,'~.i a�
LOCATION DATE I/I/] XU/ 0 7—
TYPE OF STRUCTURE S'
NIA YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gras 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 operating
Relief Valve(s)installed
Headroom,,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Mtchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level /
every bedroom \�
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation /
3/4 hour fire door/door closer /
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: �� L� L
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart�� in
Town of Queensbury Inspector's Initi
742 Bay Road
Queensbury,New York 12804
NAME ��t� O Gf " PERMIT 0 ?-,,--Z, 73
LOCATION qn DATE
TYPE OF STRUCTURE � V
NIA YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,Ianding 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
OR Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating %
Relief Vaive(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
'Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
s/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site PlanNariance 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)
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road i
Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: � PERMIT# �� G
LOCATION: c . INSPECT ON(date):
TYPE OF STR
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 1
Reinforcement in Place rf'
Foundation/Dampproofing.
Backfill Approval
Plumbing Under Slab
PI bing Vent/Vents in Place
ugh Plumbing
eating Rough-In
nsulation
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,"hoax
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspec6on.FORMS\GENERAI,INSPECUON REPORT.doc
6 i-A Office Use
GENERAL INSPECTION REPORT Inspector:
To-wn of Queensbury Ready at time: kvvt
Dept of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE—amlpm: DEPART -&5amlpn7 Notes:
(518) 761-8256 Inspector's Initials J42L--
NAME: 1 j 1.)Lt PERMIT# - 02,
LOCATION: tot d5e,7 al-i*L6u� 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
Foundatioi-VWaUpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plurnbing—__
Heating Rough-In IC17?0 Arl—
Insulation rV F
tV Foundation Walls Interior R- CL
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
FramingC Ac-<—
lack 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\GFNERAL INSPECTION REPORT.doc
(�, Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time:
Dept. of Community Development Request received: 0 Meet:
Building& Code Enforcement At time:
742 Bay Road
Notes:
Queensbury, AT 12804 ARRIVE am/pm: DEPAR� �am/pm
(518) 761-8256 Inspector's Initials
r .
NAME: t
� I 0�t PERMIT it V — q`Z
LOCATION: ` � ��'PIA�- �(? INSPECT ON(date):
TYPE OF STRUCTURE: w I Z Alf
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 2�
Backfiil 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 C.( ^� CG 2/t��-J�
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- � Ci'�L' t V 77C p
Proper Vent,Attic Vent
Framing � J�
Jack Studs/Headers
Bracing/Bridging Joist Hangers �� Y� .
Jack Posts/Main Beam
aA
Air Infiltration Barrier f^ _
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:1SueHemingway\Buiiding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
F=IF;Zr-= MAR a"AkI
-rC>VVf*4 C:)I=
<=lUEF-eNSE3UF;Z-V-, Wv- 12804
(518> 781-82O5
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEjjVEI-, PERMIT *A
NAME U A-',-) i t--j n 0
LOCATION (2) 1-6-11f-1
SCHEDULE INSPECTION C:)N
ANYTIME
APPROVED
N/^ YES NO
E>UTS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EX-TINC3UISHERS.
FIRE At-ARM SYSTEM
FIRE SPFRINKLERZ SYSTEM 10,00'
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES k
STORAiGE:
CLEARANCE TO SPF:ZINK
CLEARANCE-TO HEATING UNITS
REQUIRED SIC3NAC3E
CHIMNEY
WC�aD STOVE
FIREPLACE - MASONRY
REPLACE - FACTORY BUILT
REMARKS: C:)K TO THIS DATE
INSPSLIP.PUB JNSPECTOR
TOWN OF QUEEMSBURY
BUXUDING- &--CODE ENFORCEMENT
742 Be-R_V R"e-mcl
Qu4--t---n-Sb,ur,y MY M01304
CS183 761-82516
SEPTIC DXSPOSAU SYSTEM rNSPECYTON
NameL o
Lo(--a
D a t P e r 1 t # ez,
SOYE TYPE: Sand- Loam-Cl a_v-
Re--sult-s of Per-colat-lon Test-
( i -f applicable ) Rat-4----M! nuto/Inch
TYPE OF SYS-rEf4=
ABSORPTION FIEUD: Total L e n gg
Length o-f ear--h trench
Depth of tr-onches.
Size of stone
SEEPAGE PITS : 1Vumbev--
size x t,
Stone size
PIPING: SA�Z-e Typ te-
Bldg - to -tank.
n k
Tank- -to D! st - B 3
Dist - Box to p - I d/P i t
Openings Se-al d oe
Seal
_7
4, '-7 ? - Yes NoPartial
P TIlS
Foundation t Tank meet
Foundati on Ab so i-p t-f on -f a e-t
Separation o-f Pits -F e e t,
COnf=01-ms as per Plot Plan Yes No
LOCATIONLOCAICM OF SYSTEM ON PROPERTY:
( C -1 Y-cl e- one )
Front - Rear- - Le-Ft- Side - Right Side
Middle Front - Middle Rea v-
COMMENYS z
SYSTEM USE APPROVED= OYEE-s no
A r-r-1 vcciE
D C!!P a reci
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 ain/pm. DEPART amlpm Notes:
(518) 761-8256 Inspector's Initials
NAME: ��(L Qj� PERMIT# y
LOCATION: ��C6'rt1 CT INSPECT ON(date): A?-
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 Z
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-
uct work or piping in
iF unheated spaces R-
roper Vent,Attic Vent
ra ' g ,
J k Studs/Headeis
racing/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\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:i I
742 Bay Road
Queensbury, NY 12804 ARRIVE-am/pm: DEPAR 14 am/pm Not
(518) 761-8256 Inspector's Initials 3 0- R
NAME: ihsI7 PERMIT#
LOCATION: Lo-1- q INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YE/No COMMENTS
1r' i r
Wotu
Monolith ur Form
Reinforcement in Place
The contractor is responsible for
providing protection fi-orri freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/lAlallpour
Reinforcement in Place
Foundation/Dan-lpproofmg_
Backfill Approval
Plumbing Under Slab
unibigs efttyMents in Place
Rough A&-
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-
Prop Vent..Attic Vent
.
"Jack Studs/Head7eri
Bracing/Bridging_ C ow- ig
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2 3 4
So,,,,
L:\SueHemingway\Btiilding.Codes.hispection.FORMS\GENERAL INSPECTION REPORT.doc
TOWN OF QUEEKSBURY -
CODE ENFORCEMENT
74a Ba-Y R01acl
NY 12804
SEPTIC VlSpOSAu SYSTEM INSPECYXON
N am e to,
Loca-tion
D a-t e- Per-m
SOIL TYPE: Sand- Oarn-Cl ay-
Resul -ts o-F peycoja -tion - Test-
( 1 -F appli .a.ble ) Rate-M1nuf--e/1nch
TYPE OF SYS-rEM-
ABSORP-rICW# FIELD : Total
ow,7 JrI
ee-
Lc--ngt--h O-F each trench
Depth o-f trenches
size O-f stone
SEEPAGE Plus : Number- -Ft
Size - -f-t x
S -tone . size PIPING: AL -5
BI dg . to Tank-
Tank- to Dis-t - BOX
Dist . Box to Flolcf/R �
op e-n 1 In 9 S Sealed ? ya No Partial
e,e-t
Founda.1--ion -to Tank �iee-t
-t
Foundai (DIn to Absor-p -tiOn
S#_--pay-at. ion OF Pi is N 0 �?,j 14,1
-F Conor'mS as perpj ofPlan
,_OCA-U3[0N OF SYSTEMOff PR0PE1R-F4Z-5s
( ci r-cl e one) Sid*e Rlgh�tt e
Fr-ont- RearLeft
Middle Fr-o, M! ddl e Rea
comMENTS
ye
SYSTEM USE APPROV YES
WO
D
II 'd-irig lrlsp for
.0
tcb
LL u
00
k6,loo' SEPTIC N�b
G. A EK— N C5
CIO ru
AA X
NAbs
07'36'17^ E
AL
k co
Q)
LU
30' DRAINAGE
S
EMENT LL
,r
1-k
2-252 rle S 43 43.74' .33,
—
ALS Baloal N'21* Vlo, 04 JULL
n4a'
2.1�
3 AL
cl� LOT 4 .witft. 45,816.73 s q, ft. AL
1,05 acres
> j�j V N b C
e5
PCC iS+ .42 PT
Jj' PF(C.-
cz:
CURVE 5, Z;5
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CONC. Cb
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P1LAX CD
ROAD
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0,997, acres 3 EC, �%
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: 41 6
Meet:
Building& Code Enforcement At time:
742 Bay Road E amIpm: DEPART Notes:
ARRIV am/pm Queensbury, NY 12804 pm
JW
,4
(518) 761-8256 Inspector's Initials
NAME: Cit v I-- PERMIT#
LOATI 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[Walllpour�__
Reinforcement in Place
FoundationADarnpproofmg_
Backfill Approval
Plumbing Under slab
P •* n, e' is 1"nMl'aoclellzi�
aoug lumbin
eating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated s ac
'os
V s�
C
Projgr�Vfl n C-
'Frarnin,Y—ento,OA ent
�MEK Studs/Headers
Bracing/Bridgmig—
Joist Hangers /JAxc-Tqu5,,, (AAfj&C—'q QE? r?,e, T— �Vv)
vJack
Po't s
a
jArir
g:fati?n
A
e Separation I23 hour
Penetration Sealed F, e:Wi 10 !I, 11 1 1
� I
ir 9 , , * 1
L:1Suel4emingway\Building.Codes.Inspection.FORrvlS\GENERAT,INSPECTION REPORTAOC
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE-am/pm: DEPART mIpm Notes:
(518) 761-8256 .' lnspector's Initials
NAME: ZA44 P 4 A6-42 PERMIT 20
LOCATION: 1/ 24 c;t_l INSPECT ON(date):
TYPE OF STRUCTURE: S(C>
RECHECK
-N/A YES NO COMMENTS
M'
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
-.AFoundationiDampproofmg 4V
ackfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
Heating Ron
Insulation
Foundation Walls'Uten?r R/
Foundation Walls Exterior
Floors
Walls
Ceiling R-
ping i Duct work or piping
unheated spaces R-
Proper Vent,Attic V
Framing
Jack%t e±ers-
Bracin Tid ng
-
Joist Hang
Jack Posts ain Beam
Air Infiltrati Barrier
Fire Separ ion 1,2,3,hour
Penetrati Sealed
Fire Wal 2,3,4 hour
Firestopping._
RliPORT.doc L:\SueHemingway\Bttilding.Cades.Inspccfion.FbRMS\GENERAL INSPECTION
�r �r m Office Use
GENERAL L- INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: 7
// Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE am/pm: DEPARTj am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: �, aQ l'6 I o- PERMIT#
it -7 n
LOCATION: �zD��/ 6186 ( p�.?. � INSPECT ON(date): 7 ay
TYPE OF STRUCTURE:SF
RECHECK
N/A YE O COMMENTS
A '1�j600tings/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- j
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
sire Wall 2,3,4 hour
,irestopping
\SueHerningwayBltllding,Codes.Inspection,rORNiS\GENERAI-INSPECTION REPORT.doe