2005-868 . TOWN OF QUEENSBURY FILE
742 BayRoad,Queensbury, 12804-5902 (518) 761-8201
��� Q rY,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20050868 Date Issued: Friday, June 09, 2006
This is to certify that work requested to be done as shown by Permit Number P20050868
has been completed.
Tax Map Number: 523400-301-005-0001-054-000-0000
Location: 13 NOBLE Way
Owner: THE BH GROUP, INC
Applicant: THE BH GROUP, INC
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage - 3 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
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 ' nforc • ent
Planning Board or Zoning Board of Appeals.
��` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
f1
ag
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050868 Application Number: A20050868
Tax Map No: 523400-301-005-0001-054-000-0000
Permission is hereby granted to: THE BH GROI JP. INC
For property located at: 13 NOBLE Way
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: THE BH GROUP, INC
467 ALBANY-SHAKER Rd Fireplace
LOUDONVILLE,NY 12211-0000 Garage-3 Cars Dwelling
Single Family $358,000.00
Total Value $358,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
BH GROIJP.1NC.. THE
467 ALBANY SHAKER Rd
LOIJDONVILLE. NY 1 221 1-0000
Plans&Specifications
2005-868 LOT #3 HSE# 13 NOBLE WAY
2573 SQ FT SINGLE FAMILY DWELLING
$373.86 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, November 10, 2006
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T wn of een �P i' •, : November 10, 2005
s vGv
SIGNED BY r ` for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury-Dept of Community Development, 742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No. .10 O, -$(p�
No ip.spection will be made until applicant has received a Fee Paid $ 3?3.g(0
valid building permit. All applicants' spaces on this Roc.Fee Paid $ E^
application must be completed and must appear on the Reviewed B I VE D
application form.
y' --
'h '
c- NO V 0 1 2005
Applicant: �e �H Ll P-o I ��c Owner: -���4 F
Address: �67 d SY,,k��l ,Pd Address: TQWN
L0,--I n-Av.le JOr Wit BULL OFQUEENSBURY
( ) / G AND CODE
Phone# / -I� - y7�� Phone#( ) -
Property Location: Lot Number: -3 / House Number 15 / /-. b/c LAX?.
Subdivision Name: K I n j 1 Co a4 Tax Map Number: 20 s--- /--S
(it_ New Building: es dencgy commercial 'Estimated Market Value of Construction: $ 36. X),
0 Addition: residence/ commercial If an Addition,what will use of new addition be?
0 Alteration: residence/ commercial
a No change to exterior size: residence/coral
0 Other work(describe )
' Check OccupancyInformation 1"Floor 2°d Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
0 Single Artily dwelling /4'6 L 1/! ( 2 c 23
a Two family dwelling
o Townhouse _
a Multifamily dwelling
#of units
a Office -
o Mercantile
a Manufaat ng ,
a 1 car detached garage
a 2 oar detached garage
a 3 car detached garage
a 1 car attached garage
0 2 car attached garage
a 3 car attached garage 6 51 6 s l
a Storage building-
commercial
0 Storage building-
residential .
a Other
What is the proposed height of the structure f/ 24 feet inches
Will any second-hand or ungraded lumber be used? If so,for what? AtO
Type of Heating System: electric/ oil /0 wood orced hot ai) baseboard/other: „_-_____.•••••••_
Number of Drergaces to be installed I Number of Woo4tcves to be installed /
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder The :0N 6,p ,c t`_21 ' `13 --I`lc),{
Mason i
Electrician f ,4/escro dtfC c G
.771711
Qeolaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application, together with the plans and specifications
submitted,are a true and complete statement of all proposed work to bo done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by waist, Further,it is understood that I/we shall
•submit,prior to a Certificate of Occupancy or Cer of ce being issued,as requested by the Zoning
Aclm9nistoz or Director of$uil
location of all new co uet'on. by a licensed surveyor; drawn to scale,showing actual
Signor own ,owner's gent,ar 'tect,contractor
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury, AT 12804 (518) 761-8256
1. OWNER INFORMATION:
Location of installation: / 3 i(Ab/c tA/7 (Lf- 3
Office Use
File Permit No.
Tax Map No. 331.1 5 /Q/ `s y
Owner's Name: 771e iJ H rot) Fee Paid
r.;')
Address: y6.7 A/A tin gLY
�o,cQoh�.Ile� Ny
2. INSTALLER'S NAME : The at/ 7 PHONE NO. y 31"' 4/71 K
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply #of
bedrooms with applicable gallons per bedroom to equal total dai )
Year of House: No. of Bedrooms x Computation = Total Daily Flow CEO VE
Nov
OV 0
1980 or older x 150 gal/bdrm = 1 2005
1980— 1991 x 130 gal/bdrm = TOWN
1991 —present 3 x 110 gal/bdrm = 33 BUILD/N AND CO DRY
DE
Garbage Grinder Installed yes— n.
Spa or Hot Tub Installed yes . no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material riaomestirWater Supply
Flat sand at what depth at what depth nrcipal
(- Ro1TinQ , ,jgfaur , S feet ../j4 feet well
Steep slope clay if well; water supply
%slope other from any septic-system
depth; absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
•
5. 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: /000 gallon (min. size 1,000 gal.)
Tile Field: each trench 2.3. ft. Total System Length: I S 0
Seepage Pit(s): number of /1✓/,d size of each: ft. by ft.
Size 9f Stone to be used: # / depth or thickness feet
Bed System Size: /l/4- x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number 'f tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm:"yster and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect and agree to abide by these and all
requirements of the Town of ueens ury�S e ge Disposal Ordinance.
/OA)7�
Signature of responsible person Date
Fire Marshal's Office Town of Queensbwry,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Date / 5- , 20 ' '_. Permit No: a= S --&py
Application is hereby made to the Building& Codes Office for the issuance of a Building and Use
Permit pursuant to the.New York State Fire Prevention and 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.
NOTE to applicant: Rough-in and Final Inspections are required. .
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: -The i,,, ,W 6 1 Stove: wood coal pellet gas
- Fireplace insert
Address: Y
"f.�l,J {p.,Jq,�` -, fir- ' Fireplace, factory-built: wood ,Rgas
/'c diC1 t e alb ,Alf ,1 1/ ' Fireplace, masonry: wood gas
Furnace: wood r oil
Phone: cr7/ ,. •
If non-masonary applicance,please provide
Owner: .�..�_ Manufacturer Name ' r/a'.
Model Number: 1/
Address:
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
• ' Flue tile size.- inches
Exact Address: - ?i 1 ,'e , '
of construction or installation Factory-Built i ,
Manufacturer name f'l="%t .. - 6/0
Model Number: ;a' .. 770
Note: Listed By: (IL- Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queen shury
Handouts regarding required inspections. (Doube wall Triple wall / Insulated /(Direct ventinL.4ti ,.---
Chimney Liner
C'ELschier's Deep i■tme_rut— o r it oaf Queemumbiwy, New Yw'Jr
r'
Fire Marshal Code#' $Collected' $Refunded" Received fi-on: (refunded to),t e ..1`Y , Z :-
-.y- ,,ice address:'
A 173 3389 (190) Public Safety C ..
A 233 2655 (230 Minor Sales F`, -
t
DATE: it f'/ t`) r // _.
/ A. - TwnG o2D
. y
White(Applicant) / -Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.)
TOWN OFOIIEENSBURY =- _ -
HIGHWAY Richard A. nisei to
Highway Superintendent
DEPARTMENTHome(518)798-5127
742 Bay Road • Queensbury,NY 12804 Michael F. Travis
Deputy Highway Superintendent
Office Phone: (518) 761-8211 (518)798-0413
Fax: (518) 745-4466
DRIVEWAY PERMIT RECEIVED
DATE: /0/2 SitlT NOV 0 1 2005
APPLICANT NAME: The 1S H `"P C` TOWN OF AND QUEENSBURY
/ BUILD
TELEPHONE NO.: 931- 97 Z
ADDRESS TO BE INSPECTED: 13 utAJ. ( 3
RETURN ADDRESS: ,( simke, goe 40,;.7[optu:l/j NY )2Zi/
Applicant must show exact location and width of driveway(s)to be connected to the highway by
placing stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The
following action has been taken:
STEP 1: ( )Preliminary Approval
NEED: .( ) Slight swale
( ) Level with the road
( ) Deep swale
Size pipe to be used(if necessary)
( )12" ( )15" ( )18" ( )24" ( )36„
Preliminary inspection completed by DATE
Approval by Highway Supt. Deputy Supt
Upon completion,please resubmit this approved permit for a final approval.
STEP 2: ( )Final Approval
( )Rejected
DATE:
Richard A. Missita,Highway Superintendent
WINDOW SCHEDULE
Job Site/Address: I3 ,tc tie L/ CL.)-- 3 ) Date: /t/zOr
7.
Owner: The 13 kl Ct, ,,e, Zc, Application No.
Window Window Window Unit or Rough Rough SQ.FT. SQ.FT SQ.FT. Clear Clear Special Hardware
Number or Manufaturor Model/Type Stock Openin Opening GlassNis Egress/CIe Opening Opening or Instructions
Letter on Name Numbe g Height ible Vent ar - Width In Height
Plan Call Width Light Opening Inches In Inches
Size
oil 6. Nw"Qa7 ESL 7-5%Z S-S/y 37S 2�,6( 6,T7 3`1 'ib 2-VA_
z-3c5a- 6•3'3/6 S-sry 251L i'y�y 6, 7 7 ' -yb Z ' YL
2'30s6 6--3'/I( -9/� 27 6 /I, TI_ Sc 57 3 V 't, 72
t-ilts-( S-7% 5--7/y 221.(4 /0,Y6 c1Z3 30 Vit 2yit,
`/ v L 33L/6 6-3% y- S%y 2/, 6 /it it ci/I 2 y 'A Z.4/14,
Example Entry
A Andersen Narroline 3062 3' 2 6'5 '/2 15.30 8.36 6.01 34 24 15/35" Tempered
Double 1/3" ig 11/16 Glazing
Hung
RECEIVED
Icv 0 1 Z005
ENSBURY
C:\Documents and Settings\Sue\Local Settings\Temp\Window Schedule.doc TOM DOf
AND CODE
Job Site Address: 13 Ji (44, (lid- 3 ) Date: /0/257ei-
Owner: ` ice Qfr _ c, Application No. File No.
Building Permit — Calculation. Sheet
Natural Light, Ventilation & Emergency Egress Requirements
Habitable Area of s Req. Light Actual Req.Vent Actual j Sq.Ft. Remarks
Room Room 8%of Room Light ' 4%of Room Vent ? Opening for
in Area Square Area Square 4 a Egress
Square Footage Footage G
Feet
�
F ,N 167 2 5-6 34 f 70((.( 6 ,(37
�IC7 2s,� s- � 7y C� s�7
" w /f 76 Zoo sL �'‘
5)v�7 coy 2.3,‘8 st 9 L /0. Y6 $'I'3
7
L``""� /?,/t 2,Cit 1,5‘ /3.�y C,
�w�
2IL /<<r 2/, r' iY5 //,
(Seitz_ 67 HE76 V ( s, V'ir
246 S�-7 �� r�L S;
RECEIVED
NOV 0 1 2005
L:\SueHemingway\Building.Permit.FORMS\Nat.Light.Ventil.Calculation.Sheet.doc TOWN OF QUEENSBURY
BUILDING AND CODE
N, IU, LUn D: UUrM bthl r1Kt
HEAT-N.d11) Owners Mart! l
No me bands a better fire s i'lstaiiatior : to rip:r,rti f
•
WaitModels: ''
SL-950TR-D O i GAS-FIRED
SL-750TR-D
SL-550TR-D .. .- -...ii _
r5. - I VED C Cli, 0 S
l LISTED
�- `` OV 0 .1 2005
TOWN OF QUEENSBURY
BUIL
DING AND CODE
CAUTION
...
, 0) DO NOT DISCARD THIS MANUAL -wait Igor:
�a
„;; • Important operating and 'Read, understand:and follow •Leave this manu l witr ` 0
maintenance Instruc- these instruction for safe party responsibi for 444,0
tions included. Installation and o eration. use and operation. �1
y A Si
W. RNING _ _
A WARNING: If the information In these --- -
Instructions is not followed exactly,a fire HOT1 DO NO7 Touch,
or explosion may result causing proper- • SEVERE BURNS MAY RESULT.
ty damage, personal injury, or death. CLOTHING IGNITION MAY FIESG6,
^• •- Glass and other surfaces ail, ho - 1
• Do not store or use gasoline or other flamma- , irjolkid r operation and cool cow,
ble vapors and liquids In the vicinity of this or • Keep children away.
any other appliance. • CAREFULLY SUPERVISE cr ,ilrrwn li 5ar. b ,D
• What to do If you smell gas appliance.
• Alert children and adults to iazards nr •,r;
- Do not try to light any appliance temperatures
- Do not touch any electrical switch, Do not re• Nmovv ee operate with protect ve r,ar per e
red,
use any phone in your building. 1 • Keep clothing, furniture dra:neries am ..
- Immediately call your gas supplier from a combustibles away.
neighbor's phone.Follow the gas supplier's This appliance has bean supplied with an lnregrz- ,= s
instructions. to prevent direct contact with the fixed yla�b pant it
- If you cannot reach your gas supplier, call : NOT operate the appliance with the barrier-.emo,-t
the fire department, Contact your dealer or Hearth i Home Tor h-- ogic s is
• Installation and service must be performed by barrier is not present or help is nesdec to p `,p'•v, r+:F
a qualified installer,service agency,or the gas
supplier. This appliance may be installed as an Or U -,sa r
manufactured home (USA only) or mobile h;,mrr ar•d ;,' ,e
installed In accordance with the manufsctu;e - ir,s-,; r,: rs
Installation and service of this appliance should 1 and fhe manufactured home co^str.a;t1:n t n ss_t. 1
,,` be performed by qualified personnel. Hearth & dard, Title 24 Pert 328t7 or Stendara o tE _ if
• Home Technologies suggests NFI certified or lord,Mobi it le 24 CFR,CA 280 Or
factory-trained professionals, or
Mii
NFf6 technicians supervised by an NFI wooemeror This appliance is only for use with the typal:• :;a ,c
r:w I ,€n Certified professional. ..'C.Q"'°'•"'."?
on the rating plate.
1 . .‘,.c-, 4 . .
Approvals and
Codes
Appliance Certification High Altitude Installations
The Heat-N-Glo fireplace models discussed in this Owner's U.L.Listed gas appliances are tested and app!oJ:d ro .
Manual have been tested to certification standards and listed requiring changes for e'evetions from 0 to 2,IX `eet --.-
by the applicable laboratories. U. S.A.and in Canada
When installing this appliance at ar alevazcoi- ao:-ve •
Certification feet, it may be necessar} to decrease he I.Jw rat
- changing the existing burner orifice to a smaller ;,ze, , : .
MODELS: SL-950TR-D,SL-750TR-D, SL-550TR-D rate should be reduced by 4%for each 1 COc:)fe ab
LABORATORY: Underwriters Laboratories 2000 foot elevation in the U.S.A or 0% or u,eeE_:.
between 2000 and 4500 feet in Carlada !fte le ^.)
TYPE: Direct Vent Gas Fireplace Heater of the gas has been reduced,these rules do .1( apr
STANDARD: ANSI Z21.88'CSA2,33.UL307B Identify the proper orifice size, checK with t-ip oee
utility.
If installing this appliance at an elevation 4brrre , 5)' r� .
NOTE: THESE MODELS ARE UL LISTED TO UL307B, (in Canada), check with local authorities.
THE STANDARD FOR GAS-BURNING HEATING APPLI-
ANCES FOR MANUFACTURED HOMES AND RECRE-
ATIONAL VEHICLES,
Installation Codes
The fireplace installation must conform to local codes.Before
Installing the fireplace, consult the local building code
agency to ensure that you are in compliance with all
applicable codes,including permits and inspections.
In the absence of local codes,the fireplace installation must
conform to the National Fuel Gas Code ANSI Z223.1 (in
the United States)or the CAN/CGA-B149 Installation Codes
(in Canada),The appliance must be electrically grounded
in accordance with local codes or, in the absence of local
codes with the National Electric Code ANSI/NFPA No, 70
(in the United States),or to the CSAC22.1 Canadian Electric
Code(in Canada),
These models may be installed in a bedroom or bed-sitting
room in the U.S.A.and Canada,
y.°.t Alt Heat-N-Glo Quality
900ibR49 Systems registered
ONS e
*
t n by SGS ICS
1i2
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive/0 l�C.Am/p epart: am/pm JO
Date Inspection request received: Inspeclfor's Initials:
NAME: , I &taiP PERMIT#: __ i a"
LOCATION: I'2j /moo 6 r}Jel-f( DATE: - 'NI
TYPE OF STRUCTURE:
Comments
Yes No N/A
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
Guards at stairs,decks,patios more than 30 inches above grade _
G and at stairwell at 34 inches or more /
uard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Valve shut-off exposed/regulator 18 inches above grade
Gterior privacy/trim/doors/main entrance 36 inches
Saathroom/Kitchen watertight (�IL, ✓�
fety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
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 sq. ft.vents
Bathroom Fans, if no window
Plumbing fixtures &R_K
Foundation insulation
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%s"Gypsum
Basement stairs closed rise>4 inches
arage Floor Pitched
Garage fireproofing/3/<hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
_Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\lnspection Forms\Residential Final Inspection Form_revised_100405.doc
Queensbury Building & Code Enforcement - Residential Final Inspection g ( f`"`
j , \
Office No. (518)761-8256 Arrive ( �vam/pm a rt: am/pm
Date Inspection request received: (//may U Ip Inspector's Initials:
NAME: 116 17 GPZG PERMIT#: dS -- ��
LOCATION: ) 3 !Np n2>L E / DATE: (e/� Uc
TYPE OF STRUCTURE: /
Comments
Ye No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location i177
/
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches ✓/
Roof Complete/Exterior Finish Complete gr V✓/
Platform at all exterior doors ✓ /fit � _
Guards at stairs,decks,patios more than 30 inches above ade / ,2� �C AU O..
Guard at stairwell at 34 inches or more V O� PdZ�
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches / �j
Interior Handrails stairs 2 or more risers
/4)./<- /47-
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
--4- -----
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy I trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight � �D
Safety glazing/Window in stairwells safety glazing7/ 6�0 -
`�
Interior Smoke Detectors: /� 4-.5 S xt- A44-S_ b�
Every level: Every Bedroom: Ci
Outside every bedroom area:
Inter Connected: Battery backup:
/
Carbon Monoxide Detector
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 sq. ft.vents V
Bathroom Fans,if no window ‘//
Plumbing fixtures ✓
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft. ✓/
Emergency egress below grade ✓ 1/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 V _
Low water shut-off boiler f
Relief Valve(s)installed/Heat Trap/Water Temp 110 ✓ /
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches / /
Garage Floor Pitched 3 -Garage fireproofing/ /4 hour fire door/door closer ���/// �6�L W le6- wee /Liw 1
Duct work Sealed properly (7/Gas Logs in Sealed r las t3closure Final Electrical Z CO
Final Survey Plot P /
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0 [Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc
Town of Queensbury Fire Marshal
742 Bay Road
��.. � QueensburV+,NY 12804
761-8205 761-8206
fax 74:i-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
rrnn 069instructions or s ec' cations is allowed.Permit# V Schedule Inspection Time am pm anytime Inspector (J�
Name 6 Address 1 3 4 )o i-6— 4), ' Rough In Final v
Appliance Manufacturer___ Model#
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase____
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet I°
Gas Shut-Off Valve _ z�
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement (if LP)
White—Building Dept. Yellow—Customer Pink._Fire Marshal
1
c
Septic Inspection Report
Office No. (518)761-8256 Date Ins a i nr quest received:
Queensbury Building& Code Enforcement Arrive: ..(5 am/p ee art: 1/pm
742 Bay Rd.,Queensbury,NY 12804 Inspec o 's Initials:c�L
NAME: a 4 CDR,DoP PERMIT NO.: 0 0.--" 66
LOCATION: Lir(3 Al9R4e,-- t4J4 INSPECT ON: Ziff a
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.
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/Partial
Location/Separations -
Foundation to tank _ ft. ,eo 4/,4 �-a L U 41 f —
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan _Y N
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use Status
7
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
APR-11-2006 TUE 02:08 PM Boswell Engineering FAX NO, P. 02
BOSW E LL ENGINEERING ENGINEERS•SURVEYORS■PLANNERS IN SCIENTISTS
1924
799 Madison Avenue•Albany.N.Y. 12208•(518)436-6310•Fax(519)436-0859
VIA FACSIMILE REGVED
(518) 745-4437
April 11, 2006 TOWN _:WJ�URY
BUILD N:_ iND CODE
Mr. Charlie Dyer
Town of Queensbury Building Department
742 Bay Road ( f3(e8
Queensbury,NY 12804
Re: Septic System Installation
Lot 3 Noble Way
Kings Court Subdivision
T/O Queensbury, Warren County, NY
Our File No.: A02-008-05
Dear Mr. Dyer:
Based upon a visual inspection conducted by our office on April 7, 2006, we hereby attest to the
fact that the septic system has been installed for Lot 3 —Noble Way. The septic system appears
to have been installed in the relative location shown on the approved plans and appears to he
installed in general conformance with the N.Y.S.D.O.H. approved plans (plans entitled `Kings
Court Subdivision-Final Plans', dated: October 15, 2003, last revised: April 7, 2004, with a
NYSDOH approval date of May 17, 2004).
Should you have any questions, or require additional information,please feel free to contact our
office at(518)436-6310.
Very truly yours,
B . WELL ENGINEERING
eter,"4#
Robert W. Osterhoudt, P. E.
cc: Mr. Frank Barbera, BH Group
Ms. Anita Gabalski, NYSDOH, 77 Mohican St, Glens Falls NY 12801
RWO/EJH/ejh
X:‘2002\Ao2_008 WEST MOUNTAINU.Y.ITERS\DYER 04112008 LOT..2 NOBLE WAY.DOC
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: a
Queensbury Building & Code Enforcement Arrive: am/pm Depart: - • am/Om
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ( ik.q?
NAME: ` 6,(17-b o I-3 PERMIT #:
LOCATION: L ' 1 /1/9P (,t INSPECT ON: c�* ,7 a�
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
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
50I for 15 minutes
Cf sulatron esidential Check / Commercial Check
Proper Vent, Attic Vent _
Duct / Hot Water Piping Insulation
I If required unheated spaces _
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS: R ` '
tqQ
I� l
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection re• .-s ed: 6
Queensbury Building&Code Enforcement Arrive: -♦a a p i e•. .: = pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's 'tia
NAME: 6/1 G (f 'E'd IT NO.: 0 S
LOCATION: 1-5 /V U S i e (AAA . ► SPECT ON: (1///70
RECHECK:
Comments and/or diagram
Soil Type(San oam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance tCi'~_ ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length (� ft.
Length of each trench t .ft.
Depth of trenches ft.
Size of Stone A-2
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank L4 t k / yD
Tank to Distribution Box 1‘ b'.7C
Distribution Box We Field/ it ti t
Opening Sealed. artial
End Caps ✓
Location/Separations
Foundation to tank It ft.
Foundation to absorption 2 ft.
Separation of Pits E M— P E46.
Conforms as er Plot Pla Y
Cncae mg er Repo As-Built _Y N
Loca
tion io-n of System on Property:
Front Rear Left Sid Right Side )
""Middle Front)ddle Rear
System Use Status:
proved
artial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Last revised 1/6/05
.� . i Town of Queensbury
' . Fire Marshal's Office
'� 742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
_____a
Fire Marshal's Inspection Report
Request r SCHEDULE
Received: Permit# %Gi;�;—•Y)4(-7`: INSPECTION ON: r
t�
Name: t7G O p 1'- A PM NYTIME
Location: L OT .� ()vie_ L'IA
APPROVED
N IA - YES NO COMMENTS �
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
__ -
EMERGENCY LIGHTING
FIRE EXTINGUISHERS L �-
FIRE ALARM SYSTEM Cb �fj V-\ ke-\7 LRr�G
FIRE SPRINKLER SYSTEM p` -E:C---\--
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION -4-
INTERIORFINISHES Moc_, 6L -15�-k-R-\--)
STORAGE
COMPRESSED GAS �� '. - (�vZ��'� 22_
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING _.
UNITS _
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN _ _
CHIMNEY
MASONRY ROUGH IN ,
FINAL _
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD _-_-._.--_--
STOVE ROUGH IN
FINAL
VENTED GAS —
APPLIANCE ROUGH IN
-_-- FINAL --�
FIREPLACE
MASONRY ROUGH IN r OK THIS DATEK F O NOT OK
____ — FINAL
FIREPLACE
FACTORY BUILT ROUGH IN / /`J
TNSPECTED Y "4
/
_ FINAL / -- /—---
�_ COMDEV/CHRISJANORD/L.ETTERS2001/FIREMARSHALINSPECTIONREPOR 11022001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request recOv :
Queensbury Building & Code Enforcement Arrive: .`. UR ar p) art: Z`13 I amcpw>
742 Bay Road, Queensbury, NY 12804 Inspector's Initial : - -- 7-
NAME: c-VN C.;PIAT PERMIT #: u_ ��,
LOCATION: �(.5T ,3 00() __ u c INSPECT ON: — —
TYPE OF STRUCTURE:
i
Y N ' N/A
Rough Plumbing / Nail Plates ` U �,t )c; r-; ',�1 ott1� ‘ t�-kt�_ V1�AL
Plumbing Vent / Vents in Place `1 / � �� _
1 1/2 inch minimum Drain Size �/�
Washing Machine Drain 2 inch minimum ASV-- T -
Cleanout every 100 feet / change of direction
Pressure Test ✓/ r`
rain./ Vent ✓/
• ead ✓/
.S. or 10 ft. above highest connection for 15 minutes i>//
sSure Test
a er Supply Piping
Ai He
P.S. or 15 minutes
In ion / Residential Check / Commercial Check
Proper Vent, Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
f Duct work sealed properly / No duct tape v" _
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
-7___— \ kbRE_CV-vt), )
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Ins ectiprt r",du-: ,ei "d:
Queensbury Building&Code Enforcement Arrive:-I/ de p 10 D epart: 3�) am/r#
742 Bay Road,Queensbury,NY 12804 Inspector's Initi.i s.
NAME: M N C�ROV)P PERMIT#: ,
LOCATION: LU-T 00( 1—E 1)1AY INSPECT ON: —2--
TYPE OF STRUCTURE:
i
111 Y N N/A COMMENTS
i Framing ( )f 24•M
I
Attic Access 22"x 30"ininimum ok} "
Jack Studs/Headers
j
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls ✓
Metal Strapping for Notches Top Plate
1 ''A(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft.or less on center
1
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
V
/ ire wall 2, 3,4 hour I
irestopping
Penetration sealed
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
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
7 tKb E) . q- //;
Framing / Firestopping Insp do eport
Office No. (518) 761-8256 Date Ins ectio quest ce• e . v�
Queensbury Building&Code Enforcement Arrive: am/p art: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's '
, „i_ ,3
S psi
NAME: 6 / G fO Ge e PERMIT if:
LOCATION: (_19 7 F4 5 /0 06 /-2 u y INSPECT ON: 06
TYPE OF STRUCTURE:
(\T)CY N N/A COMMENTS
ramingj��� .ii.VF•
Attic Access 22"x 30"minimum ✓/
Jack Studs/Headers ✓/
Bracing/Bridging .✓
Joist hangers J
Jack Posts/Main Beams
Exterior sheeting nailed properly 12"O.C. `/
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in. .-
Notches/Holes/Bearing Walls I('
Metal Strapping for Notches Top Plate Lti �`IJ� 7C)1 ''A(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
separation 1, 2, 3 hour
Q,Fire
Fire wall 2, 3,4 hour
Firestopping 1�
/fri:-77 --4
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in.(H)
20 in.(W)
5.7 sf above/below grade
5.0 sf grade
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 7 G c-
Queensbury Building&Code Enforcement Arrive: am/pm Depart:' -r rl a pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: '
NAME: � f2 PERMIT#: O
,e
•
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N 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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 'h(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
ce and water sh ld 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 1/2 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
-Recz.c.
Foundation Inspection Report
a
p,
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:44D2?A..agilpm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:C AA)
i4.
NAME: Cj `'"tom PERMIT#: QSg..,2LOCATION: preINSPECT ON: _
TYPE OF STRUCAS :
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
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/ Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
7ch
widthhes above footing
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:'SueHemingway\Building.Codes.Inspcction.FORMS\Foundation Inspection Report.doe January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: /
Queensbury Building &Code Enforcement Arrive: am/pm #3epart: am` m
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:7
NAME: PERMIT#: L/ _
LOCATION: Lc, 5 13 N INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y [, N N/A
Footings —� — I c�j\ ��
Piers , ,'--11 \
Monolithic Slab ` h�1��,
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
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 it poly for wet areas under slab <'
ackfill Approval �� — !L c_,)
Plumbing Under Slab << l (l NP •
< 1
PVC/Cast/Copper i t) 1� /1 1( �►
� �
Foundation Insulation Interior/Exterior f�
R-
Rough Grade 6 inch drop within 10 ft.
L:\.SueHemingway\Building.Codes.Inspection.FURMS\Foundation Inspection Report.doc January 28,2003
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Foundation Inspection Report l
Office No. (518) 761-8256 Date Inspection request received: C 1Z
Queensbury Building& Code Enforcement Arrive: anvil Depart: a' pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: LP ii
NAME: _ _ P RMTT#:
LOCATION: .JSPEcTON: /j_ C —_
TYPE OF ST° UC�TURE: '
'3
Com ents
Y N N/A
ting)
Piers
Monolithic Slab
/
Reinforcement in Place 2�
The contractor is responsible foI
providing protection from freezing
for 48 hours following the placement
/
of the concrete. PR
o ��r/6 �Ue
Materials for this purpose on site. PRO l�—
Foundation/Wallpour (_.oAx n i re-
Reinforcement in Place
Foundation Dampproofing PO U f ^7 /YOuR-
p'Q i i I/
Foundation/Waterproofing ✓
Type of Dampproofing/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 SIab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
C,:\SueHcmingway\Building.Codes.Inspcction.FORMS\Foundation Inspection Report.doc January 28,2003