2001-795 TOWN OF QUEENSBURY
too 742 Bay Road, Queensbury,NY 12804-5902 (518) 761-8201 •
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010795 Date Issued: Thursday, February 28, 2002
This is to certify that work requested to be done as shown by Permit Number P20010795
has been completed.
Tax Map Number: 523400-295-020-0001-021-000-0000
Location: 53 FARR Ln
Owner: TRA-TOM DEVELOPMENT, INC.
Applicant: TRA-TOM DEVELOPMENT, INC.
This structure may be occupied as a:
By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Garage - 2 Cars Attached
I/-
Director of Building&Co.e Enfocement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010795 Application Number: A20010795
Tax Map No: 523400-295-020-0001-021-000-0000
Permission is hereby granted to: TRA-TOM DEVELOPMENT, INC.
For property located at: 53 FARR 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: TRA-TOM DEVELOPMENT, INC. Single Family Dwelling 189,000.00
804 STATE ROUTE 9 Garage-2 Cars Attached
GANSVOORT,NY 12831 Total Value 189,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
FARONE CONSTRUCTION
PO BOX 804 ROUTE 9
GANSEVOORT.NY 12831
Plans & Specifications
2001-795
1714 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$266.68 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,November 01,2002
(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 wn of queensbtuy• Thursday,November 01,2001
SIGNED Y !. ' for the Town of Queensbury.
Director of • Code Enforcement
Building Permit Application
Town of Quccnsbury—Dept of Community Development, 742 I3ay Road, Qucensbury, NY
' p\e(') •
60i-(e(s>7 13v
A permit must be obtained before beginning construction. Permit File No s
No inspection will be made until applicant has received a Fee Paid (- '7 5
valid building permit. All applicants' spaces on Ihis ' Rec. Fee Paid -application must be completed and must appear on the Reviewed 1 _ i ?a/tic)
- application form.
Thomas Farone Thomas Faron�
Applicant: Owner:
Address: P.O. Box 804, Route 9 Address:—Tr•O. -Box E104 , Rout 9
Gansevoort, NY 12831 Gansevoort, NY 12831
Phone# (518)587 - 8989 Phone# ( 518) 587 - 8989
FAX: 518 584-2093 Office contact person: Geri Pastore
Property Location: Lot Number: / House Number 5 3 / k7A-a- h
Subdivision Name: Indian"Ridge Tax Map Number: --
6 ..4w.i.,245,5A,
u New Building: residence / •ommercial Estimated Market Value of C onst uction: $ 1.S IJ (�
u Addition: iesu ice/ commercial if an ddition, what will use of new addition be'?
❑ Alteration: residence/ commercial
O No change to exterior size: residence/corn'!
u Other work(describe -_) •
Check Oceupancylnfortttalioll I'" Floor 2"'t-I'loor Other floor Total
Below sq. ft. sq. ft. sq. ft. Square Feet
❑ Single family dwelling 12 Q IA 1 of 1--7 1 V
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
i/of units _
❑ Office _
o Mercantile
❑ Manufacturing
o 1 car detached garage
❑ 2 car detached garage
o 3 car detached garage _ - ___
- 1 car attached garage
2 car attached garage b 1,0 Ova
.>< 3 car attached garage
U Storage building-
commcrcial _
o Storage building- -`-- _ ------- -
residential
❑ Other
Will any second-hand or ungraded lumber be used? If so, for what? 0
Type of I Icating System: electric/ oil gas/' ood / forced hot air/ baseboard/other:
Number of Fireplaces,to be installed tit Number of IJ'oodstoves to be installed a
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder Thomas Farone same as above
Plumber C & G Plumbing _ 654-7477
Mason Heath Russell 796-3033
Electrician Modern Electric 584— 8341
Declaration: please sign below alter 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 Iuilding Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall he complied
with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that Uwe shall
submit, prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested by the Zoning
Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location OI'' construet]JC?71�
Signature: (( _ owner,owner's agent,architect,contractor
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256
1. OWNER INFORMATION: Indian Ridge Subdivision - - --
Office Use
Location of installation:Lot No. 9 / House No. .- � I gs
Road Name: _I� / ! File Permit Nw -X—A
Tax Map No. / /
• Fee Paid
Owner's Name: Thomas Farone
Address: P.O. Box 804 , Route 9
Gansevoort, NY 12831
2. INSTALLER'S NAME : PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrm =
1980- 1991 x 130 gal/bdrm =
1991 -present x 110 gal/bdrm = 1 CiegD/
Garbage Grinder Installed y s_ / no Ocr
Spa or Whirlpool Installed yes_ / no ¢
E U1 1, Qt./Eats
4. PARCEL INFORMATION: (circle applicable information &indicate measuremen a At�,eo R?
C
p raphy it Nat re Ground Water Bedrock or Impervious Material Domestic Water Supply
Flat san at what depth at at depth municipal
Rolling loam `<feet feet well
Steep slope clay if well; water supply
_%slope other from any septic-system
depth: absorption is 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: .19 gallon (min. size 1,000 gal)
Tile Field: each trench )OD it. Total System Length: 2S fl.
Seepage Pit(s): number of size of each: 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 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 e Town of Queensbury Sanitary Sewage Disposal Ordinance.
D
natu f sponsible person /,/,, D�te
101104. TOWN OF QUEENSBURY
���I1 BUILDING & CODE ENFORCEMENT
F � 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESID NTIAL
DATE gbNSPECTION REQUEST RECEIVED: 7 '
NAME 3"--oke—LOCATION 39 k-A-r-kr__Yi_4iZAL:.
DATE PERMI claw-7 94
TYPE 0 S' RUCTURE ✓✓7 J-L
FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC INSULATION _
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEI 1T
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
i)
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY,DOlORS
FINISH FLOORS: I
BATH/KITCHEN WATERTIIPP-.}
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED f
STAIR CLEARANCE/RAILINGS I
SMOKE DETECTORS 1 •
BATHROOM FANS I
PLUMBING FIXTURES I I
FOUNDATION INSULATION Jf '
GARAGE FIRE PROOFING I
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE RHO. '
J FINAL SURVEY PLOT PLAN C
OK TO ISSUE C/O OR C/C
..
m c_ ,.
....
,_
RESIDENTIAL FINAL INSPECTION REPORT -
Office No.(518)761-8256 Date inspection request received: /:)..?/6
D—
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart L____• °IartyTown of Queensbury Inspector's Initials L
742 Bay Road
Queensbury,New York 1 6119-0 / p
/ � PERMIT l�79kS
NAME pyr c)� 313 DATE
LOCATION i �.,/'/` �/�
TYPE OF STRUCTURE
. N/A YES NO COMMENTS
S Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake f
Plumb Vent through I-. y
Roof Complete
Exterior Finish Comp.-to
Interior/Exterior Ra. .1. s 3 e"to 36"
Exterior Handrails,bal..nie�landing 18 in.or more /
Interior Handrails stairs i oth ides 3 or more risers ✓/
Grade 2%away from fo ..lion
8"clearance to sill plate
Gas Valve shut-off expose. 6gulator 18"above grade /
Gas Furnace shut-off within k feet or within line of site ,/
Oil Furnace shut-off at entrance o furnace area
Furnace/Hot Water Heateyoperat. g _
Relief Valve(s)install
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides mo • than 3 risers_
Interior privacy/trim/doors/main entrance 36" /
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 .or more
Railing across window in stairwells
Smoke Detectors:
every level •
every bedroom
outside every bedroom •
inter connected • /
Bathroom fans ,/
Plumbing fixtures �
Foundation insulation Olti-PCel-B
%hour fire door/door closer f
Garage fireproofing L l 4U67''�G-- i i liti .el.- G 6 lX=-
_
Garage penetrations sealed /
Furnace in separate room protected(in garage) �/
Light ventilation per room
Safety glazing 18" Jquir!
ess oor
Final Electrical 7Z Mr) l4--
Site Plan/Variance S
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&Code Enforcement Y3ne.7
Dept.of Community Development Arrive am/pm Depart)
Town of Queensbury Inspector's Initials fc>
742 Bay Road l•'
Queensbury,New York 12804 NAME �cCZ C� PERMrr# 0 1-7 6c
5J
LOCATION DATE 212.C4,
TYPE OF STRUCTURE
N/A YES . NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location T
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stair both sides 3 or more risers
Grade 2%away from 'oun•:tin
8"clearance to sill pla e
Gas Valve shut-off e ..sed/regut or 18"above grade
Gas Furnace shut-off wi •'n 30 feet within line of site
Oil Furnace shut-off at en i ice to ce area
Furnace/Hot Water Heater o.•; ating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both si m e than 3 risers
Interior privacy/trim/doors/main entrar e 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Pl�unbing fixtures ✓/
oundation insulation
hour fire door/door closer t//�
Garage fireproofmg ,/
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
/ZR(Final Survey Plot Plan (/,6 llR/1,CT
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) k.)
TOWN OF QUEENSBURY .
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queen_sburyNY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name F3) R n o.F_
Location l2R FiaRR UPtiEE__
Date 2 -4,,. Permit # 2c i\- fl
SOIL TYP: : Sand-Loam-Clay-
Results of 'ercolation1Test-
(if applica►•le) Rate-Minute/Inch
TYPE OF SYS M:
ABSORPTION F . LD: Total L-ngth
Length of eac' trench
Depth of trenc ,e>;
Size of stone '+.
SEEPAGE PITS: N, ber-
Size - ft. • ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pi ►
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan T es No
LOCATION OF SYSTEM ON PROPERTY
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
SYSTEM USE APPROVED: 62/1/ /°//
Arrived:
Depart_
.,,, -,
IS. .7 .. Air/ 4
:u" d'ng nspec , 1"
F4i21?. 2-J301 —4ci5
)1-fm"6,c4
• _1,
s •
s
[
--1
•
--[
Iptv_s)
• •
• • - -
,1 .
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 m
•
Inspector's Initials �JG
NAME: C - PERMIT
LOCATION: 94 (`�e[ �r DATE : — qv)
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-7-1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection •om freezing
for 48 hours followi g e placement
of the concrete.
Materials for this pu ..•se o site
Foundation!Wallpo
Reinforcement in Pl.ce
Foundation/Damppr••fing
Backfill Appkal () �
Plumbing Unde? . -•
Plumbing Vent/Vents Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exteri• R-
Floors •
Walls R
Ceiling R-
Duct work or piping in !f O c j R u5 5 /lJ*14 l ,o-ra
unheated spaces R- o 4'i 77-5
V Attic Vent /�
N./Flaming -4� / % /1rsG i 5 IBC—,���.�?C�
Jack Studs/Headers l� `��w j t;D C 13C- Slot) GAR 1 Po
Bracing/Bridging �9)-7-2�c�7 /�q-c-rtiK-=
Joist Hangers
Jack Posts/Main Beam_ j_ /�],�.
Air Infiltration Barrier
Fire Separation 1,2, 3, hour Cx PO _LIO ��- J 6p3
Penetration Sealed
Fire Wall 2, 3,4 hour D L.T) G
Firestopping
5"3D
GENERAL INSPECTION REPORT \ I�
( 518 ) 761-8256 6
Town of Queensbury _
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart ` a �/
Inspector's Initials c , ''
NAME: �a���N� fi= r ( n PERMIT#42- 7S
LOCATION: ,._ r 3 DATE : „„200d______
TYPE OF STRUCTURE: -ID
RECHECK
N/A YES NO COMMENTS
Footings/Piers_ I—I-- I
Monolithic Pour Form
Reinforcement in Place r-,.
The contractor is responsibl\for
providing protection frp m freezing
for 48 hours following he placement
of the concrete.
Materials for this purpose n sit
Foundation/Wallpour
Reinforcement in Place 1
Foundation/Dampproings'
Backfill Approval-----
pproval oo f
Plumbing Under Slab 1
Plumbing Vent/Vents in Pike
Rough Plumbing
7.
H ng R -In 1 V �' `
sulation K �G f?
Founds on Walls Interio R- ,
Foundation Walls Exterijor R-
Floors iR-
WallsIR-
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
I
TOWN OF QUEENSBURY 'E
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804 !
(518)761-8256 L — — —_... —-1
r I
SEPTIC DISPOSAL SYSTEM INSPECTION 1
1,e% c�9 cc��
1.
Name rpca0r4C— 27,866 sq. ftt
0.64 acres 1
Location L 0�39 ��e"� l . m
1
Date I. 26 o Permit # 0V 7C1 ' )_
N i I O(/fL1
SOIL TYP : Sa, •-Lo. -Clay- ! 1
Results of 'ercol ; on Test- I 1 w
(if applicable) ' . --Minute/Inch 3
TYPE OF SYSTEM: i g r
ABSORPTION FIELD: otal Len th 'ZZ M r
Length of each t - ch y. -{g� 1 N
Depth of trenche i. 1� 43.4'
Size of stone
SEEPAGE PITS: N be IDSEQ
Size - t x ft. 1SE
Stone size
PIPING: ` - Size Type
Bldg. to Tank 1�-`` ��'r I
Tank to Dist. Box t+
Dist. Box to Field Pi _ vk . II
Openings Sealed? es No Partial - 1 '
LOCATION/SEPARATION. . • I
Foundation to Tank (L.feet
Foundation to 'Absorp' ion .fe.et . . -- ----- -' " ~
Separation of Pits eet I 1
Conforms as per Plot 'Ian Ye No
LOCATION 0 SYSTEM ON PROPER
(circl 'o e)
Front Rear Left Side - Right Side i 5.00'
Middle - . - Middle Rear 90840'o�"W
•
COMMENTS: • , .
FARR LANE
•
_ SYSTEM.USE APPROVED: • YES NO
, r-----.-----
Arrived:
Departed: '(i,
C 'llV
Building Inspector
I
I
9?1A1r5L& s
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: " l0' D/
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart / /gm
Inspector's Initials )Pc"'
NAME: �YL1 -;- PERMIT# d__0-0+ 1q
LOCATION: L DATE :
TYPE OF STRUC •
RECHECKdOttg
N/A YES NO COMMENTS
Footings/Piers �— l
Monolithic Pour Form
Reinforcement in Place
The contractor• res nsible for
providing prot ction from freezing
for 48 hours f llowing th- placement r
of the concret . ? ( ((.w
Materials for this urpose on site
Foundation/Wall..ur
Reinforcement in ' ace
Foundation/Dampp ..fing
13111l Approva
Plumbing Under Slab
Plumbing Vent/Vents i . ' ace
Rough Plumbing_
Heating Rough-In
Insulation
Foundation Walls Interi.r R-
Foundation Walls Exteri. R-
Floors
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
.r�
1)1 00T)
,k35d
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road - 2'
Queensbury,NY 12804 Arrive am/pm Depart'
Inspector's Initialslj G`��
NAME:�� Y Q'1'\,� ,S YU� ' ()f ERMIT# �/ 1^ 7
LOCATION:t 3 of Nr-oZ&ri\—e_ , DATE : )
TYPE OF STRUCTURE:
RECHECK
N/A YES O COMMENTS
otings/Piers � / I
Monolithic Pour F
Reinforcement in Pl ce\ L -
The contractor is r nsible for
providing protection gm freezing
for 48 hours followiny a placement
of the concrete.
Materials for this purpose oi site
Foundation/Wallpour
Reinforcement in Place \I
Foundation/Dampproofing !
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in ace
Rough Plumbing`—�
Heating Rough-In
Insulation 1
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
o-q , /-;
.%// ' !
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
'...b —
742 Bay Road T
Queensbury,NY 12804 Arrive am/pm Depart '
Inspector's Initials
NAME: 0\X-CISc Qj - PERMIT# C LYJ i / l\-J
LOCATION: r'is,_cc� d _ DATE : & ) - J) -0 1
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-7-1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from fr9efikig
for 48 hours following the acenient
of the concrete.
Materials for this purpose on site 1
Foundation/Wallpour I
Reinforcement in Place 1 1
Foundation/Dampproofing /
Backfill Approval 77
Plumbing Under Slab s
Plumbing Vent/Vents in ce
Ro Plumbing
eating Rough-In [
Insulation
Foundation Walls Interi r R-
Foundation Walls Exteri r R-
Floors -
Walls l f
7—
Ceiling - t/
Duct work or piping in /
unheated spaces - �/f
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
.-----..7J,t.5,s.,,,,,,,,,,,,
--,•,..,
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building&Code Enforcement I b
742 Bay Road f 1 1)
Queensbury,NY 12804 Arrive am/pm Depart ll 1 rip,/
Inspector's Initials � /i;5" �
' NAME: .C(nv2 _;��`��-��. PERMIT#,(X)O (-~7Q$ �� =`''.
LOCATION: 1 fcQS 3�r&c( DATE : —/O—�
�i ) l
TYPE OF STRUCTURE: .jO
RECHECK
N/A YES NO COMMENTS
Footings/Piers —TT
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 sit
Foundation/Wallpour
Reinforcement in Place f
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab �`J
Plumbing Vent/Vents in-Plate
IRo gh Rlumbmg ` _:'
- tingtRou_ghhln—
Insulation — --'_'.
Foundation Walls Interior R-
Foundation Walls Exterior R- _
Floors R- PRp u lb& , ItCLC�S D (RIOC I' '
Walls R-
Ceiling R- ✓ �c C
Duc work or piping in /Ai S/-4-LL c..��-Q ( 1 C67 -' ��
nheated spaces R-
Pr r Vent, Attic Vent /
arn�ng . � ✓ �jc-c v �Lrt-i L 11 13 ' 1\
Bracing/Bridging ✓ 'FUg
Joist Hangers ✓ E`N 05
Jack Posts/Main Beam,—- Iii1"iitrataon airier ✓ 5 i1 4-\ 31 v u o € /vs I4(L De se-- .
'.-----Fire 5 tion 1,2;3-'hour Sit) /_
Penetration Sealed �� (//rz���/� 12 t/55
Fire Wall 2, 3,4 hour
FirRestppping— ✓ ( L 1 v ei& .��g Ac-(A) G
MAP REFERENCE:
INDIAN
PHA
DATED JANL
REVISED A
BY VAN DU'
LAND SUR
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169 Haviland Road Queensbury, New York 128,
(518) 792-6474 New York Uc. No. 50135
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Map of a Survey made for
THOMAS J. FARONE & SONS, INC.
Town of Queensbury, Warren County, New York
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FARONE
NO I DATE I DESCRIPTION I DwG. NO. R-39