1999-241 0110i.
TOWN OF QUEENSBURY
warm
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE
OF OCGUPANGY
Permit Number: 99241 Date Issued: Thursday, December 21, 2000
143
This is to certify that work requested to be done as shown by Permit Number 99241
has been completed.
Tax Map Number. 523400-026-000-0001-001-000-0000
Location: 1635 BAY Rd
Owner. WALTER A. LOCKHART
This structure may be occupied as a:
Residential Alteration & Addition
By Order of Town Board
TOWN OF QUEENSBURY
(3,;/7,
Director of Building&Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 40000 _ . No. 99241
TAX MAP NO. 26. —1-1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to LOCKHART WALTER A.
OWNER of property located at 16 3 5 BAY. RD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a REST ENTIA DDITION nND LTER nTION
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNERS Address is
1635 BAY RD.
LAKE GEORGE,_ NY 12845
2. CONTRACTOR'or BUILDER'S Name. •
LOCKHART, WALTER
3: CONTRACTOR or BUILDERS Address
4.ARCHITECTS Name
NEW YORK BOARD ..
5. ARCHITECTS Address
NEW YORK BOARD OF, FIRE .UNDERWRITERS.. .
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ADDITION.
1 )Wood Frame ( )Masonry ( 1 Steel (
7. PLANS and Specifications
762 gsti FT RESIDENTIAL ADDITION (KITCHEN BATH ADIRONDACK ROOM) , .2—CAR
DF.TACHF.D ( ARAGIF. AND AT.TF.RATTON AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
RESIDENTIAL::ADDITION. AND ALTERATION .
$ 103 PERMIT FEE PAID—THIS PERMIT EXPIRES May. 19 19 2001
Of a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensburybefore the expiration date.)
Dated at the Town of Queensbur 19'` Day of"' ; May ' : 19 1999
� I
SIGNED BY , for the Town.of Queensbury
nd Zoning Inspe
TOWN OF QUEENSBURY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date ,19
Permit No.
00 4
APPLICAT ON 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 )k/few` /oc/r ,t 7- APPLIANCE (check appropriate boxes)
Address /6.7r A le( ❑ STOVE: 0 Wood inCoal inPellet ❑ Gas
C 0 FIREPLACE INSERT
,/li , II - /1( Zip 12--T((r 0 FIREPLACE, FACTORY-BUILT:
Phone 71 - Ol/r d REPLACE ❑ wood ❑ Gas
FI ,. M jSONRY:
x'Wood ❑ Gas
Owner f/Qfr-e -' 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone 2e'U Cle�z E-2�
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
, �' 0 MASONRY: 0 Block 0 Brick one
��S ®'Stone
0 Tile ❑ Steel
Size: inches
CONSTRUCTION HNSTALLATION MUST 0 FACTORY-BUILT: ?ne/ecfelnrf
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS 0 Double Wall rtriple Wall
REGARDING REQUIRED INSPECTIONS. 0 Ip�rssulated 0 Direct Venting
6Thimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title G.) f_
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
Fee Collected com Ref nded to: �fi4-er/72-0<-, e
Address:
Dated: A2 iq y Town Clerk or Deputy: `
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
THE NEW YORK BOARD OF FIRE UNDERWRITERS I CERTIFICATE NO.
DO NOT WRITE HERE-FOR OFFICE USE ONLY
//
BUILDING PERMIT NO.
TEMP.# DATE Ct ,f"/
CITY0e 6 f-71 Zl2 1/'.� ,/ o . QQSN NO.OR ROAD POLE NUMBER
7 ' �q /2f
BETWEEN WHAT TWO CROSS STR ETS IS PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT NA ��` / � /r7� BUILDING OCCUPANCY
OWNER'S NAME AN ESS C 6�// RK HOME Ty PHONE NUM ;B fd•
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBERUME
BUILDING IS ��TJ
NEW 111 OLD WORK IS NEW CIADDITIONAIIt1] DEFECTS REMOVED ElLI BELOW ALL EQUIPMENT WHICH YOU INSTALLED 111
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles _ CIRCUITS ONLY
lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE Z .
DE /-✓
SUB-
BASE
BASE- !e 6 1 L/
MENT do
J
FT. /o zoo. Z. v
FL.
FL. V
FL.
3rd
FL.
REMARKS:LIST OTHER ECT AL DE CES NOT T FORT ABOVE. '
/Yo 7C Gf7/� f G/ 7 7V<r ;,'a/-e7` 0`'1
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS
CHARACTER OF WORK ❑EXPOSED Applicant affirms that there is not an application for electrical
CONCEALED inspection pending with a qualified electrical inspection
DATE OR O BE STARTED�+ �TE COMPS COMPLETE authority, for the installation listed herein.
(/�/ f /' This application is valid for a period not exceeding one year
�{-y VICE E ERS BIfILDSNG "//7/from the date received by the Board.
IVOVER EAD ❑�UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANT'S
IDENTIFICATION NUMBER-
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF.iP J A�IT/e� ZDC� /�� �,ti DATE OF APPLICATION S U AP //
STREET ADD ESS/J7 6/ / TE EPH NE N`O��
0020
CITY R PO OFFICE ZIP O E LICENSE NO.WHEN APPLICABLE
❑ 85 John Street 111 Washing on Ave. ❑ 3291 Lake Shore Road ❑ 217 Lake Avenue ❑202 Arterial Road
NEW YORK, NY 10038 SUITE
704
NY 12210 BUFFALO, NY 14219 ROCHESTER, NY 14608 SYRACUSE, NY 13206
(212) 227-3700 (518)463-2122 (716)827-1155 (716)254-0141 (315)463-8552
THE NEW YORK BOARD OF FIRE UNDERWRITERS
„.- - uiIding Permit Application •
Town of Queensbury - Dept. of Community Development, 742 Bay Road,:Queensbwy, NY 12804 /761-8256/
NOTICEJ
° BUILDING & . CODE ENFORCEMENT
Requirements prior to issuance r
A permit must be obtained before of this permit: PERMIT FILE NO. 'If-,
.2 L//
beginning construction. No inspections es6
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$ 1A5.
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEE PAID$
MUST be completed und•the signature n Planning Board Action
of the applicant must appear on the REVIEWED BY:
SPR / Subdivision /Other Building Inspector
plication form. nix yo,, �- // //Recreation Fee Payment / /
Applicant: 4?//er' ../,OC/-'/jgr'' Owner:ES-2 -7 4J /37/4,
. ' Address: /625.-- (877 /(c �4//eao ess: /0)-d ,02c/r4 . 6j �rd F r
'2 POs-' N 7 . /Z r v
Phone # (fi V ) 7/ - O/re, Phone # ( t
Property Location: , .�"-/'1-Q qtr ��UrJ-S,.• /
Subdivision Name:
'fax Map Number• :461__LI
Section Block I.til
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: .$ zzo'
residence / commercial
___Addition to Building:
eresidenee`,v,/ commercial OCCUPANCY INFORMATION:
AlteraEion to Building: Pri ary Building -
residence / commercial Single Family Dwellin
Residence / Commercial Two Family Dwelli t ' '' IVP
no change to exterior size Family Dwell ng-
Mercance
MAY 11 1999
Other Work (describe below) Mercantile
Manufacturing TOWN OFQUEENSBURY
Other BUILDING AND CODE
GROSS AREA OF PROPOSED STRUCTURE: •
0 1st Floor 7 a sq. ft. 4 1'° ' If ADDITION, what will use
of aew addition b ? ;
i nd .Floor 5- 0 , sq. ft. 4/I /77t- ?�-yi ht� ric*rU��,-/r* evos
a/0 Other Floors sq. ft.
Cn (not unfinished cellar or basement)
ACCESSORY BUILDINGS:
• /' Detached Garage 1,0 car 3'
TOTAL FLOOR AREA: C Z SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: /, // Commercial Storage Building
Z FEET ••X e_c FEET U/ v 11, Other
Foundation Type: C .-P C/ ' Will any second-hand or ungraded
' Number of Stories : *L, lumber be used? If qp2, for what?
(habitable space only) f ' 7-0 ./ ) `' / 7..5
Height (grade to ridge) : 1 "t —
feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle al .rich appli-
to be installed: , / Electric 0' _ / Gas / Woo.
. Forced Hot Air / Baseboard / Other
Person responsib e forsupervision of work as rec�a,rds o buildin
g
codes is : ,� /7 <'oc •r.7 4$x % ,G.' 7 7 —0(187-0
pme7, / _- A dress.s AloneBuilder: '7P /, IA74•- //1 44ri/1y //%/�-77j ? --- 74/�--3Y5�7,
Plumber: C/ / /c/i Kew i. Al1 tti.# /Cc/ C/ /// • 7y '- 97d 2.
. .. Mason: R/c//r ./ec e i' /7,7.5- ma's c Or/7°
Electrician: ('Ir•%' 1414/' 0 17 � 41;77 fir/ /P/157✓4//J 757-57 -
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, arc 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
0 Other laws pertaining, to the proposed work shall be complied with; whether specified or noted, and
L!' .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, an\AS BUILT PLOT PLAN by
a licensed surveyor; drawn o scale, showi actual atio of project on.Premises...
Signature: F , c/�
(owner, owner's ent, architect, contractor)
Ilki Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury Permit Nogg—dit 1
Dept. of Community Development ,
Building &Codes Office
742 Bay Road Fee Paid $
Queensbury, NY 12804
Location of property for installation: Air-r- y
We. C /47/7--_-,-, 6-- ,,j, z�/G /
Property Owner's Name: af,/,--te `l� -
Property Owner's Mailing Address: --)--/d/n- ----- -
Installer's Name: C /'/S d rGvi7(76 - Phone #
e
Number of bedrooms (if residential): -3 Total daily flow: 2/5-0
(residential -compute @ 150 gal./bdrm.)
Topography: flat, ro g, steep slope % of slope
- Soil Nature: sand, loam, clay, other /depth:
Ground water: at what depth? /5- feet / Bedrock or Impervious Material: at what depth? feet
Percolation test: not required, req ' ed [rate J W►A/nin. per inch]
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is (C.0 feet. •
PROPOSED SYSTEM
Septic tank: /000gaIlon (minimum size: 1,000 gal.)
Tile field: each trench 50 feet / Total system length: O , feet
Seepage pit(s): number of / size each: . ft. by ft.
Size of stone to be used: # / depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: - Size of each: gallons
(Alarm system and associated electrical Rork to be inspected by a certified agency.)
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or
of piuval granted which is based upon or is granted is reliance upon any material raisrepresenta6on 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
Signature of responsible person: Dat*X...4 —ff
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_ _ ENERGY CODE COMPLIANCE APPLICATION
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:
•
•
dea/41 de 1394-7 "4/a4/;e C,00,;).-t, lZred---
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - square feetfi
•
2 . Type of Heat - Electric Oil Gas W Other
3 . Is building mechanically cooled? Yes )( No
4 . Percentage of area of windows and doors /3 Over 17% Under 17%
5 . R--VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED: d
a . Roof R 3 D
b . Exterior walls R / F
c . Glazed areas R
d. Exterior doors R 2 , 8'
e . Floors over unheated spaces R /?
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R /0
h . Basement/cellar walls (below grade) R /O
i . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code -Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° — WILL NOT BE EXCEEDED
S • D/a�e Phone Number
/i"
INSPECTOR' S REMARKS:
_, FIRE MARSHAL
/, `'` �. TOWN OF QUEENSBURY
{`3j•, QUEENSBURY, NY 12804
'_"..•y'' (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME L e,c-1-. T.
LOCATION I(p .5p4 \ PERMIT# I q— 2 /
SCHEDULE INSPECTION ON 1?— -z‘- \o
AM PM
I
ir
ii APPROVED
tr• N/A YES NO
EXITS
AISLE WIDTHS �'
EXIT SIGNS =. of
EMERGENCY LIGHTING
p
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER'SYSTEM/
k I*' •
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATU N
,
/
INTERIOR FINISHES lci.
'i1:i
STORAGE: '( I,
b
CLEARANCE TQ SPRINKLERS
CLEARANCE TOHEATING UNITS
REQUIRED SIGNA`GE •\,
CHIMNEY / \
W STOVE°
IREPLACE',❑MASONRY F CTORY BLT.
❑ OUGH-IN
FINAL 7
REMARKS OK TO THIS DATE
'1
'1 \
\,,, \
��4
a
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INSPSLIP.PUB INSPECTOR
•
l- 0
;:„. .
, .
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received/
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart/�'. i pm
Town of Queensbury Inspector's InitialsCV
742 Bay Road ,_ ,.
Queensbury,New York 12804 =_ `'�.,
NAME LOG(<k lZ I, ''may PERMIT# C° V`L4/
LOCATION �� , /e"° i DATE_L ) Z L- 11
TYPE OF STRUCTURE
N/A YES/ NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location \ ✓
Fresh Air Intake ✓/
Plumb Vent through roof `'�
Roof Complete ✓/ r`'
Exterior Finish Complete u� �, ?-y
Interior/Exterior Railings 30"to 36"Exterior Handrails,balconies,landing 18 in.or moreInterior Handrails stairs both sides 3 or more risersGrade 2%away from foundationV/7
�,.8"clearance to sill plate r.
Gas Valve shut-off exposed/regulator 18"above grade ✓ \
Gas Furnace shut-off within 30 feet or within line of site / r,
Oil Furnace shut-off at entrance to furnace area .,./ /`'
Furnace/Hot Water Heater operating v,'' 'ti
Relief Valve(s)installed V// N
Headroom,6 ft.6 in.on stairs / ,,
Basement stairs,6 ft.4 in. !f�
Handrail exterior stairs both sides more than 3 risers / /
Interior privacy/trim/doors/main entrance 36" ,/ J/ /�� /�
Floor Finish / V/
Bathroom/Kitchen watertight ;�/�
Interior Handrails Balconies/Landing 18 in.or more •
Railing across window in stairwells
Smoke Detectors: d' 47; \
every level a//
every bedroom / t/r/
outside every bedroom / t,
inter connected +// s
Bathroom fans /
Plumbing fixtures / li
/
Foundation insulation ;I /
•
3/4 hour fire door/door closer / ✓� 1
Garage fireproofing , ,// / �.'•ry
Garage penetrations sealed //
Furnace in separate room protected,(in garage) v , / l
Light ventilation per room ,/
Safety glazing 18"or less from floor ✓ - \Final Electrical / V \,
Site Plan/Variance required I / \\
Final Survey Plot Plan / J
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)
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/ a Z m/ m/
Inspector's Initials g-
NAME: c`Y \--- . PERMIT# ___I-al.-A
LOCATION: V0,3S \ � DATE : \\- C')8�9
TYPE OF STRUCTURE: • C `7_A--..
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form .
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
f9r 48 hours following the .lasement
of the concrete.
Materials for this purpose on site_
Founda i Wallpour
Reinforcement in
Foundation/Damp.roofing
Backfill Approv:
Plumbing Una r Slab
Plumbing V' t/Vcnts in Place
Rough Ply bing
/
Hea a ou -In
Alion (' � ��
oundation 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
•
' 3-0
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart:v : -
Inspector's Initials
NAME: LOGKRT"12-1 PERMIT# C—Z
LOCATION: 64-Le t . DATE : iY
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers � I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placemert
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
eating Rough-In ✓/ ��L_ <
[nsulation C`T 1{�pyQ6Ave.
.
Foundation Walls Interior R
Foundation Walls Exterior R- ,l 1 6UL . W ecu&iO-- rf'
Floors R-
Walls R- �(OP'1 't26.
Ceiling R- "36 •
9 _
Duct work or piping in ADD l U L. `'` �d� d _ *�U 40
unheated spaces R- „Z F L
Koper Vent, Attic Vent
i Framing A6v44„. C 41)-E9 I SC:
Jack Studs/Headers
'racing/Bridging
',Joist Hangers_
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed -
Fire Wall 2, 3,4 hour
Fircstopping
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name L.ocgc(AR —
Location A� Av3 .
Date /p4 69 Permit # 7-4(
SOIL TYPE: Sand-Loam-Clay-
Results of of Perco ation ,est-
(if applicable) 'ate-Mi ute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELI : Tota Length _
Length of each rench
Depth of tr-nche s
Size of stone
SEEPAGE PITS: umber-
Si - t. x ft.
one size
PIPING: Size Type /
Bldg. to Tank 4 5cO O
Ta to Dist. f;ox
Box to F eld/Pf(st.
penings Sealer ? No Partial
LOCATION/SEPA'ATION
Foundation to ank feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot P1 an Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
SYSTEM USE APPROVED: NO
Arrived: ,
Departed: c
J129-
Building Inspector
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name /1/Caxier
Location 44,5' O
Date 0 /q f/f Permit # 7g''2,e/
SOIL TYP : SanS d-Loam Clay-
Results of Percolation est-
(if applicable) Rate- in to/Inch
TYPE OF SYSTEM:
ABSORPTION Ft LD: To'al L••n.tji , 5v
Length of eac trenc
Depth of trench s
Size of stone INF
SEEPAGE PITS: Numb,T-
Size - ft. . ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank. to Dist. Bo " 'cig VD
Dist. Box to Fi - d/P ' ►• !1
Openings Sealed. es No Partial
LOCATION/SEPA"..TIONS. /
Foundation to /rank ' feet
Foundation to Absorption 4 ? feet
Separation of Pits _ feet
Conforms as per Plot Plan I No
LOCATION OF SYSTEM PROPERT' .
(circle one)
Front - Rear - eft Sj_de - Right Side
Middle Front - Middle Rear
COMMENTS: •7 �
£% -1 7-
SYSTEM USE APPROVED: YES NO
Arrived:
Departed: '/V
Building Inspector
7,, co
-� 2 /toe,
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 Initial
/ PERMIT# Z-
NAME: �iC%�j:f,�/ � ��
LOCATION: ', ' "0 , DATE : 6
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours followin the placement
of the concrete. ti\
Materials for this purpo c on site
Foundation/Wallpour • I
Reinforcement in Place I /
Foundation/Dampproofijng /
Backfill Approval 1
Plumbing Under Slab I •
P umbing VenU Vents in Place N/Rough Plumbing
Heating Rough-In
Insulation
Foundation Wal s Interior R •
-
Foundation Wal s Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
roper Vent, Attic V� t �0
Framing Svr 2, Fu2s
Jack SludHeaders_ �j�
Bracing/Bridging o/
Joist Hangers //Ai7 - //fhtl 65C16 11-49.4)Z-1 t7 pe,L4i
Jack Posts/Main Beam 17. /1):4/(—
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping K (6 t L ,
Iv
-_Z 1:415/ : ' '
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:Building fir.Code Enforcement / i -' e6
742 Bay Road
Queensbury, NY 12804 Arrive am/pm Deparjm/ m
Inspector's Initials
NAME: L o Ci4 e iAI—r PERMIT 4 2 (
LOCATION: 5 210 z DATE : 7
TYPE OF STRUCTURE:
•
RECHECK
N/A YES NO COMMENTS
Footings/Piers —I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsib a for
providing protection from :ee-r_in
for 48 hour following the laccr(ent
of the concr te.
Materials for this ttraise oq s
Foundation/Wallpour
Reinforcement in Place /
Foundation/Dampproofin i
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents/in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation ails Interior R-
Foundatio Walls Exterior R-
Floors ' R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
P °per Vent, Attic Vent / 4/;-.0 ��( � i
✓Framing _ ,/ ,RIAlCo &065/
- - Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
o,
Peppetration Sealed
y re Wall 2. 3, 4 hour
Firestopping L 6 r r= --c7( V C: 1-1-C R... r I a6-STa,`Vt 11)6
VV VA,CA-1 ICI(-AL,IIJr.CA-iuiil int- •
Main Office 176 Doe Run Road-Manheim,PA 17545
\-• MUNICIPAL CERTIFICATE - ELECTRICAL APPROV
Panel Board No Cert. 0 Owner Cut-in Card No.
1 0e0;41,46113
Locatiot1 .D6 AI/ ./2-e Installation Consisting Consisting of II?9e641.7Ger 6 7/2-6Z6r1'r 7 (-4 77-5)
)
Di4s.) GA/ai9/ 5, 504w-e—ef
•fr
Installed By e 454/2-7-01-4)
Lie.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation condition's as-of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made foi—inspection.
Inspectors of this Company shall have the privilege of makin inspections at any time, and if its
rules are violated,the Company shall have the right t revoke thi tific te.
Date. y- z —cre INSPECTOR.
Member N.F.P.A.,I.A E.I.
0l01 f ?�
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
NAME: L oC J l-1q t2 i PERMIT# 24(
LOCATION: l q'ri P 0 DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES COMMENTS
Fgetings/Piers — I 1 G�
onolithic Pour Form v}lz .
V
Reinforcement in Place "
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpos on si
Foundation/'allpour
Reinforcemenh'i Place
Foundation/Da;mpp oof ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents it Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Int rior R-
Foundation Walls Ex rior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Braci ng/Bridgi ng
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
6
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road i
Queensbury,NY 12804 Arrive am/pm Depart ` pm
Inspector's Initials
NAME: "L cc.tZ-IstAA9-1- PERMIT# - 12
LOCATION: 4 gto• DATE : 7 f/°MC
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible or
providing protection from f zing
for 48 hours foil' 'ng the •lacement
of the concrete.
Materials for this purpose o' site
Foundation/Wallpour
Reinforcement in Place
dation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i '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 -s--6"- I 144.
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road ,i U
Queensbury,NY 12804 Arrive am/pm Depart O
Inspector's Initials
NAME: L-6 4122� PERMIT# z
LOCATION: �6't`t leo, DATE :
gq
TYPE OF STRUCTURE:
RECHECK
} .---') N/A YE O COMMENTS
Footin: I''e.: l
Monolithic Pour Form I
1
Reinforcement in Place 1
The contractor is responsible for 1
providing protection from freezing /
for 48 hours following the placement
of the concrete.
terials for this purpose on site
' oundation/Wallpour
Reinforcement in Place l .
Foundation/Dampproofing 1
Backfill Approval /
Plumbing Under Slab I
Plumbing Vent/Vents in Place /
Rough Plumbing / _/ \.
Heating Rough-In
Insulation /
Foundation Walls Interior R- ./
Foundation Walls Exterior R- /
Floors R- /
Walls R- i
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
Town of Queensbury
Dept. off Community Development Date inspection request received:
Building& Code Enforcement
742 :;ay Road /'S
Queensbury,NY 12804 Arrive am/pm Depart) airOm
Inspector's Initials
NAME: L oG14j�R� F l PERMIT# (
LOCATION: i ►��`� DATE : W®"
TYPE OF STRUCTURE:
RECHECK
lootings/Piers
N/A YES NO� COMMENTS
✓✓�
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour V I57 LL 6/1-'R
Reinforcement in Place
Foundation/Dampproofing y C'3f �
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation FO/iliki , 6C-004 f-O (2-VA
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
NOTES ON DESIGN OF BELOW GRADE WALLS (Basement Walls)
1) WALL MUST BE LATERALLY SUPPORTED AT THE TOP AND BOTTOM.
2) BACKFILL WITH FREE DRAINING GRANULAR MATERIAL.
WHERE BACKFILL ENCROACHES ON THE HAUNCH OF THE BRICK LEDGE.
BACKFILL TO GRADE WITH FREE DRAINING GRANULAR BACKFILL,
WITH A MAXIMUM FINE CONTENT OF 8 % PASSING THE • ��
0.075 mm SIEVE RECEIVED
3) MINIMUM COMPRESSIVE STRENGTH OF CONCRETE-3000 psi (20 mPa)
@ 28 DAYS.REINFORCING STEEL400.
4) FOUNDATION WALLS CONTAINING OPOENINGS MORE THAN 4'(1200)TO CSA G3012 GRADIN
LENGTH OR CONTAIN OPENINGS IN MORE THAN THE 25% OF ITS LENGTH JUN 2 1999
SHALL BE CONSIDERED LATERALLY UNSUPPORTED AND MUST BE
REINFORCED AROUND THE OPENINGS TO.WITHSTAND THE EARTH PRESS`$$° VN OF OUEE9`NSSUF.
ADDITIONAL REINFORCING REQUIRED FOR THIS SITUATION MUST BE DET 1 G AND COD
ON AN INDIVIDUAL BASIS. •
MAXIMUM BRICK HEIGHT 18'-O"(5486)
•
3- 1/2" BRICK VENEER
1" AIR SPACE
N.--_�6101 FLOOR.RESTRAINTPREFABRICATED 3/8"DIA .�j(Ial� Ial
REBAR AT 8" 0/C IV
MIN. BEND.RADIUS &HOOK 2 U8" C �, ,�Qi
1 'IIzI - -,l
VERTICAL REINFORCEMENT(16"LAP SPLI ' - i I o -III !met s•
BACKFILL FROM T/FIG TO 5'-0"ABO = ,u 40
10M VERTICAL(21/2"from INSIDE FACE) ^,i �� o Qil
ICt
BACKFILL FROM V-0"to T-6"ABOVE FIG. . ` WA
10M @ 8" O/C or I�� 1- 1►�►�" 11
. I5M @ 16" 0/C �;�
t,OpB .�.I ki. In
s um
° -{- - CII1 LIB_ IGl
a d
HORIZONTAL REINF.FROM TOP OF P•• ". GO r„ _
TO T-6" ABOVE FIG. ''ES §^r,
10M HORIZONTAL h
••
@ 16 3/4"0/C ALTERNATING
•
.. O �B
IN SLOTS 2&3 AS SHOWN 2(64) 0
0 �o O O _J.. O V�7v. r
I
BACFu.L o ' 6112I► ' i
• SEE NOTE ABOVE 8 S o It�l I p;
. OCESSl. ,�
0 % ""IItI ' NMI
c a �� °� & P
-... . ._.tall
X. 41C c 4 -4 . —11
WJ ' . DOUBT ,� ti:rt' ^`'�• o
CC b R. It' IA'
• .
41
0 ///
4cy,''roe 0e0"tr�` SECTION '
SCALE:I"c 1'-0"
I ‘ .
I. E. Doubt Associates Inc.
E 30e DIYISION ST. Cabuur(
BUILDING SYSTEM it,
6
BRICK LEDGE DETAILS - RESIDENTIAL CONSTRUCTION APRII,1,1995 ...
eONuu R z$xr WITH AAn BUILDING raises POLICY OP CONIT NIIPD TzsaAaoI AND DeYa.onrnxT,WE RESERVE THE RIGHT TO MODQ'Y C P Y 1 Iv1AY '94 1&l'-0"
OR CHANGE THE oNPORNATION CONTAINED IN ma PUBLICATION WITHOUT NOTICS.
GENERAL INSPECTION REPORT 3f)li
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road 9
Queensbury,NY 12804 Arrive ; D a Depai �'i• a,
Inspector's Initial: Ara:_-,
NAME: \ c7L.CDC \%a\(' ) PERMIT# f ( q i
LOCATION: \ 0 DATE c)
TYPE OF STRUCTURE: ( \� .
RECHECK /
N/A YE NO COMMENTS
__ tings/Piers of I
Monolithic Pour Form
Reinforcement in Place 7 - l(', /
The contractor is responsible f /
providing protection from freezin
1
for 48 hours following the p acemen
of the concrete.
Materials for this purpose on site \..
Foundation/Wallpour. if N...
Reinforcement in Place ii ' .
Foundation/Dampproofing / \
Backfill Approval /
Plumbing Under Slab ai
Plumbing Vent/Vents in Place t \\.
Rough Plumbing II \
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
TOM OF QUEENSBURY
BUILDING It CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name .4'`r60-04A1—
Location /(e 55 AO' ,Qo j
t
Date 5 -6 \ Permit # ?9 21f
SOIL TYPE- Sand- oam-Clay-
\ i
Results of Percolation Test!-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: i / .
ABSORPTION FIELD: , Total Length _
Length of each trench\ /
Depth of trenches \, /
Size of stone \ 1
SEEPAGE PITS: Number- \I
Size - ft. x ft.
Stone size _ , t
PIPING: • 1 Size Type -
Bldg. to Tank / t
Tank to Dist. Box I ' _,
Dist. Box to Field/Pi1 \
Openings Sealed? Y s o Partial
LOCATION/SEPARATIONS:I -
Foundation to Tank I \ feet
Foundation to Absorpigion _ \ feet
Separation of Pits I feet
Conforms as per Plot Pl an Yes No
LOCATION OF SYSTEM PROPERTY:
(circle one)
Front - Rear .- Left aide - Right Si
Middle Front - MidorN Rear
COMMENTS: Ake •% '--r
Si
(A) , Av4. i
SYSTEM USE APPROVED: YES N
Arrived:
Departed: Err •
Building Inspector
•
FIRE MARSHAL
/, ,. � TOWN OF QUEENSBURY
y;i QUEENSBURY, NY 12804
�` �'` (518) 761-8205
FIRE MARSHAL INSPECTION REPORT //
REQUEST RECEIVED PERMIT# qq-24/
NAME d__NR - -
LOCATION IS "�
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING /
FIRE EXTINGUISH
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTE
FIRE SUPPRESSION SYS EM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS _
CLEARANCE TO HEATING UNITS _ _
/CHIMNEY
REQUIRED SIGNAGE
WOOD STOVE
1REPLACE-MASONRY
FIREPLACE-FACTORY BUILT
� . I,)
REMARKS: j��, 1/ OK TO THIS DATE
VkiS t 12 3
; 57L
INSPSLIP.PUB INSPECTOR
k
MAY 14 1999
BUIL`IVu Aly Cp
'V`AV\1V
Y
1
t
DS
t
.6
20