2012-281 TOWN OFQ UEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
r
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120281 Date Issued: Friday, August 10, 2012
This is to certify that work requested to be done as shown by Permit Number P20120281
has been completed.
Location: 8 LAMBERT Dr
Tax Map Number: 523400-301-018-0002-036-000-0000
Owner: CHRISTINE M GERMAIN
Applicant: CLUTE ENTERPRISES, INC.
This structure may be occupied as a:
Garage Attached By Order of Town Board
Single Family Dwelling 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& Code Enforcement
or Zoning Board of Appeals.
- 0.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: P20120281 Application Number: a 2 0 1 2 0 2 8 1
Tax Map No: 523400-301-018-0002-036-000-0000
Permission is hereby granted to: CLUTE ENTERPRISES. INC.
For property located at: LAMBERT 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: CHRISTINE M GERMAIN Garage Attached
Single Family Dwelling $150,000.00
709 SHERMAN Ave
QUEENSBURY,NY 12804-0000 Total Value $150,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
CLUTE ENTERPRISES. INC.
6 HOLDEN Ave
OUEENSBURY.NY 12804-0000
Plans&Specifications
2012-281
SI'D 1,300 sf w/400 sf attached garage
$640.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 14,2013
(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 nee bury• rhu la;/,Ju�e 14,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
E
r —",010
OFFICE USE OALY ;
TAX MAP NO.30 .1 310 PERMI NO. /, '
4:4-ZL^ 1� J', r ,.
FEES: PERMIT iL etR ION /1 c•' ING// �� �7 (If applicable) f , ,
PRINCIPAL RUCTURE: 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: C�rOWNER: C\J\e ( (—,e r -4.0 ..^c
ADDRESS: ( 9-\--(• ADDRESS:
PHONE NOS. ! -7, 77 PHONE NOS.
CONTACT PERSON FOR BUILDING &ii �CODES COMPLIANCE: L O-r r -j PHONE: -S(.=:,( ��,L L
l
LOCATION OF PROPERTY: '4- �� ./P -cG\ . vi' - D -3
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? DYES 0 NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: (-)e r .cr--,e ms ...1\ "-,..
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLY TO YOUR z 1 CC o U) C7 w co
PROJECT i Li O0 � 0t : O = =
w a LL a z c1 I — I OF= CL wZ
Z < < N-- CO c" cn oLL I— LL a = oo
SINGLE FAMILYX (02 C! 67147
7 1 ? O I
c71-62°
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL (A)
0�ATTACHED 1 GARAGE(0) L160L160t- 00 t
OTHER
Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: ( `7 C)r CC C FUEL TYPE: G4
( AND/OR WOODSTOVES(S):TYPE: \FA-,--c—e � *HOW MANY FIREPLACE S): � (S): �J
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? V_.i
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? \u0
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 an-as-built survey by a licensed land surveyor of all newly
constructed facilities prito issuance of a c- ic:te r occupancy.
I have read and .gree to the ab
ove
Signed
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
Zonin 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
i utov +{ie; j e :;I; i)Urv.i ii t
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
II))P 3),g
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: (2(I I�
Applicant Name: Cz � — : ��'L. 2012
ii
Address to be inspected: S _ .\-
Return Address: (3C
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
OFFICE USE Oi4L'Y
TAX MAP NO. L301, 1 g--3(8ERMIT 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. c \
OWNER: C. *e (�r` Lc r ,.tee INSTALLER: C
/ la
ADDRESS: ADDRESS: -1.--co.---N 1""4. e CI�y
--7
PHONE NOS. PHONE NOS. (ct; .7 Z-'7
LOCATION OF INSTALLATION:
RESIDENCE INFORMATION:
YEAR BUILT
NO. X COMPUTATION = TOTAL DAILY FLOW
BEDROOMS (Gallons per bedroom) GARBAGE GRIMEI
1980 or older X 150 = INSTALLED? lac,
1981-1991 X 130 = SPA OR HOT TUB
1992-present 3 X 110 = -3 c INSTALLED? -_,,
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING>/ STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND >< LOAM CLAY OTHER
I GROUNDWATER: AT WHAT DEPTH?
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHATPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (If well:water supply from any septic system absorption is: ft)
I 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: \O.Z c 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 :
ABSORPTION FIELD(WITH NO.2 STONE) Total length ( r-
.)0 ft. Each trench X
o SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size?
o ALTERNATIVE SYSTEM Bed or other type?
o 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 b • : •--.If of an applicant,shall be void.
I have read a•- regulations with r=-•- to '.�pplication and agree
to abide • these and all requiry' :nts • i : ••wn of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
Sanit. Sewa•- Dispos-,.�f' nanc- codes(a.queensburv.net
/ t — EEO." (I - VISIT OUR WEBSITE FOR MORE INFORMATION j
n e of Person Responsible Date --.-
Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
1-rlc-J (s- (i- //
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: r I am/pm
Date Inspection request received: 3-(7-1 Inspector's Initial
CJ ..
NAME: L(a L' PERMIT#: / -DS,/
LOCATION: f; L -R_Q,• en+ DATE: 6- Jcry
TYPE OF STRUCTURE: _` F-.. t
Comments:
Y No N/A
4" Building Number Address visible from road r
Chimney Height/"B"Vent/Direct Vent Location V
Fresh Air Intake Vj
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 V f
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more /
_Handrail Termination at Newell Post or Wall _ V1
Interior/Exterior Railings 34 inches to 38 inches V f
Deck Bracing/Handicapped Ramp Compliant t/
Grade away from foundation 6 inches with 10 feet _ v�
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/Win'•w in stairwells safety lazing /7
Interior Smoke De -.ors I Carbon noxi Detectors
Every level: Eve�Bedro V
Outside every bedroom aces ��
: '
Inter Connected: ...✓/// Battery backup: II
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area t/ /�
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents p�
Bathroom Fans,if no window /
Plumbing fixtures �J✓/
Foundation insulation to floor/Sticker on Panelfe
Duct work sealed properly/Blower Door Test Certification V /�
Floor truss,draft stopping finished basement 1,000 sq.ft. ✓/
Emergency egress below grade /� VGas Furnace shut-off within 30 feet or within line of site ✓ /
Oil Furnace shut-off at entrance to furnace area 4/
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'A"Gypsum 1
Basement stairs closed rise>4 inches
Garage Floor Pitched /
Garage fireproofing/'A hour fire door/door closer 1/ /'
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 t� �
As Built Septic System/ ion er ////����
z(,„_,
Site Plan /Variance required \ V
Flood Plain Certification, if required
Okay to issue C/C or C/O[Temporary/Permanent]
Q 1-")
L:1Building&Codes Forms1Building&Codesllnspection Forms1Residential 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:
NAME:'.
LOCATION: g' 462 Acj37
PERMIT#: / —�, F
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:1SueHemingway\Building.Codes.Inspection.FORMS'1Final Survey
Zoning Administrator.doc
MAP REFERENCE.
MAP OF A SUBDIVISION MADE FOR
CHRISTINE GERMAIN
DATED: JUNE 28, 2007
LAST REVISED: DECEMBER 10, 2007
BY.' VAN DUSEN & STEVES
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L a it d S u r v e y o r s
169
5 8)H7 21a8474 Road Queensbury,New York dac. No.k 501354
UNAUMQRIHU & MRA110N OR ADDMI)N TO A 5URVET
MTF 9EMIND A y(EnYD WiD EVRYETgiS SELL ISA
wDungi CF MgIR)N 72 s. SUB-OINVON; C£ ME
NEW YORK STAT[ €OUCAIW I W.'
ISEY. COPIES FROM TRE DRI ME OF )HIS SURVEY
MARKED MTH E [rygrypy OP ME V D TRUE MS
SE4 SHALL BE ; NDI EED TO H BE VKID TRUE NWIES'
'NEE RHEY DN; REsUkRED IN AERN 0MGE THAT
THIS SURVEY wAf PfiEPMED W ACCORDM'CE MIM A
FXIBME CODE. R SAM ECO L DN U PRI ORS IUN P O
BY ME NEW ORS STA E ASSOCIAPON OE PR RUN PNP1
TO E PERSON R E,w ME sRDNS EWTA RUN a,n
TO ME PERSON F(!y YMO4 TRE SUflKY IS PREPARED, AND
CW HIS OZHP T9 THE RRE C FMY. WVENNMENTAL
N Cy µD�11HGINsmiumoHusr HERECH.AND
D ME A N €3 E DND I11110N.'
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\' Map 'of a Survey made for
David R . Fiorillo
.'
Town of Queensbury, Warren Count New York
Q YE 9
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301.18-2-36-,
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Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Budding & Code Enforcement Arrive: am/pm Depart: P55- am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 1
NAME: COJLt PERMIT #:
LOCATION: Si 1e.0,,6`6 ,-,A- c�h INSPECT ON: 7-3
TYPE OF STRUCTURE: S A , e,
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 109 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/ 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
Lt 6%s I �\r
Septic Inspection Report n
Office No. (518) 761-8256 Date Inspection request received: I -3 0 %A
Queensbury Building &Code Enforcement Arrive: am/pm epart: (---)n
am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: 6 -�
NAME: e +"f_L+G PERMIT NO.: / ' /
LOCATION: r(Y‘ k P r* 1)I' INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Type , , Loam / Clays
Type of Water: 1 .. / Well Water p
Waterline separation distance ft. //
Well separation distance NZ' ft.
Other wells: ft.
Well Casing Length 50' + / - Y N N/A
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches a! ,�, � -
Size of Stone d —2
Seepage Pits: Number N
Size:
Stone Size:
Piping §ize Type
Building to tank A•LL
Tank to Distribution Box ' L
Distribution Box to Field/ Pit
Opening Sealed:
End Cap N
Inlet/Outlet Pipes &Baffles T Y N
Location/ Separations
• Foundation to tank I V ft.
Foundation to absorption ft.
Separation of Pits I ..! ft.
Conforms as per P ,a F . N
Engineer Report a As-Buil Y N
Location of System; •roperty:
Front Rea Left Side Right Side Middle Front Middle Rear
S e U - r:
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
rid '1v1/
Rough PlumbingI Insulation Ing ectionRe or
t
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm ••-part: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: !, , .1
NAME: ea,±s2_, PERMIT #: .11-D g /
LOCATION: • _ ' a n INSPECT ON:
TYPE OF STRUCTURE: 9
Y N NIA
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 '/z 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 t 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: \Am1
t,./(,..5
dA:A,(„JN3
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report Li EA-C\ c\Lj 12' " I�
Office No. (518) 761-8256 Date Inspection request received: —
Queensbury Building &Code Enforcement Arrive: am/prp Depart: Are-am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's initials: (/,44 r
NAME: ,_ PERMIT#: / ,;2—Ac,‹ I
LOCATION: C NO-) F r INSPECT ON: 1 g
TYPE OF STRUCTURE:
Y L N NIA COMMENTS: L� 86-11\ P./
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 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 I/2 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:\Building&Codes Forms-0LD\Building&Codes\Inspection Forrns\Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: ?/iV/-/—
Queensbury Building & Code Enforcement Arrive: am/pm Depart:cam
742 Bay Road, Queensbury, NY 12804 Inspector's Initials 2
NAME: Z ' ►- PERMIT#: I Z 1
LOCATION: )(L , 1> I 12 , INSPECT ON: KIN Z
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 I Holes / Bearing Walls
Metal Strapping for Notches Top Plate
1 1/2(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
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 'A inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilinglwall
Windows Habitable Space 1 Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/ below grade
5.0 sf grade
L:\Building&Codes Fon OLD\Building&CodesUnspection Fomis\Frirning Firestopping Inspection Report.doc Revised January 7,2008
w ejr\Q__sctab to -/
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm ' - •art: / am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #: / --`3. /
LOCATION: , i.. „�� F r INSPECT ON: g
TYPE OF STRUCTURE: E r(J
Y N N/A 1,0 )0763,r-r-o-
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 /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 1 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
---c \i\ urS clot Ly — i
Foundation Inspection Report
Office No.(518)761-8256 Date Ins tion requ- ed: (o —` 1)_
�c ,
Queensbury Building&Code Enforcement Arrive: Z___`; 1, : • r •epart: Z-L/6 p)
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
�`n� r
C
NAME: QUCt_42; PERMIT#: / ra - acz i
LOCATION: ,/,(\kj 0,---+ INSPECT ON: La —d.cf--/
sA
TYPE OF STRUCTURE: S F (�
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
Reinforcement in Place
0 Footing Dowels or Keyway in place7
iy! Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
i - 6 inches above footing
1/ 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 Foam\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
nrVoncti;0 3-s-- '1 ( 3 )
Foundation Inspection pe on Report
Office No.(518)761-8256 Date Inspection • . iv : / (a14.5
Queensbury Building&Code Enforcement Arrive: `1,:11 epart: : .41110
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi
NAME: C1_ ‘RMIT#:
LOCATION: g k. INSPECT ON: to -
TYPE OF STRUCTURE: S 'F
Comments
73" J # Q0
VI N/A 3(oI _al `7
Footin
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 Waterproofmg
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
Jul 30 1210:23a p.2
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