2014-274 TOWN OF QUEENSBURY
742 Bay Road, Queensbury,NY 12804-5904 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140274-41026 Date Issued: Wednesday, January 21, 2015
This is to certify that work requested to be done as shown by Permit Number P20140274-41026
has been completed.
Tax Map Number: 315.-1-1.15
Location: 38 APRES CIR
Owner: CERRONE BUILDERS, INC.
Applicant: CERRONE BUILDERS, INC.
This structure may be occupied as a: Single Family Dwelling w/gas FP 3,243 s.f
Lot 22 By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the (7 a.40 14.5t-
�J
property owner of the responsibility for compliance with Site Plan, �d
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
•
Fay742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140274 Application Number: A20140274
Tax Map No: 523400-315-000-0001-001-015-0000
Permission is hereby granted to: CERRONE BUILDERS. INC
For property located at: 38 APRES Cir
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: CERRONE BUILDERS, INC
51 OAK VALLEY Way Fireplace
yed
QUEENSBURY,NY 12804-6715 Single Family
amilDwelling
$550,000.00
Total Value $550,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2014-274
SFD 1st Fir 1,748; 2nd Fir 1,495 sq ft
Garage 936 sq ft; 1 Fireplace (gas)
$789.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,July 09,2015
(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 expir�rion date.)
Dated at the Town Quee ''ll V�tWe r'���"• lily 09,2014
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only +`� ' 6 6
Town of Queensbury Building & Codes - .
Received:
Tax Map ID: lir -
PRINCIPAL STRUCTURE APPLICATION Permit No.:
A permit must be obtained before beginning construction Permit Fee: $
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $ '0
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. Ft'A 'J x__/.SD
Date Z��� /� 2-a y Applicant A///a4x, L(/�
Tax Map ID Address &iZt //' f
Zoning if/a/A Z.4e /(. 14!
Phone/E-mail 5- 3C/-�4fvz-
Property Owner di",e,e,xyilia/sts.) Contractor/Agent 1 '4 '/,ueAddress �/ (29L � //b' / Address / ate
Phone/E-mail -
9Qeez/f/ 7
G)f L Phone/E-mail / 3 -67/4/Z----
Building
/ Z—Building Street Address: .3k /o4pe,f
Subdivision Name: 416V. 717' /l,/ Lot#: Historic Site: Yes '� No
Estimated cost of construction: $ � dGU
Type of Construction:
Check all that apply Please indicate measurements as required below:
c
0 0
d 43 1st Floor 2nd Floor Other Total Height
F a a
Single Family / � c/j -
//74i41/7�f�' //K55 �z�3 ,Z3
Two-Family
Multi-Family(#of
units )
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garages(# )
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
If commercial or industrial indicate name of business
Proposed use of building or addition
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" /Yes No
Are there structures not shown on plot plan? i/e)
Are their easements on the property? /v h
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot? 47
c. Will the grade be changed as a result of construction: Yes ✓ No
d. Public water or Private well W/Z/i4.
e. Sewer or Private Septic System
Value of all work to be performed(labor and materials) $ 97,i U
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.
I have read and agre: ,§ the above.
Signed . 4. Date: 7///Y
FOR OFFICE USE ONLY:
Operating Permit Issued: _Yes _No
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Office Use Only 1 k
Received:
Town ofQueensburyBuilding & Codes TaxeMap6l�7: 011 1 -
9 � _
t Permit-116. ��.
SEPTIC DISPOSAL PERMIT Permit Fee: $
A permit must be obtained before beginning construction Approvals:
Applicant: /737///14" InstallerlBuilder ./ ""i c: ' ,' ./ IA) ('I /dill'
71 �Q
Address: /� h3
Address / r • h
Phone: /—/~ OWL-- Phone T/7 " 937/
Owner: Location of Installation
Address: ___
Phone �" ��
Contact Person for Building&Code Compliance: A 47., r.r.i7 .. Day Phone: %/IV/a--
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? /VA
1992–Present x 110 = WO
Parcel Information:
Topography Flat Rolling _Steep Slope _%Slope
Soil NatureSand _Loam _Clay _Other
Groundwater At what depth? A1�R'
Bedrock/Impervious Material At vyhat depth? l//A
Domestic Water Supply f Municipal Well(if well,water supply from any septic system absorption is /irsiJ ft.)
Percolation Test Rate-474'SS 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 /dg7 O gallon(minimum size 1,000 gallons), add 250 gallons to size of septic tank for each garbage grinder,spa or
whirlpool tub
i
System Type: Absorption Field(with#2 stone) Total length 70 6ft. Each trench 6 X 5o J
Seepage Pit(S)(with#3 stone) How many? Size?
Alternative System Bed or other type?
Holding Tank System Total required capacity? Tank size? #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.
✓l have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury
Sanitary Sewage Disposal Ordinance.
Print Name: J 5 ( J`z�,„� Date: 7///
Signature: a��1 Date:
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Office Use Only
Town of Queensbury Building & Codes Received: 1i It 01 2014
Tax Map ID:
FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Permit No.:
Permit Fee: $
Application is hereby made to the Building &Codes Office for the issuance of a Building &Use Permit pursuant to the NYS Fire Prevention&
Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
Important Note To Applicant: Rough-In and Final Inspections Are Required:
Date 2 i •
Owner �G'/ na<.- Installer/Builder 77,eefi 6
Address a/p,C: `/rpJtc. a Address
Phone 017YZ - Phone 6(k 93O0
Location of proposed construction and/or installation: /9rdee4 (lu("Iuy6aiay
Contact Person for Building &Codes Compliance: A-
Subdivision Name: /I /7012 -
Fuel Burning Appliance Information Wood Coal Pellet Gas Oil
Stove
Fireplace Insert
Fireplace,factory built*
Fireplace, Masonry
Furnace,(Garage Only)
* If Factory Built, Please Provide: Manufacturer Name: Model No.
Listed By: Number:
Chimney Information
Masonry" "check one _Block _Brick _Stone
Flue /check one _Tile _Steel _Size in Inches
Material "check one _Double Wall _Triple Wall _Insulated /irect Vent _Chimney Liner
**If Non-Masonry, please provide: Manufacturer Name:/ /f/Z(f%e--- Model No. W,
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 Building&Codes Principal Structure Packet 518-761-8256
c, 11
4.1).-
Town of Queens ury
PL. 0 1 2014 Thomas R. Van Ness
l Highway Superintendent
Highway Home (518)745-0929
Department
742 Bay Road—Queensbury, NY 12801 David Duell
Phone: (518)761-8211 Deputy Highway Superintendent
Fax: (518) 745-4466 Home(518) 743-0938
DRIVEWAY PERMIT
DATE: 7///�
APPLICANT NAME: C,(„P/ ile b?adiCi 24
TELEPHONE NO.:
ADDRESS TO BE INSPEC 1 ED: I/ - ` ' - I1
RETURN ADDRESS: ^52 Oia: ariff epf
IJ /z
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 inspection completed by: Date:
Approval by Highway Supt: (or) Deputy Supt:
Upon completion, please resubmit this approved permit for a final approval.
STEP 2: ( ) Final Approval ( ) Rejected
Date:
Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent
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Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: I --al C7 -) 5
NAME: L° C r a e
LOCATION: 3 A,P r e s
PERMIT#: t)
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 Br wn, Zoning Administrator
Notes:
L:\SueHemingway\Building.Codcs.Inspection.FORMS\Final Survey
Zoning Administrator.doc
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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: 1
NAME: PERMIT#: 60\'214-
LOCATION: DATE: / /-Z.1 ( V\-
TYPE OF STRUCTUR :
.� Comments:
Yell No N/A
4" Building Number Address visible from road ' 4/
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
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area: L
Inter Connected: Batte backu.: ;L\
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 '`lJ�
Bathroom Fans,if no window
Plumbing fixtures
tr5
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/Heat Trap!Water Temp 110
Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing 1%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required 4
Flood Plain Certification,if required •
Okay to issue C/C or C/0[Temporary/Permanent
� (-LSSs \D S i r & ca aot5or n-uisr
L:\Building&Codes Forms\Building&Codes\lnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7, 2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
3 P [ -i-At)'--1
GRAJNY Consulting, LLC
JAN 2ECEOVE7
2015 J 69 Hayden Point Loop
TOWN OF QUEENSBURY Diamond Point, NY 12824
BUILDING & CODES 518 221-3240
01/20/2015
Cerrone Construction LLC
51 Oak Valley Way
Queensbury,NY 12804
Inspection Address: 38 Apres Circle, Queensbury NY 12804
Report Number: 0120151
Dear Al:
At your request, the Blower Door Inspection of the post construction test to verify
infiltration rate of the house as per requirements of the NYS 2010 Energy Conservation
Construction Code of the above property was performed on 01/20/2015. GRAJNY
Consulting, LLC is pleased to submit the following report.
The following data was provided: •
- Square Footage of the house, including conditioned basement=4,991 SF
- Volume of the house, including conditioned basement=43,424 CF
Based on above, the following test data was collected:
- Infiltration Rate, including conditioned basement at 50 Pascal = 1,801 CFM
- ACH50, Actual Changes per Hour at 50 Pascal = 1,801X60/43,424=2.5 <7
The Instruments used for test were provided by the Energy Conservatory Digital Gauge
DG-3 rated accuracy=+/- 1%, calibrated minimum once per year.
Thank you for selecting our company. We appreciate the opportunity to be of service.
Please call this office if there are any questions.
Sincerely,
01/4AA N—y'
kttkr..
•
Stan Grajny, PE -
�'
NYS HERS Energy Rater BER-041 '°` ) 065451.1„,
NYS PE 065406-1
1 u& g-/o
Queensbury Building & Code Enforcement - Residential Final Inspection
fc.:, �,
Office No. (518) 761-8256 Arrive: am/pm Depart:`CJ 7 yam/pm
Date Inspection request received: Inspector's Initials:
NAME: a ef'rbilE PERMIT#: /'c- t>y
LOCATION: X r�s 0 i re, (co DATE: /— A /)-- /5
TYPE OF STRUCTURE: `g /J
Comments:
Yes No /N/A call 3 0 feret ] rl q V\ y
4" Building Number Address visible from road /V
Chimney Height/"B"Vent/Direct Vent Location V/ S'k e C e-r'd 1.6
Fresh Air Intake
/17
3 inch Plumbing Vent through roof minimum 18 inches 360 1—ta3 5 r
Roof Complete/Exterior Finish Complete
Platform at all exterior doors V /'
GuHaards 4 t more risers y/ 4 6--zc � -..
Guards at stairs,decks, patios more than 30 inches above grade t' ' �
Guard at stairwell at 34 inches or more YI e--01,,,�,,,� -, S>1-7)14 -:
Guard at deck, porches 36 inches or more t
Handrail Termination at Newell Post or Wall , �—_—,
Interior/Exterior Railings 34 inches to 38 inches 1
Deck Bracing/Handicapped Ramp Compliant t '`�
Grade away from foundation 6 inches with 10 feet ' Z- �� � `
6 inch clearance to sill plate /
Gas Valve shut-off exposed/regulator 18 inches above grade ✓/
Interior privacy/trim(doors/main entrance 36 inches ta ��Y �"`��
Bathroom/Kitchen watertight Safety glazing/W�i ow in stairwells safety g�l ing :::;::::_1..
a
Interior Smoke Detectors/Carbon Mpnoxi d Detectors
Every level: ��// Ev ry Bedroy4n: —�—
Outside every bedroo rea: a/ /
Inter Connected: Battery backup: V - / 1 -� �.rZ
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Y / 6
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents i
Bathroom Fans,if no window 6
,_..._____
Plumbing fixtures Vr -,yr-2-Qxf1
Foundation insulation to floor/Sticker on Panel i/ i 1'oL,-4-L,
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 i✓
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum ]/
Basement stairs closed rise>4 inches J
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles VF -. - >• ding
As Built Septic S s i•m/Sewer Dept. Inspection Sticker /
-• • . lance required
Flood Plain Certification, if required
Okay to issue C 1 C or C/0 [Temporary/Permanent] 0 v
ICkssVr_ i5�siN64.9e atp(5m--rnewer
L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
--
Rough Plumbing / Insulation Inspection Report I >
Office No. (518) 761-8256 Date Inspection req •st re ei e : / 1/5// V
Queensbury Building & Code Enforcement Arrive: Z am/i ;I
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ,
NAME: CO( Ov-1, C- PERMIT#: L(
LOCATION: > + r e INSPECT 0 / j/ V
TYPE OF STRUCTURE:
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
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
cies 3 -0
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Ins ection r quest received:
Queensbury Building & Code Enforcement Arrive: r. am/pm
742 Bay Road, Queensbury, NY 12804 Inspector' ilnit a
NAME: e,e 1 (0 ( PERMIT #:
LOCATION: 3 /a 'Pt? r c. S 0 j INSPECT ON: 3-/9
TYPE OF STRUCTURE: S D
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
4r Insulation / Residential Check / Commercial Check
Window Sealing (Ey —c & n .i)
Tyvek or Similar Exterior S6alant
Proper Vent, Attic Vent /
Door /Window Sealed (No Insulation)ijN. 1 >
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 SealingC !
COMMENTS: _�A,
Rough Plumbing_Insulation Inspection_02 05 13
Town of Queensbury Fire Marshal
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. //11'
Permit# / {� Schedule Inspection /6 3-if)/Time am pm anytime Inspectok.�
Name C, L rl-O tRe. Address3 r S 0 ! r' , Rough In 'Final_
Appliance Manufacturer r') )Z°—, Model# 'v \1\ 1
Direct Vent Factory Built Chimney A Flue Siz Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (a I sides)
Firestop(s) Vertical Chase
Wall Penetration ,
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration; 2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel 1/
Height above f/p opening
Witness Operation
Tank Placement(if LP)
CO Detection
CSST Bonding V t N
White—Building Dept. Yello++—Customer Pink—Fire Marshal
Town of Queensbury Building & Code Enforcement `1 h rs, I o�
Office No. (518) 761-8256
Framing / Firestopping Inspection Report
Inspection request received:
Name: Inspected on: .i "; 3"/``
Location: 3 & Ar E S Arrive: 1 a.m.1 p.m.
Permit No.: 1 41— ')-(t Inspector's Initials: • Olt
TYPE OF STRUCTURE: S F rJ
Y/ N N/A COMMENTS:
Framing
Attic Access 22"x 30"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
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
tS/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) l�
20 in.(W)
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing / Firestopping Inspection Report
1/431,69r7
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: a /pm
742 Bay Road, Queensbury, NY 12804 InspecttdY's [nit als' ' ti,J ,
NAME: / Iti1L-5�c�_� PERMIT #:
LOCATION::,.),t s � INSPECT ON: In — 1 —/y
TYPE OF STRUCTURE: S r
Y N N/A
Plumbing under slab
Rough Plumbing / NaiLP
Plumbing Ven_ ents in P v"
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
of Queensbury Building & Code Enforcement Fr icl dab /6) //
Jrfice No. (518) 761-8256 ��1!
Septic Inspection Report
Inspection request received:
Name: Q C' r 0 tl e Inspected on: /6 -'3 -f /
Location: Q Arrive: : i a.m./p.m.
Permit No.: 11 /1-1—akf Inspector's Initials: _
Comments and/or diagram
Soil TypeSan �Qrn/Clay
Type of Water: unic' ` I Well Water
Waterline separation distance u�'�fL 1Well separation distance j/" � ft.
Other wells: ft.
.------- ---------1"1:-.2)
Well Casing Length 50'+/- Y N N/A
[150'to well required if NO] ,,h
Absorption Held: Total length ft. `�
Length of each trench y ft.
Depth of trenches ft.
Size of Stone 4 -'L
Seepage Pits: Number f� N`:
Size: x
Stone Size:
li
Piping Size Type
Building to tank :=. �'
Tank to Distribution Box �` x/"A 1 CI C
Distribution Box to Field/Pit A 9� tf
Opening Sealed: �,f N!!
End Cap _10N
Inlet/Outlet Pipes&Baffles X
Manholes 12"or less below grade Y
/A(
[provide extension collar if Yes] _Y
Location 1 Separations
Foundation to tank t ft.
Foundation to absorption -4 C kft.
Separation of Pits __ft.
Conforms as per Plot Plan Y ../
Engineer Report and As-Built _Y
ETU Maintenance Contract provided Y N
-------Th.Location of S ste '...n Prise :
Front Rear Left Side L.,...79.
ideMiddle Front Middle Rear
S stem Use Stat. :
Approved
Partial Approved and needs to be re-inspected, please call the Building & Codes Office
Disapproved
Septic Inspection Report
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256 111 tA rg.
Framing I Firestopping Inspection Report
Inspection request received:trn
Name: It C r r v 0-a Inspected on:
Location: S res Arrive: • \, 1 ` a.m./p.m.
Permit No.: /&/— o� / 5' Inspector's Initials:
TYPE OF STRUCTURE: Q
N N/A COMMENTS:
Framing
Attic Access 22"x 30"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
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
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: Cg1///Ll
Queensbury Building&Code Enforcement Arrive: am/pm Depart Dam/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:e1k t4
NAME: Ce-,r'!s' e_ PERMIT#:
LOCATION: '3' A hrC' C1 -r ( c INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing Y
Foundation Waterproofing
Footing Drain Daylight or Sump f
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval d�
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
f! ursdde ( 7)
Foundation Inspection Report
Office No.(518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ m Depart: ic 3am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initial .
NAME: G ,Qh h{ r- _ PERMIT#: a
44/
LOCATION: 3I " o INSPECT ON: '7 -3 1
TYPE OF STRUCTURE: S F +�
Comments
3 (01-c)1') g S6?),
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
V
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 I cam/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial . fr
NAME: 0.<9.--1r Doe J re-ll PERMIT#: 'Y '"Ar)y
LOCATION: 413 re S //'i'& e INSPECT ON: 7-3
TYPE OF STRUCTURE: Sf
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 "V./
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
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