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2007-120 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: P20070120 Date Issued: Wednesday, October 10, 2007 This is to certify that work requested to be done as shown by Permit Number P20070120 has been completed. Location: 50 WESTBERRY Way Tax Map Number: 523400-308-007-0001-017-000-0000 Owner: TRA-TOM DEVELOPMENT, INC. Applicant: TRA-TOM DEVELOPMENT, INC. This structure may be occupied as a: Fireplace By Order of Town Board Garage - 2 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 Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Permit Number: Tax Map No: Community Development -Building & Codes (518) 761-8256 BUILDING PERMIT P20070120 Application Number. A20070120 523400-308-007-0001-017-000-0000 Permission is hereby granted to: TRA-TOM DEVELOPMENT, INC. Forpropertylocatedat: 50 WESTBERRY 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: TRA-TOM DEVELOPMENT, INC. 667 STATE ROUTE 9 Fireplace GANSEVOORT, NY 12831-0000 Garage - 2 Cars Attached Single Family Dwelling $340,000.00 Total Value $340,000.00 Contractor or Builder s Name /Address Electrical Inspection Agency Plans & Specifications 2007-120 2448 SQ FT SINGLE FAMILY DWELLING WITH 533 SQ FT ATTACHED GARAGE AND FIREPLACE $347.06 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, April 17, 2008 (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 of ee rY~ pri117, 2007 o~ SIGNED BY for the Town of Queensbury. Director of Building & Code Enforcement Permit No. Building 8~ Codes Office -Department of Community Development -Town of Queensbury Fee Paid ,c~y~ 742 Bay Road, Queensbury, NY 12804 ReCreCitlOrl Fee•:°rJt.G~ Phone: (518) 761 8256 FAXe (® 8) 745-b437net .~,~~'; Principal Structure Building Permit Application Apclication & Plans subiect to review before issuance__of_a_valid_permit for construction. Instructions: A permit must be obtained before beginning construction. No inspecti~;~V`arlll be made ~ntil the ', applicant has received a valid building permit. All applicants' spaces on this application must be completed ahd must appear on the application form. ', L" ~Q-Z-Q/LS~~ TOV`a ~•3 ;,, f ,.. ~ir°~Y Applicant/Builder ~ Owner: ~ ~ ~,;,.. Address: Address: Home Phone: Email Address: Cell Phone: FAX Phone: Home Phone: Email Address Cell Phone: FAX Phone: Person responsible for supervision of work with respect to building and codes compliance: Narne: ~~-f~ -e-~~~ ~~ v~~~' Address: Phone Location of proposed construction: Lot No. ~~ Legal Address: ___~ ~-.e%2?~ ~-~ f ~ s ~ ~ Tax Map Number: _ ~~ ~ ~ ~' / _ ~ Subdivision Name: GC Estimated Cost of Construction: $ ~ ~ /~kJ~J i Proposed construction is for: .Residential Use -Commercial Use Name of Business: If proposed construction is an addition, what will use of new addition bet New structure AddRlon ABeratlon Proposed Construction (Occupancy Type) 1~+ Floor Sq. Ft. 2^d floor sq. ff. Other Sq. Ft. Total Square feet Proposed Height Ft. b In. Sin le-Famtl Dwellln Two-Faml Dwellln Townhouse MuNlfamily Dwelling Number of Unffs: Office Mercantile Manufacturtn Other: Attached Gara a 1, 3 Type of Heating System: Electric,. Oi , Gas Wood, Forced Hot Air, Baseboard, Other: If a fireplace and/or woodstove are being installed, please refer to a separate.application. Zq3 ~G S3 ~- Z ~ Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review. The Building and Codes Office will allow commencement of your proposed project only after issuance of your permit. Declaration: Please sign below after you have carefully read the statement: To the best of my knowledge, the statements contained in the application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Codes, 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 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 Cods, an As-Built Survey by a licensed surveyor, drawn to scale, showing actual location of all new construction: ~' Date: Applicant/Builder Signature: The application of dated is hereby approved and permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set forth above. Date: Authorized Signature: L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04 Application for Permit -Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 OWNER INFORMATION: ~,, - f--3~ f ................................................................................................................... ll~~ { Office Use Location of installation: S ~' i l~/ i ` `~ ,-~'~ '• File Permit No. Tax Map No. / / j .- Owner'sName: ~ Address: ~o~,~ ~ ~ T. %/~ ~"~cS,t-~(j Fee Paid 2. INSTALLER' S NAME ~~ y~ ~~/..~-•~--(~L.~-~ l ~- PHONE j~V'v , ~ `: `. - ,... •u ~' ~'Y 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: Nc 1980 or older _ 1980 -1991 _ 1991- present _ Garbage Grinder Installed Spa or Hot Tub Installed >. of Bedrooms x Computation = Total Daily,Flow x 150 gal/bdrm = x 130 gaUbdrm = x 110 gal/bdrm = 3- (~- yes .~ / o yes + / o 4: PARCEL INFORMATION: (circle applicable information & indicate measurements) Flat sand ~ at what depth at what depth municipal ing -- ~Z feet ~,~~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 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 Gazbage Grinder, Spa or Whirlpool Tub. Septic Tank: ~~~gallon (min. size 1,000 gal.) Tile Field: each trench ft. Total System Length: ft. Seepage Pit(s): number of ..____ ~ size of each: ~ fl. 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) -z_ Number of tanks: 1 Size of each: -'gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 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. r Signature o responsi ,person to Fire Marshal's Office 't'own oi' Qucensbury, 742 13ay Road, Queensbury, NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid f t~~ appliances e ~•~ ~ 2U Permit No. ~~^~~~J Dat ''~ w~.uvRY Application is hereby made to the Bu~i~' '' ~~~~~.~~- the issuance of a Building and Use Permit pursuant to the New York State Fire Pr ven sort atzd Building Cvde. T'he applicant yr owner agrees to comply with all applicable laws, ordinances, regulations, and all corrditivns that are part of these requirements and also will allow all inspectors to enter prernise,~~ to perform required inspections. 1VOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Stove: wood coal pellet gas Name: ~ ' Fireplace insert Fireplace, factory-built: wood as Address: Fireplace, masonry: wood gas T' Furnace: wood gas oil Phone: i~iS 7 - ~s~s ~~~ Owner Address: ~~ Phone: Exact Address:~~ ,c_I ~.~rr'f• ~L~, of construction or instal lion a Note: Construction /Installation must con orm to NYS Fire Prevention & Building Code. Consult available Town of Queenshury Handouts regarding required inspections. if non-masonary applicance, please provide Manufacturer Name: Model Number: Chimney Information (circle appropriate words) Masonry block brick stone Flue file steel size: inches Factory-Built Manufacturer name: Model Number: w Listed By: Indicate (circle) chimney material: Double ti~~nll / Triple wcr11 / Insulated Chimney Liner Number: / irect ventrn l Ca.~~~z-'+~r .Dep~rtz~~ct -- Toes. of Que~~rbury, .N~~' Yorl~ Fire Marshal Code # A 173 3389 (190) Public Safi.~ty A ?33 2G55 (230) Minor Sales DATE: $ Collected ~ Ref rndc~cl Receh~ed from (refiuzdc~cl to): acldress: yie~su+~wt~ - Tww tit'va/~ O'1. ~~K ~' White (Applicant) / Green (Fire Marshal) ! Yellaw (Bldb. Dept.) / fink & Goldenrod (Cashier's Dept.) ~ s~/ ~~ ~~ ~ ~ ~~ Foundation Inspection Report e No. 518 761-8256 Date inspection request received: ~ ~~ Offic Queensbury Building 8c Code Enforcement Arrive: am/pm. Depart: am/pm ?42 Bay Rd., Queensbury, NY 12804 Inspector's Initials: _= NAME: ~~ '- PERMIT #: ~~' /~''~ . LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comm a Y N N Footings Monolithic Slab Reinforcement in Place / ~ ~ The contractor is responsible fo providing protection from freezing for 48 hours following the placement of the concrete. Materials for this se 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 1 for wet areas under slab Baclcfill 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\InspecGon FaKms\FoundaRfon Inspection Report.cbc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (518) 761-8256 Queensbury Building & Code Enforcement 742 Bay Rd., Queensbury, NY 12804 Date Ins tion request received: Arrive: ' 2C~ aml~m ~ Depart: Inspector's lnittals. i° NAME: .~2~ G- LOCATION: ~'' TYPE OF STRUCTURE: am/pm PERMIT #: V Z~ INSPECT ON: ~ Comet n Y N N Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from fi~eezing for 48 hours following the placement of the concrete. Materials for this on site. Foundation / Wallpour inf n in Place Foo ' e s or Keyway in place Foun ampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil 1 for wet areas under slab Baclcfill Approval Plumbing Under Slab PVC /Cast /Copper Foundation Insulation Interior /Exterior R- Rough Grade 6 inch drop within 10 $. L:\Building & Cosies forms\Building >~ Codes\In~ec~ion Forms\Founda~tion Inspection Report.cbc Last prinfied 12/20/2005 9:24:00 AM -- ~ ~o ,~"~/ _ Foundation Inspection Re Office No. (518) 761.-8256 Queensbury Building ~ Code Enforcement 742 Bay Rd., Queensbury, NY 12804 Date Inspection request received: Arrive: ~r~w aml~i (L~ Depart. Inspecto s Initials: -J NAME: ~~h~-' LOCATION: ~ TYPE OF STRUCTURE: ` am/pm PERMIT #: ~~~ r ~~~ INSPECT ON: Commenb Y A Footings Piers ithic lab Reinf ent in Place cogtractor is responsible for providing protection from freezing for 48 bows following the placement of the concrete. Materials for this se on site. ' Foundation / Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofmg Footing Drain. Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil 1 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 8. L:\Buiiding & Codes Frnms\Buitding 8~ Codesuns~ecdon Fcxms\Foundalion Inspection Repor~doc Last prhrted 12/20/2005 9:24:00 AM D- I ~2.- IoJ~~~ S~~ I ~ Foundation Inspection Report Office No. (518) 761-8256 Queensbury Building & Code Enforcement ?42 Bay Rd., Queensbury, NY 12804 Date Ins ti~ request received: Arrive: ,~_ am/ m Depart: lns Dr's Initials:`~~ NAME: / "` ~~ ~'`~- LOCATION: [7 TYPE OF STRUCTURE: am/pm PERMIT #: Ll ~'- ©/ ~LJ INSPECT ON: Comments y 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 en site. Foundation / Wallpour Reinforcement in Place Doting Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width ve footing 6 mi 1 r wet areas under slab Baclcfill Ap al g Under Slab PVC /Cast /Copper Foundation Insulation Interior /Exterior R- Rough Grade 6 inch drop within 10 ft. L:\BuikNn9 & Codes Forms\Buikiing l~ Codesunsp~On Forms\Founclailon Inspection Repoit.doc Last ptinbed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (518) 761-8256 Queensbury Building & Gode Enforcement 742 Bay Rd., Queensbury, NY 12804 Date In tion request received: Arrive. ~ ~ am/p Depart: Inspector's itials: ~ ~~~ NAME: 1~J'~. LOCATION: TYPE OF STRUCTURE: am/pm PERMIT #: C~~ ! ~ /~~ J INSPECT ON: Commenb C N F f gs .~ Monolithic'Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placemeirt of the concrete. Materials for this se on site. Foundation / Wallpour Reinforcement in Flace Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump F ' g Drain Stone: 12 inch width 6 inches a ve oo ~ 6 mil 1 for wet areas under sla Plumbing Under Slab PVC !Cast /Copper Foundation Insulation Interior /Exterior R- Rough Grade 6 inch drop within 10 tt. L:\Bufiding & Cacles Forms\Bufiding a Codesunspection Forms\Foundation Inspectlon Report.doc fast printed 12/20/2005 9:24:00 AM Septic Inspection Report Office No. (518) 761-8256 Date Inspection sued: Queensbury Building & Code Enforcement Arrive: '• rt: 7 r 7 a wpm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initi 4 NAME: ~Q "e- d - PERMIT NO.: ~ / ~--w LOCATION: ~ INSPECT ON: ~_ - b~ RECHECK: Soil T :Sand la T of Wa units ell Water Waterline se istance Weil separation distance Other wells: O ft. ft• ft• Abso tion Field: Total len Len of each trench ft• , ft• De th of trenches ft• Size of Stone # See a Pits: Number Size• x Stone Size: Pi in Size T Builds to tank `~ ~ Tank to Distribution Box '' ~~ Distribution Box el Pit ' ~ ` ` O nin Sea Partial End Ca r~mments and/or diagram QEQ~ Ins Outlet Pi & Baffles Y N Location Se rations Foundation to tank ft• Foundation to abso ion 2 ft. Se ration of Pits ft• Conforms as r Plot Plan Y E sneer Re rt and As-Built Y N -- ~ ~ E-t7 - t~~D ~~~ ~E~S 1-.~~,p~ Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear ~yStpm Use $.t~a . ~s: ~~Ra~~l~ ~ ~ -~c~ Q RL~~ ~ ~~ ~F~ ~~ ~rJ ~t ~ ~~~~~ 1 ~~~~c~,~N Approved and needs to be re-inspected, please tail the Building & Codes Office Last revised 021006 Last revised 1/6105 n Septic Inspection Report Office Na. (518) 761-8256 Date Inspection i Qu gay Rd Qiueensbu~ NY 204 ent Insvpector's Initia NAME: ~ A ROrJE. LOCATION: ,s~~ W E~Tt'`F ~`I ~~p~ RECHECK: Front Rear Left Side Right Side amlt~ NO.: ~~~ ~~~.~-- ' ON: __~S~z~-~- Middle Front Middle Rear m Approved lease call the Building & Codes Office Partial Approved and needs to be reinspected, p Disapproved Last revised 021006 Last revised 1/6/05 In Outlet Pi & Baffles Y N Location of System on Property: 169 Haviland Road, Queensbury, NY 12804 Phone - 518-745-4400 Fax - 518-792-8511 May 24, 2007 Job # 46175 New York State Dept. of Health 77 Mohican Street Glens Falls, NY 12801 RE: Schermerhorn/Pine Ridge Subdivision - Queensbury (T) 50 Westberry Way (Lot#30) -Septic System Dear Sir/Ma' am: This letter is to inform you that we inspected the completed septic system for the house on 50 Westberry Way (Lot #30) in the Pine Ridge Subdivision on May 17, 2007. The septic system as installed was for a four bedroom house and consisted of a 1,250 gallon septic tank and 216 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. Center Jr. , PE ~ `~ ~-'~` cc: Dave Hatin, Town of Queensbury Tom Farone Framing /Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: fit ' lS~~V Queensbury Building & Code Enforcement Arrive: am/ m DepartCt \1"~'~ am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ~ ~ " NAME: LOCATION: TYPE OF STRUCTURE: Y N N/A Framing Attic Access 22" x 30" minimum Jack Studs /Headers Bracing J 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 au e 8 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center ce and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wa112, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavi min. Garage Fire Separation House side '/~ inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin wall Windows Habitable Space /Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf ade V PERMIT #: ~/ / - ~a C~ INSPECT ON: /Y10 NJ7~14 /o ¢ ~~: o COMMENTS ~-lO fvcsas~y Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building 8c Code Enforcement Arrive: am/pm Depart ~~?` ,~ - am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: ~~ NAME: ~ PERMIT #: LOCATION: INSPECT ON: TYPE OF STRUC n ~ n Comments C 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 ose on site. Foundation / Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil 1 for wet areas under slab Baclcfill Approval Plumbing Under Slab PVC /Cast /Copper Foundation Insulation Interior /Exterior R- Rough Grade 6 inch drop within 10 ft. ~f~11 L:\Building & Codes Forms\Building & Codes\Inspection Forms\Faundaiion Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Rough Plumbing / Insu~tion Inspection Report Office No. (518) 761-8256 Date In~spectlon request receiv~ede: Queensbury Building & Code Enforcement Arrive:..~.',,~~4 am/pm~~=~--part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector s Initials: ~.J ~ NAME: /'~°~~ LOCATION: ~.-5~('-~~ ~ - r TYPE OF STRUCTURE: Y N N/A Rou h Plumbin Nail Plates Plumbin Vent Vents in Piace 1 ~/z inch minimum Drain Size Washin Machine Drain 2 inch minimum leanout eve 100 feet Chan a of direction r sure Test in /Vent Ai /Head P.S.I. or 10 ft. above hi hest connection for 15 minutes Pressure Test Water Supply Piping Air /Head 50 P.S.I for 15 minutes Insulation Residential Check Commercial Check Pro er Vent Attic Vent Duct /Hot Water Piping Insulation If re wired unheated s aces Combustion Air Su f for Furnace Duct work sealed ro erl No duct to e COMMENTS: PERMIT #: `7--~1 ~. ~ INSPECT ON: 4 L:~Pam Whiting~Buildrng & CodesUnspection Forms~Rough Plumbing Insulation Report.nevised Nov 17 2003.doc Revised February 15, 2005 Framing /Firestopping Inspection Report Office No. (518) 761-8256 Queensbury Building & Code Enforcement 742 Bay Road, Queensbury, NY 12804 Date .Ins ect~o~ request received: Arrive: ~am/ m ,~D~rt: Inspector s Initials: ~~'~/~~~ NAME: LOCATION: Q TYPE OF STRUCTURE: Y N N/A 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 '/z w 16 au e 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 ire wa112, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavi min. Garage Fire Separation House side '/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin wall Windows Habitable Space /Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf ade N am/pm PERMIT #: ~J 7 `- / ~(/ INSPECT ON: ~/~ COMMENTS 9=l/ Wed~,s~, y ~/ o~ Rough Plumbing /Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: amJ Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ~~~ NAME: °~2_. PERMIT #: ~ ~ ~~G'-~ LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A u h Plumbi Nail Plates Piu ent Vents in Place 1 ~/2 inch minimum Drain Size Washin Machine Drain 2 inch minimum Cleanout eve 100 feet than a of direction Pr sure Test in /Vent i /Head P.S.I, or 10 ft. above hi hest connection for 15 minutes Pressure Test ter Supply Piping A /Head P.S.I for 15 minutes Insulation Residential Check Commercial Check Pro er Vent Attic Vent Duct /Hot Water Piping Insulation If re uired unheated s aces Combustion Air Su l for Furnace Duct work sealed ro erl No duct to e COMMENTS: ~d ~~~ L:~Pam Whiting~Building & Codes~Inspection FornLg~l2ough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15, 2005 Town of Queensbury Fine Marshal 742 Bay Road Queensbury, NY 12804 761-8205 / 761-8206 fax 745-4437 Factory Bunt ~~ Flace I S~gve Insgectign ~I.eport Notice: New York State ~nequires that all UL Listed, factory built appliances be installed according to the instructions and apeciRcationa contained is the Installation Manual accompanying the appliance. No deviation from the manufacturer's instructions or sperNications is allowed. ~/ ~ Permit# ~,~ " .~~~Schedule Inspection Time am pm anytime ~~ `~' Name t~ A dress bnq~ d Rough In Fwal Appliance M cturer ~G~itJ,d/ ~ Model # ~., 7v JrClil~i,~ ~~"d~o~'"JDZ~~ Di V rest e~ Factory Built Chimney Flue Size Double Wall Triple Wal[ Insulated - Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Fireatap(a} Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent /Chimney Termination Chimney height must be 3 feet above roof penetradon; 2 feet above any combustible construction within 10 feet Goa Shut-Off Valve Combustion Air Hearth Eatenaion (if any) Mantel Seight above f/p opening Witness Operation Tank Placement {if LP) '~~ :>~ - vpnow~-ca~~r ~ rm~- ~o Rough Plumbing / insulation Inspect~o ort Office No. (518} 761-8256 Queensbury Building & Code Enforcement 742 Bay Road, Queensbury, NY 12804 NAME: LOCATION TYPE OF STRUCTURE: Date Inspection a uest received: - Arrive: U ~ am/ art: Inspector's nitials: ~~~~~ am/pm PERMIT #: __ (1 T - ~ ZU~ ~v INSPECT ON: ,~ /.?-~ Y N N/A Rou h Plumbin Nail Plates Plumbin Vent Vents in Place 1 '/z inch minimum Drain Size Washin Machine Drain 2 inch minimum Cleanout eve 100 feet than a of direction Pressure Test Drain /Vent Air /Head 5 P.S.I. or 10 ft. above hi hest connection for 15 minutes Pressure Test Wa ly Piping Head 50 .S.I for 5 minutes Insulation sidential Check Commercial Check Pro er V Attic Vent u /Hot Water Piping Insulation If re aired unheated s aces Combustion Air Su ( for Furnace Duct work sealed ro erl No duct to e COMMENTS: L:~Pam Whiting~Building 8c Codea~Inspection Forms\Itough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15, 2005 o ~,~~y Queensbury Building & Code Enforcement -Residential Final Inspection Office No. (518) 761-8256 Arrive:( + ~ am/pm Depart; Date Inspection request received: Inspector's Initials: NAME: h.~ _ PERMIT #: LOCATION: / _ ~F~'~io~. DATE: TYPE OF STRUCTURE: Yes o N/A Buildin Number /Address visible from road Chimne Hei ht / "B" Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbin Vent throu h roof minimum 6 inches Roof Cum lete /Exterior Finish Com lete Platform at all exterior doors Guards at stairs, decks, atios more than 30 inches above rade Guard at stairwell at 34 inches or more Guard at deck, orches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railin s 34 inches to 38 inches Interior Handrails stairs 2 or more risers Grade awa from foundation 6 inches with 10 feet 6 inch clearance to sill late Gas Valve shut-off exposed /regulator 18 inches above grade Interior rivac /trim /doors /main entrance 36 inches Bathroom /Kitchen waterti ht Safe lzin /Window in stairwells safet lzin Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Batte backu Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches hei ht in accessible area Crawl S aces 18 inch x 24 inch access, 1 s . ft.-150 s . ft. vents Bathroom Fans, if no window Plumbin fixtures Foundation insulation Floor truss, draft sto in finished basement 1,000 s . ft. Emer enc a ess below ade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace azea Furnace/Hot Water Heater o eratin Low water shut-off boiler Relief Valves installed /Heat Tra /Water Tem 110 Enclosed Stairs Sheetrock Underside minimum'/~" Gypsum Basement stairs closed rise > 4 inches Gara a Floor Pitched Gaza a fire roofin /'/e hour fire door /door closer Duct work Sealed ro erl Gas Lo sin Sealed or Glass ncl Final Electrical Final Surve Plot Plan As Built S tic S stem /Sewer De t. Ins ection Sticker Site Plan /Variance re uired ` Flood Plain Certification, if re uired Oka to issue C / C or C / O [Tem or /Permanent am/pm ~-/!.7~ -.~~-•- Comments ~~JC ~~~~ ~o~ ~ o~~CL L:~Building & Codes Forms~Building & Codes~Inspection Forms~Residential Final Inspection Form ised 100405.doc ~-~o ~~~~ Town of Qrieenabary Fire Marsha! 742 Bay Road Queensbury, NY 17.844 761-8205 / 761-8206 faa 7454437 F'act~ Built ~ Fireg~a~ ve Inspection Report Notice: Nevi York State requires that all T1L Listed, factory built appliances be installed according to the instructions and specillcatfons contained fn the Installation Manual accompanyfng the appliana~ No deviation from the manufacturer's instructions or speciticatfons is allowed. Permit ~ ~ ''~ Schedule Inspection Time am pm anytime inspector ~ ~.y Name~~ J~~,~.~ _ Address ~~ G.~ 5~~2~~_:L~yL...~~'~ ~~ ~._._. ~~ Appliance Manufacturer Model # Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall insulated ~ Yes ~ No ~ NIA ~ Comments 1R'loor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase wall Penetratior- Vent Clearances to Combustibles Vent /Chimney Termination chimney height must be 3 feet atwve roof penetration; 2 feet above any combustible construction within 10 feet Gas Shnt Off Valve Combustion Air Hearth lEateasion (if any) Mantel Height above f/p opening Witness Operation Tank Placement (if LP} wtdte-BdYtn; -~' _._.._-------~'YeDew~-eti.t~mrer ~ rlak-FireMwr~hai