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2002-696 'r TOWN OF QUEENSBURY .742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community'Development-Building&Codes (518)761-8256 CE RTIFIC AT OF OCCUPANCY Permit Number; P20020696 Date Issued; Wednesday, September 10,2003 This is to certify that work requested to be done as shown by Permit Number P20020696 . has been completed. Tax Map Number: 523400-303-008-0001-013-001-0000 Location: 206 QUEENSBURY Ave Owner: JOSEPH ROUL]ER Applicant JOSEPH ROMER This structure may be occupied as a: By Order of Town Board Garage-2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Nector of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 tit Community Development-Building&Codes (518)761-8256 'S BUILDL;G PERMIT, Permit Number: P20020696 Application Number: A20020696 Tax Map No: 523400-303-008-0001-013-001-0000 Permission is hereby granted to: R01JL1ER_ J0SFP14PO BOX 301 For property located at: 206 Queensbury Ave in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the N-YS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: ROULIER, JOSEPH PO BOX 301 Garage-2 Cars Attached CLEVERDALE,NY 12828-0000 Single Family Dwelling 100,000.00 Total Value 100,000.00 Contractor or Builder's Name j Address Electrical Inspection Agency Plans&Specifications 2062-696 Construction of a one-story 1300 sq ft SFD with 400 sq ft attached two-car garage. $196.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: ~Wednesday,August 20, 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 Queensbury; Tiles ay, 20,;0.62 d August E. for the T6,\�n of Quee SIGNED BY nsburya)F Director of iuild)V&' Co Enforcement Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY (518)761-8256 9 71 HCE-WED 1 H 11&�_ A permit must be obtained before beginning construction, Permit File No. 1-0 0'--> -(0 q AUG 1 4 ZOOZ- No inspection will be made until applicant has received a Fee Paid -J1OFQUEEi'�SBURY SVP 1_414 t;�� valid building permit. All applicants' spaces on this P $Rec. Fee aid $ 4 application must be completed and must appear on the application form. Reviewed By: Applicant: Owner: Addres;�t�_ ,_ ,*Iz--- —_,e.e,-_ --- Phone#Cj2f)4,:5�-e Phone#L-gl'8 4 - Email Address: Email Address: Property Location: Lot Number: J-, House Number..,? Z Subdivision Name: Tax Map Number: New Building: residence /commercial Estimated Market Value of Construction: $ o Addition: residence/ commercial If an Addition,what will use of new addition be? 0 Alteration: residence/ commercial U No change to exterior size: residence com'l u Other work(describe Check Occupancylnformation 1"Floor 2 Id Floor Other floor Total Below ow sq.ft. sq.ft. sq.ft. Square Feet 0 Single family dwelling m Two family dwelling E3 Townhouse 0 Multifamily dwelling #of units 0 Office C3 Mercantile C3 Manufacturing Ca 1 car detached garage U 2 car detached garage C3 3 car detached garage 0 1 car attached garage E3 2 car attached garage C4 0 ca 3 car attached garage E3 Storage building- commercial El Storage building- residential L3 Other What is the proposed height of the structure'" feet inches Will any second-hand or ungraded lumber be used? If so,for what? 14�-- Type of Heating System: electric/ oil / as wood forced hot ajr baseboard othet: 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 NqrnbQK___ Builder �- z ,: - 3.0-f Y Plumber j Mason 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 of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new construction. Signature: <I-Ile, owner's agent,architect,contractor Application for Permit—Septic Disposal System R E C OV E D Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 A U G 1 �`� 20 02 1. OWNER INFORMATION: Location of installation: C1? BU1LD11\l :_1Nr?CODE_ File Permit No. 2,0Q 2- Tax Map No. 30S k. GY,-- L " t3 j' / t Fee Paid G/a r Owner's Name: j1� /<y 1 ..............................._....................................... ................................. Address: /= o. /�'a x .3 o i,��.,., tea , �✓�Y 2. INSTALLER'S NAME G r.o,,�oLC�-�icC c.,.a,i`�c PHONE NO. �.3-d Y 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gailbdzm = 1980- 1991 x 130 gal/bdrm = 1991 _present ��? x 110 gal/bdrm = ..3.3 a Garbage Grinder Installed- yes __ J no ✓ Spa or Whirlpool Installed yes_ / no ✓' 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Toyokmphy Soil Nature Ground Water Bedrock or Im ervious Material Domestic Water Su 1 FI sand at ghat depth at w t depth munici aI Rollin oam ..1-- y'' feet feet well MzTrslope clay -.� if well; water supply %slope other'&,;�3�'a from any septic-system de the absorption is ft other Percolation Test: (To be completed by licensed professional engine r 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: ,-,s o a gallon(min, size 1,000 gal.) Tile Field: each trench��ft Total System-Length: Seepage Pit(s): number of size ofeach: ft. by ft. Size of Stone to be used: # I depth or thickness feet Bed System Size: x Alternative System: length andlor size 6. HOLDING TANK SYSTEM: (if required) Number oftanks: 1 Size of each: gallons /TOTAL Capacity: gallons Xote: Alarm System and associated-electrieal'.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. c� /3 a, SignatdrFe of re pon ib#e p rson Date r 111rp(nidi x t= • c A13.`;t)ILI'I'ION PIFAA-) SEIPA ILATION Itli;tjl-JI ItI, %]VNTS 1 V Vle-LL. IN VATF iA- 1kovS: G nE =tip^' ltt_�vSE G . E } /.� Scr•TiG . - _ ---- -- 7. SIGNATURE &INFORMATION FOR '`l 4Z:LENERGY CODE COMPLIANCE APPLICATION RECEEIVED TOWN OF QUEENSBURY, WARREN COUNTY AUG, 14 2002 9000 HEATING DEGREE DAYS ti TOWN OF-Qlj57 N�SBUt_ly BUIL g "IE-IAOD COL Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings (only) Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings (3 Stories or less) Part 4*-Design by Component Performance, Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLIC NT'S N : :ROPERT LOCATION. Y• PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 Gross Floor Area.- square feet 2. Type of heat- Electric Oil Gas Other 3. Is building mechanically cooled?_yes 4. Percentage of area of windows and doors Over 17% Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST.CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R b. Exterior walls R C. Glazed areas R 3r 13 d. Exterior doors R 7,Z l7 e. Floors over unheated spaces R /? f. Edge of slab on grade(heated building) R 1 9- Basement/cellar walls (above grade) R R h. Basement/cellar walls(below grade) 1-4 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 Date Phone Number 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 6 vented gas appliances Date , 20 Permit No. Application is hereby trade to the Building& Codes Clffrce,for the issuance of a Building and Use Permit pursuant to the 1Vew York State..l-ire.Prevention and Building Cone. 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 per form required inspections. ]VOTE to applicant: Rough-in and Final Inspections are required.` Applicant Information fuel Burning Appliance Information (circle appropriate words) t Stove: wood coal. • pellet gas Name: r Fireplace rilse. r:,.�r,w ` x ` , Fireplace factor built: "` wood as Address:,-"`"-,' k h �- m - ^11 ._ .. Fireplace, masonry: wood gas Furnace: wood gets oil Phone-( r � a If non-masonary applicance,please provide "= n Manufacturer Name: Owner: Address: Model Number. Chimney Information ,A-� ' Phone: (circle appropriate words) ' Masonry block brick stone Flue tile steel size: inches Exaet Address:,,1*y_` 6 r a ,, :..j /X, of construction or it stallation. Factory-Built- .: : .. ! Manufacturer name: Model Number: Note: Listed By: Number: Construction /Installation must corgi orrn to NYS Fire Prevention &Building Ridicate(circle) chimney material:. Gone. Consult available Town of Queensbitry Handouts regarding required inspections,, Double Nvall / •Triple ivall Insulated Direct verrting �, Ckinney Liner t7asi i>r r'rer Yi+e�nr rtxx�c�exx t--.Z'car x>k +o%f'''Qsx�e+e�at�eib�cxar* r: Are W. -X Col- ar Fine Marshal Code# $Collected S l2efrnded Received fi•orn(refunded to}�. address: _ A:173 3389 (190) Public S44 A 233-2655 (230)Minor Styles Dot T G: � �' `� White(Applicant) 1 Green(Fire Marshal) / , Yellow(Bldg.Dept.) ! fink&0oltienrod'(Cashier's Dept.) (Q 00 Residential Final Inspection Office No. (518) 761-8256 Date Inspection re rec e Queensbury Building&Code Enforcement Arrive: amlp part: 742 Bay Rd., Queensbury,NY 12804 Inspector's itials- . NAME: MIT#: LOCATION: v ATE: TYPE OF STRUCTURE: 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 Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 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 V Fumace/Hot Water Heater operating -Low water shut'-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight —�VL Safety glazing Window in stairwells safety gIELn� Interior Smoke Detectors: Every level: -r_ / Every Bedroom: Outside every bedroom' ea: 1. Inter Connected: / Batter ybackup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 1/4hour fire door/door closer Garage fireproofing Duct work Scaled properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq.ft.-150 sq.ft.vents Building No./Address visible from road Final Electrical Site Plan [Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert.Of Compliance) Okay to issue Temporary C/0(Cert. Of Occupancy) Okay to issue Permanent C/0(Cert. Of Occupan L:\SueHen-dngway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 V V)))Residential Final Inspection Office No. (518)761-8256 Date Insp Rion reques ei Queensbury Building&Code Enforcement Arrive: - a e a pm 742 Bay Rd., Queensbury,NY 12,80.4 Inspector's Initi NAME: T# LOCATION: AT TYPE OF STRUCTURE: Comments Zly 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 ' V-11 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 flandrails stairs 2 or more risers Grade away from foundation qjp,��- Handrail Termination at Newell Post or Wall .4 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 7' Furnace/Hot Water Heater operating -Low water shut'-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in.. Bathroom/Kitchen watertight Safety alazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: — I Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches -/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, I sq. 1-150 sq.ft.vents Building No./Address visible from road Final Electrical Site Plan f 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 0(Cert. Of Occupancy) Okay to issue Permanent C I 0(Cert. Of Occupancy) L:\SueHemin'gway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 rd 4J4J -P 0 ' 4 a) 0 �_ � � +�a� M � tt n r�I U w 0 4J s �w ,. z�k c 41 p 4 'q >) 0 0 ,j ,N ,�zw 0 co rpr� 0. CL + Q ro ) '� A �. �� I � � � .J rQ; �� E ? t 0 p N 4• 0 Q1 M rtf 'r Jj C CO orw -0oH 2 N 0. (aVwv � o r- 4O (0LaL4J4J0O.V1 4' W W 0 .�.V4- too VI rGcroO g}, w rw �-+ 04- A k � 000 0 � �' a0 I x p 0 m MO � 4J � p 4) t F '� W E u ) N N r "' ti `0S, ONU r-w w arro t' w0rn vaa� ct� rn. � � ccra4d � � -0 � ro 0 4"� � caNWNO' . rocUl4)UZ :3QcU 'r. 0 .0 N � Q 0 �.- a� a� �rw t~ .,- ,pt- ro .r- a0 0 0 (v 00 u �. �r0 �. A �� gt� t� v� c ILMF- 0AWLLLL (4U ,J,L. XU N cep e w, Rao c�S / �o , �L, ��t 4 rn, ti Y M wed ;9 Foundation Inspection Report Office No, (5 1-8)761-825 6 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: an,/ZpV art:4, amm/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: C�. 0 Cp LOCATION: 2, )QQI�A-,16A�-r)A SPELT ON: 15�--� TYPE OF STRUCTURE` Comments V N N/A kFooti5njw Piers Monolithic Slab 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 Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil of for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundadon Inspection Report.doc January 28,2003 Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# INSPECTION O Z\�� ANYTIME Name; �JcI�L��/e AM M / Location: APPROVED � N IA YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN ,MAXIMUM OCCUPANCY SIGN 1 e b J (�� CHIMNEY l/ MASONRY ROUGH IN INAL C 5✓ � �Z v/C 4 I l CHIMNEY FACTORY BUILT ' ROUGH IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN - FINAL FIREPLACE MASONRY ROUGH IN :OK THIS DA OK FOR CO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY 4 FINAL COMDEV/CHRISJIWORD/LETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 YELLOW-OCCUPANT COPY WHITE-BUILDING DEPARTMENT COPY MAP REFERENCE: MAP OF A SURVEY MADE FOR JOSEPH R. ROULIER DATED NOVEMBER 23, 1987 BY VAN DUSEN & STEVES LAND SURVEYORS Li Q 00 rrT—A4 Q an- D s e Steve s Land Surveyors 169 Haviland Road Queensbury, New York 12804 (518) 792-8474 New York Lic. No. 50135 LOT 3 S83 1O'S� •� 160.00, 1 82.72' LOT 1 00 44,910 sq.ft. 1.03 acres 192.37' N84 2G'44-W ALTERATION OR ADDITION S A SURVEY 'UNAUTHORIZEDEARINGATLICENSED MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW.' ,ONLY COPIES MOM THE ORIGINAL Or THIS SURVEY MARlct9 WITH AN ORIGINAL Or THE RAND 9URVL10R9 SEA` SHALL CONSIDERED TO BE VALID ,RUE COPIES.-J 'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY W WAS PREPARED IN ACCORDANCE 147N THE O S E P H ROULIER EXISTNG CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED ' BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND 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 INSTITUTION LISTED HEREON, AND Town own of Queensbury, Warren County, New York TO THE AWGN ES Or THE LENDING INSTITUTION.' LOT 2 213.91, N81 32.24,W NO. I DATE A � 9 DESCRIPTION .uazel JHINUHK T ED, Scale 1"=30' S-1 ROULIER DWG. NO. A9�'i 4-I C874 Ol-0'1Q-I ri DO I to 1 0 1na_I'i_A 1 Town of Queensbury Fire Marshal's Office 742 Bay Road J 5 Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit INSPECTION ON: Qj Name: AM PM ANYTIME Location: a0(i2--Mx APPROV EXITS N/A YES NO a COMMENTS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM COMMENTS FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL__ REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY ROUGHIN FINAL CHIMNEY FACTORY BUILT 14O1JGH IN /VO FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL fIREPLACE /MASONRY ROUGHIN OK THIS DATE OK FOR CO NOTOT 0;FINAL FIREPLACE FACTORY BUILT INSPECTED BY FINAL COMDEV/CHRISJIWORD/LETTERS20011FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY v 0 zo zz0 H0 oa�w * U � . 0D04 04z CIO SNH V H H w 0m T wU t)4 0 0 o � a i4w z�� 00 •. a 30 0 - H Hi A z N 0 H 77 w W H i N z t� a zt0 a w# D a w u x U H a ( U a w w x x I p 9 9 O N a a N H u H 0 H w a N N a 0 w a 0 w x �c a z 0 , z ] U a H ] v� oa H Hu 9440 0 H 4 w N N a 4 w 0 0 4 U U H a C H ' u x > H H N z u 3 a > x a H a u H ' W H H H E W W w N a a a a > W > W 0 4 Z N N W H a W W W W U ' 0 4 0i H x H a a a w z N N z NH 0 > H a 0 z 0 0 a a a a O N H 0 o zUP d >4 z 0 0 0 H 0 0 w 0 .0 0 H � � � � w N W N H a a Az 10 a w 0 U u u H H a z M H ( -H W (� a (� x W H H H a y a 0 E W U H a OOi w w H H 0 z w I w w w N H H A a a 9 w v H a o 0 H H x H H 4 z ZH H H 0 d 0 zx a 0 xww ao z H H WH �" X 4 4 4'z a aHwH U a a W x a N w H W k� U N W a 4 x NJ N 0 Office Use .GENERAL INSPECTION REPORT Inspector: ."..' Town of Queensbury Ready at time: fd 6Z Dept. of Community Development Request received.-' Meet, Building& Code Enforcement At time. 742 Bay Road Queensbury, AT 12804 ARRIVE jjk� amlpm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials NAME: Jt-r— PERMIT# LOCATION: INSPECT ON(date): 12 1 b 02, TYPE OF STRUCTURE- RECHECK N/A i 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/Dampproofing_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-InL_ Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls It- --Jai Ceiling R- Duct work or piping in . unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridgig— 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:\SueHemiiigwaylBuilding.Codes.Inspection.FORMS\GFNERAL INSPECTION REPORT-doc lin Office Use GENERAL INSPQON 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 ARRITE1,1k1lam, EPA R T li,?6""a Z!I:p; Notes: (518) 761-8256 Inspector's Initials 7,Ise, NTAME: PERMIT# LOCATION: 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/Dampproofing Backfill Approval PI bmg Under Slab b-ng Vent/Vents in Place ough 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 elratio I Sealed Wall 1 2�3,4 houru� e toppin L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Offwe 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, ATY 12804 ARRIVE am/pm: DEPART--' 3aml?pm Notes: (518) 761-8256 Inspector's lnitials,,�, NAME: PERMIT# 2-(,)o Z-6-, 4(t LOCATION: INSPECT ON(date): l 2 Z. 30 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers._ Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. 'Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofmg_ Backfill Approval Plumbing Under Slab IkA Plumbing Ven0fents in Place 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 JackStuds/Headers Bracing/Bridgmig-' Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fi e W a 111-2 3,4 hour to es /�� 41 r L:\SueHemiiigway'Zuildiiig.Codes.iiispection.FORMS\GENERAL INSPECTION REPORT.doe Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: ! 346-_7 Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE JS a m Notes: (518) 761-8256 Inspector's Initials NAME: � t tv— PERMIT qKA ou-( ---rl LOCATION: —0.6,(p U1 INSPECT ON(date): /6 2— 1kuUia— TYPE OF STRUCTURE: 01) RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Forni 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 Nc_v 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- roper Vent A ttic Vent raming '%21 Jack Stu&/Headers AZ 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:\SueHemingway\Building.Codes.Insper,tion.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury I Ready at time: Dept. of Community Development Request received: Meet: - Building& Code Enforcement At time: 742 Bay Road z m Notes: Queensbury, NY 12804 ARRIVE amIpm: DEPART Ipm (518) 761-8256 Inspector's Initials RZ, NAME: R,6u PERMIT# 66 LOCATION: a INSPECT ON(date): 17/46 La t TYPE OF STRUCTURE: RECHECK NIA YES , COMMENTS ootings/Piers V1 Monolithic Pour Form y Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place RoughPlumbing 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.Inspecdon.FORMS\GENERAL INSPECTION REPORT.doc CNtW 1 'qs- Office Use GENERAL INSPECTION REPORT' Inspector: Town of Queensbury ,,, Ready at time: Dept. of Community Development Request received: l 0 Z- Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials NAME: 6 Gl(t. ey- . PERMIT## Z G 6 2-- 6 q LOCATION: INSPECT ON(date): q &/ TYPE OF STRUCTURE: 9 ` 2 QAv RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Forme 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/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received:ILIA 2— Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE V-00am In Notes: 2 R am (518) 761-8256 Inspector's Initia s NAME: 6 U,U-P—r PERMIT# 02, - 6q(e LOCATION: IQQU_g4�4t&L INSPECT ON(date): SL22,162- TYPE OF STRUCTURE: RECHECK NIA Yff ootings/Piers -7 NO COMMENTS Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place 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/Mam Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L-.\SueHemingway\Building.Codes.Inspection.FORMS\GENERAT,INSPECTION REPORT.doc J r I +3,i f 4-JC .29.s.Ga fit° u ' =w . m a0 LD LL 2: o0 �a :C '{ rq • �� 0 \�} j O O ,_ j .. "! have seen or served,or believe'l saw a idence of, :� 0 OR ects such houses,yells,trees,fenc s, etc., D � r� l o represent t� t l have rsonally mea d ances set fort on the diagram:' d { p VE MUE N06 9-08"E O C 16 . 6 4.9'08" .4 .08,E rsa. ` OD OR- OD N OL \ J'r 4�2 \ N 49108`E 4 f \ \ 100.00' \ 1 (' I hive seen or oliserv , o be 'e id ce of, \s�, a�, \ CO bjects such as houses,,+ells`, r .s, '� , es, tc., �' N ,h n on this document. I also`rip nt I h ve ,r � \ o er 631y measured the distances se o h , e � � `'� � o U SIGNATURE E \ J � \ I tW'.; ' 1 r, . ,r..•.•.... . ,•...a.,«...,,,.. .r...•w•_.-,..„ ,,..........r,w•...... ...... .. w.,..r.n...rw ..aw.,.w,,r•,. .,... . . r, 0-12 Inches, topsoil ' 12-48 Inches, stony fine sandy loam, mottling starts at 19 inches 48-94 Inches, stony loamy sand, water seeping in 'at-70 inches TP #2 0-10 Inches, topsoil 10-38 Inches, stony fine sandy loam ry, 38-87- .Inches, stony loamy, fine sand, mottling starts at -43' inches q- i Inches, topsoil 9-39 Inches, stony.fine sandy-loam, mottling starts at 32 inches 3.9-108 Inches, -stony loamy sand, water seeping in at 79 inches TP #4 U u 0- 9 Inches, topsoil 9-33 Inches, stony fine sandy loam, mottling. starts,at 30 inches 33-62 Inches, stony -foamy ,fine sand 62-88 Inches, fine sand, water seeping in at 74 inches x ' r TP #5 0- 8 Inches, topsoil -8-36 Inches, stony fine sandy loam, mottling -starts at 14 inches 3.6-78,. Inchss, stony,loamy fine sand, water seeping in at '44 inches ae�oo»E G �+�