2013-138 .41ft, 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: P20130138 Date Issued: Wednesday, September 04, 2013
This is to certify that work requested to be done as shown by Permit Number P20130138
has been completed.
Location: 83 ROUND POND Rd
Tax Map Number: 523400-296-005-0001-010-000-0000
Owner: JOSEPH LEUCI
Applicant: TERRE MAJESTIC INC.
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEENSBURY
Single Family Dwelling D 1/41/
<� f
Issuance of this Certificate of Occupancy DOES NOT relieve the property <
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130138 Application Number: A20130138
Tax Map No: 523400-296-005-0001-010-000-0000
Permission is hereby granted to: TERRE MAJESTIC INC.
For property located at: s3 ROUND POND Rd
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: GUIDO PASSARELLI
2955 VETERANS Rd W Suite 2B Fireplace
STATEN ISLAND,NY 10309-0000 GSingle
Attached
Famil i Dwelling
wellin g
$150,000.00
Total Value $150,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2013-138
SFD 1st Fir 1,224 sq ft; 2nd flr 1,224 sq ft
Garage 864 sq ft; 1 Fireplace
$619.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, April 22,2014
(If a longer period is required,an application for an extension must he made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury• Monday,April 22,2013
SIGNED BY (,{ f for the Town of Queensbury.
4
Director of Building& fie E cement
OFFICE USE ONLY
TAX MAP NO. q ,t5 - r
PERMIT NO. 13 - / 3 g ; Date
FEES: PERM T r
RECREATION A'{'._ ENGINEERING
plt4S 1.- ,OIcu (If applicable) � 13
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: v're eS`kc. OWNER: Jos I-- 1Le (An'
ADDRESS: ADDRESS: go 10 j -L S
PHONE NOS. //O Q,4'
PHONE NOS. l-teei i,t.t, / aSL
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:Rd1Qor-�SO'P APHONE: 3 I$ I g 8
LOCATION OF PROPERTY: .1--r)4 3 g 3
h d ' d .
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL'?. I .ES ❑ NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: b �. 4-493
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
0
APPLY TO YOUR z cc 0 1-
PROJECT "- w
O
1- 00 1- tY i=
w o I-- L L w -J a = v
C7
Z
Z Q < .- CO NU) Ori � r nom. 106 r�
ly
SINGLE FAMILY 'l V
/I eV-1/ Z 44 Ssf
TWO-FAMILY 'IV'\''C '
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHEDtk/
GARAGE( ,2 ) Y go s &i./ q'12.°1.
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: f40116 d-L
ESTIMATED CONSTRUCTION COST: /...7-7), 00 0 FUEL TYPE:
HEAT TYPE: g *HOW MANY FIREPLACE(S): / AND/OR WOODSTOVES(S): - 0
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: jrD
*Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? lV v
ARE THERE EASEMENTS ON PROPERTY? do
•
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
constr "ted facilities prior to issuance of a certificate of occupancy.
I ve read anc4dre= to the-671. ,e.)
•
Signed ti ,______
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
J
r
QUESTIONS? CALL 761.8256 OR EMAIL
codes(ftueensburv.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No www.aueensburv.net
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Q
OFFICE USE ONLY f
TAX MAP NO. PERMIT NO.
PERMIT FEE
•
•
APPROVALS: ZONING TOWN CLERK • '•
•
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT. II ll
OWNER:)°S�►1 LNvci `
INSTALLER: RVI ��(✓ (�
ADDRESS: I 1 b U;;1� Fl I W aP ,/�
/ I ADDRESS: vl/' M./v�
PHONE NOS. / c7-4 - 3 ✓ PHONE NOS. 56/-- '5‘QV .
LOCATION OF INSTALLATION:
YEAR BUILT NO.OF X COMPUTATION= RESIDENCE INFORMATION:
BEDROOMS = TOTAL DAILY FLOW
1980 or older 44k X 150 gallon per bedroom = GARBAGE GRINDER
INSTALLED? NU
1981 -1991 X 130 gallon per bedroom =
1992 present X 110 gallon per bedroom SPA OR HOT TUB
330 INSTALLED? N-1
PARCEL INFORMATION:
✓ TOPOGRAPHY: Flat rolling L/ Steep slope %Slo e
p
✓ SOIL NATURE: Sand Loam Clay Other
✓ GROUNDWATER: At what depth?
✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth?
✓ DOMESTIC WATER SUPLY: Municipal ✓ Well (If well: Water supply from any septic
system absorption is ft.)
✓ PERCOLATION TEST: Rate is I cn,5 r^11-- . 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: food 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:
i
ABSORPTION FIELD (WITH NO. 2 STONE) Total length Ao0 ft. Each trench If X SU
❑ 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
11 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 QUESTIONS? CALL 761-8256 OR EMAIL
Q e nsbury Sanitary Sew ge Disposal Ordinance. codes@aueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
C2 —5-7/G /7g www.queensbury.net
/ J
fgnature of Person Responsible Date
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
6PI3-13�
3D • S- I-ed9'1
Revis4/14/2010
Town of Queensbury
Highway APR 0 9 2013 Michael F. Travis
Department Highway Superintendent
742 Bay Road, Queensbury, NY 12804 Home (518) 798-0413
Office Phone: (518)761-8211 Thomas R. Vanness
Fax: (518) 745-4466 Deputy Superintendent
Home (518) 745-0929
www. Queensbury.net
DRIVEWAY PERMIT
Date:
Applicant Name: 61 c/o r s se.r *10'
Address to be inspected: I 4- 3 N0.. a.3
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: ( ) Preliminary Approval
Need: ( ) Slight swale
( ) Deep swale
( ) Level with the road
) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( ) 12" ( )15" ( ) 18" ( )24" ( )36"
Preliminary inspections completed by: Date:
Approved by Higway Supt: Deputy Supt.:
Upon completion, please resubmit this approved permit for a final approval.
Step 2: ( ) Final Approval
( ) Rejected
Date:
Michael F. Travis, Highway Superintendent
Thomas R. Van Ness, Deputy Highway Superintendent
Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: 9,3-/ 3
NAME: el,C C- 1
LOCATION: 7 3 Roe,AA Pnld
PERMIT#: / 3 ' � � g
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has been:
Craig Brown, oning Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
w
0.
NOTES:
1) THIS SURVEY WAS PREPARED WITHOUT THE
BENEFIT OF AN ABSTRACT OF TITLE OR
TITLE REPORT AND IS THEREFORE SUBJECT
TO ANY EASEMENTS, COVENANTS OR
RESTRICTIONS OF RECORD OR ANY STATEMENT
OF FACTS SUCH DOCUMENTS WOULD DISCLOSE
2) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB—DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.
3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.
GVAPHIC SCALL
50 0 25 50 1m)
( IN FEET )
I inch = 50 It.
dn1� .l�°
1��1 ry'pp.O 11 my
N • l �t `
1
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MAP REFERENCE:
MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION
MADE FOR GUIDO PASSARELLI, ROUND POND
SUBDIVISION SITE PLAN" DATED 6/24/93
LAST REVISED 9/29/93, PREPARED BY
VANDUSEN & STEVES, LS AND FILED IN THE
WARREN COUNTY CLERK'S OFFICE IN PLAT
CABINET B, SLIDE 51, MAP #86.
LE VEND
o I.R.F.
IRON ROD FOUND
o I.P.F.
IRON PIPE FOUND
o I.R.S.
IRON ROD SET
_
UTILITY POLE
0000
STONE WALL
EARBED WIRE FENCE
o
PDINT
W.F.P.
WOOD FENCE POST
—on.—
OVERHEAD WIRES
n/f
NOW OR FORMERLY
LOT 2
L)T NUMBER PER
MAP REFERENCE 1
Of Ne
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Off C.rU 1 3
SITE LOCATION KlAP
CERTIFICATION
I HEREBY CERTIFY TO:
1) JOE LEUCI
THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD
SURVEY COMPLETED ON JUNE 2, 2006.
THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE
VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND
ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR
EXPRESSLY STA;9D HEREON.
FN� q
RUSSELL E. HOWARD, PLS
DATE: AUGUST 29, 2013
MAP OI' A SURVEY MADE FOR
11 1
Town of Queensbury County of Warren State of New York
PROFESSIONAL LAIN SURVEY0
342 Main Street, Hudson Falls, New York 12839
Mussell L Howard, PLS N.Y.S. Lic. No. 50540 Date: 08/29/13 Sheet 01 of 01
Date S( aled:M 'Lq f Scale: 1 inch = 50 feet Revised: Urawiay f: 97152L3
'94r, b°
APR r 60! 3- / 3S
9 01 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.
Important Note To Applicant: Rouqh-ln and Final Inspections Are Required:
Owner:: �a er-C cam .. Installer/Builder-2;4_, ; coo s ssz ✓ e/(i
Address: Address:
Phone Nos.: Phone Nos.: q/r) cos- ...2a0 ]
Location of Property: Subdivision Name: 6":77C.,1") dtf7»
Location of Proposed Construction and/or Installation: G o7 3 Na .•
Contact Person for Building & Codes Compliance: Le 1^ Jot, +,soy, 30')-y
Fuel Burning Applicance Wood Coal Pellet Gas Oil
Information
Stove
Fireplace Insert
eF replac 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/
** 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
cam/
Queensbury Building & Code Enforcement - Residential Final Inspection -
t.
Office No. (518) 761-8256 Arrive: am/pm Depart: )t�
.- 5-am/pm
Date Inspection request received: Inspector's Initials:
NAME: , `'1)�\ PERMIT#: 2��
LOCATION: �h >s 2���,--,-fa Fj el) DATE: AliWiLIM
TYPE OF STRUCTURE:
Comments:
Yes No/N/A
4" BuildingNumber Address visible from road / V
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches VV
Roof Complete/Exterior Finish Complete 4/
Platform at all exterior doors
Handrail 4 or more risers Y/
Guards at stairs,decks,patios more than 30 inches above grade V
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant V
6 nce awclearance
from foound late 6 inches with 10 feet ����cs`� �`� � �
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above gradet
Interior privacy I trim/doors 1 main entrance 36 inches 14." f' n
Bathroom/Kitchen watertight
Safety glazing/Win w in stairwells safety gl-zing '
EverySmoke De ors/Carbon noxid: etectors / C 5 1
Eve level: Eve acro m: U,'/ .-Y
Outside every bedroom a: '� /
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
4 /
Bathroom Fans,if no window
Plumbing fixtures Vz
Foundation insulation to floor/Sticker on Panel V
Duct work sealed properly/Blower Door Test Certification V
Floor truss,draft stopping finished basement 1,000 sq.ft. 7 i7
Emergency egress belowgrade V
Gas Furnace shut-off within 30 feet or within line of site V `
Oil Furnace shut-off at entrance to furnace area / t/
Furnace/Hot Water Heater operating ,t/
Low water shut-off boiler /
Relief Valve(s)installed/Heat Trap/Water Temp 110 44
Y:
Enclosed Stairs Sheetrock Underside minimum "Gypsum
Basement stairs closed rise>4 inches V ,
Garage Floor Pitched
Garage fireproofing/'/,hour fire door!door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50% /
✓
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding V
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required C--
Okay to issue C/C or C/0[Temporary/Permanent I 69
L:1Building&Codes Forms\Building&Codes\Inspection Fomis\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
:RAJNY onsulting, LLC
69 Hayden Point Loop
Diamond Point, NY 12824
518 221-3240
08/22/2013
Joe Leuci
83 Round Pond Road
Queensbury,NY 12804
Inspection Address: 83 Round Pond Road, Queensbury NY 12804
Report Number: 0822130
Dear Joe:
At your request, the Blower Door Inspection of the post construction test to verify
infiltration rate of the house as per requirements of the NYS 2010 Energy Conservation
Construction Code of the above property was performed on 08/22/2013. GRAJNY
Consulting, LLC is pleased to submit the following report.
The following data was provided:
- Square Footage of the house including conditioned basement= 3,672 SF
- Volume of the house, including conditioned basement=32,580 CF
Based on above, the following test data was collected:
- Infiltration Rate, including conditioned basement at 50 Pascal= 1,212 CFM
- ACH50,Actual Changes per Hour at 50 Pascal= 1,212X60/32,580 =2.2 <7
The Instruments used for test were provided by the Energy Conservatory Digital Gauge
DG-3 rated accuracy=+/- 1%, calibrated minimum once per year.
.Thank you for selecting our company. We appreciate the opportunity to be of service.
Please call this office if there are any questions.
Sincerely, c3V4:)""1 1P.c o G
9
°%4,-
t146..:
Stan Grajny, P y,
6-
NYS HERS Energy Rater BER-041 �cwU
y ° \,
NYS PE 065406-1 `rp s 5 v f
FESS
Foundation Inspection Report ue-s
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pDepart: : so 'm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 1
11,1
NAME: eat PERMIT#: ) 3- ) 3
LOCATION: g ,.3 Relit d, r ��� INSPECT ON: 7— a-/..3TYPE OF STRUCTURE: kou
Comments
! N/A ' D GJC\d, 9,Q
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 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\Buliding&Codes\Inspec tion Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: '):Lm/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: A i &. .. 11/,,,‘"\V
r �
NAME: e_A'' r M . • - - e.' PERMIT #: / 3 - i 3 E
LOCATION: v 3 :--4, d INSPECT ON: (. --a / 3
TYPE OF STRUCTURE: 5 LD
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washin• 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 / Residential Check I Commercial Checkr
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent EMI
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If r- •uired unheated saaces
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape
COMMENTS: (C_J3}€-) & L-(`')-1
•
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Rough Plumbing I Insulation Inspection Report
�, �•• - -
Office No. (518) 761-8256 Date Ins ection requ - ••
Queensbury Building &Code Enforcement Arrive:7 -/f) am cj4r. - 'I,6 am/
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ,,,i.
NAME: ► - �� - L _ PE- IT #: 1 3 -- 3� L
LOCATION: cbp INSPECT ON: (`- ZD
TYPE OF STRUCTURE:
Y N • N/A
Rough Plumbing/ Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washin• Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction
Pressure Test
Drain 1 Vent
Air 1 Head
5 P.S.I. or 10 ft. above hi o hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
,50 P.S.I for 15 minutes
nsuiation/Residential Check/ Commercial Check
Tyvek or Similar Exterior Sealant 6 ti..-�
Pro•er Vent, Attic Vent J + - ` '_:
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace r
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
?1_ / /
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins ctionisAuest received: (0 3
Queensbury Building & Code Enforcement Arrive: r0r) am/p
742 Bay Road, Queensbury, NY 12804 Inspect r Initials:
NAME: 1 A' / L' c_ 1 PERMIT#: 7
LOCATION: fun INSPECT ON: OW 3
TYPE OF STRUCTURE:
Y N N/A COMMENTS:
framing V/
Attic Access 22" x 20" minimum
Jack Studs / Headers
Truss Specification Provided
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
11/2 (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 ans water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour -i
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space / Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above / below grade
5.0 sf grade
Design Professional Sign-off, If required
Framing Firestopping Inspection_Revised_02 05 13
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: L /0 1
5
Queensbury Building &Code Enforcement Arrive: am/pm art: ji`d:m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �
p
NAME: 55Iw i < ; �� ��C1 PERMIT #: 1 3 - ( 5Y
LOCATION: ouo An 12- INSPECT ON: (6/#l 3
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet 1 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.1 for 15 minutes
sulation 1 Residential Check I Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct 1 Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Framing / Firestopping Inspection Report 2_ - (-( �
Office No. (518) 761-8256 Date Inspection quest received: (c� ��3
QueensburyBuilding & Code Enforcement Arrive: i a
Trn
742 Bay Road, Queensbury, NY 12804 Inspector�lni is s: Al�l
NAME: ( Ci'f e ; C L f IJUI PERMIT#: / / " /5
LOCATION: "S J2 ot,v) I� "� /� ° INSPECT ON: .'11V
TYPE OF STRUCTURE:
Y N N/A COMMENTS:
Framing
Attic Access 22" x 20" minimum
Jack Studs / Headers
Truss Specification Provided
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
11/2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
ece ans 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 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space /Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above / below grade
5.0 sf grade
Design Professional Sign-off, If required
Framing Firestopping Inspection_Revised_02 0513
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Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: ` 'U am/pm
742 Bay Rd., Queensbury, NY 12804 - Inspector's Initial
/� J
NAME: 11.01 I.Q I °V ", , PERMIT NO.: 0 3 s g
LOCATION: .__ .. INSPECT ON: S LSU-'J.
RECHECK:
Comments and/or diagram
Soil Type: / Loam/ Clay
Type of Water: unict b/ 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 "25r:). ft.
Length of each trench .5c> ft.
Depth of trenches 1-4,--) "-
Size of Stone 2--
Seepage
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank ` 11
Tank to Distribution Box I ` j,St��
\`` 237i
Distribution Box to Field/ Pit A ` 5,- 1) F (Z"
Opening Sealed: YCY_ N
End Cap )4--Y_ N
Inlet/Outlet Pipes&Baffles 1.,Y
Manholes 12"or less below grade Y r
[provide extension collar if Yes] Y
Location/ Separations
Foundation to tank CDS ft.
Foundation to absorption ft.
Separation of Pits • Aw ft.
Conforms as per Plo_ P - .4 P, N
Engineer Report an' As-B ' Y_ N
ETU Maintenance •ntract _Y_ N
provided i
Location of System on Property:
FronR r Right Side Middle Front Middle Rear
S stem Use Sta s:ct.,ro
la! 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 Report03 29 10.doc
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:3 c am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
•
NAME: Q (Y\ , ERMIT#: 1 3- 1 3 8
LOCATION: '3R mt� ZSPECT ON: = 9-13
TYPE OF STRUCTURE: S F 6
Comments
Re.
Y N N/A ' a otoK--kt IJ
Footings
Piers (6DV> ph n30>
Monolithic$i•b
Reinforcemen in Place
The contra•tor is respon ible for
providing • otection fro.. freezing
for 48 hour following the lacement
of the cone -te.
Materials f.r this purpose on •'te.
Foundation/ 'allpour
Reinforcement' Place
Footing Dowel• or Keyway in place
c - -�
Foundation D: i pproofmg •Q, U(Dr
Foundation Wa erproofing
Footing Drain I aylight or Sump
Footing Drain •ne:
12 inch wid
6 inches abo footing �.
6 mil ••I fo et areas and: slab
Backfill Approv
Plumbing Under Sl:..
PVC/Cast/Co.per
Foundation Insul:tion Irate or/Exterior
R-
Rough Grade 6 ' ch dko• within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Fors\Foundation Inspection Report.doc
Last printed 12/20/•105 9:24:00 AM
IYl and a .Z 'I0
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: i
NAME: i • _'_� PERMIT#: / 3-1 c3 7
LOCATION: 'awry . INSPECT ON: .S—ta--/3
TYPE OF STRUCTURE:
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
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 Dep. pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:`'
C.�
NAME: Sc .rre M dt S e°SA'V G PERMIT#: J ?J' - /
LOCATION: ' ' 3 R ta" P n INSPECT ON: �-= -/ 3
TYPE OF STRUCTURE: q F f)
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 f 1/cZ°1--`3
Footing Dowels or Keyway in place <o5 AoLl
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspectlon Forms\Foundatlon Inspectioon Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report G
Office No.(518)761-8256 Date Inspection request received: 1/3° / 3
Queensbury Building&Code Enforcement Arrive: am/p Depart: /`sr am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials- /
NAME: `re , PERMIT#: ( 1 3
LOCATION: ��i�� Mjir./ I SPECT ON: `t/ / a-o j 3
TYPE OF STRUCTURE:
Comments
Y N N/A
Footin�
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 7
Footing Dowels or K \5
C1
Byway in place C: c�
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:\BuiIding&Codes Forms\Building&Codes\Inspection Fors\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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0.
NOTES:
1) THIS SURVEY WAS PREPARED WITHOUT THE
BENEFIT OF AN ABSTRACT OF TITLE OR
TITLE REPORT AND IS THEREFORE SUBJECT
TO ANY EASEMENTS, COVENANTS OR
RESTRICTIONS OF RECORD OR ANY STATEMENT
OF FACTS SUCH DOCUMENTS WOULD DISCLOSE
2) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB—DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.
3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.
GVAPHIC SCALL
50 0 25 50 1m)
( IN FEET )
I inch = 50 It.
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MAP REFERENCE:
MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION
MADE FOR GUIDO PASSARELLI, ROUND POND
SUBDIVISION SITE PLAN" DATED 6/24/93
LAST REVISED 9/29/93, PREPARED BY
VANDUSEN & STEVES, LS AND FILED IN THE
WARREN COUNTY CLERK'S OFFICE IN PLAT
CABINET B, SLIDE 51, MAP #86.
LE VEND
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UTILITY POLE
0000
STONE WALL
EARBED WIRE FENCE
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—on.—
OVERHEAD WIRES
n/f
NOW OR FORMERLY
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CERTIFICATION
I HEREBY CERTIFY TO:
1) JOE LEUCI
THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD
SURVEY COMPLETED ON JUNE 2, 2006.
THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE
VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND
ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR
EXPRESSLY STA;9D HEREON.
FN� q
RUSSELL E. HOWARD, PLS
DATE: AUGUST 29, 2013
MAP OI' A SURVEY MADE FOR
11 1
Town of Queensbury County of Warren State of New York
PROFESSIONAL LAIN SURVEY0
342 Main Street, Hudson Falls, New York 12839
Mussell L Howard, PLS N.Y.S. Lic. No. 50540 Date: 08/29/13 Sheet 01 of 01
Date S( aled:M 'Lq f Scale: 1 inch = 50 feet Revised: Urawiay f: 97152L3