2013-235 TOWN OF QUEENSBURY
IF.000 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130235 Date Issued: Wednesday, October 09, 2013
This is to certify that work requested to be done as shown by Permit Number P20130235
has been completed.
Location: 32 CAITLIN Dr
Tax Map Number: 523400-301-017-0003-059-000-0000
Owner: KELACO, LLC
Applicant: KELACO, LLC
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
other issues and conditions as a result of approvals by the PlanningBoard
Director of But ing&Code nfo � en
or Zoning Board of Appeals.
0.k4 TOWN OF QUEENSBURY
f742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130235 Application Number: A20130235
Tax Map No: 523400-301-017-0003-059-000-0000
Permission is hereby granted to: KELACO. LLC
For property located at: 32 CAITLIN 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: KELACO,LLC Single Family Dwelling $325,000.00
35 FRONT St Total Value
LAKE GEORGE,NY 12845-0000 $325,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
COLLETTE CONSTRUCTION
38 COLLETTE Ln
HUDSON FALLS.NY 12839-0000
Plans&Specifications
2013-235
1st Fir 1,348; 2nd Fir 1,090 sq ft
$487.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 06,2014
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of ueens ry; „rut—
i :y f,un. 06,2013
f
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
y G�
TAX MAP NO.301, 111 3 JS / _PERMIT NO.___/_.3___' a .36
����.` 101$
FEES: PERMIT ) ) • RECREATION 1 EN INEERING
2) ' (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: . /f74 (. t/z.t, fc, i apj (//OWNER: J � c o
ADDRESS: 3 C� f(e f l P Lnl+ ge1& u ) IIS ADDRESS: J, / cN* s f L• t� "
PHONE NOS. 7 q( /12-o 3 PHONE NOS. (�(g 3".2-/5-/ ?(5`" 5`1
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: j( A) C //P /1 F PHONE: 36's-
LOCATION
t'rLOCATION OF PROPERTY: Calf do' e.).5 3 (�Blit az. (2 uePN s�4, )
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? i "YES 0 NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: ga/ 0
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z 0 Ci U o u
PROJECT OOH C co 0 I—
I
w o "- � u-
0OU
CJ ° CJ
I— F- OH Cwz
Z Q Q "t— Nrn 0 L F— LL asp
' SINGLE FAMILY ✓ 3 r/? 10 4 b �1/3Ar. 3 7 Oc?�✓
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
•
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3) (R� 5'72-
OTHER
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST:63 a S, _ FUEL TYPE: ?/aS
HEAT TYPE: /id- AI& *HOW MANY FIREPLACE(S): / AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? A1()
IS THIS A HISTORIC SITE? 'VD
PROPOSED USE OF BUILDING OR ADDITION: i 1cDPtirin f
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? it) 0
ARE THERE EASEMENTS ON PROPERTY? i,()U
"Please complete a separate Application for"Fuel Burning Appliances&Chimneys' available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above.
Signed
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 & CO ES APPROVAL ZONING APPROVAL
DATE DATE
• QUESTIONS? CALL 761-8256 OR EMAIL
codes(a�queensburv.net
Office Use Only . ' VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.net
Operating Permit Issued: Yes No
TtF6AOccupancy Type: ( 3 Construction Classification: S-1121.1--- --
Assembly
ssembly Occupancy Limit: Special Conditions:
•
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
P1 ,3 - A35 Revised 4/14/2010
Town of Queensbury
Highway Michael F. Travis
Department MAY 2 9 2013 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: c(!)-9(/
Applicant Name: (//e,[to [gNisrQf_,n, wG
Address to be inspected: Lot' /2 [,4'�f-/N OK.
Return Address: 3� 7'7"; /Ai• ifbcPStvv r- /kj/v'
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
U I D. 35 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. 2013
Important Note To Applicant: Rouqh-ln and Final Inspections Are Required:
Owner:: Ca //P Mp C.®g15f sc• Installer/Builder: S'A,ir t'
Address: 3 V c//p % 4.4). //, / Address: 3 S (,/(e Z lit; - 9
Phone Nos.: 3 es- 5$aD. Phone Nos.: S'hm^P
Location of Property: /a CA,f'Lau* p,. Subdivision Name: Pa i l.)fi Ms/-
Location
stLocation of Proposed Construction and/or Installation: Lot / C4.r,/L„v 6 Fr U/opp2 S4 7TWZ
Contact Person for Building & Codes Compliance: 14,t) ,/
Fuel Burning Applicance Wood Coal Pellet Gas Oil
Information
Stove
Fireplace Insert
Fireplace, factory built*
Fireplace, Masonry
Furnace, (Garage Only)
* If Factory Built, Please Provide: Manufacturer Name: /t/'At--,4 7/& Model No. 3 C ? V
Listed By: Number:
Chimney Information BLOCK BRICK STONE
Masonry** Check One✓
TILE STEEL SIZE IN
INCHES
Flue Check One ✓
DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY
VENT LINER
Chimney Material Check One✓
** If Non-Masonry, please provide: Manufacturer Name: Model No.
ADDITIONAL NOTE: CONSTRUCTION / INSTALLATION MUST CONFORM TO NYS FIRE
PREVENTION & BUILDING CODE AND/OR MANUFACTURER REQUIREMENTS. CONSULT
AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
OFFICE USE ONLY 2
TAX MAP NO3(�I .17)"" PERMIT NO./ 3-4)35 PERMIT FEE MAY L' 2013
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.L
OWNER: Co /4/7 ��,��.6I .NC INSTALLER: S,<f tP
ADDRESS: 3 i5' CO/7P //r' Nvl/' 1/f ADDRESS: /
PHONE NOS. 7 y( // )-0 3 (5-' c-2c�- PHONE NOS. 7 f7/( — // 3 6 . 3'2-1-
LOCATION OF INSTALLATION:
RESIDENCE INFORMATION:
YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW
BEDROOMS (Gallons per bedroom) GARBAGE GRINDER
1980 or older X 150 = INSTALLED? AJ c)
1981 -1991 X 130 = SPA OR HOT TUB
1992-present L. X 110 = 4/410 INSTALLED? ti 0
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING 1/ STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND I/ LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? Lb f
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL t/ WELL (If well:water supply from any septic system absorption is: ft)
✓ PERCOLATION TEST: RATE IS I` PER MIINUTE PER INCH[mpij
(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: f -S-O 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:
❑ABSORPTION FIELD (WITH NO.2 STONE) Total length J-0-r> ft. Each trench 3-O X
❑ SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size?
❑ALTERNATIVE SYSTEM Bed or other type?
❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks?
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval
granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant,shall be void.
I have read the regulations with respect to this application and agree
to abide by these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
Sanitary Sewage Disposal Ordinance. codes! uqueensburv.net
$'/1?12 VISIT OUR WEBSITE FOR MORE INFORMATION
Signature of Person Responsible Date www.queensburv.net
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
. Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received:
NAME:
LOCATION: L, c L 1„;—)—)
PERMIT#: ?) I ._ 7 -)
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:
1 .
Craig Brown, Zoning Administrator
Notes: `'fie (OC Troti.)
(x9711 erde1/41--
L:\SueHemingway\Building.Codes.Inspection.FORMS\Finai Survey
Zoning Administrator.doc
a
'�
Queensbury Building & Code Enforcement - Residential Final insj ection
Office No. (518) 761-8256 Arrive: am/pm Depart: 2._ I'j am/pm
Date Inspection request received: Inspector's Initials:
NAME: J 1 1 C .%?t : PERMIT#: I,�j �,�.� `j
LOCATION: , C{Cu'i 10DATE: j a - --;3
TYPE OF STRUCTURE: ` I
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 Vzi
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 ;/i
Interior/Exterior Railings 34 inches to 38 inches Va,„
zr
Deck Bracing/Handicapped Ramp Compliant ✓
Grade away from foundation 6 inches with 10 feet „f>"
6 inch clearance to sill plate ./A
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches /
Bathroom/Kitchen watertight �/�
Safety glazing/Window in stairwells safety glazing
Interior Smoke De#ectors/Carbon Monoxid etectors
Every level: •,/ Every Bedrogrh: ,/ 7
Outside every bedroom rea: ,/ /
Inter Connected: Battery backup: V
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 t/i
Plumbing fixtures ,,�/
F datiaa_insulation to floor/Sticker on Panel 1/
( uct work sealed properly/B, eri'Door Test Certification / �z-- 1.--\ N4(;) -v 'S�YtC'�.K�
Floor truss,draft stopping finished basement 1,000 sq.ft. 1/ � � �n� �
Emergency egress below grade
VL
Gas Furnace shut-off within 30 feet or within line of site ,� \C.)2 v t J\Scf.-igl
Oil Furnace shut-off at entrance to furnace area . /
Furnace/Hot Water Heater operating V
Low water shut-off boiler I/ ``1 '/` A` t�C-'-/E-fz_
Relief Valve(s) installed/Heat Trap/Water Temp 110 1/ Os-,S–X7111.-1 i-KC. �-L
Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum / ,/
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing /3/4 hour fire door I door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50% V 7�---p�-C<Ctt5 1� -2
Final Survey Plot Plan 6
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles 11 6 ,,,-----1,-
.1_ .-,-a. ,.Li�z31'- 1 r i c �'
Flex Gas Pipe Bonding fir/_:_,' , C1, `Ft -L_ Rl\w l
As Built Septic System/Sewer Dept. Inspection Sticker �J
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C I 0[Temporary/Permanent] ,
L:\Building& Codes Forms\Building&Codesllnspection Fomis\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6126/08; Revised 12/22/10, Revised 04/13/11
Queensbury Building & Code Enforcement - Residential Final lns ection
Office No. (518) 761-8256 Arrive: am/pm Depart: 2, t am/pm
Date Inspection request received: Inspector's Initials:
NAME: /- ' 1C:2/ PERMIT#: /L3--c ._� )
LOCATION: ;3 - C.-ei 'i-I-it h DATE: /6-- ••i A
TYPE OF STRUCTURE: S 1:--:
{1
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 VZ/
Platform at all exterior doors
Handrail 4 or more risers 4.7/✓
Guards at stairs,decks, patios more than 30 inches above grade Vz/
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 �j•
Grade away from foundation 6 inches with 10 feet47,
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade vli
Interior privacy/trim I doors/main entrance 36 inches /
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Inteor Smoke Defectors/ arbon Monoxi 6eetectors /
Everylevel: �/ EveryBedrogrh• ✓✓
Outside every bedroom1rea: �/ /
Inter Connected: �J 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 t/;.
Plumbing fixtures ,,�/�'
F�n to floor/Sticker on Panel ,-
uct work sealed propefi7Bigrrei=`Door Test Certification ,�i --------4k-komc--v/ Y�'2'F\-�
Floor truss,draft stopping finished basement 1,000 sq.ft. lar"
Emergency
Emergency egress below grade /
Gas Furnace shut-off within 30 feet or within line of site VM\C)2(- 11ll.S0--Il k
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 Y 7. 'c$-d'3s •7l r�
t3E 17=C
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches V"..:,,
Garage Floor Pitched Y
Garage fireproofing/34 hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50% >`'3s-k-�'ti�
Final Survey Plot Plan �' 2 ,
Arc Fault Breaker Habitable Spaces I Tamper Proof Receptaclesz. �. c7�3F c�v IN-e0- s3�1i'�'f
Flex Gas Pipe Bonding t3 1F-t) S _
As Built Septic System/Sewer Dept. Inspection Sticker V01
/
Site Plan /Variance required V
Flood Plain Certification, if required
Okay to issue C/C or C/0 j Temporary/Permanent]
L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22110, Revised 04/13/11
RX Date/Time 1010812013 14:09 P.001
2013-10-08 02:27 VISION Engineering 1 » 5187454437 P 1/1
-VISION Engineering CIVIL •STRUCTURAL • MUNICIPAL • ENVIRONMENTAL
(?) I 3- 63 5
October 8, 2013
Building &Codes Department
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
RE: Collette Construction
Caitlin Drive— Lot 32
VISION Engineering previously designed the Pointe West Subdivision which included individual
household onsite septic systems installed at the above locations and/or lots. This letter shall serve as
certification that, upon information obtained from inspections and/or the Contractor portions of work
designed by our office appear to have been installed in general conformance with the approved plans
and specifications.
Thank you and please do not hesitate to contact me if you have any questions or require additional
information.
Respectf Ily,
D nie'W. Ryan, P.E.
VIDf
d N Engineering, LLC
Post-its Fax Note 7671 rDate . x ofo
1
-o s From �� p9�s
"Eo./Dept 765 Co-
Thoma -F371( 3 1/
rax u—Ts14-q-3 f;'.#
16 Pearl Street•Suite 200•Glens Falls,NY•12801 •P;518.792.9264•F:518.792.9282
www.vislonengineering.org
-V/td ty- )0 l
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pmDeeppart: /0 :1 c am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: k ?,eel`s.; PERMIT NO.: / '3 I. 3 5
LOCATION: ,: Ca i--\' r1 INSPECT ON: ?•-, 7-j 3
RECHECK:
/' 1 Comments and/or diagram
Soil Ty& .,Loam / Clay
Type of Water: Well WaterWaterration distance
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + / - Y N/A p -:-v.aQE- C4i )-C " Z.
[150'to well required if NO]
c - - t
Absorption Field: Total length 'ICC ft.
...._.----
Length of each trench --`\-"- ft.
Depth of trenches -2.._ ft.
Size of Stone "Z.,,
Seepage Pits: Number
Size:
Stone Size:
Piping Size Type
Building to tank f3 a biN-ISF->
Tank to Distribution Box Lk\
Distribution Box to Field/ Pith Fi„-�'�,�
Opening Sealed: //_N
End Cap ✓Y N
Inlet/Outlet Pipes&Baffles s./(_N
Manholes 12"or less below grade _Y_ N
[provide extension collar if Yes] _TY N "'
.\\\\,4
Location/ Separations _
Foundation to tank l C) ft. �'OcI
Foundation to absorption 4, ft.
r ji
Separation of Pits 1CJliN-1
Conforms as per Plot Plan _Y �/� `
Engineer Report and As-Built —Y ✓ N
ETU Maintenance Contract _Y_ Nt .co
provided
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System Use Statu :
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report_03 29 10.doc
pp <—'
= Town of Queensbury Fire Marshal
y j'===—: 742 Bay Road
Queensbury,NY 12804
__`. } 761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/ Stove Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or((specifications is allowed.
Permit# 13 235 Schedule Inspection G✓l ���
p �_� -Time a pm anytime Inspector 6-S
Name ( 44 15/ • AddressO,[ (1 1/1/Y) Ji i`�- Rough Int Final_
/r
Appliance Manufacturer ,r; Model# i �/ 3 4/5--:rIJ
r
Direct Vent/ Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection X
Clearances to Combustibles (all sides)
zr
Firestop(s) Vertical Chase
Wall Penetration
//Y.
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
1Z
penet►ation;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel _/! M ri- M4// f /2
Height above f/p opening
6-1o4/2410/Z-,5 /''I 141li �.
Witness Operation
Tank Placement (if LP)
)( .
CO Detection
. X .
CSST Bonding
/X .
White—Building Dept. Yellow—Customer Pink—Fire Marshal
()lv n a9'
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: 2 ' y am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: i___
J ' J
NAME: 1 F- 1 aLo PERMIT #: % 3--a 3
LOCATION: 3 INSPECT ON: g i -13
TYPE OF STRUCTURE: S
Y N NIA
Rough Plumbing I 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 I Residential Check I Commercial Check
Tyvek or Similar Exterior Sealant /'
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces _ -
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS: f-kuM- WA-5 Wiz-t: 4)iI 4) �--�2 444" �-`"1 5
�- S-6 &- "" •�
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
A{'A -E.=' -oi z
Rough Plumbing / Insulation Inspectio Report /
Office No. (518) 761-8256 Date Inspection request received: ' i 3
Queensbury Building & Code Enforcement Arrive: am/pmDepart: , =m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: eilkA) ' `i
NAME: -{e.[-a-r 0PERMIT #: / 3 3
LOCATION: -3 a 1/ ---7---
INSPECT ON: /2/,9--e- /3
LI.. (4_,.-1-LiA,_ 0,,-,. 1/tiedAtes eilu_,
TYPE OF STRUCTURE: �0
Y N NIA j
Row h Plumb". : Nail Plates
Plumbing Vent/Vents in Place VA
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout eve 100 feet/chane a 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 1 Window Sealed (No Insulation)
Duct I Hot Water Piping Insulation --�
If required unheated spaces
Combustion Air Supply for Furnace
IL j( /
IL
uct work sealed properly/ No duct tape
vt,Rk-s-c-c7vp-rAQ-co t
COMMENTS:
kK)%te. d Kt-0 -7-- \A(.--r2.-\- -7 5
ki .>--7. /t„,vS ---.
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection r uest received:
Queensbury Building & Code Enforcement Arrive: '2' am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Ini s:
NAME: e jatPERMIT#: 13.— 35"
LOCATION: o� INSPECT ON:
TYPE OF STRUCTURE: .9 r f
N N/A COMMENTS:
Framing
Attic Access 22" x 20" minimum tot
Jack Studs /Headers
Truss Specification Provided V
Bracing /Bridging V/
Joist hangers /
Jack Posts/Main Beams V
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
Firestopping olJ
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
Framing / Firestopping Inspection Report cr - ll
Office No. (518) 761-8256 Date Inspectio est received: 2' 3
Queensbury Building & Code Enforcement Arrive: ) \ t am/pm
742 Bay Road, Queensbury, NY 12804 Inspectol s Initials:
NAME: Cot IeT�� Cal S-Irvaf"'"-- PERMIT#: !Z�S
LOCATION: 2- C(YL t `n i>r, INSPECT ON: t 3
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 i
ans water shield 24 inches from wall ` �i �2t`��EM+ 1� '
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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: /ID
Queensbury Building & Code Enforcement Arrive: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials
NAME: PERMIT#: / 3 - 35
LOCATION: + I rill INSPECT ON: 7- A(e -1,3
TYPE OF STRUCTURE: •_"3 -F0
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
Ice ans water shield 24 inches from wall M
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min. Tj <<
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
LLD
Framing / Firestopping Inspection Report �3 ?�
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: �‘-c am/p
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:(1�1
NAME: e 1 L0-z) PERMIT#: /3- a.3 J
LOCATION: 3c), CQJ J 1'\ INSPECT ON: (I'12
TYPE OF STRUCTURE: S F b
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 (-7 0'_� —
Ice ans water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping .1,,_
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
IN\c4tis-1 ;
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: f Z
NAME: }'<°-dta 8PERMIT#: - - .35
LOCATION: 3 .t k (^ INSPECT ON: • 4E1
TYPE OF STRUCTURE: g A .4
Comments
C1\) N N/A 0 e
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: 2
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: /
11,S
NAME: r 1 o (CMCJ j7 PERMIT#: J
f
LOCATION: ;' C ; \mac_ INSPECT ON: /
1)2
TYPE OF STRUCTURE: i 'F J to
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 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
' : _ U der Slab -t„ `N
re 41 r
P C/ as/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
n n c c-/A I-'3
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: Depart: 2 '„am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Inti :
)1)
NAME: }'‹Cc.,I Ce,c`_r; PERMIT#: f 3.v A 3 5
LOCATION: -2 A t'✓1 INSPECT ON: (c _ <f-/3
TYPE OF STRUCTURE:
Comment t
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
A\ cd16.1
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: - 4,
NAME: s 'r 1 T e.- `3 I (?) rPERMIT#: f a 5 1
LOCATION: /' 7 1-(Cit,,1 910 INSPECT ON: �,--.�y•-13
TYPE OF STRUCTURE: Pte;r
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
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•\Buiiding&Codes Forms\BuIIding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report Lit)c,Ane&c,16:- ,)//)--/a
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Departy 1` -a /pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: ?l• 6 PERMIT#: 13 3 j
LOCATION: 3 . (i c-.4.c 4' I INSPECT ON: 1P -) q--1.3
TYPE OF STRUCTURE: 3 p-it
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
FootingDowels or K
Byway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone: Yf�
12 inch width
6 inches above footing
6 mil poly for wet areas under slab cZ �
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\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
13/
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