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2014-530
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: P20140530 Date Issued: Monday, August 24, 2015 This is to certify that work requested to be done as shown by Permit Number P20140530 has been completed. Location: 799 STATE ROUTE 149 Tax Map Number: 523400-279-000-0001-004-000-0000 Owner: EDWARD K & HENRY S DAVIS Applicant: EDWARD K & HENRY S DAVIS This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property n owner of the responsibility for compliance with Site Plan,Variance, or Gltvtf// other issues and conditions as a result of approvals by the Planning Board Director of Building&CodVtnfb rnent or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Quemsbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140530 Application Number: A20140530 Tax Map No: 523400-279-000-0001-004-000-0000 Permission is hereby granted to: EDWARD. LE K DAVIS For property located at: 799 STATE ROUTE 149 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: EDWARD, LE K DAVIS Fireplace HENRY S. DAVIS Garage Attached 799 STATE RTE 149 Single Family Dwelling $209,000.00 LAKE GEORGE,NY 12845-0000 Total Value . $209,000.00 Contractor or Builders Name/Address Electrical Inspection Agency HILLTOP CONSTRUCTION 51 CROWLEY Rd HUDSON FALLS.NY 12839-0000 Plans&Specifications 2014-530 SFD 1,380 sq.ft.; Garage 660 sq.ft. I Fireplace (gas) SEE AV 84-2014 - contact Bruce Frank re: Code Compliance $375.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,December 23,2015 (If a longer period is required,an application for an extension most be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town f Que �� //�u ber 23,2014 SIGNED BY J� for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only DATE Qe-f-6.6c .2O('/' Received �t ei Tax Map ID L TAX MAP ID Q?? 0 J C% I - Permit No. � ,\ �� S Permit Fee 0 37 �i ZONING - - ' • 'Rai Fee A/G` - fi'r-e.71AA.r<... Site Plan# HISTORIC SITE Yes No Subdivision # SUBDIVISION NAME Lot# TOWN BD. RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS, INCLUDING SINGLE FAMILY DWELLINGS, 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 o0 OWNER 1 r' // �0 /7 S�rG( c!i .d �' Henryoc.i f 5 � 1' rL y ADDRESS `S/ (/Q f.J/F> r`o ad ADDRESS / 71 J I 11 o& ,T q j-itc. ds-,--7-, FJAy )0 3? ka/�e George N y 107K5— , PHONE/E-MAIL-5I? 7T -D3. 0 a 167/?75 674,, PHONE/E-MAIL L2di rOndaCk — eC( a yahoo, curl � ' (olY I CONTRACTOR .L.,f_17Ltc� COST OF CONSTRUCTION(ESTIMATED): $ 0Q09 dO 0 ADDRESS: BUILDING ADDRESS: ca)fl2. - 4 Qu15 /5 //v/f? /n A2 or winf,erL PHONE/E-MAIL � ) CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: 1 D WI 1 I b re c)11- PHONE ry 9''70 171 TYPE OF CONSTRUCTION Check all that apply Please indicate measurements as required below r c;p\Q� `Neww Addition Alteration 1st floor sq. ft. 2ndfloor sq. ft. Total sq. ft. Height Single Family ( (AF e -t e X /.� Vi — r013� —c Two-Family 'Multi Familyk/c):1 / (#of units ) - - Townhouse Business Office Retail - Mercantile Factory - Industrial Attached Garage 0. 7 (#of r. ) I jC�G' “o I f �e c/Z !eG — Geo Other Pr) r r n / q.2 I ' 1 Town of Queensbury Building&Codes Principal Structure Application July 2014 If commercir.l 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 & / 16t) � �,�Chimneys Are there structures not shown on plot plan? C'/P. Are there easements on the property? Site Information a. Dimensions or acreage of lot b. Is this a corner lot? c. Will the grade be changed as a result of construction Yes No d. Public water or Private well e. Sewer or Private Septic System Value of all work to be performed (labor or materials) $ 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. I 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: ( 1 A\i ,c. A I b C-h'r DATE /C- a.LSIGNATURE: ��1(-( - cI "DATE /!' /� /y J 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 FUEL BURNING APPLIANCE & CHIMNEY Office Use Only APPLICATION Received DATE 06h r c .)C i i-f Tax Map ID Permit No. /.41/--.5-3?) .41/--,5-3?) TAX MAP ID c17T) / - Permit Fee I 12uifr ZONING OWNER: j 'a re Q a V/ 5 PHONE/E-MAIL ADDRESS ! C,"( 31-a/E. v ` / T / INSTALLER/BUILDER: r I / !C/) LO/)5/ rbt C7i O K) PHONE/E-MAIL s/ ADDRESS: 5I Now had c( I Iuz SO/► ! '/t 11) Ions CONTACT PERSON FOR BUILDING 8CODES �COMPLIANCE: Cn1/ ,F �rP C' 1 PHONE 4? I" BUILDING ADDRESS: / SSI�.t.0�' G�G'2(. / 7 9 Fuel Burning Appliance Information Wood r Coal Pellet I Gas Oil NOTE: ROUGH-IN & FINAL Stove INSPECTIONS ARE REQUIRED. Fireplace Insert Fireplace, Factory built* Fireplace, Masonry Furnace (Garage Only) *If Factory built provide manufacturer name: ; model#: 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 PI have read and agree to the above: Print Name: n `� 1 19 're c' (� Date: 1°4;)/V (s) j / Signature: a / Date: AAP-P 5 Town of Queensbury Building&Codes Principal Structure Application July 2014 SEPTIC DISPOSAL PERMIT Office Use Only DATE Received _ Tax Map ID TAX MAP ID O27 7r . o ' - / '' Permit No. Permit Fee LOCATION OF INSTALLATION ± E/E Approvals: • APPLICANT C -MAIL ADDRESS INSTALLER/BUILDER: PHONE/E-MAIL ADDRESS: OWNER PHONE/E-MAIL Address CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: PHONE 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 _N 1992-Present 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 licensed engineering/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank Size 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 ft.; Each trench x 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 these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Print Name: Date: Signature: Date: 6 Town of Queensbury Building&Codes Principal Structure Application July 2014 Town of Queensbury Thomas R. Van Ness Highway Department Highway Superintendent 742 Bay Road, Queensbury, NY 12804 Home: (518) 745-0929 Phone: (518) 761-8211 Fax: (518)745-4466 David Duell Deputy Highway Superintendent Home: (518) 745-0938 DRIVEWAY PERMIT Date: e Applicant Name: Telephone No.: Address to Be Inspected: Return Address: 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 7 'own of Queensbury Building&Codes Principal Structure Application July 2014 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. Permit# -bat) Schedule Inspection �/ 5/i S Time�3U ampm anytime Inspector fr"r Name rOlcV 1c3 Address t-Kl-r 3 {(Z at 1 49 Rough In Final h Appliance Manufacturer V l Cro"1 tjS�1 c Model# 7g 3 p>q Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles(all sides) � �0� 1s1V� 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 Height above f/p opening Witness Operation y Tank Placement(if LP) CO Detection CSST Bonding White—Building Dept. 1'elloN%—Cost>mer Pink—Fire Marshal 111%. Town of Queensbury Fire Marshal 4,0742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# 5: Schedule Inspection 17/(5- Time a p anytime Inspector(�7 Name ci.� (c Address rr— ✓� J Rough In Final Appliance Manufacturer EJ/ .41 -7* Model#02 d/,✓gf-SG 75-6' Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes o N/A Comments Floor Protection Clearances to Combustibles (all s' es) !/ 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 1/v7/ Hearth Extension (if any) Mantel Height above f/p opening Operation /42f,-/- Witness � V Tank Placement (if LP) CO Detection CSST Bonding White—Building Dept. Yellow—Cust)mer Pink—Fire Marshal Queensbury Building & Code Enforcement - Residential Final Inspection 2 Office No. (518) 761-8256 Arrive: am/pm Depart: pm Date Inspection request received: 16 t 1^ 1' 12-a1,5 Inspector's Initials: NAME: f.\--\i kS PERMIT#: 014-5 LOCATION: ' i`l Stt+ke,u ,+e., 149 DATE: e 1111 kS TYPE OF STRUCTURE: S Comments: Yes No N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location V Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches , Roof Complete/Exterior Finish Complete `/� Platform at all exterior doors V Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade '1� Guard at stairwell at 34 inches or more V/„e' Guard at deck, porches 36 inches or more Handrail Termination at Newell Post or Wall V/ Interior/Exterior Railings 34 inches to 38 inches V Deck Bracing/Handicapped Ramp Compliant �/ Grade away from foundation 6 inches with 10 feet n,/ 6 inch clearance to sill plate 1tf Gas Valve shut-off exposed/regulator 18 inches above grade t a" Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight V Safety glazing/Win w in stairwells safety glazing Interior Smoke De ctors/Carbon M noxide etectors Every level: Ev (y Bedro m: , /n Outside every bedroom rea: �• V Inter Connected: i Battery backup: • / Attic access 30 inches x 22 inches x 30 inches(height)in accessible area V Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window S/, Plumbing fixtures o% 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 4 Gas Furnace shut-off within 30 feet or within line of site , Oil Furnace shut-off at entrance to furnace area Y Furnace/Hot Water Heater operating Ve / Low water shut-off boiler V Relief Valve(s) installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum V" Basement stairs closed rise>4 inches -J Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer h! Gas Logs in Sealed or Glass Enclosure / Final Electrical; Energy Saving LV ight Bulbs 50% Y 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 I Variance required Flood Plain Certification, if required Okay to issue C/C or C 1 O [Temporary/Permanent] —Irk/1)% L:\Building &Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised January 7, 2008; Revised 6126/08; Revised 12/22/10, Revised 04/13/11 Town of Queensbury Building &Code Enforcement NO N Office No. (518)761-8256 '2---1 Rough Plumbing I Insulation Inspection Report Inspection request received: b \reA\ 3 Name: Inspected on: IQ 11,`D 1 t3 Location: TS1 atilt,QOAAIrti 11.6 Arrive: \ N/ a.m./ p.m. Permit No.: i 2\ --.c.D�0 Inspector's Initials: ° , Type of Structure: .SSZA----) COMMENTS Y N NA Plumbing under slab Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 1/2 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. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes 11- Insulation/ Residential Check I Commercial Check V ?..t44, ,,, Window Sealing V Tyvek or Similar Exterior Sealant Q-3 g ci(„t Proper Vent, Attic Vent Door I Window Sealed (No Insulation) V l' 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 Rough Plumbing/Insulation Inspection Report Town of Queensbury Building&Code Enforcement i\I(St Office No. (518)761-8256 Rough Plumbing I Insulation Inspection Report Inspection request received: �cl� t Name: -qln.,\Y-Y1 Inspected on: L c 2.0.1 e Location: - 2- -RAttsuf 4x.. Arrive: a.m. ! p.m. Permit No.: I �'�� Inspector's Initials:—.11M% Type of Structure: S COMMENTS Y N NA Plumbing under slab Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place 1 1/2 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. 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 (4=5 Window Sealing w-f/A- 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 Rough Plumbing/ Insulation Inspection Report Town of Queensbury Building & Code Enforcement �m-I Office No. (518) 761-8256 iC_ t 2— Framing I Firestopping Inspection Report Inspection request received: �&ItS Name: Nr-Nt Inspected on: b 1 t tI2s3t5 Location: � � ,��, 2, l l Arrive: - 0 a.m./p.m. 5� � . Permit No.: t 6 Inspector's Initials: T ilk TYPE OF STRUCTURE: Y N N/A COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs I 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 '/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 �l{ 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 i().4 )prvl Office No. (518) 761-8256 Date Ins T.ovn4equest received: • (,2__141_( Queensbury Building & Code Enforcement Arrive: am/pm 742 Bay Road, Queensbury, NY 12804 Inspectorals: . . ,, 1 NAME: '`I•L� �LO PERMIT#: . 61 - S LOCATION: -719 sf-G it-C6/ INSPECT ON: _r • TYPE OF STRUCTURE: 46) Let d Y N N/A accito Plumbin ough Plumbin it Plates Ve —1,.gct-2 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_I I ‘"- Town of Queensbury Fire Marshal 742 Bay Road l l — 2— 4 rift Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning Fireplace I 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 allo ed Permit# IA\��)� ` Schedule Inspection (u Ii% 2O 5 Time - am pm anytime Inspector Name C\f`/i S Address Ten Ste— QO L& � Rough In Final Appliance Manufacturer C /i`Model# Z1 OD-I)0P cUi 113 Masonry Chimney Factory Built Chimney Flue Sized Double Wall Triple Wall Insulated_ Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Safety Strip Installation (fireplaces only)/ Firestop(s) Vertical Chase V Wall Penetration Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration;2 feet above 6' any combustible construction within 10 feet Combustion Air Hearth Extension Mantel(height above f/p opening) t� Fireplace Doors/Screen (required) Carbon Monoxide Detection C White—Building Dept. Yelton—Customer Pink—Fire Marshal Town of Queensbury Building & Code Enforcement /4a Office No. (518) 761-8256 0, ( 1r3-6— Framing / Firestopping Inspection Report Inspection request receiv d: Cd 4apis Name: l ' A 44 j Inspected on: n' eA, 6 y 6 • Location: 7 q9 // ?VeArrive: a.m./p.m. Permit No.: /`-t'J 53 / Inspector's Initials: r � TYPE OF STRUCTURE: 5A3 YOD/ACOMMENTS:Framing Attic Access 22"x 30"minimum 41/'` 'Jack Studs I Headers Y COMMENTS: (� Truss Specification Provided Bracing/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 '/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 I Firestopping Inspection Report g101 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Ins ection r uest received: C214)-61,-5 Queensbury Building & Code Enforcement Arrive: ,�j am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initia s: NAME: w ` c ,s ,4S PERMIT#: ,;-6I - 5 36 LOCATION: I t.�( • 1-e a �/ INSPECT ON: TYPE OF STRUCTURE: SF) C{\ Y N N/A gte4 Plumbing under slab Rough umbl / 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 /VentIk7 -P14.j( s Air/ Head c-cSQ 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping gs_02kki-6 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 10-Y1--- .4 .11111ft Town of Queensbury Fire Marshal ` , 742 Bay Road iglv Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 OFactory 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. y Permit# Ili—5e Schedule Inspection 51151 IS Time 1‘3° /�' ' 0 pm anytime Inspector C1}-.5 Name 1 S Address 1-99 SISO . Cip 1 ill Rough lid— Final_ Appliance Manufacturer ilerwi,i a_5-71-15- Model# gie d 1)B P5 7513 Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection 1�v/ 6L' -��6v11 - �`1g o33� cwt '3- Clearances to Combustibles(all sides) j-45-Mcie.A. i,.\ L.)0;,7 )27 Firestop(s) Vertical Chase V Wall Penetration j. / XWOT Vent Clearances to Combustibles5 F,¢).6 q 1---19--; 1411,1 l i/1, 1/ Vent/Chimney Termination /�Ain/62m L Chimney height must be 3 feet above roof / penetration;2 feet above any combustible 1 construction within 10 feet Gas Shut-Off Valve — A1OT ����� Combustion Air f Hearth Extension (if any) !/ Mantel / — I P ki•MCM S ?Pr- e ‘tr i n*Ow) Height above f/p opening 1 rri 04 L `" t c ft' ttbl5 Witness Operation l/ ` ' Tank Placement(if LP) 1/ CO Detection it e'er b i CSST Bonding White—Building Dept. Vellum—Cust mer Pink—Fire Marshal Town of Queensbury Building & Code Enforcement ` ,!..:-�� Office No. (518) 761-8256 o Framing 1 Firestopping Inspection Report Inspection request received: 511n.,1`J Name: �`r�S Inspected on: 5 . 2a1� Location: 11,9 cStx.kt (Lit, Arrive: 4,114, a.m./p.m. / Permit No.: 11 'SND Inspector's Initials: —...►�� TYPE OF STRUCTURE: Y N N/A COMMENTS: Framing Attic Access 22"x 30"minimum c2(t) _.\ Jack Studs/Headers Truss Specification Provided Bracing I Bridging 1/ Joist hangers VAlr �IAF�dt Jack Posts/Main Beams Exterior sheeting nailed properly tJ 12"O.C. Headroom 6 ft.8 in. d.,440ivk — Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches/Holes/Bearing Walls � n Metal Strapping for Notches Top Plate i�2r'� 1G 1 1/2(w) 16 gauge(8) 16D nails each side44 - , Draft stopping 1,000 sq.ft.floor trusses V Anchor Bolts 6 ft.or less on center B‘A ,cam Ice and water shield 24 inches from wall v`l Fire separation 1,2,3 hour Pal `. 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 I 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 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pm Depart: am/pm Date Inspection request eceived: Inspector's Initials: NAME: 'Wt, A. 'c 0 5 PERMIT#: LOCATION: h'S - kik-6\ DATE: V1U1 y TYPE OF STRUCTURE: Comments: Yes No N/A 4" Building Number Address visible from road Chimney Height I"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: 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 Plumbing fixtures 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'/2"Gypsum Basement stairs closed rise>4 inches Garage Floor PitchedRE-d2\t • Garage fireproofing/3/4 hour fire door/door loser Gas Logs in Sealed or Glass Enclosure ` 1 Final Electrical; Energy Saving Light Bulbs 50% C:-19 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 Flood Plain Certification, if required ta-1) Okay to issue C/C or C/0[Temporary/Permanent] r LA s s It S l. n ck. G at,1 cS 6-4-' A lb.r L:1Building&Codes Forms\Building&Codes\Inspection FormslResidential 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: y'3°' /) NAME: OX.frr LOCATION: Y7 PERMIT#: / — 5-3° 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 C rown, Zoning Administrator Notes: L:\SueFemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc P., ...•7L ..t,�', �;3,"S E(LRROR)H ,U .J FORT ANN—" NQ .. ,..U. ,�..,.77-.1.0 AN{f� © LQ iJ u o t0 RT 149 MARKET RD g SITE FARM $ TOWPj O,= iLEENSB R e~ e 11LC!,NG G'CODE r` 4� 4 NOW OR FORMERLY � { h LANDS OF RICHARD and MAD NE MEAD TAX MAP: 266.03-1-1 / VICINITY MAP SCALE:1"=0.5 MI.t �Bo N83°3700"A STONE"u 146.08' SIDE LINE sHEO iarO.a' ���•0.�� N8243'00"W case_o-weLc-• ------ � I_ f1r.7•i 101.4.2 s _______ • TONE WALL POOL GARAGE 1 POURO SANG 3E FOUNOgnOCR,E7E' AN \\ >y METER POOL ' \ POLE P AREA Jf NOW OR FORMERLY � LANDS UNDER CONTRACT TOUTILITY�cn1E caNLwEn:X., WILLIAM J.BARBER .": TAX MAP:279.00-1-3.2 ,� LANDS OF SHEDE `� f �'NG 106P1� EDWARD K DAVIS a 1.18 ACRESt TAX MAP:270.00-1-4 ••:.:...:...:....:y7ONe ,+• o h of. LANDS OF , 4 THE STATE OF NEW YORK I' 6 a� 13 Rai 0E 112.00' LINE / � c�11°35'00NcUauTY107 POLG � �aDpO -• �' � Gas"``'" /n'Ua1ltt POLE NG 106 V DEED REFERENCE JAMES F.BARLETTA and LORETTA L BARLETTA TO EDWARD K.DAVIS DATED: SEPTEMBER 13, 1963 LIBER OF DEEDS 499,PAGE 300 NOTES 1)FIELD SURVEY FOR AS—BUILT LOCATION OF EXISTING POURED MAP REFERENCE CONCRETE FOUNDATION WAS PERFORMED ON APRIL 25,2015. 2)SUBJECT TO RIGHTS OF THE PUBLIC AND THE STATE OF NEW YORK, MAP ENTITLED: "MAP OF A SURVEY OF A PARCEL OF LAND IN AND TO THE BOUNDS OF NEW YORK STATE ROUTE NO. 749. PREPARED FOR EDWARD K.DAVIS MADE BY RICHARD W.BENNETT, LICENSED LAND SURVEYOR, GLENS FALLS,NY.,DATED OCTOBER 6, 1986. 3)SUBJECT TO ALL RIGHTS,PRIVILEGES AND EASEMENTS THAT THE PUBLIC SERVICE UTILITY COMPANIES MAY HAVE IN AND TO THE PREMISES. TAX MAP REFERENCE SECTION 279.00,BLOCK 1,PARCEL 4 SURVEY&MAP MAP BY MAQD SHOWING EXISTING SITE IMPROVEMENTS / y DLP SURVEYING,LLC PREPARED FOR k r JI DONALD L. PIDGEON,Jr. PROFESSIONAL LAND SURVEYOR EDWARD K DAVIS Mtr a 1f 7 N.Y.S..LICENSE NO. 50372 SITUATED IN .. 16 MICHAEL ROAD FORT EDWARD, NEW YORK 12828 TOWN OF QUEENSBURY, WARREN COUNTY NEW YORK 518-7924146 SCALE: 1" = 50' APRIL 2:5::2015 0.213-AB � L Foundation Inspection Report (car l e✓ sif Qoss%16�� Office No. (518) 761-8256 Date Inspection request received: 1121A1.5 Queensbury Building&Code Enforcement Arrive: am/pm Depa pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ,t, NAME: "bC /\sPERMIT#: 147�a� LOCATION: 1-cl� c5 �(�nn O _ INSPECT ON: 4t2°�5 TYPE OF STRUCTURE: BC) Comments N N/A ,_b‘rca-4l U' b b5DZr 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 / Auss011rg-UnderSlab \i/ 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 12/9/2014 Vel 2� Foundation Inspection Report Office No. (518) 761-8256 Date Inspection reque,..40:- -'ved: ' 12:2-- 15 Queensbury Building&Code Enforcement Arrive: Ia r. i Depart: 17.7-;, a Fir pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Inti., • NAME: hS PERMIT#: I b LOCATION: `j S n b 7\ )i-c, INSPECT ON: )221 2t3 TYPE OF STRUCTURE: S Comments V 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 oting Dowels or Keyway in place t► V Foundation/ Dampproofmg i"Oundation Waterproofing Footing.]rain Daylight-or Bvimp / CekVCCI \t-- A5 Footing Drain Stone: D e --\— . .$,A k� 12 inch width 6 inches above footing r — /6 mil poly for wet areas under slab �ackfill Approval _ 0 /_ 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 12/9/2014 IMPNI Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: 41,293-1 15 Queensbury Building&Code Enforcement Arrive: am/pm epar a pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials;/ 3 NAME: .16A•V1S PERMIT#: vi-5 ba LOCATION: 'S'ratt,--e. 1q5 INSPECT ON: -� TYPE OF STRUCTURE: 5 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 \i/.f. , .._/ Z ZiYEA-5 Footing Dowels or Keyway in placeV7 -CIAFoundation Dam pP g lroofm t t � 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 12/9/2014 -1 'WI l -3 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 1 to 15 Queensbury Building& Code Enforcement Arrive: am/pmDepart: m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials;/_ NAME: tiV i� PERMIT#: -� LOCATION: 1"`"1ail Y9 INSPECT ON: I I 11-\ 5 TYPE OF STRUCTURE: Comments Y N N/A V�-G 3• l _ b 230 Footings (O C Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place ‘,/ Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval 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 12/9/2014