98-655 CERTIFICATE (DF t; +CUI'AN%rM�W%0xxr
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
April 5 99
DateL4 !9
98655
This is to certify that work requested to be clone as shown by Permit No.
M
has been completed.
SINGLE FAMILY DWELLING $ ATT . 2 CAR GA GE
This structure may be occupied as a
2 QUEEN DIANA LANE
Lrxativn
BROWN , CRAIG & THERESA
Owner
TAX MAP NO * 8 3 . - 1 - 6 . '7 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 951OWN OF QUEENSBURY No , 98655
TAX MAP NO . 83 . - 1 - 6 oIkARREN COUNTY. NEW YORK
BROWN , CRAIG & THERESA
PERMISSION is hereby granted to
2 QUEEN DIANA LANE Street, Road or Ave.
OWNER of property located at
SINGLE FAMILY DWELLING , ATT . 2 CAR GARA
in the Town of oueensbury. To Construct or place a
at the above location in accordance to application together with plot ptans and other information hereto filed and
approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance.
t, OwNERTIVdISOANER DR .
QUEENSBURYr NY 12804
2. CONTRACTOR or SUI III Name
BROWN , CRAIG
3. COhCfRACTOR or BUILDER'S Address
.•-�^T M Nartx
COMMONWEALTH ELECTRICAL
fi. ARCHITECT'S Address
6. TYPE at Construction — mews ind'ote by XI SINGLE FAMILY DWELLING
11 wood Frame ; 1 Masonry t 1 Steel 11i
7. PLANS and Soecifiaatiotu
SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE AS PER PLO PLAN
PMD SPECIFICATIONS
SINGLE FAMILY DWELLING , ATT . 2 CAR GARAGE
October 16 2000
$ PERMIT FEE PAID - THIS PERMIT EXPIRES
18
(if at Icy a period
is rY �d an application i f ran date.)
must to �e ro the Building and Zoning inspector of the
16 October 1998
this Day of
Dated at the Town of,ckmenswr'� --
ar, for the Town of Gueenstwry
SIGNED f3Y BuOdkV and zoning Inspector
k _.
uz tn,g .Vermtt .z% zcu yr
TOWlI of f QtLL'2I4SIJilIy - IJelx'. of Cr3rrr+rrur+iry Development, 742 I3csv I2urrtl, Qareerrrbur y, NY 123Q�2 f 7G1-t32 GJ
n r BUILDING & CODE ENFORCEMENT
NOTICE Requirements prior to issuance _ s
of this permit: PERMIT FILE NO.
A permit must be obtained before p
beginning construction. N
inn o inspections PERMIT FEE PAID $
Zoning
will be made until applicant h Arcesa ,
as received Board Action
a V AI,.D BUILDING PERMIT. All A I Use RECREATION FE E Prtl $ Y\
applicants" spaces on "s application
MUST be completed and-the signature Q Planning Beard Action REVIEWED RY.- +
of the applicant m a rm must appear n the SPR I Subdivisi f Other IIreildinK frasfsrctor
licakion farm. n�a wr- Recreation Fee Payment
Applicant: C [ rW t a l� ✓� Owner:
Address: `J' t l Address:
Phone # ( 1"' � phone # ( _____ —__.__ ` _------
Property Location: _ t~ "" �' � `+J _J
Tax/'� , ax Map Number _
Subdivision Nance: _ t� 1M0d x Section Block Tint
IITATLTR� OF PROPOSED WORK : ESTIMMATED MARKET VALUE OF THE
✓' New Building ; CONSTRUCTION : $
residence / commercial.
Addition to "Building :
residence / commercial OCCtrPANCY l ORMATION
Alteration to Building : Primary Building -
residence / commercial ✓Singl-e Family Dwelling
Residence / Commercial Two Family' Dwelling
Family Dwelling
no change to exterior size
Office
Other Work ( describe below ) Mercantile Manufacturing
Other
GROSS AREA OF PROPOSED STRU'��TURE :
. q } (�- / 10Y � 0 � If ADDITION , what will use
let Floor , . . . . . • sq • ft • of new, addition be? :
2nd .Floora W 0 a 6 0 16 168 sq . ft . N
Other Floors . . . * . - — ' sq • ft •
( not unfinishedcellar Or basement ) ACCESSORY BUILDINGS :
-7 Detached Garage Ir 2 co
TOTAL FLOOR AREA : t � p +OP SQ . FT . � AttacYted Garage I , car
Private Storage Building
SIZE of NEW STRUCTCIRE : Commercial Storage SuildIng
FF� Other
---FEET X „ r�JtL..__ FEET Foundation Type : w eArG will any second- hand or ungraded
Number of Stories ~ �- lumber NCJI�.Iec-d t_7 "Siv o , for what ?
( habitable space only ) rj rj feet TYPE OF HEATING SYSTEM :
Height ( grade to ridge ) : circle all which plies )
Number of fireplaces and/ or woodstove ( f wood
For
to be installed : 4 Elec other
Forced
Hat Air J Baseboard /
Person rtisponsi a for supervision of wor�/k as regards to building
codes is : ,', - .._ .,L, 7- Ca ,l <;. ti�
Nain Address Phone
f
Builder : ry , � f, . . . r
Plumber •
Mason : f ., 4 .. ..� .l
Electrician ' ot
DECL.ARr' 770N.• Please sign belmv after you hcrue carefully read the staternertt.
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
work shall be complied with , whether specified or noted, and
other laws pertaining to tine proposed
that such work is authorized by the owner. Fur it is understood that 1/we shall submit prior to a
Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed survey drawn to scale, showing actual location of project on premises.
Signature: I ,
(owner, ner's agent, architect, contractor)
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury Permit No. "
Dept_ of Community Development
Building &c Codes office
'742 Bay Road Fee Paid +
Queensbury, NY 12904
Location of property for installation: Q.jce y , UWK ok
Property Owner's Name: 0%
Property Owner's Mai.l:.na Address:
Installer's Name: Vo t ck V-' (St Phone # -2Z
Number of bedrooms (if residential): Total daily flow: *50
(residential - compute (& 150 gal.Ibdrrn.)
Topography: / flat, rolling, steep slope % of slope
Soil Nature: / sand, loam, clay, other I depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? � feet
Percolation test: 'knot required, required rate min. per inch ]
Domestic water supply: �municipai, wen, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tank: t090 gallon (minimum size: 1,000 gal.)
Tile field.: each trench SU feet I Total system length: Z�00 feet
Seepage pit(s): number of I size each: ft. by ft.
Size of stone to be used: # - ! depth or thickness t 2 �"'N met-
HOLDING TANK SYSTEM: (if required)
Number of tanks: , . �' Size of each.: .--~y moons
Alarm system and associated electrical work to be mepected by it certified agewy.
For your protection, please note that purnmut, to Section 136-29 of the Code of the Town of Qnsembury, any iarrnit or
approval granted which is based upon or is granted in reliance upocL any material miarepresentmti°n or failure to make a
nuderW fact or circumstance ]mown by or on behalf of an applioaut, shall be void.
1 have read the regulations with respect to this application and agree to abide by these and all regmre scents of the Town of
Queensbury Sanitary Sewage DuTosal ocdtnanco-
Signature of responsible person: PA& AVW Date: [ON 11
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 Farnily 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 :
u o rGw'A Cox
- ------
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE :
1 . Gross Floor Area - l °{ �P square feet
2 . Type of Heat - Electric Oil f'" Gas Other
3 . is building mechanically cooled. ? Yes No
4 . Percentage of area of windows and doors Over 17 $ Under 17 %
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANTS SUBMITTED :
a . Roof RR �"
b . Exterior walls
c , Glazed areas R r •
d . Exterior doors R 1, T
e . Floors over unheated spaces
f . Edge of slab on grade ( heated building ) R 1i
g . Basement / cellar walls ( above grade ) R 11
h . Basement / cellar walls ( below grade ) R 14
i . Heating/ cooling-ducts -piping in unheated space R 4`-��
6 . Service ( domestic ) hot water heating device
Conforms to minimum efficiency per code ✓I Yes No
TEMPERATURE CONTROL MAXIMUM SETTING: I400 - WILL NOT BE EXCEEDED
App cG _ i s Signature f �u t o Ph n,e Number � r
INS ?ECT0R 0 S REMARKS :
.. is 4
BLDG. PERMIT NO .
98 - 655
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; 2 Queen Diana Lane ( Craig Brown )
for the following uses:
DATE SIGNA RE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY {{
The 'i'EMPORARY CERTIFICATE OF OCCUPANCY is hereby ( )APPROVED i
( )DISAPPROVED
with the following conditions: Cert ixflcate of Occupancy to be issued
upon completion of : Ginal Survey , Siding 2nd story Deck .
Additional handrail Brackets @ cellar stair .
TEMPORARY CERTIFICATE OF OCCUPANCY F713 (---) 10.00 DEP T: ( )$100 .00
received on �, � ( / f
Date of Issuance Director of Bldg. & ode Enforcement
"rIIIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES� 60,, DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee.
xowN OF [20EE NNFatRxcEriENz'
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QUEENSBU RY N''r 1Z' 8
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I S35t'
CT IObt
FINAL INS'pE VEt7 :
4 A'PE I.t35P..EC'PIt7N ix.E'QuEST ip,ECEi
♦ �
NAME /
LOCATION PERMIT
PATE jp p.NjtING
TYPE OF 'STguCTURE g1RCKF sul 0"'
uNuhTIOt3 --- INSULATI LhCE
FO SEPTIC �-- Qg FIR'Ex'
FOOT INGS KING r WOOL18'PgVB A.J--0
ROUGYI PLUM A !.
gINfiL Et..ECTRICAU _----
,EIGHT 13 WENT StU GFtT
C'ElI_'m EY %
Atli t0ING V ENT
gpor3NG
T R
- Iog- _____---
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PS ,rRAI- INGS
CK P0RCitply
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RELIVA L"V•_ gAT N
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FU O RNAC gl,y C 1) C)
INTERIOR T -- -'
I00
_ - FINIS Ir-.,}t
_ 13N.t.f{ K.ITC E AR LB
S"E
xL4a
gU00R5 CARPETEL7
Ct,EARAtycE RAILINGS
NEC £7R5
--
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,F.OUNDAT O14 INS LAT 4 3
� Gg k'IRE
RIC
PROOFING �~
S3 R
E
SIT O,t, PLAN
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RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 Date ins-peetion request received:
Building & Code Enforcement C part
Dept, of Community Development Arriv
spector's Initials
Town of Qrueensbury
742 Bay Road
Queensbury, New York 12804
ti PERINM #
NAME DATE
LOCATION Oil
TYPE OF S lJC + Q
NIA YES NO CO1v1TvIF.N TS
Chimney Height/"B" Vent/Direct Vent Location
Fresh Air Intake
plumb Vent through roof
Roof Complete
Exterior Finish Complete
IntenorlExtenor Railings 3W to 36"
Exterior Handrails, balconies, landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers
Grade 2% away from foundati
8" clearance to sill plate
Gras Valve shut-off ex regulator 19 bove grade _
Gas Furnace shut-0 -thin 30 feet or line of site ....._..._
oil Furnace shut-o at entrance to cc area
F,iv.;,arpltTnt Wa Heater operatin
Relief Valves stalled
Headroom, 6 6 in_ on
Basement s 'rs, tn.
Handrail erior stairs both sides more than 3 risers
interior vary/trim/doors/main entrance 36"
Floor F' 'sh
Bathroom/Kitchen watertight
interior Handrails Balconies/Landing I in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fine door/door closer
Csarage fueproofin
Garage penetrations sealed
Furnace in separate room protected (in garage)
Light ventilation per room
Safety glazing W, or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue CIC (Certif. of Compliance)
May to issue temp. CIC) (Certif. of Occupancy)
Okav to issue permanent CIC} (Certif of occupancy)
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 Date inspection request received:
Building ,& Code Enforcement
_.
Dept. of Community Development Anriveq.JLQa9xn Deb►
Town of Queensbnry Inspector's Ini • .
742 Day Road
Queensbury, New York 12804
NAME Lam,) PERMIT 4
LOCATION CleLVQIL<_ t f,) (.4qA/A - DATE
TYPE OF STRUCTI,IRE
NIA YES NO COMMENTS
Chimney Height/"B" Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30" to 36"
Exterior Handrails, balconies, Ian g 18 in r more
Interior Handrails s both si 3 or more 'secs
Grade 2% away from f datio
S" clearance to sill plate
Gas Valve shut-off exposed/ gulator IS above grade _
Gas Furnace shut-off within 0 feet or within lime of site
Oil Furnace shut-off at en ce to furnace area
Fur ace lot Water Heater
Relief Valve(s} installed
Headroom, 6 fl.- 6 in. on ftairs
Basement stairs, 6 fl. 4 i .
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
hailing across window in stairwell s
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
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 1 S" or less from floor.
Final Electrical N 4(, OANC7e4 kL-
Site PlanlVariance required Final Survey Plot Plan Z? 3 As Built Septic System layout required L
Okay to issue C/C (Certif. of Compliance)
Okay to issue temp. (C of'CAccupancy)
O
Okay to insure permanent
t C/O/{7 (Certif of Occupancy)
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 Date inspection request received:
Building & Code Enforcement
Dept. of Community Development Arrive am/pm Depart am/pIn
Town of Queensbury inspector's Ini ss 1
742 Bay Road
Queensbury, New York 12804
NAME f 2,>AZ4�s joa PERNUr #
LOCATION CRa ,atnl Ar DATE -3 440 4 TE`
TYPE OF STRUCTCJRE
NIA YE NO COMMENTS
Chimney i-ieightP'B" Vent/Direct Vent Location
Fresh Air intake
Plumb Vent through roof
Roof Complete � ,�? � - j�� /,LI
,fExterior Finish Complete
rf Inlerior/Extenor Railings 3WI o " N
Exterior Han il —El
s, balconies landing 18 in. or more
Interior Handrai stairs both ides 3 or more risers
Grade 2% away & founda on. �: ; a r r2 ■Q
8" clearance to sill p to
Gas Valve shut-off a gulat 18" above grade
Gas Furnace shut-off wi feet r within line of site
Oil Furnace shutoff at en furnace area /
_ Fitrnacemot water Heater o t'
Relief Valve(s) installed + ,�
Headroom,. 6 fl. 6 in. on staff } � A n11�( � r�� C) fie,
Basement stairs, 6 ft. 4 in.
Handrail exterior stairs both sides more there 3 risers '='� L
Interior privacy/trim/doors/ am entrance 36"
Floor Finish
Bathroom/Kitchen waterti t
Interior Handrails Balconi ding 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
I
umbing fixtures
ouxidat3ori insulation `
/4 hour fire doorldoor closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate mom protected (in garage)
Light ventilation per room
Safety glazing 18" or ess m floor
Finial Electrical 3 1 � "
Site Plan/Variance reel Fc
./Final Survey Plot Plan
As Built 'Septic System layout required
Okav to issue CIC (Cenif of Compliance)
Okay to issue temp. C/O (Certif. of Occupancy) �+"
Okay to issue permanent C/O (Certif. of Occupancy)
INSPECTION LECTR'CCOAIMON Main Office E b Doe Run Road l�fanheim, PA 17 qg iC
MUNICIPAL CERTIFICATE - EFECIItiCAL APPROVAL
Cut-in Card No. ....................................
Panel Board No/-.7............... .............}Jrt� ,� . , ..-.-
Owner........,r_...4 .. .. ....1�+'............ ......... ........ ......+� ..ft . ^ ......._........,...... ...._...4u.
Location ...rx ..... x,L tr��.... I ( > + ^_....
/.............. .............. .u...
installatio Consisting of ........................... .......
.............................. ......................................... .4...
.............................
installed sy.....;5JIF'X ... .... ........................._............. ...__.. ..
The conditions following governed the issuance of this certificatc, and any certificate previously is
The
! cancelled: - rnent and instailati a Prondii;onm de Vodansp c on-
4 This certificate only cowers the electrical equips lication shall lac Tor1z- y time, and if its
introduction of additional equipm sha}ir have ege of maki pcctions at any
inspectors of this Company t ir. te.
rules are Violated, the Company shall have the right to r e tj' {�
�/► Y Y�"1f2 ��i1�
I .. .................. INSP£CT40R ........._.. ryrlember T4.F.P.A.. S,A E.Y.
Date.,..... ......
�i_
1
RESIDENTIAL FINAL INSPECTION REPORT
Office No, (518) 761-,8256 Late inspection request received:
Building & Code Enforcement 7
Dept. of Community Development Arrive am/pm Deptut y .�
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury, New York 12804
NAME [ $ iGp ,It �k#� O�j PERmrr # '7 S`S�
LOCATION DATE
TYPE OF STRUCTURE
NIA YES NO COMMENTS
Chimney HeightP'13" VentfDirect Vent Location
Fresh Air Intake ,�LGC / Iw LJ / C� ✓fr� (�
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Extcrior Railings 30" to 36" ,
Exterior Handrails, balconies, landing 18 in. or more �� �' hF'" l '� �C `> ✓�� ` �e
Interior Handrails star both sides 3 or more riser
Grade 2% away from fo lotion
S" clearance to sill plate
Gas Valve shut off exposed/ ulator 38" ve
Gas Furnace shutoff within 3D i ar wi n li site
Oil Furnace shut-off entrance to . ea
Furnace/Ho( Water Heater operating
Relief Valve(s) installed
Headroom, 6 ft. 6 in. on stairs
Basement stairs, 6 ft- 4 in
I landrail cxtenor stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior- Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
J/4 r fir
e door/door closer Vh Ami%c� .
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected f in garage)
Light ventilation per room__
Safety glazing 18" or less from floor
Final Electrical
Site P1anariance required ��yQ (f'C
N
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C1C (Cert& of Compliance) ri
Okay to issue temp_ C/O (Certif. of Occupancy)
Okay to issue permanent CIO (Certif of Occupancy)
GEI'ERAL IN.SPEC7'll N REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive 6 Dept o .
is I[ M
NAME: PERMIT #
LOCATION- DATE :
TYPE OF S U
RECHECK
NIA YES NBC} COMMENTS
FootingSlPiers r
Monolithic Pour Form
Reinforcement in Place
The contractor is nsibie for
pding protection m freezing
for 48 hours following a place t
of the concrete.
Materials for this purpose on
FoundatiornAW allpour
Reinforcement m Place
F UUuuj4tion/0ampproodn
Ba.ckfill Approval
Plumbing Under Slab
Plumbing wentfVents in Place
Rough Plumbin
Heating Rough4n
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Went, Attic went
Frami][IJZ
Jack Studs/Readers
Bracing/Bridgin
Joist Hangers
acfc Posts/Main Beam -
tration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Fi restoppin
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 .say Road
Queensbury, NY 12804 Arrive Depart
pector's Initi
NAME: C 1 � �� ki AM 3 PERMI'i' #
LOCATION: 17—
DATE
TYPE OF STRUCTURE:
RECHECK
NIA YES NO CONDAENTS
FootittgslPiers
Monolithic Pour Form
Reinforcement in Place
The contractor is respon. ' c for
providing tectio In g
for 48 hours vying the p ent
of the con
Mate ' r this on si
Foun 'on/Wallpaur
nforcementin PIace
Foundation/Dampproofing.
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbin
ieating, Rough-In
nsulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proner Vent, Attic Vent
VFra in,n
Jack Studs/Headers
Bracing/Bridging
Joist Bangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3. hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INPECTfC1N REfI,�T ~
Town of Queensbury
Dept of Community Development Date inspection request received:
Building & Code Enforcement
742 .Bay Road
Queensbury, NY 12804 ArrivQ2-- allo Depart
Inspector's
NAME. cvo, : TCII PERMIT 4
LOCATION: DATE
TYPE OF S
RECHECK
N/A YES NO CONOAE1VTS
Footings/Piers I
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 se on site
Foundation/Wall
Reinforcement in
Foundation/Dampproo
BackfUl Approval
Plumbing Under ab
PI V entsin Place
gh P in
Heating ugh-In
rsularion
Foundation Walls Interior R-
Foundation Walls Exterior R-
Flaors R-
Walls R- -AGO
Walls
Ceiling R-
Duct work or piping in
unheated spaces R-
Pinmr Vent; .Attic Vent Y� 'i i ► .:�C7 �k' ►r '- vet f s'� - t�l 1bF. �`J'
Lamin �1
Jack Studs/Headers
Braci ri
Joist Hangers 01A I kt
Jack Posts/Main Beam_
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestoppin
GENERAL NSPE ON REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building. & Code Enforcement
742 Bay Raad
Queensbury, NY 12804 Arrive pm DeparO*
Inspector's In
NAME: f PERMIT #
LOCATION: 'c, , ATE
TYPE OF Svc
RECHECK.
NIA YES NO COMMENTS
Fo Monolithic
rs
Monnolithic Pour Form �
Reinforcement in Place e0VTOtJk VU4W C> F
The contractor is responsible for k ►a.�k)Lfi'�.1 � Er
Providing protection from freezing
for 48 hours following the placeme CA-- uzyR Lk-- 1-, `
of the concrete.
Materials for this Purpose onite � �� ia�A) M �
FoundationlWallPour.
Reinforcement in Place �iCST 1L1 1 LJL IE ' ,
FoundationlDatnPprooSn 03) E-1L10& % 3LRT1 O* �BackGll Approval
P Iring Under Slab !STAR ? Ca 3%� �
umbtng VentlVents in Place f rj �1 `
ough Plumbing. ►JA m �, ¢ ��
Ilea gh-In P �c� L3� GwD
Foundation Walls Interior _
Foundation Walls Exterior R-
Floors R-
W ails R-
Ceiling R-
Duct work or piping in
unheated spaces R-
.0- Pmper.Ycnt, Attic_Vent Framin T
Lack StudslHeaders
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 �VSFECT7QIV REPURT
Town of Queensbury Date inspection request received* _
Dept. of Community Development
Banding & Cade Enforcement _
Qu Bay Road U&� Depart
ee�nsbary, NY 12dt14 Arrive
Qu Inspectar*s Initlsla ,.--
NAME: C Q.A1 -� �a iC�ti ,"�r• PERMIT #
LOCATION: 1 � ��
TYPE OF STRUCTURE:
RECHECK.
N/A YES No CONIMENTS
f
Footings/Piers
Monolithic Pour Form
R.einforrement in Place
& e contractor is responsibl r
providing Protection #ram $
for 48 hours following the p nt
of the concrete.
Materials for this purpose on site
FoundationlW all 1ponr
in Place
Foundation/Damppmo
Back ill Approval f
lumbing Under Slab 1IPt\I� tTi 1'� t �L
lumbing VentfVentgjn Place I �JCL�MP -
%4Rough Plumbin `
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., V
jack.
AqL is Vent
Frajac p�6Tj� CJC�T. If,� l�(Jt?
ck. Studs/H
Bracing,/Bridgm -35 v-
Joist Hangers ,C7C3� -
Jack Posts/Main Beam -2�t30 -
Air Infiltration Barrier G �R�LN 6"Vok 1 VI \-OCVV ►p� q t a M
Fire Separation I, Z, 3, hour penetration Sealed I,ICPbE - M S%iEt�
�� O � ���,
Fire Wall 2. 3, 4 hour �
1 1
Firestoppin
�_
TOWN OF QUEENSBURY
BUILDING A CODE ENFORCEMENT
742 Bay Read
Queensbury NY I2804 ��
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name C, �r-
Location
DatA - Permit # 91r
`.
SOIL TYPE: an Loam-Clay-
Results of Percolation Test-
( if applicable ) Rate-Ml ut
TYPE OF SYST00
ABSORPTION F ELD : Tot Length
Length of eac tren ?"
Depth of trenche
Size of stone � {
SEEPAGE PITS : umber-
Size - ft . x ft .
Stone six
PIPING: Size ,ype
Bldg . Tank sz
Tank Dist . Box
Dist . Box to Field/P ' .v
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS .
Foundation to Tank Jeo3feet
Foundation to Absorption !--' feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCUTION OF SYSTEM ON PROPER
le one )
iron - Rear ft Sid - Right Side
Middle Front - Midd a Rear
COMMENTS
i
i
I
SYSTEM USE APPROVED : YE NO
Arrived :
i Departed .!
Building Inspector
`mot 1 -n Corcx�,ai 8
T W O
w0c d binve 8'' L" UK { ree
4_
LAC- w
2
row
Ilve
384
1 - c
1
1 f
. psi ri
�> l
GENERAL INSPECTTQI4 REP�i RT
Town of Queensbary
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road _
Qaeensbury, NY 12804 ArrivelUcl /nrn Depart /
Inspector's Ian. /
NAME: PERMIT #
Li7CATICIN: DATE ;
TYPE OF STR
CTLJAE-
RECHECK
A YES NO ce�NOdENTS
►�� i
Monolithic ur Form
Reinforcement in Place
The contractor is responsible for
providing pro on from freezing
for 48 hours follo g the place
of the concrete_
Materials for this pupa <nsite
Foundation/Wallpoir _
Reinforcement in . _
Foundation/Darn
Backfill
oofin
Plumbing LL Slab
Pl unbing ntNents in Place
Rough Plumtsin
Hearing 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 gent, Attic Vent
Franun
Jack Studs/Headers
Bracing/Bridging.
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Harrier
Fire Separation. 1, 21 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestoppin
GENERAL INSPECTION REPQNT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12W4 Arrive Inspector's
DepartC d
(�-�
NAME: - .'u C.,�1 r�T{ _� PERN 1T #
LOCATION: �, L � E1b," E BATE
TYPE OF STR.UCT'iJRE: _. r 1 C .,o► z C-5 t�aR.S�{
RECHECK
NIA YES NO CON06IENTS
Foatings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezin
for 48 hours following the p ent
of the concrrtte.
Materials for this purpose site
Foundation/Wallpour
Reinforcement in P
1eundan0- TV sng_
ackfill Approv -
Plumbing Under Slab
Plumbing VentNents in Place
Rough Plumbin
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 Stu lso Headers
Bracing/Bridgin
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
CA,. � � 1
+GENERAL IN�SPEC"T7f7N REPYL?RT Q
Town of Queensbury
Dept- of Community Development Date inspection request received;
Building & Code Enforcement
742 say Road
Quecnsbury, NY M04 ArriveStax,
inspector9s Ini
NAME: PE Nrrr #
LOCATION: DATE :
"T
YPE OF STRU+CT[JRE: ;f3
RECiEECK
Footings/Piers
N/A YES NO COMMENTS
+
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protectio from freezing
for 48 hours followi the placeme
of the concrete.
Materials for this purpose n s'
Foundation/Wallpour
Reinforcement in Pl
MGM
cl�v Fes...
Plumbing Un r Slab
Plumbing V t/Vents in Place
Rough Plumbing
Heating Rough4n
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
F ramin
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
Firestoppin
GENERAL lN,,WE
CTION REPORT
Town of Queensbury
Dept* of Community .Development Date inspection request received:
Buil[ling & Code Enforcement
742 Bay* Road
Queensbury, NY 12804 Arrive nt/ptn Depart
inspector°s
NA 4E: �i31� PERIMU1' #
LOCATION: Z . A DATE
TYPE OF STRUCTURE: C Re CAE
RECHECK
NI YES NO COMMENTS
Footings/Piers �
Monolithic Pour Farm
Reinforcement i Place
The contractor spo ble for ^� -
providing protectio ' g
for 48 hours followii , the placement
of the concrete.
Materials for this on site
Foundation/Wall
Reinforcement in aoe
FoundatiorVDampproofing�_
Backfill Approval x �PI( QI IBC
Plumbing Under Slab
Plumbing VentlVents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracmg/Bridgin
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1 , 2, 3, hour
Penetration Sealed
Fire Wall 2, 31 4 hour
F'irestoppul
Q PaA
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Read
Queensbury, NY 12804 Arrive ' Depart
Inspector's Iaiti
NAME, �-C , PERMIT 4 p�
L[]CATIQN:�+ DATE : — C
TYPE OF STR
RECHECK
NIA YE O COMMENTS
ootrngs/Aers �
Monolithic Pour Form
Reinforcement in Plane ? _ �s
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this p++ ,e on site
Foundation/Wallpour
Reinfb hq�ent in Place
l"011�ida�l0
Backfill
Plumbing Under Sl
Plumbing Ventf V is in Place_
Rough Plumbin
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
Framin
Jack StudsMeaders_
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.