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2011-428
ea` TOWN OFQ UEENSBURY ow742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20110428 Date Issued: Friday, August 03, 2012 This is to certify that work requested to be done as shown by Permit Number P20110428 has been completed. Location: 22 OAK TREE Cir Tax Map Number: 523400-302-017-0003-047-000-0000 Owner: JOSEPH & DORETTA STEVENSON Applicant: JOSEPH & DORETTA STEVENSON This structure may be occupied as a: Fireplace By Order of Town Board Residential Addition TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property / owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Planning Board Director of Building&Co. L nfo , ent or Zoning Board of Appeals. TOWN OF QUEENSBURY 411%. 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110428 Application Number: A20110428 Tax Map No: 523400-302-017-0003-047-000-0000 Permission is hereby granted to: JOSEPH &DORETTA STEVENSON For property located at: 22 OAK TREE Cir 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: JOSEPH & DORETTA STEVENSON 22 OAK TREE Cir Fireplace Residential Addition $35,000.00 QUEENSBURY,NY 12804 Total Value $35,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2011-428 480 sq ft residential addition& 1 pellet stove $100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 17, 2012 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at they Town of Queensbury; / 1 Monday, October 17,2011 SIGNED BY � ;f' f .<`" ;� l for the Town of Queensbury. Director of Building&Ci>de Enforcement -OFFICE USE ONLY ( ' TAX MAP NO. :FC `� � PERMIT N0. . IVEC, Q V E FEES: PERMIT RECREATION ENGINEERING . t, (If applicable) �� ) 7011 PRINCIPAL STRUCTURE`"LO""'G& CODE�RY APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: Jo.5..e-p4 ls&)SU OWNER: , aaf_4_45. ► .caL4i: ADDRESS: Z /lA1C �,2P� C zrJe. ADDRESS: „ �,� La.1.. PHONE NOS.�� �0 PHONE NOS. _29.2- 710 CONTACT PERSON FOR BUILDING & CODES COMPLIANCE.Jey.5teh 4, �e°0PHONE:?92_71�� LOCATION OF PROPERTY: a22 CAI€ _ /-441/.5' HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT Z APPLY TO YOUR O Ci PROJECT O Q p O C! O I- 1 w JU` O � CL w -J � _ _ Q Q r- V Na O � � � mow ? SINGLE FAMILY \ - 9` sr 31 TWO-FAMILY 1•., MULTI-FAMILY ' (NO. of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINES . ESTIMATED CONSTRUCTION COST:1 5 •�. T „'1n & ci Vin ' /'_ II-2j //-4 -�t Revised 4/14/2010 APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the New York State Fire Prevention & 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. Important Note To Applicant: Rouqh-In and Final Inspections Are Required: Owner:: 7-15PpJ. 44 �,e�r� �, Installer/Builder: wts piAr--. C-O), r7 Address: ;, (34/t -1p Cr; C/e— Address: j?.-J AlLA he, & jt, A14< Phone Nos.: 112 -7/01 Phone Nos.: 6.1 F-93o9 /1n'77' i-ewf� Location of Property: ;1.2.©AA. E'pte/t Subdivision Name: /4,W/44► lir Location of Proposed Construction and/or Installation: 02 44-77104,- Contact C Zr e Contact Person for Building & Codes Compliance: Se_10/( 54 frr, Fuel Burning Applicance Wood Coal Pellet Gas • Oil Information Stove Y- . FireplaceInsert Fireplace, factory built* Fireplace, Masonry Furnace, (Garage Only) * If Factory Built, Please Provide: Manufacturer Name: Model No. P113 Listed By: Oill r r' TeS Z Q� :n c. Number: /35-- 5 —/y- 2-- Chimney Chimney Information BLOCK BRICK STONE Masonry** Check One/ TILE STEEL SIZE IN INCHES Flue Check One / DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY VENT LINER Chimney Material Check One/ ** If Non-Masonry, please provide: Manufacturer Name: S,;yl p . Dom/V4odel No. PV P ADDITIONAL NOTE: CONSTRUCTION / INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION & BUILDING CODE AND/OR MANUFACTURER REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Lk.) ('.a r1 e:sc..t cC �, Queensbury Building & Code Enforcement - Residential Final inspection Office Na. (518) 761-8256 Arrive: am/pm art: e (am/pm Date Inspection request received: Inspector's Initials: NAME: -S+e, \) n PERMIT#: LOCATION: > k" ' r P€ C r DATE: Q' --/ - / ,;1 TYPE OF STRUCTURE: 4c Comments: Yes No N/A 4" Building Number Address visible from road C1c(:o e Lzr Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 1140335-3 3 inch Plumbing Vent through roof minimum 18 inches P Roof Complete/Exterior Finish Complete ! Platform at all exterior doors c. Handrail 4 or more risers l - Guards at stairs, decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: — Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation to floor/Sticker on Panel Duct work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs closed rise>4 inches _ Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical; Energy Saving Light 50% Final Survey Plot Plan _ _ Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System I Sewer Dept. Inspection Sticker Site Plan /Variance required _ Flood Plain Certification, if required Okay to issue C/C or C/0[Temporary/Permanent] ' L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc; Revised January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11 Town of Queensbury Fire Marshal IOW 742 Bay Road 4. Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# /� �' 6 Schedule Inspection�,���� Time am anytime Inspector �` Name 6 6 $1/4) Address c02- r' Rough In Final Appliance Manufacturer /1/4/Z//(,/ Model# /9471,3 Masonry Chimney Factory Built Chimney kr Flue Size Double Wall_Triple Wall_Insulated_ Yes No N/A Comments Floor Protection )(// /� 4+),hai- i Clearances to Combustibles (all sides) Safety Strip Installation(fireplaces only) - Firestop(s) Vertical Chase Wall Penetration Chimney Clearances to Combustibles Chimney Termination V 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension Mantel(height above f/p opening) Fireplace Doors/Screen(required) Carbon Monoxide Detection White—Building Dept. Yellos—Cushmer Pink—Fire Marshal / . 1 Rough Plumbing / Insulation rnsction Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:/T' CT' i ��ii NAME: A ,u PERMIT #: /1-142L. LOCATION_: 2 2_ U INSPECT ON: TYPE OF STRUCTURE: ti Y N NIA Rough Plumbing / ail Plates Plumbin Vent ents in Place inimum Drain Size , Washing Machine Drain 2 inch minimum Cleanout ever ry 100 feet I change of direction Pressure Test Drain /Vent ��j ? \e' Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation / Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/ Hot Water Piping insulation If required unheated spaces _ Combustion Air Supp for Furnace Duct work sealed properly/ No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008 Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: 2ki am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: Wit i, iz NAME: G< / PERMIT #: ` at ( � LOCATION: _ c/a_<TIZ c!Ai?_ ,, INSPECT ON: • TYPE OF STRUCTURE: �C-- ' --- ` Y N N/A Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction Pressure Test Drain/Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes ' nsulation /Residential Check/Commercial Check III Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace _ Duct work sealed properly/ No duct tape COMMENTS: 14 tr< t cRt)`-nC\ Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 1'74 ( i 2. Queensbury Building & Code Enforcement Arrive: am/pm Depart: f , am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ciWis ) It, NAME: Vti r- , _ PERMIT #: Zcl i - zi2v LOCATION: -7=7- (;_";,fit t z1 e.c.rZL i.- - INSPECT ON: t 1'24 I i Z, TYPE OF STRUCTURE: L.; - Y N N/A Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size ! o Washing Machine Drain 2 inch minimum Cleanout every 100 feet l change of direction Pressure Test Drain/Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes //______± Insulation /Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation • Duct/Hot Water Piping Insulation If required unheated spaces , Combustion Air Supply for Furnace Duct work sealed properly/ No duct tap / %/ COMMENTS: w z0.-- &? Ac'e--(_.q--) — \&N-- L\--L-2 * iL.) ' 7 — \ N --is-t,),L Lf\ . .,, (\'ARL-5\i-czio k c---0-oct c-',.. -Air-z. 11\- - u`-24`'C'6---S — vL7rL. .' , � - Z. Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008 C Rough PlumbingI Insulation inspection Report Office No. (518) 761-8256 Date Inspection request received: c _ 6 Queensbury Building &Code Enforcement Arrive: am/pm Depart. am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: LI ill_, 4., - 'Y NAME: `� a.�.iSD� PERMIT#: LOCATION: , C�/l� �� INSPECT ON: / i)- ,;;Is. . c'� �j���� � TYPE OF STRUCTURE: nUy Y N _A/Ai Rough Plumbing / Nail Plates C.-I: K-i , Plumbing Vent/Vents in Place 1 % inch minimum Drain Size 5.4411141e Washing Machine Drain 2 inch minimum ���neZ/ Cleanout every 100 feet I change of directions, Pressure Test Drain/Vent Hie Ale— Air/ Headi. 5 P.S.I. or 10 ft. above highest connection for 15 minutes -' °` Pressure Test ee 1,46:91c Water Supply Piping Air/ Head 50 P.S.I for 15 minutes _ Insulation /Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape _.i __ t—�1-."t ...- --()--- `i� c--7C---- 1'\- -, F COMMENTS: .11.2j-u.13-7---t t5 - '- 7 r 1.cJ-: 5 -i Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough PlumbingI Insulation Inspection Repo J Office No. (518) 761-8256 Date Inspection request received: Jt/e/)-6(/)-- Queensbury Building & Code Enforcement Arrive: am/pm Depart:( • e" am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: (11.A.9 NAME: PERMIT #: .- //' „1. LOCATION: c4,)— UA-l-ci- &J7f.c— INSPECT ON: TYPE OF STRUCTURE: (Z _; Actb Y N N/A Rough Plumbing /Nail Plates Plumbing Vent I Vents in Place 1 Vz inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction Pressure Test Drain /Vent Air/ Head 5 P.S.I. or 10 ft. above hi hest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.8.1 for 15 minutes 111, . Insulat on / Residential Check/Commercial Check BIM Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation) Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly I No duct tape 'F---kr ---W-,-51-2/X:1;'1 COMMENTS: Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 '2 I "2-- 5 Town of Queensbury Fire Marshal ��► 742 Bay Road 7/G; .1:41 Queensbury,NY 12804 761-5205/761-8206 fax 745-4437 p Factory Built Wood Burning Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's q� instructions or specifications is allowed. ,f/� Permit# ) qo�U Schedule Inspection +111 (�'` Time Id ��am p anytime Inspector 'ICS Name 3v� S-1-. qS w,.l Address aa-- (A-lL1 ncet t Rough In /.Final Appliance Manufacturer ' t rn°M(''ki Model# P L Masonry Chimney Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection — jM,/y Raw) -94 VA.,t .rcaL r Clearances to Combustibles(all sides) Safety Strip Installation(fireplaces only) !� Firestop(s) vertical chase Wall Penetration Chimney Clearances to Combustibles �� L 2 // / •�L r/ iaG�i Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension ✓ Mantel(height above f/p opening) Fireplace Doors/Screen (required) X Caiz.60o ThOfloYie Gk' lr'\ 1.11,0' Wh —Building Dept. Yellow Pink—Fire Marshal Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: f,> ,..)-; ,) Queensbury Building & Code Enforcement Arrive: am/pm De art _ am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ,T r NAME: PERMIT#:4 �� eF LOCATION: � a� Air INSPECT ON: TYPE OF STRUCTURE: 5 `1 Y ' N NIAI Rough Plumbing I Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every100 feet/change of direction Pressure Test Drain/Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.1 for 15 minutes Insulation /Residential Check/Commercial Check7 Tyvek or Similar Exterior Sealant r , Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: _. . - 4-4 NAME: f0 PERMIT#: LOCATION: �2 � �'�� 'l(' INSPECT ON: / TYPE OF STRUCTURE: _( I '�A w Y N M/A COMMENTS: Framing Attic Access 22" x 30" minimum Jack Studs/Headers V' ` ( '• . Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes I Bearing Walls Metal Strapping for Notches Top Plate 1 'A (w) 16 gauge (8) 16D nails each side D = stoppi • 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. • less on center Ice and water sh ld 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour — p Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side "A inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/ below grade 5.0 sf grade LABuilding&Codes Fors-OLIN:uilding&CadesUnspection FomisFFraming Firestopping Inspection Repod doc Revised January 7,2008 ' ---5 /I cir,62,_ Foundation Inspection Report Office No.(518)7614256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Departam/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: 5/-6/C PERMIT#: / / 2/.- LOCATION: 2.7 () l h� ri> INSPECT ON: )/2 /j--10—1/ TYPE OF STRUCTURE: `5 , Comments Y N N/A Footings Piers Monolithic Slab 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 Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: �-- 12 inch width t`` 6 inches above footing 6 mil poly forwet areas under slab Backfill Appro 1 Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Fors\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM /o - /L 14fi , . Foundation Inspection Report Office No.(518)7614256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: .ifii:\sm/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �� NAME: `, II— le? 'PERMIT#: . LOCATION: ZZ &ii.:k11,w, (( INSPECT ON: 1/— 7- /7 TYPE OF STRUCTURE: P 17-5 j 1A Comments Y • N N/A Footings Piers Monolithic Slab 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 Reinforcement in Place Footing Dowels or Keyway in place r/'---Foundation Dampproofmg _____) Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width `\ 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval6_,/,/ Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM /MO' Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:atam/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 6,1A---) NAME: PERMIT#: LOCATION: INSPECT ON: '-� -// TYPE OF STRUCTURE: 7-' \c) JJ Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Material -p :•se on site. Foundat'.n/Walipour Reinforcemen m ' ace \/LFooting Dowels or Keyway in place J, s ' 3 (c Foundation Dampproofmg Y Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM C(6S<7. ^ `.L.� Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: I ( ' �a/I / Queensbury Building&Code Enforcement Arrive: am/pm Depart. pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:(tLLA NAME: 5-I ' 1/c-74 PERMIT#: 1 LOCATION: Z 2 0 riitZ j - C r c.( t1 INSPECT ON: ( 1/ 3/ 11 TYPE OF STRUCTURE: �Z- j :cam` Comments Y N N/A Footings Piers Monolithic Slab 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 • Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L.:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM aI14/7n1cc L �r CA PLOT PLAN Show all existing and proposed structures, Indicate the setbacks of all structures and buildings from all propertyRA l\/IinesI{, II 414.41 ,4444L. > SIDE PROPERTY LINE K ' C > --- . —t nom. �/ w `7,7,,; z l rn /4 4, 4 v sc tit. Ni .. t 77,I 4.1 ti Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No. .. ..... ....Cert. N® 2 0 3 7 5 Cut-in Card No..................................... Owner............... ..P.'i..................................................................y..�... Location. .:�.... ... .1 .: G.........cyk'...................."..............................V` .... ............ Installation Consisting of.._/•. ...c �. .. ..........,��.. 7 L.1............................................. .................................................................................................................................................................................... .................................................................................................................................................................................... - .— InstalledBy.......>A.-V.6..............................................................Lic.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 conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making ' sp ctions at any time, and if its rules are violated,the Company shall have the right to reXoleelhis c ca to Date.... ............ INSPECTOR....... . . ................................................ Member N.F.P.A.,I.A.E.I.