2012-453 OW, TOWN OF QUEENSBURY
742 BayRoad, uccnsbu NY 12804-5902 (518) 761-8201
�_ Q rY,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120453 Date Issued: Wednesday, May 22, 2013
This is to certify that work requested to be done as shown by Permit Number P20120453
has been completed.
Location: 150 ROCKWELL Rd
Tax Map Number: 523400-290-010-0001-005-002-0000
Owner: JON SWANSON
Applicant: JON SWANSON
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
1 )45(L---
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 QLFI NSBURY
7.4213,ivl�oa(I,(7iick!ii.sl)tirv,N1' 128�)4-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120453 Application Number: A20120453
Tax Nlap No: 523400-290-010-0001-005-002-0000
1'ermission is hereby granled to: JON SWANSON
For property lucaml n: 150 ROCKWEIA. Rd
in rhe:Town of QueLmsbury, to construct or place
at tile abovc location in accordance with application together with plot plan,,,and other information hereto filed
7III
and approved and in compliance with the, NYS Uniform Building Codes and the Queensbl.11'v ZO i Ig
Ordinance. Type of Construction Value
Owner Address: JON & DIANE SWANSON Fireplace
150 ROCKWELL Rd Garage Attached
QUEENSMAZY NY 12804-0000 Single Family Dwelling $350,000.00
Total Value 5350,000.00
Contractor or Builder's Name / Address Electrical Inspection Agency
I 1ILLTOP CONSTRUCTION
51 CROWLEY Rd
HUD�SON FALLS.NY 12839-0000
Plarr",& Specifications
2012-453
Single lana Dwelling I st [Ir 1,3 11 sf, 2nd I'11. 1,670sf, Attached Garage 949 st', 3-Season Porch 230 sf
Rec I"ee paid
5761.55 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, October 04, 2013
(If a longer period is required,an application for an extension must be made to the code Enforcen-leill Officer
of the Town of Queensbury before the expiration dale)
Dated at the Town of Queensbury; Thursday, October 04,2012
SIGNED BY for she Towyn of Quccrlsbur),.
Director of Building& Code I'Mforcernent
r s"_.>_-`"'"£9010
OFFICE USE ONLY SEP 1 8 LU i2
TAX MAP NO. 13961.10- 1-T , PERMIT NO. / �- i 3 U+
FEES: PERMIT 7£oJ,JJ RECREATION JOZ) ENGINEERING
f 540D (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 VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: Jon Swanson OWNER: SAME
ADDRESS: 35 Masters Common South ADDRESS:
PHONE NOS.745-7411, 745-7220 PHONE NOS.
p CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: SAME PHONE: SAME
0).1LOCATION OF PROPERTY: 150 Rockwell Road (E side of Rockwell, S of Howe Dr. )
/ HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? ® YES 0 NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: 46-2012, 8/31/2012
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT po
APPLY TO YOUR Z f- 0 d C{ w - w
PROJECT O 00 O CC _I O ml— _
w tL ti I Q U
W � C'J z d I- F- O � � WZ
Z < < to' cvu) 0u I— LL 0Zot
SINGLE FAMILY X 1311 1670 2981 35 ' 2"
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED X 949
GARAGE(1,2,3)
Ct AI
OTH G+1 (,3 5S e
zal
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: $350, 000 FUEL TYPE: Geothermal
HEAT TYPE: FHA *HOW MANY FIREPLACE(S): 1 AND/OR WOODSTOVES(S): 0
ZONING CATEGORY: SR-1A ARE THERE WETLANDS ON THIS SITE? YES
IS THIS A HISTORIC SITE? NO
PROPOSED USE OF BUILDING OR ADDITION: Single family residence
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? NO
ARE THERE EASEMENTS ON PROPERTY? NO
*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 agree to the above.
Signed 4.1111'•
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(&_queensburv.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
P 101-- 1s3
Revised 4/14/2010
APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS
Application is hereby made to the Building &Codes Office for the issuance of a Building & Use Permit pursuant to the
New York State Fire Prevention & Building Code. The applicant or owner agrees to comply with all applicable laws,
ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter
premises to perform required inspections.
SEP
18 2012
Important Note To Applicant: Rouqh-ln and Final Inspections Are Required:
Owner:: Jon Swanson Installer/Builder:
Address: 35 Masters Common South Address:
Phone Nos.:745-7411, 792-6766 (mobile Phone Nos.:
Location of Property: 150 Rockwell Road Subdivision Name: R. Case Prime
Location of Proposed Construction and/or Installation: 150 Rockwell Road
Contact Person for Building &Codes Compliance: Jon Swanson
Fuel Burning Applicance Wood Coal Pellet Gas Oil
Information
Stove
Fireplace Insert
•
1 Fireplace, factory built* X
Fireplace, Masonry
Furnace, (Garage Only)
* If Factory Built, Please Provide: Manufacturer Name: Model No.
Listed By: Number:
Chimney Information BLOCK BRICK STONE
Masonry** Check One,/
TILE STEEL SIZE IN
INCHES
Flue Check One ✓
DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY
VENT LINER
Chimney Material Check One,( X
** If Non-Masonry, please provide: Manufacturer Name: Model No.
ADDITIONAL NOTE: CONSTRUCTION / INSTALLATION MUST CONFORM TO NYS FIRE
PREVENTION & BUILDING CODE AND/OR MANUFACTURER REQUIREMENTS. CONSULT
AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS
Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804
8 Po_A-153 )) j) C /) >
Revised 4/14/2010
Town of Queensbury
Highway Michael F. Travis
Department SEP . 8 2012 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. Queensburynet
DRIVEWAY PERMIT
8/9/2012
Date:
Jon Swanson
Applicant Name:
150 Rockwell Road
Address to be inspected:
35 Masters Common South, Queensbury, NY 12804
Return Address:
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: (X) Preliminary Approval
Need: ( ) Slight swale
( ) Deep swale
(x) 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 complete Date:
,:?//-1/1,2—
Approved byHigway Sup - �, Deputy Supt.:
PP 9 Y P Y P
Upon completion, pl a e resubmit this approved permit for a final approval.
Step 2: ( ) Final Approval
( ) Rejected RECEIVED
Date: Town of Queensbury
AUG n 7 2012
Michael F. Travis, Highway Superintendent
Thomas R. Van Ness, Deputy Highway Superintendent Highway Department
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
\ A 4� s
Project: Swanson Residence
13P l -2153 Site Plan 46-2012
Date: 22 August 2012
Scale: 1" = 80'
Aller Owners:Jon & Diane Swanson
35 Masters Common South
Queensbury, NY 12804
* Revised per 8/21 Planning Board meeting to
add orange construction fencing where work is
occurring within 25 feet of setback to wetlands.
Construction
Entrance
Proposed O * Orange
16
Well y0) Construction
Fencing Where
Work Within
p25' Of Setback
CI
Q 77'
p =_ice 27 b
CC ' `
J I 150'Well to Septic
W
' 0 I Proposed !
YI Septic
0
CC
Stockpile
Silt Fence
Seeding rates and mulch per
P Appendix E as applicable
/
O
e-1
• M
Z` 100' Setback
,' From
,/ Stream/Wetlands
Sheet 1
Revised 4/14/2010
OFFICE USE ONLY /
TAX MAP NOa. b-/D"1-5 MIT NO. /�'— 7 6P IT FEE SEP 1 8 2012
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: Jon Swanson INSTALLER: Hilltop Construction
ADDRESS: 35 Masters Common South ADDRESS: 51 Crowley Road, Hudson Falls
745-7411, 792-6766 (mobile) 518-798-0338
PHONE NOS. PHONE NOS.
LOCATION OF INSTALLATION:
RESIDENCE INFORMATION:
YEAR BUILT
NO.OF x COMPUTATION = 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 X STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND X LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH?
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL X (If well:water supply from any septic system absorption is: 150 ft)
I PERCOLATION TEST: RATE IS 0 : 45 PER MIINUTE PER INCH[moil
(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: 12 50 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:
Iffi ABSORPTION FIELD(WITH NO.2 STONE) Total length 250 ft. Each trench 5 X 50
o 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
to abide by these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
Sanitary Sewage Dispos nce. codes(aqueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
Signa re ofr-eron Res_pinsible 111 Dae www.queensburv.net
wn of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
J u (35)161t..
Town of Queensbury Fire Marshal
iI 742 Bay Road
Queensbury, NY 12804
- 761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/ Stove Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
Permit# I c)-415 3 Schedule Inspection 1- ' 115 Time 9 / , am T anytime Inspector r" "'T
Name S (Dal\SO e Address l5t 7,1c...,1wet/ i' d Rough In_Final V
Appliance Manufacturer 'lfl�&it—Pc Model# Dk , 35 l..L (J‘lIvrt by i i `
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection k r 1', nJ� "0 tom^^
44 � � (1 ,,�,,
( +.
Clearances to Combustibles (all sides) �( q cQ 3 3
�C /\
Firestop(s) Vertical Chase
Wall Penetration X
Vent Clearances to CombustiblesN n
Vent/Chimney Termination P �/
Chimney height must be 3 feet above roof ,NA1 ( j
-17
penetration;2 feet above any combustible C JY" `\\
construction within 10 feet -
Gas Shut-Off Valve K ,—
Combustion Air x
Hearth Extension (if any) ,x`
Mantel
Height above f/p opening
J
Witness Operation
Tank Placement (if LP)
CO Detection x
CSST Bonding
White—Building Dept. Yellow—Customer Pink—Fire Marshal
i4 es 9--0
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm De : am/pm
Date Inspection request received: Inspector's Initials: C ,�
NAME: 62,6 PERMIT#: °I-415-3
LOCATION: /SD KOcK to PA ( D( DATE: 54 .I- I
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location ,(,.� 1 ,✓�
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches �y Z/kN-)
Roof Complete/Exterior Finish Complete J Zl �1
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 f`
Guard at deck, porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches �i-
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
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing \rk-Ar Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
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
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft. t
Emergency egress below grade Q �_
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating -•}
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 ) /
Enclosed Stairs Sheetrock Underside minimum'/"Gypsum G�
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door 1 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
Flood Plain Certification, if required
Okay to issue C/C or C/O j Temporary/Permanent]
L:\Building&Codes Forms\Building&Codesllnspection Forms1Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008;Revised 6126/08; Revised 12/22/10, Revised 04/13/11
�7 i C C31 .1 1
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm.
Dee- : e `min/pm
Date Inspection request received: Inspector's Initials:
NAME: C9f PERMIT#: 0 0—'/ 5 3
LOCATION:
x_'5" 1 R0eK u')P14 Rd DATE: 1- 13
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake L Q v ( �
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete �J
Platform at all exterior doors e)10
Handrail 4 or more risers �
Guards at stairs, decks, patios more than 30 inches above grade
Guard at stairwell at 34 inches or more ti 14iVC__
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 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
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors eT)„,
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
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
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss, draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site \..77C
Oil Furnace shut-off at entrance to furnace area L/
Furnace/Hot Water Heater operating (t)
Low water shut-off boiler
Relief Valve(s) installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum %"Gypsum ti
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer l%
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
Flood Plain Certification, if required
Okay to issue C/C or C/0 j Temporary!Permanent] (1.
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
Mori `r'--//
Queensbury Building & Code Enforcement - Residential Final Inspection``�
Office No. (518) 761-8256 Arrive: am/pm Depart: IP m/pm
Date Inspection request received: Inspector's Initials:
NAME: S ,(A i/1S b✓t PERMIT#: / A--' 153
LOCATION: / 50 p a-M t1J elt 1431 DATE: S ad-/ 3
TYPE OF STRUCTURE:
Comments:
Yes V N/A
4" Building Number Address visible from road Y
Chimney Height/13"Vent/Direct Vent Location l �
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches c-,
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 / cD
Guard at stairwell at 34 inches or more V/ -=- -.a7 _c 1 _ '
Guard at deck,porches 36 inches or more V> /
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches .c7 / _.i Ir`r 1. 1 's 4'R
Deck Bracing/Handicapped Ramp Complianti�
Grade away from foundation 6 inches with 10 feet � `J��V 0 A
6 inch clearance to sill plate r,/{j
Gas Valve shut-off exposed/regulator 18 inches above grade v — ���I�
Interior privacy/trim/doors!main entrance 36 inches //"'
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety7 gi ng t/ FZ. a- -1/4"-r)C-(
Interior Smoke Det ors/CarbonMonoxide etectors
Every level: Every Bedro m: /
Outside every bedroom area: /
Inter Connected: W Battery backup: /1 �'
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area V / �- &Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents �/
Bathroom Fans,if no window 11-7(.3.f-L_5a-c- ---
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel g �'
Duct work sealed properly/Blower Door Test Certification �/ /
Floor truss,draft stopping finished basement 1,000 sq.ft. / E/
Emergency egress below grade V7t7
Gas Furnace shut-off within 30 feet or within line of site ✓
Oil Furnace shut-off at entrance to furnace area
FurnaceMot Water Heater operating
Low water shut-off boiler / 7
Relief Valve(s)installed/Heat Trap/Water Temp 110 Z
����
'/:
Enclosed Stairs Sheetrock Underside minimum "Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched0: M \•) -3'S
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure 1\1W1\11 - �
Final Electrical; Energy Saving Light Bulbs 50% 747
Final Survey Plot Plan SCr -ef--
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding /---;"0 -v -0046::,
-CI_D kk1
As
Built Septic System/Sewer Dept. Inspection Sticker
�w�ra �
SitePlan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C 1 O[Temporary/Permanent]
ilefr
L:1Building&Codes Forms\Building&CodeslInspection Fomis\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10, Revised 04/13/11
11-29-'12 10:09 FROM-Ellsworth T-139 P0002/0002 F-232
'.i
'`,
.
1�, 1.,;
n1 .
. . L i t< •
4,J•O__•D4VY<®uU V/
'cit ,
i he
P---: LI c
,,-.. .
♦p � caU-g 3Y 1•1.inuu.9.
v a dam ,: t:.
U — ,iii
• - '..
Y <
• ,�
,
d
?ZUDU,,,■<Gu ■♦0A
tr .
.'"**5
..
U
/
NORTH EAST BUILDING PERFORMANCE ADVISORS
Serving the Capital District, Saratoga and Adirondack Regions
May, 17 2013 7 Rocky Ridge,Warrensburg,NY 12885
Hilltop Construction Inc_
51 Crowley Road
Hudson Falls,NY 12839
RE: Blower Door Test for NYS Building Code
Mr_ Tom Albrecht Jr.:
After inspection of the home built by Hilltop Construction Inc. at 150 Rockwell
Road, Queensbury,New York and completion of a Blower Door Test consistent with
the practice of depressurization to 50 Pascal in a winter condition with the exterior
windows and doors shut and the interior doors to all the rooms open,my observations
are as follows:
4. The home passes the current New York State Building Code for Aix Changes per
Hour @ 50 Pascal of less than or equal to 7 ACH/50. The tested number is 339
ACH/50: 1675 CFM/50 times 60 minutes divided by the volume of the heated space.
i The total heated volume of the house is 26505 cubic feet taking into consideration the
first floor living space and the 2"floor area with cathedral ceiling_ The cubic feet per
minute @ 50 Pascal was 1675 CFM/50. The height correction factor for New York
State is 15.4 for a two story building,as such the tested home @ 150 Rockwell Road
has the natural rate of air exchange of 0.246 air changes per hour/natural.
o. Average homes built today typically have air change rates from 0.5 to 1.0_ Extremely
tight new construction can achieve air change rates of 0.35 or less.Homes with air
change rate was below 0.20 ACH, would require some form of mechanical ventilation
to bring in fresh outside air for the occupants and to control humidity. Since the
blower door test indicates that currently the house has an air exchange rate of 0.246
air changes per hour natural mechanical ventilation is not required,but I would
recommend use of the kitchen and bathroom fans to help control humidity and
improve indoor air quality.
. My credentials are as follows:
D BPI Certified Building Analyst
D BPI Certified Envelope Specialist
D BPI Certified Heating Professional
A HERS Rater
+ If i c questions regarding my findings please feel free to contact me.
Since :/,
J
J:• tillar
1.888.472.2774
7 Rocky Ridge Road 4A Vatrano Drive
Warrensburg,NY 12885 Albany,NY 12205
Phone(518)623.7016 Phone (518)350.2941
Fax(518)623.7015 Fax (518)694.0102
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: 5— pi-1-13
J3
NAME: S u
LOCATION: / 6-D & C tC tjJ&JR(
PERMIT#: ie- 'ti 53
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of .�
Community
Development.
Upon review the
survey has b en:
A)
Craig rown, Zoning Administrator
Notes: 4.101 1000 QV ,
L:\SucHemingway\Building,Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
I
I
I
I
1
I
LEGEND
CIRF = CAPPED IRON ROD FOUND
10-T= UTILITY POLE
®= WELL
Io
y
�T
c ' MAY 14 2013
r '� �r
424
N a6105'39" W
CIRF
sN
1 t/
0
Steve
D'�����p�\gyp
\���
� �
S
'UNMMWIIEO ATEAAWN ON ADOIIION TO A WRKT
MAP REM 0 A.00ENSFD FANO WNAYMS S IS A
VO M)N I, SECMM 72O9. SUS-O6}y0N ; W ME
NEW YW STATE EWCAV)N AW.'
'ONLY COPIES M ME ORIGINAL OF MIS SURVEY
ZED WITH M IAN ON ME M THE IAJYO INN
Map of
a Survey made for
.. ,. ..
Scale V=60'Date: May 6, 2013
J
5WAN50N C2723
DWG. No. 04236
(518)
792-8474 New York Lic. No. 50135
-
Ate..•.._,.._ ` -
I
+wA`
�
ILOT
1 l
AREA
a
236 72.AgeSFeet
v LOT 2
5.44
a
v o LANDS N/F OF
Tn JONATHAN M BOWERS
w
Io
y
�T
c ' MAY 14 2013
r '� �r
424
N a6105'39" W
CIRF
sN
1 t/
t
V
Steve
D'�����p�\gyp
\���
� �
S
'UNMMWIIEO ATEAAWN ON ADOIIION TO A WRKT
MAP REM 0 A.00ENSFD FANO WNAYMS S IS A
VO M)N I, SECMM 72O9. SUS-O6}y0N ; W ME
NEW YW STATE EWCAV)N AW.'
'ONLY COPIES M ME ORIGINAL OF MIS SURVEY
ZED WITH M IAN ON ME M THE IAJYO INN
Map of
a Survey made for
.. ,. ..
Scale V=60'Date: May 6, 2013
J
5WAN50N C2723
DWG. No. 04236
(518)
290.111-5.2
F
[�^� ®
I`J
169 Haviland Road Queensbury, New York 12804
SEAS JRVE DESPREEWTd EEVAI0CUEM i'
•CERBACAnI)NS INDICATES MEREOII 9GMff MAT
MIS WR,£Y WAS PREPARES IN ACCE,MOWR W9M ME
ENSnNC CWE Of PNACTCE GQ4 IAJIU SUflYEY0N5 ppCp1ED
" ME NEW YOM STLarid ALE ASSOPAnLII OF PROFES5ONA1
UNO SURVEYORS _A CERERt 'A ',g SyAly qON CDEY
TO ME PERSON FOR `NIGH ME WgFyy IS PREPARED, AND
ON WS SEHP TO ME MlE COMPNIY. GOVEFWMENTPL
AGENCY AND I"IENOING INITION LVED HEREON. AND
TO ME ASUGNEES V ME ENDING,rflMnON.-
JON gC DIANE
Town of Queensbury,
SWANSON
_
-
Warren County, New York '
-
S-1
SHEET 1 OF'
-
5WAN50N C2723
DWG. No. 04236
(518)
792-8474 New York Lic. No. 50135
-
IN
DATE
DESCRIPTION
290.111-5.2
F
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm art: Jam/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: • `' �``
NAME: PERMIT #: 2v L2 11
LOCATION: l ¶cam r' a ` rat INSPECT ON: 2, k
TYPE OF STRUCTURE:
Y N N/A I
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
. •r15minutes .,
'Insulation Residential Check I Commercial Check
or Similar Exterior Sealant
Proper Vent, Attic Vent
Door I 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
16 sl-
COMMENTS: IL -2
pAs ut-YEA-4)-A4" D
_)\/?5
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
pi\ fl (N -/ O
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm DepartCam/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .
NAME: _ r PERMIT #: /
LOCATION: /5c) d-Ww e li 28- INSPECT ON: 9. IF/3
TYPE OF STRUCTURE: S' F
Y N N/A f
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.1 for 15 minutes
Insulation / Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door I 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: '� L_‘K_
A
(.3 ,
!-, i
rTh 14;
iziAtet
. 6kA, k
i '
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report ) to2A
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: ttn h
NAME:_ PERMIT#:
LOCATION: / ) % e i J INSPECT ON:
TYPE OF STRUCTURE: , r—
Y N NIA COMMENTS:
Framing '�
Attic Access 22° x 30" minimum 1../U2 f C GLIAL
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 '/s(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 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&Cod \inspection Fomns\Framing Firestopping Inspection Report.doc Revised January 7,2008
Fr/el
Rough PlumbingI Insulation Inspectin Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/p Depart: i 7$am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: `
NAME: o PERMIT #: -q53
LOCATION: / 5 Z j O_< t E/1 _ INSPECT ON: IFS
TYPE OF STRUCTURE: D
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/chano 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 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
C) -91 (i4
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008
Framing / Firestopping 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: (' A.CD [
NAME: PERMIT#: . �
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: �C
y' Pll NIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers .
Bracing)/-Bridging i J` i✓i���-`�
Joist hangers
_—
Jack Posts/Main Beams
Exterior12beefing nailed properly ��C.
-�
Headroom 6 ft. 8 in.
Stairwells 36 in. or moreExterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/ Holes /Bearing Walls
Metal Strapping for Notches Top Plate
1 %s(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 T
16 inch insulation in cavity mica.
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 Fonts-OLD\Building&Codes\Inspection Fomns\Framing Firestopping Inspection Report.doc Revised January 7,2008
r'
Framing / Firestopping Inspection Report Lc)i( l % //
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: �1 /pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:({)u - V
NAME: � l PERMIT#: I <i3
LOCATION: Sb ;� �, t.JF. j I INSPECT ON:
TYPE OF STRUCTURE: (-) A
Y \ PIA
COMMENTS:
Framing —
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing /Bridging ✓ \ r��
Joist hangers i Jack Posts Posts/Main Beams
Exterior sheeting nailed properly 1S
12" 0.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, — �•J c � \%
Garage Fire Separation
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall _ y
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above /below grade
5.0 sf grade
L:\Building&Codes Forms-OLD\Building&Code\ins n Famis\Framing Firestopping Inspection Report.dooc Revised January 7,2008
1`.--Zttby—s 4, 4 ( )(:)
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received: ((.�1 �,--
Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT NO.: 40/,;—
`S
LOCATION: I I► 7.4 _ INSPECT ON: /7/3- / i.a...._
RECHECK:
Comments and/or diagram
Soil Type: Sand /'Loam/Cray
Type of Water: Municipal/ Well Water
Waterline separation distance ft.
Well separation distance i"" ft.
Other wells: ft.
Well Casing Length 50' +'/ - • Y N N/A t7/1,-Uc
[150'to well required if NO] i`" � i
Absorption Field: Total length uv ft.
Length of each trench • _ih- ft. r
Depth of trenches ft. �J
Size of Stone
Seepage Pits: Number
Size:
Stone Size:
Piping Size Type
Building to tank 14.2
Tank to Distribution Bdx t t'tu �,,�c
Distribution Box to Field / Pit `s 1Z'34c -I C.�
Opening Sealed: / N
End Cap V_ N
Inlet/Outlet Pipes & Baffles firRi0 , 0172)
vL
Manholes 12"or less below grade Y /N/- —
[provide extension collar if Yes] Y
1 �..
Location / Separations
Foundation to tank (J ft.
_Foundation to absorption C ft.
Separation of Pits 1:4'I --fte'
Conforms as per Plot Plan ^Y
Engineer Report and As-Built Y y., N
ETU Maintenance Contract Y N
provided
Location of System on Property:
,tel
Front Rear Left Side Right Side Middle Front Middle Rear
system Use Status?
/Approved
I 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
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection i 1 '
Queensbury Building&Code Enforcement Arrive: 7:62-1 : • Depart: ;? ,� wpm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial-.
NAME: 5 L=)r1 N PERMIT#:
LOCATION: ( f ( r,-04-r!) INSPECT ON: 1 // // / z
TYPE OF STRUCTURE: C-7W)0 // 1
Comments
Y N N/A
F stings
\ fI
iers
//
Monolithic Slab 7
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
qting Drain Stone: �=
12 inch width
6 inches above footing
F a. mil poly for wet areas under slab
ackfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Buuding&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: /9/7.0
Queensbury Building&Code Enforcement Arrive: am/pm Departr-y . am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:C , ,
NAME: )(iV /J� /7 /f
/ � PERMIT#:
LOCATION: 1S71 j r? i l j�crtr)INSPECT ON: /UAW
TYPE OF STRUCTURE: c J�
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
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
)ooting 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
j h u rsda 10
Foundation Inspection Report ( SZcQ
P �
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:
#.19
NAME: 4 PERMIT#: - 3 T
LOCATION: 157 4Z)c'_4{ co(c)// INSPECT ON: /Q`:
TYPE OF STRUCTURE: .g I
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofm
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
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: ko,k ,--am/pm-� -am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: (3t'U k
.
NAME: ^nom" PERMIT#: 1 41
LOCATION: (r,c,.i .Lam, c'./1 INSPECT ON: 1 £; = .� 3
TYPE OF STRUCTURE:
Cn!-
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place /
Footing Dowels or Keyway in place
Foundation Dampproofmg f(51--
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
C-S2-(3'111-‘" :-'"
Foundation Inspection Report J ,b-eitecit)
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: t ,�am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: /`f_o_ �•
, ")
NAME: cQ)0' y1 S O ll PERMIT#: / -YS.
LOCATION: 7)CK cz eINSPECT ON: /0
TYPE OF STRUCTURE: s F ,r)
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 , 4,-7.0.
Footing Dowels or Keyway in place 5
Foundation Dampproofmg
Foundation Waterproof-mg
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:\Buliding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report c>9 36 `-",. pfnr1
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Dep • am/pm 43 3Pe'
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: a A
NAME: ''N. .44—`Q► `"`PERMIT#: � - 7 53
LOCATION: 15 o Roe 1<,,,,e. L )d--• INSPECT ON: ( 0 f r�''/ ;)-e 1
TYPE OF STRUCTURE:
Comment
Dmo-c- -
,,Dts_pi„)
1L:
Piers V
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 4' <
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg L
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
Project: Swanson Residence
&\5 1 Site Plan 46-2012
Date: 22 August 2012
?I) Scale: 1" =80'
It Owners:Jon & Diane Swanson
35 Masters Common South
Queensbury, NY 12804
* Revised per 8/21 Planning Board meeting to
add orange construction fencing where work is
occurring within 25 feet of setback to wetlands.
Construction
Entrance
Proposed O * Orange
Well y0) Construction
Fencing Where
Work Within
MIMMOI25' Of Setback
Ir
Q 77' '
i
— � 27 c
150'Well to Septic
UJ
`, " , l
Ir'•••'••••••,,,• ''
I Proposed
Y I Septic
0
CC
Stockpile
Silt Fence
Seeding rates and mulch per
Y Appendix E as applicable
/
O
1-1
M
"kZ100' Setback
,' From
Stream/Wetlands
Sheet 1
Project: Swanson Residence
be \ - j53 Site Date: 22 August 2012
Scale: 1" =80'
AlIt Owners:Jon & Diane Swanson
35 Masters Common South
Queensbury, NY 12804
* Revised per 8/21 Planning Board meeting to
add orange construction fencing where work is
occurring within 25 feet of setback to wetlands.
Construction
Entrance
Proposed p * Orange
Ip
Well •y0) Construction ptor
Fencing Where
Work Within
Mi1r 25' Of Setback
r
D �� '
O 77'
---.r, ' 27►'
i
J i 150'Well to Septic
.J ,
W la
I Proposed
Y _. I Septic
�
0
Stockpile
Silt Fence
3
Seeding rates and mulch per
Appendix E as applicable
i
O
r-1
• M
,* 100' Setback
NJ
From
Stream/Wetlands
Sheet 1