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2012-548 4144% 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: P20120548 Date Issued: Tuesday, July 14, 2015 This is to certify that work requested to be done as shown by Permit Number P20120548 has been completed. Location: 63 OAK VALLEY Way Tax Map Number: 523400-266-001-0001-014-002-0000 Owner: ROBERT J WALL Applicant: ROBERT J WALL This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Residential Alteration & Addition (7 /f 45t Issuance of this Certificate of Occupancy DOES NOT relieve the property J /� 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. 1 TOWN OF QUEENSBURY (EL 742 Ray Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20120548 Application Number: x20120548 Tax Map No: 523400-266-001-0001-014-002-0000 Permission is hereby granted to: ROBERT J WALL For property located at: 63 OAK VALLEY Way 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. Tyke of Construction Value Owner Address: ROBERT J WALL 63 OAK VALLEY Way Fireplace Garage Attached UEENSBURY NY 12804-0000 Q Residential Alteration&Addition $180,000.00 Total Value $180,000.00 Contractor or Builders Name/Address Electrical Inspection Agency RIDGEWOOD HOMES NY 12804-0000 Plans&Specifications 2012-548 PLANS REVISED Residential Addition and alteration 742 sq ft addition; 816 sq ft enclosed porch; REVISED TO 989 SQ FT; 625 sq ft garage; 2 Fireplaces REVISED TO 1 FIREPLACE $323.75 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,January 03,2014 (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; Thursday,January 03,2013 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement AO` TOWN OF QUEENSBURY 742 Bay Road,Queensbunv,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120548 Application Number: a20120548 Tax Map No: 523400-266-001-0001-014-002-0000 Permission is hereby granted to: ROBERT J WALL For property located at: 63 OAK VALLEY Way 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 J WALL Fireplace 63 OAK VALLEY Way Garage Attached QUEENSBURY NY 12804-0000 Residential Alteration&Additior S 180,000.00 Total Value $180,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency RIDGEWOOD HOMES NY 12804-0000 Plans&Specifications 2012-548 PLANS REVISED renewal fee paid 1/5/15 Residential Addition and alteration 742 sq ft addition; 816 sq ft enclosed porch; REVISED TO 989 SQ FT; 625 sq ft garage; 2 Fireplaces REVISED TO 1 FIREPLACE $323.75 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,January 24,2016 (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 ween�/ ury /fur y anuary 03, 2013 SIGNED BY11.3% for the Town n f Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY A 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 f�4-1 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT (\ Permit Number: P20120548 Application Number: a20120548 Tax Map No: 523400-266-001-0001-014-002-0000 Permission is hereby granted to: ROBERT J WALL For property located at: C3 OAK VALLEY Way 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 J WALL 63 OAK VALLEY Way Fireplace Garage QUEENSBURY NY 12804-0000 Attached Residential Alteration&Additior $180,000.00 Total Value $180,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency RIDGEWOOD HOMES NY 12804-0000 Plans&Specifications 2012-548 PLANS REVISED renewal fee paid 1/14/2014 Residential Addition and alteration 742 sq ft addition; 816 sq ft enclosed porch; REVISED TO 989 SQ FT; 625 sq ft garage; 2 Fireplaces REVISED TO 1 FIREPLACE $323.75 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,January 03, 2015 (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 To of Qu sbu 'V TV,lartfanuary 03,2013 SIGNED BY n ' tip for the Town of Queensbury. Director of Building&Code Enforcement R6_ \.) ‘ OFFICE USE ONLY TAX MAP NO. PERMIT NO. / ,-)-511-.1 g Date FEES: PERMIT (Q Ib RECREATION ENGINEERING (If applicable) J�(' 2S VIP 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: -et g.,. W GG EU/0d JLS 7, OWNER: � � / , ,A ( 1 ADDRESS: /4/ OwEN ADDRESS: PHONE NOS. 34,1- 1467‘ PHONE NOS. "ne-0 to CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: k /,0 6(0/1gZ PHONE: 361-14676, LOCATION OF PROPERTY: C3 Q,4 )411,3 COI,/ HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? E YES A NO IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z 0 tY W g 0 ►- PROJECT ,�; O O LU w w D OL amu- w Q o Z < r' � c� � Ou~ O }— LYwCD z SINGLE FAMILY / ,215'5g TWO-FAMILY MULTI-FAMILY (NO. of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(12,3) ,2 OTHER 1Ortkt3 IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: /g, 000 _ FUEL TYPE: PrOpA,Ue- HEAT TYPE: Ar(.c14 *HOW MANY FIREPLACE(S): / ND I OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? NO _ IS THIS A HISTORIC SITE? /V0 PROPOSED USE OF BUILDING OR ADDITION: 'Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office B 3-LGL 11-05 ?IS '.- PY i'4'nr ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read an agree tit,abs. Signed Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said 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 Operating Permit Issued: Yes No www.queensbury.net Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: 3 �S ,)5- OFFICE USE ONLY TAX MAP N.. - , - - — I PERMIT NO. 1 - s-44 X Date FEES: PERMIT-49 535 RECREATION ENGINEERING SA 411252 ,.2.0 0 (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: Z atm"(I f�fCt^ CS OWNER: a 4- tdi3. els 1 ADDRESS: /q otuouA ADDRESS: 16•4g Y elsctd PHONE NOS. ..?4,1-1-1474 PHONE NOS. '7feil-006 6 CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: 1 V(n du, J. f PHONE: 34,/-g474, LOCATION OF PROPERTY: / 3 Da}. /ilJ(vj kuAIO HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ,' NO IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT Z APPLY TO YOUR p o O cr O Q w PROJECT ;<� O � U. w Q o W 0 J o z d HFF-- oi- c4wZ Z Q Q .- CO (,;:e(Ni � OL� 1- L._ a = atS SINGLE FAMILY .lN� TWO-FAMILY _ 41 'D--- — y MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ) ATTACHED / / GARAGE(1,2,3) V 2 LI 3'1 OTHERPO1(a 1v Pb/A1 IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: FUEL TYPE: 1'rvPA-A/6 HEAT TYPE: G'4.5 water *HOW MANY FIREPLACE(S): 2 AND I OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? /11/) IS THIS A HISTORIC SITE? /it) PROPOSED USE OF BUILDING OR ADDITION: *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL I 1-05 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above. Signed Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Permission is hereby granted to the above This application I 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 J QUESTIONS? CALL 761-8256 OR EMAIL codes(a.queensburv.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION Operating Permit Issued: Yes No Www•queensbury.net Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: NOV6p )D, ,51 F 2012 ? � Revised 4/14/2010( 'T 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:: 2L,,-'- All Installer/Builder: eCAI Address: iS1418 1Z' 4 , Address: -120k f.-COA Phone Nos: leis-- .9666 Phone Nos.: 00-7-7 Location Location of Property: 63 OAt tA,M Subdivision Name: .A/0/41% Location of Proposed Construction and/or Installation: 63 II UA.1 t, tv el Contact Person for Building & Codes Compliance: .1�Ay hfir )moi 31/-1/4/7 Fuel Burning Applicance Wood :Coal Pellet • Gas Oil Information Stove Fireplace Insert Fireplace,factory built* Fireplace, mason Ty 1C 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 V DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY VENT 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 MANUFACTURER REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS Town of Queensbury* Community Development Office* 742 Bay Road, Queensbury NY 12804 P-- NIP 2012 r Revis-d 4/,f x'010 APPLICATION FOR FUEL BURNING APPLIANCE & CHIM 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: Rouqh-In and Final Inspections Are Required: / Owner:: 2.01,,„-# W ) Installer/Builder: Eil1 s1- -/1 - Address: 15148 2-45C ;-C:. Address: 5231. 12i1kA€(..utv Y4 Phone Nos.: leis— 064,6 Phone Nos.: 79�"0017 Location of Property: 43 041_Vi.11 LAI( Subdivision Name: Ajerl ! Location of Proposed Construction and/or Installation: 6 3 OPV- Ua IkA tv Contact Person for Building & Codes Compliance: .14111 d., 171 361-44 '7 Fuel Burning Applicance Wood :Coal Pellet • Gas Oil Information Stove Fireplace Insert= - Fireplace,,f6ctory built* Fireplacd,, Masonry fC / 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/ ** 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 Revised 4/14/2010 OFFICE USE ONLY TAX MAP NO. PERMIT NO._. PERMIT FEE_________.___ NOV 1 201? 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: TO ."1- GC./A- 1 INSTALLER: ADDRESS: �JQ / ADDRESS: PHONE NOS. l Y " J PHONE NOS. LOCATION OF INSTALLATION: 63 O lA•I k RESIDENCE INFORMATION: NO. COMPUTATION YEAR BUILT X = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older X 150 = INSTALLED? NQ 1981-1991 X 130 = SPA OR HOT TUB,/ 1992-present 3 X 110 INSTALLED? IES PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING X STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND LOAM CLAY X OTHER ✓ GROUNDWATER: AT WHAT DEPTH? ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL %C (If well:water supply from any septic system absorption is: ft) ✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH[mpi] (Test to be completed by a licensed professional engineer or architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE: j,260 GALLON(MEN.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: 0 ABSORPTION FIELD(WITH NO.2 STONE) Total length ft. Each trench X 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 Disposal Ordinance. codes{a)gueensburv.net VISIT OUR WEBSITE FOR MORE INFORMATION Signature of Person Responsible Date www.queensburv.net Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804 . • COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. :• . • ... • Mato Office 176 Doe Run Road-Menhelm,PA 17545 ' .. . .. . MUNICIPAL.CERTIFICATE - ELECTRICAL APPROVAL . . .,.. . . . . . • .... Permit No. „Lig a'5"/a' Cert. 85622 Cut-in Card No .- • . i Owner ;7R•et ir reiCA-T- te4v)13 1-4,,, • . • . . ., ... Location G 3 Q IA)4- L)/-4.2-1-7/ fr.-Py . . • . . : Installation Consisting of.....2°Of"' -.5' .V,‘,.‘4-C..• 1 2..cf. (2-r-c--) 74 4 w),. kipc) LI'S, . . ... ,.. , . . a ce. tz c. L • 441.A. ,... •••••• • •v • 7 • - .,, -4-, . . . . . ; . . . . • • : • •.. . • Installed By S44 p-o-q....r Lic.NO. . i . • . . . . . . . ; The conditions following governed the issuance of this certificate,and any certificate previously issued it . . . • .. • . . ; cancelled:- . . , • . .. . . This certificaie only Covers the electrical equipment And installation conditions as of date. Upon the ,• introduction of additional equipment or alterations,application shall he promptly made for inspection. . . Inspectors of this Company shall have the privilege of making inspections at any time, and if its • . . . . i • . 1 rules are violated,the Company shall have the right to revoke this certificate. .• , . . .-.. • .• • . • . Datc 7— 1-/4-- INSPECTOR Member N.F.P.A.,1.A.E.I. • 128SI86L GS:0I STB /8 /LO • oianie4 NON TB 39Vd LOO'd ow!lialea XS VSS LS6L EL:60 S LOZISO/L0 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. DEC Important Note To Applicant: Rouqh-In and Final Inspections Are Required: 2012 Owner:: 2at>c,4.-t- A L L Installer/Builder: Address: / Address: Phone Nos.: 7qg-006 (� Phone Nos.: Location of Property: (v3 GAV. U4\te j JJ(J Subdivision Name: 1/0711-1 4-oui y Location of Proposed Construction and/or Installation: 62 3 cm Oaf 1,9 Contact Person for Building &Codes Compliance: 61//AJ. u/ �tl�L ?6>/'t/67( Fuel Burning Applicance Wood :Coal Pellet • Gas Oil Information Stove Fireplace Insert )C Fireplace,factory built* Fireplace, Masonry Furnace, (Garage Only) / jr U * If Factory Built, Please Provide: Manufacturer Name: eat-C- (� Model No. otn 7,2 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 tr" VENT 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 MANUFACTURER REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804 1N61, Queensbury Building & Code Enforcement - Residential Final Inspection ti 3 Office No. (518) 761-8256 Arrive: am/pm D art: 4 A arr) Date Inspection request received: N' S Inspector's Initials: l ,� NAME: V\tc,a PERMIT#: 2012-516 LOCATION: to3 0o3L, Voale..i V\bb, DATE: "3-1�lti4 TYPE OF STRUCTURE: I (1.0 . P1.. lik-0-- Comments: Yes No NIA 4" Building Number Address visible from road ..__ Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent throuh roof minimum 18 inches Lw fib V)h&Y\ Roof Complete/Exterior Finish Complete V/ IAA- �� Platform at all exterior doors Handrail 4 or more risers �t 1 �� 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 • d Handrail Termination at Newell Post or Wall _ Interior/Exterior Railings 34 inches to 38 inches t Deck Bracing/Handicapped Ramp Compliant S/ Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above •rade Interior privacy/trim I doors/main entrance 36 inches Bathroom/Kitchen watertight 1/11 Safety glazing I Wi ow in stairwells safety gl in Interior Smoke Defectors/Carbon noxid ors Every Every level: V E ry Bedro m: Outside every bedroo area: Inter Connected: V Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area il✓ Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans, if no window Plumbing fixtures Foundation in ,o floor/Sticker on Panel J117 �� • ct work Baled .ro•2 rly/Blower Door Test Certification F .. • s, •raft stopping finished basement 1,000 sq.ft. Emergency egress below grade 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 Tra•/Water Tem• 110 Enclosed Stairs Sheetrock Underside minimum%"Gypsum Basement stairs closed rise>4 inches 111111 Garage Floor Pitched Gara•efire•roofin• /'/, -.-.. - ••a •oorcloser Gas Logs in Sealed •r Glass Enclosure Final Electrical;Ener•yt- ..:: :ulbs 50% Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding 1111 As Built Septic System/Sewer Dept. Inspection StickerR /1 Site Plan /Variance required „( Flood Plain Certification,if requiredO Okay to issue C/C or C 1 0[Temporary/Permanent) 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 . y Town of Queensbury Fire Marshal elI I I h kl I I I 742 Bay Road F. • Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning 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 isn,allowed. n Permit# Schedule Inspection 71a ,) `S Time C çpm anytime Inspector iv ' 1 Name U341 l,1. Address ( 3 0414 a I I4r I Rough In Final ! ' Appliance Manufacturer I—I LAI 41 L T 01,\ Model# 4 )v Lia. — ( Masonry Chimney Factory Built Chimney X. Flue Size Double '1\all Triple Wall Insulated_ Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Safety Strip Installation (fireplaces only) Firestop(s) Vertical Chase Wall Penetration t I -1-2, Chimney Clearances to Combustibles ()'iN\ Chimney Termination 3 feet above roof penetration;2 feet above ~' any combustible construction within 10 feet Combustion Air Hearth Extension X Mantel (height above f/p opening) I Fireplace Doors/ Screen (required) Carbon Monoxide Detection White—Building Dept. 1'ellow - (usi uucr Pink—Fire Marshal Town of Queensbury Fire Marshal V W i YJ 742 Bay Road r� ''111 Queensbury,NY 12804coo 3�l M 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning 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# 1.)' 94e) Schedule Inspection 'Il F` 13 Time iiIr'i`'1 am p ui anyti I, - nspector VYMP Name W A Address (O3 Op'c`1/ 4-t 1 WO/ Rough In-V Final Appliance Manufacturer 1-f 6-4-t t krr Model# rJ 112. a - Masonry Chimney Factory Built Chimney/Flue Size Double Wall Triple Wall Insulated_ Yes No N/A Comments Floor Protection .311 Clearances to Combustibles (all sides) 3)1 / Safety Strip Installation (fireplaces only) 'I Firestop(s) Vertical Chase X 3' Wall Penetration Chimney Clearances to Combustibles 1 If Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet XCombustion Air Z I1/ Hearth Extension Mantel(height above f/p opening) C 'w t-'3-0 Fireplace Doors/Screen (required) '51 J )(- Carbon Monoxide Detection - 1Sici l )/__O ._— White—Building Dept. Yellow—Customer Pink—Fire Marshal Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: C: cam/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. ` NAME: WA-A L..,L PERMIT #: 2 c i2 LOCATION: ea.7 ' tAhil INSPECT ON: 1 / 2- i TYPE OF STRUCTURE: 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/Head 50 P.S.I for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent ?s/ Door/Window Sealed (No Insulatioj Duct 1 Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace �r Duct work sealed properly/ No duct tape ti COMMENTS: tA--Y-vAA-L-5 t ') — Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough 1Plumbing I Insulationf inspection Report 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: _ 77 NAME: kbp-r+ PERMIT #: ja 5.I$ LOCATION: (c) 3 ( K‘)cz(,y a INSPECT ON: /,,:4.--/y TYPE OF STRUCTURE: Y N N/A Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain I Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation /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 Reportrevised 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/pm Depart: t--), i am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: wadPERMIT #: / - 5-9 LOCATION: 123 INSPECT ON: TYPE OF STRUCTURE: (a, Y N N/A Rough Plumbing I Nail Plates Plumbing Vent/Vents in Place 1 '/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent . Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes Insulation /Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/ 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 INSPECTOR'S REPORT Dept. of Community Development Building & Code Enforcement Town of Queensbury (518) 761-8256 742 Bay Road � . Queensbury, New York 12804 4* Date: t.'412:)---V79 6-`\`79 Property Location: " ) '*(-- �-'0-, W Owner/Tenant: C, 1 1:PO f/ BF11LDING SEWAGE SIGN ` OTHER Pt_ ? - o !'Q b",S !C'] 1 REMARKS: Tax Map No. _>--" -"5 - -"t f:1--?' --15. — CONTACT THIS OFFICE WITHIN Vi _ 1 Building Inspector Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: . , 3 Queensbury Building & Code Enforcement Arrive: am/p •- •art: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: i r r `IJ NAME: ktLIcI" PERMIT e°�� . 11/ LOCATION: (Q 3 4e- �c ' L SPECT ON: c(7/)--e) TYPE OF STRUCTURE: '-s`C(! � Y N N/Aj Rough Plumbing I 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 Insulation I Residential Check I Commercial Check Tyvek or Similar Exterior Sealant Pro•er Vim; �ttic Vent Door r endow Staled (No Insulation) Duct/ 'o "ater Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape COMMENTS: Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report W Office No. (518) 761-8256 Date Ins 'on nest r=cel - •t Queensbury Building &Code Enforcement Arrive: =" m/ = I_... : 1 'am 742 Bay Road, Queensbury, NY 12804 Inspector's Initia s: NAME: V ! ERMIT#: - LOCATION: f a # Q INSPECT ON: TYPE OF STRUCTURE: =y e S �-1 4-, _ Y N N/A 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 1 Bearing Walls Metal Strapping for Notches Top Plate 1 %(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center ?{Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 'A inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilinglwall _ �_ Windows Habitable Space / Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above / below grade 5.0 sf grade L:1Building&Codes Fomes-0LDBuilding&Cod€ Jnspection Farnts'Framing Firestopping Inspection Report.doc 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:L pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: — PERMIT#: LOCATION: INSPECT ON: 2 °-2TYPE OF STRUCTURE: �c `V-- � N NIA COMMENTS: Framing Attic Access 22" x 30" minimum Jack Studs/ Headers Bracing /Bridging - � v Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly i✓t�. 1'4-' _ 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing C: —'•� � Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % (w) 16 gauge (8) 16D nails each side Il — 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 '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall _ Windows Habitable Space / Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/ below grade 5.0 sf grade L:\Building&Codes Fomes-OLD\Building&Codes\Inspedion Famzs\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: am/pm Depart: its am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:( (L` l/ NAME: RMIT#: 0/ — LOCATION: + � fO 3 c V / INSPECT ON: //45t_ TYPE OF STRUCTURE: 0 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/Wailpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundatlon 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: \ pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: -" �� C � NAME: CO (� PERMIT#: /ovaS 36 LOCATION: (Ci (_i6x k (at U � C)(zck INSPECT ON: / TYPE OF STRUCTURE: R p_s ( } , 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 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 nKC? �,-1- PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Fonns\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM —P4cct-s — 3 (..2a,-?si) Foundation Inspection Report .1 L Cu- Office No. (518)761-8256 Date Inspfctiop request received: Queensbury Building&Code Enforcement Arrive: 1.`h. am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: W C3 C PERMIT#: r `� S LOCATION: b2 .3 () ( U64-(1—(7:(2 c C L INSPECT ON: /.- /(y /3 TYPE OF STRUCTURE: Q �? /�-�-k 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. r - Materials for this purpose on site. _ 1 (jJ Foundation/Wallpour e ( Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofmg Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM W F c l0 I �Q e�L Foundation Inspection Report kA/ 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: l f NAME: UL.60 PERMIT#: LOCATION: I I r' INSPECT ON: / TYPE OF STRUCTURE: f cq 3 f -i 4— r k. l vn — �_"/ Comment Y N N/A Footings r 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 Reinforcement in Place 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 SIab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\BuildIng &Codes Forms\Buliding&Codes\Inspectlon Forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM