inspection slips V\)Erb
Queensbury Building & Code Enforcement - Residential Final Inspection IQ-1,11
^Office No. (518) 761-8256 Arrive: am/p Da �1_."ty'am/pm
Date Inspection request received: 6I 161�S Inspector's Initials: 7L)AB
(TT TT
NAME: bG1�) PERMIT#: �
LOCATION: DATE: i
TYPE OF STRUCTURE: booth4y S2)
Comments:
Yes No NIA
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake lJi lL C1
3 inch Plumbing Vent through roof minimum 16 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,pafios more than 30 inches above grade
Guard at stairwell at 34 Inches or more
Guard deck, orches 36 inches more
Handrailit Termination at Newell Post
or Wall
Intedor/Exterior Railings 34 inches to 38 inches or _
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
Safe /azo / gl win stairwells sa n <�• .
Interior Smoke D ectors/Carbon Mo oxid Detectors
Every level: Eve edro
Outside everybedroom a a: ---
Inter Connected: Batte backu
Attic access 30 inches x 22 inches x 30 Inches hei ht in accessible area e=
1/10
Crawl Spaces 18 inch x 24 inch access 1 sq.11 150 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 400,
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off atentrance furnace area
FumaceMot Water Heater operating o
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Los 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 Pi a Bonding
As B e is stem/Sewer Dept. Inspection Sticker
Site riance required
Flood Plain Certification if r
Okay to issue C/C or C Temporary/Dpfmanent
L:\Building&Codes Fonns\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
t9r'
Wei \
Foundation Inspection Report /
Office No. (518)761-8256 Date Inspection request received: 5 o0 \5
�
Queensbury Building&Code Enforcement Arrive: �am/pm Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ,2/r
NAME: K—OCk—vvuy-,t- L uc� PERMIT#: 14'zje)1J
LOCATION: 107- YACX.�V.si INSPECT ON: /l1
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
y Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for II
providing protection from freezing /,) l v, Joy S
for 48 hours following the placement lam/
of the concrete.
Materials for this purpose on site. d
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
6' 10 1?2' 6' 10 117"- "- 6' 10 112
_._t
Town of Queensbury Building&Code Enforcement
Office No. (518)761-8256
Rough Plumbing / Insulation Inspection Report
Inspection request received: 51=,.)I 1.01`-->
Name: Inspected on: S ta 1JO S
Location: ID RD 1�-Xy&t- Arrive: -d p.m.
Permit No.: �' 2S Inspector's Initials:
Type of Structure:
COMMENTS
Y N NA
Plumbing under slab � 1^
Rough Plumbing I Nail Plates lit '��
Plumbing Vent I Vents in Place
1 '/z inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction H� T
Pressure Testes
Drain/Vent
Air l Head ��
5 P.S.I. or 10 ft. above highest connection for 15 min s \'s A RTi R�
Pressure Test n
Water Supply Piping v�
Or r l Head / r �i \6T50 P.S.I for 15 minutes 1)J' Fwd
Insulatio ential Check Commercial Check V, �L�DEQ—
Window Sealing V-- v�LAC oZ8
PRoaT �000Q Ute— o
Tyvek or Similar Exterior Sealant Z2—
Proper Vent,Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
ombustion Air Supply for Furnace
uct work sealed properly/No duct tape
Blower Door Test �� e
Air Sealing
Rough Plumbing/Insulation Inspection Report 6RflO+r P.Z1 �y
kLuz P— t3 ��vyyy
E�� C�REA R--z l
Town of Queensbury Building & Code Enforcement
Office No. (518)761-8256 ` I
11-'� —iz:oo
Framing / Firestopping Inspection Report
Inspection request received: A2ali
Name: Inspected on:
Location: 102 Arrive: .m.
Permit No.: � Inspector's Initials:
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
Framing
Attic Access 22'x 30°minimum
Jack Studs I Headers / o�Y;s
Truss Specification Provided l�
Bracing I Bridging
Joist hangers J
Jack Posts I Main Beams )
Exterior sheeting nailed properly
�2 +�/
12"O.C.
Headroom 6 ft.8 in.
Stairwells 36 in.or more
Exterior Deck Bracing
Headroom 6 ft.8 in.
Notches I 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 cavity min.
Garage Fire Separation
House side'h inch or 518 inch Type X
Garage side 518 inch Type X
Ceiling/wall
Windows Habitable Space I 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 I Firestopping Inspection Report / ,��
Town of Queensbury Building&Code Enforcement
Office No.(518)761-8256 �k ,A I l
Rough Plumbing I Insulation Inspection Report
Inspection request received: 21, 2!3"I ICD
Name: L--L� Inspected on: 3 Z 2
Location: 102. UC'aC \jy<�— Arrive: m .m.
Permit No.: )q —Je)t) Inspector's Initials:
Type of Structure:
COMMENTS
Y0- NA
Plumbing under slab
Rough Plumbing I Nail Plates cvw s A�
Plumbing Vent/Vents in Place ��
1 '/z inch minimum Drain Size 1
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction
Pressure Test
a Vent
Ai H J
j P.S. or 10 It above highest connection for 15 minutes
kmss�re Test
Wa Supply Piping
"ir
/50 P. . for 15 minutes V
dation I Residential Check I 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 I No duct tape
Blower Door Test
Air Sealing
Rough Plumbing I Insulation Inspection Report
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 74SA437
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 specilica�ns is allowed.
Permit# I 1' I//lh/ Schedule Inspection 3 I d S Time 11>0 a^ pm anytime Inspector_
Name � G�� �l //4 / C Address t�LAr S✓ l Rough In Final_
, r
Appliance Manufacturer ku�}nin— T 'U y�i Model# D U 3� svw�
Direct Vent_ Factory Built Chimney Flue Size Double Wall_ Triple Wall_ Insulated_
Yes No N/A Comments
Floor Protection �Iq x
Clearances to Combustibles (all si e
Firestop(s) Vertical Chase /
Wall Penetration_
Vent Clearances to Combustibles 3
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 31 y
Hearth Extension(if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
CO Detection
CSST Bonding
White—Building Dept yello —Cust mer Pink—Fire Marshal
Town of Queensbury Building & Code Enforcement of >M
Office No. (518) 761-8256
F1raming / Firestopping Inspection Report
Inspection request received: 24� Int
VName: — Y"t Inspected on: 7 I21-I�1
Location: 111)Z c)c2buy-&+ Arrive: 1 a.m.l P.M.
Permit No.: f�o A --Cbt), Inspector's Initials.
TYPE OF STRUCTURE: ST—t�
Y N NIA COMMENTS:
'Framing
Attic Access 22"x 30"minimum
Jack Studs I Headers 00y- S
Truss Specification Provided
Bracing I Bridging ztq e)c,
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/Hales/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 liJ�
Fire wall 2,3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity 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
Design Professional Sign-off,if required
Framing / Firestopping Inspection Report 6P
Town of Queensbury Building&Code EnforcementT-QA
Office No.(518)761-8256 � y2?\I,
Rough Plumbing 1 Insulation Inspection Report l
Inspection request received: S;12A X15
Name: Qmck:b_ ysC 1_1 C- Inspected on: 2 ZeD—I 7_011S
tOZ 1_
Location: �OC.I�Y kavS� �• Arrive: 1 a.m.l P.M.
Permit No.: Inspector's Initials:
Type of Structure:
COMMENTS
Y N NA
Plumbing under slab Ck)\rjj
Rough Plumbing/Nail Plates r
Plumbing Vent I Vents in Place
1 '/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test � !�
Drain I Vent ' V
Air/Head \KAI(��
5 P.S.I.or 10 ft.above highest connection for 15 minutes 1
Pressure Test
Water Supply Piping
Air I Head
50 P.S.I for 15 minutes �^
Insulation I Residential Check/Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent,Attic Ven
Door/Windowaled (No Insulatio
Duct I Hot Water ' ion
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape
Blower Door Test
Air Sealing
VJ
Rough Plumbing/Insulation Inspection Report VJ�
Town of Queensbury Building &Code Enforcement
Office No. (518) 761-8256
Septic Inspection Report
Inspection request received: M1�
Name: _ Inspected on:
Location: Arrive: a.m./p.m.
Permit No.: Z kA, ` Inspector's Initials: P
Comments and/or diagram
Soil Type: Sand I Loam/Clay
Type of Water: Municipal 1 Well Watery` \
Waterline separation distance
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. q�{
Length of each trench ft. < � U.V 1�0 `�+1�►
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x 4 � � `�
Stone Size: V�/� V \
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field I Pit
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 Plot Plan _Y_N
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
S stem Use Statu .
Approved
a41al prove needs to be re inspected,please call the Building&Codes Office
isapproved
Septic Inspection Report
NO 1-3
Foundation Inspection Report
Office No.(518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/JIM Depart m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial :
NAME: A
�OA a 75 y PERMIT#: �-� 5
1
LOCATION: l C7 A ,41k 6u� + qV INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
eZ Foundation/Wallpour
Reinforcement in Place n
Footing Dowels or Keyway in place -2-
Foundation
Foundation Dampproofrng
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
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Ins ectio!_roquest received:
Queensbury Building & Code Enforcement Arrive: h am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's In ials:A
NAME: E_ PERMIT#: — {I
LOCATION: ,4e? DCHhece—,St+ INSPECT ON:
TYPE OF STRUCTURE: S fi
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
rain ,Vent
i ed
ft. above highest connection for 15 minutes
ssure Test
Water Supply Piping
Air/ Head
50 P.S.I. for for 15 minutes
Insulation / Residential Check/Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbing_Insulation Inspection-02 0513
45W-
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm DepartV�/� pm
742 Bay Rd.,Queensbury,NY 11288004 Inspector's Initial X66?!�
NAME: ( PERMIT#: 2-0 4• �f
LOCATION: � �, ,� ,, / �J� INSPECT
TYPE OF STRUCTURE: �n" Lk ;ff 1
��� 7TT� Comments
Y N NA
Footings L� ��` 4L-1 AJZ.A4
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 �'rj 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\lnspection Fonns\Foundatlon 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 Depam/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials
NAME: ;-4 _ PERMIT#: ✓
LOCATION: "a INSPECT ON:
TYPE OF STRUCTURE:
Commeab
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
foundation/Wallpour ���� �
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation 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 folding &Codes Forms\Building&Codes\Inspecdon Fors\Foundatbn 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: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials ,L f
NAME: hb tpi P PERMIT#: 1 7 L1
LOCATION: 16 Q AT4 tlg+ Rd INSPECT ON:
TYPE OF STRUCTURE: S F
Comments
Y N N/A
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 ki
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