2013-350 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: P20130350 Date Issued: Wednesday, January 08, 2014
This is to certify that work requested to be done as shown by Permit Number P20130350
has been completed.
Location: 15 MARTELL Rd
Tax Map Number: 523400-290-014-0001-016-000-0000
Owner: DAVID & DIANE HOWARD
Applicant:
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 �J
owner of the responsibility for compliance with Site Plan,Variance, or GGGccc✓✓✓c��� V ;St
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)761-82.56
BUILDING PERMIT
Permit Number: P20130350 Application Number: A20130350
Tax Map No: 523400-290-014-0001-016-000-0000
Permission is hereby granted to:
For property located at. 15 MARTELL 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: DAVID& DIANE HOWARD Single Family Dwelling $70,000.00
470 WEST MT. Rd Total Value
QUEENSBURY,NY 12804 $70,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
DAVID A&DIANE M. HOWARD CONST
518-361-0714 OR 361-3243
470 W WEST MOUNTAIN Rd
OUEENSBURY NY 12804-0000
Plans&Specifications
2013-350
SFD 1st FIr 500 sf; 2nd Fir 500 sf; Other storage 597 sf
Garage 441 sf
$465.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 09,2014
(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 To f Qu nsbu A Felt'.y.":. .st 09,2013
SIGNED BY V \ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ra Town of Queensbury Building & Codes �1
Received: /'.30 13 0A
PRINCIPAL STRUCTURE APPLICATION Tax Map ID: `2610 , f –f /t p
Permit No.: /3 -,3 5 0
A permit must be obtained before beginning construction
Permit Fee: $ '9uJ$ y D
oo
Please read: 'TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling 'Rec Fee: $ �` SO,
units, including single-family dwellings,duplexes or two-family dwellings, multiple family Site Plan No.:
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.:
homes,but not including mobile homes. This is in addition to the permit fee.
Date t / p 3 Applicant Ara.A• 3oaoarL, __-ic,
Tax Map ID 1.4 i. ASA d —Y C Address ' o G., s/ o
Zoning ,
Phone I E-mail 528---36/:B7J4 e y f/-32 513
Property Owner -.Cc,,, s Ref L,•'cs„ / Contractor/Agent
Address Address
Phone/E-mail Phone/E-mail
Building Street Address:\ X/5T\ // Ko at
Subdivision Name: — Historic Site: YesNo
Estimated cost of construction: $ '7Q OPG
77j kvi. /t
Type of Construction: 5
Check all that apply Please indicate measurements as required below:
c
o G
m v d 1st Floor 2nd Floor Other Total Height
z a a .
Single Family 50 0 5 9 7 /r17 / r
Two-Family v J
Multi-Family(#of -
units )
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garages(# a,) Y
L/4/ / /
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Q
If commercial or industrial indicate name of business
Proposed use of building or addition
Sourceof heat(circle one) Gas Oil •ropan- Solar Other
Fireplace-complete a separate application for'Fuel Burning Appliances&Chimneys' _Yes "No
Are there structures not shown on plot plan? w
Are their easements on the property? NQ \ •
t
Site Information
a. Dimensions or acreage of lot /..7 Sa c rc f
b. Is this a comer lot? NG
c. Will the grade be changed as a result of construction: _Yes
d. Public water or Private well , A'Leo k tat //
e. Sewer or Private Septic System �.`
-51:la
-
Value of all work to be performed(labor and materials) $ -70j 00o
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. I certify that the application, plans,and supporting materials are a true and complete statement/description of the
work proposed,that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and
in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a
certificate of occupancy. I also understand that 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. -
t
I have read and -< -e to : e above.
Signed Var Date: c e
FOR OFFICE USE ONLY:
Operating Permit Issued: _Yes _No
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
1 `
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Town of Queensbury Building & Codes Office Use Only
SEPTIC DISPOSAL SYSTEM PERMIT APPLICATION Received:
Tax Map ID:
A permit must be obtained before beginning construction Permit No.: /3 -3 c_1?)
/{ Permit Fee: $
Date (/g /
Applicant
Applicant .C, as ci //v/4.r/ Installer/Builder D 0011 az
Address / Address '7e a. d �/n „1 Qw/,6 7,
s rl� A 6 �.
Phone // Phone fj.840—o7/y/ 3 (% —S L7 3
Owner C X71 Location of Installation ren 1 a C
Address
Phone •
Residence Information:
Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow
1980 or older x 150 = Garbage Grinder installed?
1981-1991 x 130 = Spa or Hot Tub Installed?
1992—Present 3 x 110 =330
Parcel Information:
Topography ✓ Flat Rolling _Steep Slope %Slope
Soil Nature _Sand Loam _Clay _Other
Groundwater At what depth? -
Bedrock/Impervious Material At what depth?
Domestic Water Supply Municipal ✓ Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Rate- per minute per inch(Test to be completed by a licensed professional engineer or architect)
Proposed System for New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect '
(unless installed in a Planning Board approved subdivision).
Tank size PP 0 gallon(minimum size 1,000 gallons),add 250 gallons to size of septic tank for each garbage grinder,spa or whirlpool tub
System Type: Absorption Field(with#2 stone) Total length 200 ft. Each trench 7 X 377'
Seepage Pit(S)(with#3 s o • .ow many? Size?
Alternative System • Bed or other •
Holding Tank System Total required capacity? - #of tanks?_
NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified Electrical form on
Town website;2)Effective as of March 23,2006 Septic System-As Built Plot Plan: The Building Department will no longer allow systems to be covered until
such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed system must match the septic system layout on file.
There will be no exceptions.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based
upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,
shall be void.
✓I have read the regul s with respect to �v.'.pplication and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage
Disposal Ordinance /
Signature: /v/6/ Date: 67/tj
Town of Queensbury Building& ..es Principal Structure Packet 518-761-8256
i
Town of Queensbury Highway Department nj PI 3-35 b
DRIVEWAY PERMIT
Michael F. Travis, Highway Superintendent Thomas R. Van Ness, Deputy Superintendent
Home: (518) 798-0413 Home: (518)745-0929
Office Phone: (518)761-8211 Office: (518)761-8211
Fax: (518)745-4466
Building Permit#:
Date: „ Si
Tax Map ID:
Applicant Name: . . , , i7/'/,41i -3293
Address to be inspected: / t
Return Address: 1/79 f.-3/ 4'
ee
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 Highway 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 Building&Codes Prindpal Structure Packet 518-761-8256
07 -Yr--
Queensbury Building & Code Enforcement - Residential Final Inspection
ffice No. (518)761-8256 / / / Arrive: am/pm - .impart: L- `Vam/pm
Date Inspection uest received: //74.9/1/ Inspector's Initials: (`l"`-� l r
NAME: LCI t PERMIT#: /,2t9/3-3`2a
LOCATION: / pit .,,t AL-- DATE: //7A-o/�
TYPE OF STRUCTURE:
Comments: 77/a.
Yes No N/A
4° Building Number Address visible from road
Chimney Height/13°Vent/Direct Vent Location 4 2 C �S
Fresh Air Intake
V/r 11 6
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 I Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
tNttr—f2 NZjR- 3
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/him/doors/main entrance 36 inches ! L [ i
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety gl ng
Interior Smoke Dgt€dors/Carbon Mpnox etectors
vary level: /i Eve - roan: ddd_ /
Outside every bedroom �/ l/
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area CycL \ `A
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window a CLYF
Plumbing fixtures °G
Foundation insulation to floor/Sticker on Panel iwczatiQ CIC
,�
Ductowork,sealed raftproperly ni Blower Duser Test Certification -T.Y�'T w`— h ^
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within tine of site
<---------
Oil
Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 W` , �- t ,� w�i l
Enclosed Stairs Sheetrock Underside minimum 14"Gypsum f✓y �`
Basement stairs dosed rise>4 inches e
Garage Floor Pitched \--k:5155,1^-,
4
Garage fireproofing/%hour fire door/door closer I I S
Gas Logs in Sealed or Glass Enclosure
Final Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces I Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required /
Flood Plain Certification, if required ✓
Okay to issue C/C or C/0[Temporary/Permanent]
L:1Building&Codes Forms'Building&Codes\lnspecfion Forms Resldential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: 411A______
NAME: „ i„ie sib
LOCATION: At qc
PERMIT f: 2‘...51________a:2513___
Final Survey Plot Plan
A' 'roved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
surve has been:
Craig Brown, Zoning Administrator
Notes:
I.:ISueHemmgway\Building.Codes Inspection.FORMSTinal Survey
Zoning Administrator.doc
\ Timothy E. Seelye
& Debora A. Seelye
L. 675 P. 216 l
�
w� S85 45'58"E
iIP 375.00'
Lands n/f
Thomas P. Barbaro
& "Deborah L. Barbaro`
+
L. 3342 P. 265
CO
`W
69.7• '
-1
ql
233.5'.
i
Xv
0 04
IRF I� S 3.Alto
�
/� f''�
1. Y S .L.O/L� steps
decks{
fill 0
1
Lands n/f
Judith Freiberger
L. 722 P. 155
,67.5'
�1 67.5'
y
N8S'g5'S8'W
375.00'
f
i
Lards n/f
Carol S. Veysey ®wen 1
L. 726 P 180
r
i
t
7-� CERTIFICATION..
L•
E GI1 V TL II. HEREBY CERTIFY TO:
1) DAVID HOWARD
O IRF. IRON. ROD FOUND THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD
o IPF IRON PIPE FOUND SURVEY COMPLETED UNDER MY DIRECT SUPERVISION, n
o IRS IRON ROD SET THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE GI
UTILITY POLE VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND
coon STONE WALL ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR 20 0 10
SUBSEQUENT OWNER , OTHER THAN AS MAY BE OR EXPRESSLY
— x — WIRE FENCE
— o — CHAIN LINK FENCE STATED
o WOOD FENCE
U POINT
F.P. FENCE POST RUSSELL E. HOWARD NYSPLS# 050540
—ohw— OVERHEAD WIRES DATE: 12/03/13
n/f NOW OR FORMERLY
c
T eensbury Building &Code Enforcement J n(lam yQ at,J --(/Office No. (518) 761-8256 00
(Seiltruko
Septic Inspection Report
Inspection request received:
Name: V OLtYEA 4-1-ett3Pait 4 Inspected on: /c --St/3
Location: /S A2 eat 9 l Arrive: a.m./p.m.
Permit No.: / 3-262) Inspector's Initials:
S Comments and/or diagram
Soil Type: a / /Clay
Type of Water: Municipal/Ca
Waterline
r r . -
Waterline separation distance ft.
Well separation distance ft_
Other wells ft.
Well Casing Length 50'+/- _Y N N/A
[150'to well required if NO]
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches /$':2p`{p
Size of Stone --Z 1
Seepage Pits: Number
Size-
Stone
izePirStone Size.
Piping Size Type
Building to tank /� ft z�� ------------is_ �
Tank to Distribution Box �ln sAyz_ 3.5- R
Distribution Box to Field I Pd cr — 1)47��Zj
Opening Sealed: N
2f)r
End Cap y_N ]
Inlet/Outlet Pipes&Bathes NNS `®
/Y,��J eft
Manholes 12"or less below grade _Y /✓ 1
[provide extension collar if Yes] Y /\ N
Location I Separations (r.
Foundation to tank f .
Foundation to absorption -7...d t ft.
Separation of Pits pT}j r -�
Conforms as per Plot Plan i Y/ _N- /
Engineer Report and As-Built _Y.4 "
ETU Maintenance Contract provided _Y__N f' Wv t _'a , R t
Locati f Syst on Property: h V
Fron Rear Left Side Right Side Middle Front Middle Rear
S stem Use Statu .
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Septic Inspection Report
Rough Plumbing ! Insulation Inspection Repor
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/p Depart:-2,r am/pm-
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: C .1-4- ,.,,,4 PERMIT#: / 3-352
LOCATION: /s< Matid-esi INSPECT ON: ll-!y r3
TYPE OF STRUCTURE: S F pr
Y N N/A ""
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 34 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation /Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008
eel nyJL
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: amepart am/pm
742 Bay Rd., Queensbury, NY 12804 Inspectors Initials: /
NAME: 1JQ.(1114 tSkd PERMIT NO.: / 3 - 351)
LOCATION: i71 craztc J INSPECT ON: /!-/ .3 13
RECHECK:
Comments and/or diagram
Soil Type: Sand/ Loam/Clay
Type of W nsal/Well Water
Waterline
e separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50'+/- _Y_N_N/A
[150'to well required if NO]
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number V��c `��`PV�
Size:
Stone Size: " ..C_0 h \{3/
Piping Size Type `,, f, .t , _ rr 4
Building to tank ALQ \Aft-1-4,—
Building
to Distribution Box �'����7"V ` "
Distribution Box to Field/ Pit
Opening Sealed: _Y_N
End Cap _YN
Inlet/Outlet Pipes&Baffles Y_N
Manholes 12"or less below grade _Y_N
[provide extension collar if Yes] Y N
Location/ Separations
Foundation to tank >< 1 ft.
Foundation to absorption _ ft.
Separation of Pits ft.
Conforms as per Plot Plan _Y N
Engineer Report and As-Built _Y_ N
ETU Maintenance Contract _Y N
provided
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System Use Status.
CP rtia nd needs to be re-inspected, please call the Building &Codes Office
• Disapproved
L•\Pam Whiting\2010\Brrilding Codes FormsUnspection Forms\septic Inspection Report_03 29 10.doc
Rough Plumbing / Insulation Inspection Report
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: etc-) 6 s LC)
NAME: Da ti i d, feu) rcL PERMIT #:#:: - 3 SD
LOCATION: /5 A/1INSPECT ON: r► . 0
TYPE OF STRUCTURE: a F
a 4Ry,i>
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 3 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
0 /Head
5
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
Rg-COMMENTS: ! � y
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Town of Queensbury Fire Marshal
742 Bay Road
� � Queensbury,NY 12804
7614205/761-8206
fax 745-4437
Factors,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# 2 Schedule Inspection.3�� pection ✓rCL 22>i1 3 Time t I IC C •m C .pm anytime Inapectord-ILCO
Name 1 L ---)Stn0 Address I 5– PAJ\tn b Lt 2S) Rough In k Final_
Appliance Manufacturer Model#47)(.00 \-VniRM
Direct Vent Factory Built Chimney Flue Size Double Wall_ Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase_ J
Wall Penetration f c04,ft `X L_/.v „z ► ^ —
Vent Clearances to Combustibles ,7l��-Cl�
Vent/Chimney Termination �� c2;vim A '/
Chimney height must be 3 feet above roof
penetration;c2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
White-Building Dept. Yellow-Customer Pink-Fire Marshal
?i►.ceest 1- 3
Rough Plumbing / Insulation Inspection Repdrt
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/p Depart: 4111r am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials.
NAME: 47 vu)arc( PERMIT #: /3.---7 Si
LOCATION: / 5 (ta - oil Rd INSPECT ON: r 6 - as-/.3
TYPE OF STRUCTURE: S f i3
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Ytnsulation-/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent,Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
F JO /A
Rough Plumbing / Insulation Inspection RRportO
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: :7r> am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: p ( inutikti PERMIT #: 3 - 3 a
LOCATION: / [fl ai d Rd INSPECT ON:
TYPE OF STRUCTURE: -S F 1 ,
Y N N/A 'op/ ►.1atriai
Rough
PluminPlumbing t / ail PlatesPlC,
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
IInsulation?Residential Check/Commercial Check 3C` rQ-71PV
Tyvek or Similar Exterior Sealant !
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation) p� 3CA—3 2(3
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
M‘5517.3-6,- §-34,471.7-5 >a - caci2A-okit
COMMENTS: _
1 K{`Scrl 013 Ott, j fly to `= G-.s1/4-2,ot1A/D
2l I 1 -o, A- 2M StkfnnC-4) ( irc-'1--C .L'C)
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Cf g -(a
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins ection Jequest received:
Oueensbury Building & Code Enforcement Arrive: LP am/pm
742 Bay Road, Queensbury, NY 12804 Inspector' Initials:
NAME: +f a LL)ctr d- PERMIT#: /35350
LOCATION: 19 (N(Z Q INSPECT ON: / D –
TYPE OF STRUCTURE: s i—frb
_ Y / N N/A COMMENTS:
Framing' z y�
Attic Access 22" x 20" minimum
Jack Studs/Headers V
Truss Specification Provided ✓
Bracing /Bridging ✓
Joist hangers
Jack Posts / Main Beams
Exterior sheeting nailed properly
12" 0.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 ,r
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 Fireslopping inspection_Revised_02 05 13
Rough Plumbing / Insulation Inspection Report /
Office No. (518) 761-8256 Date Inspectisaoguest received: (b/-311
Queensbury Building & Code Enforcement Arrive:�: am/pm
742 Bay Road, Dueensbury, NY 12804 Inspector's Initials-
NAME: 140>A PERMIT#: ---'" 13-35—6
LOCATION: l S M . -Q L. AaN INSPECT ON: U M
TYPE OF STRUCTURE: .y
Y N N/A
Plumbing under slab
+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 /VVent
Air/Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping = —
Air/Head
50 P.S.I. for for 15 minutes G�
Insulation /Residential Check/Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumhing_Insulation Inspection_02 0513
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: / i,z-,_�am/pm
/1 / ��J
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: ( PERMIT#: / 3-3 SD
LOCATION: / [ p_0 RGf INSPECT ON:
TYPE OF STRUCTURE: g rb
Comments
Footings �N/A bet,X cal Q c�
Diets: v__I
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:\BulldIng&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
Wed Aesdckoit)-I/
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspec_tio quest received:
Queensbury Building & Code Enforcement Arrive: II .t am/pm
742 Bay Road, Queensbury, NY 12804 Inspectdr Initials:
� x1.
ourct PERMIT
NAME: / 3' 3TO
_
LOCATION: / S hI a kel/Ra INSPECT ON: ` 1F13
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
4 Icela-ns,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 05 13
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart yam/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:/1
NAME: !{J TTJL� PERMIT#: / 3 - 60
6D
t�
LOCATION: / t )t n1 Pa INSPECT ON: 4:3 t22-. cz)
TYPE OF STRUCTURE: a F a l /
Comments
Y N N/A
Footings
Piers -
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
.72)
for 48 hours following the placement
of the concrete.
Materials for this purpose on site. •
Foundation I Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg Y
Foundation Waterproofing
cA-1Z-1/6e- 1 VnCFooting Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
fl !kfillrApproval
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 Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
onekaG ‘0- IX
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p i i Depart �m/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: : . J SCJ
NAME: /-Ja W Q rcl PERMIT#: / 3-3 SO
LOCATION: j E M a..r-1-ck I Fiat' INSPECT ON: 1-/a-i 3
TYPE OF STRUCTURE: S i- Q
Comments
N N/A
cFootings
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
Footing Dowels or Keyway in place i✓ 5 -
Foundation Dampproofng
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\Inspectfon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM