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2009-243 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090243 Application Number. A20090243 Tax Map No: 523400-3 08-020-0001-001-000-0000 Permission is hereby granted to: SCOTT F LAPHAM For property located at: EAGAN 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: SCOTT F LAPHAM PO BOX 41089 Fireplace PROVIDENCE, RI 02940 Garage Attached Single Family Dwelling $155,000.00 Total Value $155,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2009-243 2112 sq ft single family dwelling with 584 sq ft attached garage& 1 fireplace $311.84 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,June 15, 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.) i Dated at the T o ee u ,June 15, 2009 SIGNED BY for the Town of Queensbury. 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 CERTIFICATE OF OCCUPANCY Permit Number. P20090243 Date Issued: Friday, February 26, 2010 This is to certify that work requested to be done as shown by Permit Number P20090243 has been completed. Location: 98 EAGAN Rd Tax Map Number. 523400-308-020-0001-00 1-000-0000 Owner. SCOTT F LAPHAM Applicant: SCOTT F LAPHAM This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling )J W k- 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. ................................... _-_----___------_--- .�. u OFFICE USE ONLY - TAX MAP NO. PERMIT NO. 11 ! �L�1 JUN 0 8 200 % FEES: PERMIT( RECREATION ENGINEERING ' (If applicable) %TOWN OF QUEENSBURY ------------------------------------------------------------------- . U14D - iNG & CODES' PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUl 14(.;E OF A VALID PERMIT FOK GUNSTRUC T iON. APPLICANT/BUILDER: OWNER: _3P.Pr ADDRESS: ADDRESS:_m1ra-:43SBIA0111, gq 1Z 64 PHONE NOS. PHONE NOS. ZZZ' Z2 CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: %#4 WL, PHONE: 586 106 LOCATION OF PROPERTY: C'Ja1J �-0AlO ,, Uft►.16wff SUBDIVISION NAME: i`►��G PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT p p U_ APPLY TO YOUR zz r LO p O Q w PROJECT F p OJ �_: w _j O = _ w .j LL LL W ¢ a. CD U `L w o � C1 Z C1 � r O � � w � z ¢ ¢ :- cn Ncn OLL F- LL Mm06 3 4u SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS_ TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1 ) OTHER 1 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? NO ARE THERE EASEMENTS ON PROPERTY? 9P 1 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 statembnt/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 conformarice 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 a ree P the above., Signed 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: ' BUI &COD4AOVA-L ' ZONING APPROVAL ' A0 , DATE OFFICE USE ONLYy--_...___..____...____.. TAX MAP NO. PERMIT NO. kl�ERMIT FEE APPROVALS: ZONING TOWN CLERK_ ; APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMITI A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER: INSTALLER: ADDRESS:,.__- PHONE NOS. ZLZ " ZZ- PHONE NOS. LOCATION OF INSTALLATION: f..............................................:............................................................................................................................................................................; RESIDENCE INFORMATION: YEAR BUILT i NO.OF X COMPUTATION= - TOTAL DAILY FLOW C BEDROOMS (................................................�..............................................;.......,... .... ...:i..........................................................................;' GARBAGE GRINDER ! 1980 or older i X 150 gallon per bedroom _ INSTALLED?�rAb f 1981 •1991 I X 130 gallon per bedroom i SPA OR HOT TUB` ..........................._...................;.,............................................,. .......................3........................... I 1992-present I X { 110 gallon per bedroom = 30 INSTALLED? s ..............................................,.................... ..................................t.........................................................................i............4.,........................................................................ i PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING / STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND ✓ LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? r BEDROCK(IMPERVIOUS MATERIAL: AT WHAT DEPTH? G ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS I FT. ) fJf1h, CAMSords Yb)tiJ• ✓ PERCOLATION TEST: RATE IS (: ICJ 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: I V160_GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH c_FT. ✓ TOTAL SYSTEM LENGTH: 14�00 FT. SEEPAGE PIT(S): HOW MANY? to ✓ SIZE OF EACH FT. X 60 FT. ✓ SIZE OF STONE TO BE USED:# /DEPTH OR THICKNESS_Z_FT. r ✓ BED SYSTEM SIZE: �22 XI ✓ ALTERNATIVE SYSTEM: f4 b' LENGTH AND/OR SIZE ✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: 1d /SIZE OF EACH ✓ GALLONS.77-OTAL CAPACITY. t4 A GAL. NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN r APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PRnvinFn :....:........•..............:.:.,.:.,.:.,...:.,.,.:.:.,:.:,............................... Queensbu Building & Code Enforcement - Residential rY 9Final Inspection Office No. 518 � )761-8256 Arrive: am/pm Depart: m/pm Date Inspection reque t received: inspector's Initials:fr( , NAME: PERMIT#: AL � LOCATION: DATE: TYPE OF STRUCTUi2E: Comments: _Np WA 4" Building Number Address visible from road Chimney Height t"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 deckspatios 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 t�- �- 6 inch dearance to sill plate V, Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy l trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Win in stairwells saffety glazing Interior Smoke Det ors/Carbon oxid etectors Every level: Ev ry Bede Outside every bedroo area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area VA I , t Crawl Spaces 18 inch x 24 inch access 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no windows Plumbing fixtures 41 Foundation insulation/Insulation Certification Floor truss,draft stoWng finished basement 1,000 s .ft. + J Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site .-----'— Oil Furnace shut-off at entrance to fumaoe area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trapt Water Temp 110 Enclosed Stairs Sheeirock Underside minimum%'Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fire roofl /%hour fire door/door doser �J Duct work Sealed pnwdyl.� Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc fault Breaker in Bedrooms Flex Gas Pipe Bonding V10 �AN''` As Built Septic System/Sewer Dept. Inspection Sticker 11 Site /Variance aired Plain Flood Plain Certification,if required7 Okay to issue C/C or C 10 Temporary/Permanent LABuilding&Codes Forms\Building&CodesUnspection Forms\Residentiai Final inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 - 14 Final Survey inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 ` Date received: =1� NAME: l_Z. -N LOCATION: p> }Z PERMIT#:Sfi = --�1�t — Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of �^ Community Development. r Upon review the serve •has be Craig Brown,Zoning Administrator Notes: L.\SueHeminpmyNBuilding.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc N - UrIk r r • `� J Y7nl uekl •tCam Yanj Yard 1 •I 1"M E491 Of Woods / / / / / / 1S k``` plant Telephone / —'--' ' Pedestal,- !// It 11 -_� Lands Now or Formerly of r _�� • ' Carol J and lFilliam F. Carey CC // P 1Z Book 783 Pa e 158 l �d Pero.a.Not x \ / - 0 Capped h»n Rod Found / \ 4.0' ✓ Well N84110857'E 292' ., Roof Overhang1.7 RoofOverhangis, .6 Irman e / \ J — — -- — — — — — — — Underg vundPreplaw casMet r i I Found _ _ — — — — TankAaws Cover "1117— Pi F' N67��V $ �q2T � \� 7 / 5'WidetDirtTiail/Read Bed Area=.674Aczaesf ® I I Ro�fOvezJiangLT / �s75 E.5s -00 / ' ,�5� — / \A�p:uentxaaiy Use. I II I—— &Line F.s[ablishedpera soar ndazy From corner / Radius=3723 / ❑I ——I —i .�iee ►t Dlacrmbler30, T_� s' I I I 1997,filed m the Warren County Clerks Length=31.%' �j v�� I ` 5i-pdc Camp niS S6own F±,. Radius=3223'' I perProposed Loca�r A/C Unit I office on January 9,1992m Books of Len 18.18 Chord=N81�4573"W,3099' I I I I I I ` DbadsatPage54 N77001�4?"W / Len S57`2954"W 1794' I I ► / Londs Now or Formerly of Lands Now or Formerly of 12.44 ` �\ �\ I � � ` - - - - - - - - - - - r,: �s2 Leacb ` 4 ` — II 1 +' // Da vid H. Hickey & La ura Berkey— Hickey / Town of Queensbury / / � � �\ .� � � � — — Meter I I I IL — _ _ — — — -�I II � II .✓ / / / Book 843 Page 58 Book 513 Page 224 Pipe ,� Ber 7 e Town Of(Aie-tnsbrwv lighw y Found Town Concrete 41,tiratenartc P4'vuld F d,4,vlmumirnaf-.1v 3 Pont*w/SIeP t�O P 59� 'ZY f�1 At 777.is.f�rxation. I t� Roofoverhangis, ¢Ir Lands Now or Formerly84 of I �'� ��??� 19.26 I I I I Lands Now or Formerly of I I David D. & Nancy J. Armstrong Endof Fisher I I Book 930 Page 11 AMPNOTES FvurIron id Book 230 Page 52 I I yr I ❑ Telephone I 1. Bourrdaryinformation shown hereon was compiled from an actual field survey conducted on Ju1y28,ZAP New 13 Pela'estal l construction information was captured on February 25,2010. Capped Lm I 2I North orientation and bearinRg base per deed reference 1 Rod Found . Nor�ly Bormd ery of WUFRoad"Established I I*� UszWdwWiditiaf avementat7hehastEndof — •cWW551E 3. Warren County taxparre13G1�20-1-Z Lands Now or Formerly of Thepamel BeedReference1 calls For27,e I P}nperty Line To BeAlang 77reNortherly Rod Found FErxe �' 14.61 I 4. The location of underground improvements or encroachments,if any exist,or as shown hereon,are not cerliBed Af.Robert Sirgi ert, JR. Boundary Of�ROada But Dbes Not cave an Past IWidth Them may h e other underground utilities,the exishuxv of which are unknown Size and locadon ofall underground Intended ForHillRaad. / I utilities must be verified by the appropriate authorities The Underground Facilities Protective Organization must be I Book 1014 Page 41 / Capped _ I notified prior to conducting test borings,excavation and construction , ROdFornd I 5. Field data capture took place with an accumulated snow cover of 12"tole.. Every efforthas h"made to prepare a complete plotting of the conditions p4tkbUtility r Londs Now or Formerly of IrarrRod\\ '�1� Pole 6. Reprnductron or copying of this documentmay be a Tnolatton ofcgpyrightlaw unless pernvssim of the authorand or co tholderis obtained. / P3'nSh I � Alicia C. Constantino � 7. A copy of this document without a proper application of thestuveyors embossed seal should be assumed to he an f' Book 740 Page 91 unauthorized copy. ' Lands Now or Formerly of 8. Property subject to a utility easementgranted to New York Telephone Company per Book 4M of Deeds at Page 58 I ' /9. DI /eed nL�feTe 1 also "grants and conveys""the right to use the pn%vate road the'NIInown as the Rarad"forpurposTed Jeffrey & Kathy Edwards Iron Rod I Found ofnigress and egress"1h common with others from thepremises conveyed to the Big Bay Road" Book 1346 Page 33 I DEEDREFLRFVCh: 41 L Conveyance to cottFaw1field Lapham by deed dated October24,19A%filed m the .. Warren County Getks 0lficje an November 13,19%m Book 1GWofDeeds atpage 11. 20AWGRBQ AMPREFERENCRS.• Zoned...................................WR-IA DONALD C. DARRAH 1. Map P entitled'eta Sho ' g cTl Lands to beAurraE+d y b David Richardson",P bJ' LotSrze.........."""""•"""•"'1 acne 050552 DATE REVISIONS RECORD/DESCRIPTION DRAFTER UNKmMMIM N.TE]?/MON OR Alinimum Lot Width........150' ADDITION ro THIS 000t)MENT IS a Map of a Boundary Survey Fist-FrlostAssocra&m datiedMay 12,1976,fdedm the Warren County Geris OBme on 2/25/10 1 FIELD LOCATE AND ADD IMPROVEMENTS ►TON of SECTION 7209 Minimum Setbacks KMD SUBMS101 2 OF THE NEW YORK Lands to be Conveyed to August9,1976. I Front.............................30� STA O TION LAW. t91122St1011 Nancy g AlmstrongN/K/A Kate Rozej Side................................25 and Kate Darrah Land Surveying, PLLC 2. p enti "Map Lands to be Acquired byjohn Carey"prepared byRist-Frr�st I Rear................................25' TOWNOFQUEEIITSBURY Aswdates,dated February 17,1967,filed in the Warren County Qed s Office on February27,1A57. APPROVLD.•UCD WARREV COUNTY,NEW YORK . DRAFTED.• ADZD N CMC�•D� Darrah Land Surveying PLLC 8032 "ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYORS EMBOSSED I PROJ.NO.• 802 63 Elm S&elet Glens Falls,Newyork 12801 SCALE: 1 2rI Voice.•(518)7984692 Fax:(518)743-Wl SHUT 1 OF1 SEAL ARE GENUINE TRUE AND CORRECT COPIES oP THE SURVEYORS � , ORIGINAL WORK AND OPINION." Z ` Z S J I c) DATE:8/09 09 g WevertOW4 NewYork 12886(518)2512211 / PROJNO.• 8032 Queensbury Building & Code Enforcement - ResidentialFinal Inspection Office No. (518)761-8256 Arrive: am/pm Depart: � m/pm Date Inspection reque t received: Inspector's Initials: I NAME: 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 Co TV /Exterior Finish Complete Platform at all exterior doors _ Handrail 4 or more risers s Guards at stairs decks attios 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 r Deck Brad /Handicapped Ramp Compliant Grade awa from foundation 6 inches with 10 feet 6 inch clearance to sill late Gas Valve shut-off exposed/re ulator 18 inches above grade Interior I trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Win in stairwells safety glazing Interior Smoke Det ors/Carbon oxid tectors Every level: V Ev ry Bedr Outside every bedroo area: ` U Inter Connected: Batts backup Attic access 30 inches x 22 inches x 30 inches(height)in accessible area -0� Crawl S aces 18 inch x 24 inch access, 1 .ft.-150 .ft.vents , rJ Bathroom Fans if no window Plumbing fixtures ' Foundation insulation/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 fumaoe 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 c Gara aq Floor Pitched ` Garage fireproofing/%hour fire door/door doser ' Duct work Sealed ri Gas Loge in Sealed or Glass Enclosure Final Electrical ° Final Survey Plot Plan ' Arc fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Pe t. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if recluired (, Okay to issue C/C or C 10 1 Tem ra /Permanent L:16uilding&Codes FormslBuilding&Codes\lnspection FormsWesidential Final Inspection Forrm_revised�_100405.doc;Revised January 7,2008;Revised 6d26/08 Queensbury Building.& Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pm Depart: • am/pm Date Inspection request received: Inspector's Initials: NAME: `'�— PERMIT#: LOCATION: DATE: _^ TYPE OF STRUCTURE: Comments: Yes 'v A � 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 �L�Z Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks r ios 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 k( kAX1,ks)•J Deck Bracing/Handica d Ramp Compliant 4 Grade away from foundation 6 inches with 10 feet 6 inch clearance to silt plate I Ile Gas Valve shut-off ex ed/regulator 18 inches above grade � Interior privacy I trim/doors/main entrance 36 inches Bathroom/Kitchen watertight r � Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors \ Every level: Every Bedra�Om: ) f� - � �� Outside every bedroom Ares: Inter Connected: Battery backup: arz. 'fm Attic access 30 inches x 22 inches x 30 inches(height)in accessible area j� Crawl Spaces 18 inch x 24 inch access, 1 N.ft:150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Majuym `' Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 Sq.ft. `�t Emergency Tess below grade j �cRtt Gas Furnace shut-off within 30 feet or within line of site A Oil Furnace shut-off at entrance to fumace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetmdc Underside minimum W Gypsum (v► ) ri"°'4.. Basement stairs dosed rise>4 inches Garage Floor Pitched (, _ Garage fireproofing/%hour fire door/door.closer Duct work Sealed properly Gas Loge in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plank Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built S tc System/Sewer Dept. Inspecton Sticker -�- Site Plan /Variance required Flood Plain Cerfification,if required Okay to issue C/C or C 10 1 Tem ore /Permanent LABuilding&Codes Forms\Building&Codesunspection FormsWesidential Final Inspection Form_reviseo_100405.doc;Revised January 7,2008;Revised 6/28/08 Town of Queensbury Fire Marshal low 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. m n Permit# Schedule Inspection � TO Time am e!, ytime Inspector_ Name C O 2 L—w Address i�gi ns {�) Rough In Final Appliance Manufacturer 60,r - &I- 6�LU Model# SC - -7 S O TRLP Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments 0ov214p a Floor Protection u Clearances to Combustibles (all sides)— A p c c - Firestop(s) Vertical Chase 2 SSG�n i Wall Penetrationk_ ii Vent Clearances to Combustibles v I t✓�7 S tS)s-) 92�04 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 OL Hearth Extension(if any) bL Mantel Height above Up opening Witness Operation Tank Placement(if LP) White-BWMInDepL Yellow r Pink-Fite Marshal Queensbury Building & Code Enforcement - Residential F' al Inspection Office No. (518)761-8256 Arrive: am/pm De rt ,A( - m/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: LOCATION: DATE: - TYPE OF STRUCTURE: _ Comments: N WA BuildingNumber Address visible from road -1 2 � Chimney Height/"B"Vent/Direct Vent Location irk Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches - Roof Complete/Exterior Finish Complete Platform at all exterior doors _ n Handrail 4 or more risers Guards at stairs deckspatios 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 Wallt-- tnterior/ExWor Railings 34 inches to 38 inches t �` Deck Brad /Handicapp2g Ramp Compliant- Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off"posed/regulator 18 inches above grade, Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight - Safe lzin /Window in stairwells safety glazing — Interior Smoke ors i Carbon M oxide eteclors �� ,f Every level: Every Bed �- Outside every bedroo reap: Inter Connected: 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 sq.ft. Ememency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area V Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'A'Gypsum t 7 Basement stairs dosed rise>4 inches Garage Floor Pitched Garage fire rootin /'/+hour fire door/door closer Duct work Sealed properly Gas Loge in Sealed or Glass Enclosure 4Final Electrical l Surve Plot Plan Fault Breaker in Bedrooms Gas Pi Bondinuilt is S stem/Sewer De . Ins ction Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C I C or C 10 Temporary/Permanent LABuilding&Codes FormslBuilding&Codes\lnspection FormsWesidential Final Inspection Forrri_revised_100405.doc;Revised January 7,2008;Revised 6/26108 3 #10440iD, Rough Plumbing / Insulation Inction Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: �am/pmDepart:� am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: L t�c(J NAME: oze PERMIT#: LOCATION:-Rl- 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 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 .S. r 15 minutes Insulation/ esidential Check/Commercial Check loop imilar Exterior Sealant Proper Vent, 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 duct tape COMMENTS: ---_ Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Septic Ins1penp rt Office No. (518) 761-8256 Date Int v Queensbury Building &Code Enforcement Arrive: am/pm 742 Bay Rd., Queensbury, NY 12804 InspectNAME: TLOCATION: ai, r AS1f)�� CT ON: RECHECK: Comments and/or diagram Soil Type: Sand Loam/ Clay Type of Water: Municipal Well Water Waterline separation distance ft. Well separation distance ft. Ot Is: ft. Well Casing Len th 50' + - 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 _Y N Engineer Report and As-Built Y N Location of System on Property: Front ar Left Side Right Side Middle Front Middle Rear System 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 i f * * * INVOICE Rosick Well Drilling INVOICE NO. :000214170000 1175 Farley Rd. CUSTOMER NO. :09628 Hudson Falls, New York 12839 DATE: 08/11/09 (518) 746-0173 SOLD TO: Jarvis Industries 132 Farley Road Hudson Falls, NY 12839 SALES- ORDER SHIP DATE SHIPPED VIA F.O.B. TERMS PERSON DATE P.O. NUMBER NET 30 UNIT QUANTITY DESCRIPTION PRICE AMOUNT ------------------------------------------- Well @ Egan Road-Queensbury For: Kate & Jeff Rozell 169 $24 .00 per ft. drilling w/6"casing 24 .00 4, 056. 00 1 Drive Shoe,Wtrtght Well Cap & Bent 250.00 250 .00 1 Water Sampling-T.Coliform 35.00 35. 00 GPM: 15+ Well Depth: 169' Casing; 169' Driller: Dave & Jason Rosick WE ACCEPT ALL MAJOR CREDIT CARDS, PLEASE CALL to make arrangements. Return check fee is $35.00. Balances over 30 days subject to finance charge of 1 3/4% per month (21% annual. Warranty' s Void if not paid in full. SUB-TOTAL 4, 341.00 SHIPPING CHARGES 0 .00 * T H A N K Y 0 U * SALES TAX 0.00 TOTAL 4, 341 . 00 /0 -4r) Septic Inspection Report Q Office No. (518) 761-8256 Date Inspection r e r e' d: Queensbury Building &Code Enforcement Arrive: f a epart: a 742 Bay Rd., Queen u , NY 12804 Inspector's Initials: l NAME: O IT NO.:LOCATION: f �Ar CT ON: RECHECK: Comments and/or diagram Soil T . Sa Cla Type of Water: Municipal kWe Waterline separation distance ft. Well separation distance ft. Other wells: / ft. Well Casing Length 50' + / - Y N A Absorption Field: Total length 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 U `k v Tank to Distribution Box Li k Distribution Box to Field / Pit vzc_ `� Opening Sealed: VN End Ca N Inlet/Outlet Pipes&Baffles Y N Location Separations Foundation to tank ft. Foundation to absorption Separation of Pits Conforms as per Plot Plan N En ineer Report and As-Built Y N Location of System on Property: Front e Le�Silght Side Middle Front Middle Rear Sy stem Use Approved Partial Approved and need/toe re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 U\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: i am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: J 'L — -Ull NAME: T?o 7- PERMIT #: � LOCATION: INSPECT ON: �-� � TYPE OF STRUCTURE: Y N N/A Rough Plumbing t Nail Plates Plumbing VenV Vents in Place 1 i minimum Drain Size Washing Machine Drain 2 inch minimum Cieanout every 100 feet/change of direction Pressure Test Drain 1YjwA Air/ a 5 P. . . 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 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 ReporL revised Nov 17 2003, revised February 15,2005, revised.January 7,2008 L -y Im Framing / Firestopping Inspectiolf Report Office No. (518)761-8256 Date Ins n requ Ived:_ Queensbury Building &Code Enforcement Arrive: am jn part: am� 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: D9 PERMIT : LOCATION: — INSPECT ON: - OF TYPE OF STRUCTURE: Y N [i/A COMMENTS: Access 22" x 30" minimum OW 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 ration 1, 2, 3 hour 4 hour �on 16 inch insulation in cavity min. Garage Fire Separation House side'A inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilinghyall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (M 5.7 sf above/below grade 5.0 sf grade LABuiiding&Codes Forms-OIDIBuild ft&CodesUnspection Fomisl coming F'restopp ft Inspection Report.doc Revised January 7,2006 - 41 At Rough Plumbing / InsulatiorOnspection Report Office No. (518) 761-8256 Date Inspection req _ Queensbury Building Code Enforcement Arrive: � art: 0_am m 742 Bay Road, Queensbury, NY 12804 Inspector's Initi NAME: PE IT #: V-A13 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N NIA R PluffbaLng Ve ents 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 miadi ro esidentia heck J Commercial Check T e rior Sealant r/wkilow o 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 Febn,rary 15,2005, revised January 7,2008 Rough Plumbing / Insulation inspection Report Office No. (518) 761-8256 Date Inspection req t Queensbury Building &Code Enforcement Arrive: t7 a art: a m 742 Bay Road, Queensbury, NY 12804 Inspector's Initial NAME: PER ##: LOCATION: INSP CT ON: TYPE OF STRUCTURE: Y 41 NIA Roukh Plumbin 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 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 Framing / Firestopping Inspection Report C�-qlo Office No. (518)761-8256 Date inspection . `� I �5 Queensbury Building &Code Enforcement Arrive:o ,4 �� am� 742 Bay Road, Queensbury, NY 12804 Inspector's In' " NAME: UZ��`� PERMIT# - - U 3 LOCATION: t INSPECT ON: I v TYPE OF STRUCTURE: Y N N/A COMMENTS: A1771— naming Attic Access 22"x 30" min um Jack Studs/Headers Bracing/Bridging hangersJoist Jadk Posts Main Beams Exterior sheeting nailed properly �- 12"O.C. Headroom 6 ft. 8 in. Stairwellsi 36 in. or more ExteriorrDeck eck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls M 55 tZ�& k v f1% E . Metal Strapping for Notches Top Plate — Npv V OR �- 1 % w 16 gauge 8 16D naffs each we Draft stopping 1,000 sq. ft. floor trusses �jLR- E Qo2C�k t t� F O� Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from.wall uZ C,�rio Fire separation 1, 2, 3 hour _.�_.a.T_ Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation Hoge 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 LABuRding&Codes Forms-OLMSulding&CodesUnspec5on ForrvaTraming Fi$doppkV inspection Rtipoot.doc Revised January 7,2000 Framing / Firestopping Inspection Re Office No. (518) 761-8256 Date I n reest received: Queensbury Building &Code Enforcement Arrive: qu am! part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspe is Initials: NAME: 2e PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Framing Y N NIA COMMENTS: Attic Access 2T x 31Y 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. it.floor trusses ft. or less on center Ice and waters ield 24 inches from wall Fire separatio 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 5/8 inch Type X Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. OM 5.7 sf above/below grade 5.0 sf grade LABuiiding&Codes Fortis-OLD1B HOV&CodesVnspedion FonnsTran*V FxfOppag Inspection ReporLdoc Revised January 7,2006 Foundation Inspection Report Office No.(518)761-8256 Date Inspection st I. e Queensbury Building&Code Enforcement Arrive: %t-3 part: �pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: 2U 2-e, PERMIT#: _ LOCATION: INSPECT ON: TYPE OF STRUCTURE: Z- *Q ' V. t7�� Conlmenb Y N Footings NA 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 Footinst Dynls or Kuway in place F undation Dampproofing o g Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width ve footing 6 mi ly for et areas under slab Backfill Appro P um uig Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. U\Building&Codes Forms\Bui{ding&CodeWnspection Forms\Foundation Inspection Report.doc Last pdnted 12/20/2005 9:24:00 AM Foundation Inspection Report ('/SUS To Office No.(518)761-8256 Date Inspection zl Queensbury Building&Code Enforcement Arrive: m Depart: d 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial - NAME: 6-z' RMIT#: LOCATION: ( ff ui c w^ INSPECT ON: Gl TYPE OF STRUCTURE: COMM10 Y N NA ootings 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 Repo t.doc Last printed 12/20/2005 9:24:00 AM