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2009-115 TOVN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090115 Application Number. A20090115 Tax Map No: 523400-301-018-0002-037-000-0000 Permission is hereby granted to: BROOKVIEW PLACID, INC. For property located at: LAMBERT 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: BROOKVIEW PLACID, INC. 1505 SUNSET Rd Garage Attached CASTLETON,NY 12033-0000 Single Family Dwelling $125,000.00 Total Value $125,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2009-115 1344 sq ft single family dwelling with 400 sq ft garage $201.28 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,April 20, 2010 (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 Te3T of Queensbury; i g"ronday,April 20, 2009 SIGNED BC 4 :~s for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 4z:t Community Development- Building &Codes (518) 761-8256 CERTIFICATE '(31.F7 OCCUPANCY Permit Number. P20090115 Date Issued: Thursday, July 16, 2009 This is to certify that work requested to be done as shown by Permit Number P20090115 has been completed. Location: LAMBERT Dr Tax Map Number. 523400-301-018-0002-037-000-0000 Owner. BROOKVIEW PLACID, INC. Applicant: BROOKVIEW PLACID, INC. This structure may be occupied as a: Garage Attached By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. �_.._._ ._. �._.. .. Y`aFFfC�E USE ONLY r- L-' l r z d c o o TAX MAP NO. J' � �e � PERMIT NO.� ` , FEES: PERM4f( c ; ::::� - `RECREATION �S_�.�,'iG�NGINEERING , ' 10 -- (If applicable) ' PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: y"-�.,� p�� >r<-pWNER: C Al ADDRESS: ..�� ADDRESS: PHONE NOS. 'Z�1 �7�`7 7 PHONE NOS. CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: PHONE: a�,Ir LOCATION JPRR�QEY. HAS THE E BEEN A SIT LAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: _GI. 1a-o7 C� a 7 ' PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z 0 d PROJECT 0 (nn F-w z � OaNd ~ � _ Q Q Oi LL 2 ot SINGLE FAMILY i TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(tLY C.ni Q4 cc) OTHER IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: FUEL TYPE: GCG� HFAT TYPF•K --,r-r ,v I, *un1Al KAAAw nocoi Anemic\. B 3-LGL 11-05 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? 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 state me nt/d escri ptio n 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 m will obtain a certificate of occupancy. I also understand L I/we are required provide a as-built survey by a licensed land surveyor of all newly structed faciliti prior to issu f a certificate of occupancy. ve r.,ead d agre of Bove e 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. o Application: % 00 , , , , , , 0 0 , , 00 10 o BUILDING & CODES APPROVAL 00 ZONING APPROVAL10 % DATE 11 DATE oo QUESTIONS? CALL 761-8256 OR EMAIL Office Use Only codes&-gueensbury net VISIT[]I IR WFRciTr eno .nsr,.�......._._.. ............ r-r.r------- OFFICE USE ONLY _--_-..-r----% r----.-- r,.---. f W , , TAX MAP N0. f` f - � ' RMIT N�, PERMIT FEE ' 0 , APPROVALS: ZONING 0 TOWN CLERK ' APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT --__-_- A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APP PERMIT. LICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID OWNER: ` INSTALLER: ADDRESS: ADDRESS: PHONE NOS, � � "� �-7 PHONE NOS. LOCATION OF INSTALLATION: ...................... `f.\..�..� ...'.. - 7 YEAR BUILT NO.OF I CO ... '.....,.....i........................................................................... I BEDROOMS ' X i RESIDENCE INFORMATION :...........i........... TOTAL DAILY •:' 1980 or older t .........................................................................a......................................... F ......__.........._..:...._._. X I 150 gallon per bedroom i = INSTALLS GARBAGE GRIND W , i 1981 -1991 1..,........t........................................ FAR .......... D? .� ........................................... t_......................._.•...... i X j.......130 gallon per bedroom ...-...{..................................................................... s............................................ Ii 1992 r ,........... .........................................;. »....._.... 2-present �._. �. i X i 110 allon p ..........r...................................................................... : SPA_ ..............._.._. ............ i...�.....�..................g per bedroom ; INSTALLED? ED? HOT TUB ...................................................�..........i......................... PARCEL INFORMATION: .................................................i ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND LOAM CLAY OTHER ✓ GR UNDWATER: AT WHAT DEPTH? WHAT DEPTH? BED ROC /IMPERVIOUS MATERIAL: AT ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. ) ✓ PERCOLATION TEST: RATE IS PER NUTE PER INCH ( COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHIT CT)TEST TO BE PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub. ✓ SEPTIC TANK: GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH SC FT. ✓ TOTAL SYSTEM LENGTH: ;� FT• SEEPAGE PIT(S): HOW MANY? ✓ SIZE OF EACH FT. X FT. ✓ SIZE OF STONE TO BE USED: # /DEPTH OR THICKNESS FT. ✓ BED SYSTEM SIZE: X ✓ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE ✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: /SIZE OF EACH ✓ GALLONS./TOTAL CAPACITY.• GAL. ....................................................... NOTE: ALARM SYSTEM AND ASSOCIATED ................:.: ........:...:...:.:.:....... ....... i` ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. , a PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is aranted in ralianrrn i innn ens, Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm D part: am/pm Date Inspection request received: Inspectors Initials: , �(,,—) C-- NAME: v_w _ PERMIT#: r LOCATION: DATE: bcf TYPE OF STRUCTURE: Comments Y N NIA Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more @ stairs,decks,patios 1 Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more ...... Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum ''/z" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. 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 Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs,os =�:^-;.,y: G Garage Floor Pitched Garage fireproofing/1/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Buildinjz&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 dU:t�o �- if �.�►� Queensbury Building & Enforcement nforcement - Residential Fir# Inspection O No. (518) 761-8256 Arrive: U� a / m Depart: am/pm Date nspection request r ived: Inspector's Initials:7 NAME: v '�-- A PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments: N 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 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks tics more than 30 inches above rade 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 Bradn /Handicapp9d Ramp Compliant Grade M from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off eM2sed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safeglazing/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 s .ft.vents Bathroom Fans if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emeraency egress below grade Gas Fumace shut-off within 30 feet or within line of site Oil Fumace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves Installed/Heat Trapt Water Temp 110 Enclosed Stairs Sheetrock underside minimum'A"Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Gars a fireproofing/%hour fire door/door closer Duct work Sealed properly 9i �,4 Gas Logs in Sealed or Gigs Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms 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/C or C 10 1 Temporary/Permanent L:1Building&Codes FormslBuilding&Codesunspec ion FormsWesrdential Final Inspection Forrn_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No.. l�. ..... .//...........Cem N2 11115 Cut-in Card No..................................... Owner............ �i�-L.. .................... Location..../.`.......L/ "?.;1......... .........��..I........... / ...................................� . ... .!C................. Installation Consisting of.. .... !( � .. Tj � ',C , ......................................� �...... ............ .... ....... b.. ......j........dF.��.5........................................................... ........................... ....................................................................................................................................................... InstalledBy.. P........r.C'. .n...........................................Lic.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of datc. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of maki ections at any time, and if its rules are violated,the Company shall have the right to Iren ke thi certi Cate. Date...........................` .................. INSPECTOR........ . .......... .........................Gf�' ............... Member N.F.P.A..I.A.E.I. C/0'.00) /0 _'l Z� Rough Plumbing / Insulation Ins a ion Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: /0 W am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: � NAME: kilt" PERMIT #: LOCATION: Gt INSPECT ON: TYPE OF STRUCTURE: Y N N/A Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cieanout eve 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 P ent -,Door/Window Sea Insulation Du iping insulation If required unheated Races Combustion Air Supply for Furnace Duct work sealed properlyI No duct to COMMENTS: Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: NAME: A �-- LOCATION: '//� C -O-"r4 CJ�► PERMIT#: 02 ~!/ ,s Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of Community Development. Upon review the sq=has been: Craig Brown,Zoning Administrator Notes: L:\SueHemingway\Building.Codes.hWection.FORMS\Final Survey Zoning Administrator.doc MAP REFERENCES: MAP OF A SURVEY OF LANDS NORTH OF SHERMAN AVENUE OWNED BY SARAH BAILEY&MARY JENNEJAHN DATED:OCTOBER 6, 1972 REVISED:DECEMBER 15, 1972 BY:JOHN B. VAN DUSEN MAP OF A SUBDIVISION OF LANDS OF SARAH BAILEY&MARY JENNEJAHN DATED: SEPTEMBER 5, 1973 REVISED:JANAURY 9, 1974 BY:JOHN B. VAN DUSEN MAP OF A SUBDIVISION MADE FOR CHRISTINE GERMAIN DATED:JUNE 28, 2007 LAST REVISED:DECEMBER 10, 2007 BY: VAN DUSEN&STEVES � LOT 4 LANDS N/F OF BROOKVIEW PLACID, INC o v sus oo 3�2 4"tc 6091 O _ P°Rch �0 h c\1 0 0 W°p0 38.48 HOUSE � � �3.70, CRUSHED STONE LOT 3 "' N ` 20,453.33 sq. ft. LOT 9 00 0.4 7 acres LANDS N/F OF a �► o JOHN ROSWELL BRUNELL c' m N � N � - O DRiV wqr �� CO .2QQ 09 1 03�24 u DRY LOT 2 EwgY LANDS N/F OF JOHN ROSWELL BRUNELL r .r C. Ytt' r, �-4 ....... C)07 t a e= June 25, 2009 u 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY S C a L e 1'=3 0 MAP BEARING A LICSED LAND SURVEYORS SEAL IS A M a O f a Survey made for EN VIOLATION OF SECTION 7209,SUB-DIVISION 2.OF THE p NEW YORK STATE EDUCATION LAW 'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY ves MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.• arm *CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE MATH THE CLUTE ENTERPRISES EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED urveyors BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS.SAID CERTWICA71ONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND I OF I ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUITION LISTED HEREON,AND Town of Queensbury, Warren County, New York 169 Haviland Road Queensbury, New York 12804 TO THE ASSIGNEES OF THE LENDING INSTITUTION.- GLUTS (518) 792-8474 New York Lic. No. 50135 NO* DATE DESCRIPTION DWG. NO. 05021-3 301.,18-2-37 C2367 LY--Gv Rough Plumbing / Insulation In pection Report Office No. (518) 761-8256 Date In rn request received: Queensbury Building & Code Enforcement Arrive; amd pepart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. - NAME: PERMIT #: �— LOCATION:- INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing/Nail Plates Plumbing Vent i Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimums ti 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 'r/Head 50 P.S.I for 15 minutes n/Residential Check/Commercial Check PLC i C Tyvek Similar Exterior Sealant Pr ent, Attic Vent Door/Window Sealed No Insulation Dud/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No dud tape COMMENTS: Rough Plumbing insulation Report.revised Nov 17 2003, noised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date lnsTq �qnrequest received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspect is in is: NAME: L-U 1 C� PERMIT#: 'S LOCATION: _ A't�..�, �7- _ INSPECT ON: TYPE OF STRUCTURE: Y1 WA COMMENTS Framing 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 naAs 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%inch or 5/8 inch Type X Garage side 518 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (Vi) 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Forms-OLD\Buiidimg&CodesNnspection FormsTraming Firestopping Inspection Report.doc Revised January 7,2008 Framing / Firestopping Inspection rt Office No. (518)761-8256 Date Ins Mn n request received: Queensbury Building &Code Enforcement Arrive: /1? m/ _Depart: am/pm 742 Bay Road, Queensbury, NY 12804 lnspector's Initials: NAME:- r"A)�� PERMIT#: LOCA,n INSPECT ON: TYPE OF STRUCTURE: / Y N NIA COMMENTS• Framing NAM-Access 27 x 31Y minimum �' ��vV t9 � j lj;- e� e- 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 nags each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center lee and water shield 24 inches from wall Fire separation 1, 2, 3 hour , Fi , 4 hour irestopping IN sealed 16 inch insulation in qkvfty min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 518 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 LABuilding&Codes Forms-=\Building&CodesUnspedion FomisTraming Firestopping inspection NgM.doc Revised January 7,2008 { Septic Inspection Report Office No. (518) 761-8256 Date Inspectiop-Fequest received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspecto g nitials: � Z= _ NAME: r1t Ale PERMIT NO.: � LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil T Loam/ Clay Type of Water Muni ' I/ Well Water Wate se aration distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + j - Y N N/A Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number IMP- Size: x Stone Size: Piping Siz Type if— Building to tank ZV Tank to Distribution Box Distribution Box to Field / Pit Opening Sealed: N End Ca N Inlet/Outlet Pipes&Baffles Y N Location Separations Foundation to tank Foundation to absorption Separation of Pits ft. ,J Conforms as per Plot Plan Y_N Engineer Report and As-Built Y N Location of Syst operty: FrontVRearLeft Side Right Side Middle Front Middle Rear d Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc i "1 have seen or obse , r lie",I saw v'tden of, all objects t such ousel,w Is,trees,fen es, shown on t ' documental4"Iso represent t at I have persona ��o re ' distances se rt on the diagram:' f S GNATURE DATE m C'-, { c ` SSI 3 t s s i acs• ._..,ti l 4 r 1 } S C3 F � f D �. /--3 7h Rough Plumbing / Insulation I pection Report Office No. (518) 761-8256 Date Ins Qn request received: Queensbury Building &Code Enforcement Are am/pn� part: am/pm 742 Bay Road, Queensbury, NY 12804 Ins is Initials. NAME: PERMIT #: LOCATION: INSPECT ON: 4 TYPE OF STRUCTURE: Y N N/A h Plumbin /Nail Plates Plurnbbm jVCht i Vents in Place 1 '/z inch minimum Drain Size ,' Wash' Machine Drain 2 inch minimum Clea ` ut every 100 feet/change of direction PrDiSn re Test /Vent ead .I. or 10 ft. above highest connection for 15 minutes ressure 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 Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008 'z —1y 1A 17 Framing / IresFop!�M-g Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a De rt: am/pm 742 Bay Road, Queensbury, NY 12MM Inspector's initial . NAME: PERMIT#: LOCATION: INSPECT ON: 62 TYPE OF STRUCTURE: Framing Y N WA COMMENTS: Attic Access 22" x 30" minimum Jack Studs/Headers 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 % w 16 gauge 8 16D nalis each side Draft stopping 1,000 sq. ft. floor trusses 6 ft. or less on center Ice and wat shield 24 inches from wall ��,� ration 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side's inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABuilding&codes Forma-OMBuilding&CodesVnsped'an FomnsTrarning Restopping Inspection Report.doc Revised January 7,2008 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection r uest received: Queensbury Building &Code Enforcement Arrive: zp art: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ` �=fir NAME: C Lv1'G'' PERMIT #: �� I LOCATION: Lo INSPECT ON: o TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 %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 0 P.S.I for 15 minutes /� Insulation/Residential Check/Commercial Check ° r ,� 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 Ice- rr � COMMENTS: Rough Plumbing Insulation Repcut.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / lnsuletion nspection Report j . Office No. (518) 761-8256 Date In t!am/pw request received: Queensbury Building & Code Enforcement Arrive: �D pe art: am/pm 742 Bay Road, Queensbury, NY 12804 Ins is Initials: NAME: C L PERMIT #: LOCATION: L- j�Ir , INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout eve 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. or 10 fit. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes ulation/Residential Check/Commercial Ch KTT Tyvek or Similar Exterior Sealant PLop2r Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If r uired unheated spaces C bustion Air Supply for Furnace ct work-sealedl1 properly /No duct tape j iC ��v (�i L P P-i I q �--- Alba S 4i v 4 r2 �. COMME TS: C', /p/2Ck) Rough Plumbing insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Foundation Inspection Report Office No.(518)?61-8256 Date west received: � / Queensbury Building&Code Enforcement Arrive am/p -� Depart. am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspec is Initials: !� NAME: PERMIT#: r LOCATION: INSPECT ON: TYPE OF STRUCTURE: r Comments " Y A N/A ootmp Pi 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 12/20/2005 9:24:00 AM F-/D � Foundation Inspection Report Office No.(518)761-8256 Date InsT!5 Queensbury Building&Code Enforcement Arrive: Depart: 742 Bay Rd.,Queensbury,NY 12804 InspectoNAME: V�- LOCATION: INSPECT ON: —O _ TYPE OF STRUCTURE: Comment 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 lace Foundation Dampproofin Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing ,-'/�p,p!j for wet areas under slab Backfill Aproval uig 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 12/2012005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date InVon _ Queensbury Building 8t Code Enforcement Arrive: Depart:742 Bay Rd.,Queensbury,NY 12804 Inspectors Ini NAME: C�� PERMIT#: 09 LOCATION: l._�t't M RifF�T— �— INSPECT ON: TYPE OF STRUCTURE: Comments Y N NA Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection firm freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. .00 Foundation/Wallpour 74 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 area 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\Found Ow InspecdOn Report.doc Last printed 12/20/2005 9:24:00 AM Z Foundation Inspection Report ro-m Office No.(518)761-8256 Date Inspection reque ece' d: No Queensbury Building&Code Enforcement Arrive: art: s p 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials " NAME: P T#: Q c LOCATION: f � SPECT ON: U TYPE OF STRUCTURE: CoMments Y N/A Footings 1' 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\lnspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM