2000-752 TOWN OF QUEENSBURY
742 Bay Road, Q teenshry, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 7614256
E RTIFICATE �F O UI'AN Y
Permit Number. P20400752 Date Issued: Tuesday, April 03, 2001
This is to certify that work requested to be done as shown by Permit Number P20000752
has been completed.
Tax Map Number, 523400-061-000-0002-091-000-0000
Location, 28 GENTRY Ln
Owner. Valen,,e Horao, . Inc .
Applicant: ValcnLe 110Mc., , ! nc . for. Mark Allen and Sheree Far. nell
This structure may be occupied as a:
ByO derof Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Director of Building & Code Enforcement
l
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761 -8201
Community Development - Building & Codes (518) 761-8256
BUIEDING PERMIT
Permit Number; P20000752 Application Number: A.20000752
'A
Tax Flap No: 523400-061 -000-0002-091 -000-0000
Permission is hereby ,granted to: VALENTE BUILDERS INC
For property located at: 28 GENTRY Ln 1 6 VrsJ 9 (
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: VALENTE BUILDERS INC Single Family Dwelling 130,000.00
153 SWEET Rd Garage - 2 Cars Attached
QUEEENSBURY, NY 12804 Total value 130,000.00
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans & Specifications
$22100 PERMIT FEE PAIL? - THIS PERMIT EXPIRES: Sunday, September 29, 2002
(Ifa 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.)
Bated at the Town Friday, September 29, 2000
SIG slaNED BY for the Town of Queensbury.
},Director of Building & C e E rcernent
Building Permit Application
Town of Queens bury - Delm, rff Connrrtulu v Det•eloInneru, 742 Brie Rcwel, Q14w imbur . NY 12804 f761-82.56J
J''� BUILDING & CODE ENFORCEMENT
NOTICERequirements ,prior to issuance
A permit must be obtained before of this permit: PERMIT FILE Iva. �L70 '
beginning construction. No inspections PERMIT FEE FAIR $ A�
will be made until applicant has received � �N8 Ord Acton --
a 'VA'UD BUILDING} PERMIT, All Area f UPc RECREATION FE AID
applicants' spaaw on thin application _.__...._
MUST be completed and the signature 0 Plann&sg Board Acthm REVIEWED BY _
of the applicant must Appear anthe sPR r Sutxtivinion ether r IGrin hrsr+r;,r_r
Zicattion ° "' ""` Recreation Fee Payment
Applican t: VA�.-�'AjTlG aa2p c.s ITN C. • Owner � rHtx
Address: �t�v�C tw 11 [r -
' Address:
Thane # m7J S - SZca cC // Phone #
Property Location: C->�" G. +re-� 6l;
Subdivision Name: Tax Map Number
Section Mock I tat
NATURE OF PROPOSED WORK ; ESTIMATED MARKET VALUE OF THE
New Suildinct : CONSTRUCTIO>!i : $ 130id"cs
res x�den �/ commercial
Addit of n to Building :
residence / commercial O CCUP"CY INFORMATION *
Alteration to Suilding : P,rlmavy Building -
residence / commercial l` Single Family Dwelling
Residence / commercial Two Family 'Dwelling
no change to exterior size . Family Dwelling
I . Office
Other Work ( describe below ) Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE *
If ADDITION , what will use
lst Floor . . . 0 6 a M15SD sq . ft . /cq(fy of new addition be ? :
2nd Floor a 0101 0 0 sq . ft . 3 ;'t.v.r
Other Flouts . . . . . a . ft .--- �� 1
( not unfinished cellar or basementj2 ACCESSORY lavzLblNGs :
Detached Garage 1 , 2 car
TOTAL FLOOR AREA : SQ . FT . _�C Attached Garage 1 , car
Private . Storage Bui ding
SIZE OF NEW STRUCTURE : Commercial Storage Building
FEET .X FEET Other
Foundation Type ; Qcx�avD evOAO,ct - fr will any second-- hand or ungraded.
Number of Stories : 1 lumber be used? if sot for what ?
( habitable space onyly )
Height ( grade to r.xdge ) • ji3L feet TYPE OF HEATING SYSTEM :
Number of fireplaces and/or woo stove ( circle all which a plies )
to be installed : Elec is O ' / as Wood
orced Hot A ' a oard / Other
Person responsible for supervision of work as ' regards to building
codes is : ��1u-40 VAL-F+�TW,
Ndine Addresss phone
Builder : ll �.�.:�rrU Xr S+ > Cx. es aLx> &
Plumber : , vA ' 'L. i +� - Darr• a- Cr asp" "7`L S - '-�35�,
Mason : �''
Electrician : [ .q
DECLAi4'ATION. Please sign below after you have carefiXy read the statement,
To the best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the Building Code, the 'Zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is auth ed by the owner, Further, it is understood that I/we shall submit prior to a
Certificate of Occu nc or Certificqtj of Compliance being issued, an AS BUILT PLOT PLANT by
a licensed surveyor dra n to le awin location of project on premises.
Signature:
, 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: ....... ....... ..... ... .........,.,..._.....................
Office Use
Location of installation: +L:'t✓ �' 1 ,�..K}+ti Ft r'� Y+ °`:+L
,r � ic�++✓' L'S goy e Permit No. �T,OQ' - � '�
Tax Map No. c-��. f � r ��
fTt- Fee Paid
Owner's Name: �"� 1-'ti''�',
Address: !C7 L000 l Y VS)
2. INSTALLER'S NAME : }h[•E,� } '+ `�* � PHONE NO. `t ? `-fZ00
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 0 bedroom(s) and multiply # of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of o. of Bedrooms x Computation — TcAal Daily Flow
1980 or older x 150 gal/bdrm =
1980 — 1991 x 130 gallbdrm =
1991 — present x 110 gaUbdrm =
Garbage Grinder Installed yes ____ ! no - — _ uu3
Spa or Whirlpool Installed yes f no
4. PARCEL INFORMATION: (circle applicable information & indicate measurements)
�qpohv oit Naturo Cuund lNat�r Bedrv_gk_ or ltnpe �iQts3 Material I3onngstic Watcr_Sugplyr
14l01 sand tit what depth ctt what depth 17f nnicipal
Rolling loam feet feet well
Steep slope clay if well; water supply
slope other from any septic-system
depth: absorption is f?.
other
Percolation Test. (To be completed by licensed pro ftsslonal engineer or archllectf
Rafe: minute per latch
5. PROPOSED SYSTEM: Far 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: Lrjd& gallon (mitt. size 1. 000 gal.) . � ev"OA, 7 i-sr'Irc� " ff:rrL j Apl � �l�racz
Tile Field: each trench f?. Total System Length: fl•
Seepage Pit(s): number of size ofeach: fl. by f1.
Size of Stone to be used: it / depth rrr thickness
Bed System Size: X
Alternative Sytt wn: 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 electricai 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 ations N
respect to this application and agree to abide by these and all
requirements the Town of eensbury Sanitary Sewage Disposal Ordinance,
i
ignature of responsible person Oate
ENERGY CODE CsOMPLI"CE APPLICATION
TOWN OF QUEENSBURY , WARREN COUNTY
9000 HEATING DEGREE DAYS
Com-oliar_ ce 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 a * - 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 . G=oss Floor Area - I� J"�.'�� sa-uare feet
2 . Tvoe of Heat - Electric Oil Gas Other
3w is building mechanically cooled? Yes W--Vx— No
a. . 'Percentage of area of windows and doors Over 17 % Under 17 %
S . R-V UES FOR INSULAT'
_. ON GIVEN BELOW NfUST CORRESPOND TO R-VALUES AS
S c?QWN ON PLANS SUBMITTED :
a . Root R 3`a--
b . Exterior walls R �
co Glazed areas
d . Exterior doors R C4f
e . Floors over unheated spaces R
_ . Edge of slab on grade ( heated building ) R .✓ .
t-a . Basement / cellar walls ( above grade ) R it
?+ . Basement / cellar walls ( below grade ) R 1f
i . Heating/ cooling-ducts -piping in unheated space R
6 . Service ( domestic ) hot water heatinc devicd�,/
Conforms to minimum efficiency per code Yes No
PERAT E CONTROL MAXIMUM SETTING 1400 -- WILL NOT BE EXCEEDE13
App ; a n gnatu .` a Dot Phone Number
- SZ.ov
T_NSFEC '_'o � ' S REMARKS :
-----
TOWN OF QUEENSBURY
HIGHWAY
Highway
upA. nisei e
Highway Superintendent
DEPARIL-MENT Home aeJ 7Tavis
742 Say Road - Qrureensbury, NY 12804 Michael F. 1perint
Deputy Highway Superintendent
Office Phoare: (548) 764-8.24 i (518) 798-0413
Fax: (548) 745-4 466
DRIVEWAY PERMIT
DATE:
APPLICANT NAME: ��
TELEPHONE NO. :
ADDRESS TO BE INSPECTED: 1 Z —
RETURN ADDRESS: _ ]
Applicant must show exact location and width of driveway(s) to be connected to the highway by
placing stakes at the specified location,
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The
following action has been taken :
STEP 1 : { ) Preliminary Approval
NEED: ( ) Slight swale
( ) Level with the road
{ ) Deep swale
Size pipe to be used (if necessary)
( ) 12" { )I5" ( ) IS ( }24" )36..
Preliminary inspection completed by DATE
Approval by Highway Supt_ Deputy Supt
Upon completion, please resubmit this approved permit for a final approval,
STEP 2: ( } Final Approval
( ) Rejected
DATE:
Richard A. Missita, Highway Superintendent
.r
TOWN OF QUEENSEiURY
BUILDING
UILDIN & ROAD
CODE RCEMENT
QUUEN58URY NY 12604
(5187 7618255
ARRIVE :
DL?PAR'1' . INSP :
FIIfAL 1"SPECTION REPORT -- RE e,Ipg=yxlliL
DATE INSPBCTI N REQUEST RECEIVED :
NAKE vq�, rT'�
LOCATION
PiSRMYT fl
TYPE OF STRUCTURE
BACiCF ILL F ING
FOOTINGS_ _ FOUNDATION INSULA TION
ROUGH FLU148ING S IC
FINAL ELECTRICAL ►400DSTO FIREI}LAG
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UNIT UNDER
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®es.® MAP REFERENCE:
of NEW �} P a BAYRIDGE
PHASE - 3
DATED: JUNE 29, 1987
unifies �° 0 BY: COULTER & McCORMACK
V) FILED: MAY 24, 1988
0
j'�
L u ,S'
a &
t `..+/ `./
L P P
Land Surveyors, LLC
169 I wiland Road Queensbu Herr York 12801
ry,
(518) 792-8474 New York Lic. No. 50135
vNA�M K,�A,� OR AoDM To A SUM
MW A � �� � tS A
VIOLATION OF SMnON r^ Sue-WSM % OF nff
P" Y= STATE EDI"U N 1AAL'
KM
AMC OS THE 1 Q MIS ItMb
'OILT GOr[5 no"CROOK
IW.L K CONIDEIIED TO � VAtA ,RUE CORES•
W_4L S ML AM MINCEI OF 7K {ILO , VUE COS
TMS sYwYEY wa PIlFPARED N ACOOIOANCE MTH 11R
SURVENWOM°'#MINAC'I DANCE TH PTED
EYEDEa° 'RM MA
� 9Y ,TIE IEM YOISf STALE h1SOflATlgl OF RwFERDNM.
li LAND SURVEYORS SAW OWWXA"M *WL RUN ONLY
j TO THE PE" FOR MIOY THE SKYEY M M"ARE% AND
ON HIS SENMF TO THE TnLE C"MFY, 000MIENTAL
! "°� ""D `°�'"° "°RIMM UM HEREON. AND
TOM AMDG�6 OF TM: LDMIO M MI"V
_
Map Showing As Built Location and Dimensions of
Building # 91 in Phase III Bayridge
Town of Queensbury, Warren County, New York
1Ja*tel F LbKUAKT 10, dUU1
Scale 1"=20'
S 1
SHEEr 1 OF 1
VALENTE HOMES
DWG. NO. 00319-91
NO.
DATE
DESCRIPTION
01—L—VU U-01rrr
RESIDENTIAL X L INSPECTION REPORT
Office No. (518) 761-8256 r° r,. I]ate inspection request received:
Building & Code Enforcement '' i S
Dept. of Community Devel ent ArAve am/pin Qom'
Town of Queensbury Inspector's Initials
742 Say Road '•
Queensbuyy, New Yoy 12804
LOCATIONC> DATE a t7
TYPE OF STRUC
' . rasa YES cc)�`l s
' - r1
f'hixt�*'-e1' F3ci8lztP"I3" venttDitt,<Vent Location
Fresh air intake dO
Plumb Vent through roof /
Roof Complete
Exterior Finish Complete
Interior/Extenor s 30" to 36"
Exterior I-Layndrails, balconies, landing l8 in. or —
Interior Handrails stairs both sides or ,3�sersY—
Grade 2`Nn away Rein foundation %
8=' clearance to sill plate
Gas Valve shut-off exposed/regulator 18" above
C70,S Furnace shutoff 9,kihin 3o feet or Within li or Site
OR Furnace shut-01T at entrance to fin race at
F,uni ce/flot Water Heater opera
Relief Valve(s) installed
Headroom, 6 fi. 6 in. on stal'rs
Basement stairs, 6 ft. 4 in.
11andrail exterior stairs both sides ore than 3 risers
Interior privacyttrim/doorslmain trance 36"
Floor Finish
Bathroom/ Kitchen waterti -
htienor Mandrails Balcony ding I S irt or more _
Railing across wixydow ' G 3 lls
Smoke Detectors: — -
every level
every bedroom �
outside ev m
inter ed
Bathroom f s
Plum xtures
Four on insulation+
3/4 fire door/door closer s
e fireproofing.
Garage penetrations sealed
Furnace in separate roony protected (in garage)
H
Light ventilation per room
Safety glazing I8" 1 floor
Electrical - L W V 1T
Site piar"ariance u / r�s+� t r A 2f A 1
Fugal Survey Plot flan
As Built Septic System layout required _.
okay to issue CIC (Cer". of Compliance)
okay to issue temp. CIC+ (Certif. ofOccupancy)-
Okay to issue permanent CIO (Certif. oroccupancy) J f
GENERAL Jh�SPE TI N REPORT
( 518 ) 7f 1 - 8256
Town of Queensbury received
Dept. of Community Development Date inspection request
Building & Code Enforcement -�
742 Bay Road
Queensbury, NY 12804 Arjrive•��I na Dep
pecwr°s InhiPERMIT #
- 7
-+mod
NAME: ATE
TYPE OF S'1'RIJGI]ltE:
RECHECK
N/A YES NO CoNolN ;NTS
Footiti' , ers
Manoli c Pour Fcxm
Iteinfo at in Place
The contra tox is responsible for
providing prroteiDtrRi" freezing
for 48 hours following 0104 i.acement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/DampprooFinL� --
Bac1s1'ill Approval
Plumbing Under Slab _
Plumbing Vent/Vents in Place N
Rough plumbin
Beating 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 i _
Frami
Jack. StudsJHeaders.
i3racing A 3ridgin —
Joist Bangers
Jack Posts/Main Beam
Air Infiltration Fla rrie; — -
Fire Separation 1, 2, A, flour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestoppin
GENERAL IN PECTIUN REPORT
( 518 ) 761 - 8256
Town of Queensbury
DcpL of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive--� Depart
nkit
spe+rtar'sInitials
NAME: L7ATE ;
LCCATIVA"Ia=tox
TYPE OF STRUCTURE:
RECHECK
N/A YES NO CONUVIENTS
Footingw"ers - ---�'�
Monolithic Pour Form
Reinforcement in Place
The contractor is respa for
providing protection nS
for 48 hours fallowi g the pl ent
of the concrete.
Materials for this an si
FotmdationlWallpour
Reinforcement in Pla
Foundatianl3aa fin
Bacicftll Approval
Plumbing Under Slab -
Plumbing Vent/Vents i Place
Rough Plumbing`
Heatin ough-In A �
I ation
Foundation Walls Interi R-
R-
Foundation Walls Exteri ! +fi
R
Floors Y i� r�v �R'� i to i iuw47C] `tie t.zx. r*�
Walls R
Ceiling R_ C Vo 4tc�c=t i
Duct work or piping in 2
L - � .3 ► C� Pc1 unheated spades R- "�'? P�=,�.�-'�•
Proper Vent, Attic Vent V co Z-�k1 0, [� i;s uE h�T♦ N
Framin
Jack. Sludsll�eatders
13racing/3ndging E •- TPt1� 14:� 5 't art +� � + *tea
Joist HattgC rs lr s R t L-�l
Jack Posts/Main Seam
Air Infiltration Barrier '— 0S1"l'
Fire Separation 1, 2, 3, &our
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestappin
GENERAL IN'SPEG'TIC)N REPURT
( 518 ) 761. - 8256
Town of Qu+eensbury received•
Dept. of Community De"401inaent Dote inspection request
Building & Code Enforcement
742 Bay Road r
Queensbury, NY 12804 Arrive _ _ Deps►rtib
is Tn
-- PERMIT #
NAME: DATE
L)OCATION4
TYPE OF S CTLjRE:
REC'.1 ECK
A YES NO COMMENTS
F'ootingslPiers �
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
pvm ing protection from freezing
for 48 hours following the Phaoemcnt
of the concrete-
Materials for this purpose on site
FoundationlVf+allpour
Reinforcement in Place
F'oundati on/Darnpproolm8_
Ba Appmvat
P mlying Under Slab
lumbing VentlVents in Place
Rough Ptumbi
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- --
Walls R'
Ceiling R-
Du.ct work or piping in
unheated spaces R-
ra
r Vent, Attic Vent
L/I Frami
Jack Studs/Ileaders
Br-acinglBridgin
Joist Hangers
/ Jack Posts/Main Beam
vo Aiz Infiltration Barrier _.
Fim Separation 1, 2, 3, hour_
Peneti`titi4
F� W 2, 3, 4 hour
Fi oppin
TOWN OF QUEENSBURY
BUILDING &_ CODE ENFORCEMENT742 Say Read
Queensbury NY 12804
(518) 76I-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location - fin fee,, y gf ot/
Date / ZYu'sG' Permit eodq
SOIL TYP9: Sand- foam-Clay-
Results of Percolation Tes
( if applicable ) Rate-Minot/Inch.
TYPE OF SYSTEM:
ABSORPTION FIELD: Total L gth
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS : Number-
Size - ft . x ft .
Stone size
PIPING: Size ype
Bld to Tank
T to Di st : Box
st . Bax to rield/ t
Openings Seale i? es No Parts a
LOCATION/SEPARA�TI S
Foundation to Tin eetFoundation to Ab rption feetSeparation of Pi S feet
Conforms as per 7pt Plan Ho
LOCATION OF SY WON PROPERAf
( cirele one )
Front - Rear Left Side - Right Side
Middle Front Mi ddl e ' Rea r
COMMENTS :
r
SYSTEM Us APPROVED : ES NO
Arrived :
Departed :
Building Insp tar
A
s
T[1bY OF
BUILDING A CODE ENFORCEMENT742 Bay Road
Queensbury NY 128014 � .
(518) 761-8256 f S
SEPTIC DISPOSAL SYSTEM INSPECTION
Name .� v&
Location .,
Date ermit '
SOIL TYPE y` Sand- LoaM- gl ay_
Results of Percolation Test-
( if applicable ) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS : ��ber-
Size - ft , x ft .
Stone size
i PIPING *
Bldg. to Tank e
Tank to Dist . Box �� �
Dist , Box to Field/Pit — —~--
Openings Sealed ? Yes 7��
artla LOCATIOW/SEPARATIONS :
Foundation to Tank
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan feet
LOCATION OF SYSTEM ON PROP :fies No
( Circle o
Front - ea - Left Side - Right Side
Middle t - Middle Rear
+C +fTS :
SYSTEM USE APPROVED: YES MO
Arrived:
Departeds
bul Iding Inspector
TowN or QUEEMSBURY
BUILDING .&CODE ENFORCEMENT
742 Bay Road
queensb!ry MY 128D4
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location 0C'rva2��
Date _ d Permit #d
SOIL TYPE: Sand- Loam- Clay-
Results of Percolation Test-
; { if applicable } Rate- Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS : Numher-
Size - ft . x ft .
Stone size
PIPING : - maize yp
Bldg . to Tank
Tank to Dist . Box
Dist . Box to Field/Pit
Openings Sealed ? Yes No T art � a
LOCATION/SEPARATIONS :
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM On PROPERTY :
( circle one )
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMRENTS :
SYSTEM USE APPROVED : YES NO
Arrived :
Departed :
............ .
Building Inspector
( 51 $ ) 7 #i1 - 825ti GENERAL EMSPEC'TION REPORT
Town of Queensbury
Dept, of Community Development Date inspection request
Building & Code Enforcement
742 Bay Road
Quee3nsbn NY 12804 Arrive am/pm Dep�
Inspector's Initials '
NAME: '1 $+ ICit'7 f PERMIT # �c�"` " ` So�-
LOCATION: .DATE
TYPE OF STRUCTURE.
RECHECK
,r'
N/A YES NO COMMENTS
FootingsMiers
Monolithid Pour Form r'
Reinforcen*nt in Place ✓`
The cone actor is responsible for
Providing Protection from freezing
for 48 hours following the placement
of the concretf,
h4aterials for this. on site
Foundation/Wall r V
Reinforcement in PI
Fouundanon/DanrMoo*
ckfill Approval kk
Plumbing Under Slab r
Plumbing Vent/Vents in Plat
Rough Plumbing.
Heating Rough-In
Insulation
Foundation Waits Interior °
Foundation Walls Extcrior 'R-
Floors '-
Walls "'k-
Ceding R-
Duct work or pipin n
unheated spaces. R-
Proper Vent, Attic VAnt
Framing_
Jack Studs/Headers
BracinwDridg;in
joist Hange^
Jack in Beam
Air Infiltration Barrier. �.
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour.
Firestoppin
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 128t14 Arrive .._ am/pm Depart �3 )a�i'/prn
Inspector's Initials r {._G-
NAME; PERMIT #
LOCATI{ N rNNJZ2 LATE
TYPE OF STRUCTURE:
RECHECK
N/A YES� COMMENTS
oog ingslPiers i'""I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi c for
providing; protection from rce%in
for 48 hours following; the lace nt
of the concrete.
Materials for this rpuse of
Foundation/Waltpour_ -
Reinforcement in Place
Foundation/Dampproof i ng _
Backfill Approval___ _
Plumbing Under Slab
Plumbing Vent/Vents in Pl cc
Rough Plumbing__.__
Heating Rough-in---
Insulation
Foundation Walls Inge for R-
Foundation Walls Ett nor R- -
Floors R. -
Walls R-
Ceiling R - —
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing _ - - -
Jack Studs/licadcrs - - ---- -
Br-acinga/Bridging_. - - --- - —
Joist Hangers -
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1 . 2. 3. hour
Penetration Scaled T
Fire Wail 2- 3. 4 hour_
Firestopping____ -_ --
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