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2012-440 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201_ � Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120440 Date Issued: Monday, February 25, 2013 This is to certify that work requested to be done as shown by Permit Number P20120440 has been completed. Location: 16 THISTLEWOOD Dr Tax Map Number: 523400-290-006-0001-037-000-0000 Owner: ROBERT & ELAINE GUAY Applicant: ROBER & ELAINE GUAY 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 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120440 Application Number: A20120440 Tax Map No: 523400-290-006-0001-037-000-0000 Permission is hereby granted to: ROBER& ELAINE GUAY For property located at: 16 THISTLEWOOD 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: ROBERT& ELAINE GUAY Fireplace 16 THISTLEWOOD Dr Garage Attached QUEENSBURY NY 12804-0000 Single Family Dwelling $350,000.00 Total Value $350,000.00 Contractor or Builders Name/Address Electrical Inspection Agency TRT CONSTRUCTION LLC TIM TREMBLAY 222-1255 10 CHEROKEE Ln OUEENSBURY NY 12804-0000 Plans&Specifications 2012-440 REVISED 12/3/12 to add 1 Fireplace(gas) Single Fam Dwelling 2,165 sq ft Attached Garage 736 sq ft w/368 sq ft on 2nd floor $653.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,September 19,2013 (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; Wednesday,September 19,2012 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement r r • ss.�rfo010 n�y - OFFICE USE ONLY I �f • TAX MAP NO. a"!O . /W v ( -3 "7PERMIT NO. -�I f D 5EP 0 7 2012 FEES: PERMI �1 �REATION ENGINEERING (If applicable) PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VAII;)_ 1T PIRMFOR CONSTRUCTION. 1\V L ) j_G. UA cx..J.Aer r APPLICANT/BUILDER: i C I (;-"\)<1-ILIC. ( cYJ h L-C OWNER: IR�6 -t cr �Iit2 6)00 y 4.J ADDRESS: 1 c{-) pro k.F Li, CP Ci ADDRESS: % 'D i u t A I v St- C ),---7 'U PHONE NOS. .Irl S -... -7011 C? I( 7t-3 d a- I)-S\ PHONE NOS. -fI _LI a Y( 2 G l, , CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: h ►k.b Id i PHONE: 44 a-a- I a- S� -- /LOCATION OF PROPERTY: (014--C r 1-64 Th s1I le w,;,,) -I Si°rJeti �� /2r- Uz?p- _y ()9V.)• 6 "1 - Z '? i51s, HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? I S'ES 0 NO 4 E. IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: , CHECK ALL THAT z et Cio F- A APPLY TO YOUR z p W O cn C7 wu_ co PROJECT O O O • Ct � 0 i _ E --- O w a- LL 2 i--• O ' z WO J d z C'J F- O F— W Z z Q Q - u) Nu) OLL F- LI- 0_ 2o5 SINGLE FAMILY %/' .1 / V('Cr zfir- ..-- S Q y- TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED 70 , GARAGE(1,2,3) - C-' 3 68 1 ' 1 ). Jo-- 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:3 .)(_., (- L' L FUEL TYPE: Proc d r e HEAT TYPE:(J,r) -\-),-i- vt-HOW MANY FIREPLACE(S): 1-' AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? , IS THIS A HISTORIC SITE? rr PROPOSED USE OF BUILDING OR ADDITION: PZ�'- 1 c) e `i 4 (1 1 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /Y o ARE THERE EASEMENTS ON PROPERTY? X '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 prior to issuance of a certificate of occupancy. I have read and a ree to the above. Signed , / / /G/1u1d el,i 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 & CO S APPROVAL ZONING APPROVAL 1'1 DA E DATE QUESTIONS? CALL 761-8256 OR EMAIL codes(a.queensburv.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.queensburv.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 towFire Marshal's Office BEL: 0 ;; 2012CX Town of Queensbury- 742 Bay Road - Queensbury, New York •12804 Michael J.Palmer,Fire Marshal•Gary Stillman, Deputy Fire Marshal 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. (` OWNER: ! ��P C (,) y INSTALLER/BUILDER: J?r c'�.�J 2 • �J !�'r' , "/ C ADDRESS: .i) ✓i s / 0 cJ Srt ADDRESS: 3 I}1 1 )e r ( i • , . PHONE NOS. W 'cN1 PHONE NOS. 5& O r 1 •` 7 (- LOCATION OF PROPERTY:/6 7711.A '. '3 SUBDIVISION NAME: cS+N e 1-) V (5 • LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: /� II,,I j 5 e wu; ? �i (` e, CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: 1,'11 ( fe I'� L V el 7 PHONE: ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) ,( DXV- 3S *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: Alec('/C1/‘k MODEL NO.Z. /-)7-40601-77 LISTED BY: NUMBER: QUESTIONS? CALL 761-8205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: firemarshal(@queensbury.net MASONRY=' CHECK ONE ✓ VISIT OUR WEBSITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES www.queensburv.net FLUE CHECK ONE ✓ DOUBLE CHIMNEY TRIPLE WALL INSULATED DIRECT VENT WALL 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 MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. Community Development Office --' Queensbury, New York •12804, Town of Queensbury • 742 Bay Road • .._. Office Use Only TAX MAP NO. a'-'1/� O. I, f-13/7 PERMIT NO. /C1- / (I c 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: ROBERT GUAY INSTALLER: ELLSWORTH & SON EXCAVATING ADDRESS: 8 DIVISION ST, GLENS FALLS, NY 12801 ADDRESS: 57 ELLSWORTH LANE, LAKE GEORGE, NY 12845 PHONE NOS. (518) (518) 895-8228 PHONE NOS. (518) 792-9246 LOCATION OF INSTALLATION: 16 THISTLEWOOD DRIVE (STONEHURST SUBDIVISION, LOT 37) RESIDENCE INFORMATION: NO.OF COMPUTATION YEAR BUILT X = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older X 150 = INSTALLED? NO 1981 -1991 X 130 = SPA OR HOT TUB 1992-present 3 X 110 = 330 INSTALLED? NO PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING ✓ STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND LOAM ✓ CLAY ✓ OTHER ✓ GROUNDWATER: AT WHAT DEPTH? 18" ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? N/A ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL ✓ (If well:water supply from any septic system absorption is: >100 ft) ✓ PERCOLATION TEST: RATE IS 9:30 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: 1,000 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: dABSORPTION FIELD(WITH NO.2 STONE) Total length 240 ft. Each trench 4 X 60 ❑ 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 ha:ream the regulatio's w'1 re •ct to this application and agree to abi. . t e and all ui en .f the Town of Q eensbury QUESTIONS? CALL 761-8256 OR EMAIL Sani,'�`�: age Disp.4: O'line vi. ,� r ` / codes@queensbumnet V" I*A-, Ai._.1 `/ Vhf2 VISIT OUR WEBSITE FOR MORE INFORMATION = gnature of Person Responsible Dat www.queensbury.net (� -JIM141u' °-`� I Revised 4/1412010 Town of Queensbury �'..I°' �^ Q 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: Applicant Name: i2 1 Ces, A0 , ,., LL C Address to be inspected: C:cn ataC3-Lii-0-4--t1 C- S t- w ' Return Address: I C) c_kw)-/ ee d-.- Q B1 e—y 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 mvc)(fci, ioI„ Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/ Depart:( .,• im/pm Date Inspection request received: Inspector's Initials: NAME: (' L2PERMIT#: /c -- y 0 LOCATION: / Lo •1' h �,t`L 7 t.T-c- DATE: a- s - /_3 TYPE OF STRUCTURE: S 7=-(� Comments: ,0)&i.&) N/A 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 Handrail Termination at Newell Post or Wall / Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Complianti' 4"----- -t '‘.3-1/1 ---\— Cj-1-7..— _do Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate CA. Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches / ----- Bathroom � Bathroom/Kitchen watertight �/ Safety glazing/Winf�low in stairwells safety g�zing 0/ Interior Smoke DQtfctors/Carbon M oxidDetectors Every level: �V Ev ry Bedro _✓/ Outside every bedroom rea: Inter Connected: . Battery backup: i Attic access 30 inches x 22 inches x 30 inches(height)in accessible area // Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window ,�----, v Plumbing fixtures / Foundation insulation to floor/ icker on el V Duct work sealed properly/Blowerioor Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. c/ Emergency egress below grade t� Gas Furnace shut-off within 30 feet or within line of site f Oil Furnace shut-off at entrance to furnace area V Furnace/Hot Water Heater operating Low water shut-off boiler / / Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum 1h"Gypsum Basement stairs closed rise>4 inches t/f Garage Floor Pitched 1// Garage fireproofing/%hour fire door/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 Fle 'Gas-Pipe Bonding y s Built Se VariSystem/Sewer Dept. Inspection Sticker ance required ` �//" Flood Plain Certification, if required / ✓ Okay to issue C/C or C 1 0 f Temporary/Permanent] 16/1 L:IBuilding&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10, Revised 04/13/11 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pcn Depart: '7, ;,am/pm __ 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: - J NAME: C'..0'�"l/4 PERMIT NO.: IaZ– i LOCATION: 1 I qk t;1,-t•`'Uiz:Vl) INSPECT ON: .7_,HO 2 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] Absorption Field: Total length ft. Length of each trench ft. Depth of trenchesft. Size of Stone (--)( i Seepage Pits: Number ( / ___Size: x ___ Stone Size: � J� i*v _Piping Size Type Building to tank 4.. .26----- 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 absorption --- ft. Separation of Pits _ . Conforms as per Plot Plan Y ,N Engineer Report and As-Built _ , N ETU Maintenance Contract N provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use St.• s• ---- s � . Appro 'a ial 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 Repor_03 29 10.doc Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury, NY 12804 Date received: a_A l- 1.3 NAME: Cr(_,C 0 L LOCATION: / (0 -rh ,s'I a✓Lcj ez),1 PERMIT#: I - 9(f/Q Final Survey Plot Plan Approved Denied The attached final survey has been received by the / Dept. of d Community Development. Upon review the survey has been: III Craig Brown, Zoning Administrator Notes: L:'SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc MAP REFERENCE: STONEHURST SUBDIVISION DATED JULY 15, 1983 LAST REVISED DEPTEMBER 15, 1983 BY VAN DUSEN & STEVES LOT 37 LOT 47 LOT 45 q CIRS O 1 N81° 40 E 192.41 Cb ti CIRS 2 CIE 0 LOT 46 33,268.8 sq. ft. 0.76 acres M a Cb 0, DECK h M II II a N 1 STOR/RY E I In ' WOOD F w HOUSE O Z PORCH � I o N W N n o O N W c` WELL 70 5' U S79M05 00 W 6161 00" W 573.5 �Dg,IVE `C�1I5TLEw�� .� I 6 S V J� D� (�(• ytl�l�J P BE'UNAARING A.O ALTERATION OR ADDITION TO A sureKr MAP SEARING A UCENSED -AND SURVEYORS SEAL IS A NOTATION OF 5ECPON 7309, SU°—OM51CN 2 OF TLE NEW YORK 5.01E EDUCATION LAW' COPIES ORI NH O.GIC1E OF THIS SURVEY MARKm WITH AN ORIGINAL OF 1HE LAND HIS SURVEY MARKED 'ONSIIeves SEAL SHALL BE CONSIDERED i0 BE VALID TRUE COPIES: 'CERnFICAPDNS INWCAIED HEREON SIGNIFY THAT Land 169 Haviland Road Surveyors Queensbury, New York 12804 THIS SURVEY WAS PREPARED IN ACCORDANCE AAI TIE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED LWT E NEW I'DR $TA E ASS ICATIM'S OF PR PUN ONLY LADE NEW 4RG. $.0 ASSI ON OF RIJNS0N1Y i0THE PERIFOR .. PiE SURVEY IS PREPARED, AND ONHIS BEHALF i0 THE PRE COMPANY , GOVERNMENTAL AGENCY a95GN,,s , ;„�' NDITNG IN nTUD ,.-' ° (518) 792-8474 New York Lic. No. 50135 Map of a Survey made for Robert & Elaine Guay Town of Queensbury, Warren County, New York 290.6-1-37 N0. I DATE DESCRIPTION Fc5 2 ' 2013 NOVEMBER 16, 1W-30' S-1 SHEET 1 OF 1 GUAY C-2701 DWG. NO. 83154-46 I 0 rn N �� Town of Queensbury Fire Marshal 742 Bay Road V Queensbury, NY 12804 • / r' - <'Y0 r 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 - C9)/ �'! Time am pm anytime Inspector_ Name ; I (luvr/Pi' Address S't�,ac,,0 Rough In Final Appliance Manufacturer MLN aol f`; Model# D x v / Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) - Firestop(s) Vertical Chase �f - Wall Penetration c • Vent Clearances to Combustibles l� /4 bi-Nt\ -r70 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. Vellorr—Cust)mer Pink—Fire Marshal Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/p ,part: (0 ! P)Lam/pm Date Inspection request received: Inspector's Initials: NAME: �, PERMIT#: 2P Com- 'i'l) LOCATION: tll ��, - 1 DATE: ''').....4 \t11'� TYPE OF STRUCTURE: Comments: Yes LW NIA 4" Building Number Address visible from road / il Chimney Height I"B"Vent/Direct Vent Location J Fresh Air Intake �`V ( t )ff//// �`� 3 inch Plumbing Vent through roof minimum 18 inches n_,Q� C '_ _ Roof Complete/Exterior Finish Complete { Platform at all exterior doors f v� � �� i-24. .\Handrail 4 or more risers 4/ Guards at stairs,decks,patios more than 30 inches above grade / /' Guard at stairwell at 34 inches or more N.// ( ^ 7-'" �� Guard at deck, porches 36 inches or more V / • 1� � J�,s1r �" � Handrail Termination at Newell Post or Wall v ` , �� Interior/Exterior Railings 34 inches to 38 inches / ),R)A-L-Q �� Deck Bracing/Handicapped Ramp Compliantvirr. Grade away from foundation 6 inches with 10 feet >i{ fit i, a 4-- 6 inch clearance to sill plate lie Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches HZ Bathroom/Kitchen watertight 1 t Safety glazing/Wi ow. in stairwells safety gl ing �// Interior Smoke D,ectors Carbon Monoxid Detectors Every level: ery Bed m: / ,f Outside every bedroo area: ,1 / Inter Connected: Battery backup: q/// Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents / Bathroom Fans,if no window kJ Plumbing fixtures / .04�F dation insulation to floor I Sticker on Panel (-j 4/ ssaled pmperly lower Door Test Certification . � / �� jc-)•--'166 Floor truss,draft stopping finished basement 1,000 sq.ft. �JZ Emergency egress below grade / "t� Gas Furnace shut-off within 30 feet or within line of site ,✓ i i Oil Furnace shut-off at entrance to furnace area /� \AIl Furnace/Hot Water Heater operating �/ Low water shut-off boiler / Relief Valve(s)installed/Heat Trap/Water Temp 110 %,f Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum / Basement stairs closed rise>4 inches �// Garage Floor Pitched W Garage fireproofing/%hour fire door/door closer Sealed or Glass Enclosure V Final Iej . caF Energy Saving Light Bulbs 50% Final Survey Plot Plan VArc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding / �,�/ As Built Septic System/Sewer Dept. Inspection Sticker V""' 0aoiN ` -rL- R-f- `" Site Plan /Variance required ,f' Flood Plain Certification,if required Okay to issue C/C or C/O[Temporary/Permanent I V/i. L:1Building&Codes Forms\Building&CodeslInspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11 r r 192.A1' r r �ar�" ry ^y ww--Io NO —r .► '� I �I� QI r • f � 'm UAB TOE OF FIL! f' \ r r 00--ow "Ns r— r L ACK CEP1 r• ►� UpL TOP OF Fr 1 OM wo ��WASTEwpSETBR) _ LON t / wa r ARSE SKr• i woo / 30' m r (BUILDING) 1 1 / All I 1 � � ( PROP.ABdORP'TION FIELD t ' ( (4)PIPE-INVONE TRENCHES ' AT 60'EA H,2401E TOTAL r ' 10. 00 PROP./4" _ EMM 6,NT SEWER 1 �t *10 4% 1000 GA CONRE 00 ` OST �MhSEIIC TANK ROP.4P N HOOSE SEWER lJ�b'v 3NG / 1 :1;;.:;..:: �9`y r W at � r. � ♦ 1 � r• ILD IN O 0 1 ' - '�EIBACK BO v, FRONT Area ` fw $0 33,268.8± sq. ft. �J 0.76 Acres , I 1 I 1 V I r r70.51' 1 PROPOSED r r- 1 WELL N73°5 pOnE vo 61 681 DRIVE TLewoop THIS SITE PLAN SCALE: 1"=20' LCA Gf— // Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm rt: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: (f : - t�- NAME: (7—�fsx. C PERMIT NO.: LOCATION: U -r'e4 INSPECT ON: y%3 RECHECK: 1 Comments and/or diagram Soil Type: 'Sand/ •. -. j� Type of Water: Municipal / Waterline separation distance - ft. f?ry 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 '``-k`✓ ft. Length of each trench ft. Depth of trenches Size of Stone Seepage Pits: Number Size: Stone Size: Piping Size Type Building to tank at ,cil Tank to Distribution Box 2.0 ' �f L.i Distribution Box to Field/ Pit 4k`a 5.V) 7.t Opening Sealed: N End Cap _ lN Inlet/Outlet Pipes & Baffles VY eROV(-N) Manholes 12"or less below grade Y N A J [provide extension collar if Yes] _Y N 11 () 4 Location / Separations Foundation to tank ft. Foundation to absorption �" w,'7_ft. Separation of Pits Conforms as per Plot Plan v Y Nf Engineer Report and As-Built ,Y 1,`N ETU Maintenance Contract Y N provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: 1 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 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:61L4-2 NAME: 6—(-Oct PERMIT #: 1 - � LOCATION: /l 0 1 he 0 -� ( INSPECT ON: TYPE OF STRUCTURE: S F- W t�U�J Y N N/A .S Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet 0 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 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 cyc COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Town of Queensbury Fire Marshal woo 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 74.5-4437 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# )*+— 411° Schedule Inspection lc) kw-- Time )d Jam-fpm anytime Inspector Name t4V 70i0DIM Address i u �%StIt L w ✓ Rough In Final_ Appliance Manufacturer 1M1�N'003w Model# -k V - 3 Direct Vent Factory Built Chimney .) Flue Size Double Wall X/ Triple Wall Insulated Yes No N/A Comments 110 r Floor Protection Clearances to Combustibles (all sides) 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 6/4 C 4C11-- Height C1Height above f/p opening Witness Operation Tank Placement (if LP) CO Detection CSST Bonding White—Building Dept. Yellow—Customer Pink—Fire Marshal (cL\ g' - 1 ) Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Departs? : --am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: i p-7 it- 3 NAME: PERMIT #: T <14/7) LOCATION: I INSPECT ON: /� 7/) -/ ) TYPE OF STRUCTURE: S F 13 _ Y N ---N/A Rough Plumbing /Nail Plates Plumbing Vent I Vents in Place •� 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction Pressure Test 7 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/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 Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008 rA 2 I6 _1Q Rough Plumbing / Insulation Inspection Re art Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart:)j ) am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials NAME: Cs' U PERMIT #: /off <11S/0 LOCATION: ! l8 -\.A, Qa_ INSPECT ON: /a-?-1.5 TYPE OF STRUCTURE: Y N N/A Rou•h Plumbin• /Nail Plates Plumbing Vent/Vents in Place 1 1/2 inch minimum Drain Size Washin• Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction MEM Pressure Test Drain/Vent Air/ Head 5 P.S.I. 0110 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 r- •uired unheated s•aces 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 c to Sc4-4) ut-t_ Rough PlumbingI Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: ( 2) `"l Queensbury Building & Code Enforcement Arrive: am/pm Depart: a /pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: f MY NAME: v r� PERMIT #: I ,t1410 1V/zTLOCATION: e Luocb INSPECT ON: j 71V/7-- TYPE YPE OF STRUCTURE: .41411P 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 /Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air I Head 0 P.S.I for 15 minutes nsulation I Residential Check/Commercial Check t ! r 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: )y) at_ Li.),.) ..(W) SZCII---LO V,k-rrZ,=50(;-t-,4-c) I 1 ) it.,L‘j() c-7-F r:',/1^-erc-k)OrZ, Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing I Insulation inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/p Depart yam/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: e.,1, Teri— NAME: PERMIT #: f a- LOCATION: h i, �-j e u) c1. I r INSPECT ON: I�e TYPE OF STRUCTURE: S f fD PA6a-f—iredv\bi el Y N N/A aca0_sktvl Rough Plumbing / Nail Plates Plumbing Vent I 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 ✓'l Insulation / Residential Check/ 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: re_ u„mot,,-5> k),Ka.64 Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: _ Queensbury Building &Code Enforcement Arrive: am/ m Depart:/ c am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. NAME: GCS. Pr PERMIT #: LOCATION: `r s i-1 e I i.}F) INSPECT ON: (ISMl , t‘c.cctrca nt TYPE OF STRUCTURE: S _t _ AG ` - — _ DJ �5�� 1 Y N NIA Rough Plumbing I 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. 01 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 Framing ! Firestopping Inspection Report % - /C Office No. (518) 761-8256 Date Inspection request received: / Queensbury Building &Code Enforcement Arrive: _amlpm Depart:C3 Ia a / m 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: e_ditLAI) NAME: F l PERMIT#: 1 Z - L`( L(C) LOCATION: , '1'1 5 -c L,/CC INSPECT ON: TYPE OF STRUCTURE: Y 4 N NIA COMMENTS: taming �--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 Wails 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 J� ce and water shield 24 inches from wall VA Fire separation 1, 2, 3 hour -- Fire wall 2, 3, 4 hour Firestopping ;y Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1/2 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) 0/ 5.7 sf above/ below grade 5.0 sf •rade L:16uiiding&Codes Forms-0LD\Building&CodeAnspedion Fomns\Framing Firestopping Inspection Report.doc Revised January 7,2008 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: /0, Vram/pp, 4 Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ,!)P NAME: UL c t L PERMIT#: l 0 LOCATION: I (o (.)D INSPECT ON: TYPE OF STRUCTURE: S i Comments Y Or 'v Footings Piers rr , 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 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: /C/I S Ji Z,- Queensbury Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials �� NAME: G`� / PERMIT#: LOCATION: / VI, -r(f c c,(,C{\ N- vE' INSPECT ON: l o// ��1 TYPE OF STRUCTURE: ,t /`` 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. oundation/Wallpour � Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Z - 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 nder Slab PVC/ ast/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 J � Foundation Inspection Report Office No.(518)761-8256 Date Ins tion Queensbury Building&Code Enforcement Arrive: p y/ Depart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's tial NAME: (j"— ' 0 i, : RMIT#: / , 4-(1 O LOCATION: • L da ` • LJ ^ „ INSPECT ON: TYPE OF STRUCTURE: — • liQ Commend Y N N/A Footings —� — Piers Monolithic Slab Trz, vrLA cr\-1.>5 Reinforcement in Place The contractor is responsible for 1: 13 - , providing protection from freezing for 48 hours following the placement of the concrete. ( �\%\.) Materials for this purpose on site Foundation/Wallpour . 17E `Z 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\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM LCex1 , /0 -J Foundation Inspection Report Office No.(518)761-8256 Date Inspection_. L est rete' Queensbury Building&Code Enforcement Arrive: "s 41M epart: iLlitglm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: LL NAME: C; (,r 6t U PERMIT#: A)— LI U LOCATION: i �; . '�-N`s-� le- (,)()Da INSPECT ON: I o - /1) -/,I), TYPE OF STRUCTURE: .S 33 Comment ��- 1135 -xr\nL, Y N N/A gOetng 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/Wailpour Reinforcement in Place o ting Dowels or Keyway in place / . \ Foundation Dampproofmg . oundation Waterproofing e, Footing Drain Dayli t or Sump' _______> 1 Footing Drain Stone: /7` 1 O�— 12 inch width )'' .._AN‘6 inches above footing V 6 mil poly for wet areas under slab C-43�' - 1110 1 Backfill Approval7 . Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Bullding&Codes Forms\Building&Codes\1nspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Lam) eA n62,. 4,6t Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart• 4K am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: • NAME: ;— Lk Q. IA PERMIT#: `!4`/ C) LOCATION: e CV, rk INSPECT ON: / U TYPE OF STRUCTURE: 1 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 V / Footing Dowels or Keyway in place - 4 Foundation Dampproofmg (A 3-4:51L-61 f , � Foundation Waterproofing l (�J 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 Foundation Inspection Report ' `o � v Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: ,1(� am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:/'-1 t l�J NAME: &'LJ < � PERMIT#: / `� La LOCATION: /L6 1 h`` �3' i '. w r,oma INSPECT ON: / 2 - - / TYPE OF STRUCTURE: x F (� Comment 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 t�� '1 ' ( 1L) Foundation Dampproofmg Foundation Waterproofing �t 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 Fors\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM