2012-088 0111A TOWN OF QUEENSBURY
oN742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120088 Date Issued: Friday, May 18, 2012
This is to certify that work requested to be done as shown by Permit Number P20120088
has been completed.
Location: 26 GENEVA Dr
Tax Map Number: 523400-301-020-0001-073-000-0000
Owner: CLUTE ENTERPRISES, INC.
Applicant: CLUTE ENTERPRISES, INC.
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEENSBURY
Single Family Dwelling �...-
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan,Variance, or I
other issues and conditions as a result of approvals by the Planning Board
Director of Building& Code Enforcement
or Zoning Board of Appeals.
'Oh` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120088 Application Number: A20120088
Tax Map No: 523400-301-020-0001-073-000-0000
Permission is hereby granted to: CLUTE ENTERPRISES. INC.
For property located at: 26 GENEVA Dr
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: CLUTE ENTERPRISES, INC.
6 HOLDEN Ave Fireplace
Garage AFamily QUEENSBURY,NY 12804-0000i y
SingleDwelling
wellin g
$175,000.00
Total Value $175,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-088
1536 sq ft single family dwelling with 400 sq ft garage& 1 fireplace
on 3/22/12 family room of 288 sq ft added as part of permit
$424.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, March 14, 2013
of 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 the Town u sbury Fri, . , arch 23, 2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
.6 -va' .. c ---(2 (e 3A-fr-o/3--- as-e-dl: /j
—'-''''d'°010
3o/ 2c -/r 73FFICE USE ONLY •1111P ECEOVE5
TAX MAP NO. PERMIT NO. a •
FEES: PERMI c- 0- RECREATION 4NGINEERING
4"�.0 't' (If applicable) ..
TOWN OF nU Y
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING -OVALA ' G
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: CS-J (h --:‘,x_OWNER: C NJ
ADDRESS: ( ;.A.ce --k NJe ft- ADDRESS:
PHONE NOS. C ',Is")) -7
9 S -7.7-77 PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: k___.a r;-/ PHONE: 3(c)l ..a-c-t. (c,
LOCATION OF PROPERTY: c2(E, (-_:;e:.Q_` e.c_ D 1.3E'_ c:1 ,, O- i - `7
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ES ❑ NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: \.c3 fit- \ • - J
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR z 0 u_ u)
PROJECT OH 9i- co 0 =•=
w � � wu w Q a , U
E w o I H O - z
W < Q - U) NU) Ou I- U aIo
SINGLE FAMILY . 7f _ . -7( ff-�r t,575 -
TWO-FAMILY 1ill 1> '11\
l i )14-
MULTI-FAMILY f"'ilk
(NO.of UNITS ) '314g-tip--
TOWNHOUSE
31 p--
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHE
GARAGE(0) L/D 0 L40 1-7 4
OTHER
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: O,4
ESTIMATED CONSTRUCTION COST: \-1 51 COO FUEL TYPE: t'-
HEAT TYPE: *HOW C��- *HOW MANY FIREPLACE(S): Qj 1 AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? \--D c _
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: \e_
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
"Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide -R-as-b survey by a licensed land surveyor of all newly
constructed facilities prior to uance of a c:•rtifi : e of occupancy.
I have read and agree o the above.
Signed „.1-Z-„,
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(a�queensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.net
Operating Permit Issued: Yes No
Occupancy Type: 1K` Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
OFFICE USE ONLY
TAX MAP NO. PERMIT NO. PERMIT FEE
APPROVALS: ZONING TOWN CLERK
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT.
OWNER: INSTALLER:
ADDRESS: ADDRESS: (t— A•sue
PHONE NOS. PHONE NOS. C 5e - 7 e7}7 T.DZ? J
LOCATION OF INSTALLATION:
RESIDENCE INFORMATION:
NO.OF COMPUTATION
YEAR BUILT X = TOTAL DAILY FLOW
BEDROOMS _ (Gallons per bedroom) _ GARBAGE GRIItDER
1980 or older X 150 = INSTALLED? \v`
1981-1991 X 130 = SPA OR HOT TUB,
1992-present 110 INSTALLED? \-"---t2)
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLI STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH?
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL, WELL (If well:water supply from any septic system absorption is: ft)
✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH[mpi]
(Test to be completed by a licensed professional engineer or architect)
PROPOSED SYSTEM FOR 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).
TANK SIZE: 1000 GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for
each garbage grinder,spa or whirlpool tub.
SYSTEM TY E:
ABSORPTION FIELD(WITH NO.2 STONE) Total length L DO ft. Each trench X SO
❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size?
❑ALTERNATIVE SYSTEM Bed or other type?
0 HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks?_
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
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 r ations with reispe o i .:plication and agree
to abide by •-se and all requir 0- is of,r•- •wn of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
Sanita sewage posal P Ott ance. codes{aqueensburv.net
A- VISIT OUR WEBSITE FOR MORE INFORMATION
Si tur- of Person Responsible Date www.queensbury.net
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
Town of Queensbury
Highway Michael F. Travis
Department Highway Superintendent
742 Bay Road, Queensbury, NY 12804 Home (518) 798-0413
Office Phone: (518) 761-8211 Thomas R. Vanness
Fax: (518) 745-4466 Deputy Superintendent
Home (518) 745-0929
www. Queensbury.net
DRIVEWAY PERMIT
Date: 31-7i
Applicant Name: C .
Address to be inspected: 2Q; C,k'
Return Address: (o -P €. 1-1
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
( ) Deep swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( ) 12" ( )15" ( ) 18" ( )24" ( )36"
Preliminary inspections completed by: Date:
Approved by Higway Supt: Deputy Supt.:
Upon completion, please resubmit this approved permit for a final approval.
Step 2: ( ) Final Approval
( ) Rejected
Date:
Michael F. Travis, Highway Superintendent
Thomas R. Van Ness, Deputy Highway Superintendent
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
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:: CA )kc Installer/Builder:
Address: Address: Cka
Phone Nos.: Phone Nos.: ( Sly ) --lc `?:?7
Location of Property: Subdivision Name:
Location of Proposed Construction and/or Installation:
Contact Person for Building & Codes Compliance: l.__��� C`,1`e (.:D1 -N,
Fuel Burning Applicance Wood Coal Pellet Gas Oil
Information
Stove
Fireplace Insert
Fireplace, factory built*
Fireplace, Masonry
Furnace, (Garage Only)
* If Factory Built, Please Provide: Manufacturer Name: -4. i Q}-F=a c. Model No. COQ .3 4�
ListedB�-- •rf « Cc: Number: Ccs Cc' – �73G�
Chimney Information 1 BLOCK BRICK STONE
Masonry** Check One,/
TILE STEEL SIZE IN
INCHES
Flue Check One ✓
DOUBLE WALL TRIPLE WALL INSULATED DIRECT I CHMNEY
VENT LINER
Chimney Material Check One✓
** If Non-Masonry, please provide: Manufacturer Name: Model No.
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
r } 3 ( 10(y)
/ w' �-c� Town of Queensbury Fire Marshal
742 Bay Road
Queensbury, NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas 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# Schedule Inspection )ico 43 Time I I - am pm anytime Inspector !'ml'
Name Address l r; E,'\ e. 1 per. Rough In Final_
Appliance Manufacturer Model# :)12 K'SC / L --i is)G
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection \54\--u-
Clearances to Combustibles (all sides) f vv-^l -. ( .
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration; 2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement (if LP)
CO Detection
CSST Bonding
White-Building Dept. yellow-Customer Pink-Fire Marshal
rCats3k.L.i 3 Cl ly,)
Queensbury Building & Code Enforcement - Resident/feart:
in a spec�ion
Office No. (518) 761-8256 7 Arrive: 1116 - �• ��am��'
Date ‘
Inspection request received. �a Inspector's Initial.
NAME: 0--(21. 6 P ' 1 IT#: f'0- 0
LOCATION: al¢ 6-7-0 ., Lxc- D' : .5 —/ _fes.
TYPE OF STRUCTURE: S .f,j]
Comments:
Yes No N/A
4" Building Number Address visible from road V// U.)
Chimney Height/°B"Vent/Direct Vent Location Y l
Fresh Air Intake J'
3 inch Plumbing Vent through roof minimum 18 inches Dr)D f
Roof Complete/Exterior Finish Complete / 81 D()Dec
Platform at all exterior doors ✓ r g G d, 5/11 {I a
Handrail 4 or more risers li Guards at stairs,decks,patios more than 30 inches above grade /
Guard at stairwell at 34 inches or more J/
Guard at deck,porches 36 inches or more ✓/
Handrail Termination at Newell Post or Wall J
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 V
Interior privacy/trim I doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Win win stairwells safety gl ing
Interior Smoke De ors/Carbon Mw'(oxid Detectors
Every level: Ev Bedroo
Outside every bedroom rea:
Inter Connected: J Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area f
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 1 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 14"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/.hour fire door I door loser ��
Gas Logs in Sealed or Glass Enclosure cy v, be‘b F-?.?l___ ` 1711 v
c--
Final Electrical; Energy Saving Light Bulbs 50% �// —cO
Final Survey Plot Plan v/ 0 lV
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles f
Flex Gas Pipe Bonding �J
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance require
Flood Plain Certification, ' equ' ed
Okay to issue C/Cor /0 em ermane rr
0
L:1Building&Codes Forms\Building&Codesllnspection Fomis\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: (3 _ ) 1
NAME: _k R old
LOCATION: C -Cr
PERMIT#: ) b 2 y
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has been:
Craig Brown, Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
1‘1") cfr/
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 5--/A
Queensbury Building & Code Enforcement Arrive: _ am/pm Depart: . m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's InitialseiP0? ((), LO C.)
NAME: C Lt--e PERMIT#: /a -0 8
LOCATION: d CT end.uz. INSPECT ON: 5- /6-/k
TYPE OF STRUCTURE: S
_ Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 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.I for 15 minutes
Insulation / Residential Check/Commercial Check
_yvek 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
)uct work sealed properly I No duct tame
COMMENTS: th.Lf k
` A1) Vdd)4:- C 9
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
ra,c - cow
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 47laild-�1,
Queensbury Building & Code Enforcement Arrive: . 3 - am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: UtAi e-r1/e.40K,15/7) PERMIT #: �ol�-oke
LOCATION: ecl� ��, _ INSPECT ON: // /3/4--a/
TYPE OF STRUCTURE:
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
.T-- Cr
Insulation esidential Check/ Commercial Check
' imilar Exterior Sealant
Proper Vent, Attic Vent I,
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
636'c1 rtdeX f `3
Rough Plumbing I Insulation 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:6
9_
NAME: actobePERMIT #: I -Ogg
LOCATION: a.c7 6- Q _ INSPECT ON:
TYPE OF STRUCTURE: S
Y N Nhek
Rough Plumbin ail Pietas ('1
ent/Vents in Place
1 'A 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
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
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
-3
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: '`-I- IIt
Queensbury Building &Code Enforcement Arrive: am/pm Depart: •\`'2:6--,)1m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: ('P ,/ r. moPERMIT#: C'
LOCATION: . /- �;,u�,,�;A;r INSPECT ON:
TYPE OF STRUCTURE: S T er)
N NUA COMMENTS:
Framing
//Attic-Access 22" x 30" minimum �-- CD\L;,cb
Jack Studs/ Headers
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 I Holes I Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2(w) 16 gauge (8) 160 nails each skis
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firesto i� �
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side % 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
L:1Building&Codes Forrns-OLD\3uildinq&Codes\Inspection FormsSFraming Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report (
Office No. (518) 761-8256 Date Inspection request received: L.,(7 5A
Queensbury Building &Code Enforcement Arrive: i( am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: L V��' yam'` K`�,�v" S PERMIT#: ,Ug
INSPECT ON: ar/
TYPE OF STRUCTURE:
N NIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
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/Bearing Walls
Metal Strapping for Notches Top Plate
1 'A (w) 16 gauge (8) 16D naps each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 6 ft. or less on center
_*xa
and water shield 24 inches from wall i'
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour _._.
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
L:1Building&Codes Fors-OLD\Buiding&Code&nspection Fomns\Framing Firestopping Inspection Report.doc Revised January 7,2008
/6 'IZ?-L
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: 5/3'4?j Z.--
Queensbury Building&Code Enforcement Arrive: am/pm Depart } m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials l i;\k /1' (. U
NAME: C I PERMIT#: L `'?
LOCATION: ( C =,'\ ,' INSPECT ON: Mr Z._-
TYPE
TYPE OF STRUCTURE:
5(17
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 Dampproofing
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
1
-foundation Insulation Interior/Exterior
R-1
Rough Oracle 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
GO @A_ 1--
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: 3
Queensbury Building&Code Enforcement Arrive: am/p e..+'�a1 : . pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �'
NAME: 0 PERMIT#: s —Ogg
LOCATION: ;R.Cs2 6r- , . INSPECT ON: •
TYPE OF STRUCTURE: ,d ro LA .
Comments
N N/A
Footin s
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 yr
Footing Dowels or Keyway in place tc
Z
Foundation Dampproofing
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
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Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Departam/pm
742 Bay Rd., Queensbury, NY�12n804 Inspector's Initials:
NAME: , - Q r /e PERMIT NO.: /;Cl-og 3
LOCATION: at to, 67--e_ A^es.- P 1' INSPECT ON: ,q-424-- /3„
RECHECK:
Comments and/or diagram
Soil Type .ed Loam / Clay
Type of Water: A4uniGal/Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + / - Y N N/A
Absorption Field: Total length ic ft.
Length of each trench ft.
Depth of trenches `Zi.— ft.
Size of Stone '2---
Seepage Pits: Number . g '
Size: /” fAx
Stone Size:
Piping S'ze Type
Building to tank U
Tank to Distribution Box ` '51)2 ",•�
Distribution Box to Field / Pit LA`s 5,4-,
Opening Sealed: --1Y N
End CapVy•,____N
Inlet/Outlet Pipes&Baffles •✓Y N
Location/ Separations
Foundation to tank 1 ft.
Foundation to absorption ft. -- 4S r3 - '
Separation of Pits ft
Conforms as per n _ , •
Engineer Report ani •Y N
Location of System on Prope •
Front -R_ear Left Side Right Side Middle Front Middle Rear
S st-I Use : r:
. *pro -d
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
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Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: 3'2 L j?/
Queensbury Building&Code Enforcement Arrive: am/pin DepartT3 pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: l
NAME: C L V i 1 C-- PERMIT#: Z ` 0
LOCATION: 7,62 (7 ' -v, p . INSPECT ON: 3 Z 7l Zi
TYPE OF STRUCTURE:
Comments
N N/A
)E-lbotings Piers / � � Vc,c2L:k_ e-
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\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
n act\ 9-// (q'.o fr
Foundation Inspection
ur><da t I n Inspe Report o
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm ep
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:/" 35,am/pm
V
NAME: (1 t 'c° E✓ 4—c`_'r !'1 S es PERMIT#: /4) Q V?
LOCATION: a (o (T p 1`� INSPECT ON: 3 - (g'
TYPE OF STRUCTURE: • �, - -
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place \l'
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 Dampproofing
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 Reportdoc
Last printed 12/20/2005 9:24:00 AM
3b -
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:/ A cam/pm
"
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 1";�,t,� ` 1
NAME: PERMIT#: /2---0(5)-?
LOCATION: INSPECT ON: 37c-
TYPE
fc-TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
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 Dampproofing
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
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MAR 2 i_ 2012
OWN OF QUEENSBURY
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(518)793-7277
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Clute Enterprises, Inc.
4, GENERAL CONTRACTOR
c lute @ albany.twcbc.com
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