2001-631 TOWN OF QUEENSBURY
w Bay Road,Ba Road�Qu eensb�Y,NY 12804-5902 (518) 761-8201
���
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20010631 Date Issued: Monday, May 13, 2002
This is to certify that work requested to be done as shown by Permit Number P20010631
has been completed.
Tax Map Number. 523400-288-000-0001-016-000-0000
Location: 251 GURNEY Ln
Owner. LOUIS H. BUCK
Applicant LOUIS H. BUCK
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Residential Addition #.... etvP /
Director of Building&Code Enforcement
(' •
Cart ficate of Occu • ancy
Town of Queensbury
Warren County, New York
Date May 13 , 2002
•
This is to certify that work requested to be done as shown by Pennit No. 2&01-631
has been completed.
This structure may be occupied as a Residential Additioun
Location 251 Gurney Lase
Owner Louis & Nora Buck
Tax Map 1r2.88 . 00-1-16
By Order Town Board
TOWN OF QUEENSBURY
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: P20010631 Application Number: A20010631
Tax Map No: 523400-288-000-0001-016-000-0000
Permission is hereby granted to: LOUIS H. BUCK
For property located at: 251 GURNEY 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: LOUIS H. BUCK Residential Addition 250,000.00
251 GURNEY Ln Fireplace
QUEENSBURY,NY 12804 Total Value 250,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
BELL CONSTRUCTION
360 FLAT ROCK ROAD
LAKE GEORGE,NY
Plans &Specifications
2001-631
2912 SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATION
$349.44 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,August 28,2002
(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 T n o uee ui7 T s y,August 28,2001
SIGNED BY for the Town of Queensbury.
rY.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY . -oo C3 )
531 Bay Rd., Queensbury, NY 12804
RESIDENTIAL SOLID FUEL BURNING APPLIANCE CERTIFICATE OF COMPLIANCE
In conformity with the New York State Uniform Fire Prevention and Building Code
Note - Appliances and factory-built chimneys must he listed by nationally-recognized testing agency.
Only one appliance permitted per flue.
13 i
NAME i` Cori jtr61aI (t\( ADDRESS�{IN)e' It PHONE
APPLIANCE: MANUFACTURER -��,5 l G MODEL��1I L_.•(
(circle) STOVE FURNACE FIREPLACE' oo\Coal Pellet FIREPLACE INSERT
lid
WALL PROTECTION El Existing • ,G,-, d"' hi `j t!
Clearances per listing 1 zr -v
❑ Masonry wall only r, h
❑ Clearances reduced by rope,ly spaced-out material (Describe) 3Cjl�t- y 1'rl
TFLOOR PROTECTION ❑ Existing Cyl-'tI')qy gun t(.0 Atiuzoi i -�t
0 Masonry floor 1 1 •
El listing (Describe) ` SAy(0 TCL$koi� Vilki j[ 6,. `I�L J�49 ,--0-42 �?�(��L j i
CHIMNEY CONNECTOR Existing i --to \--f° i'14-
❑ Proper blued or black steel stov pipe, min. 24 ga. ❑ Listed factory-built chimney material
0 ❑ Minimum interior length 10 ft., max. two elbows / or engineered system
N 0 Crimped ends of pipe point to and appliance /min. 3 sheet metal screws per joint and at appliance
[' Clearance min. 18 inches or er listing Jo
I❑ Clearance reduced by prop 1 spaced-out material (Describe) CO i'+�b1.�`3 IF hl. mai- I�
7 r
0 WALL PENS /THIM LE ❑ Existing `ini _ -I E-i Rk0
S v 0 ❑ Tile /masonry thimble per recog\nized standard 0 ren 1 i in
4.-k❑ Factory-built thimble per listing
MASONRY CHIMNEY ❑ ,xisting
❑ Footing inspected
❑ He thro gh roof; 2 ft. above any part of roof within 10 ft.
❑ Airight space2 bft.etweenabove clayridge tileor 3 andft.inner wall of masonry enclosure, refractory cemented joints
❑ Clearance to combustibles (1" exteri r, 2" interior) ' ( I
FACTORY BUILT CHIMNEY El sting i' ,,� .4.11 1
❑ Clearance to combustibles per listing ,(�`�� « I i `J � �
❑ Firestops installed (if required) 11 I �y,.
❑ Storm collar at roof • � t��'' MCC,
❑ Height 2 ft. above ridge or 3 ft. through roof; 2 ft. above any part of roof within 10 ft.
FIREPLACE INSERT
�- CUC- 10 r, l l 15}- BO CI'' -- CAA 1
❑ Installed per listing / directly connected into flue z_1 Ka f k,n, ce,1(I hl
❑ Flue gases prevented from mixing with room air
FACTORY-BUILT FIREPLACE (��� �}l( �� G'�( ie'
V
❑ Appliance clearances, floor protection, hearth per listing
❑ Combustion air provided, Dampers for combustion air and flue operating �1��k�L�
DATE OF ISSUANCE C.A. GRANT, FIRE MARSI-IAL
SOLFPERM-11/93 CX fC encto5 - dy& I k 1 el Cc),
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queeusbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
S.- : - 2 ��" Permit No.t�-,, 1 .,) P '�
Date _^�� � � fl ,�..-� � - -
3 it
a
Application is hereby made to the Building& Codes Office for the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
r-� I-,CI ( t- ,"`-—
Name: -t.,_r +, .;L. ‘,.....- t(7_:{-_2(A-i- k, c':' "w
Fireplace insert
rv, t - ,, ( (�' , Fireplace, factory-built: wood gas
Address: :, - �-�"� � �('-", ��_.s>�r: c r->`
L.. ,, c C - e'+t_t:. ;� .rr Fireplace, masonry: wood gas
-- r `i Furnace: wood gas oil
•
Phone: h� I - 7 .` If non-masonary applicance, please provide-
�'-' Manufacturer Name: ,
Owner: _el t =, ---.-- ;, -. �)e�.r:' _. I -
Model Number: - r'ti ,
Address: _ > r l> t-1. �, g ,_�. .__ . _ ._
__`/4 t r,r:.t, .; Otis t-,- € ,.1,.t\ i..rtiarl A
i; Rq ' Chimney Information
,, ' Phone: 217 • (7/ci 9 (circle appropriate words)
' , .. Masonry block brick stone
Flue tile steel size: inches
Exact Address: , f-i r:-<,, /c�1--1. ' - .
of construction or i/,sttallatior: Factory-Built -
Manufacturer name: r,'� .-,__,..u....,-i ....,�,' .
Model Number: _ _.r`''- -tr)
Note: Listed By: Number: . •
Construction/Installation tnust "
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbuty .
Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting
Chimney Liner
Ca,.erJ i z ', r Departure t—2 o imrriar s.f Queei Mary, w Y''oz l;:
Fire Marshal Code II $Collected $Ref coded Received fi•on, (refinrded to): ' ;� j ', , , ' ,
(F V ..J..j .4-.
CT . _„ . address: —
A 173 3389 (190) Public Safety r.�-
A 233 2655 (230)Minor Sales r
DATE: �g I :-~t i ) !I�_j( 1 E4 r�'V , ...c f 6 ?
va . - Twn ce G 92 D y.
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.)
- -
Building Permit RTlicatiol - —
1l
"I bwi: of Quechsbury- Dept of k.'eviinlunily 1-)cvn.hipint ui, 742 I,::.y It:u i i Qtieensbury, NV
`(5 i 8) 76 t-8256
A.permit must be obiaitted before beginning construction. Permit File No. /
- No inspection will he made until applicant has received a l ec Paid $, 9y�1 y rito
valid building permit. All applicants' spaces on this .tee. Fee Paid $
application must be completed and must appear on the Reviewed 13y:
application forin. J�
Applicant: IP iLQ (P.z1- •• g>3;`j cT Owner: 1 !Z,/c�,�
Address: 3 e lal �Gk -LAI;a C,�,, e, Address: _�' �vn�i Pc ( �#-n.r d
Phone# (Sly) •7G I - o 5 3 i Phone # (gig) 2 F„?- I/ y l
Property Location: Lot Number: / House Number 025-/1 / . �
Subdivision Namc: Tax Map Number:
o New Building: residence /commercial Estimated Market Value of Construction: $ 55.0e6
Addition: CFcsidci�/ commercial. If an Addition, what will use anew addition be?
o Alteration: residence/ commercial &on c 't
'
U No change to exterior size: residence/com'I FCEiq
o Other work(describe- —)
AUG 2 1 2001 •
Check Occul►ancylnforms(tion i�llloor z"�Flom. other [WAIN O '(VAOSl3Uf8V
Below sq. l•I. sq. it sq. l'1 ILDIN �.( e:Ql7E
Single family dwelling 7 - /V 5 65 - /a
❑ Two family dwelling
•
❑ Townhouse
❑ Multifamily dwelling
II of units
❑ Office
o Mercantile _
❑ Manufacturing - _--
❑ 1 ear detached garage
❑ 2 car detached garage
❑ 3 car detached garage _
o i car attached garage
❑ 2 car attached garage -- -- —_ --
u 3 car attached garage--- -- - --- --_ —
u Storage building-
commercial
O Storage building -
residential --. •
❑ Other
Will any second-hand or ungraded lumber be used'? If so, for what?
Type of Heating System: electric/ oil gas/wood /forced hot air aseboar/other:
Number of Fireplaces to be installed / Number of Woods1ot'es to be installed
List below the person(s) responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder �' =sJSt�iLuL.c ir?►'v E1ui�- Gtl� Pz.C. /- 0 5g
Plumber C.;.. �'. g22 -6*-a-4.. 4 - 774_'a _-,„a..®
Mason ... C wc� . INA et Al is - 7 9 3 ` / 9 6f V Electrician '�,,, b (Y�c,� dz t,,�...,
t cclaration: please sign below tiller 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, arc a true and complete statement ol•nll proposed work to be dome on the described premises and that all
provisions oldie building('ode, the Zoning Otdin:uicc and all other laws I,etlaining to the proposed work shall he complied
with, whether specified or noted, and that such wink is authorized by the owner. Further, it is understood that I/we shall
submit,prior to a Certificate of Occupancy or Cc'tilicate of Compliance being issued, as requested by the Zoning
Administrator or Director of ituilding and Codes,an/Is Built Srrrrel by a licensed surveyor;drawn to scale,showing actual
location of all new e( . ruction.
Signature: owner,owner's agent, archilc( contractor
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road Oueensbury, NY 12804 (518) 761-8256
1. OWNER INFORMATION:
Office Use
Location of installation: c 2 5/ G 1I2 42C (o3(
File Permit N O?_
Tax Map No.
1 Fee Paid
Owner's Name: L -vc' t AJ h(Lk ue fr-- •
Address: J.. 5 l G cf 2-6Li .
2. INSTALLER'S NAME : C��(U (�t cnNuV PHONE NO. 77,2
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 Daily Flow
1980 or older 3 x 150 gal/bdrm =
^1980— 1991 x 130 gal/bdrm =
1991 —present x 110 gal/bdrm =
Garbage Grinder Installed yes / no Xi
Spa or Whirlpool Installed yes— / no t>6
4. PARCEL INFORMATION: (circle applicable information &indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material. Domestic Water Supply
Flat sand at what depth at what depth municipal
o in loam Af Yd.,'feet — feet well
teep slope clay if well; water supply
%slope other • from any septic-system
depth: absorption is 50 ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: ir,OQ gallon (min. size 1,000 gal)
Tile Field: each trench o ft Total System Length: /6 o ft
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # / depth or thickness /g feet
Bed System Size: x
Alternative System: length and/or 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.
D e O/
Signature of responsible person
•
ENERGY CODE COMPLIANCE APPLICATION l
_'" TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods : PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only) .
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings;. Multi-Family
Dwellings ( 3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission .of worksheets
APPLICANT' S NAME : PROPERTY LOCATION:
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 No •
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 g
b. Exterior walls R
c . Glazed areas • 'R t/
d. Exterior doors R /
e . Floors over unheated spaces • R
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R /3
h. Basement/cellar walls (below grade) R
i . Heating/cooling-ducts-piping in unheated space
6 . Service (domestic) hot water heating device
Conforms to. minimum efficiency per code (s No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
Appli is Si atur _ y
e Phone Number
i
INSPECTOR' S REMARKS :
FIRE MARSHAL
TOWN OF QUEENSBURY
% j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# ZLYA-i3!
NAME 1--3o GV
LOCATION •
SCHEDULE INSPECTION ON I"2, -p7
j AM M ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING \
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM \
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT t,..)c0J
REMARKS: - K TO THIS DATE
INSPSUP,PUB / INSPECTOR
11111' (i),:e0, L, - - (2, ))1
6 I
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive ? Is .m Depart i l '�
Town of Queensbury Inspector's Initi:IDW --
742 Bay Road
Queensbury,New York 12804f Ott—±03 1
NAME c")) �l
LOCATION ?`c r .10.L, r) DATE 5 - f 3--i-z____
TYPE OF STRUCTURE (- ,� \*vc,-_
YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location-1
Fresh Air Intake /
Plumb Vent through roof t/
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more C-j7--€ATE_ l.E J E_L__ A 1 C v&.e
Interior Handrails stairs both sides 3 or more risers •
Grade 2%away from foundation (- E. `K Q‘ep___ FP-Et kte
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade ..ti./)- '
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed 4
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in. / 1
Handrail exterior stairs both sides more than 3 risers �/
Interior privacy/trim/doors/main entrance 36"
Floor Finish J
Bathroom/Kitchen watertight J
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwellsI
Smoke Detectors: I
every level every bedroomoutside every bedroominter connectedBathroom fans
Plumbing fixtures
Foundation insulation f� kt;- 0 J \I-194 E ` �Re-r6. ; ?,$
3/4 hour fire door/door closer ✓11ffff f 9 VQo-R (�"` ('y�. h)L, � E'
Garage fireproofing f f F
Garage penetrations sealed v - YkQ
Furnace in separate room protected(in garage) j
Light ventilation per room `N` , _ e aF� ,A�
Safety glazing 18"or less from floor
Final Electrical C -3v Dbc��
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
•
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building 8i Code Enforcement
Dept.of Community Development Arrive -�'7
katr;—mcnirc)Dtrr!partTown of Queensbury Is Initials •
742 Bay Road
Queensbury,New York 12804
NAME B u C,V i�i Le_ \ t PERMIT ` � 31
LOCATION 60 F1'} la a _ .1¢= DATE f 7
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" j e
Exterior Handrails,balconies,Ianding 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade Jj
Gas Furnace shut-off within 30 feet or within line of site ✓
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating )
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors: ,//
every level •
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage) ✓ , /
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical 3/
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)
Vzke tko-1-e - e.l Co tke7-ku{,cijot1
FIRE MARSHAL
TOWN OF QUEENSBURY
j QUEENSBURY, NY 12804
(518) 761-8205
icA,Q
FIRE MARSHAL iNSPE CTION REPORT
REQUEST RECEIVED PERMIT# a.)01 "6,1
NAME L-O ul J D1)-6 le-•
LOCATION d 5 l C1 LA,
SCHEDULE INSPECTION ON - C,
?340 A PM NYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM 7-
HOOD INSTALLATION �' c
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNIT I
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY �(
FIREPLACE-FACTORY BUILT 1;J000� > \
REMARKS: �„ I ] OK TO THIS DATE
4/V a.(i'1\ �-y`�Qi/k�i r(V 5 7 ee. ya ,
l2 5 dt iVictitA r1-Ccoi\4
loth," 51ati, -OK
INSPSLIP.PUB INSP TOR
�,,4 h�(1kba(c� 1X5 LtA4c.c IVY
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GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement _
742 Bay Road ,/
Queensbury,NY 12804 Arrive ` '1/* .,,,p i•'par pm.
i spector's Ini ' rr
-9 NAME: PERMIT 6
LOCATIO leDATE :
TYPE OF S U TURF: 2nr"---
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Fo
Reinforcement in P .ce
The contractor i. responsi. e for
providing prote4 ion from f -ezing
for 48 hours fol 'wing the pl. -ment
of the concrete.
Materials for this p rpose on si e
Foundation/Wallpo
Reinforcement in Pi:, -
Foundation/Dampproo ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in "lace
Rough Plumbing
H ting Ro :h-In
sulatioi may` t' op fir.
Foundation Walls Interi.r R- ,A
Foundation Walls Exteri i r R-
Floors i'- ,\ /ek.:-:—VIVQ)a)€___QEP,______
_ �
Walls R- \ .v�-
Ceiling R- 11s3�:v l\ \Q,'t�3
Duct work or piping in
unheated spaces R- t
Proper Vent, Attic Vent Gr 's�\` R' (—_ �� `.` �U��
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
FIRE MARSHAL
TOWN OF QUEENSBURY
� j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
ff_
REQUES RECEIVED l'1[01.PERMIT# VI lI J
NAME C' CO rl`jtrtAt i a r%
LOCATION GLA rVy L A --
SCHEDULE INSPECTION ON I 19) U
I I ( AM' •M ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLE'
CLEARANCE TO HEATING U TS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: 4'OK TO THIS DATE
bc;‘\sDe 06'1
1 r \"- e\DQ\)
S►�l p kc,k CU i9
INSPSLIP.PUB INSP TO
v
ro
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury C)\icia.
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depar_j
Inspector's Initials .-----'"--
NAME:
� C7� V 0 PERMIT#0/ — L3
LOCATION:
� Q DATE : % — /S-40
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1 I I
Monolithic Pour Fon
Reinforcement in P1.ce
The contractor is esponsibli for
providing protecti s n from fr--zing
for 48 hours folio% 'ng the pl.cement
of the concrete.
Materials for this pu Ise on s. e
Foundation/Wallpour
Reinforcement in Place
Foundation/Dantpproofi g
Backfill Approval
Plumbing Under Slab __ '
Plumbing Vent/Vents in P ace
Rou lumbing
H mg Rough-In i
-I ulatiori�_ a7_' a!l
- Foundation Walls Inte or R-
Foundation Walls Exte or R- �/
Floors R- 1 (
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
Pe?etration Sealed
vp
ire Wall 2 �4 0
r/ 6t/C
Fir1. esto N,r . ., ff� EA)191/1-GL t (,UCI� I ��
P6--C6- 761 --05 3
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road ` ,{
Queensbury,NY 12804 Arrive am/pm Depart/ . S m,
Inspector's Initials `�J /
NAME: 6'f/Ge PERMIT# 69 f ✓j
LOCATION: (ON R/UC Gam- DATE : 67i
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I—T— 1
Monolithic Pour Form
Reinforcement in Place
The contractor is respoi sible for
providing protection fr m fr zing
for 48 hours following a plElcement
of the concrete.
Materials for this purpose on sit-
Foundation/Wallpour
Reinforcement in Place
Foundation/Damppr ofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rodgh Plumbing
eating
Rou In
Insulation V l dt2 `;A-�ee 6'12
Foundation Walls Int nor R-
Foundation Walls E rior 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
TOWN OF QUEENSBURY
BUILDING_ & CODE ENFORCEMENT
742 Bay Road /' ff
Queensbury NY 12804 ( . V
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 2)10cA.2.
Location 6,t,&N-c . L") -
Date 1 _.... Pe\ i t # Ot—Co.
SOIL TYPE: Sand-Loam-C ay-
Results of Percolation Test-
(if applicable) Rate-Miiute/Inch /
TYPE OF SYSTEM:
ABSORPTION FIELD: -To .1 L: •thJ/ 6 O
Length of each trenc , U .
Depth of trenches _
Size of stone /"'
SEEPAGE PITS: Numb:
Size - ft, ft.
Stone size
PIPING: O S Type
Bldg. to Tank i'� ` ,cJe1) 4/
Tank to Dist. Bo?' N ti/7ic• Z;"
Dist, Box to '- d/'i- IN ri .
Openings Sealed? Yes No . :Partial
LOCATION/SEPARATIO , :
Foundation to Tank • feet •
Foundation to Absorption . 1 feet , .
Separation of Pits • .feet /e��
Conforms as per Plo Plan Nqo!_ L
LOCATION OF SYSTEM 4N PROPERT .
(circle one)
Front - Rear - Left Side - ight Side
Middle Front - Midd e Rear
COMMENTS:
•
SYSTEM.USE APPROVED: • (YES, NO
Arrived: • ,n
Departed: NM
l
. Building Inspector
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road . "-�
Queensbury,NY 12804 Arrive am/pm Depart am/pm
Inspector's Initials re-C-
NAME: A4._ PERMIT# C. — Co'
LOCATION: OU Iz_to- T LN DATE : 1�- l 0 l
TYPE OF STRUCTURE:
RECHECK
r\\\N/A YES NO COMMENTS
Footings/Piers 1 -1-- I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing profecOon from freezin 2
for 48 hours follo&ing the placeme t
of the concrete. �.\_____.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
PI mbing Under Slab
lumbing-Vent/Vents in Place�� / S j v� _
iRough Plurnbing� scii. Yc 4-1( S `` ev-�'LC-' C I CZ j—L fe S
ti '.'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
Pen ration Sealed
7,e Wall 2 3,4 hour
Firestoppm
f 1l7
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart i I ,
Inspector's Initials v
NAME: �J� PERMIT#
LOCATION: CneviY6- LA) . DATE : Z 1
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pou Form
Reinforcement i Place
The contractor.s responsible for
providing prote tion'from freezing
for 48 hours fo1l wing the placement
of the concrete.
Materials for this pu se on site
Foundation/Wallpou k
Reinforcement in Place i
Foundation/Damppr fin.
Backfill Approval /�
Plumbing Under Slab
'lumbing Vent/Vents Place ,�
�'Rough Plump ng-� / V/ 1,t I G7 L — /Jk L
eating Rough=ln
Insulation
Foundation Walls I tenor R-
Foundation Walls erior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping;n
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infi ration Barrier
Fire paration 1,2, 3,hour
Pe rration Sealed `
're Wall 2, 3 4 hour
of ping _. G '/ 7e4-4-- 101 Ve‘z? ,;p6-s
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive f".01/a pm eparir
spector's Initaals
NAME: O(-', PERMIT# — p
LOCATION: mil- (- DATE : i`I" 1�_f�1
TYPE OF STRUCTURE: R,1) )
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I I
Monolithic Pour Forii{
Reinforcement in Place \
The contractor is ilesponsibl for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour I
Reinforcement in Place
Foundation/Dampproofinl
Backfill Approval \'
Plumbing Under Sla,V `t
Plumbing Vent/Vents in\Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, tic Vent
Framing , ?i \kA F oIv/
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
FM
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received: / - ///O/
Building&Code Enforcement
742 Bay Road '
Queensbury,NY 12804 Arrive 'cc a pm Depart{�' m
Inspector's Iig i
NAME: w PERMIT /1---IAuLz — j/
LOCATION: 02,57 c r t 044, DATE : o f
TYPE OF STRUCTURE: ,'i y -<_/4 _( .
RECHECK r —2/ 9, Si
N/A YES NO COMMENTS
Footings/Piers --- I
Monolithic Pour For\n ti.
Reinforcement in Plays e
The contractor is responsible for
providing protectio from:freezing
for 48 hours followi g theplacement
of the concrete.
Materials for this purpo F oil site
Foundation!Wallpour \ /
Reinforcement in Place /
Foundation/Dampproofi}i
Backfill Approval ./
Plumbing Under Slabs
Plumbing Vent7VVents in PI ce
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interio R- ,
Foundation Walls Exterio R-
Floors R
Walls R
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
CFramin� Pyk F-l A M .A R. i 10(
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
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road p Depart����
Queensbury,NY 12804 Arrive am/ m
Ins ector's Initials
NAME: C. �� n� PERMIIT#
LOCATION: ',c-\ "- w-Q1� DATE :
TYPE OF STRUCTURE:" 1 E: `[
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-7-1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible fon
providing protection from freez.ng
for 48 hours following the pla ent
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Fo dation/Dampp oofing
ackfill Approval
N.1/4/7":"/
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 .-J
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
GENERAL INSPECTION REPORT
( 518 ) 761-8256 •
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart ' ./gm
Inspector's Initials / Z
NAME: g V CA� PERMIT#. W J
LOCATION: U N L+\S DATE : ( U I
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place •
The contractor is responsible for
providing protection from fr zing
for 48 hours following the pli cemen
of the concrete.
M. crials for this purpose on sic
oundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P
Rough Plumbing •
Heating Rough-In
Insulation
Foundation Walls Interior Ic-
Foundation Walls Exterior fk-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- _
Proper Vent, Attic Vent __
Framing- --—
Jack Studs/Headers f
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
/0:00
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: '•.�
Building& Code Enforcement l
742 Bay Road '
Queensbury,NY 12804 Arrive am/pm Depart
Inspector's Initials C'1
NAME: 2-1,-__A � PERMIT# 0 /-7 3 1
LOCATION: LDS i c i ,-,►y\-__Q _ DATE : 6 / 43 I
TYPE OF STRUCTURE: c�
RECHECK
Alb t AlN/A1 YE/N.P.Y. COMMENTS
ti - /Piers �''-.&&'' -D V �:' I
Mono ' h. 'our Form R. �, /
Reinforcement in Place i U�` ' .
The contractor is responsi Ile for
providing protection from reezing
for 48 hours following the .lacement
of the concrete.
Materials for this purpose on •'te
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under g'tab
Plumbing Vent/Ven`ts`n Pla
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 t—
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
_ C -
GENERAL INSPECTION REPORT c
o ) 7 61
Townown of Queensburysbury __7
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road ��
Ce4C-1164
Queensbury,NY 12804 Arrive am/pm Depart `` )7"1-/k
Inspector's Initials V
NAME: C_) L PERMIT 11 0/-623 9
LOCATION'' ��� DATE : /
TYPE OF STRUCTURE: (X-\
RECHECK
N/A YE NO COMMENTS
Mono Fbotin•g c ur Form '£LN& L/ �'' if''���'1/C 1 T7
'nforcement in Place ,� ��� , /- At-'/
The contractor is responsible for
providing protection fro m freezjng A-(//&
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour , /
Reinforcement in Place ' /
Foundation/Damppr ofin /
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in/Place
Rough PIumbing
Heating Rough-In
Insulation
Foundation Walls I erior R-
Foundation Walls E erior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping'n
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
CT 1 1 13! Q �h"M OW EH ( T ��OT'TRLL ,P6g6S026' P_ AI
lip
4.�
•
�,r �l0� 2i. J � i.15Pi OWEH ARROCIATE i.�;� .;1 „� P . 1
COTTRELL ASSOCIATES
Consultant Engineering Services
William L. Cott.-ll 36 Cottrell Lane
Professional Engineer 1-Ioosick Falls, NY 12090
51 a-686-5026
9 Oct. 2001
Owen Associates Re: Lou 1 uck Project.
Gilbert St. Queensbury, NY
Cambridge, NY 12816
Dear Dave,
As I understand it, Lhe installa.tion of the tooting reinforcing steel at ti-lc titr 1:v4-^refrc:no 1 project
has been questioned in tl,si tt5A vertical bent dowels tying the ie,otings to they concrete foundation
walls were pushed into the vo:t concrete as opposed to tying them in pi :ce to the s,ori zontal
footing steel prior to placing, the concrete. •
Tying the bars prior to piac-ins concrete is the preferred way yec u 8e ii pmv ;,, :3t1er- control
over the final location of the bars, thus resulting in the grrongest po6,"bi, neon!,—ruction,. Tying the
bars together in and'..of ..,elf does not provide additional strength to i.:,.- ;eoint. L _ .iccr'i of the bars
is more important. As kon as k� spacingand p' ctrot? Ir f± ,.. r!a:, r` '' `t
tr correct ar ia=.,�, _ .nt ��a. ., �.��.
•
maintained, I do not anticipate thtit thc installation as d, ncr3 ?bo'v; - ;<<l r::':�i "-:. iny problem,
I hope this answer's your question. If you have any other qth5sOomi, pie se ,:ii-.... r.ot :`i•G l.a'e to
contact me_
. Very truly yours,
./VA.,_, ----.7. '7:::=4---_- .:„ ...,'L_.,/,,.,/—..—..,_.,.. • ,
William L. Cvftrell, !'.l✓.
0 5 1 /i.:":„.,Az4.,5, ,,--, ct-
,,,.._,,,,,„,,,,..,,,.,„,:_;,:.,,,,,,;.:L.,,,.;.,,,i,:::-„.....,,„,
. ,:::.,,..„);.. ,...,. /,,,44.,
, .,,,,,,,,,,,,), ,v.,.:,, %
k.„..41,..„-,,,_ ., •:,_:_ ,,,, (4,
. .2,:ip., •:- '1.,,,A,,- ..- .,,, 1,,r13,!
�}
'RECEIVED ,' u y',
y
OCT 1 6 20®i .. .;
.)f..p .g
TOWN OF QUEENSBURY
BUILDING AND CODE
Received Time Oct . 9 . 5 :47PM
/73
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road Z
Queensbury,NY 12804 Arrive am/pm DeparC a
Inspector's Initials
NAME: PERMIT# Of -- (e 3
LOCATION: Z' ) L2) DATE : /��/Ver /
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1 1
Monolithic Pour Form
Reinforcement in Place
The contractor is respon ible fir
providing protection fro freez ng
for 48 hours following thc place ent
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Rei rcement in Place f
•F ndation/Damppro ✓
ackfill Approval •P 4'I�
Plumbing der Slab ,
Plumbing Ven `• -- •lace
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 I
Jack Posts/Main Beam_
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement ` ��
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart i `ar /.m /
Inspector's Initials I
NAME: C)Lb U Q.- PERMIT# V — 675 I
LOCATION: ` UV-t3 DATE : LIU
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers — {��—
Monolithic Pour Form U
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purposA on site
Foundation/Wallpour rkpfck u (2). )L
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT l O `U ✓3� ```
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received: /
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart• ' m
):tC Inspector's Initials
NAME: 0)-(:)1A_ /3 C-k PERMIT# / 3/
LOCATION: ,Q$'( �� � t.ATE : _
TYPE OF STRUCTURE:
RECHECK
N/A YE O COMMENTS
C-ootingers � l I
Monohthi Pour Form
Reinforcement in Place 2_ — ` 'f ?O U K
The contractor is responsible for
providing protection from freezing
for 48 hours following the placeme
of the concrete. (&Co , A-ei'/(v c f g-
Materials for this purpose on site
Foundation/Wallpour ( t,p‹ It 1 f •
Reinforcement in Place ( e?�K A42
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Int or 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 1/
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour •
Firestopping
FIRE MARSHAL
TOWN OF QUEENSBURY
011111kil,-V QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSH L INSPECTION REPORT� 2Z,,
REQUEST RECEIVED 1 7 Ca i PERMIT / ( 6.J I
NAME ' —CC1'
notLOCATION air L f''
SCHEDULE INSPECTION ON i i;► f
A�PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTINk.
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SY
HOOD INSTA ,TIO
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
ac;I VI I K irk,, al beet-is +or fLtn'Jtc
Li' C.l,me n,,-t e. o Co rr;1 u 5-4' ib lj C
�Jt
irl
V -i.�r ( tt`l`J 2j' t f I �- �: i l�'�'`�
v i it ‘ to recii-v_c_l( cl-), _v-1 ce-
E toPil 0,4-3:/Q?)---
INSPSLIP.PUB INSPECTOR
C K +6 01ce0, C cs—
•
9:00 m
-�, llei
GENERAL INSPECTION REPORT V
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road �j •
Queensbury,NY 12804 Arrive am/pm Depart 1 ' am/pm
Inspector's Initials
IC3NAME: U \('-••• t�� l PERMIT# O/ - O1
LOCATION: RME - d 1
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-7- l
Monolithic Pour Form
Reinforcement in Place
The contractor is re•ponsi tale for
providing protectio from eezing
for 48 hours folloti ng the placement
of the concrete.
Materials for this pu lose o E site
Foundation/Wallpour
Reinforcem-i t in Plac
Foundation/Da .. .o ng
Backfill Approval
Plumbing Under Slab _
Plumbing VentNents i Place
Rough Plumbing
jRouhIn ,/� k /�
ulation �/ d.� ��1��/ /� /`-�5 46-eC
Foundation Walls Interior R-
Foundation Walls Ext.rior R-
Floors R-
Walls R- \mil ✓�
Ceiling R-
Duct work or piping in
unheated spaces '-
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
•
OtIEVRIBIO13rJ EPLI JP r_PLIP�EPLP r�rJ�rJ��Pr�r�r�r�rJ�rJ�r PrJ�cfrcPrJPrPEPErJ�r LIB
5 5
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY 5
5 40 FULTON STREET - NEW YORK, NY 10038 5
5 I CERTFIES THAT
5
/
Upon the application of upon premises owned by 3
5 5
591 MURTHA, BOB LOUIS BUCK 5
GLENS FALLS, NY 12804-1306, 251 GURNEY LANE
QUEENSBURY, NY 12804
5
Located at 251 GURNEY LANE QUEENSBURY, NY''i2804- -
Application Number: 1031126 Certificate Number: 1031126 55
5 5 55 Section: Block: Lot: Building Permit: BDC: A239
5 5
Described as a Residential occupancy,wherein the premises electrical system consisting of
Sr electrical devices and wiring, described below, located in/on the premises at: C5,
5 Basement,First Floor,Second Floor,Outside,
5 5
5 g
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was
found to be in compliance therewith on the 2nd Day of May,2002. 5
Name QTY Rate Ratin Circuit Type 5
5 Appliances and Accessories 5
Bell Transformer 1 0 KW 5
Exhaust Fan 3 0 F.H.P. 5
5 Hydro Massage Tub,Residential 1 0 H.P. 5
5 Furnace _ - -- -- . - - - 1 0 ,— Oil 5
Panels
1 100 20 5
5Wiring and Devices 5
5 Fixture 54 0 Incandescent 5
Receptacle 87 0 General Purpose
Switch 65 0 General Purpose 5
Receptacle 1 0 Dryer
5 Receptacle 8 0 GFCI C5
Outlet 3 0 Fixture
5 Outlet 4 0 Telephone 5
Outlet 4 0 CATV 5
iFixture 3 0 Fluorescent seal C5
GFCI Circuit Breaker 2 0 GFCI Lj
5Continued on Next Page 1 of 2 `�
5
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. S
5 5
on�������MPIMPEP LOPED ����cPcPcP�����rIMPLP LUMPED ���EPLEP������II
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BY THIS CERTIFICATE OF COMPLIANCE THE 5
NEW YORK BOARD OF FIRE UNDERWRITERS 5
5
BUREAU OF ELECTRICITY 5
40 FULTON STREET — NEW YORK, NY 10038
5 CERTIFIES THAT 5
5 5
5 Upon the application of upon premises owned by
5
5 MURTHA, BOB LOUIS BUCK SSj
5 GLENS FALLS, NY 12804-1306, QUEENSBURY,NY 12804 5
D 251 GURNEY LANE
5 5C
Located at- - 251 GURNEY LANE QUEENSBURY, NY 12804 ' - ' -` - - - 5
5
Application Number: 1031126 Certificate Number: 1031126 5
5 5 Section: Block: Lot: Building Permit: BDC: A239 5 55
Described as a Residential occupancy,wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at:
5 C5
Basement,First Floor,Second Floor,Outside,
5 L�
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was C5
found to be in compliance therewith on the 2nd Day of May,2002. 5
Name QTY Rate Rating Circuit Type
Dimmers 7 0 General Purpose
Service
1 Phase 3W Service Rating 200 Amperes 5
Service Disconnect: 1 200 cb C5,
5 Meters: l -- Ss
5
55
55 5 5
5 5
5 5
5
S seal
5 S
2 of 2 `�
55 5
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 i
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