2000-062 _ ...q,. 41t vyH.y 'r!u'ty ' .: .. , ., yrv. ,. `4.,a '-f✓ k'�N ^ v+p i.d.FP\ri wM
p ancy
ert
te. -of , ccu
inc
Town of,Queensbury
Warren County,New York
Date
June 19 , 2000 0
. wa r
t
' 's is to certify tbait work,,quested to be done as shown by Permit Na
has been completed.
This stricture ni.ay be occupied as a SINGLE FAMILY, DWELLING
oeation LOT 6 2 #3 4 LEHLANn DR o
Owner _. ?McL.G.RO
TAX MAP NO, 7 4,- -62
Order Town ar°
T
Director of Handing&tod.e Enforcement
R-UILDING - PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 185000 Building Permit No 0 0 0 0 F.2 -
TAX MAP NO. ,74 . -2-62
Permission is hereby granted to MICHAEL--, GROUP
Owner of property located
in the Town of Queensbury,to construct or lac 14G
ti g e&Mw i�p
at the above location in accordance to applica onlo e of plans an foer�®rmaiion hereto filed and
approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
le BLACKSMITH DRIVE
MPLTA, NY 12020
Contractor or Builder's Name:
MICHAELS mnup" Tmr ,
Contractor or Builder's Address:
JIM CHANDLER, PROJECT .MGR, 10 BALCKSMITH DR
MP LTA, NY 12 0 20,
Electrical Inspection Agency:
NEW YORK BOARD
NHW YORK BOARD OF FIRE UNDERWRITERS . ,
Type of Construction:
SINGLE. FAMILY DWELLING
Plans and Specifications:
2513 SQFT SINGLE FAMILY DWELLING- AS- PER PLOT PLAN SPECIFICATIONS,
Proposed Use:
SNGLE FAMILY DWELLING---_
909 PERMIT PEE PAID-THIS PERMIT EXPIRES March .9 2002
- - ---(If a-longer pe-rf6d is re4uired,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 this 9 Dav of March 2000
SIGNED BY for the Town of Queensbury
Code Enforcement Officer
Building Permit Application
Town Of Queensbuty - Dept. ofC6hintunity Development, 742 Bay Road, Queensbu y, NY 12804 1761-8256J
BUILDINQ & . CODE ENFORCEMENT
Requirements.prior to issuance r�/�/�1/'�f�
A permit must be obtained before of this permit. PERMIT F1LE NC�C�i✓vet/;/ r?
beginning construction. No inspections PERMIT FEE PAID
$ T
will be made until applicant has received Zoning Board Action G�
a VA,I,ID-BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEE P ID$,56c)
MUST be completed at id.the signature Planning Board Action REVIEW C' Y.
of the applicant-must appear on the SPR / Subdivision /Other Bidding t acpecmr
ptication form. nx�, Recreation Fee Payment u
Applicant: -r"r= t'�\1G�12e1S te[� p Owner:
Address: �L� Rt1 )12.� +�2.� .tZ�2� Address:
Phone # (��a-) g � -(�j��-- Phone # ( } -
Property Location: Tax M ap � &-..
Subdivision Name: INC> Number
.� Section Block F nt
NATURE OF PROPOSED WORK: ESTIMATED-.MARKET=VjIftfE Lb4f- IiE .
�c New Building: CONSTRUCTION. $
residence / commercial _ _
Addition to Building:
residence / commercial OCCUPANCY INFORMATION: '
Alteration to Building: Primary Building -
residence / commercial _ Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
/56 If ADDITION, what will use
lst Floor. . a?/ sq. ft 3 of new add*t.
n
2nd .Floor. . . . . . . 13q,- sq. ft. iE +3 e ?goo
+
Other Floors . . . sq. ft o "
(not unfinishedcellar or base nt ACCESSORY BUILDINGS: -ta>
Detached Garage 1, `"'2' car
TOTAL FLOOR AREA: Zft3 SQ. Ig�(' A Attached Garage 1, (2:�
' Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
FEET X FEET Other
Foundation Type: lyiz.!.Rusi Will any second-hand or ungraded
Number of Stories : Z lumber be used? If so, for what?
(habitable space only) %Ac.
Height (grade to ridge) : Z3 feet TYPE OF- HEATING SYSTEM:
Number of fireplaces and/or woo stove (circle• all which a plies)
to be installed: � Electric / Oil / as, / Wood
Forced Hot Air / Baseboard j Other
Person responsable for supervision of work as regards to building -
codes i s: ilrnlnee
Na e A dre s Phone
Builder: O
Plumber: ., G- - L.v�c. 1 t 22C7 -
Mason:
Electrician_; � e_ f�Li l - 2"L
DECLARATION- Please sign below after you have carefully read the staientent.
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
y, 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 1/we shall submit prior to a
Certificate of Occupancy"or Certificate of Compliance being issued; an AS BLTILT PLOT PLAN by
a licensed surveyor; drawn to scale, ho g actual location of project on premises.
g V
Signature: 2 io
(o ner, owner's agent, architect, contractor)
Application for Permit—Septic Disposal System
Town of Queensbi.-ty 742 Bay Road Queensbury, NY 12804 (518) 761-8256
I. OWNER INFORMATION:
..................................
Office Use
Location of installation:&-I--4-Z) JV &,VIA4,9 DA&
Tax Map No. i! File Permit No. kyo—
Fee Paid
Owner's Name:
.............. ........... ...................................
Address:
2. INSTALLER'S NAME Gr7x1�1Q35\,\Z PHONENO. (2?)-2000)
3. RESIDENCE INFORMATION- (circle year of dwelling,indicate 4 bedroom(y) and multiply# of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flo
1980 or older x 150 gaVbdrni = FD
1980- 1991 ------ X 130 gal/bdrm = F,
1991 —present x 110gal/bdriii =
NI AR 0 2 2000
Garbage Grinder Installed yes / no-,K I
Spa or Whirlpool Installed yes ><no " Ry
"
jt 1 "-3 f .
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
TonoaraDliv Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
(JE& sand at what depth at what depth municipal
Rolling loam et -feet we
Steep slope CI-Y if well; water supply
-%slope other from any septic-system
depth: absorption is
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 2.50,gallons to the size
of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub.
M- 15o
Septic Tank: gallon (min. size 1,000 gal.)
Tile Field: each trench Total System Length:
Seepage Pit(s): number of size oj'each: fl. by_ft.
Size of Stone to be used: # depth or thickness feet
Bed System Size: X
Alternative System: length andlor size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: V4A 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 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 Queens ury anitary Sewage Disposal Ordinance.
Signature of responsi 16 person Date
"WN OF QUEENSBURY
742 Bay Rd., Queensbury, RAY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
()(0Date . S ,�'10. L Permit No '�#``loo ...
APPLICATION IS HEREBY MADE to the Building Dept. 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.
Please fill out additional form if more than one appliance and/or chimney.
Applicant MM H Orr APPLIANCE (check appropriate boxes)
Address 10 1-5V A( 5111► pjy 1,-�>p ❑ STOVE:to Wood ❑ Coal ❑ Pellet ❑ Gas
❑ FIREPLACE INSERT.
zip /Z 0 T 6 'M FIREPLACE, FACTORY-BUILT:
❑ Wood M Gas
Phone ❑. FIREPLACE, MASONRY:
Wood ❑ Gas
Owner ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
Manufacturer:
zip , Mod'el'-. - - - - - -- , -- -
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
❑ MASONRY: ❑ Block ❑ Brick ❑ Stone
lita of— 3 LI a l//A 1//D FLUE: ❑ Tile 13 Steel
Size: inches
CONSTRUCTION 1 INSTALLATION MUST t FACTORY-BUILT:
CONFORM TO,NYS FIRE PREVENTION & ' Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ Direct Venting - -,-
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept:Fire Marshal Amount Collected Amount Refunded
Code Number Title 0
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to: A ( (-_l')� of t. ' '
Address:
Dated: -; - , jr> ., Town Clerk or Depif -`
White: Applicant Green:. Fire Marshal Yellow: Bldg.. Dept. Pink & Goldenrod: Cashier's Dept.
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RESIDENTIAL FINAL.INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement '7-1
Dept.of Community Development Arrive am/pm Depart 2"- am/pm
Town of Queensbury Inspector's hui ws `t
742 Bay Road
Queensbury,New York 12804
NAME PERMIT -Q
LOCATION DATE —
TYPE OF STRUCTURE
N/A YE NO COMINIENTS
Chimney Heightl"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete 7
Exterior Finish Complete \ (p j
Interior/Exterior Railings 30"to 36"\, N`� A(-C- RA-IL—L— { 6 i L GC>
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate II
Gas Valve shut-off exposed/regulator 18"above grade i
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off'at entrance to furnace 4ea
Furnace/Hot Water Heater operatingj
Relief Valve(s)installed ` /
Headroom,6 ft.6 in.on stairs /
Basement stairs,6.�ft.4 in. /
Handrail exterior stairs-bo si,es-moore than 3 risers
Interior privacy/trim/doors/mam entrance 36"
Floor Finish
Bathroom/Kitchen watertight 1
Interior Handrails BalconieskL coding 18 in.or more
Railing across window in s i ells
Smoke Detectors: �(nJl�
every level
every bedroom l
outside every bedroom 1
inter connected
Bathroom fans'
Plumbing fixtures 1
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 ss om floor
Final Electrical f2 1,
Site Plan/Variance requ' ed
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 j
Office No.(518)761-8256 Date inspection request received:
Building& Code Enforcement V
Dept. of Community Development Arrive am/pm Depart `-' an�7n
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME c-,c PERMIT#
LOCATION ( ha ' DATE G rlq laV
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
E error Finish Complete
� terior/Exterior Railings 30"to 36" 1
Exterior Handrails,balconies,landing 1$in. or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation 1
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 181 above grade
Gas Furnace shut-off within 30 feet or within line of/ite
Oil Furnace shut-off at entrance to furnace area
FurnacetHot Water Heater operating s D
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs '
Basement stairs,6 ft.4 in. 3
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 i
outside every bedroom i
inter connected t
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer.
Garage fireproofing
Garage penetrations seated. 1.
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
rte 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) U �� A�t1o��Vli",,,.
F=IF;Za
-r(Z>WN OF ClLJE!aNSEaLJF;Z""ir
G-#LJF-=F-=NSE3LJFZ-V-, NY 12804
(518) 761 -8205
FIRE MARSHAL INSPECTION REPORT
REQUEST-RECEIVED
)NAM E \)
LOCATION E--RMIT #
SCHEDULE INSPECTION ON
K--A—M-f>PM
APPROVED
N/A YES NO,
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY Ll(:;HTINC3'x
FIRE EXTINGUISHERS it
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS-\
CLEARANCE TO, HEATING UNITS
REQUIRED SIC3NAC3E
CHIMNEY
C)OD STOVE
,FfkWEPLACE MASONRY EfTFACTORY BLT.
UGH-IN
>FINAUGH-IN
REMARKS: K TO THIS DATE OK�TQTH I
114SPSLIP-PUB INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS ' �� �
BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10036
JUKE 1 20f" G� .' � t'r;}t IbJ-5�+9
Date Application No. on, le
THIS CERTIFIES THAT `' b `
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
TON' {I..!)"11AN1_,>' GROUP r ,A '1x H1A14U 1 , 1d. r 62 r QU.fl8N8 1JRY iV
in the following location; E Basement Z ,ist F1. E 2nd Fl. (71M Section Block lot 02
was examined on X MI, 16r2000 and found to be in compliance with the National Electrical Code,
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT, KX AMT, I K.W. AMT, K.W. AMT, KX AMT. I H.P.
31 5b 1
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS SELL UNIT HEATERS MULTI-EMS OUTLET
DIMMERS AMT. I K"W. OIL H.P. GAS H.P. AMT, NO. A.W.G. AMT, AMP, AMT; AMPS, TRANS. AMT, I H.P. NO,OF FEET AMT. WATTS
1, 30
- SERVICE-DISCONNECT— No,_OF �S_ .�. E .�R_.. . V -_C _E_ —
METER 1.
NO.OF CC COND. A.V G. A W G. A W G.
AMT. AMP, TYPE EQUIP, 10 2W 10 SW 3 0 3W 3 0 4W PER 0 OF CC.COND. M OF HI-LEG' OF 10-0 NO,OF NEUTRALS OF NEUTRAL
1 113,11) C.t3 1 x 1 2 A) i I,/0
OTHER APPARATUS:
0 8T L1%h,P-
111.li ,,'Alf D, HOA1iTLON
24,46 JAP� REY ST. GENERAL MANAGER
Per
This certificate must not'be altered In any mannor; return to the office of the Board If Incorrect. Inspectors may be identified by their credentials,
PARINI
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
GENERAL INVPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building$L Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depaj—
Inspector's Initials
NAME: 4 PERMIT#
LOCATION: *0 ?iW
j LA DATE : C>
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respon! b Ic for
providing protection fro t ifireczing
for 48 hours following t1-c placcmen
of the concrete.
Materials for this purpose(n site
Foundation/Wallpour—Reinforcement in Place
3proof]
Foundation/Dampproofij:K
Backfill Appro-va
Plumbing Under Slab
Plumbing Vent/Vents in Plax
Rough Plumbing_
Heating Ron - n _V11
":Its
Foundation Walls Interi! R-
Foundation Walls Extcn r R-
Floors
Walls
Ceiling
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 Scaled
Fire Wall 2,3,4 hour
Firestopping
GENERAL 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 im/pin
Inspector's Initials
NAME: PERMIT# I
LOCATION: DATE:
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Fo s
Monolithic Pour Form
Reinforcement in Place
The contractor is responsib for
providing protection fro eezing
for 48 hours following t e placeme t
of the concrete.
Materials for this purpos on site
Foundation/Wallpour
Reinforcement in PI
Fdundatid, amppr fing
Backfill Approv
Plumbing Under Sl
Plumbing Ven is in Place
of
Bing-
eIeating a*
Insulation
Foundation ails Interior R-
Foundation ails Exterior R
Floors R-
Walls
R-
C g R-
Duct wo or piping in
unheated spaces R-
Par.NZEMc yet
.0 goR
r?';J7tk'Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam-
,owk4lufflifir"w"Won Barrier
10%Fire'Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2 topli_hour
I'5Qwlto' Opp
-t-C)VVrsI OF ClUIEIElM,<3E3UFZVr
C:jUF—:=F—=MSE3UFZ'V, W`ir 12804
C518) 701-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT it
NAME
LOCATION
SCHEDULE INSPECTION ON 2
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
HC:)aD INSTALLATION
INTERIOR FINISHES
STORAGE_
CLEARANCE TO SPRINK\ERS
CLEARANCE TO HEATIN UNITS
REQUIRED SIONAOE
JH I M N EY
VV OD STOVE
IREPLACE - MASONRY
FIREPLACE - FACTORY BUILT
(DK TO THIS DATE
INSPE0tOF;Z
GENERAL 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 pm Depart In i�� pector's
NAME: ' t\ S PERMIT#
LOCATION: Q DATE: /
TYPE OF STRUCTURE:
RECHECK
NIA YES NO COMMENTS
Footings/Piers E
Monolithic Pour Form
Reinforcement in-Place
The contractor is respo ible fo
providing protection fr m ng
for 48 hours followin the pl cement
of the concrete.
Materials for this pu on site
Founds 'onp°
Reinforcement in PI
Foundation/Dam ofing
Backfill Approval
�iumbing=SIPlumbing e is in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation W is Interior R-
Foundation W s 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 Seated
Fire Wall 2,3,4 hour
Firestopping
TOWN OF QUEENSBURY
BUILDING - & CODE ENFORCEMENY
`742t-- Bay Ruiaa -
Qutetensstvur-y NY XZB64
(518) 7e51-82515
SEPTIC DISPOSAL SYS-rE INSPECTION
Name
Loca-tion
D a-t e- Y-m-j -t #=:2,!!�
SOIL -TYRZ!! ' r �an d am--CI ay-
-'V
Rasul iso-F Per-c olat-ion Tes-t-
( I f�' applicable ) Rate-Minu-te/In.4t: h
TYPE OF SYS-F-EM=
ABSORPIrXON FIELD : Tlo",-tal Length
Leng-th of each
Dop-th o-F trenches to
of stone 47
SEEPAGE PXYS : Number 4f &
Size - X -�, - At -F-t
Stone size &
PIPING: I z e
BI c1g . -to Tank
Tank to Dist ® Box
Dist— Box to Fii-e-ld/Pit.
Openings Sealed? Yes-f:F No Par-tial-
L-OCAXION/SEPARAIrIINS
cs :
Funda-tl o fto n Tank - -F -t
7- - uC730�-
Founda-tion to -Absor- 1C)n
i-
Sapaa7tion of" -t Pis -t
Con-Forms as perP1 Z�Zpvl an Y ie S 0
1-vOCA-TION OF - SYS-TEM ON PROP
crce ne )
Fro Rear- Le-Flt Sid R i kt S
M d cd,I e Ir on t- M d'dl o ea
i �R-� i R
COMMENTS
SYS-IFEM - USE APPROVED-- S
g8"�bL3fsot, L-V. eS
99'9£ t
aim
",- a*"6e�-or-�s .� , or b leve Itenec
vidence of,
a1l.objects such as hones, well ,treesEs, etc., J 5z' Z
shown on this docume . l also. eprese .t that l,have
,. he disc« es set forth on the.diagram. � `':
persona measure the . ._.. ... . _ .. --�.
�04n-a--I-
SIGMA E DATE,
♦V-i.
Q -� Y$' ff
ct-
40
:..... ' '
�`. • 1 . � �-- � •
- po
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GENERAL INVPECTION REPORT L
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request recej1-:z5
Building& Code Enforcement 742 Bay Road
Queensbury,N�' 12t3t)4 Arrive � :`:�'[t� DInspector's/� C
NAME: lG�`�l - - PERMIT#
04-1�`� LOCATION: G�k- DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers —�E
Monolithic Pour Form
Reinforcement in Place
The contractor is resri,�cmcnt
providing protection
for 48 hours followit
of the concrete.
Materials for this purp
Foundatidn/W-alivour
Reinforcement in Place
Foundation/Da mpproofi ng ol
�ack(ill Approval
Plumbing Under Slab -
Plumbing Vent/Vents in P ace_
Rough Plumbing
Healing Rough-In
Insulation
Foundation Walls lntcrior R-
Foundation Walls E:ktcrior 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 Scaled
Fire Wall 2, 3,4 hour
Firestoppmg
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
QueensPuuryq NY 12804 Arrive am/pm Depar�_, amlpm
Inspector's Initials
NAME:
`�� SC� l� PERMIT#
LOCATION:� ;�L a=t�!t® g - DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YR60 COMMENTS
ootingslPiers . 1
Monolithic Four Form .00
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours followin the placeme t
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 1
Foundation Walls Interior
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/Readers .
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour t
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping