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2014-490 TOWN OF QUEENSBURY FOS 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20140490 Date Issued: Wednesday, June 10, 2015 This is to certify that work requested to be done as shown by Permit Number P20140490 has been completed. Location: 920 SHERMAN Ave Tax Map Number: 523400-301-017-0003-065-000-0000 Owner: KELACO, LLC Applicant: KELACO, LLC This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling 10 Issuance of this Certificate of Occupancy DOES NOT relieve the property G owner of the responsibility for compliance with Site Plan, Variance, or YY 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 `�W 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140490 Application Number: . A20140490 Tax Map No: 523400-301-017-0003-065-000-0000 Permission is hereby granted to: KELACO. LLC For property located at: 920 SHERMAN Ave 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 $240,000.00 35 FRONT St Total Value LAKE GEORGE,NY 12845-0000 $240,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2014-490 SFD 1st Fir 1,104; 2nd Fir 602 sq.ft. Garage 462 sq.ft. ; 1 Fireplace (gas) $341.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, October 15,2015 (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 Qu sbu ; A W e a ctober 15,2014 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only DATE 1016/1q Received Tax Map ID TAX MAP ID Permit No. . - / � � J /� �1 Permit Fee 1 `iLl D.5 t i ZONING ��,d9pJJ/-n 1 Rec Fee • Aa- �r Site Plan# HISTORIC SITE Yes ./ No Subdivision # SUBDIVISION NAME Pc;nr! L0 St Lot#1St_ TOWN BD.RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWELLING$,DUPLEXES OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED & MODULAR HOMES, BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE. APPLICANT ( ilt//P Cer%vd: J Io c OWNER k; I (7 ri ADDRESS 3 a (/ie/ 11`V ' `� ADDRESS .S c fl�/U,,'�Jr i-b gic.") PIa/4 ,/ ',v. i.)?.37/ LAk GToptp, it) • Y- PHONE/E-MAIL 3c 5 - PHONE/E-MAIL 6(Fr" CONTRACTOR 615 16 //T St..J COST OF CONSTRUCTION(ESTIMATED): $ 4/61i d?" ADDRESS: SA�y-+" BUILDING ADDRESS: 1)-' Off .54?kRAiU )1LJ . �Odn c)&/- X01` tK PHONE/E-MAIL //lAWMAIitic Q (4/42t (‹..A1o7+xy j'v . •' //� CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: KPI) is IIf'# PHONE3C-`)".SY-)•2- TYPE OF CONSTRUCTION Check all that apply Please indicate measurements as required below New Addition Alteration 15`floor sq.ft. 2"d floor sq.ft. Total sq.ft. Height Single Family ✓ /JUV ( 17 0 6 Two-Family (iv Multi-Family cf9 (#of units• ) Townhouse Business Office Retail- Mercantile Factory- Industrial11) Attached Garageci A (I (#of ) �q Other �✓ t,t C/4'1 Town of Queensbury Building&Codes Principal Structure Application July 7rj.) __ If commercial or industrial indicate name of business Proposed use of building or addition 5/Al/p F.-Art/VI) y Source of heat (circle one) Ga Oil Propane Solar Other Fireplace: complete a separate application for Fuel Burning Appliances & Chimneys Are there structures not shown on plot plan? ,j a Are there easements on the property? /la Site Information a. Dimensions or acreage of lot , 5- Acnes b. Is this a corner lot? �Jo c. Will the grade be changed as a result of construction Yes ✓ No /; d. Public water or Private well Pu e. Sewer or Private Septic System _ f�Tc Value of all work to be performed (labor or materials) $ y o 1 e e,; DECLARATION: 1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. if work is not complete by the 1 year expiration date the permit may be renewed,subject to fees and department approval. 3. 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. 4. 1 acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. 5. 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: PRINT NAME: len-) C ile/W DATE /4)~ ~�y SIGNATURE: �-�- -e6- " DATE /0 - 6 -lq FOR OFFICE USE ONLY Operating Permit Issued: Yes No Occupancy Type Construction Classification Assembly Occupancy Limit Special Conditions 2 Town of Queensbury Building&Codes Principal Structure Application July 2014 Office Use Only FUEL BURNING APPLICANCE & Received CHIMNEY APPLICATION I Tax Map ID Permit No. DATE I - - L/ Permit Fee TAX MAP ID ZONING PS iU2A.45;+ 1 /um OWNER: RQ IA '_C) PHONE/E-MAIL ADDRESS 3 Sf!'�;,,.T. L' 6 - INSTALLER/BUILDER C //Ff. 6,4,: /iu c - PHONE/E-MAIL 3(6"$ $- ADDRESS: 3 S C.-lie'`° 1-10' 17 ' CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: I C,-+/4'It PHONE 2K-C. BUILDING ADDRESS: AI- (� 7 • 1 )' U f Opk .-c rmM' R Lk Fuel Burning Appliance Information Wood Coal Pellet Gas Oil NOTE: ROUGH-1N & FINAL INSPECTIONS ARE REQUIRED. Stove Fireplace Insert / Fireplace, Factory built* Fireplace, Masonry Furnace(Garage Only) *If Factory built provide manufacturer name: /-Lt ' 6/ ;model#: 3( D v Listed by: Number: Chimney Information Masonry** (check one) Block Brick Stone Flue Tie Steel Size in inches Material Double wall Triple wall Insulated Direct Vent Chimney Liner **If Non-masonry provide manufacturer name: model#: DECLARATION: Construction/installation must conform to NYS Fire Prevention&Building Code and/or manufacturer requirements. 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 inspector's to enter premises to perform required inspections. , I have read and agree to the above: Print Name: VP,'`) /�P 1'Y' Date: /676//4/ Signature: e-e ,m Date: /0/04' Town of Queensbury Building&Codes Principal Structure Application July 2014 Town of QueensburyThomas R. Van Ness g Y Department hwa De artment I D "/ `I Highway Superintendent Q 742 Bay Road, Queensbury, NY 12804 19 � I Home: (518) 745-0929 Phone: (518)761-8211 Fax: (518)745-4466 David Duell Deputy Highway Superintendent Home: (518)745-0938 DRIVEWAY PERMIT Date: ;0l6/i / C 2014 Applicant Name: C //o A C- it 7 ` Telephone No.: 36 Address to Be Inspected: y a-0 uty P« ,145� /1.1.z Return Address: / ItP 1-ti• IL F•, /-).R2 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 approval permit for a final approval. STEP 2: ( ) Final Approval ( ) Rejected Date: Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent Town of Queensbury Building&Codes Principal Structure Application July 2014 SEPTIC DISPOSAL PERMIT Office Use Only DATE _ Received Tax Map ID TAX MAP ID Permit No. kfC'Tho Permit Fee LOCATION OF INSTALLATION � C' G-11-)0I.1 Approvals: APPLICANT KC(A. PHONE/E-MAIL ADDRESS S 5 �C'�t��vT f L F. 204 INSTALLER/BUILDER: (r /lam //'D CP/;5f /rte• PHONE/E-MAIL ADDRESS: / 3)7 Ivy , /hips. Tn//-< X239 OWNER K/f)//4e_P) PHONE/E-MAIL Address 3C roe n 1-* S'f L. CONTACT PERSON FOR BusWING&CODES COMPLIANCE: Y iC+//P 1cPHONE 3(} J �7- RESIDENCE INFORMATION Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow 1980 or older Garbage grinder installed _Y •/N 1981-1991 Spa or Hot Tub installed _Y v- N 1992-Present 3 U3 30 PARCEL INFORMATION Topography :Flat rolling Steep slope %slope Soil Nature i7 Sand Loam Clay Other Groundwater At what depth? 1B' Bedrock/Impervious Material At what depth? A kA)c•— Domestic Water Supply Municipal Well(if well,water supply from any septic system absorption is ft.) Percolation Test Rate: I- S- per minute per inch(test to be completed by licensed engineering/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank Size /OL`.. gallons(minimum size 1,000 gallons,add 250 gallons to size for each garbage grinder or spa or hot tub) System Type Absorption field with#2 stone Total length ✓-r ft.;Each trench 7).1 x 3--6 Seepage Pit with#3 stone How many: ;size Alternative System Bed or other type? Holding Tank System Total required capacity? Tank size _ #of tanks Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical Inspection agency;2)We will no longer allow systems to be covered until such time as an As-Built plan is received&approved. The installed system must match the septic system layout on file-no exceptions. DECLARATION; Any permit or approval granted which is based upon or is granted in reliance upon any material representation or failure to make a material fact or circumstance know by or on behalf of an applicant,shall be void. I have read the regulations and agree to abide by t e e and all requirements of the Town of Queensbury Sanitary Sewage Dispoal Ordinance. Print Name: /a-J C/ E Date: /0/(//y Signature: r�- �� - - Date: /0/(//1/ E Town of Queensbury Building&Codes Principal Structure Application July 2014 Tit Queensbury Building & Code Enforcement - Residential Final Inspection 21 Office No. (518) 761-8256Arrive: am/pm Depart: dam/pm Date Inspection request received: �'"5 115 Inspector's Initials: NAME: Y. GkC.."0 PERMIT#: 14-1 010 LOCATION: q Zo U.p1� r•nc4n . -v Shur ) DATE: Io 1 , 12Qi TYPE OF STRUCTURE: F+j Comments: Yew No NIA 4" Building Number Address visible from road \/ Chimney Height/"B"Vent/Direct Vent Location ,1 f 3 (p 5 — 5E)2-7---, Fresh Air Intake / 3 inch Plumbing Vent thro�h roof minimum 18 inches ✓ 1 1 `K,RXy Y Roof Complete/Exterior Finish Complete � Platform at all exterior doors / cvr� ✓ Handrail 4 or more risers ✓ fiX�. " Guards at stairs,decks,patios more than 30 inches above grade >%/y• ��sla, Guard at stairwell at 34 inches or more % SANV`c—dQ CW' Guard at deck, porches 36 inches or more f� Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches l,' , Deck Bracing/Handicapped Ramp Compliant 47 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 1 Kitchen watertight V Safety glazing/Window in stairwells safety g zing u\ Interior Smoke DQttctor /Carbon M noxic Detectors Every level: J ery Bedro m: v' / °� ,�- ' 0 Outside every bedroo area: t��5,-`., '".--- Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area / / 'Ul20)1 AVC2R,i/kPre^-- Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents � � ,�. -'ifir, Bathroom Fans, if no window Plumbing fixtures tr 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. f Emergency egress below grade 'i7 Gas Furnace shut-off within 30 feet or within line of site 7 Oil Furnace shut-off at entrance to furnace area j Furnace/Hot Water Heater operating Low water shut-off boiler / Relief Valve(s)installed I Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum 7. Basement stairs closed rise>4 inches Garage Floor Pitched v . Garage fireproofing/%.hour fire door/door closer /oser Gas Logs in Sealed or Glass Enclosure Y Final Electrical; Energy Saving Light Bulbs 50% k/ /� Final Survey Plot Plan * / r/ Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System I Sewer Dept. Inspection Sticker %,- Site Site Plan /Variance required ,// Flood Plain Certification, if required l f Okay to issue C 1 C or C/0 [Temporary/Permanent) % Il L:\Building &Codes Forms\Building &Codesllnspection FormstResidential Final Inspection Form_revised_100405.doc; Revised January 7, 2008; Revised 6/26/08; Revised 12122/10, Revised 04/13/11 0 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury, NY 12804 s Date received: ' ' it y NAME: 4' VAA-?..-Q LOCATION: '1.2,. (.12046 ' PERMIT#: (4 \i-c : 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 rown, Zoning Administrator Notes: 6,A, 1661 Loc-47, L:1SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc 4 c a a 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 ecifications is allowed. Permit# 11'- L3 Schedule Inspection l-( i c Time " I��—am pm anytim Inspector 1\4*-A Name a,6,2_sa l'C> Address 60i.) ] "j'" . Rough In_Final_ i11.�YYZ�C Appliance Manufacturer -"i''k Y(1� Model# " r) JC?i I' J + Direct Vent Factory Built Chimney Flue Size l.,{ , Double Wall Triple Wall Insulated_ �j �« � wV' Yes No N/A Comments Floor Protection 1 t) y( (\ ti wwe..�> l.� 5 (01- ) Clearances to Combustibles (all side ) )( " Firestop(s) Vertical Chase Wall Penetration I I =�" 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 ,k\ Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) CO Detection CSST Bonding White—Building Dept. Yc!IUR—('ust neer Pink—Fire Marshal (L @d 1-3 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive:""2-.)‘, \-c am/pm 742 Bay Road, Queensbury, NY 12804 Inspetr s`Ini ials� NAME: h '' IC�c GEDPERMIT#: 1 �Ir I 917 LOCATION: �i�oZp S INSPECT ON: / 7—/S TYPE OF STRUCTURE: F '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 Insulation / Residential Check/ Commercial Check \\// 7-Th7-N Window Sealing Tyvek or Similar Exterior Sealant L-La 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 c Air Sealing COMMENTS: FL., (� '1A3 t u�✓� Rough Plumbing_Insulation Inspection 02 05 13 Town of Queensbury Building & Code Enforcement ( t?& /f'- J� Office No. (518) 761-8256 Framing / Firestopping Inspection Report Inspection request received: Name: 02) Inspected on: l Location: Arrive: ' - 40, a.m.l p.m. Permit No.: r y'</Q8 Inspector's Initials: ►tel_ TYPE OF STRUCTURE: s F N N/A COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs/Headers Truss Specification Provided Bracing l 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 Mapping 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 I below grade 5.0 sf grade Design Professional Sign-off,if required Framing/ Firestopping Inspection Report Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Ins ection request received: Queensbury Building & Code Enforcement Arrive: 7;.3{ am/pm 742 Bay Road, Queensbury, NY 12804 Inspect is Initi ii NAME: V lC A, D PERMIT#: LOCATION: C',A_C7 S INSPECT ON: /A3a -iy 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 (71-, 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 /6 /fj--/) Office No. (518) 761-8256 `' ' Framing ! Firestopping Inspection Report Inspection request received: Name: i< 14//D Inspected on: l,� \,12.-4 Location: g S Ljt c &,r•. 44,-e Arrive: \ • 251 ca ./p.m. Permit No.: / 1" /9D Inspector's Initials: LA TYPE OF STRUCTURE: S 1=6 N NIA COMMENTS: 'Whig } �Y Attic Access 22"x 30"minimum Jack Studs/Headers '1/ Truss Specification Provided Bracing I Bridging Joist hangers 4. Jack Posts 1 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 1 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 Town of Queensbury Building & Code Enforcement - Offick. No. (518) 761-8256 Septic Inspection Report Inspection request received: Name: f< 1 Q CD Inspected on: Location: cio2a (Win"— Arrive: a.m.l p.m. Permit No.: i41.-'1694D Inspector's Initials: 211) Comments andlor diagram Soil Type: San Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' +I- Y N N/A [150'to well required if NO] Absorption Field: Total length ft. 1" k4^- Length of each trench _ ft. Depth of trenches 41_,-r• ft. Size of Stone Z Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank (� Tank to Distribution Box ' Lt �t�c,-0-5- 51, Distribution Box to Field!PitA`° `c2� �� 'c-Z- Opening Sealed: N End Cap V T N Inlet/Outlet Pipes&Baffles �— n Manholes 12"or less below grade Y N FC,41-g ` RC1 PC [provide extension collar if Yes] Y_N Q, �-F Location/Separations Foundation to tank _I VA— ft. Foundation to absorption 20 ft. - Separation of Pits Conforms as per Plot Plan Y Engineer Report and As-Built Y N ETU Maintenance Contract provided Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: L Partial A. -• -•• needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report / 1 , a, / III' 1 ' I/ / , I f / . .f , i I i • 1"-- 1- 1 De) L'ijr.' fl-)PRIT74/) Ai.,T . lc_ c &fir S fl •' ' i) . . , . , , . . _ • . lown of Queensbury Building & Code Enforcement r ,'e�D g'-10 Office No. (518) 761-8256 (�" Septic Inspection Report Inspection request received: Name: Ke,14 CD Inspected on: icl v/. -, 1 Location: 901 t Arrive: r a.m.1p.m. Permit No.: I 41 - Li -/D Inspector's Initials: A.. . Comments and/or diagram Soil Type: -1 Loam I Clay Type of Wa er: Municipal I Well Water Waterline separation distance ft. Well separation distance _ft. Other wells: ft. Well Casing Length 50'+I- Y N N/A [150'to well required if NO] 2 Absorption Field: Total length ft. �� Q"" Length of each trench ft. . _ F.- Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank \i 2 Tank to Distribution Box Z. ti ZLtfk Distribution Box to Field/Pit "k `_V („A..01-0,--- cL ) r.- ---. Opening Opening Sealed: V Y /M- End !V} End Cap V�� Inlet/Outlet Pipes&Baffles 1(Y12f Manholes 12"or less below grade Y [provide extension collar if Yes] Y N Location/Separations Foundation to tank ft. Foundation to absorption 1,..D ft. - j;1i " " Separation of Pits ` '`l CA E1 t.-‘—VC-14-21Z- Conforms �- 1 i$„.� Conforms as per Plot Plan Y 4 G�-G� V�-- Engineer Report and As Built —Y N �NG� "<. '��uCt,�� ETU Maintenance Contract provided Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: pproved Partial Approved o • needs to be re-inspected csase call the Building &Codes Office Disapproved . Septic Inspection Report Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 W (0 QE Framing I Firestopping Inspection Report Inspection request received: -----/t -140-7-,), Name: C,,00,(� 0% i,, Inspected on: � i Location: b1-() 1 elrv,-et.— 6—e____z Arrive: } I ap.m.1 .m. Permit No.: SIF o1611(f— CgsInspector's Initial ' \ TYPE OF STRUCTURE: 2 Y N NIA COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs I Headers Truss Specification Provided Bracing/Bridging Joist hangers Jack Posts l 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 l 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 Di/ Anchor Bolts 6 ft.or less on center and water ield 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 I below grade 5.0 sf grade Design Professional Sign-off,if required Framing/ Firestopping Inspection Report ( k u} - 3 /a --i, (i ?) Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart://d.,_PC/��+lr/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:/f ) NAME: .K6 )/,� OLD PERMIT#: )9— ''f O LOCATION: 9 Q S h r Nvct_.6 INSPECT ON: /D ✓-- V TYPE OF STRUCTURE: S Comments YN N/A Footings Piers illpiithic 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 t,/, Foundation Waterproofing Footing Drain Daylight or Sump i Footing Drain Stone: 12 inch width he bove footing vap 6 mil for wet areas under slab 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 (,a2) Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:7<jcam/pm 742 Bay Rd., Queensbury, NY 12804 Inspectors Initials• NAME: Kr06ZAD PERMIT#: LOCATION: -/ g2Z7 -s he r' f,(16?,n INSPECT ON: 1 a "' e '/y TYPE OF STRUCTURE: 5 F 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 �/ Z '� 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 1 t 6 S a"1 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: K P-k6,0 PERMIT#: /y %?c LOCATION: D (A fterS h&riy,�v CT ON: /0— c TYPE OF STRUCTURE: S F b 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 `Z *A.5 - Footing Dowels or Keyway in place , Foundation Dampproofing Foundation Waterproofing "S 4- 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°161111 ' efAcv - w dNe'IZ - P f f`�Pn- 1r;c. - 3(1 \ 4 \ / (-1 0 !N . SEPTIC PLOT PLAN I HAVE SEEN OR OBSERVED ALL OBJECTS 1 SUCH AS OUTHIS DOCU SELLS, TREES, FENCES, ETC SHOWN MENT.I HAVE PERSONALLY A. pEA- RED THE 0,71'•i,T��THONT/G19 1 'IGNATURE DA E I 1' ip3 C U - ---I � L17z I l / J S i _.L�_— 1 i IPO c I ;i t . - L C iil L ii 1 -* , f- l I L2./ ue = S y' �N) 1 (Lpe� I j I \ \ l S / • r 5P1'r /s?> Lot �� or'�e " 1 1 i-C) cypeC Tlie(mA'� A')e-' rl _ , I -° 5iicelr-