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2009-218TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20090218-35869 Date Issued: Monday, August 17, 2009 This is to certify that work requested to be done as shown by Permit Number has been completed. P20090218-35869 Tax Map Number: Location: Owner: 1212 WEST MT. RD Dennis Franklin Clute Enterprises, Inc.Applicant: This structure may be occupied as a: SFD By Order of Town Board 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 Planning Board or Zoning Board of Appeals. Director of Building & Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090218 Application Number. A20090218 Tax Map No: 523400-288-000-0001-069-002-0000 Permission is hereby granted to: DENNIS FRANKLIN For property located at: 1212 WEST MT. Rd 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: DENNIS FRANKLIN 1232 WEST MT. Rd Fireplace QUEENSBURY, NY 12804-0000 Garage Attached Single Family Dwelling $150,000.00 Total Value $150,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency CLUTE ENTERPRISES, INC. 6 HOLDEN Ave QUEENSBURY, NY 12804-0000 Plans &Specifications 2009-218 1175 sq ft single family dwelling with 400 sq ft attached garage and 1 fireplace $181.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, June 04, 2010 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the T evn'of Queensbury, Thug's ,June 04, 2009 SIGNED for the Town of Queensbury. Director of Building&Code Enforcement USE ONLY lJI 1!'/I�. TC Z!FFICE TAX MAP NO. f � PERMIT NO. V MAY 2 6 2009 FEES: PERMIT I / RECREATION ENGINEERING ; 4 N4 (If applicable) ; ;OWN OF QUEEN$ RY.' --- -r - ._. .................................. gC11CD11VG- -CODES 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: (�li-leIL-.\<+%12f-:---,,�sy'vC . OWNER: f�JNP- ADDRESS: � - c erg Je C�- V ADDRESS: PHONE NOS. '79�> 77277 PHONE NOS. CONTACT PERSON FOR BUILDING &121 FS COMPLIANCE: PHONE: S('0% LOCATION OF PROPERTY: HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES X NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: I CHECK ALL THAT Z O p l- APPLY TO YOUR z F= p d d w I.r_ PROJECT 0O O � �, O = _ w -� � � w w Q d0U 0 Lu ZI Q Q � U NU) 0LL F- LL ate. = C45 SINGLE FAMILY ✓ 1 ` , 7 TWO-FAMILY l� MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED ' GARAGE( , > "�OD y OTHER IF COMMFRC.JAI f1R INInI ICTRIAI -AIAnAC ne 01 101KIMo0. '., 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 my agents will obtain a certificate of occupancy. I also understand that I/we are required to an as-built survey by a licensed land surveyor of all newly constructed facilities for to is a e a certificate of occupancy. have read a agree to e o Signed L / / -I' Dire �rofBuilding & 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: ; I I , BUI & CODE PROVAL ZONING APPROVAL bATFr ; / / oo DATE ; 01 / 11 01 �.. ............... .............. r....................., 6 I I OFFICE USE ONLY ; V40 TAX MAP NO. PERMIT N0. PERMIT FEE ; r APPROVALS: ZONING TOWN CLERK_ ; __________________ ____,.___.._._.__ 0 ..... ................: _. APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMITS A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. _ OWNER: t���� 0A—c- \ INSTALLER: ADDRESS: ADDRESS: (e� PHONE NOS. PHONE NOS`. T> ZaZ7 LOCATION OF INSTALLATION: uo vk-�" ` — .....:.............................................. ......................................................................................;...........;..........................................................................: RESIDENCE INFORMATION: YEAR BUILT I X I COMPUTATION_ ': 5 TOTAL DAILY FLOW I........ ......BEDROOMS z. .................................................. ...........:.......................................................................... GARBAGE GRINDER 1980 or older IX i 150 gallon per bedroom i I INSTALLED? ................................................:..............................................;...........::........................................................................1...........1....................................................................... 1981 -1991 X 130 gallon per bedroom _ SPA OR HOT TUB i................................................;.................,............................t. ..............................................................................j...........j...............................:... 1992•present i j X 1 110 gallon per bedroom ; = ? INSTALLED? I.....................-.........................1................... ....................................i.............................................................. ........................,......... ... .................,...., �v 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 SUPLY: MUNICIPAL_ WELL (IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. ) ✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH (TEST TO BE COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT) 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: \'OD® GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH `�° FT. ✓ TOTAL SYSTEM LENGTH: :2-e,o) 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 ELECTRICAL WORK MUST BE INSPECTED BY A TOWN '' APPRnvFn �t r=( �Mir^Ai in�c���� •- - -• - - -- -- t.--------:--s.-,-----i + Fire Marshal's Office Town of Queensbury- 742 Bay Road• Queensbury, New York -12804 Michael).Palmer, Fire Marshal-Gary Stillman, Deputy Fire Marshal _ + + -------------- r 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: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. OWNER: INSTALLER/BUILDER: ADDRESS: ADDRESS: PHONE NOS, PHONE NOS. a7 7 1 LOCATION OF PROPERTY: r�L lti% t L'�o\��., SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION ANDJOR INSTALLATION: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE: ✓ FUEL BURNING APPLIANCE WOOD CQAL.-.- -- -- --P€LLEC_ __ GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE,FACTORY B LT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) - *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. LISTED BY: NUMBER: QUESTIONS? CALL 761-8205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: remarshal@gueensbury.net MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES yvvywqueensbur FLUE CHECK ONE ✓ DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY WALL LINER CHIMNEY MATERIAL CHECKONE ✓ **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. dire Marshal's Qffice 742 !)'ai Qwettsbiiry, J%-`ezv 'V ork -1 22804 Aliclinel J Palmer, Fire Nlarslial•Gary/Stillman, Demitil tire A-Tarslial 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: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. OWNER: INSTALLER/BUILDER: ADDRESS: ADDRESS: PHONE NOS. -79& -ia-7-7 PHONE NOS. LOCATION OF PROPERTY: %X\%-4 k_0 Qc� SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: V)errm PHONE: ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT' FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. LISTED BY: NUMBER: QUESTIONS ? CALL 7614205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: MASONRY" CHECK ONE ✓ VISIT OUR WEBSITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES FLUE CHECK ONE V/ DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY WALL LINER CHIMNEY MATERIAL CHECKONE V*' **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. \z>"C—e C-,\ \j COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE ELECTRICAL APPROVAL Permit No..-017::_2/?....Cert. N2 1231 Cut-in Card No..................................... Owner............ ... 7F_............................................................................................................... ...............Z­.. ...... 120, La- 7 Installation Consisting of 1.MHm�.SIA............. ....... ......... ...... -14............................ _.-Ij............... 3250��5................................................... ................................................................................................................................................................................... Installed By.....Ab*....... i...........................................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 date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of inspections at any time, and if its rules are violated,the Company shall have the right v this c rtific .......................... . . . .............. Date.... ............ INSPECTOR........ ...... ......................... Member N.F.F.A.,I.A.E.I. hel)+r-) 10—IZ Queensbury Building & Code Enforcement kesidential Final Inspection Office No. (518) 761-8256 Arrivey,-- arn."p (epart- am/pm Date Inspection request received' Inspector's Initials: NAME: PERMIT#: LOCATION: -L -77�. DATE TYPE OF STRUCTURE: Comments: Yes j No _21A 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,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_glSlate Gas Valve shut-off 2Voseq.LreouIator 18 inches above grade -4 Interior privacy/trim/doors/main entrance 36 inches --- Bathroom/Kitchen watertight Safety glazing/Window in stairwells sa_fet r lazing 4 Interior Smoke Detectors I Carbon Monoxide Detectors Every level: _ Every Bedroom: Outside every bedroom area: Inter Connected: Batte!)L Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, I sq.,ft.-1 50 sq,ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 sq.ft. EmeEgency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating._ Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed propefly Gas Logs in Sealed or last,Eprjospre Final Electrical Final Survey Plot P Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dep!.jq.sLxqion Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C I C or C 10 1 Temporary/Permanent t 40 L(Building&Codes Forms\Building&Codes\Inspection ForTns\Residential Final Inspection Form—revised-100405.doc; Revised January 7, 2008; Revised 6/26/08 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/ part: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: ^ {�v NAME: �. V-V�- PERMIT NO.: a LOCATION: INSPECT ON: A779 RECHECK: Comments and/or diagram Soil Type: Sand / Loam / Clay Type of Water: Municipal/ Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well CasingLen 5 Y N N/A Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field / Pit Opening Sealed: Y N End Cap Y N Inlet/Outlet Pipes & Baffles Y N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan _ _ N �— /� U P Engineer Report and As-Built Y N Location of System on Property: Front ar Left Side Right Side Middle Front Middle Rear System Use Sta s: Approved 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 Queensbury Building & Code Enforcement - Residential Final Inspection I - Office No. (518) 761-821556 Arrive: 11 rn'p ? ,!part: am/prn Date Inspection request received: Inspector's Initials: \,v NAME: C I& - PERMIT 4. Q-1?7 2- C LOCATION: ?. DATE: TYPE OF STRUCTURE: Comments: Yes No 1A 4" Building Number Address-visible-from-road Chimney Height/"B"Vent/Direct Vent Locatioa___ 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 riserv, 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 Copipliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to 11 plate Gas Valve shut-off exposed inches above.grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairw_e!I"@�§t azing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: _ Even,,r Bedroom: Outside every bedroom aiep.: Inter Connected: Attic access 30 inches x 22 inches x 30 inches(height) in accessible area Crawl Spaces 18 inch x 24 inch access�, I Sq.ft.-150 sq.ft.vents Bathroom Fans, if no window Plumbing fixtures Foundation insulation I Insulation 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 Pitched Garage fireproofing/%hour fire door I dcor closer Duct work Sealed_pioperly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/§ewer Dept. Ins cation Sticker Site Plan /Variance required Flood Plain Cert uired Okay to issue C I C or C 10[Temporary/Permanent LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form-revised-100405.doc; Revised January 7, 2008; Revised 6r26/08 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: NAME: _ LOCATION: i PERMIT#: Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of Community Development. Upon review smgey has be f° Cr ' rown, Zoning Administrator Notes: L:\,SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doe MAP REFERENCE MAP OF A SURVEY MADE FOR RONALD HORNE ENTERPRISES, Inc. & RONALD HORNE BY. VAN STIE DATED:JUNE 10, 1988 WEST LASTREVISED:SEPTEMBER 14, 1995 � M o UNTAIN ROAD AD I w z I dal N570 16'27"E GgF -ti �4 114.92' 4�4 R 11 I I I 19.11' p9 9T ADJOINER'S HOUSE 1 STORY \ WOOD FRAME HOUSE 34.35' PORcn N r of M to 0 ' 00 N LNVDS N/F OF 0 5�� o ON RAYNOND ZAGGAPI CV)03 �� �� N-a j\ LNVDS N/F OF J/WET VONTODEL-Z/jGG/1R �`l 2 � d TOWN OF OUEENSDURY m AREA 43,563 sq. ft. LANDS N/FOF 1.00 acres /-AppY W.GLUTE 3%9�/107 in G CIE� N r JUL 3 I Z 9 Y w• TOWN -� BUILDINGDf`EfVaSU ODES Ry LANDS N/F OF ' ` Cl. o✓ � �` t' q, TOWN OF OUEEN50UPY gF 1 � 225.09 ` S570 17'37"W �p 135 2~ atel July 30, 2009 D u s 'UNAUTHORIZED ALTERATION OR AD017ION TO A SURVEY Scale 1'=30' �. MM BEARING A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for VIOLATION OF SEG71ON 7209.SUB-WNSION 2 OF THE P NEW YORK STATE EDUCATION LAW S t ♦1 v e s 'ONLY COPIES FROM THE OF THE OF SUHISRVEYORS SURVEY - MARKED W7I1 AN ORIGINAL OF 1HE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO aE VALID TRUE COPES.* H ,.,GA>�INDICATED HEREON THAT Deborah M. Vandewater THIS SURVEY WAS PREPARED IN ACCORDANCE VM7H THE Land Surveyors BY 1YE NEW K S PRACTICE A FOR LAND TION OF PROFESSIONAL IADOPTEDAL BY THE NEw roRK STATE AssoaAllDN a PaaFEss10NAL LAID SURVEYORS SAID CERTMA71ONS SHALL RUN ALLY 70 THE PERSON FOR VM THE SURVEY IS PREPARED.AND SiWT'OF 1 ON HIS BMW TO THE TITLE COMPANY.GOVERNMEILTAL 189 Haviland Road ueensbur , New York 12804 AGENCY AND LENDING ING INS11UY LISTED HEREON.AND Town of Queensbury, Warren County, New York Q y TO THE ASSIGNEES OF THE LENDING INSTITUTION.' Vandewater (518) 792-8474 New York Lie. No. 50135 NO. 1 DATE DESCRIPTION DWG. NO. 88182-69.2 288-1-69.2 C2374 Rough Plumbing / Insulation Inspeition Report Office No. (518) 761-8256 Date lnspectiqprequest received: Queensbury Building & Code Enforcement Arrive: -?f?am/p part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 'T�2e NAME: , /C,)7 PERMIT #: LOCATION: IZ17 INSPECT ON: 2 -2 6-�(7 TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place I % inch minimum Drain Size Washin2 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.1 for 15 minutes Insulation / Residential Check/ Commercial Check Tyvek or Similar Exterior Sealant i is Door I Window Sealed (No Insulation) at Duct/ Hot W(a gr-M—Pint(Insulation ff—re—q(—reo_unheated- - aces q_ Combustion Air Supplyfor 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 Rough Plumbing 1 Insulation lnspectio Report Office No. (518) 761-8256 Date Inspect i equest received: C Queensbury Building & Code Enforcement Arrive: 1 gy m/ part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspect s Initials: 4 q NAME: PERMIT #• LOCATIONJ,dj� 1 INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing / Nail Plates Plumbing Vent/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 /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 C� Esul"ationesidential Check/Commercial Check T e 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 worts sealed properly/No duct to e COMMENTS: Rough Plumbing Insulation Report,revised Nov 17 2003, revised February 15,2005, revised January 7, 2008 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection recNest received: Queensbury Building & Code Enforcement Arrive: m/p w depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �`� NAME: C U`i PERMIT #: LOCATION: tij INSPECT ON: Z2 leocl TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cie out very 100 feet change of direction P sure 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 Pro er Vent Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Co ustion Air Supply for Furnace ct work sealed properly / No duct to e COMMENTS: L:Tam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspiction Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/ Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: ` PERMIT #: Z-' Z. LOCATION: 2 INSPECT ON: f TYPE OF STRUCTURE: _ Y N NIA Rough Plumbin o /Nail Plates /Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cieanout every 100 feet/change of direction ressure Test /© Drain /Vent " Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes ressure Test Water Supply Piping Air/Head 50 P.S.1 for 15 minutes I / Residential Check/ Commercial Check Tyvek or§imilar Exterior Sealant ent, 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 Repoftrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 r(1)-/ '�-' w Framing / Firestopping Inspection Repo �/ Office No. (518)761-8256 Date InspectioDrequest received: Queensbury Building 8 Code Enforcement Arrive: -% `�a��(�n, depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspe or's Initials:Uy _ NAME: C/L)7 --- PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N WA COMMENTS: Framing A is rcess 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. Stairwels 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/z 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 ire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping ��✓ V L"C 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 Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (V1/) 5.7 sf above/below grade 5.0 s#grade eel L: uilding&Codes Fom►s-QLDOuilding&Codesdnspedion FornisTraming Firestopping Inspection Report doc Revd January 7,2008 Framing / Firestopping Inspection Re rt Ali o� _ Office No. (518) 761-8256 Date Inspection regL C Queensbury Building &Code Enforcement Arrive: `� a rt: / 742 Bay Road, Queensbury, NY 12804 Inspector's Initials NAME: G`" ERMIT#: f LOCATION: _ I I �--�, INSPECT ON: 0 TYPE OF STRUCTURE: L Framing Y N N/A 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 V2 (w) 16 gauge 8 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center and waters)field 24 inches from wall ire 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 '/z 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 LABuilding&Codes Forms-OMBuilding&CodeMinspection FomuVFraming Firestopping inspection ReW.doc Revi;ad January 7,2008 Septic Inspection Report Office No. (518) 761-8256 Date Inspection reques ec ive . Queensbury Building &Code Enforcement Arrive: ` a �a a 742 Bay Rd., Queensbury, Y 12804 Inspector's Initials: NAME: P IT NO.: LOCATION: I ECT ON: RECHECK: Comments and/or diagram Soil T oam/ Clay T of water unici Il Water Wate aration distance t 1s - ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + / - Y N N/A Absorption Field: Total length ft. �.C>"J,,AG r Length of each trench cu ft. / �Eti Depth of trenches ft. Size of StoneFZ Seepage Pits: Number Size: x Stone Size: _ Piping Size Type --� Building Co tank - Tank to Distribution Box i 0 Distribution Box to Field/ Pit q,N Opening Sealed: Y—N,,- End Cap � 47'? 1 t"1� Inlet/Outlet Pipes &Baffles Y N Location/ Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits Conforms as per Plot Plan _Y Engineer Report and As-Built Y N Location of System on Property: t� Front Rear L id Ri de Middle Front Middle Rear System Use Sta s: Approved 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 �-X0 Foundation Inspection Report Office No.(5I8)761-8256 Date In ectio equest received: Queensbury Building&Code Enforcement Arrive: . S am/ Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspectbr''s Initials:� i' NAME: I> PERMIT#: LOCATION: 2/Z.�J, INSPECT ON: — .- TYPE OF STRUCTURE: CoLaMeRta _ Y 1�T 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:\Buliding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM _ q-1/ Foundation Inspection Report-� /� � �'�"" Office No.(518)761-8256 Date In7RAMGT Queensbury Building&Code Enforcement Arrive: Depart: 742 Bay Rd.,Queensbury,NY 12804 Inspect NAME: G L \ #: , 70 LOCATION: i g ie S r n'v�,�r 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. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Toundatio roofing Foundation Waterproofmg Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing or wet areas under slab �i ackfill Approval P!Bykmg Under S a PV ast/Copper Foundation Insulation Interior[Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspecdon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Ins °t. nn s ved ---� Queensbury Building&Code Enforcement Arrive: - Impart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial NAME: RMIT#: �1 7-24� LOCATION: 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. &/ se on site. -foundation/Wallpour R-effiro-r—ceff e 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 Z '1 r wet areas under slab Backfill A royal , lumbing Under Slab PVC st/Copper Foundation Insu 'on Interior/Exterior Vr Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Fonns\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Z �l Foundation Inspection Report J 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:j Y�4) NAME: �L �= PERMIT#: U Z/ LOCATION: - I Z U IC 5 L AA INSPECT ON: ry 7 0 TYPE OF STRUCTURE: Comments Y N N/A tings 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 Reinforce en ' Place !�� ���C �C�`'`► l -! r Footin Dowel r Keyway in place I 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 h°f N WEST MOU' TA1N RQ D ,l w /lvu ' stir ..� '�7►�ra,T'Z it/ 59 3� 3dAfy2/7. 3G los 110001, 140 I)K too i wppended �— CEL tD4t tJ •-+ _ ' 40 5PAo uj t "' •' ' `° OL AAW EDAM H �6