2013-200 `�, ` TOWN OF QUEENSBURY
oys742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building Sc Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
T Permit Number: P20130200 Date Issued: Friday, November 22, 2013
This is to certify that work requested to be done as shown by Permit Number P20130200
has been completed.
Location: 11 BARDIN Dr
Tax Map Number: 523400-316-013-0001-007-000-0000
Owner: TERI L JUCKETT
Applicant: TERI L JUCKETT
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
owner of the responsibility for compliance with Site Plan,Variance, or 5
F). kW.
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
` � 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130200 Application Number: A20130200
Tax Map No: 523400-316-013-0001-007-000-0000
Permission is hereby granted to: TERI L JUCKETT
For property located at: 11 BARDIN Dr
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: TERI L JUCKETT
CHRISTOPHER E JUCKETT Fireplace
109 SANDFORD St Garage Attached
GLENS FALLS NY 12801-0000 Single Family Dwelling $186,000.00
Total Value $186,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
•
PATRICK BURKE
936 BAY Rd
OUEENSBURY,NY 12804-0000
Plans&Specifications
2013-200
SFD 1st flr 1,760 sq ft; 1 gas fireplace
Attached 2-car garage 576 sq ft
$438.40 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, May 21,2014
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town(Qu .'sbu/4 Tu 'a f May 21,2013
SIGNED BY `
V eta. for the Town of Queensbury.
Director of Building&Code Enforcement
W
OFFICE USE ONLY
TAX MAP NO..3 , 3 - - _' _PERMIT NO. 3-aI II Date
FEES: PERMIT _RECREATION
-�_ENGINEERING� 1
(If applicable) _
PRINCIPAL STRUCTE:
APPLICATION FOR ZONING APPROVAL& BUILDING
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATIONPERMITR
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. IS SUBJECT TO REVIEW
APPLICANT/BUILDER:_ j "Su e K e-k!-
1�C awdd''�C OWNER: /� r 1 !rC'�(' i-L e
ADDRESS: i
ADDRESS: 0 S S {-
PHONE NOS.n( PHONE NOS.NOS. _(S F
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE
PHONEL22222A"1/,5—
LOCATION OF PROPERTY: 1'
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? IlJI YES 0 NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT zz
ul
PROJECTAPPLY 12 YOUR z0 rz cc
O O co co
F �
O W O �
mit cc --� O ~ 2
Q � � a x i-- LLP. 0
Z Q NfA 8 � OF Q: W ?
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SINGLE FAMILY X I ' I('b
se
TWO-FAMILY a
MULTI-FAMILY
(NO.of UNITS__
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3) 1 X SW,, 5117 �
g
OTHER ( NO
IF COMMERCIAL nP mini reTolnr ,.__... ..___
_1L{7 •
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? No
ARE THERE EASEMENTS ON PROPERTY? /VD
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and _
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed,'I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above.
Signed eg,
aft
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
Zoning Administrator 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
r /1Q11—
WIN- & CODES APP:OVAL ZONING APPROVAL
Ig
DATE DATE
QUESTIONS? CALL 761.8258 OR EMAIL
co estd_aueensburv.net
t 3 -acr MAY I4 2013
Revised 4 14!2010
APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS
Application is hereby made to the Building&Codes Office for the issuance of a Building & Use Permit pursuant to the
New York State 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: Rouqh-lnttand Final Inspections Are Required:
Owner: C irts -4 Jerk tekeYf Installer/Builder.. pp T ke , 54-nvcmry
Address: 9-4 ri eAlroV'ri- or Address: 12 IC Si ilk �0 ii-37/4- 101
Nos.: Phone Nos.: nig 26 3 S -1P150
J r
Location of Property: I ( f5ogr�,w Pr. Subdivision Name: e)oiv -, e t,J CA-
-Location
-Location of Proposed Construction and/or Installation: L r vi KEN g M
L.
Contact Person for Building&Codes Compliance: CLr i f 4 1 T' -; v.ck et
- Fuel Burning Applicance Wood :Coal Pellet Gas Oil
Information
Stove
Fireplace Insert •
Fireplace,factory built* X
Fireplace, Masonry
Furnace, (Garage Only)
�* If Factory Built, Please Provide: Manufacturer Name: *ix)/ ',Dt1 Model No. L µDQ -
Listed By: Number.
Chimney Information . BLOCK BRICK STONE
Masonry** Check One,/
TILE STEEL SIZE IN
INCHES
Flue Check One ✓ q`'Jl 3
DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY
VENT LINER
Chimney Material Check Onel �/
#3(
f\ {, g
it** If Non-Masonry, please provide: Manufacturer Name: t'1 f 1'e,\jt d--QS Model No. t(Cdr.-teem')
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*Community Development Office*742 Bay Road, Queensbury NY 12804
6- ar-Y3 O
e Pc3,
Revised 4/14/2010
Town of Queensbury
Highway MAY i 4 2013 Michael F. Travis
Department Highway Superintendent
742 Bay Road, Queensbury, NY 12804 Home (518) 798-0413
Office Phone: (518) 761-8211 Thomas R.Vanness
Fax: (518)745-4466 Deputy Superintendent
Home (518)745-0929
www. Queensburynet
DRIVEWAY PERMIT
Date: CP)/i3
Applicant Name: CL A( -b Te
Address to be inspected: L Bn ri.„ Q.rtQa/) u) C-IS kb
Return Address: WQ y 214 EI;z0.L4k Ln QtLi
Applicant must show exact location and width of driveway(s) to be connected to the highway by placing
stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following
action has been taken:
Step 1: ( )Preliminary Approval
Need: ( ) Slight swale
( ) Deep swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( ) 12" ( )15" ( )18" ( )24" ( )36"
Preliminary inspections completed by: Date:
Approved by Higway Supt Deputy Supt.:
Upon completion, please resubmit this approved permit for a final approval.
Step 2: ( ) Final Approval
( ) Rejected
Date:
Michael F.Travis, Highway Superintendent
Thomas R. Van Ness, Deputy Highway Superintendent
Town of Queensbury*Community Development Office*742 Bay Road,Queensbury NY 12804
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OFFICE USE ONLY
TAX MAP NO.3 I 1.0,[3-I-'7 PERMIT NO. I 3-, k0 PERMIT FEE MAY .( 4 2013
APPROVALS: ZONING TOWN CLERK
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE `OF A VALID PERMIT. T ( (� i ry p
OWNER:.f k yA 1 S —t 1 R-r; \ ecit INSTALLER: 90- d i]u -k Q_
ADDRESS: ( ( ►3 O.r elt�r. pi ADDRESS: 1 3 h V e y 1:2 i
PHONE NOS. —74:1 I — g6 I U i PHONE NOS. n 2-1 1hr -
LOCATION OF INSTALLATION: FD-n C 'ja.ed
NO.OF COMPUTATION RESIDENCE INFORMATION:
YEAR BUILT BEDROOMS X (Gallons per bedroom) = TOTAL DAILY FLOW GARBAGE GRIN/1/DSJ2
1980 or older Z x 150 = 300 ' INSTALLED? r7
1981-1991 X 130 = SPA OR HOT TUB
1992-present X 110 = INSTALLED? N®
PARCEL INFORMATION:
• TOPOGRAPHY: FLAT ROLLING )( STEEP SLOPE %SLOPE
I SOIL NATURE SAND X LOAM CLAY OTHER
I GROUNDWATER AT WHAT DEPTH? Soo 3
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? b
• DOMESTIC WATER SUPLY: MUNICIPAL X WELL, (If well:water supply horn any septic system absorption is: ft)
1 PERCOLATION TEST: RATE IS SetSrA4 r rEER aINUTE PER INCH Imps]
(Test to be completed by a licensed professional engineer or architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: NI individual sewage disposal systems must be designed by a licensed professional engineer
or architect(unless installed in a Planning Board approved subdivision).
TANK SIZE: !jinn) GALLON(MIN.SIZE IS 1,000 GAL)Add 250 gallons to the the septic tank for
SCQ. stip- rack()each garbage grinder,spa or whirlpool tub. C `,T" '
�
SYSTEM TYPE:
$ABSORPTION FIELD(WITH-O.2 STONE) Total length I 2C ft Each trench 3 x "1St
❑SEEPAGE PIT(S)(WITH NO.3 STONE) - How many? `` Size? k
Ii ALTERNATIVE SYSTEM Bed or other type? y„}.n( \66�i 0 r )Lr�.r.t h._r1
0 HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks?
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
For your protection,please note that pursuant to Section 13629 of the Code of the Town of Queensbury,any permit or approval
granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant,shall be void.
I have read the regulations with respect to this application and agree
to abide by these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
Sanitary Sewage Disposal Ordinance. codes@aueensburv.net
�,— u t, _ D ,a//J3 VISIT OUR WEBSITE FOR MORE INFORMATION
Signature of Person Responsible date(` www.aueersburv.net
Town of Queensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: AP i ) am/pm
Date Inspection request received: Inspector's Initials: 1f 4i)
NAME: PERMIT#: `�ZOTZ, ^2ar-D
LOCATION: IN 8plzi-)tha � DATE: tl`'itt-5
TYPE OF STRUCTURE:
Comments:
Yes No NIA
4" Building Number Address visible from road
Chimney Height/'B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
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 RE. -e_ta
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 \ iY-c&t< t4...r)
Every level: _ Every Bedroom: J
Outside every bedroom area: —Is5 ¶Z Q, fV�
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area � I I 1 1 Z\ k-3 —
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures {L
Foundation insulation to floor/Sticker on Panel / s- "'
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 fine of site FoAr2t,"2 L
Oil Furnace shut-off at entrance to fumace area
Fumace/Hot Water Heater operating N1 - �]
Low water shut-off boiler �,
Relief Valve(s)installed/Heat Trap/Water Temp 110 � ' " L
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%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
Flood Plain Certification,if required
Okay to issue C I C or C/0[Temporary/Permanent] /
L:1Building&Codes FormslBuilding&Codesllnspection FomrslResideMial Anal Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 626/08;Revised 12/22/10,Revised 04/13/11
Final Survey Ispection
Dept. of Community Develent
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: If/7—c t (
NAME: -L '
LOCATION: 11 (j/ n FD� t!s
PERMIT#: 2.or2 -
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 Brown, Zoning Administrator
Notes: 4U ?, 010 3
L:\SueHemingway\Building.Codes.Inspection.FORMSIFinal Survey
Zoning Administrator.doc
Zoning Board of Appeals - Record of Resolution
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8238
FOLLOW-UP RESOLUTION
July 18, 2013
TO: Patrick Burke for Juckett PROJECT FOR: Chris &Teri Juckett
936 Bay Road 11 Bardin Road
Queensbury, NY 12804
Your application, after review and consideration by the Zoning Board of Appeals,was:
_X_ Approved. The variance approval is valid for one (1) year from the date of approval.
You may request an extension of approval before the one (1) year time
frame has expired. See section 179-14-090
A copy of the resolution is attached.
Additional requirements and review for this project shall include:
Zoning Office
_X_ See approval conditions in resolution.
_X_ Submit four (4) copies of the approved plan depicting all changes and conditions
of the approval as adopted by the Zoning Board of Appeals. Please bring the
plans to the Zoning Office for the Zoning Administrator's signature. These plans will
need to be reviewed and approved prior to issuance of a building permit.
X_ Please contact Bruce Frank, Code Compliance Officer at 761-8226 within 30 days
of the ZBA approval date for a pre-construction meeting before anv work is
started.
Page l of 2
Approval of the application means that the applicant can now apply for a Building Permit unless
your lands are Adirondack Park Jurisdictional or other approvals are necessary (such as review
by the Queensbury Planning Board.)
Zoning Board of Appeals - Record of Resolution
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8238
Continued Follow-Up Resolution Letter
ZBA Meeting Date: Wed., July 17, 2013
AV 35-2013 Burke for Juckett
Building Department
_X_ Application for a Building Permit
Application for a Certificate of Occupancy
Application for necessary Sign permits, if applicable
No further discretionary review is necessary at this time
This office will be performing necessary inspections related to Site issues, not Building Code
issues, throughout the duration of the project. Completion of and continued compliance with
all details and conditions of approval are required in order to receive and maintain approvals.
Since
eLD
l
Craig Brown
Zoning Administrator .
CB/sh
Encl.
Cc: Chris &Teri Juckett
Page 2 of 2
Approval of the application means that the applicant can now apply for a Building Permit unless
your lands are Adirondack Park Jurisdictional or other approvals are necessary (such as review
by the Queensbury Planning Board.)
•
Zoning Board of Appeals - Record of Resolution
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8238
Steven Jackoski, Chairman Roy Urrico, Secretary
TO: Patrick Burke for Juckett PROJECT FOR: Chris & Teri Juckeft
936 Bay Road 11 Bardin Road
Queensbury, NY 12804
The Queensbury Zoning Board of Appeals has reviewed the following request at the below
stated meeting and has resolved the following:
Area Variance No. 35-2013 Patrick Burke
Meeting Date: Wednesday, July 17, 2013
Approved X
MOTION TO APPROVE AREA VARIANCE NO. 35-2013 PATRICK BURKE, Introduced by Michael
McCabe who moved for its adoption, seconded by Ronald Kuhl:
11 Bardin Road. The applicant requests relief from an already constructed foundation for a
single family home, 1760 square feet, with a 576 square foot attached garage that does not
meet the required front yard setback. Our required setback is 30 feet. The proposed setback
is 23.4 feet. The relief requested is 6.6 feet. Whether an undesirable change will be produced
in the character of the neighborhood or a detriment to be nearby properties will be created by
granting this variance. Minor impacts to the neighborhood are anticipated. Whether the
benefit sought by the applicant can be achieved by some other method feasible for the
applicant to pursue other than the Area Variance. Feasible alternatives appear to be limited
due to the lot configuration and the existing homes on adjacent lots. Whether the requested
relief is substantial. The relief requested for the front yard setback may be considered minimal
relative to the Code. Whether the proposed variance will have an adverse effect or impact on
the physical or environmental conditions of the neighborhood or district. Minor or no impact to
Page 1 of 2
Approval of the application means that the applicant can now apply for a Building Permit unless
your lands are Adirondack Park Jurisdictional or other approvals are necessary (such as review
by the Queensbury Planning Board.)
Zoning Board of Appeals - Record of Resolution
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8238
Continued ZBA Resolution
ZBA Meeting Date: Wed., July 17, 2013
AV 35-2013, Burke for Juckett
the physical or environmental conditions in the neighborhood may be anticipated. The
difficulty was self-created.
Duly adopted this 17th day of July, 2013, by the following vote:
AYES: Mrs. Hunt, Mr. Henkel, Mr. Freer, Mr. Noonan, Mr. McCabe, Mr. Kuhl, Mr. Urrico
NOES: NONE
Sincerely,
Steven Jackoski, Chairman
Queensbury Zoning Board of Appeals
SJ/sh
The variance approval is valid for one (1) year from the date of approval. You may request an
extension of approval before the one (1) year time frame has expired. See section 179-14-090
Final, approved plans in compliance with this variance must be submitted to the Community
Development Department before any further review by the Zoning Administrator or Building &
Codes personnel. Subsequent issuance of further permits, including building permits are
dependent on receipt.
Page 2 of 2
Approval of the application means that the applicant can now apply for a Building Permit unless
your lands are Adirondack Park Jurisdictional or other approvals are necessary (such as review
by the Queensbury Planning Board.)
u
MAP REFERENCE:
BAY VIEW COURT SUBDIVISION
DATED AUGUST 2, 1978
BY JOHN B. VAN DUSEN
=�a
LOT 15
1 HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: CHRISTOPHER E. & TERI JUCKETT
TRUSTCO BANK,
IT'S SUCCESSORS AND/OR ASSIGNS
CHICAGO TITLE URANCE COMPANY
,E �.Y
CERTIFIED` m M
MATTHEW C 1STEVES LLS NY$ 50135
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DATED: DECEMBER 71,2012
JUNE 14, 2013,,
OCTOBER 23,2013, ;
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Map of a Survey made for
Christopher, E. & Teri Jucket
Town of Queensbury, Warren County, New York
316.13-1-7
LOT 17
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IPF = IRON PIPE FOUND
'. ICIRF = !,CAPPED IRON ROD FOUND
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169 Haviland Road Queensbury, New York 12804
MAP BEARING A UC€NSED LAND SURVEYORS SEAL IS A
VIOLATOR OF SECTION 7209. SUB-OIVIS'ON 2, OF THE
NEW YORK STATE EDUCATOR IAM'
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARLED 1NTH AN V`OFFE T THE LAND SURVEYORS
SEAL STAR BE CCfUIDERED TO BE VALID TRUE COPIES.'
THISSC SCNIFY THAT
IS SUR CATIONS II UI(ATED IN
AG CO WAS PRAC7Ep IN ACCOUANCV WITH THE
BRING COOS OF €AA TE ASSOCIATION FOR AND SURVEYORS OF IKEDALADOPTED
LAND SURVEYORSL§§ D CERTI CAVOSHAD_ UN CNI-Y
TO THE PERSON FOM WHOM THE SURVEY IS PREPARED, AND
ON HIS HEXAD TO TPE TRE COMPANY,GOVERNMENTAL
AGENCY AND LENORfiB INSTNIPQN LASTED HEREON, AND
TO THE ASSIGNEES GT THE LENDING INSTNTON•
518) 792-8474
New York
Lie. No. 50135
IPF
LOT 1
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Map of a Survey made for
Christopher, E. & Teri Jucket
Town of Queensbury, Warren County, New York
316.13-1-7
LOT 17
8
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LEGEND:
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'. ICIRF = !,CAPPED IRON ROD FOUND
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— HYDRANT
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FEBRUARY 29,
Scale 1'=30'
S —
SHEEN
4
10/23/13
FINAL UPDATE
3
6/14/13
FOUNDATION LOCATION
2
12/07/12
PROPOSED HOUSE
1
11/28/12
PROPOSED HOUSE
duCKE
DWG. No. 7
NO.
DATE
DESCRIPTION
1
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Queensbury Building & Code Enforcement - Residential Final InspeC ion ` i/
r Office No. (518)761-8256 Arrive: am/pm Depart• I,I,► id am/pm
Date Inspection request received: Inspector's Initials:(-
NAME: 5Lt Ke.--N" PERMIT#-- , 1/.3—fes'
' LOCATION: I/ Ain.? ,('\!> DATE: f I--_u—f
TYPE OF STRUCTUR : S f=JJ
Comments:
teyrNo NIA_
4" Building Number Address visible from road
Chimney Height/°B'Vent/Direct Vent Location I,
Fresh Air Intake f
3 inch Plumbing Vent through roof minimum 18 inches ✓
Roof Complete/Exterior Finish Complete V
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 ,f
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 V
Gas Valve shut-off exposed/regulator 18 inches above grade tOZ41ZakE7e
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight �/�.
Safety glazing/Window in stairwells safety glazin
Interior Smoke De rs/Carbon Mo�oxide odors c ///
Every level: Every yedro4nff:
Outside every bedroom aroma: llll ( 0 ir
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,l sq.ft.-150 sq.ft.vents ✓ -�"'ter--rt-
Bathroom Fans,if no window /
Plumbing fixtures V' [
Foundation insulation to floor!Sticker on Panel N/ �— P '�
« Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft. /r d I c...
Emergency egress below grade V
GasilFurnace ut- fffft nr 30 toturaceinlineofsite �t)
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating ,!�
• Low water shut-off boiler he 4r0 a ��ti�aF 7
Relief Valve(s)installed/Heat Trap/Water Temp 110 f ff
Enclosed Stairs Sheetrock Underside minimum W Gypsum ✓
Basement stairs dosed rise>4 inches
Garage Floor Pitched ./1/
Garage fireproofing/%hour fire door/door closer b/ _ `
Gas Logs ini Sealedl; Energy
og avLightEnclosure ✓� ' ` , ^ L —
Final Electrical; Energy Saving Light Bulbs 50% �'�j�� y�
AFnal Survey kPlan W1�36
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles .
Flex Gas Pipe Bonding � _ t
As Built Septic System/Sewer Dept. Inspection Sticker AL
Site Plan /Variance required h�•
OkFlay tolain issuC//Certification,rr C/O[Temporary/Permanent] fJetc-Cr—SS-10
L:1Building&Codes FormsOuilding&CodesUnspection Forns%Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
270 -/D
Rough Plumbing I Insulation Inspection Report p
Office No. (518) 761-8256 Date Inspection request received: 9// / o2G 4-
Queensbury Building & Code Enforcement Arrive: am/pm Depart !!/ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:6049
Wait:ait: J,4PERMIT#: d.0 3 ' a00
LOCATION: /l i34J7Lrh -,'+�C�INSPECT ON: 9 Er a-DI
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1 'h 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
r 15 minutes
Insulation/ esidential Check/Commercial Check
or Similar Exterior Sealant o/
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
FL-
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
j u e.sdrta- `1
Framing / Firestopping Inspection Report d
Office No. (518) 761-8256 Date Inspection request received: -eN
Queensbury Building & Code Enforcement Arrive: am/pm
742 Bay Road, Queensbury, NY
12804 Inspector's Initials: /
NAME: S' u C P,Cf PERMIT#: 3- )
LOCATION: 11 j, a rd1 A 0 r INSPECT ON: Lr5 1�
TYPE OF STRUCTURE: S Fb
Fr e
Y N N/A COMMENTS:
Framing Ca&I
Attic Access 22" x 20" minimum
Jack Studs/ Headers Pod'
Truss Specification Provided tip ..L6nYcl .
�
Bracing /Bridging \ -Co
reci
Joist hangers
Jack Posts /Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches / Holes/Bearing Walls
Metal Strapping for Notches Top Plate
11/2 (w) 16 gauge (8) 160 nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice ans water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour 1 1-047\
�
Firestopping i/ )NI� . c3t�� s
Penetration sealed �=-\
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space /Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above / below grade
5.0 sf grade
Design Professional Sign-off, If required
Framing Firestopping Inspection_Revised_02 0513
Rough Plumbing / Insulation Inspection Report a Y
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:�tiF
NAME: Eta e i i- PERMIT#: / 3 -0\vz>
LOCATION: // 8QrcJrh INSPECT ON: 9 -N
TYPE OF STRUCTURE: S T"-The
Y N/ NIAJ
aRoughiP-kgnbing /Nail Plates A/
Plumbing Vent/Vents in Place
1 IA inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent +/
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008
tea- a-/
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive:`zt73 am/pm
742 Bay Road, Queensbury, NY 12804 Inspect-Ws Ini ials
NAME: 3 LL.C" lart-r[ PERMIT#: /3"ADZ>
LOCATION: / I l•S Gan( INSPECT ON: 3
TYPE OF STRUCTURE: .5 C A
N N/A COMMENTS:
Attic Access 22" x 20" minimum �v
Jack Studs/Headers
Truss Specification Provided Vj
Bracing /Bridging
Joist hangers 1.0
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" 0.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/ Holes/Bearing Walls
Metal Strapping for Notches Top Plate
11 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses tI/
Anchor Bolts 6 ft. or less on center
Ice ans water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side Y inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space /Bedrooms
24 in. (H) •
✓
20 in. (W)
5.7 sf above / below grade
5.0 sf grade
Design Professional Sign-off, If required
Framing Firestopping Inspection_Revised_02 0513
10ea a-i-cj
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive:71j17 am/pm
742 Bay Road, Queensbury, NY 12804 Inspectdfs Initials
NAME: Lw c° PERMIT#: /3aOb
LOCATION: / / Li Gaol INSPECT ON: 9.`-‘1-13
TYPE OF STRUCTURE: ‘5 (1
/� N N/A COMMENTS:
Attc Access 22" x 20" minimum `(v
Jack Studs/ Headers
Truss Specification Provided V
Bracing/Bridging
Joist hangers �
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes /Bearing Walls
Metal Strapping for Notches Top Plate
11/2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses /
Anchor Bolts 6 ft. or less on center
Ice ans water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping y/
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space / Bedrooms
24 in. (H)
20 in. (W) •
5.7 sf above /below grade
5.0 sf grade
Design Professional Sign-off, If required
Framing Firestopping Inspection_Revised_02 05 13
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/am Depart: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: Al L-An
17-1
NAME: - + PERMIT#. Z� 2
LOCATION: 'T>N 7E, INSPECT ON:
\24-
TYPE OF STRUCTURE:
Framing Y N NSA COMMENTS
Attic Access 22" x 30" minimum
Jack Studs/Headers
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 % 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 cavq min.
Garage Fire Separation
House side%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
LABuiiding&Codes Forms-OLMSuitding&CodesUnspection Fcrms'Framing Restopping Impedion Report.doc Revised January 7,2008
Septic Inspection Report
Office No. (518) 761-8256 Date Ins rINSPECr
Queensbury Building &Code Enforcement Arrive: rt: �=742 Bay Rd., Queensbury, NY 12804 Inspector's InNAME: f C I3LOCATION: / A� I�3
RECHECK:
Comments and/or diagram
Soil T m Clay.
Type of Wate . II Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50'+/ - Y N N/A
150'to well required if NO
Absorption Field: Total length ft.
Length of each trench
Depth of trenches ft.
Size of Stone v3 F
Seepage Pits: Number A S, R U i L'
Size: x
Stone Size:
Piping Size Type
Building to tank `%
Tank to Distribution Box
Distribution Box to Field Pit V : t3 V-\
Opening Sealed: Y N
End Cap N
Inlet/Outlet Pipes&Baffles �Y N
Manholes 12"or less below grade _ _ N
[provide extension collar if Yes Y N
Location/ Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits
Conforms as per P _ _N
Engineer Report an As-Buil Y N
ETU Maintenance Contract Y_N
provided
Location of System on Property:
Front Left Side Right Side Middle Front Middle Rear
System Use S us:
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report 03 2910.doc
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectio uest
Queensbury Building&Code Enforcement Arrive: epart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ,
NAME: _ L C 1�0 ERMIT#: / .3
— � \C_ INSPECT-ON:C�✓ 'j
TYPE OF STRUCTURE:
Co m n
Y N NA
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
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil po!y 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.
U\Buiiding&Codes Forms\Building&Codes\Inspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: U C� E PERMIT#: 3.
LOCATION: j/ INSPECT ON: �
TYPE OF STRUCTURE: 6 F
Co m n
Y N NA
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 Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection r
Queensbury Building&Code Enforcement Arrive: � p Aepart: am/pm
742 Bay Rd.,Queensbury,NY 12804Inspector's Inti
NAME. PERMIT#:
LOCATION: ' INSPECT ON:
TYPE OF STRUCTURE:
Oyu
Y N NA
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. L
Materials for this purpose on site. l/J
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.,.,inch"4bevz ting
milpoly for wet ar under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Bullding&Codes Forms\Building&Codes\Inspection Fors\Foundation Inspection Repurt.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report 64-2�,7
Ph-
Office No.(518)761-8256 Date Inspection request received: 34, i
Queensbury Building&Code Enforcement Arrive: am/pm Depart- am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials-
6u,6
-� 'y
NAME: Vz `l PERMIT#: �' `" c
LOCATION: _ I (,�'�,. ►! INSPECT ON: - l.,3
TYPE OF STRUCTURE:
Columeng
Y N N/A
Footings
n
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 AglUs-Vurpose on site. '
Foundation/
Reinforcement in
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 ' q
6 mil poly for wet areas under slab
Backfill Approval ('
Plumbing Under Slab
. � l
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
J
Foundation Inspection Report
Office No.(S 18)761-8256 Date Inspection reque ecei Z>
Queensbury Building&Code Enforcement Arrive: t:�Zb art: pm
742 Bay Rd.,Queensbury,NY 12804 Inspectorts Initials:
NAME: 4v C �c PERMIT#: _ C)CD
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Com m na
Y N NA
ootings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for I 3
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
b mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM