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2004-069 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: P20040069 Date Issued: Tuesday, July 13, 2004 This is to certify that work requested to be done as shown by Permit Number P20040069 has been completed. Tax Map Number: 523400-315-010-0001-009-000-0000 Location: 35 QUINCY Ln Owner: MICHAELS GROUP LLC THE Applicant: MICHAELS GROUP LLC THE This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040069 Application Number: A20040069 Tax Map No: 523400-315-010-0001-009-000-0000 Permission is hereby granted to: XffC',HAF,T,S C'rRn1 TP T,T,C THF. For property located at: 35 QUINCY Ln 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: MICHAELS GROUP LLC THE 10 BLACKSMITH Dr Fireplace MALT NY 12020-0000 Garage-2 Cars Attached Single Family Dwelling $262,900.00 Total Value $262,900.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-069 Lot 9, House No. 35 Quincy Lane, Quincy Lane Subdivision 1758 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE $254.96 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, March 05, 2005 (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 th T f Qu, �; , March 05, 2004 o for the Town of Queensbury. SIGNED BY Q ury• Director of Building&Code Enforcement CheckF"(2)oFvuell Residential Plan Review: One &Two Family Dwellings Y/N/N ts of plans,500 sq. $.-Stamped. - Design Loads On Plans:90 Wind Floor Loads.40 psf 70-Ground Snow Load Sleeping Areas and Attics 30 psf / Calculations: - V Window Schedule With Glass Size . } V Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade, 5.7 sq.ft. Grade,5.0 sq_ft. +/ 24"(h)x 20"(w)min. J .44"Max.Height above floor Oesidential Check-Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans /Foundation Drainage On Plans,if required 6"Drop in 10'Exterior Grade �, * g Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where e uired Ie and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls l /Platforms At Exterior Doors tairway Headroom 6' 8'All Stairs 36"Width tair Run and Rise Winder Run and Rise Spiral Not Allowed From 2n Story Sr�ioke Detectors Battery Backup and Proper Location /Bathroom Fixtures Proper Clearance Hall Width,36"min. i iandrails More Than One Riser On Open Sides /Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas Garage Fire Separation /Garage Floor Sloped" Attic Access oof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results,if required Septic To Well Or Water Line Separation All Paperwork Signed Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 OLI _O 1. OWNER INFORMATION: (� Office Use Location of installation: o 'ECEIVE ` File Permit No. Tax Map No. ! / Fee Paid MAR 0 2004 Owner's Name: M 6 .............................................TOWN OF QUEEN SR ORY ':• Address: ;L< BUILDING AND CODE 2. INSTALLER'S NAME �( a `► �--� (� l�liecl,� PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980—1991 x 130 gal/bdrm = 1991 —present �V 3 x 110 gal/bdrm = o Garbage Grinder Installed yes_ / no K Spa or Hot Tub Installed yes_ ./ no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) :?gaDhv Soil Nature Ground Water Bedrock or Im ervious Material Domestic Water Supply sand at wh9t depth at what depth munici al Rolling loam (J feet feet well Steep slope clay —T— 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: bob gallon (min. size 1,000 gal:) Tile Field: each trench !!�'a ft. Total System Length: Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System 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 to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. 7 Signat a of responsible person ate 1 li7 r 1 ' ''fowl of Queen bury and Scwilge Disposal ('1111plel. Al)Imodi x C, • A'11•SUMITION, III OLD SI;I'A RA'PIO N 1tI"t11,111ti mi ll'OIN'I`S ek • •cx+�ur c�St►IC; ram... 1ra M. ,•- . r • _._:� 1 ` ��,/,,r'"� ;r,r„ 1 chr�t�tft:�t it►•r t , t�Y�t7Stt't1L1 1 7, Sj( NATURE &INFORMATION FOIL US UM MMr,rro"%jt'4 \Y„oRiV llv"., •'+ ' r ' 1} Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY RE (518)761-8256 I VEI A permit must be obtained before beginning construction. Permit File No. MAR 0 4 2004 No Inspection will be made until applicant has received a i'CC Paid $ valid building permil. All applicants' spaces on this Rec. FCC Paid $ �� r8I N OF QUEENSBtj application must be completed and must appear on the Reviewed By: l��AND CODE application fora. Applicant: lei � i� Owner: Address: `Q � << � '�1<zoy�y. Address: Phone# (►5l ) 1� -�_� Phone Property Location: Lot Number: 9 ( House Number 35 / CLv11gc-N LANE Subdivision Name: Tax Map Number: New Building: residence /commercial Estimatcd Market Value of Construction: $ 2.(p21900 ❑ Addition: residence/ commercial If an Addition, what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l ❑ Other work(describe ) Check Occupancyinformation 1" Floor 2` Floor Other floor Total Below sq. R. sq. ft. sq.I't. Square Feet �( Single family dwelling 1-7 5g 1`75'jS ❑ Two family dwelling ❑ 11owtihouse rr`` ❑ Multifamily dwelling �IV #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ I car attached garage r 2 car attached garage C 6 I dv ❑ 3 car attached garage ❑ Storage building- commercial _ ❑ Storage building- residential ❑ Other Will any second-hand or ungraded lumber be used? If so, for what? Type of bleating System: electric/ oil / gas wood /forced hot air/ baseboard/other: Number of Fireplaces to be installed 1 Number of 11'oodstones to be installed N.A. List below the person(s) responsible for supervision of work as regards to building codes: Name Address Phone Number _ -M - Plumber C '+lL\ _ - Mason _ _ —4_ G. 3 �rs��_ Electrician ' ," -C,)(-^L-Z Declaration: please sign below aficr you have carefully read the sfatatnenL• To the best of my knowledge the statements contained in this application,together with the plans and specifications submifted,are a true and complete statement of all proposed work to be 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 he complied with, whether specified or noted,and that such work is authoriz.cd by the owner. Further, it is understood that I/we shall submit, prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an its Bi It Surve r by a licensed surveyor;drawn to scale,showing actual location of all new consh'u lion. Signature: __�� owner, owner's agent, archilcct,contractor Fire Marshal's Office Town of Queensbury,742 Bey Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date I ?.. , 20 c. q„ Permit No., +"o u 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; t .. ftt;1-a �. =s t r Stove: wood coal pellet gas ' Fireplace insert Address: its 1%'1 � tt t`: x� a ,., r� Fireplace, factory-built: wood ,&gg Fireplace, masonry: wood gas Furnace: wood gas oil Phone: If non-masonary applicance, please provide Owner: . Manufacturer Name: Address: `` Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue the T-W. size: inches Exact Address: N_i 27 of construetion or installation Factory-Built Manufacturer name: Model Number: Note: Listed By:. Number: Construction/Installation must conform to NYS Fire Prevention &Building Indicate (circle)chimney material: Code. Consult available Town of Queensbur)) Handouts regarding required,inspections. Double wa/l / Triple wall / Insulated / Direct ventui Chimney Liner Casc]Fi�er'r�Departmenxt—Town of Que�sx�+baiz-y-, 1V'e�l''or�:. Fire Marshal Corte l# $Collected �,R�Jund�d . Rec'envecl i•onr re undo t�). -r- y address: ,4 173 3389 (190) Public Safety A 233 2655 (23(0j)Mirror Sales DA7G' -- n.tt�wto White(Applicant) / Green(Fire Marshal) / -Yellow(Bldg.Dept.) ! Pink&Goldenrod(Cashier's Dept.) Queensbuiy 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: '" A) ,- DATE: CJ` _ TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in. or more stairs, decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum '/2" Gypsum Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade _ Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s .ft.-150 s . ft. vents Building No./Address visible from road final Electrical \ Site Plan /Variance required Final Survey Plot Plan U11, As Built Septic System/Sewer Dept.Inspection Sticker ood Plain Certification, if required \y to issue C/C or C/O Temporary/Permanent] \3uilding&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 � I Queensbuly Building & Code Enforcement - Residential Final I spection Office No.(518)761-8256 Arrive: am/pn D art. r' �/ am/pm Date Inspection request received: _ Inspector's Initials: NAME: _ _ PERMIT#: �✓ l .�f J LOCATION: DATE: TYPE OF STRUCTURE: Comments Y _ N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more(off stairs, decks,patios Guard at stairwell at 34 in. or more JI Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector01 _ Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched _ Garage fireproofing/'/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents Building No./Addre s sib e f m roa Final Electrical /U Site Plan /Varian'ci re it d Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker 1 \ Flood Plain Certification,if required Okay to issue C/C or C/O Temporary/Permanent] L:\PamW\Building&Codes\Inspection Forms\Res. Final InsD. form 2.docLast printed 2/12/04 Septic Inspection Report / v Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/4n epart: am/pm 742 Bay Rd., Queensbuly,NY 12804 Inspector's Initials: NAME: `r'Vsr-cQ ''� CS Y-( PERMIT NO.: LOCATION: INSPECT ON: -� RECHECK: �r Comments and/or diagram Soil Typej San Clay Type of er Munlci dl/Well Water Waterline sepa istance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ?i ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size, Type Building to tank Tank to Distributi Box a u Distribution BoxA lield/Pit (L Opening Seale • Y N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan—,-7 Y N U G Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Statt� Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LASu eHemingway\B uilding.Codes.Inspection.FORMS\Sep tic Inspection Report.doc January 28,2003 "1 have seen or observed, or believe l saw evidence of, all obiects such as mouses, wells, trees, fences, etc., shown on this document 1 also represent that l have � os CO C4 Personally mea ure the distances set forth on the diagram." c, ��r,rar�ae ATE ' l�� uf M { 7. fib. o„ �1 00' 1= ,9L'S9_� .169 Haviland Road, Queensbury., NY-12804 Phone-518-745-4400 Fax -5B'-792-8511 L July 28, 2004 Job #46176 r New York State Dept. of Health 77 Mohican Street Glens Falls, NY 12801 RE: Quincy Lane Subdivision- Queensbury (T) 35 Quincy Lane (Lot# 9) Septic System Dear Sir/Ma'am: This letter is to inform you that I inspected the completed septic system for the house at 35 Quincy Lane (Lot#9) in the Quincy Lane Subdivision on June 25 , 2004. The septic system as installed was for a three bedroom house and consisted of a 1,000 gallon septic tank and 150 lineal feet of absorption trench constructed with stone and perforated pipe. The system conforms to.the requirements of the approved subdivision design drawings. Please call me if you have any questions or concerns. Sincerely; Thomas R�CenteLJr.,_EI______— cc: Dave_Hatin,_T6wm of Queensbury Eric Wilson; The Michaels.Group Rough Plumbing / Insulation Inspecti eport Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/ part: �an,�/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials NAME: PERMIT #: LOCATION: INSPECT ON: Q TYPE OF STRUCTURE: Y N N PVC: R-1, R-2, R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 '/ inch min. Drain Size Washing Machine Drain 2 inch min. Bead or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout eve 100 feet/change of direction Water Supply Piping /`� �G(A)6 93<D Cooper Commercial Coo er, CPVC,Pex One and Two-Family Insulation esidential Check/Commercial Check Pro er Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437' Fire Marshal's Inspection Report �- 6 Request SCHEDULE Received: Permit#_ a�-v�� INSPECTION ON: -� Name: - ()DAM PM ANYTIME Location: ` AkMOVED ~-EXIT N/A YES NO COMMENTS S ---� AISLE WIDTHS EXIT SIGNS _NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS - FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM _ FIRE SUPPRESSION SYSTEM_ _ HOOD INSTALLATION INTERIOR FINISHES -' STORAGE -� COMPRESSED GAS _ CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRid-AL _ REQUIRED SIGNAGE E5'f I L -& C1-6bV 2•krj EMERGENCY PLAN_ _ MAXIMUM OCCUPANCY SIGN CHIMNEY M SONRY ROUGH IN / 11 CHIMNEY FINAL--'- FACTORY BUILT ROUGH IN IR 1 tJ T iFINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE ---�— MASONRY _ ROUGH IN CTHIS OK FOR CO NOT OK _ FINAL C1--1 � ,! FACTORY BUILT ROUGH IN ---�-� INSPECTED BY FINAL COMDEV/CHRISJMORD/LETTERS2001/FIREMARSHALINS PECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: Uvy NAME: C��c� CT-f bU PERMIT #: y OCp LOCATION: (_�,�,�� INSPECT ON: - TYPE OF STRUCTURE: —� Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents ast Iron, Copper Drain/Vent/Comm. lumbin Vent/Vents in Place ",JRough Plumbing/Nail Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/chan a of direction Water Supply Piping Cooper Commercial Cooper,CPVC,Pex One and Two-Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply-for Furnace Duct work sealed properly/No duct tape COMMENTS: L.\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003 Framing / Firestopping Inspection Report i I ° Office No. (518) 761-8256 Date Inspection request received: �1� Queensbury Building&Code Enforcement Arrive: am/pi 0 &&part: am/pm ,ti/ r 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: JJ(/"� NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A Fr COMMENTS aming . Jack Studs/Headers Bracing/Bridging L Joist hangers ��K CJ' Jed -T 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 %2 (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 snow shield 24 inches from wall Fire eparation 1, 2, 3 hour Fir wall 2, 3,4 hour &stopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %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 L:\SueHemingway\Building.Codes.Inspection.FORivIS\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/p epart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: 1 , PERMIT #: n� -0 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast I n, Copper Drain/Vent/Comm. Pl ing Vent/Vents in Place �#ough Plumbing/Nail Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. ead or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial Cooper,CPVC,Pex One and Two-Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct to e COMMENTS: L.\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003 Framing / Firestopping Inspection Report 9 Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p )Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: CPERMIT#: LOCATION: ` n INSPECT ON: TYPE OF STRUCTURE: Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 3 6 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anc or Bolts 6 ft. or less on center e and snow 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 11/2 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 LASueHemiugway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection reque re ewdffl �ap;::� Queens bury Building&Code Enforcement Arrive: a pm Depart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial:. NAME: RMIT#: D LOCATION: �I `( C� — rv\t i INSPECT ON: �--� TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 1.2 inch width 6 inches above footing 6 m'1 poly for wet areas under slab Bacrfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\FoundaGon Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (51'8) 761-8256 Date Inspection request received: a, -s0 Queensbury Building&Code Enforcement Arrive: am/pr _�n " °Depart: m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: —lam ailNAME: 5 PERMIT#: LOCATION: AK INSPECT ON: ' TYPE OF STRUCTURE: Comments Y N N/A Footing Piers Monolithic Slab Reinforcement in Place 2� 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 Dampproofmg Foundation/Waterproofing Type of Dampproofmg/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:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Toevnn of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Yn'spection ARetsort 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. n Permit# J LW Schedule inspection Time and pm anytime Inspector Name vv�L Ar�� C OW _Address 5 Q U l C, Rough In Final Appliance Manufacturer Model# Direct Vent Factory Built Chimney Fine Size Double Wall Triple WaH 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 Termivation Chimney height must be 3 feet above roof penetration;2 feet alcove any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tandy Placement(if LP) White--Building Dept _�^_ Yellow Cult er Pink—Fire Marshal 94- AP REFERENCE: ` QUINCY LANE SUBDIVISION THE MI GROUP DU5EN BY; VAN DUSEN + STEVES DATED, APRIL 15. 2003 LAST REVISED, JUNE 10. 2003 4 28`30„ LOT 8 r52 0360 - N 439 22' 1 A p ? 1 112 STORY (i WOOD FRAME HOU5E a ' b i LOT 9 3.39 acres , 147,694 sq.ft. l i I 41,5 CO N M� I co f J �O i N62 00 3 66 I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY_ THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION L15TED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL IN5TITUTION5 OR SUBSEQUENT OWNERS. CERTIFIED TO= GERALD F. + JANET L. CLEAR COUNTRYWIDE HOMES LOANS. INC.. IT'5 5UCCE55OR5 AND/OR ASSIGNS CHICAGO TITLE INSURANCE COMPANY LOT 10 , CERTIFIED BYs--------------------- „r } MATTHEW C. 5TEVE5. LL5 NYS 50135 --- DATEDe JULY 1. 2004 ma I AW Du Scale JULY 1, 2004 � .. S "UNAUTHORIZED LICENSED ALTERATION S ADDITRVEY R TO A SURVEY Scale 1'-40' MAP BEARING S LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for Q/. Nq_ATION OF SECTION 7209,SUB-DIVISION 2,OF THE //''''11�� CCXX�. NEW YORK STATE EOVCATION LAW.' Yk1LY COflES/ROM MC OPJG'NAL N iNiS Si,F.V[V - MARKLO tNT!t AN gU(;iNAi OF TnC LAND SU.+VLrOY`i SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES.' CERTIFICATIONS INDICATED HEREON SIGNIFY THAT Gerald F. 8c Janet L. Clear S 1 THIS SURVEY WAS PREPARED IN ACCORDANCE PATH THE Land Surveyors BY TING CODE OF PRACTICE FOR ASSOCIATION LION SURVEYORS ADOPTED BY D S NEW YORORS. STATE RTIF CC TION OF PROFESSIONAL LAND SURVEYORS.S+MO CERTIFICATIONS SNAIL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON HIS BEHALF To THE TITLE COMPANY,GOVERNMENTAL 9 Haviland Road Queensbur New York 12804 AGENCY AM LENDING INSTITUI➢ON LISTED HEREON,AND Town of yH ToTnt�5:GNec5ofT„=LtNDINe.,NS,ITUTION. Queensbury, Warren County, New York 8 792-8474 New York Lic. No. 50135 CLEAR NO. DATE DESCRIPTION DWG. NO. 02333-9 o T sori G c v� w -ems :> _ SOJOD 6 101 r o• Ch u. a. ,Z2�6502yN