2002-513 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
CEIRT IFICAT E OF OCCUPANCY
Permit Number: P20020513 Date Issued: Tuesday,February 04,2003
This is to certify that work requested to be done as shown by Permit Number P20020513
has been completed.
Tax Map Number: 523400-302-018-0002-038-000-0000
Location: 131 GRANT AVE. Ext
Owner: ELEANOR DEL SIGNORE
Applicant: JAMES&NANCY GRARD
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& de E -cement
Fl`a,�
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020513 Application Number: A20020513
Tax Map No: 523400-302-018-0002-038-000-0000
Permission is hereby granted-to: JAMES &NANCY GIRARD
For'property located at: 129 GRANT AVE. EXT
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: JAMES &NANCY GIRARD Fireplace
I BAYBERRY Ct Garage-2 Cars Attached
QUEENSBURY,NY 12804 Single Family Dwelling 150,000.00
Total Value 150,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
CIFONF CONSTRUCTION COMMONWEALTH ELECTRICAL
PO BOX 684
GLENS FALLS.NY 12801
Plans&Specifications
BP 2002-513
Construction of a single-family dwelling with 2-car attached garage, I fireplace as per plot plan and
specifications
$260.08 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 24, 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 of QuSpaohUr y; day J 244,2002
SIGNED BY /),on t for the Town of Queensbury.
Director of Building&Code En day
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. roc
No inspection will be made until applicant has received a Fee Paid
valid building permit. All applicants' spaces on this Rec. Fee Paid
application must be completed and must appear on the
application form. Reviewed By:
Applicant: Q., R
*Q.71,,, Owner:
Address: 9,0 IE�� Address: - JUN 1 9
Phone# 0 VV i_4 OF 0 U EIE'
Phone#
Property Location: Lot Number: House Number
Subdivision Name: Tax Map Number:._-30,Q 9-.�- 3,
� New Building: <Ziidenc /commercial Estimated Market Value of Construction: $ 1 5Q,(XT)
c3 Addition: residence/ commercial If an Addition,what will use of new additio*n be?'
u Alteration: residence/ commercial
L3 No change to exterior size: residence com'l
C3 Other work(describe
Check OCCUpancyInformation 15'Floor 2"Floor Other floor Total
elo I
W sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling
13 Two family dwelling
C2 Townhouse
13 Multifamily dwelling
#of units
U Office .
C3 Mercantile
C3 Manufacturing
0 1 car detached garage
U 2 car detached garage
C3 3 car detached garage
c3. I car attached garage
.Ns(' _2—car attached garage I Y
0 3 car attached garage U
C3 Storage building-
commercial
CI Storage building-
residential
CI Other
What is the proposed height of the structure'�3� feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil (gas)/wood• baseboard other:
Number of Fireplaces 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 11 C. _X Ic. (I:IIeA 01P
Plumber
Mason
Electrician k-
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signaturc\�) �- �_�Qs owner,owner's agent architect,contractor
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256
1. OWNER INFORMATION: �:e N
.......................
Location of installation: A.v.e_ C--- xT
File Pe t N `}u N 1 � ZOQ�
Tax Map No. / / m�4 €31913Y
O ..i Cyr t
Fee Paid
Owner's Name: GL e��y- U. 0 io nit
Address:
2. INSTALLER'S NAME t �C�'t1 �on s 1 Q =v,{ PHONE NO.--I 9 a- 9`-:�`j_o`l _
3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroom(s) and multiply# of
bedrooms with applicable gallons per bedroom to equal total daily.flow)
02
Year of House: No. of Bedrooms x Computation = Total Daily Flow
BURY
1980 or older x 150 gal/bdrm = DOE
1980— 1991 x 130 gal/bdrm =
1992 —preset x 110 gal/bdrm = �1C7
Garbage Grinder Installed yes / no
Spa or Whirlpool Installed yes / o
4. PARCEL INFORMATION: (circle applicable information &indicate measurements)
To o m h Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Sgpplv
Fla sand at what depth at what depth :M@ cipa
Rolling loam qQ feet N N feet well
Steep slope clay if well; water supply
slope other from any septic-system
depth: absorption 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 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder;Spa or Whirlpool Tub.
Septic Tank: gallon (min. size 1,000 gal.)
Tile Field: each trench ft Total System Length:l�1J ft.
Seepage Pit(s): number of size ofeach: ii ft. by ft.
Size of Stone to be used: #� / depth or thickness l feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / 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 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.
00
Signature of ns' le person I IDate
.'�: '1'onrtT c>i' t2ucci�9l�u:•y
A13801t.i''NON Ii'lli;l.,l)
iEPARA'110N ItEQUIItI'MENTS
�ST rJ.M
Vle-Lt- 1/1 VATF.-R- �r
-VA'Wr CA5I#Ir; �.... '__r • WFt u�,a•.,
Scr•t}c- �� .r,�y
.._._..--_.. � f:.: 1 IJ S:'.itiiL'S lilt•t t
nry3.>ArTw-�i
f'1fi-t_b
7. SIGNATURE &INFORMATION FOR RENFUNbIL51-r r�t�v>ti �,>r..�. •�-�;
t4tENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
REGOVED
Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings (only) 0 1
Part 6*- Thermal Rating—Component trade Offs 1&2 Family Dwelling; JUN 1 9 2002
Multi-Family Dwellings (3 Stories or less) T%iqDIN
UECOD
RY
Part 4*- Design by Component Performance, Commercial Building '611- r AND =
Rise Residential
*Requires submission of worksheets
APPLICANT'S NAME: PROPERTY LOCATION:
CI Yflt 1{ Coy-,-ST C,,-I;nc &I,e-
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area- (01 square feet
2. Type of heat- Electric Oil Gas Other
3. Is building mechanically cooled? yes I No
4. Percentage of area of windows and doors Over 17% Under 17%
C
5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 2-C) "?)IB
b Exterior walls RA_
C. Glazed areas
d. Exterior doors
e. Floors over unheated spaces R
f. Edge of slab on grade (heated building) R
9. Basement/cellar walls (above grade) R X
h. Basement/cellar walls (below grade) RAC_
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 140—WILL NOT BE EXEEDED
Applicant's Sigpature Date Phone Number
Ci 9
INSPECTOR'S RE ARKS:
Fire Marshal's Office Town of Queensbury,742 Buy Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel &vented gas.appliances
Date 01 S_ '2002L, Permit
Application is hereby made to the Building& Codes Officefor the issuance of
di g and Use
Permit pursuant to'the New York State Fire Prevention and Building Code. The_qpl :VZW2
agrees to comply with all applicable laws, ordinances, regulations, and all conVW%e� ,at_qr�,yqrt of
these requirements and also will allow all inspectors to enter premises to perfoiUpqq p i-
y gy-bts
NOTE to applicant: Rough-in and Final inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Stove: wood coal pellet gas
Name: Fireplace insert
Address: Fireplace, factory-built: Wood as
Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone:
If non-masonary applicance,please provide
Owner: Manufacturer Name:
Address: Model Number: S b9V R'w
Chimney Information
Phone: (circle appropriate words)
asonry block brick stone
qt!�� tile steel size: inches
Exact Address: &W4,V.K Jc
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction lInstallation must
eon f orm to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury P Direct�ventin
Handouts regarding required inspections. Triple wall / Insulated
Ch hnnej,Liner
Fire Marshal Code fi $Collected $Refunded Recarded to): "77,tc
address:
A 173 3389 (190) Public'Saftty
A 233 2655 (230)Minor ales
DATE:77
White(Applicant) Green(Fire Marshal) Yellow(Bldg. Dept.) I Pink&Goldenrod(Cashier's Dept.)
E�JIQJE
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
BUREAU OF ELECTRICITY
5 40 FULTON STREET — NEW YORK, NY 10038
5
5
5 CERTIFIES THAT 5
Upon the application of upon premises owned by d _ 5
5 � 5
5 5
Cj CIFONE CONSTRINC. ELENOR DELSIGNORE
5 AIRPORT INDUSTRIAL DR. 131 GRANT AVE EXT
PO BOX 684 QUEENSBURY, NY 12804
5 GLENS FALLS, NY 12801, 5
5 Located at 131 GRANT AVE EXT QUEENSBURY, NY 12804
Application Number: 1093295 Certificate Number: 1093295
Section: Block: Lot: Building Permit: BM A239
5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5
5 electrical devices and wiring,described below, located in/on the premises at:
5 Basement,First Floor,Second Floor,Attached Garage,Outside, 5
5 c5
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 27th Day of January,2003. 5
5 5 Name QTY Rate Rging Circuit Type
5 Alarm and Emergency Equipment �5
Sensor 1 0 Smoke
__5Appliances and Accessories
Bell Transformer 1 0 KW
5 Dish Washer 1 0 1.5 KW
Exhaust Fan 3 0 F.H.P.
5 Furnace 1 0 Gas
Micro-wave 1 0 KW
5 Air Conditioner 1 0 30 Amps 5
5 Wiring and Devices
Fixture 60 0 Incandescent
5 Fixture 3 0 Fluorescent
Switch 32 0 General Purpose
5 Dimmers 12 0 General Purpose
Switch 4 0 Motor Control
Switch 1 0 Photo Cell ;' Jr
=� -Z;
5 Receptacle 53 0 General Purpo!,ze,.
Receptacle 9 0 GFCI 55
5 Continued on Next Page 1 of 2
This certificate may not be altered in any way and is v�M6tie—d-b—n-ly-b—Y t-h-6-pr-e-s--en-c-e-of-a--raise'd seal at thelibcqtionrlridicated.-- __1
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MAP REFERENCE:
MAP OF LANDS SUBDIVIDED FOR
CARL J. KREISLER — WILLIAM H. BARBER —
J. SEWARD THOMSON
KNOWN AS
GLENDALE
DATED: SEPTEMBER 1, 1946
REVISED: SEPTEMBER 30, 1953
BY: LESLIE W. COULTER
LANDS N/F OF
MEAD
572/304
31
W
CV
�to to
C �
2
r-
LANDS
N/F !OF
PIKE
918/234�
S8403 '0 43"E
0.00'
30
AREA
11,017 sq.ft.
0.25 acres
2 STORY WOOD
FRAME HOU5E
PORCH
3
a, o
00
0 29
y
i
ion
N
I
I
I
E
1
�e, i
69.83
'
a
bel
--170.00' TO AN I.P.F. AT NORTHEA5T CORNER OF GRANT AVE EXTE1�151014
N84°30' 43"W
�QO AND RIPLEY PLACE
`-
_
aa�
RECEIVED
TOWN
O UILDiNG AND C��E
B
an D us e
Steve s
Land Surveyors, LLC
169 Haviland Road Queensbury, New York 12801
1518) 792-8474 New York Lie. No. 50135
GRANT
AVENUE
EXTENSION
LEGEND:
_ O IPF = IRON PIPE FOUND
O CIRF = CAPPED IRON ROD FOUND
• = UTILITY POLE
= CHAIN LINK FENCE
v E
*UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECnON 7209, SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW. -
Map made for
'ONLY COPES FROM THE dRft1AL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF THE LAID 5URVEYORS
SEAL SHALL BE CONSIDERED TO BE VWD TRUE COPIES.'
'CERIIFICATONS INDICATED HEREON SIGNIFY THAT
C I F O N E CONSTRUCTION
THIS SURVEY WAS PREPARED N ACCORDANCE 'MTH THE
EKISnNG CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAIN SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL
AGENCY AND LENDING INSTITUITI N LISTED HEREON. AND
TO THE ASWEAUS OF THE LENDING NSTITUHON.'
Town of Queensbury, Warren County, New York
1
1/15/03
NO.
DATE
HOU5E LOCATION
DESCRIPTION
.uatel JUNL i i,
Scale 1'=20'
S --1
SHEET 1 OF 1
FEULNER C-679
DWG. NO. 97173
I1O-L-10
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive AL,,?bnn/pm Depart
Town of Queensbury Inspector's Inn
742 Bay Road
Queensbury,New York,12804
I--- I NA . -NAME - I PERMIT# 809
LOCATION
I-T
DATE
TYPE OF STRUCTURE
NIA YES NO COMMENTS
Chimney HeightfS"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
InteriorHandrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade_
Gas Furnace shut-off within 30 feet or within line of site.
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight_
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
'/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy).
Okay to issue permanent C/O(Certif of Occupancy)
off? a
RESIDDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrivpz--Av J!��Ves Ijpart
tor'
Town of Queensbury tor'se
742 Bay Road --
Queensbury,New York 12904
NAME PERMIT
LOCATION-1-K DATE
TYPE OF UCTURE
NIA YES NO COMMENTS
Chimney HeightfB"Vent/Direct Vent Location 'V. I
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 operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs I
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trini/doors/mam 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 lip
Bathroom fans
Plumbing fixtures
Foundation insulation
'/4 hour fire door/door closer J,
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 qjC-:-3 waz
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)-!_
2-4
O
LLl
LU
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LU
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uj
>
%C
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept of Community Development Arrive part p
Town of Queensbury Ins ector's Initi s
742 Bay Road
Qneensbury,New York 12804
NAME PERMIT# 0
LOCATIR' DATE
TYPE OF STRUCTIME
N/A YES NO COA84E-NTS
Chimney Heightf'B"Vent/Direct Vent Location
Fresh Air Intake V11
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36" X� 3
Exterior Handrails,balconies,landing 18 in.or more v
Interior Handrails stairs both sides 3 or more rises_
Grade 2%away from foundation 'JZ�ka—tyl t4 �t� C- t-3
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 Z
Furnace/Hot Water Heater operating f\
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 V/I I NA f
Bathroonff,itchen watertight_
Interior Handrails Balconies/Lauding 18 in.or more V 67-�
Railing-peross window in stairwells
Smoke Detectors:
every level
every bedroom E--
outside every bedrooni
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing 2LWidtxa�
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room US
Safety glazing 18"or less from floor
Final Electrical OF
Site Plan/Variance required
Final Survey Plot Plan ::��v
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy}
TOWN OF QUEEKSBURY
BUXILDING- &--CODE ENIFORCEMEN-r
74Z Bay R"a6
MY -12804
SEP-UXC DISPOSAU SYSTEM INSPECTION
Name
L"ca-tion
Date
SOIL TYPE:
Resul -ts o-F Per-cola -ti on Test-
( If aPPlicable ) Ra-te_-Minuta,/Inch
IrYPE OF Sy
ABSORP-VYCW I Total 1.�-ri g-t�
112-
Lengt--h o-F each h _u ench 4
Depth "-F •tT_e ches
Size of s-ton
SEEPAGE PITS : N
S 1 Z e S7- -t M X -Ft _
Sttc>nte_ size
PIPING : _ype
-t
Bldg - -tc� Tank- S T
ISIK f>< -np
Tank- o Dis-t - B
3
Dis-t - Box to Fife d dr
Openings Sealed -?? ye i S. No Partial
iLOCAT_11ON,/SEPARA-rI
Founaa7tlon to Tank
Founda-tion -to Abso p -ti on feet
Separation oV pi -ts e I;
Con-Forms as perperPlo' -t PI an N
t_OCA-UXO1q OF SYS-rEM ON PROPER-TY:
( c 1 r.c I e
Front - (R6aV - Le-F-t Side - Right Side
Middle Middle Rea r-
0014MEN-US
SYS-FEM USE APPROVED= YES NO
s
A w-r-1 %rt--ct
Z-n!nspc-- 7tui r,
Office Use
-GENERAL INSPECTION REPORT 2"-� Inspector:
Town of Queensbury Ready at time:
Dept, of Community Development Request received: 6rz— Meet.
Building& Code Enforcement At tQ7- —P-K-
742 Bay Road
Queensburj; NY 12804 VE3!,i m Notes:
a EP ARRI anA01
(518) 761-8256 Inspector's Initials
- -5/ 3
NAME: PERMIT# DZ-
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE: -D
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
Foundation0arnpproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
sulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- 7-
Ceiling R-
Duct work or piping in
. unheated spaces R-
Proper Vent,Attic Vent
Framing__
Jack Studs/Headers
Bracing/Bridgmig—
Joist Hangers
Jack Posts,"Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingwaylBuildiiig.Codes.Inspection.FORMS\GFNERAL INSPECTION REPORT.doc
OJffcee Use
.GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time:: .
Dept. of Community Development Request received: 00162, Meet: _
Building& Code Enforcement / At time: a
742 Bay Road ;
Queensbury, AT 12804 ARRIVE am/pm: DEPART am/pm N� s
1� 4
(518) 761-8256 Inspector's Initials .� C............
.''"
NAME: S ti YL �' PERMIT#
LOCATION: ( 3 j '-'614J A✓`c EKf INSPECT ON(date): �! �-�
✓ �
TYPE OF STRUCTURE: � �
RECHECK
N/A_YES i NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofmg
Backfill Approval
Plumbing Under Stab
Plumbing VentlVents in Place _
Rough Plumbing
Heating Rough-In
Insulation
Foundation Wails Interior R-
Foundation Walls Exterior R-
Floors R- _
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
r er V ,Atti ent
ck to eaders4
Bracing/Bridgmg
Joist Hangers _
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Scaled
` Fire Wall 2, our
ir upping.:
L:4SueHemingway\Building.Codes.Inspeetion.FORMSIGENERAL INSPECTION REPORT-doe
Oflw' e Use
t)
-GENERAL INSPECTION REPORT Inspector:
Town of Queensbuty /( Ready at time.
Dept. of Community Development R t,
.Request received, Meet:
Building& Code Enforcement At time:
742 Bay Road
Notes:
Queensburj,, NY 1280.4 ARRIVE A a m: T% am
(518) 761-8256 Inspector's Initials
NAME: r- PERMIT#
LOCATION: INSPECT ON(date): I&
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection fi-orn freezing
"; Ia;�pin EP
PERMIT
#
WER
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 C4—
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
FramingVA 4- -
Jack Stud;lt-e-alers
Bracing/Bridging
Joist Ha
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour—
Firestopping
L:\SueHemingway\Buildiiig.Codes.Insr.ection.FORMS\GENERAL INSPECTION REPORT-doe
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury _ .
Ready at time:
Dept. of Community Development Request rece va ed: A�2— Meet:
Building chi Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE .aaCQ a a: AR :p �an pm Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT# �WZ S-1-3
LOCATION: -.1 filapFV1. _ _ INSPECT ON(date): qjq1h-Z
TYPE OF STRUCTURE: '
RECHECK
N/A YE NO COMMENTS
Footings
/Piers
hMonolithic 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
Fouundation/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\GENERAI,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
Queensbury, AT 12804 ARRIVE 2:, TZ:. Notes:
&H
(518) 761-8256 Inspector's Initia ARR
IVE PAT
Inspector's
NAME:. sl-6iva AV- Q
LOCATION: flLve, F,j- INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/=
'XBackfill Approval
Plumbing 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.hispection.FORMS\GENERAL INSPECTION REPORT.doc
Office
ffice Use
GENERAL INSPECTION REPORT Inspector:
Ready at time:
To n of Oueensbury
Dept of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE dba RT 6ane otes:
_VD
(518) 761-8256 Inspector's Initia
NAME: �441anj FPF-RMTI#. 02
LOCATION: 31 Ca.*-+ INSPECT ON(date): k:>
TYPE OF STRUCTURE: 3C--P ,Vj
RECHECK Sell 5- ,5 /zci —
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
oundation/Wallpour VY
Reinforcement in Place f-,Q5k, CA,)q C,
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\]3uilding.Codes.Inspection.FORMS\GENBRAL INSPECDON REPORT.doe
N
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE-am/pm: DEPART LZIf Lam/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT
LOCATION: flo C5- INSPECT ON(date):
TYPE OF STRUCTURE: Jevr
RECHECK
N/A YE NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/D ampproo fmg
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing-_
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgmig-
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Fi,restopping_
L:\SueHemingway�Building.Codes.Inspection.FORMS\GELNERAL INSPECTION REPORT.doe
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:L r*,
Building& Code Enforcement At time:
742 Bay Road Notes:
Queensbury, NY 12804 ARRIVE amlpm: DEPART amlpm
(518) 761-8256 Inspector's
ME: PERMIT#
/4�
L'70ATION: INSPECT ON(date): 49
TYPE OF STRUCTURE:
RE HECK
N/A YES N COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place ew
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing__
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/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\Biiilding.Codes.hispection.FORMS\GF,NERAL INSPECTION REPORT.doc