98-766 CERTIFICATE OF OCCUPANCY
Y
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
May I 99
Date 19
� vow " , {- �
98766
This is to certify that work requested to be dome as shown by Permit No.
i
has been completed.
8 UNIT APARTMENT BUILDING
This structure may be occupied as a
3 SAYBROOK DRIVE BLDG . 1
Location►
SAYBROOK APARTMENTS BLDG . 1
Ownscr
TAX MAP NO . 6 0 . - 7 - 1 3 . 2 By Order Town Hoard
TOWN OF QUEENSaURY
Director of Bldg. ac Cooe Enforcement
BUILDING PERMIT
i " WN OF QUEENSBURY No. ---- 766
VALUE $
TAX MAP NO . 50 . - 7 - 3%QAQREN COUNTY, NEW YOR K
MRMISSION is hereby granted to
� Street. Road or Ave.
OWNER of property located at :IG
In the Town of OueensburV. To Construct or place a
st 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 ChAsensbury Building and Zoning Ordinance.
IIIII
t. OWNER'S Address is
43 H HUNTERBROOK LANE
QUEENSBURY , NEW YORK 12804
2, CONTRACTOR or SIA Lt7ER'S Name
SCHERMERHORN CONSTRUCTION
3. CONTRACTOR or BUMDER'S Address
43 H HUNTER BROOK. LANE
QUEENSBURY , NY 12804
A. ARCHITECT'S Name
COMMONWEALTH
fi. ARCHITECT'S Address
FLmg
struction - tPleasa indiosts by Xi APARTMENT
Wood Frame i t mo2onry { i Steel 13
pecifications
UNIT APARTMENT BUILDING +[ Bldg . 1 ) , Baybrook Townhouses as P+er
lat plan and spe+cifricatiolle
UNIT APARTMENT BUILDING
0 DeceMbelrS 14 2000
$ PERMIT FEE PAID - Till PERMIT EXPIRES
(If a lonpsr period is required an application for an exteodon rnuer be made to ttl Building and Zoning irapeetor of the
town of Ousensbunr bsfars the ewviration dore.F 1 9 9 8
14 December
Dated at the flown of O is Day of t9
c. for the Town of aueensbury
SIGNED BY eum"dwo and anina 1090e" e'
But di.npr Permit Application
Town of Queel1S'but y - llrlu. <f DevelevInisene, 742 thilp {;rrrrrl, Quec %/mly. N)r 12&M 1744-82Z5C-)f
_..a. . 13U11, 1) ING COVE ENFUl4r - l�' AfEN 4
NOTICERequirements prior to issuance -[Almrmit must be ohtained beforeof this peartnik: 1'CJIAfi7' F1Lli Nc7,ning construction, No inspecliextsPEfiAal f FEC PAlU ItZorsin flCoard Action
e irtade until applicant has rexeived 0 $L1f? 13tlit t]i1VC3 PGRMI'T. All Arcxr I UAc 1tECltf A110N FEE I' 1lU 1scants' slrnces on this application
T he completed nndf the signature
l' lanribig Iiiixrrd Actione atrplicant inU.4t appear on the Slit / rstrlxl1Y111Cr11 � UltrCr rrar f rr,� rrrrrr.-rrrr
cnii(m fnren. rr ..R }.., Roceenlion ree Payment
t�
Alt.pliennIt Jcsl+ er ►Mr✓ r ocri C -as !a %; r<.i iJwsxcr; 4-5 Ir A.j Co A 's t Ir
- nrp
Andress: 3 It 14 j s.,T4 4a .r n r e4) )' L AI Address: q -'J r
l'itonc # { 51Yi �) 7 9t _ - r� to J + ,p 1'111WIC # { 6js_) .zW �? '2
Prolret (y
IT •Ting Malt Nnniltpr
,iillaki�Vlflltttl {�11ktF14+1 °�' liuotlnn Ittrxrk I in
NATURE Or PROPOSED WORKt ESTIMATED MARKET VALUE OF T11K
K< New Building : CONSTRUCTION : $
residence / commercial —
Addition to Building :
residence / commercial OCCUPANCY INFORMATIOtt :
Alteration to Building : Primary Building -
res .i.denee j commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
oifflce
Other Work { describe below ) Mercantile
Manufacturing
;Sc _ k Other
GtROSS AREA OF PROPOSED STRUCTURE : C[��
So 4r If ADDIr1r1ONO what will use
lat Fluor . . . . . . , . 30 >3q . ft of new addition be7 :
2nd .Floor . . : . . . . . Yo2 ice sq : € t/d l
Other Floors . . . . . A _ aq , ft .
( not unfinished cellar or basement ) ACCESSORY BUILDINGS :
Detached Garage 1 , 2 car
TOTAL FLOOR AREA * ; `d � CoU SQ . F"C . Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: C_ommorcial Storage Building
Other
FEET X --3 tL r FEET
Foundation 'Type : „_._C'cy; .�N.� WiE l .1 rany' second— hand or ungrndpd
Number of Stories : � lumber be used ? If sa , for what ?
( habitable space only ) �" --
lieight ( grade to ri.dge ) : � c.� fPi, t TYPE OF HEATING SYSTENt
Number of fireplaces and / or woo(lstov", ( ci- rcle all which ap li S )
to be installed : K slraes' t~ r,-iC- _J O 1 / Ga�j ooci
re ed 110L Air / aseboard / outset
Person reaponeible for nupervision of work as regards to building
codas 1- S : ".,,r .ket .1.� 5 leaf �_( ' � , ; . ., ; c�i!- . [ , f 7 . 7
- --
Naiine 11r�ldret3iaa Phone
13%t i l d�e r : Sc,ti c v.r �,
—J ------
Plttml3er : 414fie 7�
Mason : ra Z'jr ban„j d 4.i i*Ce 13 r I
Ekect~ riciarn : • . . � � ' , 7 . ' c� �� � ._�_ �� `/ � '� � � __....
i7ECL,I Z'ATiI►0N. Please alga below rtliler ynrr have carefully read lire slrilement.
'Co the best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, are a true and complete statelnctrl of all prot-msed work to be dune oil
the described premises and that all provisions of the 13uilding Ccxlc, the Zoning Ordinance and till
other laws pertaining to the proposed work shall be complied with, whether specified or noteti, antl
drat such work is authorised by the owner. Further, it is uodearstood ilaat 1/we shall submit prior to a
Certificate of Clccupanc or Certificate of Coin liance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; wn to sc. , stao ing tuat ovation of project on premises.
owner, owner'5 agent, architect, contractor)
r
i
COP3T2'LxAHC'E APPLICATI(]l3
CODE WARREN COUNTY
SNERG of 4 [3EEN S13 p rnEOREF, _DIALS
TOWN
9000 RFPLT1NC4
Practice Method
P,cc+epta1° le s ( only) Trade offs
FART 5 ily Dy7elling onen
Methods : 1 & 2 Pam Rating _ COmF Multi-Family
ComT5lia 6 * Thertna!1 Owelli iesror less )
PART I & 2 Fame s ( 3 star ance
Dwelling Component perfo esidential
FART 4 * - pesIgn lalBuildings - � Rise R
Comm f worlcsl^leets
* Requires submission 1
y I,DCATION : (ac + `. Vv.
PRDPER'l � b {. 0 �, Vj
S NAME : +'�.� e L
RP'PL,IGANTPRAG'�ICE
CIO q ACCEPTABLE
r .
METHOD O COMPLIANCE
�___ 4g k p 10 square feet other
l . Gross
Floor A Gas
rea - _ - Oil
E 1 e ctr i s �----
yes __�''-- No vndez' i7 �s
2 . Type of Rea t - �� ally cooled? __--- 17 �--
mechanic e% over
3 . Is building of windows and doors S
percentage of pW MUST CORRESPOND TO R_VA.LUES A
area
. FerCeI7 GIVEN 13EI R 3�
R_,V•ALUES FOR INSULATION R
50 1,0WN ON PLANS SUBMITTED : R
Roof R
lls R
b . Exer
b t ior wa
Glazed areas R
G doOrS 6 aceS R om---`
d , Exterior unheated p heated building )
e . Floors grade ( de ) R _ ��----
Edge of slab on walls ( above grade ) R -
f ' ent / cellar below grad de ) space
Ba,sem -jar
walls ( below
in
h , Basement. / cell ducts -,Pipi g
i Reati. ng / cooling- device
water yyeating yes Na
domestic ) hot code __ --- E]�CEEDED
6 , Service ( minimum efficiency per o _ WILL NOT BE
Conforms to IMVM SETTING 1 +40 umber
.PURE CONTROL Phone �
TEtRPERA Date
ApPi oat
s �gn u r ;2 �- —
INSPECTOR ' S REMARKS
-- MULTIPLE DWELLING, HOTEL. MOTEU APARTMENT
FINAL INSPECTION REPORTJ�/tr� � .
Office No. (518) 761-8256 I _
Building & Code Enforcement Date inspection request received: 3
Dept. of Community Development
Town of Queenshury Arrive am/pm Depart am/pm
742 Bay Road Inspector's Initials -1 V�
Queensbury, N1' 12804 Q
NAh/E '/`7►��.r ar 1.`_ �r �-� PF�RMi'F # " •. /7
LOCATION ,r DATE '
TYPE OF STRUCITMI
N/A S NO COMMENTS
6171
t'�sinasey Heiglrif"13" VartJI]irod v z,�:�•_
Fresh Air intake /
Plumb Vent through roof
Roof complete 1
Exterior fetish complete a
Interior/exterior railings Sit in. to 3$ in. ' "��
Exterior handrails, balconies, landing 18 in. Fwe-
interior handrails stairs balks sides 3 ormore
Guardrails in in f7725 �f,C' I J�
13allisters 4 in. apac�xg
Ducts 36 in.
Headroom 7 fL on stairs
Handrail Dior stairs bolt[ sides rnorc than 3 ' V at.
s
Floor finish T /stT� ✓l
men watertight
interior handrails balcomes/landing 18 in. or rrsore
Railing, across window in stairwells �l 5 M C ca�16 � �
Smoke detectors: V'�e>t C<- ��� C. t�C7+/2 `� . 27
every level
every bedroom li API >'kC�c `fJC T _ ~¢ +G+ 2 JkAe� ',
outside every bedroom
inter comeeted
Bathroom fans
Plumbing fixtures _
Foundation insulation
Fire separation '/4, 1, 2 hour lkPrc CC l C l�Ca i C s�� t�
Fire walls 1, 2, 3, hour
Fire doors 3/,, 1 '.fix , 2 hour Igmac
Handicapped Accessibility_,. kHandicapped parkingHandicapped signage __
Finish grade
Gas valve shut.-off exposedlregulator 18 W. abGas furnace shut-off within 30 tL or within lin
OR furnace shut-off at entrance to furnace area
Fumacelhd water heater operatirn
Relief valve(&) installed
Garage fireproofing
Garage penetrations sealed _ 10
Furnace in separate room protected (in garage)
Light ventilation per room
Safety glazing 18 in- or less from floor
.—
Final Elocuicak 6e -e <, E
Site Pkan/Variance required > >
Final Survey Plot Plan ;—L _
A"milt septic system layout rd4uirea
Okay to issue tempi CIO
Okav to issue permanent C:/O (Certif. of Occupancy)
Okav to issue C/C (Certif. of Compliance)
60-7-13.2 13.3. 13.4
lvx
4rMW OCi3 an ce� TYXCA
(3miDt"D ' LC T
Comm MtCiEvs � VY
�ukr^Gard TSa. .............. �`.
Mirra
...
..." •l+ ±c?.. '....... . .
1 r... ...'................... ......_.......... ....
panel E3oard
uaGatlan
�..4. .........
�onsistin$ of ,.�..�.�..... fn. �J #..........�,
lnskallatlon
G3 (S 1C (J•.•-........r ���� ,tic Na. .................�......,...'.s.'...�...
(7 certificate pre"ic u 14 i sued
is
�L ,, >. '• ............. /{r.. ./�.... an}' on the
..... (� ,, (wi I'■ ..._. G 4 Uf khiy certificate. and t date- P .
t �' �• conditions a- o ectlon-
issuance made for in.P if its
lnskalled $� cvern ' ent and installation rointtly time. and
`{he conditions following ,;hall be P eetivns at any
tlic electrical cautipm lication
l v prncnt or alterations, "VP y
of rr5a
cancelled'. - ve the prsvi e .. ..
Tlris certficate, on y e t s c i{,+c• .
addstional C Slra}l ha lI" `
introdtxctio" of this Company the rig
of any shall have
ecrurs the C ................actµ.}.P.A--...
{nsp om ...... gJte'P�b
rules are violated' >pµSP@C'COR .-..
.... ~. ...............
•
RESIDENTIAL F NAL INSPECTION REPORT
Office No. (518) 761-8256 Date inspection request received-
Building & Code Enforcement
Dept. of Community Development Arrive amlprn Departs • .-
Town of Queensbury Inspector's initials �
742 Bay Road
Queensbury, New York 12804
NAME *= H��2 W t21L(s IZ nl PERK TT # 10 4G'
LOCATION L DATE
TYPE OF STRUCTURE ti
N/ NO COMMENTS
Chimney HeightPM" 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, landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers
Grade 2% away from foundation '
8" clearance to sill plate
Gas Valve shut-off exposed/regulator 18" above grade
Gas Furnace shut-off within 30 feet or within line of si
,Ail Furnace shut-off at entrance to furnace area
,( Furnace of Water Heater operating - ' rr T
Relief Valve(s) installed
Headroom, 6 ft. 6 in. on stairs
Basement stairs, 6 ft. 4 in.
Handrail exterior stairs both sides more than 3 risers
Interior pnvacylttiaa/doors/maut entrance 36"
Floor Firush
Baathroom/Kitchen watertight
Interior Handrails BalconiesA anding 18 in. or more
Railing across window in stairwells
!'Smoke Detectors: KCbv6 C{I
every level
every bedroom
outside every bedroom
utter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
//3/4 hour Fire door/door closer
i' ftreproofm �LL- Pl-e
Garage penetrations sealed
Furnace in separate room protected (in garage)
Light ventilation per roomAp
Aafety glazing 18" or less from floor
Final Electrical nj t
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required ui
Okay to issue CIC (Certif. of Compliance) s
Okay to issue temp_ C/O (Certif. of Occupancy)
Okay to issue perrnar►ent C/O (Certif. of Occupancy)
Y RESIDENTIAL FINAL INSPECTION REPORT
t
Office No. (518) 761-8256 Date inspection request received'
Building & Code Enforcement rt
Dept of Community Development Arrive ' ! LanYl9i:-_cp&
Irrr c�3.or's initiall
Town of Queensbury
742 Bay Road
Queensbury, New York 12804 /
PERMU #
NAME DATE j
LOCATION
TYPE OF STRUCTURE
f NIA YES NO CGtmmTNTS
Chimney HeightP'8" Ventfl]irect Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
InteriorlExter'ior Railings 30" to 36
Exterior Handrails, balconies, landing 1,8 in. o more
Interior Handrails stairs both sides 3 or gore sers i
Grade. 2% away from foundation
8" clearance to sill plate
Gas Valve shut-off exposed/regulator 18" a ve grade_
Gas Furnace shut-oty within 30 feet or within me of site
()il Furnace shut-Taff at entrance to furnace
Furnacelliot Water Heater operating
Relief Valve(s) installed
Headroom 6 ft. 6 in. on stairs
Basement stairs, 6 ft. 4 in.
Handrail exterior stairs both sides more 3 riseVrs
Interior privacy/trurtldoors/main entrance 3 '
Floor Finish
13athroom/Kitchen watertight
interior Handrails EWeeniesn,anding lg in. r 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 fire door/door closer "
(.garage fireproofing
Garage penetrations sealed
Furnace in separate room protected (in garage)
Light ventilation Per roam
Safety glazing, 18" or less from floor
Final Electrical
Site P1antVariance required
Final survey Plot Plan
As 13uilt Septic system layout required
i)kav to issue C/C (Certif. of Compliance)
May to issue temp. C/O (Certif. of (')ccupancy)
Okav to issue permanent 'CIO (Certif of Occupancy)
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 pate inspection request received=
Building & Code Enforcement
Dept, of Community Development A�3"���-���" Depart
Town of Queensburys[
742 Bay Road
Queensbury, New York 12804
PERMIT #
NAhSI = DATE Lfr
LOCATION Y'
TYPE OF STi RUC'I'f3RE ~ ~
IN1A YES NO COMNWJ 'S
Chimney HeightT"B" Vent Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Intewlior/E.xterior Railings 30" to 36"
Exterior Handrails, balconies, landing 18 or more -
Interior Handrails stairs both sides 3 or mor sers_,
Grade 2°/a away from foundation
8" clearance to sill plate
Gas Valve shut-off exposed/regulator 18" above de -.
Gas Furnace strut-off within 30 feet or within line site _
Oil Furnace shut-off at entrance to furnace area
Furnace flot Water Heater olrera
Relief Valve(s) installed
Headrevcan, 6 ft. 6 in. on stairs
Basement stairs, 6 ft. 4 in.
Handrail exterior stairs both sides more than 3 ri
Interior privacy/uim/doors/rnain entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Ba1coniesfl-anding 18 in. or in e
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 fire door/door clone:
Garage fireproofing
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
Final Survey Plot flan
As Built Septic System layout required
Okay to issue C/C (Certif. of C:omphancc) --
Okav to issue: temp. C/C) (Ccrtif. of C)ccupancy)
Okay to issue permanent C/O (Certif. of Occupancy) _.
MULTIPLE DWELLING, HOTEL. MOTEL, APARTMENT
FINAL INSPECTION REPORT
OMce No. (518) 761-8256
Building & Code Enforcement Date inspection request received:
Dept, of Community Development r'
:Town of Queensbury Arrives } C� .r impart
742 Bay Road Inspector's Initial
Queenshury, NY 12804
NAME PFtxnnrr #!
LOCATION DATE
TYPE OF STRUC Z) N b
NIA YES ,NO COPANUR4TS
1
Cftlntmey [Let Y Y . 1�( O(� \I
Fy esh Air
Plumb vent through roof
Roof complete
Exterior finish cornplete
hrtcrior/exterior railings 34 in. to 38 in.
Exterior handrails, balconies, landing 18 in. ornWcc
Interior handrails star both sides 3 or move risers,
Guardrails 42 in-
Banisters 4 in. spacing
Doors 35 in.
Headroom 7 ff on stairs
Handrail exterior stairs both sides mono than 3 risers
Floor finish
Badwroorn/ iptchen waterti
Interior handrails balomies4atiding 18 in. or rrWreG�-
Railing across window in stairwells VV
Smoke detectors:
every level
every bedroom
Moutside nect Kxrw bedro
Mier
ter connected
Bathroom fans � 'J • ��`
Plumbing fiartures -71
Foundation insulation
Fire separation '/a, 1. 2 hour
Fire walls 1, 2, 3, hour
Fire doors 3/4, 1 1/, , 2 hourHandicapped Accessibility.,_.
Handicapped parking
Handicapped signage,__._._.__.
Finish grade
Gas valve shut-off exposod/mgttiator 18 in. above f rode
Gas furnace shut-off within 30 ft. or within line of
Oil furnace shut-off at entrance to furnace area
FumaoeJhot water heater operatin
Relief valve(s) installed
Garage fuvproofin
Ciarage penetrations sealed
Furnace in separate room protected (m garage)
Light ventilation per room
Safety glazing 18 in. or less from floor
Final Electrical
Site Pian/Variance requited
Final Survey Plot Plan_
As-built septic system layout required
Okay to issue temp CIO
Okay to issue permanent CIO (Certif. of Occupancy)
Okay to issue CIC (Certif. of Compliance)_
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road j
Queensbury, NY 12804 Arrive anv+pm Del pm
Ins is 'Initials
NAME: 1: P.� PE #
LOCATION: D TE : x5j hill
TYPE OF STRUCTURE:
RECHECK
NAA, YES NO COA4MENTS
FootingwTiers
Monolithic Pour Form -
Reinforcement in Place 1 �� f;1611 -
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,
Reinforcement in Place
Foundation/llampproofin
Backfill Approval
Plumbing Under Slab
Plumbing VentlVents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation 'Walls Interior R-
Foundation Walls Exterior R.-
Floors R-
Wails R-
Ceiling, R-
I>uct work or Piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/'Bridgin
Joist klangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1 , 2, 3, hour
etratisan Sealed
ire Wall 2, 3, 4 hour
Fires
TOXIN OF QUEENSBURY
BUILDING A CODE ENFORCEMENT
742 Bay Road
Queensbury MY 12804
(518) 761-9256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name-1t4 _1 ' f/22
Location + >L_13C,
Date Permit #' "7/
SOIL TYPE: Sand- Loam- Clay-
Results of Percolation Test-
( if applicable ) Rate. Inch
TYPE OF SYSTEM:
ABSORP ON FIELD : T tal:)Leth
Length each tre ch
Depth of Tenches
Size of st e
SEEPAGE PI K ber-
Size - x ft .
Stone size -�
PIPING: Size Type
Bldg . to Tank
Tank to Dist . B x
Dist . Sox to Fi ld/Pit
Openings Seal ed yesy� Imo a�a
LOCATION/SEPA IONS :
Foundation to ank feet
Foundation to bsorption feet
Separation o+` its feet
Conforms as p r Plot Plan 4es No
LOCATION OF YSTEM ON PROPERTY :
( circle one
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS :
SYSTEM USE APPROVED : YES NO
Arrived:
Departed :
Bui ding Inspector
I
TOWN OF QUEENSBURY
BUILDING A CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761 -8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Namec _lU
Location
Date �{ c"" Permit # _ �(
SOIL TYPE: Sand- Loam- Clay-
Results of Percolation Test.
( if applicable ) state-Minute/ Inch
TYPE OF SYSTEM:
ARSORPTI FIELD : To Length
Length o ach tr . ch
Depth of t r t s
Size of ston
SEEPAGE PI Number,
5ize -X
ft . x ft .
Stone
PIPIN Size ype
Bld to Tank
T k to Dist . Box
Dist . Box to Field/Pit
Openings Sealed ? Yes No Partial
LOCATION/SEPARATI ONES :
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
COMMENTS :
SYSTEM USE APPROVED : YES C
Arrived :
Departed :
8ui7din �""r�
g spector
TOWN OF QUEENSBURY
BUILDING S CODE ENFORCEMENT
742 Bay Road
Queenshury NY 12804
(518) 761 -8256
SEPTIC DISPOSAL SYSTEM INSPECTION
NameC_
Location
Date
SOIL TYPE: oa Clay-
.............
Results of Percol ion est-
( if applicable ) to-M nute/Inch
TYPE OF SYSTEM:
ABSORPTION FIE T al Length
Length of each tr ch
Depth of tren
Size- (Q , st
SEEPAGE PITS Number-
Size - ft . x ft .
Stone size
PIPING : Size Type
B 'Idk . to v0 nk
Tan
4
Dist . Box oField/P
Openings ealed ? es No Partial
LOCATION/ EPARATIONS :
Foundati o to Tank feet
Foundatio to Absorption feet
Separati n of Pits _ feet
Conforms as per Plot Plan es No
LOCATION OF SYSTEM ON PR"OPER7*.�
( circle
Front - 6a - Left Side - Right Side
Middle F t - Middle Rear
COMMENTS
SYSTEM 115E APPROVED: YES NO
Arrived :
departed =
Building Inspector
4
f
i
t
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbrury NY 12804
(518) 761 -9256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name _ ✓}C 1t' c'I�E kG+R�
Locationrp
Date x7 `f" Permit #_ 5
SOIL TYPE : Sand- Loam- Clay-
Results of Percolation Test-
( if applicable ) te-Minute/ Inch
TYPE OF SYSTEM:
ABSORPTION FIEL : tal Length
Length of each ren
Depth of trench s t��
Size of stgne
SEEPAGE PITS : umbe -
Size - to x f t .
Stone size
PIPING : Size Type
Bldg . to Tank
Tank. to Dist . B0
Dist . Box to Fie d/Pit
openings Sealed ? Yes No Partial
LOCATION/SEPARAT ONS :
Foundation to Ta k feet
Foundation to A sorption feet
Separation of its _ feet
m
Confors as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY :
( circle one )
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS : ` F+t,4:- —k I}K:_./-�,
1srL it Ve
SYSTEM USE APPROVED : YES NO
Arrived :
Departed : J6
! /
Building �nspector
s
Cat. v4t co
GENERAL VV PE I N REPQRT
Town of QueensbutrY
Dept, or Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road �,
Queensbury, NY 12804 Arriv p �' •r-� Dep
�r--
';—Spector s Initial
PERN41T #
NAME: DATE :
LOCATION:
';TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protedtion from freezing
for 48 hours following the placement
of the concrete. `
materials for this se on site
Foundation/Wallpour
Reinforcement in Place
Foundation/DacnpprrooSn
Backfill Approval
Plumbing Cinder Slab
Plumbing Vent/Vcnts 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
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
GENERAL INSPECTI N REPORT
Town of Queensbury Date in on request received: _
Dept. of Community Development spect�
Building & Code Enforcement
742 Bay Road Arrive �J Depa
Arri r
Queensbury, NY 12804 �es Initial —�
PERNIIT #
NAME: -)JL
DATE :
LO CA71 N:
TYPE OF STRUCTURE:
RECHECK
I
N/A YES NO COMMENTS
Footingstpiers
Monolithic Pour Form
Reinforcement in Place le far
The contractor is respo
providing protection fro
for 48 hours following pla t
of the concrete.
materws for this purpose o Si
Foundation/Wallpour
Reinforcement in Place
FoundationlDampproofin
Bacldill Approval
pl utnbing Under SI
Plumbing VentlVen in
Rough Plumbing
Heating p.ough-In
Insulation
Foundation Walls Interior Foundation Walls Exterior Floors R-
Walls eF( ., 2.1,11� FLRR-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack StudslHeaders
BracingBridgin
joist Hangers
jack PostsfMain Beam
Air Infiltration Barrier
Fire Separation I , 2, 3, hour
Penetration Sealed
Fire Wall 2, 31 4 hour
Firestoppin
GENERAL I SPECTI N RE RT k
Town of Queensbury Date inspection request recei " d6
Dept, of Cammunity Development
Building & Code Enfareement _
742 Bay Road
Queensbury, NY 12804 Arrives a��
�,, # /
NAME: _ _ � l F r
LOCATION:
TYPE OF STRUC
RECHECK or& rrc' e.. C{5
NIA YES NC? CUMMENTS
Footings/Piers
Monolithic Pour Form
Reinfo.* e^..w^* in Place
The contractor is responsible
providing pmtecti n from ing
for 48 hours folly g the p ment
f the concrete.
omaterials f r this on site
Foundation/Wallpour
Reinforcement in Place +�
FoundationlDampproofin
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P cJP+,� ti _` t } 'mot �.� �'-�r �- C�[ v�1L ►�
�bugh Plumbin _
!l Heating Rough- n ' �i
insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack StudSJHeaders
Bracing/Bridging
joist Hangers
Jack PostslMai.n Beam
Air hifiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestoppin
RE ORT
Town of Queensbury Date inspection request received: —
Dept. of Community Development
Building & Code Enforcement
742 Bay Road Arrive
6
NY 128f14 l � .—fit s I
Queeusbury, -- �s or s tit'
PERMIT #
NAME: DATE :
LOCATION.
TYPE OF STRUC'T[3RE:
RECHECK
NIA YES NO ANTS
Fo ting,.slPiers
I
Monolithic Pour Form
Reinforcement in PLac+e kk
The contractor is responsibl for i
providing-protection from
for 48 hours,following the
of the ooncrete
Materials for this on
Foundation/Wallpour
Reinforcement in Place
FoundationK)ampproofin
Backan Approval
Plumbing Under Slab
PI 'ng VentlVents in Place (] •, " [~e, � � C` `.
ugh Plumbin
Heating Rough-In
;.nsuiation
Foundation Walls Interior -
Foundation Walls Exterior
Floors R•-
Walls R-
, g R-
Duct work or piping in
unheated. spaces R-
Proper Vent Attic Vent
Framin
Jack Studs/Headers
BracingBridgin
Joist Hangers
Jack posts/Main Beam
Air Infiltration Barrier
Fire Separation 1 , 2, 3, hour
Penetration Sealed
Fire Wall 2. 3, 4 hour
FirestollPmg.
GENERAL L1VSPEC QND REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12MM Arrive do Dept
` Inspector's
NAIvM: J PERmrr #
LOCATICIN: DATE
"TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezinng
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in P
Foundation/Dampproa
Backfill Appravai
Plumbing Under Slab
Plumbing Vent/Vents i lace
Rough Plumlaing.
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/Bndgin
Joist Hangers
J PostslMain Beam
\,Akej filtration Barrier
Fire Separation 1, 2, 3, 'hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Fir estoppin
TOWN OF QUEENSBURY
,I nUILDIN ROAD
cOD8 RCEMENT
'742.
QUE(5IB ) 745N $6�4AA7
T.T?F?IVF :
f1 F'T.RT = INSI' :
FINAL INSPECTION REPORT -- RW ZY E'NxX
DATS INSPECTI N REQUEST REO�IVEDt
NAME
LOCATION r
PERMIT
DATE G�
TYPE OF STRUCTURE
_
ATION BACRFILL FRAMING
FOOTINGS. FOUND INSULATION
ROUGH PLUMBING SEPTIC
FINAL ELECTRICAL Ir,}OOI7STOV6 OR FIR.SPLACE
j YES HO
1
1
i
i
CfS3MNFY HEIGHT B VENT }} IGHT
} I?LUMBING VENT
ROOFING
EXTERIOR WISH
DEC OR'C i STE S RA LING
RELIEF VA V S
URNACE HO 4PA ER P TI 'G
N RIOR T R VAC
FINIS LO R
BATHLKI }I N T T T
OTHER FLOORS S P E
OTHER LOOFLS CARP E
STAin CLEATiANCE RA INGS
SMOKE DETECTO S
F+�A,THROOM FAN
PLutm4IING FI]CTUBES — ---�—'
FOUNDATION rNSULA ION
1
GARAGE_ FIRE PStW F I N G
. D.0(o FRS
FIVAL _ELECTRICAL
SITE PLAN VARIANCE RE
FI gURVEy PLOT PLAN
j €�
OK TO SSSU C /o OR C__--
i 1
k
I
i
i
i
GENERAL INSPECTI N REPORT
Town of Queensbury Date inspection request received: ...
Dept, of Community Development spec#r
Building. & Code Enforcement
742 Bay Road Arrive annlpm Depart
Queensbury, NY 12804 Inspector's Initials
PERMIT # s
NL(7C �r r C
�. .� , ` - �' DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES Na COUM4ENTS
FootingSfE'iexs
Monolithic Pour Form
Reinforcement in Plane
The contractor is responsible fvr
providing protection from freezing
for 48 hours foil g placement
of the concrete_
Materials for this o site
FoundationlWall
Reinfo men# in
Foundatio
BackM Approval
plumbing Under St
Plumbing Ventfven 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-
ProqrrN,ent,.y c ent /}
Jack Stu4L?!
Bracing'Br►d�nS� wpm �CZ l L
Joist Hangers
Jack PostslMain Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2. 3, 4 hour
Firestopping_
GE.- E RAL Lmsencrz ?1V REPORT
Town of Q�ueensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Read
Queensbury, NY 12804 Arrive In epart
Inspector's
NAME: PERMIT # --
LOCATt I JJDATE : r
TYPE OF STRUCTURE:
RECHECK
N/A YES NO CMAN ENTS
Foorings/Piers j
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from ing
for 48 hours following pl ent
of the concrete_
Materials for this on
Foundationf Watlpour
Reinforcement%in Place Al
FoDda tion/D
Llk6kf11 Approval
Plumbing Under Slab
Plumbing Vent/Vents, in Place
Rough Pl
Heating Rough-In
Insulation
Foundation V4' s 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 Studs/Headers
BracingBridging_-
Joist Hangers -
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour.
Penetration Sealed
Fire Wall 2. 31 4 hour
Firest+oppi.n.