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2002-698 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY,12804.5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 ry CEDTIFICATE OF" AN%.� i OCCUP Pernut Number. P20010698 Date Issued; Thursday,February 19,2004 This is to Gertif that work requested to be done as shown by Permit Number P20020698 has been completed. Tax Map Number, 523400-308-018-0002-030-000.0000 Location; 17 KIMBERLY Ln Owner, MICHAEL&KELLY DEL SIGNORE Applicant MICHAEL&KELLY DEL SIGNORE This structure maybe 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-.Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020698 Application Number: A20020698 Tax Map No: 523400-308-018-0002-030-000-0000 Permission is hereby granted to: MIT.FSCIJSTOMHOMFS- TNC. : MTKF &KELLY DELSTGNORE For property located at 17 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.Uniforrn Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: MIKE &KELLY DELSIGNORE Fireplace 22 MOHAWK St Garage-2 Cars Attached GLENS FALLS,NY 12801-0000 Single Family Dwelling 150,000.00 Total Value 150,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency MTLFS CUSTOM HOMFS- TNC. 6 C017AGE HTLL Rd GLENS FALLS.NY 12801 Plans&Specifications 2002-698 Construction of 2602 sq ft single family dwelling with 672 sq ft attached 2 car garage per plot plan and specifications. $379.44 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,August 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 of Queens ury; onday,August 19,2002 SIGNED BY for the Town of Queensbury. V Director of Building 7rolEnforcement Building Permit Application Town of Queensbury—Dept of Community Development, 742 Day Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File NoONGO No inspection will be made until applicant has received a Fee Paid $ Y FIE-C E 9 V E I valid building permit. All applicants' spaces on this Rec. Fee Paid $� application must be completed and must appear on the Reviewed B� A G 0 application form. Applicant: (��l L _%_ 1471— Owner: Address: Address: Z tA ny Al Y 10 Y Phone#� Phone Property Location: Lot Number: House Number 17 Subdivision Name: E,_r-,,-_Tax Map Number: t>:g JS—a — 3cz 41-'New Buildin<residence -e ,commercial Estimated Market Value of Construction: $c Li Addition: I i cric. commercial If an Addition,what will use of new addition be? E3 Alteration: residence commercial1- U No change to exterior size: residence com'l C3 Other work(describe Check OccupancyInformation 1"Floor 2"d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling U Two family dwelling L3 Townhouse 0 Multifamily dwelling #of units U Office Q Mercantile E3 Manufacturing L3 I car detached garage L3 2 car detached garage U 3 car detached garage C3 1,.,car attached garage ed--_ 2 car attached garage C3 3 car attached garage L1 Storage building- commercial C3 Storage building- residential Other 7 What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so, for what? Type of Heating System: electric/ oil G� ood <� reed so,., -t air baseboard other: Number of Fireplaces to be installed Number of Woodstoves to be installed CD List below the person(s)responsible for supervision of work as regards to building codes: Name Address n Phone Number Builder ?'V,I Q_.� V Plumber 41 tv. Mason U,_99_,r- Electrician C�5, 72'.-s"� 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 Survev by a licensed surveyor;drawn to scale,showing actual location of=n- Signature C�, _ owner,owner's agent,architect,cBrltractor Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (i 18) 761-8256 1. OWNER INFORMATION: .............__......- ..................._........................----------- ` Office Use Location of installation: � � Q-- File Permit Tax Map No. ,� Fee Paid Owner's Name: /tee.rJ i �- ,S¢S�h ro��'zf Address: 2. INSTALLER'S NAME ��`�erg r ���-�?cz �� PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total dal f-fl )CE d V ED Year of House- Na of Bedrooms x Computation = Total Daily Flow 'AUG o 1980 or older x 150 gaUbdrm = s�+<� OF - r 1980—1991 x 130 gal/bdrm = _19L _�_At�3D 1991 —present x 110 gal/bdrm = 2 3 C� --—� Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) hy Ground Water Bedrock or I ervious��Iabsorption e i ater Supply Flat sand at what depth at what depth nicipal Rolling loam 'feet 2 feet Z Steep slope clay well;water supply %slope other om any septic-system depth: is ft. other Percolation T st-. (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: Seepage Pit(s): number of size of each: .1 t- by�.ft Size of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length andlor size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /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. 8z�zo a_ Signature of responsible person Date t ENERGY CODE COMPLIANCE APPLICATION - �Q TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Lcn Practice Method— 1&2 Family ' 1 Compliance Methods:Part 5 -Acceptabley (on y) _ Part 6*- Thermal Rating—Component trade Offs 1&2 Family DwellingALiG 0 Multi-Family Dwellings(3 Stories or less) Part 4*- Design by'Component Performance, Commercial Buildin --`kV lL£ tire Y Rise Residential ► Cn � *Requires submission of Worksheets =w APP ICANT'S NAME: PROP RTY LOCATION: j PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: I. Gross Floor Area- c;)/ square feet 2. Type of heat- Electric Oil Gas Other 3. Is building mechanically cooled? Yes. No 4. Percentage of area of windows and doors Over 17% Under 17% 5. R-VALUES FOR INSULATION.GIVEN BELOW MUST CORRESPOND TOR VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R.-0 b. Exterior walls R C. Glazed areas d. Exterior doors e. Floors over unheated spaces R .moo f. Edge of slab on grade (heated building) R1/, g. Basement/cellar walls (above grade) R J/ h. Basement/cellar walls (below grade) R 1/ i. Heating/coaling-ducts-piping in unheated space R 6. Service (domestic)hot water heating ffi device Conforms to minimum efficiency per code Yes No . TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED Applic Signatgrp Date Phone Number 4/0 7" —8,60,� 34/ —a770 INSPECTOR'S REMARKS: 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 ly" Date lel 20 0 Permit No. Zo()--z Application is hereby made to the Buildingo& Cday Office ficefior the issuance of Building and Use Permit pursuant to the New York State Fire Prevention-dnd 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) Stove: wood coal pellet gas Name: Fireplace insert Address: Fireplace, factory'-built: wood gas N Fireplace, masonry: wood gas Furnace: wood gas oil Phone: If non-masonary applicance,please provide Owner: 4 Manufacturer Name: Address: *A '-Model Number: :710 Chimney Information Phone: :7 191,� (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address.: Ll+214-W of canitructiq;t or installation Factory-Built name: s 54 "Model Number: Note: Listed By: Number: C6nstryetion lInstallation inust corn f grin to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbui), Handouts regarding required inspections. Double wall / Triple wall Insulated. Direct venting Clihnney Liner ,ff $Re to): /1/11'4�y vk, Fin,,Uarshal Code# $Collected fitinded Received (refunded T &Idress: A 173 3389 (190) Public SajZ,1y A 233 2655 (230)Mirror Sales AN DATE: Mite(Applicant) Green(Fire Marshal) 1 Yellow(Bldg.Dept.) l Pink&Goldenrod(Cashier's Dcpt.) TOWN OF HIGHWAY Richard up rinissi'ta Highway,Superintendent DEVA ��M ENmile Home{518)798-5127 742 Baya0b _., ,Road - Queensbury,NY 12844 Michad E Travis Deputy Highway Superintendent Office Phone: ($18) 764-821!Fax: (518) 745-4466 � (518)798-0453 DRIVEWAY PERMIT DATE: t� D UG 0 ®Q . APPLICANT NAME: Jq Awo_�T�Z"�X_ rQ'° .���iS TELEPHONE NO.: 9OZZ - o720 -- - 0 ADDRESS TO BE INSPECTED: J J*3a2 �- 9&/7 d�,`�a11Or•?v � fLl2 .�d, �11f'c�sc�Uc RETURN ADDRESS: 7 � � I Applicant must show exact location.and width of driveway(s)to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP 1: ( )Preliminary Approval NEED: ( )Slight swale { ) Level with the road ( ) Deep swale Size-pipe to be used(if necessary) ( )12" ( )15" ( )18" ( )24" ( )36" Preliminary inspection completed by DATE Approval by Highway Supt. Deputy Supt Upon completion,please resubmit this approved permit for a final approval. STEP 2: { }Final Approval O Rejected DATE: Richard A. Missita,Highway Superintendent 1 z a� z H (� I' H a z aN H E+ p, w �w �r apro � IN wWa�It ZH�Q ZI 1001 DQ4 m sz0 H W wuQ N W14U ` H 0001, 0 N NI w , 0�ta c� l a w 400H xi z W 30 zi C H I N a ` H 0 H 0z �H W d� 0 w z z w +� H D Q HW W H w` 0 © H W a H 0 a N a N N H u ' H 0 w a cnaaa0wxva 0 wz au za xH awoa 1\\Iwl- W0 HHuHa44a0 0 u H H N a a U 4 U H 3 W z H u a > a H a u 0 H � Q z z w H �v z W W p w H H > H w W t x W a Q Q Q H > W W W Iz m p a z N W W W W W w W W u Q a a a a w z x W w z H ''S 0 xN > H x 0 X 0 p 4 a a a a a 0 m z 0 �4" 0H �m z 0 0 0 H 0 0 w 0 0 0 H 4 4 4 w a m H o z9 W H z H z w 0 4 H xQ Q z Q Q N 0 u U u a > H Ha z M H H W Q a xN H w H H H a a 0 H w w 9 w w HQ Z W w H H 0 z W U W w a W H H H Q a Q 4 W 4 H x H u H a 00 H 0 0 P 9 a 0 ] H 0 x c H a H H 4 z z z z H z r a 0 �+ 0 z A0 �C W W 4 0 z H H H W H x 9 a � � � H H w � + Q z a Q H w H Gu H t� W U W . W w a x x x w tool o ' i Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: -7 A Queensbury Building&Code Enforcement Arrive: 130 ani/pm Depart: a pm / 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: . NAME: �?�lt 9�� PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments Y N NIA f 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 011 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 IX Grade away from foundation 6 in. with 1.0 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 Fumace/Hot Water Heater operating Low water shut'-off boiler Relief Valve(s)installed Interior privacy/trim/doors 1 main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety lzin Interior Smoke Detectors: Every-level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Batter backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping fmishe_d basement 1,000 sf _Emergency_Dmergency egress below grade," Basement stairs closed rise>,A inches 3/4 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, 1 s . ft.-150 s .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 1 O(Cert.Of Occu anc Okay to issue Permanent C 1 O(Cert. Of Occupancy) L:1SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761.8205/761-8206 fax 745-443.7, Facto Built Gas Fire la I toys Ins ecti n Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's /� instructions or specifications is allowed. Permit# QdD a-cam/ Schedule Inspection o� 1 �oy Time /;)Ov-- 0 m. anytime Inspector Name t -C� Address '''` Rough In_Fina—� Appliance Manufacturer Model## Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet alcove roof penetration;2 feet above any combustible construction within 10 feet Gas Shut Off Valve r; Combustion Air Hearth Extension if any) Mantel Height above f/p opening Witness Operation Tank Placement(f LP) WNU—Building Dept. Yellow er Pink—Tire Manhal Residential Firial Inspection Office No, (518)761-8256 Date Inspection reque recei Queensbury Building&Code Enforcement Arrive: p part: am/ 742 Bay Rd., Queensbury,NY 1280..4 Inspector's Initi s;� �,•' - NAME: IT#: LOCATION: ATE: — 3 TYPE OF STRUC Comments Y N' N/A - 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 FinishComplete InteriorlExterior,Railings 34 in.to 38 in. Platform at all exterior doors - L—{� �; � ��� � Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. �� _ ���� Handrail Termination at Newell Post or Wall yj -V 8 inch clearance to sill plate •-"" SFr �C����— +•���` � 1 Gas Valve shut-off exposed/regulator 18"above grade i i:T"\) 1- c� 'C'.. iZ i Gas Furnace shut-off within 30.ft. or within line of site 61�1�1►J� �}� Oil Furnace shut-off at entrance to Turnace area, DP_ YCS) , Furnace/Hot Water Heater operating Low water shut'-off boiler -Relief Valves installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing {f Window in stairwells gafety glazing Interior Sinoke De tors: Every level: / Everyyeborp: � - CZ Outside every bedroo area: Inter Connected: j Batter back-up: Bathroom Fans,if no window l ip_ uZ Carbon Monoxide detector `� Pluraft fixtures ( , tv"\L- T7 D 7— Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency Rmergenzy egress below radeVL ^� r,—�-� Basement stairs closed rise>4 inches hour fire door I door closer V �VA tk 7 Garage fire roofm " Duct work Sealed properly Attic access 30 in.x 24 in x 30 in.(ht.)In accessible area Crawl Spaces I8"x 24",access, 1 s .ft,-150 sq ft.vents Building No./Address,visible from toad 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.CI C Cert.Of Compliance) Okay to issue Temporary C/O(Cert.Of Occ atic 01cay to issue Permanent C/O(Cert. Of Occu anc L:\SueHemingway\Building.Codes.Inspectioii:FORMS\Res.Final Insp.form 2.doc edited January 28,2003 V Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factoll Built Gas Fireplace/Stove Insyection Rep rt Notice;New Fork State requires that all I.L Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacture s instructions or specifications is allowed. Permit# '�_ Schedule Inspection � - �� 3 ime�am pm anytime Inspe r .�� Rough In`Final— Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection c .� Clearances to Combustibles (all sides) V/ Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles3� Vent/Chimney'Termination Chimney height must be 3 feet above roof —e� ,6- penetration;2 feet above any combustible l..-d t" V u construction within 10 feet Gas Shut-off Valve Combustion Aar Hearth Extension(if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Wdtddng Dept. Yellow Castii mer pink—Fire Rlanhal Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: .....am/Mn Depart:Z-1 - a p 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: -It.) NAME: EMMT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: N N/A PVC: R-1,R-2,R-3,R-4 Drain Vents Cast Iron, Copper Drain/Vent Comm. Plumbing Vent 1 Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial C2&er,CPVC,Pex One &Two Family sulatio esidential Cheek/Commercial Check W"61-tf---5 -Proper Vent,Attic Vent A, Duct/Hot Water Piping insulation If reguired unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COINEIAENTS: -L-\Suel-lemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003 FAA Framing / Firestopping Inspection Report P11Y Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: anVpm Depart am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: OW) NAME: PERMIT#: LOCATION: IN N: TYPE OF STRUCTURE: 7y— Y N N/A COMMENTS Jack Studs/—Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"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 I Y2 (w) 16 gauge(8) 16D tails-each side ide 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 re wall 2, 3, 4 hour Firest —.wo9W,77'� Teffe-tr-703-7-7 a ed AJP 16 inch insulation in cavity min. < ke-1 10 Garage Fire Separation House side Y2inch 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 LAS uel-ferningway\B uilding.Codes.Inspection.FORNISTrarni ng Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: m Inspector's Initials: Queensbury Building&Code Enforcement Arrive:—a M epart: sm742 Bay Road,Queensbury,NY 12804 ;w��n NAME: PERMIT#: n, LOCATION: L INSPECT ON: TYPE OF STRUCTURE. L % Y N N/A PVC: R-1,R-2,R-3,R-4 Drain Vents Cast Iron,Copper Drain/Vent Comm. Plu ng Vlk/Vents in Place 61,7EUMMITIMn—i-/-,7'4ail Plates Head or Air Supply Test Dfain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial Copper, CPVC,Pex One &Two Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:\St)eHemiiigway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003 Framing 1 Firestopping Inspection Report Office No. (518) 761-8256 Date Inspectior-�.requesL;efeived: . I —=N Queensbury Building& Code Enforcement Arrive:- V , De JL-'RCan 742 Bay Road, Queensbury,NY 12804 Inspector's I i NAME: PERMIT#: LOCATION: Q L90 ry\ !2 INSPECT ON: TYPE OF STRUCTURE-.' Y N [/N/A COMMENTS -Training 14 Jack Studs Headers I fA Bracing Bridging —zN--V—Z7—w� Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"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 Y2 (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses X-V- C,t's Anchor Bolts 6 ft. or less on center V--p-jz)�—, Ice and snow shield 24 inches from wall av�=� Fire separation 1,2, 3 hour Fire wa X2, 3,4 hour ,Westopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side Y2 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 LAS ueHerningway\13 u ild ing.Codes.Inspection.FORM STrarni ng Firestopping Inspection Report,doc January 28,2003 Framing/ Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: 3 7 146_�, Queensbury Building&Code Enforcement Arrive: am/pm Depart: ` , m/pm. 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: 1 1 .Ne NAME: PERMIT#: LOCATION: I`7 ,,.. j INSPECT ON: _ Ijb 16,3 TYPE OF STRUCTURE: Y lv N/A COMMENTS �ac Studs/Headers / �•Leb �v racing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12,E O.C. L��n+�, 1,c:- -- z2 t tJ ,V :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' 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 F e wall 2, 3,4 hour 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 L:ISueHemingway\Building.Codes.Inspectiori.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 P110W W�-: Rough Plumbing 1 Insulation Inspection Report office No.(518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/prn, Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: a 3 m/pm L LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain Vents Cast Iron,Copper Drain/Vent Comm. PlumbinjQ Vent/Vents in Place ail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest � Connection for 15 minutes Water Supply Piping -Copper Commercial :Copper,CPVC,Pex One&Two Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace, Duct Work Sealed Properly COMMENTS: L:\PamW\Whiting\Rough Plumbing Insulation Report.doc Septic Inspection Report Office No. (518)761-8256 Date Inspection reques c iv ues 46'1 'Y a In Queensbury Building&Code Enforcement Arrive: art: am/pm 742 Bay Rd.,Queensbury,NY 12804, Inspector's Initial ,- NAME: E 2- NO.: LOCATION: 1 -7 INSPECT ON: ;?-40 —a?� RECHECK: Comments and/or diagram Soil Type: Sand J Loam Clay Type of Water: Muni pipal/Well Water Waterline separation dista qe ft. Well separation disjce Other wells: Absorption Field: Total lenj hft. `` Length of each trench Depth of trenches Size of Stone Seepage Pits: Number Size: Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field Pit Opening Sealed: Y/NI Partial Location/Separations Foundation to tank ft. Foundation to absorption J Separation of Pits Conforms as per Plot Plan Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status- Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved I� v a r at Cb ,. II1AR 4 2003 AiiG" 0 2002 •NS�.fiT S TORN pF QUEENSBURY WILDING ANG � � 01 ;had.,, 5r�x;� n •``"`^-•-"'�"--..,,.,,�,� � �•.. i� W I evidence of Ve 09 D� v o TOWN OF QUEEKSBURY Bull-DING A .-CODE ENFORCEMEMY -74*2 Be-*_y R"�acj MY JL2!004 (SJLS� 7C:,1-82-5C3 SEPTIC DISPOSAU SYSTEM YNSPECYION Name Loca -tion PL.- r-m 1 t- # Date and�16 10 - 1 ay- SOIL- TYPE: 1c; - -a":,C:l >_I a _! on s U s 7- o-:F r-cala -tion T(--s-t- ( 1 -F applicable ) Ra-to-Mlnu-te-/Inch TYPE OF SYSTEM= ABSORP-rrOMj FIE]LD : Total Length -- Length o-F each trench ► Depth o-F trenches Size a-F st--onc- SEEPAGE PI-rS : N umb c-- t-- S -fzt-- -F-t Stone size PIPING : Size Type B1 c1g . to ank- Tank- -to S-t Box Di st- - ox -to Fit--1cf/P-1- Open1 gs I d E?S N -P a i al PI PING : 7t s a ox ,e 9 s n-t -to k F E s7s f�E ��fN� L I-OCA 0?4,/S PARAYI Faun at- an a Ta-n k -F te e-t 7 -ion 0 7 Fo,un a-ti on o Pub s a Y-p -t 4 an > F r-a a S#---p a( on C P! is a I Con-Fo,rms as er PI o-t Plan Yes o:� 1 LOCAUXON OF S T STEM ON PROP ER-TY: ( ci r-cl e- one ) F r-o n t- - Le,-Ft Side (!!�-i ghtt S 1 d �Ie- F i-o M 1 d d I a .Rea N-, SYSTEM USE APPROVED YES 0 -TWI-n—sy Zmsp 7t 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, AT 12804 ARRIVE am/pm: DEPARTI-21) am/pm Notes: (518) 761-8256 Inspector's Initials NAME: I,,- PERMIT# V,� LOCATION: ", INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A i YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing �ackfill 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/BridgingJoist Hangers Jack Posts/Main Beain Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\Suel4emiiigway\Bttilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept,of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road f Queensbury,NY 12g04 Arrive 'e ai1jec-tor's epart Initi s NAME: p 6 PERMIT# ,j LOCATION: ATE: — TYPE OF STRUCTURE: RECHECK N/A YEq NI COMMENTS Footings/Piers I onolithic Pour Form enforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Wails R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Haagers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping