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2014-052 `�1TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20140052 Date Issued: Friday, July 18, 2014 This is to certify that work requested to be done as shown by Permit Number P20140052 has been completed. Location: 94 ASH Dr Tax Map Number: 523400-289-017-0001-005-000-0000 Owner: DAVID W DOSTER Applicant: DAVID W DOSTER This structure may be occupied as a: Fireplace By Order of Town Board Residential Alteration TOWN OF QUEENSBURY Septic Alteration Residential it-- Issuance of this Certificate of Occupancy DOES NOT relieve the property 1 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 013 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140052 Application Number: A20140052 Tax Map No: 523400-289-017-0001-005-000-0000 Permission is hereby granted to: DAVID W DUSTER For property located at 94 ASH 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: DAVID W DUSTER Fireplace LISA A. DUSTER Residential Alteration $50,000.00 94 ASH Dr Septic Alteration Residential QUEENSBURY NY 12804-0000 Total Value $50,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2014-052 Res. Alteration 662 sq ft; Septic alterations 1 gas Fireplace $139.30 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,April 02, 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 Town uee bury; aVVe. I • t ;y,April 02,2014 SIGNED BY a 417 for the Town of Queensbury. Director of Building& Code Enforcement Office Use Only Town of Queensbury Building & Codes Received: a g64° 5 -[-S. PRINCIPAL STRUCTURE APPLICATION Tax Map ID: f i,m Q 3 -2itt c A permit must be obtained before beginning construction Permit No.: /�/- p j a Permit Fee: $ qq,3 e - ccri-1e) Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling •ReC Fee: $ /� /R ` ei Pi ,n e n 4gy��, units,including single-family dwellings,duplexes or two-family dwellings,multiple family Site Plan No.: I` dwellings, apartments, condominiums,townhouses, and/or manufactured and modular Subdivision No.: homes,but not including mobile homes. This is in addition to the permit fee. Date "31111`1 Applicant So-.,c Tax Map ID 2'89 . 1-1 /I� S- Address So--,.-.— Zoning Ca.n.. . ..trcrc.Q I r&Si c(een-Ii, Q Phone/E-mail .. Property Owner T),w;c) +- L Soc- Ouo)-c-( Contractor/Agent P;nick worL 041 - R+SLA - Address ci`-k Itch Or, r..e_ Address J L. (,eD , ),t`( /ab'f S Phone/E-mail 518-3oi- g0 f' I h wrl„nyeroadninner. wPhone/E-mail 518 - a a8-1'7 LAT Contact Person for Building&Code Compliance: Day Phone: Building Street Address: 't4 Min 'Cr. Subdivision Name: -TL Jay s Lot#: 14,1s r LLD Historic Site: Yes )- No Estimated cost of construction: $ -RN.;s 1.wurlt_ -Sbr000 Type of Construction: Check all that apply Please indicate measurements as required below 0 o r m 1st Floor 2nd Flo& I(,� Other Total Height ? 0 a Cy` XX Single Family RV \ ` Two-Family t\ PQ ` � Multi-Family(#of r) \�,� 9 ,r-)PG-IA units a ) X fi- (e(e2ti(--y 9.S Townhouse �\ 3f+ -9�+ .09 '� Business Office Retail-Mercantile Factory-Industrial Attached Garages(# ) Other Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 If commercial or industrial indicate name of business Proposed use of building or addition Updo-i,,1 Old l d: Source of heat(circle one) Gas Oil 'ropan- Solar Other Fireplace-complete a separate application for'Fuel Burning Appliances&Chimneys° X Yes No Are there structures not shown on plot plan? No. (}I ret ,&PA,ed 4- C. &t.ufl Are their easements on the property? J Alo -Pee The &perF r<J;t J 2014 Site Information a. Dimensions or acreage of lot 0.95 + — b. Is this a comer lot? No c. Will the grade be changed as a result of construction: Yes )( No d. Public water or Pnvate well N1w Private_wca 2-ol 1 e. Sewer or Private Septic System Ispu c PVor. � Sep}r� Sisi. 7 ° r '' Value of all work to be performed(labor and materials) $ 3-6)1D-0 O Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 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 IAve 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. Print Name: Lisw Dos-I-i-c Signature: �a� + j�^'t r Date: 31 1 ) 11/4k FOR OFFICE USE ONLY: Operating Permit Issued: _Yes _No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 Office Use Only Town of Queensbury Building & Codes Received: Tax Map ID: t_:312 - 3 ' a,t.rf FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Permit No.: I 41"O :5 Permit Fee: $ S O °'p 4 Application is hereby made to the Building&Codes Office for the issuance of a Building&Use Permit pursuant to the NYS 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: Date 3) I 1 `-i Owner 'Da,vicA DosA--cr Installer/Builder et F(� Address ct4 A-sk Or. Address ('.ori4'f't tc' Lite (e �rrd c I NY I?SY S au.Len.sl,vey /l/'/ /2to�( Phone Phone 7 q 8 - aaao Location of proposed construction and/or installation: Cre,. t I tf+ r or r 0 c b.,',t d; Contact Person for Building &Codes Compliance: Subdivision Name: • Fuel Burning Appliance Information Wood Coal Pellet Gas Oil Stove Fireplace Insert Fireplace,factory built* Fireplace, Masonry Fumace,(Garage Only) till,:t-c- rVtosk'Iw.i n *If Factory Built, Please Provide: Manufacturer Name:T-kt-t Di nvt-40AlModel No. 13 VC-(�3(c Listed By: -;r s+ Rov.tc_Retplace Number: -19s - 9-,-o Chimney Information Masonry" /check one Block Brick Stone Flue 'check one _Tile _tSteel Size in Inches Material "check one _Double Wall _Triple Wall Insulated _Direct Vent _Chimney Liner *" If Non-Masonry,please provide: Manufacturer Name:$i -pseN Dv.a Model No. vets by (Dicer- 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 Building 8 Codes Principal Structure Packet 516-761-8256 WINDOW SCHEDULE CALCULATION SHEET JOB SITE ADDRESS: 94 Ash Or. DATE: 3 1 1114 OWNER: Dew.) d 4- List 0 o ck-r APPLICATION NO.: 141. 5 tia Window#or Letter Window Man at Window Unit or Stock# Rough Rough Sq.Ft.Vent Sq.ft.egress) Clear opening Clear opening Special hardware or on Plan Name Model Type Call size Opening Width Opening clear opening width In inches height in Instructions ^/ 1 I n p Height Inches n I 2-too V GY-rc0 'SIM,-L- 4 3"00° ze.04. /7W x aCt � > 1�1/ 0Se'-( L WAVY Ih 3p...sci 5 hole/ 1.y AmWsww. 11L r•• r 1 iia _ c v y� 3c03 Tri 11 1oo3 ' O w x `e93/41i-7 > 1�o I . (go.27,-,� CS 2—/ i\ wkLk_ vr3.l 1 i0e..bk tIV Boot ID„",}I< H Soo 3lo4zw •}`14\- > '7G(0Silt_ , ... .vx;Ye v- 1 1 x > 34.S r 2 Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 NATURAL LIGHT, VENTILATION.AND EMERGENCY EGRESS REQUIREMENTS CALCULATION SHEET JOB SITE ADDRESS: 9 4 Ask k Oritn.(. DATE: 31 l I f`T- OWNER: ac.✓i'ol 4- GIS c a5 (- -r APPLICATION NO.: ) NATURAL LIGHT,VENTILATION, AND EMERGENCY EGRESS REQUIREMENTS Habitable Room Area of Room Required light Actual light square footage Required ventilation Actual Ventilation Square Footage Square Foot Opening for Egress Remarks In Square Feet 8%of room area 4%of room area 2U7.Z( lt..s-7 le Z /Lf.ky 7.1I 30.34 1`I 7 .It. (1.95 31.24 Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 /I pilifice Use Only 7. L S ived: : :, raxllvl�p ig: 2014 c c? —5 Town of Queensbury Building & Codes sPermi 5 SEPTIC DISPOSAL —' Permit Permit FeeNo.: $ VD A permit must be obtained before beginning construction Approvals: Applicant: InstallerlBuilder Address: Address Phone: Phone Owner: USA_ t De-^,i- l CO 64-44- Location of Installation tqireuLc en 47/e - 4icer-17-45/4/ Address: ( AS in YJ f. Apfarov-j1 ,oftvio-ca /3N 0. f es `a cx Geo�ri,� 1 Air f 2fi�S 0 ✓ Phone Contact Person for Building&Code Compliance: Day Phone: Residence Information: Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow 1980 or older 5 x 150 = 7St) Garbage Grinder installed? 1981-1991 x 130 = Spa or Hot Tub Installed? 1992-Present x 110 = Parcel Information: Topography )( Flat Rolling _Steep Slope %Slope Soil Nature X Sand Loam _Clay Other Groundwater At what depth? 4 I o et- Bedrock/Impervious Material At what depth? 103 Pk 103 -`-1 t o f+ stv4e Domestic Water Supply _Municipal -/. Well(if well,water supply from any septic system absorption is 2-00 ft.) Percolation Test Rate- per minute per inch(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 /S-0c gallon(minimum size 1,000 gallons),add 250 gallons to size of septic tank for each garbage grinder,spa or whirlpool tub System Type: Absorption Field(with#2 stone) Total length ft. Each trench X Seepage Pit(S)(with#3 stone) How many? 7 Size? 6 k a Alternative System Bed or other type? Holding Tank System Total required capacity? Tank size? #of tanks? NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified Electrical form on Town website;2)Effective as of March 23,2006 Septic System-As Built Plot Plan: The Building Department will no longer allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed system must match the septic system layout on file. There will be no exceptions. 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. ✓l have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Print Name: h4 0033 le-c—le-c— Date: 310,-f Signature: tlfa- '!' Date: ,.j/`( Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 Queensbury Building & Code Enforcement - Residentia inal Inspection 5 a-1 Office No. (518) 761-8256 Arrive: . •,l• . • .;-rt a /pm Date Inspection request received: Inspector's Initis 4 -tar" i#: / Z OS; -ji_ • LOCATION: 91 Ash >- DA E' /# / `� TYPE OF STRUCTURE: Oct wog-At4 >R`/y Comments: 4' Building Number Address visible from road Yes JNo N/A Chimney Height/"B Vent/Direct Vent Location J/ Fresh Air intake V 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors / Handrail 4 or more risers "V/, 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 IInterior/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 /I 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. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Fumace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler ✓ Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrodk Underside minimum W Gypsum !;�. Basement stairs closed rise>4 inches (, Garage Floor Pitched Garage fireproofing 1%hour fire door/door closer / `y9 Gas Logs in Sealed or Glass Enclosure Ili !f �� Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan f` Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles V/// dfr Flex Gas Pipe Bonding �// As Built Septic System/Sewer Dept. Inspection Sticker SiteoPlanl /Varrancreqif ed re / Flood Plain Certification, if required k/// Okay to issue C/C or C/0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codesllnspection Fonns\Resldential Final Inspection Form_revised_100405•doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 Queensbury Building & Code Enforcement - Residentialal�Final ins cc 3' 3 a Office No. (518) 761-8256 Arrive: ? -723a �,7 i /rt am/pm Date Inspection request received: Inspector's Initials: pi NAME: 0steer PER /1 o #: IcISol LOCATION: q9 p4-S h U!- DA 7: '7- />-iy TYPE OF STRUCTURE: Res Alt' Comments: Yes No N/A 4" Building Number Address visible from road / - E1 tJ(�� C_ ND ciapfS Chimney Height/"B"Vent/Direct Vent Location ✓ JE\- Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete ,!h Platform at all exterior doors ` VV Handrail 4 or more risers p D �l Guards at stairs,decks,patios more than 30 inches above grade �� QA\ Guard at stairwell eckpll 34 Inches or more Guard at deck,,porches 38 inches or more 5 ;14,1 ` Handrail Termination at Newell Post or Wall Interior/Exderior 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 J{/ Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/ ,'Itir in r'. a llsfety gl ng Interior Smo, • - a-� . •rs 'arbon Mp(hoxdd�Det�t Every levo . Ci-1/4 ✓ I GiNfLE- b PSD NAG_ Outside very 'dc•• rea: Inter Con -< .. Battery backup: / 'Pe..._-cECr� Q Attic access 30 inches x 22 inches x 30 inches(height)in accessible a =: ✓ Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents ✓ �D„rt 0316PBathroom Fans,if no window Y `/v Plumbing fixtures � Foundation insulation to floor/Sticker on Panel V/ — G t t AvV N4,1_ Duct work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergencyegress below grade / \L�A A Gas Furnace shut-off within 30 feet or within line of site ✓ / �` Oil Furnace shut-off at entrance to fumace area V// Low water s Water eter operating _ A �F Pt L� Low water shut-off boiler Relief clo Ved r installed/Heat Trap/Water Temp / YU-0 i Encored Stairs Sheetrock Underside minimum W Gypsum `/ Basement stairs closed rise>4 inches �')l�� Garage Floor Pitched ✓� � Garage fireproofing 1%hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan tv/i Arc Fauh 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[Temporary/Permanent[ L:\Building&Codes Forms\Building&Codes\Inspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 -, !r Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ rt; • /pm 742 Bay Rd., Queensbury, NY 12804 Inspectors Initials• 1I NAME: �6< SZ PERMIT NO.: `� 4 °Si 4-1,kok INSPECT ON: 71 1 depo • 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 trenches ft. Size of Stone Seepage Pits: Number _ Size: x Stone Size: Piping Size Type Building to tank -1—C2 \ k:cl UC Ls Building Tank to Distribution Box Distribution Box to Field/ Pit 1n—O VtIZCLh&w I AA Opening Sealed: _Y_N End Cap Y N Inlet/Outlet Pipes&Baffles_ Y N iManholes 12"or less below grade _Y_N [provide extension collar if Yes] Y . N Location/ Separations ` cy c2•12-131\"*- 1� 2 13 t Foundation r tank ft. i Fou Foundation to absorption _ ft t Separation of sits C±> Conforms as per • Plan Engineer Report a • As-Buil c Y b/N ETU Maintenan.- _: . .ct Y_N provided Location of Syste •n Property: :: . g Left Side Right Side Middle Front Middle Rear ] .- : : A.c _ • P rtial App . 4and needs to be reinspected, please call the Building &Codes Office D . ci L•\Pam Whiting\2010\Building Codes Forms\Inspection Fon s\Sept c Iron Report_03 2910.dcc Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Septic Inspection Report Inspection request received: t� Name: Dos 4-e r✓ Inspected on: / — 9 /y Location: 9 4/AC h Or Arrive: /41"c2s a a.m./p.m. Permit No.: Inspector's Initials: -I-V; Comments and/or diagram Soil Type: Sand I 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 trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed Y N End Cap YN Inlet/Outlet Pipes&Baffles Y N Manholes 12'or less below grade Y N [provide extension collar if Yes] _Y N Location I Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N �/u1 Engineer Report and As-Built SOY N .t y 'c, .cn rAJ/Kr Jjic -6it ETU Maintenance Contract provided Y N / n v !/ Location of System on Property: /t6eeX s� fir" 00 //4< Front Rear Left Side Right Side Middle Front Middle Rear / O System Use Status: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report Dennis Dickinson, LS/PE ICKINSO� (TEL) 518-668-4676 Denny .. Dicickinsonnl� (FAX) 518-668-4674 6a- 0 � ASSOCIATES P q-0 J SURVEYORS* ENGINEERS* LAND CONSULTANTS ht 7 Iroquois Street P.O. Box 388 Lake George, New Yo rk`I"2845..,_ Ll fin U Rii , 8 July 2014 JUL 0 9 2074 TOWN OF Qt/EE Mr. David Hatin BUILDING& O00Es Town of Queensbury Building Codes 742 Bay Road Queensbury, New York 12804 RE: Doster Septic System TMP# 289.17-1-5 Dear Dave: On 8 July 2014, I performed a site inspection of the above referenced septic disposal system. It is my opinion that the above system has been installed according to approved plans in a workman like manner. If you have any questions or would like to discuss this further, please do not hesitate to contact my office. Dennis L. Dickin-,n, PE dtd Town of Queensbury Building & Code Enforcement (Ni YV f & a` Office No. (518) 761-8256 LOA Septic Inspection Report Inspection request received: Name: 0 OS`f �-EJ Inspected on: `per/q Location: Cr L{ Pr-S in 0 r Arrive: 02190 a.m./p.m. Permit No.: /4/--O Sa Inspector's Initials: at Comments and/or diagram Soil Type. Sand 'am/Cla Type of Water: Municipal ell Water Waterline separation distan , -/raft Well separation distance Mu t- ft. Other wells: /W {- ft. Well Casing Length 50'+/- )UY_N N/A [150'to well required if NO] Absorption Field: Total length 30 IA.1,ft. tiff .i Length of each trench f 2- ft Depth of trenches ft. Size of Stone Seepage Pits: Number L Size. /V Stone Size Piping Size Type Building to tank ‘iink to Distribution Box 2 if a ,AlY/L t t vu Distribution Box to Field/Pit 1 el Opening Sealed. XY N End Cap W Y N Inlet/Outlet Pipes 8 Baffles ,1O Y_N Manholes 12"or less below grade —Y )0N /�� / e� lac ex— __extension collar if Yes] Y N 9::_�// // ✓ �/��T'r{/ rv' Location/Separations — /its/ / tede /, rt%,e y Gan/'/ Foundation to tank ft. �;X_.2 / / f Foundation to absorption /tw p ft � / o f/� *c- If"! ` Separation of Pits ft. P,,,,p p(/ (0/104F5 ,- Conforms as per Plot Plan )0 Y N Engineer Report and As-Built Y )4N ETU Maintenance Contract provided _Y 'd N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved - Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report Town of Queensbury Building &Code Enforcement city Office No. (518) 761-8256 O / ?� Septic Inspection Report r\-1 Inspection request received: Name: p 9S 4-erInspected on: 7 -J)—/y Location: 9 y fors h Id r Arrive: a.m./p.m. Permit No.: / 7— O5 Inspector's Initials: 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 trenches ft Size of Stone Seepage Pits. Number Size- Stone ize Stone Size. Piping Size Type Building to tank 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 I Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built Y N ETU Maintenance Contract provided Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report WA) cg -ia Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Ins.ectio ledgiall_ Queensbury Building & Code EnforcementArrive: r+i- 742 Bay Road, Queensbury, NY 12804 Inspector's Initial NAME: ptS4e.r PERMIT, /41-0S4 LOCATION: cI'y A-S h O r INSPEC ON: (Q -a S—/y TYPE OF STRUCTURE: Re,S Pr . Y N N/A Plumbing under slab / ('RorghfPiumbing/Nail Plates 'YPtt�i\U ✓/ Plumbing Vent/Vents in Place Sb 11/2 inch minimum Drain Size Jrpt•- b‘.\--f" Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction ✓� Pressure Test ad 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water L ily ging Air/ r 50 P.S.I. for for 15 minutes Insulation / Residential Check/Commercial Check Window Sealing 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 Blower Door Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 0513 rrrt:a% 9-1/. rilliali Town of Queensbury Fire Marshal ji Siv. 742 Bay Road �-�C 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.�lld Permit# iii-o 5--,z, Schedule Inspection Co-5-iy Time 1 t_ lC ,m an ytime InspectoP--r�''�U Name Dos.4-e r Address 9< A-s %82h O r r o C Rough In Final Appliance Manufa urer 1 4 Model# 'I -3CG ` aDC ) •'\ Direct Vent nFaactory Built Chimney_ Flue Size Double Wall_ Triple Wall Insulated YesNo N/A Comments Floor Protection 7 Clearances to Combustibles (all sides) Firestop(s) Vertical Chase V 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 14 Hearth Extension (if any) 17 Mantel / I Height above f/p opening lti Witness Operation Tank Placement(if LP) / CO Detection V CSST Bonding f • White—Building Dept Venom—Cost nner Pink—Fire Marshal Rough Plumbing / Insulation Inspection : eport —lv�" Office No. (518) 761-8256 Date Inspection on re uec: ; 1: W Queensbury Building & Code Enforcement Arrive: a m 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: I� O S—fge— PERMIT#: LOCATION: a l AS ft bre vC INSPECT ON: � I ti TYPE OF STRUCTURE: Y N N/A Plumbing under slab Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 11/2 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. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I. for for 15 minutes ��' `\ *insulation /Residential Check/Commercial Check FQ�� Window Sealing � �e • Tyvek or Similar Exterior Sealant Z�� lY`' Proper Vent, Attic Vent Door/Window Sealed (No Insulation) ‘NC .±Y /Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace �9 � Duct work sealed properly/No duct tape Blower Door Test ‘ F Ns ` Air Sealing f,KikgAtz$) COMMENTS: Rough Plumhing_Insulation Inspection_02 0513 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Ins ection •que ed: 4004t/ �a Queensbury Building & Code Enforcement Arrive: = �1/ 742 Bay Road, Queensbury, NY 12804 InspectoF's Initials: a NAME: 965-tPERMIT#: I _0S-D-- LOCATION: / ti 015 i or, Ve INSPECT O ': Arn 14. TYPE OF STRUCTURE: Y N N/A Plumbing under slab Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place 11/2 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. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I. for for 15 minutes l Rt Insulation r sidential Check/Commercial Check ge frt5' cr Window Sealing (ploy-) - Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) V- Duct/Hot Water Piping Insulation If required unheated spaces Pt-1/43E, wpittuy Combustion Air Supply for Furnace 4 —v mVc�e, Duct work sealed properly/No duct tape Blower Door Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 0513 Town of Queensbury Building & Code Enforcement V S 4Itcer9crAi Office No. (518)761-8256 ' .-1:P Framing 1 Firestopping Inspection Report Inspection request received: Name: + 11 Do ser Inspected on: - / hy Location: `T t4-g h O r Arrive: - _ sir ACV'S • . Permit No.: / 41-0 Inspector's Initials: S TYPE OF STRUCTURE: RtA.I 4- N N/A aa9`?�5 rning_ COMMENTS: cFre Attc Accdss 22x minimum — e Jack Studs/Headers 'V C-V-h*,- TrussSpecification gn Provided Bracing/Bridging Joist hangers Jack Posts/Main Beams V-13FE_ ri,CAKW\ Exterior sheeting nailed properly 12"O.C. •A Headroom 6 ft.8 in. t C Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %(w)16 gauge(8)16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft.or less on center Ice and water shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2,3,4 hour Firestopping Penetration sealed • 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 518 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms �4 24 in.(H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Design Professional Sign-off,if required Framing/Firestopping Inspection Report ,. , G3 214 ibPlkl -bs. 39.-1-45.1 , Janet Ledford e . ,� so li , ' ,@:1-43 T. I . *me/ f--- 4 L - � ' \ \ 39A-44 ; i NN . \\ �`! I i �, �,- 796 !� , p,.1lnor ejet:4 el7 f,4c\ .„„,. NS \,\1:1;bal 39:1-45.1 •,A V11�• SCALE: finch = 50 feet W+E O. 11%.44,6 fle Produced• n of Queensbury, NY, Planning Department • 35 tuts 07/02/1998 9/1os