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2002-765 TOWN OF QUEENSBURY 742 Bap Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OFOCCUPANCY Pern t:Number: P20020765 Date Issued: Monday,March 24,20.03 This is to certify that work requested to be done as shown by Permit Number P20020765 has been completed. Tax Map Number: 523400-301-014-0002-021-000-0000 Location: 71 MCECHRON Ln Owner: VASILIOU MICHAEL J INC Applicant: VASILIOU MICHAEL J INC This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage-2 Cars Attached Single Family Dwelling Director of Building&Code nforc ent TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20020765 Application Number: A20020765 Tax Map No: 523400-301-014-0002-021-000-0000 Permission is hereby granted to: VASTIJOUMICHAFT,J INC For property located at 71 MC ECHRON Ln in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: VASILIOU MICHAEL J INC Fireplace 23 SUNNY WEST Ln Garage-2 Cars Attached LAKE GEORGE,NY 12845-0000 Single Family Dwelling 170,000.00 Total Value 110,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency MTC14AFT,VASITJOU. INC. 14 STONE PINE Ln OTMENSBURY.NY 12804 Plans&Specifications 2002-765 Construction of a 1,750 sq ft single family dwelling with a 672 sq ft attached two car garage and one fireplace per plot plan and specifications. $277.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 17,2003 (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.) Dotted at the To n o eens e a eptember 17'2002 FLiz-2 LF u"o ry. SIGNED BY for the Town o Director of Building&Code Enforcement Building Perxn-'4 Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256, Tfn A permit must be obtained before beginning construction. Permit File No. 7 c)Oz--7(,,,5- No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on this application must be completed and must appear on the Rec.FeePaid .0 2002 Reviewed 13y:, application form. Applicant: AJ 1A owner:— jo* 111,4-5-14C dePlIal.-Il Address: ct Address: Phone# Phone# Email Address: Email Address: Property Location: Lot Num Number _bar: House Nur -7k/ Subdivision Name: Tax Map Number: ,0--New Building: residence /commercial Estimated Market Value of Construction: $ oe v 1:3 Addition: residence/ commercial If an Addition,what will use of new addition be?' o Alteration: residence/ commercial Ea No change to exterior size: residence/com'l U Other work(describe Check Occupancy1jiformation 1"Floor 2° Floor Other floor Total Below sq.<ft. sq.ft. sq.ft. Square Feet ll 'W 0 Single family dwelling ,r & - /) U Two family dwelling C3 Townhouse U Multifamily dwelling #of units [a Office c3 -.Mercantile AManufacturing U 1 car detached garage U 2 car detached garage C3 3 car detached garage Ea I car attached garage 0 2 car attached garage 7,? Ea 3 car attached garage E3 Storage building- commercial 0 Storage building- residential C3 Other What is the proposed height of the structure. fc=p feet A4 inches Will any second-hand or ungraded lumber be used? If so,for what? ""n Type of Heating System: electric/ oil /,,jjoas` ood /(forced hot�air- �aseboaxd/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 Number Builder -71 Plumber Mason 7 0 Electrician J 67—!;7�— 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 B 'Idm' g and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new cons c n. Signature: J#f owner,owner's agent,architect,contractor Application for Permit-Septic Disposal System 7'owre of Queensbury 742.aayRoad Queensbury,NY 12804 (518) 761-8256_ 1.-OWNER NFORMATION: ate .......... r ITT y«,w........_......«.... —� .! rl L 1 _......r _.......... . - ..... Location of installation:� r I - «« ��Clff'ee Use' ' LJKK File Permit No. S F N 1 -6 2002 Tax Map--No. Fee Paid Owner's Name: _ _ _sz®aa, �:.r4, r• �� . ......................................":........«»............».,.......».«......_"....... Address:' 2. INSTALLER'S NAME ; its ----r'� -,a' PHONE NO.�?�) 2 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 Dail— 1980 or older x _ -150 gallbdrtn 1980-_1991 x 130 gallbdrmn' = 1991 -present `2 x 110 gal/bdrm = �2 Garbage Grinder Installed yes �_ / no Spa or Whirlpool Installed yes _ / no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Soil Nature Gr6und Water " Bedrock or Impervious Material Domestic W--A-ter Siangly 1~ sand at what depth at what depth municipal""loam feet fee we Steep slope clay _ a:v � fwell,water supply °.o slope' ' other . �" from any septfe-system depth:1? N absorption is ft. other Percolation Test: (?b be completed by licensed professional engineer or architect) Rate., -'7 minute pe',Wnch' 5. PROPOSED SYSTEM:,.For New Cra�onst � mu : All individual sewage disposal systems st 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' 4&lpool-Tub. Septic Tank: ��i�gallon (min,size I,AOD gat} Tile Field: each trench:h Total System Length: fi Seepage Pit(s): number of size.ofeach: ft, by ft. Size of Stone to be-used: # / depth-or thickness_/�,� feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number oftanks: / 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 ofthe 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•failur6to 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 Q eensbury Sanitary Sewage Disposal Ordinance. t. SignbtturA of respon a person a 'I'otva of (lifeeltsImi-v �:�r.wcf•a ;ut.t! :iew"sif;e :I) ��><wa:! {a::Ifitt•r 11,Iaimmlix C • _ t Al;.t•;t1MI'•I'ION Ii'lli"I'D SE-I'A1LATION itl�C2l.!iitl�llli#'FN'I';% POND Sc's•t tc. E::J - _ t .��r.,... Ul^.Istit-s I1t.�t t t tZ ON D 7. SIGNATURE &INFORMATION FOR RL�.4YU14`�Ifissr� �'nrc�.ova�ayi�s,.....•:� ' r • • Vrezzo, Richard A,1hissita HIGHWAY i / `�' Highway Superintendent DEPARTMENT Home(518)798-5127 742 Bay Road • Queensbury,NY 12804 Michad F. Travis Office Phone: (518) 76-1-8211 Deputy Highway Superintendent Fax: (518) 745-4466 - (518)798-0413 DRIVEWAY PERMIT 0 2002 DATE: " )'O'NN OF QUEENSBUoy APPLICANT NAME: TELEPHONE NO.: 7 '1 ADDRESS TO BE INSPECTED: ' RETURN ADDRESS: 06 . - 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 Oueensbury has reviewed this application. The following action has been takep: , STEP 1: { )Preliminary Approval ! NEED: { )Slight swale 01 - {- )Level with the road ( )Deep Swale Size pipe to be used(if necessary) �l ( )12" ( )15" ( )IS" ( )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 )Rejected. DATE: Richard A. Missita,Highway Superintendent Fire Marshal's Office Town of"Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 v Application for Fuel Burning Appliances & Chirnd applicable to solid fuel & vented gas appliances S E P 1 0 2002 Date 200 k-- Permit No. Applilation 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. Appli=rmation Fuel Burning Appliance Information (circle appropriate words) Name: f Stove: wood coal pellet gas Fire. I Address: wood as Rep ace, mason�ry � wood gas ry Furnace: wood gas oil Phone: '71 If non-masonary applicance,please provide Owner: Manufacturer Name: Address: Model Number: .7?( Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue the steel size: inches Exact Address: 5. h k,X,-#fZile W o c nstruc hhor nstallatjoi Factory-Built anufacturer name: /p�jo!j() r Model Number: Note: Listed By: -Numb r: Construction l nsta ation must conforin to NYS Fire Prevention &Building Indicate(circle)chimney material: Code. Consult available Town of QueensburV Handouts regarding required inspections. Double wall j-iple wall Insulated Direct venting Chinvuey Liner Fire Marshal Code# S Collected S Ref[tided Re� ived fi•Orn refunded to).-�A address: A 173 3389 (190) Public Safety A 233 2655 (230y Min Sales "U DATE: nlic Itj I r White(Applicasnt) / Green.(Fire Marshal) Yellow(Bldg, Dept.) Pink&Goldenrod(Cashier's Dept,) lt-l&'. Project Name: r'""r ,�' BP# a aW 7,k—J Address: Building Permit Submission MdtipleD=Bg & CwrQrmid AVerts Checklist All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of QueensburyBuilding Department. If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed... ... ... ... ............ .............. I �no ❑n/a 2. Energy Form or Checkmate Energy Code Compliance Forms Complete ... yes ❑no ❑n/a 3. Energy Code Inspector's Report from Checkmate Program...... ......... yes [-]no ❑n/a 4. Septic application completely filled out(if applicable)... ... ... Qno ❑n./a 5. Electrical Inspection Form... []yes ❑no Qn/a 6. Two(2) sets of plans showing the following:... ... ......... ... ... ... ... ....eF]no Qno ❑n/a 6a. Floor plan(s)......... ... ... ... ... ...... ...... ... ...... ... ......... ... .. Oyes ❑n/a 6b. Foundation plan... ... ... ...... ...... ... ... ............ ...... ... ...........Oyes Ono ❑n/a 6c. Cross section(s)... ... ... ... ... ......... ... ... ...... ... ... ... ............ ... ❑yes Ono ❑n/a 6d. Elevations ............ ... ...... ......... ... ... ......... ... ... ... .... [—]yes Ono ❑n/a 6e. Design loads including floor,snow load,and wind load... ... ❑yes ❑no ❑r;/a 6f. Seismic design(required after Jan. 1,2003)... ...... ......... ...... ... ❑yes ❑no [Qn/a 6g. Plans signed by registered architect or engineer,signed... ... .... ❑yes Ono ❑n/a and sealed by a registered architect or engineer 6h. 'Window and door schedule......... ... ... ............ ... ... ... ... ... ❑yes ❑no ❑n/a 7. Two(2) site plans showing location of the structure to be built,... ...... Ono ❑n/a location of well or water lines,location of septic system or sewer line with all setbacks and separation distances shown,and all improvements to the property - a Solid Fuel Burning VX;*plianc­e Ko (ifapplicable no ❑n/a 9. DrivewayPermit... ... ......... ... ... ... ............ ... ......... ...... ...... . . . ❑no ❑nla Date: 911kto� Staff Initial L:\SueHemin y\Btulding.Permit.FORMS\Generic Checkhst.doc Permit Number MECcheck Compliance Report �bh k ddBy/Date E D New.York State Energy Conservation Construction Code `" MECcheck Software Version 3.3"Release I Data'fileiname:Untitled 0 2002 TOWN OF QrUEENSBURy COUNTY:Warren .,�� STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:09/06/02 DATE OF PLANS:9/6/02 PROJECT INFORMATION sBa11 Rese��id n e Lots -21 Thd_Grave COMPANY INFORMATION: Dreamscapes Unlimited QQMP t Passes: Maximum UA=405 Your Home=363 10.4%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 852- 38.0 0.0 .26 Ceiling 2:Flat Ceiling or Scissor Truss 16 38.0 0.0 0 Wall 1:Wood Frame, 16"o.c. 1149 21.0 0.0 53 Window 1:Wood Frame,Double Pane 184 0.490 90 Door 1: Solid 34 0.500 17 Wall 2:Wood Frame, 16"o.c. 1084 21.0 0.0 55 Window 2:Wood Frame,Double Pane 99 0.490 49 Door 2: Solid 17 0.500 9 Basement Wall 1: Solid Concrete or Masonry,7.5'ht/6.5'bg/7.5'insul 870 11.0 0.0 55 Door 3: Solid 17 0.500 9 Furnace 1:Forced Hot Air,92 AFUE COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief, and professional judgment,such plaans�jor specifications are in compliance with this Code.f Builder/Designer J1, 7' DateZ— sr M[ECcheck Inspection Checklist :New York State Energy Conservation Construction Cade MECcheck Software Version 3.3 Release 1 c DATE:09/06/02 Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R 38.0 cavity insulation Comments: [ ] 2. Ceiling 2:Flat Ceiling.or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: [ I 2. Wall 2:Wood Frame, 16"o.c.,.R-21.0 cavity insulation Comments: Basement Walls: [ I 1. Basement Wall 1:Solid Concrete or Masonry,7.5'ht16.5'bg/7.5'insul, R-11.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Wood Frame,Double Pane,U-factor: 0.490 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 2. Window 2:Wood Frame,Double Pane,U factor:0.490 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: Doors: [ ] i 1. Door 1: Solid,U-factor:0.500 Comments: [ ] 2. Door 2: Solid,U-factor:0.500 Comments: [ ] 3. Door 3:Solid,U-factor:0.500 Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:.Forced Hot Air,92 AFUE or higher ` Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions. . [ ] I Materials and equipment must be identified so that compliance.can be determined. [ I I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R 11. [ I I Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] I Supply ducts in unconditioned spaces must be insulated to R-11. [ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. I Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). [ I I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ I I Cooling ducts with exterior insulation,must be covered with a vapor retarder. [ ] I Air filters are required in the return air system. [ ] I The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ I I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. Fireplaces: " [ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] I Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code ofNew York State,the Residential Code of New Fork State or the New York City Building Code,as applicable. Service Water Heating: Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral Beat trap or is part of a circulating system. [ ] I Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105°F or chilled fluids below 55°F must be insulated to the levels in Table 2. :a • Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) upto 1" LT,p to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5. 2.0 . 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in-Inches by Pine Sizes Piping System Types Ran e F 2"kunouts 1"and Less "1.25"to 2" 2.5"-to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40=55 -0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) Residential.Final Inspection Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a pm Depa t. �/—�amij/prn 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial NAME: L, PERMIT#: LOCATION: DATE: 6 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 6 in.with 10 ft.' Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate - Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: _ Inter Connected: ----- / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector 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 Sealed properly Attic access 30 in.x 2 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, I sq.,ft.-150 sq.ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C 0(Cert. Of Occupancy) Okay to issue Permanent C 0(Cert. Of Occupancy) Residential Final Inspection . n Office No. (518)761-8256 Date Inspection request received: / Queensbury Building&Code Enforcement Arrive: am/pm Depart: -(.?,Am/pm 742 Bay Rd.,Queensbury,NY 1280.4 Inspector's.Initials: A.ba NAME: (�. PERMIT#: CC LOCATION: 6 C_ DATE: 1 TYPE OF STRUCTURE: Comments Y N NIA Chimne �Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete 6X,7 JA CD 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 Railin s 34 in.to 38 in. Platform at all exterior doors /Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30.ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water.Heater operating Low water shut-off boiler Relief Valves installed Interior privacy!.:trim/doors/main entrance 36 in. - Bathroom/Kitchbn4atertight Safety glazing. ' Window in stairwells safety glazing Interior Smoke Detectors: = Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: t Battery backup: Bathroom Fans,if no window Carbon Monoxide detector tPlumbing fixtures Foundation insulation. Floor-truss,draft stopping finished basement 1,000 sf Emergency egress.below grade Basement stairs closed rise>4 inches fT '/Q 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 s .ft.-150 s . ft,vents Building No./Address visible from road Final Electrical Site Plan /.Variance required t , 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!O Cert.Of Occupancy-) Okay to issue Permanent C 1 O(Cert. Of Occu anc L:1SueHemingway\Building.Codes.Inspection.FORMSIRes.Final Insp.form 2.doc edited January 28,2003 V 0 eO� aWc z �W � � � � z N 0mu r � h `� I 0 W yW, So. IL6 't3 Q' v W Z V) J I 0 I 4J, a vX a s� fir, a�• ,� ,�I 0 N �t/ {I} , 0 .p '0 C� Ci of �. 0 X �, �1 U! �`t 0r LZS Cl low �� 1 �7 U^ of J z 4- 0 QJ N� �' rtl a'r I°'. 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C4 44 S —01 -� — r "I have seen or observed, or belIM I saw evidence of, all objects such as houses, wells,trees, fences, etc., - s�nv:�n on this document. I also represent that I have Personally a eke t1he d'ss ces set forth on the diagram." '�ra a . K RESIDENTIAL FINAL£,,INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement j Dept.of Community Development Arrive am/pm Depart !�� am/ m Town of Queensbury Inspector's Initial 742 Bay Road Queensbury,New Yor/�12804 ,„�.�r �J NALVIE ✓Tt1 li.0 U PERMIT 9- G LOCATION c DATE TYPE OF STRUCTURE N/A 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,Ianding 18 in.or more Interior Handrails stairs both sides 3 or MN sers Grade 2%away from foundation 8"clearance to sill plate Gras Valve shut-off expose&regulator 18"Vboje grade Gas Furnace shut-off within 30 feet or with n ' e of site Oil Furnace shut-off at entrance to furnace 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 BathroomTjtchen watertigh# Interior Handrails BalconieslLanding 18 in.or more Railing across window in stairwells Smoke Detectors: every lever C OC U I k f)(5) every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation sl4 hour fire door/door closer Garage fireproofing �"� K1� Garage penetrations sealed Furnace in separate room protected(in garage) A, "&\ L d C-4-rf,4A.)- l Light ventilation per room Safety glazing 18"or less from floor Final Electricals�� G�-' �j � -i� 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 Office No. (518)761-8256 Date Inspection request received: , Queensbury Building&Code Enforcement Arrive: am/ m epa am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: � , V NAME: PERMIT#: Oo ' .. LOCATION: DATE: _�_— TYPE OF STR CTURE: Comments 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 im or more Exterior Finish Complete Ale r Interior/Exterior Railings 34 in.to 38 in. 1 Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall \ 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30.ft. or within line of site V may\ Oil Furnace shut-off at entrance to furnace area its ; 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 Window in stairwells safe lazin Interior Smoke Detectors: Every level; ! Every Bedroom: eve Outside every bedroom area: p i �� �✓• /�-�� Inter Connected: / Battery backup: Bathroom Fans,if no window ""�1 tnrW J� Carbon Monoxide detector PlunibiRg fixtures -- Foundation insulation Floor truss,draft stopping fmished basement 1,000 sf Emerency egress below grade Basement stairs closed rise>4 inches %hour fire door/door closer + Garage fireproofing ��- Duct work Sealed properly � Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s .ft.-150 s .ft.vents n C f Building No./Addres visi le om ro Final Electrical Z Site Plan /Variance required a Final Survey Plot Plan ' AS 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/O Cert. Of Occii anc Okay to issue Permanent C!0(Cert. Of Occu anc ) L:iSueHemingwayl13uilding.Codes.Inspection.FORMS\Res.Final.Insp.form 2.doc edited January 28,2003 w � ao �, or000v� - oro4or n c+ n � 3 xrDt .1 000 H.1d, . Zro Aro7(+ � a � r ro C ro (DO o :T *a r+ ,j. cam ( 0C+ v) n`1�ho `o0 < Z to -Jo 0 0 .,, -h 0 n M sMo 000 \ Xd N � ,, 1 n r 0 a ro � � a � (A (A .�..� (Q w r+ r+ � " n M CI C9 m ro r+ a -q 0 a w w � � NU -Oho o as 0 r+� � 7 ro a �9 ••�CTZ7 (/� (/� $ v � i *J bell-�� p� m30 �S � 0. 00. lo'oa, �I of ro r� �a o Oct -� �, � .�, � � 0 a —� a a I VA 0 I Q� c+ � 0 W (A r cro I ro C+ cn ,, w � C z N v � a � ro 0 C+ r+ rt a nl � Il, A ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 March 11,2003 Job#46143 Mr. Glenn Bruso New York State Dept. of Health 77 Mohican Street Glens Falls,NY 12801 Lot-#2-1 Gregory& Cristine Bali,:Purchasers - - - - Emerald Grove Subdivision- Queensbury(T) Dear Glen: This letter is to inform you that I inspected the completed septic system for the house on Lot#21 in the Emerald Grove Subdivision on March 4, 2003. The house being constructed on this lot is a 3 bedroom house. The septic system as installed consists of a 1,250 gallon septic tank and 168 lineal feet of absorption trench. The installation conforms with the requirements of the approved subdivision - design drawings. Please call me if you have any questions or concerns. Sincerely, Thomas W. Nace, P.E. cc: i' e -IaL1i1 �'OWYI Of �'U�e11SUUIiy Michael Vasiliou 1 A� E z I z H w u o N 0 a ax m 0 a .� a w©4ri H a 0 z z 0 o „ wx � o "W o z H 19H H H 0 N� w (d'n z rx � � � i w oz zv a I N W z w 00 z u HH w a u w z H z w 4 a w a �a a ►� x o a w z x a w "`� ►� w H w a H (7 a H M a Q W w '" a cn a va ! rn H U H 0 x x x H H w a N ►� 0 w 4 0 w x x a z 0 z ` H zw , �' � cn0a �► HHUa 4ao U 4 N H a 4 w 0 a 4 4 U U z H U a > 9 M a H a u dam E� ] z z� w H z cn W U w a 9 �H u w Hi > �+ w w a x a N z x > woa zcn c� wHw `" zwWWu > o z I to 4' 0 X H H r� H a a a w o x �' > x0 oo aaaw ] . z 0 a uH z 0 o 0 F 0 o w 0 o o w 4 9 w H H o z 4 w H z H z a cn H x a p z a a cn 0 u u u a ' > r Ha Z M H H W H w H H H 4 0 H ww w w p D H0ZWUww � w �+ Z U H a 0m H o 0 a o o o H H H z z z z F x 4 0 4 � 0 z x a o �c w w a o z H H H W H X ",+y' ,� 4 4 H H x azaaHwH Ual xx, wwHMnjwj Wcaaxxx o MAP REFERENCE: THE GROVE SUBDIVISION DATED NOVEMBER 6, 2000 LAST REVISED MARCH 3, 2001 BY VAN DUSEN & STEVES LAND SURVEYORS, LLC YAGivsi su 7 i:r • oo ' I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PER5ONS M c E C H R 0 N LANE FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY -- _ AND LENDING INSTITUTION LISTED HEREON. CERTMA11ONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR 5UB5EQUENT OWNERS. CERTIFIED TOs GREGORY N. BALL AND C 1PJSTHE P. BALL GLENS FALLS NATIONAL BANK AND TRUST COMPANY, IT'5 SUCCESSORS AND/OR ASSIGNS C.s��' UNITED GENERAL TITLE INSURANCE COMPANY Flo CERTIFIED BYs— MATTHEW C. STEVE5. LL5 NY5 50135 DATEDs MARCH 3. 2003 ..�\ ai �--� Q A /`\,/V Sieves Land Surveyors 169 Haviland Road Queensbury, New York 12804 (518) 792-8474 New York Lie. No. 50135 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY NM BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB -DIVISION 7. OF THE NEW YORK STATE EDUCATION LAW.' DOILY COM PROAR M ORIGINAL OFTN19 %W" MAIM WITH AN ORIGINAL OF M LAID SURWTRUE Y00 �`s"��`°�D��Y"'D' •CERVICAT"S INDICATED MOWN sImIIFY THAT THIS SURVEY WAS PREPARED II ACCORDANCE 111TH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED OF PROFESSIONAL LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY BY THE NEW YN F STATE ASSOCIATION SURVEY A 10 THE PERSON iOR IMION llff SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY, OOVERNNENTAL AGENCY AID LENDING WSnTLANON LISTED NEREON. AND mMAxlraMOFTMLWINGINSTITUTION.• 1 Map of a Survey made for GREGORY N. & CHRISTINE P. BALL Town of Queensbury, Warren County, New York 1 Da-tei FEBRUARY 28, 2003 Scale 1'=40' S-1 SHEET BALL DWG. NO. 85418-21 NO. DATE DESCRIPTION Septic Inspection Report Office No. (518)761-8256 Date Inspection re eived- Queensbury Building&Code Enforcenent Arrive: IV. f D JD',"a M 742 Bay Rd., Queensbury,NY 12804 Inspectors Inill NAME: P NO.: C3-�� LOCATION: INSPECT ON: RECHECK. Comments and/or diagram Soil Type:/8and qp!!t�lay Type of)Kajq��ici&Well Water e U2 Waterline separatkn d' ante and/or diagram Well separation distance Other wells: Absorption Field: Total length Length of each trench Depth of trenches Size of Stone Seepage Pits: Number Size: /-X" Stone Size: Piping Size Type Building to tank h t t h11 D Tank to Distribution Box 14jr- Distribution Box t ielSk/Pit Opening Sealed: Partial 4 7 Location/Separations Foundation to tank IV ft. Foundation to absorption 110 ft. T Separation of Pits ft Conforms as per Plot Plan _Y N Location of System on Property: Front Re Ceft Side 'ght Side Middle Front Middle Rear System Use Status: ,Approved ,/Partial Approved and needs to be re-inspected,please call the Building&Codes Office V*"" Disapproved Offiee Use GENERAL INSPECTION REPORT Inspector: Town of Queensbuty Ready at time:: Dept. of Community Development .Request received: 1 Zi j 7 d z. Meet: Building& Code.Enforcement At time:_ K:: 742 Bay Road Queensbury, NY 12804 ARRIVE '1 P i7J anz prrtJ Notes: (518) 761-8256 Inspector's Initic*----- V M NAME: PERMIT# Z002-,- LOCATION: � � KG ECJ r � INSPECT ON(date): l Z117162 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/W allpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab "a Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In ��isulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- ( Walls R- Ceiling R- ` 7 Duct work or piping to ,r unheated spaces R- r' Proper Vent,Attic Vent Framing Jack Studs/Headers BracnigBridging 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:1SueHemingway\Building.Codes.Inspection,FORMS\GENERAL INSPECTION REPORT.doc 10f*e Use .GENERAL INSPECTION REPORT Inspect Town of Queensbury [Read t Dept. of Community Development Request received`: Meet: Building& Code Enforcement At time: 742 Bay Road �iqotes: a�.Queensbury, NY 12804 ARRIVE a (518) 761-8256 Inspector's Initi NAME: rol, PERMIT LOCATIOM41!9 INSPECT ON(date); TYPE OF STRUCTURE: RECHECK N/A YES COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing 2 for 48 hours following the p cementent of the concrete. C Materials for this purpose on site 'Foundation/Wallpour Reinforcement in Place —Foundation/Dampproofi7ng Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Plac Rough Plumbing_ j Heafin�- ough-In je. Insulafion -�Z =tion Walls Interior R- JNT AA �,)Roz— vmv� Foundation Walls Exterior R- 4 Floors W\R- Walls It- —A Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers to J(% Bracing/Bridging Joist Hangers Jack Posti/Main Beam Air Infiltration Barrier Fire Separation t,2,3,hour Penetration Sealed Fire Wall 2,3,41our Firestopping_ L:\SueHemingway'Building.Codes.Inr.pection.FORMS\GENERAL INSPECTION REPORTAce Office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time:4 -- Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road T r Queensbury, NY 12804 ARRIVE am/pm: UEPART/�rm/pm Notes: (518) 761-825d Inspector's.Initials-�-� NAME: . `�� PERMIT LOCATION: k,--4L4 � INSPECT ON(date): C�- // 0 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 FoundationlWallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing ti =Rough-In > G��! 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 Free Separation 1,2,3,hour enetration Sealed Fire Wall 2,3,4 hour_ Firestopping L:\.SueHemingwaylBuilding.Codes.Inspection.FORMSIGENERAL INSPECTION REPOR'T.doe Offwe Use .GENERAL INSPECTION REPORT Inspector: Town ofQueensbury Ready at De Request received: j Meet: Dept. of Development 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: PERMIT# LOCATION: 0+ &kr6p, INSPECT ONT(date): f TYPE OF STRUCTURE: WD 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 "FoundationVallpour Reinforcement in Place FoundatiorjJDampproofing_ CA&5.L lm,ldt Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-In Insulation clrcj" Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- ir Wirt Walls R- 7 Ceiling R- Duct work or piping Mi . unheated spaces R- Proper Vent,Attic Vent Framing___,___ Jack Studs/Headers Bracing/Bridgm' g---.:_ 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:\SueHemiiigway'@uilding.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: Meet: Building& Code Enforcement At time: � 742 Bay Road Queensbury, AT 12804 ARRIV E a EPJan Notes: (518) 761-8256 Inspector's Initia s NAME; . 7-A0 vol�/ PERMIT fl LOCATION: INSPECT ON(date): r/till 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'Plumbing Under Slab PlumbingVent/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 mi unheated spaces R- Proper Ven c Vent V , 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 Firestoppin L:\SueHemiiigway\Builditig.Codes.iiispection.FORMS\GENERAL 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: 742 Bay Road Queensbury, AT 12804 ARRIV�J a EPARTLb a M Notes: (518) 761-8256 Inspector's Initi NAME: PERMIT LOCATION: 2 INSPECT ON(date): TYPE OF STRUCTURE: S RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing v-�eeob for 48 hours following the placement of the concrete. Materials for this p 'ose on site Foundation/Wallpour Reinforcement in Plalac Foundation/Dampproo 9__/_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents i lace Rough Plumbing- 1,A, Heating Rough-In,.,/ Insulation Foundation W aiIts i Interor R all E Foundation e. 'or Floors R- Walls R- Ceiling R- or Ir p Duct work ing in unheatRid spaces R­ Proper Ven c Vent FramingW-N A Jack Studs/Headers' Bracing/Bridgmig- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour cb) Penetration Scaled Fire Wall 2,3,4-hour-- Firestopping W b_vo� L:\SueHemijigway',Buildiiig.Codes.ffispection.FORMS\GF,NERAL INSPECTION REPORT.doe n Ar-_9_ (;A nC7��(5� 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 ,6--;�b-mlpm Notes: (518) 761-8256 Inspector's Initials NAME_. PERMIT# g5e -, I!OCATION:1 L4g- 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 &0j Foundation/Danipproofing_ Aackfill 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 REPORTAC Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbacry ' Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensburj; NY 12804 ARRIVE am/pm: DEPART am/pm Notes: (518) 761-8256 b7spector's.Initials NAME: 1 9� a t PERMIT# L — 76 LOCATION: �CY 1 t,,;C..K '}� INSPECT ON(date): Ob b� TYPE OF STRUCTURE: RECHECK , NIA 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. Z>< Materials for this purpose on site Fo dation/Wallpour uiforcementin Place oundation/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:iSueHemingwaylBuilding.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doe Office Use GENERAL INSPECTION REPORT Inspector: �f Town o,f'Queensbury tt _ Ready at time: 7 Dept. of Community Development Request received: Cb 6 Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART i mfpm Notes: (518) 761-8256 Inspector's Initials NAME: 110A 6 6u, PERMIT# 6 Z ` 76 LOCATION: 71 �r � e ► L ! �l ) INSPECT ON(date): 40 5 TYPE OF STRUCTURE: RECHECK N/A YEZ01, 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/W allpour 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 BracingBridging 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:1SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc `tt rrF. .• '.` 'r'r;';t,sr' r,, :`r.` !r;r`ft; § 1'„t;� © . 200� tf;'�ftr .'t;t��t;' tf, tf .•,.-;':�t '�' }i,rPf�k/ 21 t 39,071 sq.ft. ' 0.90 acres , CAR r Jf,;II � 'rr•,, o Z�07 r• "I have seen or observed, or believe I saw evidence of, all objects such as houses, wells, trees, fences, etc., shown on this document. I also represent that I have personally a. use . the dis - ces set forth on the diagram." C,? /D dZ- SIGNATURE D E