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2009-276 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090276 Application Number: A20090276 Tax Map No: 523400-290-017-0002-019-000-0000 Permission is hereby granted to: AMEDORE GROUP. INC. For property located at: 7 POLLAZZO Ct in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot p d er info tion hereto filed and approved and in compliance with the NYS Uniform Building Codes th eensb Zoning Ordinance. o Construc ' n Value Owner Address: AMEDORE GROUP, INC. F' eplace 1900 WESTERN Ave A ANY,NY 12203-00 0 G rage Att�hed _. ownhouse -"� $150,000.00 f/ Total'Val $150,000.00 Contactor or Builder' Name dress ectrical Inspection Agency 7 fr Plans &Specificatio 2009-276 2357 sq ft townhouse 31 sq ft garage& 1 fireplace $373.08 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,July 01,2011 (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 Quee bu , ` d ay,July 01,2009 4 SIGNED BY 1, r 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: P20090276 Date Issued: Friday, October 15, 2010 This is to certify that work requested to be done as shown by Permit Number P20090276 has been completed. Location: 7 POLLAZZO Ct Tax Map Number: 523400-290-017-0002-019-000-0000 Owner: AMEDORE GROUP, INC. Applicant: AMEDORE GROUP, INC. This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Townhouse 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. C)7-Zen E C Fire Marshal's Office Q OW11 Or0wenst,un 7 2' Roati `�itcen47uri1, Nk,,v Vorl. .1 �Si_14 2009 A-fichael J. Palincr, Fir: Nlrrs/ial- Gary S HIIH117 fl, 1'qmhl Fire Alar4ud 'Ta r)Nq &Wff�s'-NSBURY Al Ifi- APPLICATION FOR FUEL BURNING APPLIANCE & CH AMEYS 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: A'n'e" INSTALLERIBUILDER: ADDRESS: We4&LA -_ ADDRESS: PHONE NOS. vc/o PHONE NOS LOCATION OF PROPERTY:_-7 SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: /4tvt,,K A . —PHONE: /afo ✓ 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: 66 —MODEL NO. LISTED BY: NUMBER: QUESTIONS? CALL 7614205 or 7614206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: firemarshal(Mg ueens bu ry,net MASONRY" CHECK ONE V1 VISIT OUR WEEISITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES www.aueensbury.net FLUE CHECKONE V/ DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY WALL LINER CHIMNEY MATERIAL aiEcKoNE ✓ **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO INYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. OFFICE USE ONLY ' TAX MAP N0. PERMIT N0. � � � JUN 19 2009 ; FEES: PERMIT2 51 RECREATIO ENGINEERING I N OF QUEENSBURY (If applicable) %BrJILDi ...._�:.��.S.. i ?I�°�.... ►� /�'�!.. NG & 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: 411� J-fGY7� 5 OWNER: ADDRESS: /cl zzle ,r,—cm ADDRESS: V" PHONE NOS. ��' " 5 /4�y PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: MASK PHONE: `t 56 101d LOCATION OF PROPERTY: 7 ram`/,9c, CT HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? O YES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: FT z PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT APPLY TO YOUR z O O o LL u) PROJECT 0 00 O O _ ,L LL Luaa. o z z Q Q � U) NU 0LLLL OLLLLL = 06 SINGLE FAMILY f TWO-FAMILY C• MULTI-FAMILY (NO. of UNITS ) LIB TOWNHOUSE BUSINESS OFFICE ! J RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) 3(1 7 OTHER 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 statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read an ree to th ove. Signed 61'r 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: ; BUILDING & CODES APPROVAL ZONING APPROVAL ; DATE DATE -- OFFICE USE ONLY -- ._- ,.....,..% TAX MAP NO. PERMIT NO. PERMIT FEE APPROVALS: ZONING TOWN CLERK ; ; 0 � ' r .-__-"I------------------------------------ --- -_.--. ----_.___. 0-----,- APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. ' OWNER: Aw��a P-6- l-(��h. C% INSTALLER: ADDRESS: ADDRESS: PHONE NOS. PHONE NOS. LOCATION OF INSTALLATION: �L C_/� Z �� RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW BEDROOMS GARBAGE GRINDER 1980 or older X 150 gation per bedroom = INSTALLED? 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB 1992-present X 110 gallon per bedroom = INSTALLED? PARCEL INFORMATION: • lpoo,J) 64:5-4<j C-� ✓ TOPOGRAPHY: Flat rolling Steep slope %Slope ✓ SOIL NATURE: Sand Loam Clay Other ✓ GROUNDWATER: At what depth? ✓ BEDROCKAMPERVIOUS 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 minute 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). TANK SIZE: GALLON (MIN. SIZE IS 1,000 GAL.) Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: ❑ ABSORPTION FIELD (WITH NO. 2 STONE) Total length ft. Each trench X ❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? ❑ ALTERNATIVE SYSTEM Bed or other type? ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? •`: NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED RY Q TnNnrn, APPROVED ELECTRICAL INICOMr-rink' - - - Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: a �` NAME: LOCATION: PERMIT#: — z 7(2 Final Survey Plot Plan ApBroved Denied The attached final survey has been received by the Dept.of / Community 11 Development. Upon review the surve `has been: Craig rows,Zoning Administrator Notes.• L:\SueHemingway\Building.Codes-hl%wtion.FORMSTinal Survey Zoning Administrator.doc /G'•� �� fir,CX Queensbury Building & Code Enforcemen - Residential Final Inspection ice No. (618)761-8256 Arrive: am/pm Depart ALI eam/pr Date Inspection request received: Inspector's initials: NAME: jf4 PERMIT#: LOCATION: - DATE: TYPE OF STRUCTURE: Comments: ,V Builkling Number Address visible from road Chimney Hei ht I wB'Vent/Direct Vent Location 14 , Fresh Air intake 3 inch Plumbina Vent throunh roof minimum 6 inches Roof C ate/Exterior Finish Complete Platform at all exterior doors V Handrail 4 or more risers Guards at stairs decks ios more than 30 inches above grade �-2-Z: l �Z� f Guard at staimmil at 34 inches or more ` Guard at dock,porches 36 inches Post more HandraN Termination at Newell Post or Wall Interior/Exterior Railinas 34 inches to 38 inchesDeck Bracing i Handicapped Ramp Compliant ` /' +� Grade awa from foundation 6 inures with 10 feet �`� J� �� 6 inch clearance to sill plate Gas Valve shut-off /re ulator 18 inches above radeVor Interior pdvacy I trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety t /Window in stairwells safety glipft Interior Smoke Deghtom/Carbon Wnoxi ors Every level: 7r815B!!trkuPV Outside every bedrooInter Connected: Attic access 30 inures x 22 inches x 30 indws Night)in acoessible area Crawl Spaces es 18 inch x 24 inch access 1 .ft:150 sq.ft.vents Bathroom►Fans if no window Plumbina fixtures Foundation insulation/Insulatlon Certification Floor truss draft stopping finished basement 1000 sq.ft. Enwmww egress below arade Gas Furnace shut-off within 30 feet or within fine of site Oil Furnace shut-off at entrance to fumaoa area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(sl Installed/Heat T Water Temp 110 Enclosed Stairs Sheetrock Underside minimum W GYPSUM Basement stairs dosed rise>4 inches Game Floor Pitched Garage fire roofi /%hour fire door/door doser Duct work Seated Property V Gas Lop In Sealed or Glass Enclosure Final Ekxtical Final Survey Plot Plan Arc Fault Brooker In Bedrooms Flex Gas Pipe Bondky or As Bunt Septic System/Sewer Dept. In on Sticker Site Plan /Variance required Flood Plain Certification if required -Ok—ay to issue C I C or C 10 1 Temporay/Permanent I It VA L:%Building&Codes FormMBuilding&CodesVnspedion FormsWesidenfiai Final inspection Form_revise0_100405.doc;Revised January 7,2008;Revised 6/2M (/ `00 ) /-3 mo��? Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart: , '1 am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ( `v`7 NAME: hwel r PERMIT#: LOCATION: Gc INSPECT ON: — TYPE OF STRUCTURE: Comments Y N NA Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Fo proofing Foundation Waterproofing r ump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Under Slab -- PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Buliding&Codes Forms\Building&Codes\Inspecdon Forms\Foundatlon Inspedbn Report.dOc Last printed 12/20/2005 9:24:00 AM /(Jo CJU 7-* rv �ep Rou h Plumbing / lnsulatio Ins ectiono° � �a Office No. (518)761-8256 Date inspec io�r request received: Queensbury Building &Code Enforcement Arrive: A�am/pkn Peeppart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: __�___- NAME: PERMIT#: y� LOCATIO INSPECT ON: 2 S- -/6 TYPE OF STRUCTURE: Y N NIA Rough PlumWng /Nail Plates Plumbing Vent/Vents in Place 1 i4 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 5 =65 minutes Insulation/R identiai Check/Commerdal Check .Tyvek 2L3Wilar Exterior Sealant Proper Vent,Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated R2ces Combustion Air Su for Furnace Duct work sealed prop2rly/No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 Framing / Firestoppin9 inspection Report Office No. (518)761-6256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart--- am/pm 742 Bay Road, Queensbury, NY 12604 Inspector's initials: �� NAME: e1jo PERMIT#. t LOCATION: INSPECT ON: — � TYPE OF STRUCTURE: Y N A COMMENTS: Framing T. Attic ss 22" x 3W minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 1T O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches J Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 h w 16 gauge 8 16D naffs 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 cav' min. Garage Fire Separation House side'A inch or 518 inch Type X Garage side 518 inch Type X CeilingANall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LA8u11dhrg&Codes Forms-OWNSuNding&CodesftpWion FamsWron ing FwodoPPkV insPecdon Report.doc Revised January 7,20M P!h Rou9 �md&i/n/60r/ (nLSs/uTif'io?-'r nepedion Re Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: Z oj.L NAME: �� PERMIT #: _ LOCATI AN: INSPECT ON: TYPE OF STRUCTURE: �� ✓ Y N NIA Bg4 Plumbing Nail Plates Plu /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 h' hest 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 Races Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised Febnvary 16,2006, revised January 7,2008 r Framing / Firestopping Inspection Repo ll/ Office No. (518)761-8256 Date Inspection req Queensbury Building&Code Enforcement Arrive: 1= 742 Bay Road, Queensbury, NY 12804 inspector's Initia s• NAME: .- PERMIT#: '� �T LOCATION: w f INSPECT ON: TYPE OF STRUCTURE: Y N A 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 nails each side Draft stopping 1,000 sq. ft. floor trusses Botts 6 ft. or less on center Ice and WTor shield 24 inches from wall TVregp—aration 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration seated 16 inch insulation in Cavity min. Garage Fire Separation House side%Inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABuikkq&Codes Fornis-OLDSukko&CodesUnspsdion FortnsiFranirg Firosoppft inspection Repo tdoc PAw* cl,January 7,20M Foundation Inspection Report Office No.(518)761-8256 Date Ins ti quest received: Queensbury Building&Code Enforcement Arrive: am/pZAf Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspec s V itials: V-% NAME: U PERMIT#: ` z- LOCATION: INSPECT ON: S (? TYPE OF STRUCTURE: commenu Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump F g Drain Stone: , 12 inch width -1000 6 inches above footing ;# 6 mil poly for wet areas under slab ackfill 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 1,3 � 1 �Foundation Inspection Report Office No.(518)761-8256 Date Inspmfp,vtquest received: Queensbury Building&Code Enforcement Arrive: 5 am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspectors itials: NAME: PERMIT#: LOCATION: INSPECT ON: — TYPE OF STRU TURF: Comment Y N NA Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place o ' o K lace 6 G( Foundation Dam roofing undation �� Footing Drain Daylight or Sump FootingDrain Stone: ✓ Q t)E!IQ �A)C- 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:\Bullding&Codes Forms\Building&Codes\lnspection Forms\Foundation Inspectlon Report.doc Last printed 12/20/2005 9:24:00 AM ( C) ---- / Z Foundation Inspection Report close- Office No.(518)761-8256 Date Inspection request received: c-7 3 d Queensbury Building&Code Enforcement Arrive: am/pm Depart: m 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: -A1AIC> NAME:("_ yrf— T PERMIT#: LOCATION: Zv INSPECT ON: TYPE OF STRUCTURE: Comments Y N NA Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. oundation/Wallpour Reinforcement in Place ( '� Footing Dowels or Keyway in place I 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\lnspecdon Forms\Foundation Inspectloon Report.doc Last printed 12/20/2005 9:24:00 AM Framing / Firestopping Inspection Report Office No. (518)781-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Depart:,7" `jam/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: (W/ -2LOCATION: INSPECT ON: -' O-- v TYPE OF STRUCTURE: Y WA COMMENTS: Framing 22"x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jadc Posts/Main Beams Exterior sheeting nailed property 17 O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls - Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D nails each side Draft stopping 1,000 sq. ft.floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 518 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 L:Suiidinq&Codes Fortes-01MO itdN&CodesUnspection Fors sAfrarning Firodopft Inspection RRbport.doc Revised January 7,2008 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ZVL--- Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: &&Vtz:,A-G- PERMIT#: LOCATION: Ev �L 2b G INSPECT ON: U TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for Wing protection from freezing 8 hours following the placement e concrete. Materials for this purpose on site. Foundation/Wallpour Reinfo t in Place Footing Ddwe or Keyway in place Foundati pproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report I Office No.(518)761-8256 Date In tior"tiest received: Queensbury Building&Code Enforcement Arrive:t am/p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: 0 f —22 LOCATION: INSPECT ON: G' TYPE OF STRUCTURE: Comments Y N A A Q ootings J�' 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 Baclfill 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 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pt}� Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �J NAME: A '`E a.0 PERMIT#: Z� LOCATION: &u--k INSPECT ON: 7 TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab 01 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 Waterproofmg 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 MAP REFERENCE: HAVILAND ROAD 5UBDM54ON BY VAN DU5EN + STEVE5 LOT DATED OCTOBER 14. 2005 17 LA5T REVI5ED MARCH 16. 2006 cb O cV O q r� v Q O� •pW •pp LOT A 18 LOT 19 00 p. AREA 10, 778.93 sq. ft. 0.25 acres H.O.A. 9� n 35' f i unLmEs 1 1/2 STORY �O WVOD FRAMED �„i29oW NO DRIVE OWNHOU5E S84o 42 t./ AT TIME OF 5URVEY •O � O 125'00, LOT 20 .7Y C. �l H.O.A. LOT # 21 F f.y r 135 CANC) c' Date' November 2009 �-n u 's ,WAUR=A t"=LV IM OR"WT='O" Map of a Survey made for Scale 1'=20' MAP BEARMO A lJt M 71 LAID SURVEYDITS SEAL 6 A VIOLATION a SEC710N reoo.sus-aNsoN a,W THE NETM YWc STATE EDIM�im Lw Lot # 19 S t e v e s .ONLY"FROM,HE W WALa,I�w HARMED TF1N AN ORDNAL OF 1HE U1ID SURYETORS SEAL SHALL E CONSIOEIIED TO K V"TWL COPES.' CERTFTCATIONS W MATED MMEOIT SIONFY 71AT TH�WGCMO;PWAIMW-CM �'D�`wTM�` Haviland Road Subdivision Land Surveyors BY THE HEW �P STATE E FOR LAID su PhWES A�P,m BY ltt NEM YORIC STALE ASSOdAllgl Of PITOfESDdIAL LAID SUMMIM SAD CERIFICAMIS SHALL RUN OILY y ITO THE PERSON FOR TRIP/THE SURVEY IS PREPARED.AND OH HIS of-�1 S SEKAW TO TIE TITLE COMPANY.OOVETOREIRAL p��11 OF 169 Haviland Road Queensbury, New York 12804 "�'" S `ES O THE U"'D""s'E°"W.' ""° Town of Queensbury, Warren County, New York ro THE ASSOpIEfS oP THE LEIIDINO WSIITUTI011- Amedore 518) 792-8474 New York Lie. No. 50135 1 [ NO. DATE DESCRIPTION DWG. NO. 0514G-19