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2012-159 TOWN OF QUEENSBURY O742 Bay Road, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120159 Date Issued: Wednesday, December 12, 2012 This is to certify that work requested to be done as shown by Permit Number P20120159 has been completed. Location: 25 APRES Cir Tax Map Number: 523400-315-000-0001-001-012-0000 Owner: CERRONE BUILDERS, INC. Applicant: CERRONE BUILDERS, 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 145t---- owner of the responsibility for compliance with Site Plan, Variance, or 4 other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals. 01.k TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120159 Application Number: A20120159 Tax Map No: 523400-315-000-0001-001-012-0000 Permission is hereby granted to: CERRONE BUILDERS. INC. For property located at: 25 APRES 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: CERRONE BUILDERS, INC. Fireplace 51 OAK VALLEY Way Garage Attached QUEENSBURY, NY 12804-0000 Single Family Dwelling $435,000.00 Total Value $435,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2012-159 Single Family Dwelling 2,761 sf with 2 car attached garage 520 sf $630.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 30,2013 (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 the Town of Queensbury; Monday, April 30,2012 SIGNED BY �- for the Town of Queensbury. Director of Building& od- for '. ent I -ic9 s----374Z faept_____. ;'. . . :( rte c.11trcl zr ()fti r> —___ __ _ . , . _. ___ 4ilLR 1 3 201 2j liOil TO4,V(OF UECNS6.- 'y 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: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED.pp OWNER: �/(,�� e !/9/40 . INSTALLER/BUILDER: iK�Or,?dcc_ ( . ADDRESS: �/ &'Z /, /Vi £r� pi, ' ADDRESS: [ rte deorf- _ PHONE NOS. (C'/-M� PHONENOS. LOCATION OF PROPERTY: h/'// A2fi 4,f. SUBDIVISION NAME: NW/N. (iJ t( . LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 4-444? //1,74/ . 6 ltd CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: i4/ L 'ff,1L4? PHONE: V'(l`tc1- --- ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE, FACTORY BUILT` FIREPLACE,MASONRY FURNACE(GARAGE ONLY) . _ / *IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. LISTED BY: NUMBER: QUESTIONS ? CALL 761-8205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: tr?,_:ar- ;._ = °. -- 1)ti!y.net MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES ,rww.oueensburv.net FLUE CHECK ONE ✓ DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY WALL LINER CHIMNEY MATERIAL CHECK ONE ✓ **IF NON-MASONRY, PLEASE PROVIDE: MANUFACTURER NAME: iO✓��iC MODEL NO./IX/T.362 ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. OFFICE USE ONLY ' TAX MAP NO. :3/D .- )Aja PERMIT NO. I •4 5 PERMIT FEE �+ % A APPROVALS: ZONING TOWN CLERK " „ APR 1 �3 2012 TCs"T1t, :�i J,_:cEv UIZY '' '" ING & CODES APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT.------- — --.---- --v- A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. �i; rieed- OWNER: eceP � /jL�/�P.eJ INSTALLER: cn'd/ /11 ADDRESS: .7/ 444 a41/4' 4 t41 - i ADDRESS: Qz‹..., ' PHONE NOS.-%/'09Y-Z.---- PHONE NOS. %[ 619:5"."6 LOCATION OF INSTALLATION: 25- 47dS9f ex.. b y l 9 ( .i i . ...Ei 4 if RESIDENCE INFORMATION: YEAR BUILT J NO.OF X COMPUTATION= = TOTAL DAILY FLOW BEDROOMS GARBAGE GRIN R 1980 or older 1 X 150 gallon per bedroom = " INSTALLED?_ 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB 1992-present t �X 110 gallon per bedroom = r� �� INSTALLED? 442 PARCEL INFORMATION: f ✓ TOPOGRAPHY: Flat rolling / Steep slope %Slope ✓ SOIL NATURE: Sand / Loam Clay Other ✓ GROUNDWATER: At what depth? /1//A ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? Pi ✓ DOMESTIC WATER SUPLY: Municipal / Well (If well: Water supply from any septic system absorption is ft.) ✓ PERCOLATION TEST: Rate is -17s:c:•minutes 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: 47 (2 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 TYPE: ❑ ABSORPTION FIELD (WITH NO. 2 STONE) Total length 200 ft. Each trench 7 X CO ' ❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? ❑ ALTERNATIVE SYSTEM Bed or other type? ❑ 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 regulations with respect to this application and agree t. -bide by these and all requirements of the Town of • QUESTIONS? CALL 761-8256 OR EMAIL Quee' sb ry Sa ' _ry Sewage Disposal Ordinance. codesqueensburv.net w6 VISIT OUR WEBSITE FOR MORE INFORMATION iz -1_____ www.queensburv.net S.'•nature of Person Responsible / D to CITown of Queensbury • Community Development Office N 742 Bay Road, Queensbury, NY 12804 B 5-LGL 6/06 • OFFICE USE ONLY ,," "" """ �� '�-- l �� ';I �" �: . .."� , I TAX MAP NO. , PERMIT NO. ci FEES: PERMIT 1 1 ��11� RECREATION ' Y RG I �lf'R 1 3 2012 J f-? 4.70 - GINEERING — 1 (If applicabld) TOW. OF LUEENSBURY -BECIL.'�-}IN�G-&_-CCQDES.-,,, . PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING A PERMIT MUST BE OBTAINED BEFORE BEGINNING PERMIT REVIEW BEFORE ISSUANCE OF A VALID PERMIT FORCONSTRUCTION. IS SUBJECT TO APPLICANT/BUILDER: -. " ♦/ v� ` 1,c✓ OWNER: ADDRESS: 57 ail _ S. - • ADDRESS: / PHONE NOS. jZ-0 .ljCj PHONE NOS. CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: P PHONE; r� LOCATION OF PROPERTY:_. /r�P_S HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? fl-YES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: 0061 PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT i ZZ APPLY TO YOURp — PROJECT o I o o c� o w � � O • � w -, O � w F- u u- Q d = _ -� y O 0 = l-- U CJ Z < < ,— co Nc OL~t.. I � CLtllz Q. 2 ozS SINGLE FAMILY / _ _____________ _____4_1‘5 / je170° i 02y! TWO-FAMILY ---. --- MULTI-FAMILY ___ (NO. of UNITS — I — ---- TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE1 FACTORY OR INDUSTRIAL l ATTACHED / ✓ P7'" GARAGE(? 3) 5 4 I i OTHER _----- f ' IF COMMERCIAL OR INDUSTRIAL - NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: j�?S000 FUEL TYPE: A HEAT TYPE&f(,/„A2 •*HOW MANY FIREPLACE(S): / AND/OR WOODSTOVES(S): ZONING CATEGORY: 7e 514 ARE THERE WETLANDS ON THIS SITE? /14 IS THIS A HISTORIC SITE? /lid PROPOSED USE OF BUILDING OR ADDITION: 571'/e b----/2 ,./11 iiirm e_____ *Please complete a separate Application for"Fuel Burning Appliances & Chimneys" available in our office -r,.. r,-, — B 3-LGL 11-05 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? 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 an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above. Signed 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) 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 Application: zoning Laws of the Town of Queensbury. BUILDING & CODES APPROVAL ZONING APPROVAL DATE DATE QUESTIONS ? CALL 761-8256 OR EMAIL Office Use Only codes(a�gueensb urs.net VISIT OUR WEBSITE FOR MORE INFORMATION Operating Permit Issued: Yes No www.gueensbury net Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 b' I Town o/'Qt.teensbuty J APR 1 3 I Highway 2012 Michael F. Travis Highwa�� 1�:i.;`, : ; Highway Superintendent ,,� t=,. _ ;,r, ^ OE COD Horne: (518) 798-041.3 tS Department 742 Bay Road Queensbury, NY 12804 Thomas R. Vanness Deputy Superintendent Office Phone: (518) 761-8211 Home (SIBS) ?45 Ul2y Fax: (518) 745-4466 DRIVEWAY PERMIT wlvw.queen sbury.net DATE: V/3/2-- APPLICANT NAME: Ar / d TELEPHONE NO.: l- (994/7_ ADDRESS TO BE INSPECTED: 25. 7,gef 6/41/9 RETURN ADDRESS: QA,e±gylev aizetiOsei - 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: S I LP 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 inspection completed by: Date: Approval by Highway Supt: Deputy Supt: Upon completion, please resubmit this approved permit for a final approval. STEP 2: ( ) Final Approval ( ) Rejected Date: Michael F. Travis, Highway Superintendent Thomas R. Van Ness, Deputy Highway Superintendent Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: 1.1 1 NAME: LOCATION: • -S- / S �•{ PERMIT#: 2 1 ) _ 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: r, Craig Bro •ning Administrator Notes: L:1SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc L. . X -- Io Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 1j ` � Arrive: am/pm epart: l am/pm Date Inspection request received: Inspector's Initials: _- NAME: 0 Pr-r c 6 ,C_ PERMIT#: 61 L�(� 1, - 1 c) i LOCATION: ,7 r6..S C•"',.- , DATE: J -- `4,2-1 TYPE OF STRUCTURE: Y ,� t=-.ip Comments: Yes/No NIA 4" Building Number Address visible from road ,/� Chimney Height/"B"Vent/Direct Vent Location �j Fresh Air Intake -V/. 3 inch Plumbing Vent through roof minimum 18 inches ' Roof Complete/Exterior Finish Complete Platform at all exterior doors V``lam Handrail 4 or more risers Guards at stairs, decks,patios more than 30 inches above grade N17, /Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more Handrail Termination at Newell Post or Wall l 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 ' f e Gas Valve shut-off exposed/regulator 18 inches above grade -y _Gas privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight C �,� Safety glazing/Wind in stairwells safety gl. ing V 4 (v. _ Li Interior Smoke Det ors/CarbonM 44' aetectors Every level: Eve Bedro v/ V � � � Outside every bedroom rry f Inter Connected: Battery backup: ✓ �r 1 I—<i , Attic access 30 inches x 22 inches x 30 inches(height)in accessible area l/ �Liu �� ,y( Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents T ` Bathroom Fans, if no window `�3 �� Plumbing fixtures 1Z/ ��,.a�_ Foundation insulation to floor/Sticker on Panel /,. -_--c_.)--..f->,__ Duct work sealed properly/Blower Door Test Certification �/ Floor truss, draft sto••ine finished basement 1,000 so.ft. / Emergency egress below grade //l Gas Furnace shut-off within 30 feet or within line of site V /v �,l' 1.. V L�'�Z "9 Oil Furnace shut-off at entrance to furnace area .l. o` Furnace/Hot Water Heater operating Z Low water shut-off boiler Relief Valve(s) installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum VZ Basement stairs closed rise>4 inches Vy- Garage Floor Pitched Garage fireproofing/1/4 hour fire door/door loser V Gas Logs in Sealed or Glass Enclosure Final Electrical; Energy Saving Light Bulbs 50% VQ Final Survey Plot PlanV. _Z C Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding 1 � f As Built Septic System/Sewer Dept. Inspection Sticker / Site Plan /Variance required V Flood Plain Certification, if required Okay to issue C l C or C/O[Temporary/Permanent j 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 Queensbury Building & Code Enforcement - Residential Final inspection Office No. (518) 761-8256 Arrive: am/pm epart:1 -1A"."—am/pm Date Inspection request received: Inspector's Initials: NAME: 0 co–C c, tt��__P_ PERMIT#: /,� – J 39 LOCATION: .35 :�4/,I-c :c; ("'r , DATE: TYPE OF STRUCTURE: YYY ,� F4) --/,' -14. Comments: Yes No NIA 4" Building Number Address visible from road ‘/ Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers 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 kZ 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 k/ Bathroom/Kitchen watertight 0 Safety glazing/Wind in stairwells safety gl- ng UCS Interior Smoke Det ors/Carbon Mp oxide detectors / v -- Every level: Eve Bedro¢h : Outside every bedroom rea: V / c Inter Connected: Battery backup: V f Attic access 30 inches x 22 inches x 30 inches(height)in accessible area / / • 0..s...../4...,1„.___ Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents _ - V Bathroom Fans,if no window L-r—<, Plumbing fixtures Foundation insulation to floor I Sticker on Panel V c\ �-��'T-F-i� Duct work sealed properly I Blower Door Test Certification �` ` Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade r.,/ '<1/1011 ......________---- Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area t/ Furnace/Hot Water Heater operating Z Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum 1/�"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door I door closer Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker ^ / Site Plan /Variance required ii ✓ Flood Plain Certification,if required Okay to issue C I C or C I 0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codesllnspection Fonns\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: j' /36/i/Z Queensbury Building & Code Enforcement Arrive: am/pm Depart:: i am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 0. )t 'iz> PERMIT ##: / ' j _5-Y1 LOCATION: ��}- - c ;_i- I < INSPECT ON: Si '5 (/ TYPE OF STRUCTURE: <- Y N N/A Rough Plumbing /Nail Plates Plumbing Vent 1 Vents in Place 1 %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 Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door 1 Window Sealed (No Insulation) Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly 1 No duct tape COMMENTS: 51; Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Reportih dcyis 0 "1 0 Office No. (518) 761-8256 Date Inspection request received: _ Queensbury Building & Code Enforcement Arrive: am/pm rte. _I wpm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 4� PERMIT#: l g LOCATION: " S >9 Ce. ;r' ' INSPECT ON: -3, 3 TYPE OF STRUCTURE: S .r (�_ 1� 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 ' (w) 16 gauge (8) 16D nails each side 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 Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/2 inch or 5/8 inch Type X Garage side 518 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:1Buiiding&Codes Forms-OLDBuilding&CodeiUnspection Fomts\Framing Firestopping Inspection Report.doc Revised January 7,2008 e 62,cths Rough Plumbing / Insulation Inspection'Reort Office No. (518) 761-8256 Date Inspection r-•,„;411t,-Iv- •: Queensbury Building & Code Enforcement Arrive: aI pm 11 -p- : 5°ZZ) p� 742 Bay Road, Queensbury, NY 12804 Inspector's Initial _ NAME: 0- J2n P 'MIT #: LOCATION: pfi, Q,\ (.1‘,towNSLe, INSPECT ON: • TYPE OF STRUCTURE: ---fi-t.-c_i'v Ki;tcc sz. 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/change of direction Pressure Test Drain I 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 I Residential Check I Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent f Door/Window Sealed (No Insulation) o e 1 Duct I 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 Rough Plumbing I Insulation Inspect on Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart:2/am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: � �� II r NAME: , o r PERMIT #: /J--/ 59 LOCATION: 5 4 PryLs INSPECT ON: 3'-- 2, a TYPE OF STRUCTURE: S i 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 Insulation / Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent ,7) Yloor/Window Sealed No Insulation uct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape COMMENTS: ,S v (5N1, _ > c-3: FiZADAA C'kW qii\-9)-(D- C2-)1;-- -(1A4 Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008 t Qs dq 10 -4 Town of Queensbury Fire Marshal 742 Bay Road 1 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. I Permit# —/5? Schedule Inspection Time \\ P. anytime Inspector (..i Name C erchne. 8 `cy.( Address D'.S f I p -e-3 C( (" Rough 1n Final_ Appliance Manufacturer Y " b4-X-5: Model# I c7C>��r.),),,j L \ Direct VentFactory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection ' - jZ_c _C IPAA Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration 1 / Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof ,7 penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air t/ Hearth Extension (if any) ✓ Mantel Height above f/p opening Witness Operation I Tank Placement(if LP) V CO Detection (//' t3 CSST Bonding White—Building Dept. Yellow—Customer Pink—Fire Marshal Rough PlumbingI Insulation Inspection'Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart:In 7C-am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .0l NAME: PERMIT #: /o /5 9 LOCATION: 5 Pr p,� ( U'Js- INSPECT ON: 31-l . TYPE OF STRUCTURE: S F ,(� //,,ax".. Y N IA Rough Plumbing / Nail Plates V 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.1 for 15 minutes Insulation/ Residential Check I Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct I Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape COMMENTS: Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing I Firestopping Inspection Report v- Office No. (518) 761-8256 Date Inspection request received: -;0 )2- Queensbury Building & Code Enforcement Arrive: _am/pm Depart: , -dam pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initialse, NAME: C r cAN -c_ PERMIT#: LOCATION: , {`( t INSPECT ON: 1'-H j 1 TYPE OF STRUCTURE: _�_ Y ) N N/A COMMENTS: r 3raming Attic Access 22" x 30" minimum Jack Studs/ Headers Bracing /Bridging rr / 7(e /.1 cC CI*" " 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 vx (-) N 14 Metal Strapping for Notches Top Plate 1 '/z (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Li/() 'L- Anchor Bolts 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 Firestopping 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 Forms-OLD1Duiiding&Codes\lnspection FormslFraming Firestopping Inspection Report-doc Revised January 7,2008 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: G am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: e NAME: EIZEC%)\JPERMIT NO.: 2€-12_ LOCATION: flf'1I 5 ( f _- INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand / Loam / Clay Type of Water: Municipal/ Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + / - Y N N/A [150'to well required if NO] f Absorption Field: Total length ft. �C�,J Length of each trench ft. �/ Depth of trenches ft. Size oftoneCAQ-(2 Seepage Pits: Number �C�' Size: x Stone Size: �1'CG Piping Size Type Building to tank n� Tank to Distribution Box Distribution Box to Field / Pit Opening Sealed: _Y_ N End Cap _Y N Inlet/Outlet Pipes & Baffles _Y N Manholes 12"or less below grade _Y N [provide extension collar if Yes] Y N Location / Separations Foundation to tank ft. _ Foundation to absor tion ft. Separation of Pits ft. Conforms as per Plot Plan i N Engineer Report and As-Built ^ N ETU Maintenance Contract _Y N provided Location of System on Property: Front R-.r -ft Side Right Side Middle Front Middle Rear S stem Use Star s: Appr..-d --rtial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\1nspection Forms\Septic Inspection ReporL03 29 10.doc VISION Engineering TRANSMITTAL 'N.44440440000r, Date: 7/24/2012 Project#: 641 To: Town of Queensbury Buildings&Codes From: Dan Ryan 742 Bay Rd. Queensbury,NY 12804 Cc: Attn: Charles Dyer- Inspector Re: Septic Inspection Report and As-Built Drawing Delivery Method: ❑X USPS ❑ FedEx ❑ UPS ❑ Hand-Delivered Purpose: ❑ Approval ❑x Review ❑ Personal Use ❑ Per Request Enclosed is/are the following: #Copies ID Date Description 1 Job 641 7/23/2012 Septic Inspection Report,25 Apres Circle 1 Job 641 7/23/2012 As-Build Septic Drawing,25 Apres Circle Additional Remarks: 16 Pearl Street•Suite 200•Glens Falls, NY•12801 •P:518.792.9264•F: 518.792.9282 41%te‘v www.visionengineering.org VISION Engineering SEPTIC SYSTEM INSPECTION FORM '.1 %%%•441111400000I Project: Cerrone WIv1 Lot 19, 25 Apres Circle, Vision Job#641 Inspected By: D. Fiore Date: 7/23/12 Time: 9:30AM Temperature: 75 °F Weather: Clear INSPECTION DATA System Type: Standard Absorption System [' Special System (see page 2 for additional information) Location: Front of House Installation Complete: IZI Yes ❑ No, Explain: Soil Properties: ❑ Clean Gravel (little fines) ❑ Gravel with Fines ❑ Other ® Clean Sand (little fines) ❑ Sand with Fines ❑ Silt and/or Clay ❑ Gravel/Sand Mixture Water Supply: ® Municipal ❑Well/Private Location: Front of House Absorption Field: NA ±ft. Separation Distances: Septic Tank: NA _±ft. D-Box: NA ±ft. Septic Tank: Size: 1250 gal. Distance to Dwelling: 15 ±ft.(10 ft. min.) Baffles Both Ends: 90d Elbowp I Yes ❑ No Glued: Fid Yes ❑ No, D-Box: Size: 5-Hole Distance to Dwelling: 27 ±ft. (20 ft. min.) Speed Levelers in Place: ® Yes ❑ No Baffle in Place or 45° Elbow: R4 Yes ❑ No Glued: ❑ Yes [Z No, Cast-in Absorption Field: #Trenches: 4 Grade to Top of Stone Trench: 12 ±in. (12 in. max.) Trench Length: 50 ±ft. each End Caps In & Showing: WI Yes ❑ No Total: 200 ±ft. End Caps Glued: Yes ❑ No Closest Distance to Dwelling: 28 ±ft. (20 ft. min.) Closest Distance to Property Line: 45 ±ft. (10 ft. min.) Aggregate: Size ('/<"-1'/2") ® Acceptable ❑ Unacceptable, Explain: Cover Type: ❑ Geotextile Fabric ® Resin Paper ❑ Other Depth of Stone Beneath Pipe: _ 6 ± in. (6 in. min.) Depth of Stone Over Pipe 2 ±in. (2 in. min.) Cleanout in Place: d Yes ❑ No Cleanout Location: Inside Basement Z1 Based on visual observation, the above referenced septic il NEIN system DOES appear to be in conformance with applicable • if EL W- R �\° codes and regulations required by the state and local jurisdiction. / �ql *\ • ❑ Based on visual observation, the above referenced septic I 't $ u I system DOES NOT appear to be in conformance with applicable w codes and regulations required by the state and local jurisdiction. 07 • 4/O- 07.0', (e.;--./ Professional Seal i 16 Pearl Street•Suite 200•Glens Falls, NY•12801 •P: 518.792.9264•F:518.792.9282 . 1Nliter www.visionengineering.org 1 , :1 i :, ;/ i :, i 1 \ /; :1 \ 1 �y / 1 NOTE- DIMENSIONS OTE DIMENSIONS AND LAYOUT OF SEPTIC SYSTEM COMPONENTS,HOUSE,AND PROPERTY LINES / SHOWN ARE BASED ON APPROXIMATE FIELD 1, 11\ MEASUREMENTS ONLY-THIS PLAN WAS CREATED / • `I WITHOUT THE BENEFIT OF AN ACTUAL SURVEY + % \ 11 / \ 11\I Yl /. ,1� •°°''r, PORCH - /�'� /; '` \\ PROPERTY LINE / .1 ; WOOD ,�, 10'SETBACK LINE , / '1 } FRAME2STORY �I / 1 PO. HOUSE 1 • ' / ;, I / fri2:22 Nr • I 1 / 1 11 `, 1250 GAL. fle ;7 SEPTIC TANK i / pal-----1 \ t it 1 1 D BOX • � 1 INSTALLED II "di _ am, NEW \ SEPTIC SYSTEM § I l L W. R �b 1 1 / y9'L'per% (coirf 1 to `d!,1 / sy th ccl '1 SEPTIC SYSTEM AS-BUILT-CERRONE / ' '.°• +V Q v a» ; \ \ BUILDERS,25 APRES CIRCLE,LOT 19,WEST , i' MOUNTAIN ESTATES,TOWN OF QUEENSBURY, / 'O 1 / VISION PROJ.641 / �� \ '---------- ---------------------------- ! y f 2/ ----- - i Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: - NAME: C e(^C-n elE PERMIT NO.: / -/ LOCATION: a5- Ai) 4 c-- .S < c r INSPECT ON: ,.3f - . RECHECK: 7l �� Comments and/or diagram Soil Type: Loam / Clay Type of Water: i'�i s / Well Water cti,./ Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + / - Y N�N/A Absorption Field: Total length ?.,?U ft. Length of each trench {-. ') ft. Depth of trenches t 2" -ftl' Size of Stone Z Seepage Pits: Number Size: x Stone Size: Piping ize Type Building to tank '� i±k Tank to Distribution Box ,. Distribution Box to Field/ Pit bic-3 h FC-f Opening Sealed: y, N End Cap Inlet/Outlet Pipes &Baffles Y— N Location/ Separations • Foundation to tank6, ft. Foundation to absorption 'Cp_ft. c Separation of Pits ?re--0\t C�.� J Conforms as per Plot Plan /C--- 11•)- -r-e___' �7 _ Engineer Report and As-Built Yr�'f` � Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear S -I Us- - • Approved 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 Framing / Firestopping Inspection - =po ` Office No. (518) 761-8256 b4-iiir•-•ived: , -3rvA Date Ins n = 7 o IQueensbury Building &Code Enforcement Arrive: /�'.G _ ' � rt: ' a 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: £RMIT#: Ci/ -/ S C? LOCATION: A c, INSPECT ON: 7/( / -c TYPE OF STRUCTURE: Cr) Framing Y NIA COMMENTS: 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 I Holes/Bearing Walls Metal Strapping for Notches Top Plate --'---- 1 'A (w) 16 gauge (8) 16D nails each side 91 ?raft stopping 1,000 sq. ft. floor trusses !Anchor Bolts 6 ft. or less on center �. and wateri ield 24 inches from wall Nq 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 %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 I below grade 5.0 sf grade _ L:\Suilding&Codes Forms-OLD\uildinq&CodesUnspecxion FomssTraminp Firestopping Inspection Report.doc Revised January 7,2008 Foundation Inspection Report Office No.(518)761-8256 Date Ins, tion � st re.•' ed: Queensbury Building&Code Enforcement Arrive: 4" -2 • / I epart: 0f..' 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi:i :: � NAME: ( 12.rl,`t-Q1'v2- ' RMIT#: ( s - 15 LOCATION: Ps- (t �, i SPECT ON: /0 TYPE OF STRUCTURE: S p Comments 2- , 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 6.../) Reinforcement in Place Footing Dowels or K• ay in place 411 Foundation Dampprooftng oundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing ntiLpoly 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 - hLaa I -3 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 614--) j4..„3:c NAME: PERMIT#: — LOCATION: i,16 4( ,L. INSPECT ON: to - '�I TYPE OF STRUCTURE: S F 11(Li Comment Y N N/A sk G n 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. Materialsfrn this moose on site. Foundation/Wallpour / emf•• : Place ` / Footing Dowels o Keyway in place - / 2 � 5 •ampproofmg 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\Buliding&Codes\inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 1\c`N Lcrsdc-oy ( �) Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: '57 3111 Queensbury Building&Code Enforcement Arrive: am/p Depart: zircA /pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: O►t NAME: C .(2 i PERMIT#: —/5? LOCATION: a i INSPECT ON: S— TYPE OF STRUCTURE: S F l) Comment$ 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 CN Reinforcement in Place � k 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 Community Development Office i , 1�0 "" Town of Queensbury • 742 Bay Rd. ,JL � / /1/ Queensbury, New York •12804 PLOT PLAN 7 Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines. SIDE PROPERTY LINE • _ I , _-.-_7---r -T-._- ._.__ " -- ------.. - - - - _ 1 4 ._ I �. . .[ i � 1 ijLJ - ! - .._ � ..h..-..rat_..,.._;!.. . .. .1_. 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