2014-247 TOWN OF QUEENSBURY
WOW742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140247 Date Issued: Friday, December 12, 2014
This is to certify that work requested to be done as shown by Permit Number P20140247
has been completed.
Location: 495 LUZERNE Rd
Tax Map Number: 523400-308-010-0002-008-000-0000
Owner: DAVID HOWARD
Applicant: DAVID W HOWARD
This structure may be occupied as a:
Garage - 2 Cars Attached By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property 4
owner of the responsibility for compliance with Site Plan, Variance, or (72
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
0./k TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140247 Application Number: A20140247
Tax Map No: 523400-308-010-0002-008-000-0000
Permission is hereby granted to: DAVID W HOWARD
For property located at: 495 LUZERNE 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: IVAN & CYNTHIA BELL
495 LUZERNE Rd Garage-2 Cars Attached
QUEENSBURY,NY 12804 Single Family Dwelling $150,000.00
Q Total Value $150,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2014-247 Construction of SFD 1,485 sq ft w/2-car Garage attached 557 sq ft
DDDJ Enterprises per Deed Dated: April 28, 2014 confirmed with Warren County Real Property Office
[Application filed by Ethan Hall incorrectly listed construction company - Owner& applicant should be
David W. Howard per SH's phone call with David W. Howard on 7/11/14 at 11:35 am]
$297.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,July 11,2015
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Friday,July 11, 2014
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
r.:. :"-A-v7,010
OFFICE USE ONLY '
0 2,ib 1
TAX MAP NO. ��`--�-�� 'ERMIT NO. / �� � % � l� �T �•'�"" ' i�-
FEES: P IT 3�G5✓'EC4.-y,�r ON C1 i4, ENGINEERING ' 1) lit I�- :LS
/t,beri 1 i (If applicable) �+ c `U 1-7- ;�
PRINCIPAL STRUCTUR' • APPLICATION FOR ZONING APP VAL & BUILDING'
PERMIT et,n_1 t, 1
-- c
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: I2PI7 fizi s OWNER: Yfl 4.5 APP.
410 WelJr rnothor ri
ADDRESS: ADDRESS:
PHONE NOS. 6116- 3(o1 -. 0/14. PHONE NOS.
eno.ti log-
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE:_______________PHONE: CJi8 4 o t 1D j
LOCATION OF PROPERTY: 4jUA`'L_sGNM Fo,640t a1 1543(,10-(
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES Er-NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR Z O Ci C3 W LL
PROJECT � w 0 � O F: O~ =
U 'nn''
z < < ‘- w (-4 co 0 u_ 1- LL. CL 1 cti (039 12
SINGLE FAMILY ` 'r
t 1� 1,A0 23
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL / 55 14) V
ATTACHED -/ C) W � 3' �.l
GARAGE(1 03) YYY 2
OTHER
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL— NAME OF BUSINESS: 4/t&
ESTIMATED CONSTRUCTION COST: t leo FUEL TYPE:
HEAT TYPE: . NIL *HOW MANY FIREPLACE(S): A/A AND/OR WOODSTOVES(S): t/,64
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? l`
IS THIS A HISTORIC SITE? 14)
PROPOSED USE OF BUILDING OR ADDITION: 614611 1141111 (....`( 1G1
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? 140
ARE THERE EASEMENTS ON PROPERTY?
*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 id a to e above. �/,,�,,
Signe ')d� � , 1Q ¢ * G /dr✓T
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)
•
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
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 1 CALL 761-8256 OR EMAIL
codes(c�queensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
Operating Permit Issued: Yes No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
OFFICE USE ONLY �} i..
TAX MAP NO.3 K.1b-a-s PERMIT NO. 11 ---of: ' (ERMIT FEE
Lit_iN1 72014 �)
APPROVALS: ZONING TOWN CLERK _ _ __
TOW�� Vr Lrc-N BURY
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMI :_ auli_DING ? Cnnpc,
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCEr� �OFA�A VALID PERMIT.
yaaw�
OWNER: J INSTALLER: I�/ >6 OP,
ADDRESS: 0 E'&r M114- 174:464° ADDRESS:
PHONE NOS. Ste)—SW. 6114 �,�PPHONE NOS.
LOCATION OF INSTALLATION: ARS Ut ilk o °, SLAW.
RESIDENCE INFORMATION:
YEAR BUILT
NO. X COMPUTATION = TOTAL DAILY FLOW
BEDROOMS (Gallons per bedroom) GARBAGE GRIN R
1980 or older X 150 = INSTALLED?
1981 -1991 X 130 = SPA OR HOT TUU
1992-present ¢1 X 110 = 350 INSTALLED?
PARCEL INFORMATION: /
✓ TOPOGRAPHY: FLAT ROLLING V STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND I/LILOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? EiNGOU & 14
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? 14Cfr we...14*mo Q 14%-' 8bam� (Awe.
I DOMESTIC WATER SUPLY: MUNICIPAL V WELL (If well:water supply from any septic system absorption is: ft)
I PERCOLATION TEST: RATE IS t. 3Q PER MIINUTE PER INCH(mpi]
(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: OOP 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 TYI�: G` n
ABSORPTION FIELD(WITH NO.2 STONE) Total length let) ft. Each trench � X 4
❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size?
0 ALTERNATIVE SYSTEM Bed or other type?
0 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
ryiii a.,' b '.-=1 Ordinance. codesna queensbury.net
i
:, ��/ �d1 �� 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
-''hkif 1-3
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: .....,am/ m D art •`IJ am/pm
Date Inspection request received: Inspector's Initials:
NAME: 1441061.rd PERMIT#: ) .44',==)<11)
LOCATION: 9kGt 2 Q.f'R Q DATE: /,)-11.--/ q
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 V/
Platform at all exterior doors ✓`V/
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 '..� \/'� U—WC-'TL �
6 inch clearance to sill plate ✓
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors I main entrance 36 inches f
Bathroom/Kitchen watertight :7
Safety glazing/Window in stairwells safety gla ing
Interior Smoke Det ors/Carbon MonoxideAetectors
Every level: Every Bedroom: ✓✓ /
Outside every bedroom lea: ✓ /
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 V
Plumbing fixtures
Foundation insulation to floor Sticker on Panel V _. (A--q2--f,G1 -L.C."---1)
Duct work sealed properly/Blower Door Test Certification
Floor truss, draft stopping finished basement 1,000 sq.ft. / V"
Emergency egress below grade / ti/
Gas Furnace shut-off within 30 feet or within line of site �/ /
Oil Furnace shut-off at entrance to furnace area d -0,Ql� cl `-S
Furnace/Hot Water Heater operating � �� ;�� 1
Low water shut-off boiler .3\z �
�
Relief Valve(s)installed/Heat Trap/Water Temp 110 If ,Va r ?-- -
Enclosed Stairs Sheetrock Underside minimum%"Gypsum v
Basement stairs closed rise>4 inches /...„..
Garage Floor Pitched V,,,,-
Garage
/Garage fireproofing/'/,hour fire door/door closer k/ /
Gas Logs in Sealed or Glass Enclosure / j/
Final Electrical; Energy Saving Light Bulbs 50% ,t/
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Bonding
s uilt Septic ystem/Sewer Dept. Inspection Sticker V � --' > � ---
Site Plan /Variance required
Flood Plain Certification, if required
04 Okay to issue C/C or C/0[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codes\Inspection Forms\Residential 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:
-\--)
NAME: (-- 0—C4 774\4?
LOCATION: Liar J 2 -r7J `/`_ "`_'/
PERMIT#: 14 ~
Final Survey Plot Plan
Ap.LIDN1. Denied
The attached final
survey has been
received by the /
Dept. of !/
Community
Development.
Upon review the
survey has been:
Craig Bro n, Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.1nspection.f ORMS\Final Survey
Zoning Administrator.doc
Y
IPF
C
SITE LOCATION MAP
v
-, es'e s .miff J�� ylJ • _ ..
IRF
oho A %
r`
A
Lands n/f
& Peter Allen Mosher
L. 1405 P. 037
vpa -u K.81 ylrszlv(;A
1) WILLIAM WELCH AND JOANNE G. WELCH TO IVAN BELL AND CYNTHIA BELL,
FILED IN THE OFFICE OF THE WARREN COUNTY CLERK IN 800K 679 AT
PAGE 159, DATED JANUARY 15, 1986.
IN
47.0' /
04.0
pw� `
y C!
C..
- i i jj jjj//,ij%%�� / ,./j�i/i sa s•
o
N
i ..
Z 55.0 /�/.
/ �/
_ § dela
N j
$ i
a
O 1
H O
111 _-'j_
ail
MAP REFERENCE.
-- - T
- -EElITD
o IRF
IRON ROD FOUND
o IPF
IRON PIPE FOUND
o IRS
IRON ROD SET
"L
UTILITY POLE
ocxoo
STONE WALL
— x —
WIRE FENCE
— o —CHAIN
LINK FENCE
—0-
WOOD FENCE
C
POINT
.;
Laz7ldsn/f
F.P.
FENCE POST
—ohw—
OVERHEAD WIRES
Nicholas'J.
n/f
NOW OR FORMERLY
V
HYDRANT
c ( & Katherine'A.
pd
GAS METER
\\
WATER SHUT OFF
47.0' /
04.0
pw� `
y C!
C..
- i i jj jjj//,ij%%�� / ,./j�i/i sa s•
o
N
i ..
Z 55.0 /�/.
/ �/
_ § dela
N j
$ i
a
O 1
H O
111 _-'j_
ail
MAP REFERENCE.
Lands -.If J.
zW
'MAP
J. Scott Langwort,`y
OF A PROPOSED SUBDIVISION MADE FOR HERALD SQUARE SUBDMSION
Holly G. L¢ngwOrtf'2f
LA:;*'- Z)TILITY PLAN" DATED 05/20/1996 LAST REVISED 10/02/1996,
L. 1259 P. 023
TRF
PREPARED BY VANDUSEN AND STF.VES, LS. FILED IN THE WARREN COUNTY
CLERKS OFFICE ON DECEMBER 1996 IN PLAT" CAB!NET B, SLIDE 85,
.;
Laz7ldsn/f
• _. ,'
MAP 0185.
Nicholas'J.
a
RF,.
.So�rt�Fio'
c ( & Katherine'A.
So'n
L. 1223 P. 037
NOTES:
g
i
(
1) BASE MAP PREPARED FROM A MAY 2014 & SEPTEMBER 2014 FIELD SURVEY.
d
2) NORTH ORIENTATION IS BASED ON MAGNETIC OBSERVATION
„
3) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF TITLE AND
IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS OR RESTRICTIONS OF RECORD
ANY STATEMENT OF FACTS SUCH DOCUMENT WOULD DISCLOSE.
4) SUBJECT TO APPLICABLE LAWS AND APPROVALS OF THE TOWN, COUNTY, AND STATE
REGARDING THE SUBDIVISION AND DEVELOPMENT OF LAND..
5) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND
SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.
6) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED .:17TH AN ORIGINAL OF THE
LAND SURVEYORS SEAL SHALL BE CONSIDERED FG or -VAUD TRUE COPIES.
7) UNDERGROUND UTILITIES, STRUCTURES AND FACILITIES HAVE BEEN SHOWN FROM
SURFACE LOCATIONS AND MEASUREMENTS OBTAINED FROM A FIELD SURVEY.
THERE MAY BE OTHER UTILITIES WHICH THE EXISTENCE OF ARE NOT KNOWN. SIZE,
TYPE AND LOCATION OF ALL UTILITIES AND STRUCTURES MUST BE VERIFIED BY
PROPER AUTHORITIES PRIOR TO ANY AND ALL CONSTRUCTION. CALL DIG SAFE PRIOR
TO ANY EXCAVATION.
+ OF NEW bfAP OF A SURVEY MADE FOR
IDA
'� T �s
EMMETrF �0 dJ� Y GHOWD
My Town of Queensbury County of Warren State of New York
°s054o :RUSSELL E. , HOWARD
LICENSED LAND SURVEYING
342 Main Street, Hudson Falls, New York 12839
Russell E. Howard, PLS N.Y.S. Lie. No. 50540 Date: 05/05/14 Tax Map#:308.10-2-8
Date Sealed: 09,2i A Scale: 1 inch = 30 feet Revised: 09/25/19 Drawing #: 14013f
vX,
micaTown of Queensbury Building & Code Enforcement q—il
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request received:
Name: -/'D uDQrei Inspected on: /b --
Location: 'lei 5 /.tr cal Arrive: 04.111.
Permit No.: 1.<1-- ()4/ Inspector's Initials:
TYPE OF STRUCTURE: a F 6
2(gfr I c
N N/A COMMENTS:
g
Attic Access 22"x 30"minimum ��
Jack Studs/Headers -,0f �i_,
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
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
Fire wall 2,3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side Y2 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 Report
-rc 1:4(45 q--11
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection)equ re •• •d
Queensbury Building & Code Enforcement Arrive: r 49:m --
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: c.a.) rd PERMIT #:✓ /4/ 'i?f
LOCATION: ulq kze_ -` r'1 rr INSPECT ON: / /b
TYPE OF STRUCTURE: S F 1
Y N N/A
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent /Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet / change of direction
Pressure Test
Drain /Vent
Air / Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air / Head
50 P.S.I. for for 15 minutes
Insulation / Residential Check/ Commercial Check /
Window Sealing ��
Tyvek or Similar Exterior Sealant / G0 lav \
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbing_Insulation Inspection_02 05 13
Town of Queensbury Building & Code Enforcement `s{\
� a �'��
Office No. (518) 761-8256
Framing 1 Firestopping Inspection Report
Inspection request received:L
`Ts
Name: i Inspected on: ir -- --Location: I qs ,eArrive: t -Maar ` a. 1 - =. .
Permit No.: / 44--t-�� o� / Inspector's Initials:
TYPE OF STRUCTURE: S r 4
t .- \ 01.-2'Sk:Citu-
Y N NIA COMMENTS:
• 1s V
Attic Access 22"x 30"minimum f// =moi C27c3.t—` ,��
Jack Studs I Headers
Truss Specification Provided
Bracing 1 Bridging / Zi
Joist hangers
Jack Posts/Main Beams z -- et..-V1/4CR— '��F �C ,1�
Exterior sheeting nailed properly
12"O.C.
Kci'V . \19 k ''),(a aJ(-,
4/ —
Headroom 6 ft.8 in. '
Stairwells 36 in.or more
Exterior Deck Bracing
/
Headroom 6 ft.8 in.
Notches/Holes I Bearing Walls
Metal Strapping for Notches Top Plate
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 6._-,N9--M)F i\-t _ tis.
Ice and water shield 24 inches from wall
ire separation 1,2,3 hour �ihV`'`�p�' 7 .� k�
�Yle - . , - •.ur
iresto.r''! ‘Ws \I .&, !.r-�
Penetration sealed 1
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 I Bedrooms �' I� ttJ j�
�
� � Lt�Ti
24 in.(H) tki
20 in.(W) / c, P_
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off,if required6)A s 1 2_ AWf?___E=3 \_)E_
Framing/ Firestopping Inspection Report
Fri 1
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm IU
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:/ l-1A
NAME: -g-t) LY rct PERMIT #: 17 ,
LOCATION: 5 INSPECT ON: 417— [fl--//
TYPE OF STRUCTURE: 3 F 6
Y N N/A
Plumbing under slab
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place s\/
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain /Vent
Air / Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air / Head
50 P.S.I. for for 15 minutes
Insulation / Residential Check/ Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/ Window Sealed (No Insulation)
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbing_Insulation Inspection_02 05 13
Town of Queensbury Building &Code Enforcement
Office No. (518) 761 .8256 r
Septic Inspection Report
Inspection request received: Z Z/L/
Name: 110Uci -- `
1 Inspected on: 7/23 '
Location: Lj el L ✓z-- i Xi)• Arrive: • %A 1
Permit No.: if-Z- InspectorOr
s Initials:
1 C6 ents and/or dia•ram
Soil Type Sar '1 am 1 Clay
Type of Water ' unicipal , zit-Water
Waterline separa ion.istance D ft.`3
Well separation distance ft.
Other wells: ft.
Well Casing Length 50'+I- Y N NIA
[150'to well required if NO]
Absorption Field: Total length ZOO ft.
Length of each trench -q✓J' �
Depth of trenches 2_2 ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size: I
Piping Size Type
Building to tank LA " k-A C) V)\-)C_-
Tank to Distribution Box ‘ t Q \)C--
Distribution Box to Field/Pit ►i ♦ \ C-- T 1 f �vc_.QF-
Opening Sealed:
yN
End Cap —N
Inlet/Outlet Pipes&Baffles VY N
Manholes 12"or less below grade y Y—
[provide extension collar if Yes] Y VN /
Location I Separations - ��
Foundation to tank 10 ft. .CC
Foundation to absorption 2:i.„ ft.
Separation of Pits
.7 \
Conforms as per Plot Pla_ ....2 Y
Engineer Report a As-Built Yi's,/, "
ETU Maintenance Contr provided _Y_N
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Re r
S stem Use Statu :
Approved
Partial Approved and needs to be re-inspected, please call e Building & Codes Office
Disapproved
Septic Inspection Report
c /o To toirt
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: S
Queensbury Building&Code Enforcement Arrive: am/pm Depart: ^jj am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial . A)
NAME: f-(o 1' PERMIT#: / y-2
LOCATION: L J S L UZ ' Nie (Cl). INSPECT ON: /c/i�/
TYPE OF STRUCTURE:
5C7
Comments
Y N N/A
)(Piers
Monolithic Slab --r� � c', .cyko
Reinforcement in Place
The contractor is responsible for -- V
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
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 12/18/2013 2:44:00 PM
Town of Queensbury Building & Code Enforcement
f �d 9-/I
Office No. (518) 761-8256 , Q
Framing / Firestopping Inspection Report
Inspection request received:
Name: ow 4 rd Inspected on: g`"/
Location: ! S .L C Lz C�C R �2 Arrive: a.m.I p.m.
Permit No.: % -- ea.'< / Inspector's Initials:
TYPE OF STRUCTURE: S F b
Y N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs I Headers
Truss Specification Provided
Bracing I Bridging
Joist hangers
Jack Posts I 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
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 Report
j hurl
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: ` m/pm
742 Bay Rd.,Queensbury, NY 12804 Inspector's Initials:
NAME: YO C4)6?l`ci PERMIT#: I '4/ r)
LOCATION: 4f/5 JGL .eri °!1Pay INSPECT ON:
TYPE OF STRUCTURE: S 7 J
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 V
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 12/18/2013 2:44:00 PM
1 s
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: /-/-v Oat/ l PERMIT#:
LOCATION: M R h u a t.16 Ad INSPECT ON: �7 H I
TYPE OF STRUCTURE:
Comments
Y IN N/A
Footings
Piers J
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
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 12/18/2013 2:44:00 PM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/ m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: \J. _�
V)
NAME: PERMIT#: 7--1\
LOCATION: S- ) INSPECT ON: MERE
TYPE OF STRUC
Comments
y N NSA
Footingsv .
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
t7Reinforcement in Place � ' 5
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 1A
Office No.(518)761-8256 Date Inspection request received: 7 ri
P P f i I
Queensbury Building&Code Enforcement Arrive: am/ m De a : pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: r
NAME: %C"''c `- r`L-/ PERMIT#:
LOCATION: J-0 5 7 i INSPECT ON:
TYPE OF STRUCTURE: ,
Comments
~ Y N N/A 30-0r) Li-
ootini)Gin
Piers
Monolithic Slab V
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 J l
V
Foundation Dampproofing
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:\Buliding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM