2012-339 TOWN OF QUEENSBURY
IFItm 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120339 Date Issued: Thursday, September 06, 2012
This is to certify that work requested to be done as shown by Permit Number P20120339
has been completed.
Location: 22 CHARLTON Ln
Tax Map Number: 523400-308-006-0002-012-000-0000
Owner: LUZERNE VENTURES, LLC
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
(7-DJ"
responsibility for com liance with Site Plan, Variance, or
owner of the p
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
fy 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120339 Application Number: A20120339
Tax Map No: 523400-308-006-0002-012-000-0000
Permission is hereby granted to: CLUTE ENTERPRISES, INC.
For property located at: 22 CHARLTON Ln
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: LUZERNE VENTURES, LLC
22 SULLIVAN Pky Garage Attached
FT. EDWARD, NY 12828-0000 Single Family Dwelling $130,000.00
Total Value $130,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-339
Single Fam Residence 1st Flr: 624sf;2nd Flr: 676; Garage: 400 sf
Lot 11 /22 Charlton Lane
$320.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,July 24, 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 f Que bu .7Tu:s . . 24, 2012
av79 / 44
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
r:.-- "'"",010
OFFICE USE ONLY ;
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL— NAME OF BUSINESS:
ESTIMATEDNSTRUCTION COST: 5 Com,G...9%. FUEL TYPE: +—t-i. CC.
HEAT TYPE: r—e—,e.1 *HOW MANY FIREPLACE (S): CC, AND/OR WOODSTOVES S : --Cr)
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? ,
IS THIS A HISTORIC SITE? 11):
PROPOSED USE OF BUILDING OR ADDITION: `5, sc .- N—L_ ' .�--.Ce
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? �iv
ARE THERE EASEMENTS ON PROPERTY? -1;
`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 41-obtain a certificate of occupancy. I also understand
that I/we are required to pro - e an as-built survey by a licensed land surveyor of all newly
constructed facilities pri o issuance a ce ' ate of occupancy.
I have read and agree to th- :•ave./
/
Signed --/K ��
/!
Pr-
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: 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
—?-0,__PERMIT
TAX MAP NO3J� ,�p —?" PERMIT NO/O)-336? 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: J`� Z�—V�_ INSTALLER: C '&241'6_
ADDRESS: ADDRESS: - ' -)/ i --1 4.3e
PHONE NOS. PHONE NOS. II(� -a-77
LOCATION OF INSTALLATION: - \3
RESIDENCE INFORMATION:
NO. COMPUTATION
YEAR BUILT X = TOTAL DAILY FLOW
BEDROOMS (Gallons per bedroom) GARBAGE GRINDER
1980 or older X 150 = INSTALLED?
1981-1991 X 130 = SPA OR HOT TUB
1992-present X 110 = 30 INSTALLED?
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLIN NK 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)
I PERCOLATION TEST: RATE IS PER MIINUTE PER INCH Imp/]
(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: \000 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 ISO ft. Each trench X 5O
❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size?
0 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 • • o •: alf of an ap•licant,shall be void.
I have read tr• regulations with esp• t to thi . • ication and agree
to abide b I ese and all requ' - nts of ' : .wn of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
Sanitary.ewage S' ••s. • • n� codes(aQueensburv.net
, VISIT OUR WEBSITE FOR MORE INFORMATION
aturerPerson Responsible Date wv✓w•queensburv.net
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
11) p 39
5t.v ,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: 7It?7i1D
Applicant Name: C
Address to be inspected:
Return Address: Ce..) c'_
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
7-3 pin
QueensburyBuildin & Code Enforcement - Residential Final inspect
ion
Office No. (518) 761-8256 Arrive: am/pm Depart:a 1 t Inipm
Date Inspection request received: f> Inspector's Initials:
-,Alt
NAME: L PERMIT#: c'' )/';'2- ��
LOCATION: _ si/ssrai►� jtf-"r DATE: V,)-oi,),
TYPE OF STRUCTURE: •T II
Comments:X�►a
Y0
No N/A
4" Building Number Address visible from roadi
�/
Chimney Height/"B"Vent/Direct Vent Location I� rte,
Fresh Air Intake l^P�L
3 inch Plumbing Vent through roof minimum 18 inches V
&Ql2i-- ���
Roof Complete/Exterior Finish Complete
ed
Platform at all exterior doors I 'I4- / �--
Handrail 4 or more risers NY � 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 eS
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches ,/ evle/- - /
Deck Bracing/Handicapped Ramp Compliant `� // `'
Grade away from foundation 6 inches with 10 feet O✓GUC-
6 inch clearance to sill plate
Gas Valve shut-off exposed I regulator 18 inches above grade ���JJJInterior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight /Iti/
'� � ySafety glazing/Window in stairwells safety gl�ing V
Interior Smoke Dettors/Carbon onoxi},,,i/
etectors ,
Every level: tet// Eve Bed om: /Outside every bedroom of a:Inter Connected: ✓ Battery backup: f t3
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area ,l
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents / '—
Bathroom Fans,if no window
Plumbing fixtures Vz
Foundation insulation to floor I Sticker on Panel
Duct work sealed properly/Blower Door Test Certification / \- [� r
Floor truss,draft stopping finished basement 1,000 sq.ft. �/
Emergency egress below grade f ""c—Cf.)Furnace shut-off within 30 feet or within line of site �/
Oil Furnace shut-off at entrance to furnace area b
,/ 1.-d- --- —1A-174<---f)
Furnace/Hot Water Heater operating /
Low water shut-off boiler / �J
Relief Valve(s)installed/Heat Trap/Water Temp 110 �/ /
Enclosed Stairs Sheetrock Underside minimum W Gypsum r/
Basement stairs closed rise>4 inches
Garage Floor Pitched y
Garage fireproofing/3/4 hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot PlanV":„/
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles V
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker /'�
Site Plan /Variance required ,/
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent] 'NO/
L:\Building&Codes FormslBuilding&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: g/7, ,�E'/.Z-_
NAME: C/? � 11:-
LOCATION: oRa („,,, h 4,e 1
PERMIT#: ,i')/� - 33/
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community j
Development.
Upon review the
survey has been,
C„)./ii
Craig Brown, Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.lnspection.FORMS\Final Survey
Zoning Administrator.doc
MAP REFERENCE
SUBDIVISION PLAN MADE FOR
HAVES AND HAYES
BY: VAN DUSEN & STEVES
DATED: JUNE 15, 2007
LAST REVISED: NOVEMBER 5, 2007
0
LOT 10
47
St,eves
Lancs Siarveyors
169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lie. No. 50135
'UmTHUSISO &TERABON OR ADDITION TO A SURVEY
.M BEARING A DCENSED LAND SURVEYORS SEAL IS A
NIXATION CF BECTON 7109, SUB -NASION 2 OF THE
NEW YNM STATE EEUCA¶ON LAW.'
'ONLY COPIES 'RNA THE ORM]HAL OF THIS SURVEY
.MKEO MTH AN MGM OF THE LAND SURVEYORS
SEAL
SH NL BE GGISIOEAEO TO SE VALID TRUE LCFIES'
'CERI1FlCAllDNS WOCATED HEREON SIGNIFY THAT
'IS GIRVEY WAS PREPARED IN ACDORDANCE MTH THE
EASTING ME CF PRACRa FOR 4 D SURVEYORS AOOPRD
BY THE NEW }OTA STAR ASSOCIATION G` VRNE OM
LAND SIRVEY'p SND RRNFlCATIORS SH. RUN ONLY
TO THE PFRSEM FGH WHO" THE SURVEY IS PREPARED. WHO
ON HIS SEMTO THE "'0' G Y. GOVERNMENTAL
AGSNCY AND l MW INSHNITICN LISTED HEREON, AND
TO THE ASB(H,, OF THE LENNNG INSTITUTION.'
LOT 11
32,536.11 sq. ft.
0.75 acres
LOT 12
Map of a Survey made for
Ronald G. Nolin II
Town of Queensbury, Warren County, New York
N0. I DATE
DESCRIPTION
R6/,�-33�
S-1
SHEET 1 OF 1
clute
DWG. N0. 04007-11
Septic Inspection Repo
ir
AV
Office No. (518) 761-8256 Date Inspectionr
Queensbury Building &Code Enforcement Arrive: 3� a+i/p.. ' -.rt: ' = c a /pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initia , #'
NAME: G Li) 1 E E>I.VTEae. be_S P"•MIT NO.: 1• -3�PI
LOCATION: 2-'L C ,t1A 9C E Lc ., NSPECT ON: ' -Z_7-I
RECHECK:
Comments and/or diagram
Soil Ty. •:{ ,•Loam/ Clay
Type of Water. Munici - Water F �Tr'
Wate -- -•. ation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' +/ - Y N N/A
[150'to well required if NO]
Absorption Field: Total length
Length of each trench
Depth of trenches 7_1 _ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank 'l-[ i ,� yp
Tank to Distribution Box 1-1 't
Distribution Box to Field/ Pit 1-1 .k JC PERFo
Opening Sealed: T N
End Cap Y N
Inlet/Outlet Pipes &BafflesN
Manholes 12"or less below grade _Y_ (
[provide extension collar if Yes] Y N
Location/ Separations
Foundation to tank I ft.
Foundation to absorption -}mil 'ft.
Separation of Pits /
Conforms as per PI. °
Engineer Report a • As-Buil . Y N
ETU Maintenanc: .. . _Y_ N
provided
Location of System on Property:
Front Re Left Side Right Side Middle Front Middle Rear
S stem Use Sta s:
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report 03 29 10.doc
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Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection req : '''�� ' •_ Z l t
Queensbury Building & Code Enforcement Arrive:2=L[i> a J�� . -•art. a pm -
742 Bay Road, Queensbury, NY 12804 Inspector's Initial•�`�
NAME: L Lv ► P ' MIT #: 12 -33 J
LOCATION: C ti,-\,r I c-\ N') . INSPECT ON: s'j'? 7 l
PE OF STRUCTURE: ��
Y NIA
Rough-Plumbing I Nail Plates
Plumbing Vent/Vents in Place
1 1/2 inch minimum Drain Size 4
Washing Machine Drain 2 inch minimum Mr.
Cleanout every 100 feet/change of direction
P seure-Test
; . t
`. . . 10 ft. above highest connection for 15 minutes
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
- I. ulation I Residential Check I Commercial Check
''=r • 4r i - - a �A.i „ G ' w•r\
roper Vent, Attic Vent
Door t 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
R-
/ Firestopping (� am_Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: : c m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: lyk
NAME: �- PERMIT#: ,a0 I )--3 3
LOCATION: d ; •a n 2 INSPECT ON:
TYPE OF STRUCTURE: Lot-
1 l,J(,. Ci L-' T C.
Y N N/A COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/Headers
Bracing /Bridgingc� /{
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 l Bearing Walls
Metal Strapping for Notches Top Plate
1 'A(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 %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space 1 Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade _
:1Buildtng&Codes Forms-OLD\Bufldinq&Codes\Inspedion Fomia\Fr aming Firestopping Inspection Report.doc Revised January 7,2008
�hut r-s4Q I-3
Rough Plumbing / 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: I i (J
NAME: CI w+e PERMIT #: /a-33 Ti)
LOCATION: & 0 Ny±tzn j--J/ INSPECT ON:
TYPE OF STRUCTURE: ,Spm
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1 Y2 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 hi hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I 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: \2l- ‘` .-1tiAAr` `9)
dA, 71k--1/4--1 --7'‘-/-
r.-4) 0E-
�r�► - U
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Framing / Firestopping Inspection Report i 2J7 -
Office No. (518) 761-8256 Date Inspection = r:cei• ed:
c717-- -
Queensbury Building &Code Enforcement Arrive: �I, • _ 1.;part: a m
742 Bay Road, Queensbury, NY 12804 Inspector's Initia'r -
NAME: c L v, �` c CI x ) v i c. " RMIT#: 1 i- '3' I
LOCATION: ) (,,, 14 G1_, L o ,,,r(__ INSPECT ON: i+ In -
TY-E OF STRUCTURE:
alillinialligitalliallillig40;
Y N NIA COMMENTS:
ratiling PARTiA\
Attic Access 22" x 30" minimum /� - ►�5T RLL P o6,‘06 tai\ BF
Jack Studs/Headers `✓ /
Bracing 1 Bridging ✓ ,0b
Joist hangers ✓ — \ FJ5 i ALL i\OC�\bR_ P -V JD C
Jack Posts I Main Beams
Exterior sheeting nailed properly ,/ a7- P\ € V 61 LL ROTE
12"O.C. S\)LeL.E_6
Headroom 6 ft. 8 in.
Stairwells 36 in. or more — Askrift V-1 ciEh v O? >Jp,1 C FAiNi? .
Exterior Deck Bracing k).1 __oCVv��L .
Headroom 6 ft. 8 in.
iN+�C-t-\o v_ b'VECL C-___ __01'-\06-VO
C
Notches/Holes/Bearing Walls /
Metal Strapping for Notches Top Plate (-----Lo(-----Lo(3 �I\( -CO (3E Ri-1\ .
1 '/2(w) 16 gauge (8) 16D nails each side J
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
yFire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
matopping
% /
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-OLD\Building&Codes1Inspection Fomts\Framing Firestopping Inspection Repoct.doc Revised January 7,2008
10 .-- 11 p,
Rough Plumbing I Insulation Insp.- ction Report
S-
Office No. (518) 761-8256 Date Inspection r-+ues - «-ived: ..r.:
Queensbury Building & Code Enforcement Arrive: \o=ljb - Ip • -part: , ''am/• •
742 Bay Road, Queensbury, NY 12804 Inspector's Initia : I
NAME: LL v-( � ) __ )1- PE' . I #: l 2 "3 (
LOCATION: ,_04.)-e_ INS" 'CT ON: 7/1111 -2--
TYPE
OF STRUCTURE:
_\ — ♦ .b► Y N NIA `` 1
ough Plumbing / Nail Plates ',�4-c AL c'j (- / — �J�RpFLy__.
Plumbing Vent 1 Vents in Place 4- C_. /.71-- P‘P‘
1 % inch minimum Drain Size /, ID -DJED
Washing Machine Drain 2 inch minimum ✓/ \-klA AGEV--5
Cleanout every 100 feet I change of direction
f � TVD vv A?-S),Pressure st ✓ ��
'n entl Z-TD Fuc§ ____
Aid ead I/
.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
r Su ly Piping
ad ✓
0 P.S.I for 15 minutes 1/
Insulation/Residential Check I 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 T
Duct work sealed properly/ No duct tape
COMMENTS: �� BJP -N-E -N--- C3PEcJK
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report <J �� '`�
Office No. (518) 761-8256 Date Inspection :st v: •: E t -
Queensbury Building &Code Enforcement Arrive: /; - . • r "-- ; a : •
742 Bay Road, Queensbury, NY 12804 Inspector's [nib-
NAME: . - �- N4 . tkle •ERMIT#: 'l�- 332'
LOCATION: (9, " .cam INSPECT ON:
TYPE OF STRUCTURE: t,--Th6 L'
' L
kil
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 %(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anch r Bolts 6 ft. or less on center
Ice and water shield 24 in s from wall
Fire separation , , 3it o r
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 Forms-OLD\Buildinq&Codess+Jnspeciion Forms\Fnaming Firestopping Inspection Report.doc Revised January 7,2008
I htcrScic, G)--1(Sc4 /,
Foundation Inspection Report i,c),Qitt)
Office No.(518)761-8256 Date Inspection requ J-: -ceiv:d:
Queensbury Building&Code Enforcement Arrive: %_ ': sir,m Depart: a p_�
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: _
NAME: ER IIT#: / `33 9
LOCATION: ; ',9, 6iAk t INSPECT ON: ? --.-;-- /
TYPE OF STRUCTURE: S i C
7,- \ tY17��--n 2 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
Ci\.) .'Footing Dowels or Keyway in place
\/ Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Doting Drain Stone:
12 inch width
6 inches above footing
A 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:\Buliding&Codes Forrns\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Itfesci6111J -- 3 G-3, J
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: 2j ; PERMIT#: /(-3 3 9
LOCATION: 3. a vQ- j,R, INSPECT ON: 7 - 3,(-!,
TYPE OF STRUCTURE:
Comments
y r Nth Pur
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
,Jeir
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\Inspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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