2013-105 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
401.
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130105 Date Issued: Monday, December 30, 2013
This is to certify that work requested to be done as shown by Permit Number P20130105
has been completed.
Location: 93 EAGAN Rd
Tax Map Number: 523400-315-008-0001-005-000-0000
Owner: JEFFREY & KATHY EDWARDS
Applicant: JEFFREY & KATHY EDWARDS
This structure may be occupied as a:
Single Family Dwelling By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan, Variance, or 1' ' Y
P ty P
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
Temporary Certificate of Occupancy
90 Day
Building Permit No. : 2013-105
Property Location : 93 Eagan Rd.
Property Owner: Jeffrey & Kathy Edwards
Approved for the following uses: Single Family Residence
Conditions of approval:
1. Remove 970 sq. ft. residence at river front.\
$100 fee received on: December 4, 2013
90 Day Temporary CO expires on: March 4, 2014
*A final inspection for this project must be scheduled before the expiration of this
Temporary Certificate of Occupancy— if your project is not complete within this
90 day period you will be subject to additional fees*
Signature of Applicant: jcK39.1
(74)atil, 1 '4 A
Director of Building & Codes:
Town of Queensbury Building & Codes Office
Dept. of Community Development 742 Bay Road, Queensbury, NY
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130105 Application Number: A20130105
Tax Map No: 523400-315-008-0001-005-000-0000
Permission is hereby granted to: JEFFREY&KATHY EDWARDS
For property located at: 93 EAGAN 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: JEFFREY& KATHY EDWARDS
93 EAGAN Rd Single Family Dwelling $205,000.00
QUEENSBURY NY 12804-0000 Total Value $205,000.00
Contractor or Builder's Name/Add res Electrical Inspection Agency
Plans&Specifications
2013-105
1st Floor 960 sq ft; 2nd FIr 960 sq ft
1 Fireplace
$384.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,April 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; Wednesday,April 03,2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
r . *6- MAN 22 2013
TAX MAP NO._3 Jl _� EMIT NO.. ... ...._�./
FEES: PERMIT-,3g 44 RECREATION ENGINEERING_
XR¢ (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: Jeff a„d katCdWCif0 OWNER: v�T'C AA• kion /1 gdw1 /104-
ADDRESS:
15
ADDRESS: 11 goy")
J� I f Qu?P11S.Ul- ADDRESS: -71 E p 'r _ b �•
PHONE NOS. (s ) 1°13 - {y Z PHONE NOS. 1 7t3`cjq/
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE://�� (51.410.--- PHONE: (5 0 7q3-q�ll'Z_
LOCATION OF PROPERTY: 1 I Earl fi . J Qiw c1S/u , ,\P('
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR
SUBDIVISION APPROVAL? ❑ YES I NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z O c
t= 0 a CJ w
PROJECT 0 ¢ O
L1 O � -J -J-J 0 = _
u _ }- O - z
Q Q NNS O U. O U- 0- 105
SINGLE FAMILY ✓ 960 Q/ jlTWO-FAMILY I(f�(J
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: r
ESTIMATED CONSTRUCTION COST:-�J: O D FUEL TYPE: CLEGTkI C.
MflsoNRY NEAT-fa,
HEAT TYPE: Ekc.iR1C `HOW MANY FIREPLACE(S): AND/O ):
ZONING CATEGORY: W K ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? N l7
PROPOSED USE OF BUILDING OR ADDITION: EStDEN CC
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? I\10
ARE THERE EASEMENTS ON PROPERTY? YES. NaJjanal 61"1'C.)
'Please complete a separate Appli at ca kr"Fuel Burning A: ptinnce ,&Cnirnneys' `vfflrible in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agre to above.
Signed 1\6417
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
codesI queensbury.net
Office Use Only . VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.not
Operating Permit Issued: Yes No
Occupancy Type: 2 Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
6P
MAR 22 2013
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 NoterTo Applicant: Rouqh-ln and Final Inspections Are Required: 4_,Owner:: 1e'Pr' li. *A A eiwaiInstaller/Builder: Don 9l
Address: I 670\e a i • Al Address: t N i C1101s q� PIASIM M
Phone Nos.: 5( a l 3 - 12— Phone Nos.: (51t) 511
6� /I R �� �J
Location of Property: -71 bO�gor) Subdivision Name:• _/
�JJ Ia!
Location of Proposed Construction and/or Installation: �� �•G}C/1
Contact Person for Building & Codes Compliance: Own() �j
Fuel Burning Applicance Wood Coal Pellet Gas Oil
Information
Stove
Fireplace Insert
Fireplace, factory built*
Fireplace, Masonry
Furnace, (Garage Only)
s Maso(IQ
* If Factory Built, Please Provide: Manulectu er Name: Model No.
Listed By: Number:
Chimney Information • BLOCK BRICK STONE
Masonry** Check One/
TILE STEEL SIZE IN
INCHES
Flue Check One ✓ ✓ $x,� V C Il
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
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: j-2- 1
NAME: ` �
LOCATION: 93 t7-14c-C /0-
PERMIT
/0-PERMIT#: 2
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, Zoning Administrator
Notes: -1 o G( CIO
dc
L:\SueHemingway\Building.Codes.tnspection.FORMS\Final Survey
Zoning Administrator.doc
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm De art: am/pm
Date Inspection request received: Inspector's Initials: Cf
NAME: G -- PERMIT#: .- 0
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/°B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp 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 2
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight q‘,
�Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carton 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 1 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 Furnace shut-off at entrance to furnace area _
Furnace/Hot Water Heater operating -
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 c"
Enclosed Stairs Sheetrock Underside minimum 1/? n Gypsum `1,E d - — �(
Basement stairs closed rise>4 inches j LT2
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
als)
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if re
Okay to issue C/C or C/ Temporayi Permanent]
L:1Building&Codes Forms\Building&Codeslinspection FormslResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22110,Revised 04/13/11
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Septic Inspection Report
Inspection request received:
Name: `1 Inspected on: trt 2`' 113
Location: r'
Arrive: ( 1 - cc a.m.l p.m.
Permit No.: ' L — [6ic Inspector's Initials:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation di ance 9 ft.
Well separation distancib ft.
Other wells: ft.
Well Casing Length 50' /- Y N N/A
[150'to well required if NO] l
Absorption Field: Total length ft.
Length of each trench j ft.
Depth of trenches / ft.
Size of Stone
Seepage Pits: Numb r
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 _Y N
Inlet/Outlet Pipes&Baffles Y N
Manholes 12"or less belo grade Y_N
[provide extension collar if Yes] Y N
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan N
� gineer import and s_Bui N
ETU Maintenance Contract provided _N
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
S stem Use Sta s:
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Septic Inspection Report
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm De art: ',7amlpm
Date Inspection request received: Inspector's Initials:
NAME: wokf�-5 - PERMIT#: 20 ) _ 1 c'�
.
LOCATION: Rh DATE: 104/i 5
TYPE OF STRUCTURE: — 5c
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location Vj
Fresh Air Intake Y
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors 1;
` 1
Handrail 4 or more risers V C ` V.> vr� A"b
Guards at stairs,decks,patios more than 30 inches above grade V/: cZA,k e. 13.#5,6--
Guard at stairwell at 34 inches or more 1.7
Guard at deck, porches 36 inches or more ✓ V / M� ��
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches Vi ( e7V /Z:'
Deck Bracing/Handicapped Ramp Compliant �
Grade away from foundation 6 inches with 10 feet \/;,/,
6 inch clearance to sill plate r - .( `�" '.P ,W
Gas Valve shut-off exposed/regulator 18 inches above grade V ' . G
Interior privacy/trim/doors/main entrance 36 inches CL7
`"FZ
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing 1�-k. / _ 5 - Lf
Interior Smoke Detectors/Carbon Monoxideietectors
Every level: V Every Bedr96m:
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 / �/
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 Furnace shut-off at entrance to furnace area ✓
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed J Heat Trap/Water Temp 110 /
Enclosed Stairs Sheetrock Underside minimum'/"Gypsum ), �/
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3A hour fire door/door closer V
Gas Logs in Sealed or Glass EnclosureV
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding / f
As Built Septic System/Sewer Dept. Inspection Sticker '
Site Plan /Variance required V
Flood Plain Certification,if required
Okay to issue C 1 C or C/O[Temporary/Permanent] tO
L:1Building&Codes Forms\Building&Codesllnspection FormssResidential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10, Revised 04/13/11
3 :3o-4
Queensbury Building & Code Enforcement - Residential Final Inspection T-(4--,-7-6
Office No. (518) 761-8256 Arrive: am/pm Depart -( S am/pm
Date Inspection request received: Inspector's Initials:
NAME: rl)wpt(z7)5 PERMIT#: ` l3 /
LOCATION: /1-4,A- RS7 DATE: G Z 'j 1.3
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exteri• inish Complete
Platform at all exterior ••• s
Handrail 4 or more ris: -
Guards at stairs,deck•, pati,'s more than 30 inches above grade
Guard at stairwell at • inches or more
Guard at deck,porch•s 36 in.- es or more
Handrail Termination at Newell •ost or Wall
Interior/Exterior Raili gs 34 inch.s to 38 inches
Deck Bracing/Han•'capped Ra p Compliant
Grade away from fo ndation 6 in 'es with 10 f t CAA g:Lt ✓'
6 inch clearance to -ill plate
Gas Valve shut-off xposed/regula or 18 inch s above grade O2 \tg le--1 tcD 1
Interior privacy/tri /doors/main e trance inches
Bathroom/Kitche watertight d `R v-<.k-5Er
Safety glazing/Wi dow in stairwells s=fety gl• ing
Interior Smoke Det- ors I Carbon Mon'xide •etectors � -\� fi c —
Every level: Every Bedroom:
Outside every bedr••m area:
Inter Connected: Battery backu•
Attic access 30 inc -s x 22 inches x 30 in•!es(height)in accessible area iC
Crawl Spaces 18 in• x 24 inch access, 1 •.ft.-150 sq.ft.vents ` ) l
Bathroom Fans,if n• window u-3) 114
Plumbing fixtures �1� 11�
Foundation insulation o floor I Sticker o Pa -I I�� t`�
Duct work sealed p ••-rly/Blower Door Test edification '�
Floor truss,draft stopp g finished basement 1 000 sq.ft.
Emergency egress belo grade .
1 A,
Gas Furnace shut-off wi, in 30 feet or Within line of site
Oil Furnace shut-off at e trance to furnace area'
Furnace/Hot Water Heate operating J
Low water shut-off boiler
Relief Valve(s)installed/ -at Trap/Water Temp\110
Enclosed Stairs Sheetrock ' nderside minimum%Zt Gypsum
Basement stairs closed rise • 4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour • e door/door closer 1
Gas Logs in Sealed or Glass = closure
Final Electrical;Energy Saving ight Bulbs 50% `
Final Survey Plot Plan ,1
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
cf://,
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 Fornms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
embh. G73 --IN/�rill Town of Queensbury Fire Marshal
r-�. 742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Masonry Chimney /FireplacelInspection Report
Permit# /3— /z5 Schedule Inspection el u 113 r am m anytime Rough In Final )(
Name- ed b 4 2 ' Address 9c,..5 bei9,v Ad. Inspector/14
1"
Yes No N/A Comments
FOOTING
Concrete or solid masonry
Minimum 12"thickness
Extends minimum 6"beyond f/p on all sides
Below frost tine '-____ -4---
/ , ()
Cleanout opening-noncombustible cover _ a
FIREBOX i ,
Walls must be solid-no hollow masonry allowed
14°
8"minimum thickness-back/side walls CC( rr
Joints between firebricks-'/4"max {�
r>\11 V
Refractory mortar used on firebrick
Minimum depth 20"
Fresh air intake
Clearances to combustibles:4" rear,2"sides/front
LINTEL/THROAT
Non-combustible material
Minimum 4"bearing length each end
Damper installed, minimum 8"above f/p opening
SMOKE CHAMBER
Walls must be solid-no hollow masonry allowed
Minimum wall thickness 6"including liner
Firebrick lining laid with refractory mortar
CHIMNEY
Minimum wall thickness 4"-solid masonry
Must be lined with appropriate liner type
Clay flue liner laid with refractory mortar
Flue liner smooth surface inside,no mortar
Minimum masonry thickness between flues 4"
Minimum clearances to combustibles 2"for
interior chimneys,1"for exterior
Termination height minimum 3 feet above highest
point of roof where it passes through,2 feet above
any combustible construction within 10 feet
Chimney cap installed
HEARTH/HEARTH EXTENSION
Constructed of concrete or masonry
Supported by noncombustible material
No combustible material on underside
Minimum thickness 4"-hearth only
Minimum thickness 2"-hearth extension
Hearth Extension-16"to the front,8"to sides
NOTE: if F/P opening is greater than 6 sq.ft.,must
extend 20"front, 12"sides
MANTEL/TRIM
No combustibles within 6"of F/P opening
Combustibles within 12 inches of F/P opening cannot
project more than 1/8"for each inch distance from
F/P opening
( a?)
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm De rt: ( am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: .n
NAME: EottartiNtab PERMIT NO.: 13-105
LOCATION: 2.0._•yik) INSPECT ON: /—f 3
RECHECK:
Comments and/or diagram
Soil Type: Sand/ Loam Clay
Type of Water: Municipal/ ) 1./t/at.e0
separation distance ft.
Well separation distance 1W-- ft.
Other wells: ft.
Well Casing Length 50' +/ - Y N N/A
[150'to well required if NO] t91__Z j-v.3'X �
Absorption Field: Total length 7 ft.
Length of each trench SD ft.
Depth of trenches ft. �5 Ice,k- � M�---es:A
Size of Stone 442.
Seepage Pits: Number �1 ) �2,k-S�` � � 4-
/
Size: /�x
Stone Size:
Piping Size T pe�
Fm k L.L)' --
Building to tank
Tank to Distribution Box ,7 -
Distribution Box to Field/ Pit ` /
OpeningEnd
Cap _Y .Z/Z/ V...
Inlet/Outlet Pipes&Baffles Y N ✓ _
Manholes 12"or less below grade _Y N
[provide extension collar if Yes] _Y N
Location / Separations
Foundation to tank ft.
Foundation to absorption
Separation of Pits
Conforms as per Plot Plan _YN/
Engineer Report and As-Built _Y �j
ETU Maintenance Contract _Y_ N
provided
Location of System on Prope
Front Rear Left Sid Right Side Middle Front Middle Rear
System Use Status:
pproved
ial Approv=.. . •. needs to be re-inspected, please call the Building &Codes Office
k7m'•isa.. -.
L:\Pam Whiting\2010\Building ..es Forms\Inspection Forms\septic Inspection Report 03 29 10.doc
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: dlA,47
NAME: -z-1->t--k--41-04__A5 PERMIT #:
LOCATION: b INSPECT ON:
TYPE OF STRUCTURE:
Y NNIA
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 _
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
clQ 5.k
COMMENTS:
k-5-k- kA-4
i
't-fLUVLA C7NXIA)t)
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report �,�.�J I ` /4
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: ,am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials i
NAME: - c _ LC C_ c'd- s; PERMIT#: / 3"-/c
LOCATION: � } INSPECT ON: G, - / 3
TYPE OF STRUCTURE: ` = O
I N N/A COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/Headers
Bracing /Bridging
Joist hangers
Jack Posts :ain Beams
Exterior s - -ti s nailed pr•Perls
12 O. . v = `
Headroor 6 ft. 8 'n.
Stairwell 36 in. o more
Exterior Deck Bracing c4=-1 .-4\&S
Headroom Gift. 8 in. -T
Notches/ Hdles/ Bearin ails � L_ -`��-r��
Metal Strapping for Not. es Top Plate
1 /2 (w) 16 iauge (8) 6D na s each side
Draft stopping 1,000 •. ft. floo trusses
Anchor Botts 6 ft. or le-s on cent-
\
Ice and water'shield .4 inches from all
Fire separatio 1, 2, : hour
Fire wall 2, 3, • hou
Firestopping
Penetration seal •
16 inch insulation in cavity min.
Garage Fire Separation
House side %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. (VV)
5.7 sf above/ below grade
5.0 sf grade
L:18ui1ding&Codes Forms-OLD.Buiidinq&CodesNinspecxion Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report ' '4 c
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: _am/ m Depart: c .. am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: '
NAME: e\--)u..) __ PERMIT#: 7 v ( --(0�
LOCATION: _ ,�/ � INSPECT ON: WI 1II•
TYPE OF STRUCTURE:
\V/ N N/A COMMENTS:
Framing
Attic Access 22" x 30" minimum //:
Jack Studs/ Headers ( 744t,
n9Bridging
Braci I v
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/ Holes / Bearing Walls
Metal Strapping for Notches Top Plate
1 % (w) 16 gauge (8) 160 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 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 Foren3-OLD1Building&Code3Unspedion Fcmns\Framing Firestopping Inspection Report.doc Revised January 7,2008
-10
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: V7/7 -5
Queensbury Building &Code Enforcement Arrive: am/pm Depart: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: /0 ,.
NAME: PERMIT #: / >- /v.)
LOCATION: j i� .,a ,, �1 (c' n INSPECT ON: fi, /i (/(3
TYPE OF STRUCTURE:
_ — Y N NIA
9Plumbing
ou h /Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size V
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 / Residential Check I Commercial Check
Tyvek or Similar Exterior Sealant 2.) )
Proper Vent, Attic Vent
Door/Window Sealed (No Insulatio
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape
COMMENTS:
Rough Plumbing Insulation Repatrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
�o
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: ,Depart: V ` '� :m/pm
fix
742 Bay Rd., Queensbury, NY 12804 Inspector's Initial _Mk)_
�l`
NAME: rt ,/ PERMIT NO.: • b 3i 10
LOCATION: !. ieif INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: (5-404Lam / Cla
Type of Water: Municipal / /Dell er
Waterline separation istanceft.
Well separation distance ft. ,e"%(
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 _ v ft.
Depth of trenches
Size of Stone '?
Seepage Pits: Number
Size:
Stone Size:
PipingSize Type
Building to tank SdAA-
Tank to Distribution Box
Distribution Box to Field / Pit
Opening Sealed: N
End Cap N
Inlet/Outlet Pipes &Baffles N
Manholes 12"or less below grade _Y— N
[provide extension collar if Yes] TY N
Location / Separations
Foundation to tank t ' ft.
Foundation to absorption 2,✓ ft.
Separation of Pits jVi
Conforms as per Plot Plan _ Y
�� `Engineer Report and As-Built Y
ETU Maintenance Contract Y N )
provided
Location of System on Property:
Front Rear Left Side Right Si.- Middle Front Middle Rear
S stem Use Statu .
Appr•v �
P:rtial Approvzo •nd needs to be re-inspected, please call the Building &Codes Office
L:\Pam whiting\2010\Building Codes Forms\Inspection Forms\Sept c Inspection Report_03 29 10.doc
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart:2,1,5-1)
5) am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: y
_ am
NAME: .1,-"--1)1)`)-11\--r).--.Vi PERMIT#: (C )-)
LOCATION: `1 INSPECT ON: / f i ��
1
TYPE OF STRUCTURE:
N NIA 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/ Holes /Bearing Walls
Metal Strapping for Notches Top Plate
1 1/2(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 and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Pa
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 518 inch Type X
Ceiling/wall _
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/ below grade
5.0 sf grade _
L:\Building&Codes Form -OLDU3uilding&CodesUnspection Fom2s\Framing Firestopping Inspection Report.doc Revised January 7,2008
/Y1 v n . 1 --3
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p )
Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: Z �-�
NAME: 2-a txreftkOLL PERMIT#: 6—
LOCATION: '7 I 9.QQ 4 R4 INSPECT ON: y�—a ��3
TYPE OF STRUCTURE: 5(fli
JJ
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
(7.)
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:\Buliding&Codes Forrns\8uilding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
c/,,,---
1
Foundation Inspection Report ('
Office No.(518)761-8256 Datation
lnspec request received: (7 1 1 8 3
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: p
NAME: q, 1-\,t t, S PERMIT#: I – 6_,S'
LOCATION: r " Y i 2c A,> INSPECT ON: L' i
TYPE OF STRUCTURE: f-t':7"
s
Comments
(U --rt i�,a I c i(V\(-4
_J
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site. _
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump V
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
ii7
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
� hc , lb - /al
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: t 3—I d S
LOCATION: '-i / d r a d INSPECT ON: </—!t'— t3
TYPE OF STRUCTURE: J S F 3
Con}mentt
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 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
ii
,46,,v4: r
Foundation Inspec on Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart' 21 am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
v
NAME: 2_4-C,t /e2".eottl PERMIT#: 13 /
LOCATION: 7/ ea�c1 Rd INSPECT ON: �/—�`—/ 3
TYPE OF STRUCTURE: F C / 5
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place The contractor is responsible for12:CJ8 \-> (
providing protection from freezing
for 48 hours following the placement
of the concrete. l_
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report (I--i
Office No.(518)761-8256 Date Inspection request received: 1+113 a0 1 3
Queensbury Building&Code Enforcement Arrive: am/pm Depart:/ pm
0T
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 3_
�
NAME: PERMIT#: 0201 3-143
LOCATION: -7 I -6,016 4-, INSPECT ON: Af/is r}-d i 3
TYPE OF STRUCTURE: 5 (JJ
Comments
N N/A
Footings
Pi
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
•^ • this purpose on site. _
cFo ,+dation/ • •''pour
/.
Reinforce r. t in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofmg
Footing Drain Daylight or g Sump 6--->12_
���
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
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