2003-526 TOWN OF QUEENSBURY
742 Bay1-
�� Road,Queensbury,NY 12804-5902 (518) 76 8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20030526 Date Issued: Wednesday, March 31, 2004
This is to certify that work requested to be done as shown by Permit Number P20030526
has been completed.
Tax Map Number: 523400-240-009-0001-003-000-0000
Location: 6 ANTLER Rd
Owner: TIMOTHY & ELAINE LEPPERT
Applicant: MASCHEWSKI, KEVIN
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Single Family Dwelling ("*344,719 ,1
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.
No inspection will be made until applicant has received a Fee Paid $ ?'..k4-C)41- gy 7
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed By:
application form. •
Applicant: i4 Ev,►..I '4I -e-.4e=.14 Owner: T% Li✓FP z-i"
Address: -0 'Pc ISI Address: O s/-►-/ co GT
LJ V e c.E � t Le/b ,.1-2E3//5 tiltswark..ttii.ti 4J. j. 62-0°-- ►3240
Phone#(S tt3) 4.9613. 010, Phone#(S10)3-77-
Property Location: Lot Number: 1 House Number / c (ye
Subdivision Name: Tax Map N • •er: 2q0.,eP--/-5/42:/- V
New Building: residencs)/commercial Estimated Market Value of Construction:$ /31 ,Ce--10
O Addition: residence/ commercial If an Addition,what will use of new addition be?
o Alteration: residence/ commercial
O No change to exterior size: residence/com'1
o Other work(describe )
Check Occupancylnformation 1"Floor 2°0 Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
Single fancily dwelling (c:P La I LP 5 260 l 5
o Two family dwelling RI VE D
o Townhouse 1/
o Multifamily dwelling
#of units -J U L L 0 2003
o Office TOWN OF OUEENStiUKY
o Mercantile I It► t ani%AND CODE
o Manufacturing
0 1 car detached garage
o 2 car detached garage
o 3 car detached garage
o 1 car attached garage
X 2 car attached garage
o 3 car attached garage
o Storage building-
commercial
o Storage building-
residential •
o Other
r
What is the proposed height of the structure 2a feet C:;' inches r,1k-X�
Will any second-hand or ungraded lumber be used? If so,for what? 4p
Type of Heating System: electric/ oil el woodfoxced hot air/ aseboard/other:
Number of Fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder is.w uacv) e Burt 1-Dnuc i..co 4r0E9 -O icy
Plumber
Mason
Electrician
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
Office Use
Location of installation:
File Permit No. o(uu�- ��.
Tax Map No.2' )..`-' l / 3 `d -/ -V. 4
Fee Paid
Owner's Name: -1-i H Et e L1 t4 L,1,5•12T »„
Address: e7 v--IAsc-o GT.
,,.1, Vi A.`(u,-i.n. r--t-'1"- 12'•iog - 1524-49
2. INSTALLER'S NAME : Ire e..c,►- y6 ii7 4 r.._6_ -�4 1?,L 7 - ' PHONE NO. iv u'E-010`.-3
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 15U gal/bdrm =
1980- 1991 x 130 gal/bdrm =
-present x 110 gal/bdrm = 5D C2,4-r
Garbage Grinder Installed yes✓ / no
Spa or Hot Tub Installed yes_ / no ✓�
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
F ' ss,, at what depth at what depth municipal
Rollin loa 2 feet r i 4t - feet well
teep slope clay if well; water supply
_%slope other LEGE from any septic-system
depth: absorption is loc.+ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: /6 minute per inch
\ i-i,hc..,E. ea-v.:lit-a e E-.2e.ii.iz_._?)
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: 12 gallon (min. size 1,000 gal.)
Tile Field: each trench � ft. Total System Length: C-P 2/ ft. Li
Seepage Pit(s): number of size of each: ' ft. by ft.
Size of Stone tube used: # / depth or thickness feet
Bed System Size:\ \ x
•
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if requred)
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)
SP;203- 14.
Zoning Board of Appeals—Record of Resolution
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8238
Lewis N. Stone, Chairman Charles A. McNulty, Secretary
192 Lake Parkway 14 Twicwood Lane
Lake George,New York 12845 Queensbury, New York 12804
TO: Kevin Maschewski PROJECT FOR: Tim & Elaine Leppert
Adirondack Designers &Bldg. Inc. Private Road 1, off Cleverdale Road
P.O. Box 181
Lake George,NY 12845
The Queensbury Zoning Board of Appeals has reviewed the following request at the below stated
meeting and has resolved the following:
Area Variance No. 72-2003,Kevin Maschewski and Tim&Elaine Leppert
Meeting Date: Wednesday, August 20, 2003
Approved_X Denied Tabled Withdrawn SEQRA Review
[Tabled: applicant has sixty(60 days)to come back with the application]
MOTION TO APPROVE AREA VARIANCE NO. 72-2003 KEVIN MASCHEWSKI,
Introduced by Charles Abbate who moved for its adoption, seconded by Allan Bryant:
Private Rd. 1, off Cleverdale Rd. The applicant proposes construction of a single family
dwelling and seeks relief from the minimum road frontage requirements. He seeks 40 feet of
relief from the 40 foot minimum road frontage requirement per Section 179-4-090. Now, the
question is this, whether this change is going to be undesirable. In my opinion, Mr. Chairman, I
don't believe it will. I think it will add to the character of the neighborhood. Board members
made several comments about the situation, but unfortunately this goes back to the Year 1977,
and I don't think it would be fair to deny the applicant use of his property. Two, the benefit
sought by the applicant, can this be achieved by some method feasible for the applicant to pursue
other than an Area Variance? And quite frankly, I said this initially, I don't see how, and I have
been convinced, Mr. Chairman, that there is no feasible alternative, and, three, whether the
requested Area Variance is substantial. Yes, it is. No one can take that away, it is substantial.
However,because of the 1977, 1999 variances that go back almost 25 years, this is a buildable
Page 1 of 2
Approval of the application means that the applicant can now apply for a Building Permit unless your lands
are Adirondack Park Jurisdictional or other approvals are necessary(such as review by the Queensbury
Planning Board.)
Y
Zoning Board of Appeals—Record of Resolution
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8238
Continued resolution .
Area Variance No. 72-2003, K. Maschewski for Leppert
ZBA Meeting: Wednesday, August 20, 2003
lot, so to speak. Four, whether the proposed variance will have an adverse effect or impact on
the physical or environmental conditions in the neighborhood or district, I don't believe it will,
and, five, whether the difficulty is self-created, it wasn't created by the applicant. It probably
was created back in 1977, and I don't believe we can hold the applicant responsible for that. So
based upon this, Mr. Chairman and fellow Board members, I move that we approve Area
Variance No. 72-2003.
Duly adopted this 20th day of August, 2003, by the following vote:
AYES: Mr. Bryant, Mr. Abbate,Mr. McNulty, Mrs. Hunt,Mr. Urrico,Mr. Hayes
NOES: NONE
ABSENT: Mr. Himes
Sincerely,
Lewis N. Stone, Chairman
Queensbury Zoning Board of Appeals
LS/sh
cc: Tim and Elaine Leppert
Page 2 of 2
Approval of the application means that the applicant can now apply for a Building Permit unless your lands
are Adirondack Park Jurisdictional or other approvals are necessary(such as review by the Queensbury
Planning Board.)
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm_, epart: am/pm
Date Inspection request received: Inspector's Initials: ,/77 /
!D
NAME: ' �; -.,� PERMIT#: r
LOCATION: /�'=' j ( DATE: /X.'
TYPE OF STRUCTURE: t ,/
_ 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 1/2"
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 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 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
I Garage fireproofing/3/4 hour fire door/door closer
1 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 sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/0 [Temporary/Permanent I
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
- Queensbury Building & Code Enfori _
TOWN OF QUEENSBURY
Office No. (518)761-8256 An BUILDING & CODE ENFORCEMENT
alb742 BAY ROAD
Date Inspection request received: Ins] QUEENSBURY NY 12804
�,, (518)745-4447
NAME: \ i•A� y
LOCATION: C -'\''. -� ARRIVE: DEPART: INSP: _ _
TYPE OF STRUCTURE: F C FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
1 x)
(hotel, motel, ant. com
Y DATE INSPECTION REQUEST RECEIVED:
Chimney Ht./"B"Vent/Direct Vent Location NAME r
Fresh Air Intake ✓i "� _ ') J
3 inch Plumb Vent through roof minimum 6" �/i LOCATION
S
Roof Complete/Exterior Finish Complete Vj DATE 4 / /0t)/) tPERMIT t 4''7''�j- .),,
' Guard 30 in.or more @ stairs,decks,patios —j
' Guard at stairwell at 34 in. or more �/, TYPE OF STRUCTURE i- _ (' t r-y-e-
Guard at deck,porches 36 in. or more ✓l FOOTINGS BACKFILL FRAMING PLU BING_
Exterior Finish Complete INSULATION
Interior/Exterior Railings 34 in.to 38 in. ✓� N/A YES NO
Platform at all exterior doors / CHIMNEY/"B" VENT/HEIGHT
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/2" PLUMBING VENT/FIXTURES
Gypsum
Grade away from foundation 6 in. with 10 ft. ✓I ROOFING
Handrail Termination at Newell Post or Wall V(/ EXTERIOR FINISH
6 inch clearance to sill plate . HEATING/HOT WATER
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site RELIEF VALVES
Oil Furnace shut-off at entrance to furnace area JFLOORS
Fumace/Hot Water Heater operating FOUNDATION INSULATION
Low water shut-off boiler ✓ 1
Relief Valve(s)installed/Heat Trap/Water Temp 110 INTERIOR STAIRS/RAILINGS
Interior privacy/trim/doors/main entrance 36 in. STOCKROOM ENCLOSURE
Bathroom/Kitchen watertight
Safety glazing J Window in stairwells safety glazing
FIRE/DEMISE WALLS PENETRATION
Interior Smoke Detectors: FIRE DAMPERS
Every level: / Every Bedroom: 1 '
Outside every bedroom area: CEILING FIRE STOPPING
Inter Connected: / Battery backup:
Carbon Monoxide Detector FIRE DOORS/CLOSERS
v
Bathroom Fans,if no window ✓,; EXIT DOOR HARDWARE ,
Plumbing fixtures EXIT STAIRS/RAILS
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf PLATFORM/ELEVATOR
Emergency egress below grade HANDICAPPED ACCESS
Basement stairs closed rise>4 inches /
Garage Floor Pitched HANDICAPPED BATHS
Garage fireproofing/%hour fire door/door closer 4/ HANDICAPPED PARKING
I Duct work Sealed properly FINAL ELECTRICAL
l Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area ./ SITE PLAN/VARIANCE REO. �^+LL
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents FINAL SURVEY PLOT PLAN, IF REO CO
Building No./Address risi�b/le ro roaj.
Final Electrical -20, Z7 61 CM, v OK TO ISSUE C/O OR C/C
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/0 [Temporary/Permanent] +
L:\PamW\Building&Codes\Inspection Forms\Res.Final Insp.
6%.
Town of Queensbury Fire Marshal
742 Bay Road 00 tilt
Queensbury,NY 12804 111
761-8205/761-8206
fax 745-4437
Masonry Chimney/Fireplace Inspection Report
Permit# wi Schedule Inspection )/d5(01( pm anytime Rough In Final
Name (7L Address V 4ii i%i' Inspector Fin:
Llt
Yes No N/A Comments
FOOTING
Concrete or solid masonry
Minimum 12"thickness
Extends minimum 6"beyond tip on all sides
Below frost line
Cleanout opening—noncombustible cover
FIREBOX
Walls must be solid—no hollow masonry allowed % ;v
8"minimum thickness—back/side walls
Joints between firebricks—11,"max Ck\--Y
Refractory mortar used on firebrick
Minimum depth 20" / 1
Fresh air intake •
Clearances to combustibles:4"rear,2"sides/front
LINTEL/THROAT
Non-combustible material
Minimum 4"bearing length each end
Damper installed,minimum 8"above f/p opening
SMOKE CHAMBER C)
Walls must be solid—no hollow masonry allowed
Minimum wall thickness 6"including liner
Firebrick lining laid with refractory mortar
CHIMNEY
Minimum wall thickness 4"—solid masonry
Must be lined with appropriate liner type
Clay flue liner laid with refractory mortar
Flue liner smooth surface inside,no mortar
Minimum masonry thickness between flues 4"
Minimum clearances to combustibles 2"for —a Teat)d �-/`,t ►y)�interior chimneys,1"for exterior (A.12,10,
Termination height minimum 3 feet above highest
point of roof where it passes through,2 feet above
any combustible construction within 10 feet
Chimney cap installed
HEARTH/HEARTH EXTENSION _. r ff/i x � goit.f),0-4±
Constructed of concrete or masonry
Supported by noncombustible material ��
1( No combustible material on underside t
n Minimum thickness 4"_hearth only cO ' ��,, ,� / ,� v v`'4 h - j<1
Minimum thickness 2" hearth extension 1 IC �W
Hearth Extension—16"to the front,8"to sides
NOTE:if F/P opening is greater than 6 sq.ft.,must
extend 20"front,12"sides
MANTEL/TRIM ,
No combustibles within 6"of F/P opening �
� �l l ° I r) bC ) .-
Combustibles within 12 inches of F/P opening cannot
project more than 1/8"for each inch distance from �-l;��t^La41
F/P opening
Queensbury Building & Code Enforcement - Residential Final Inspection 3
Office No. (518)761-8256 Arrive: am/p epa . iKO am/pm
Date Inspection request received: Inspector's Initials:
,---- o
NAME: \`c..--\ \ ,r.r: PERMIT#:
LOCATION: (� riQ e,;( ,r\\ DATE: MEP.
TYPE OF STRUCTURE: i
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 I Exterior Finish Complete I
I Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more 1
Guard at deck,porches 36 in. or more J
Exterior Finish Complete ;
Interior/Exterior Railings 34 in.to 38 in. J/
Platform at all exterior doors J
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/2"
Gypsum /
Grade away from foundation 6 in. with 10 ft. J
Handrail Termination at Newell Post or Wall JJ 1
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-of laffiin 30 ft. or within line of site
Oil Furnace shut piraoce to furnace area ! i
eater Ws +, er operating �/ '
Low water shut-offer /
V
Relief Valve(s)installed/Heat Trap/Water Temp 110 c/
Interior privacy/trim/doors/main entrance 36 in. it
Bathroom/Kitchen watertight i/
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: i Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup: I
Carbon Monoxide Detector
Bathroom Fans,if no window /
Plumbing fixtures l'
Foundation insulation I
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched r
I Garage fireproofing/3/4 hour fire door/door closer V
f Duct work Sealed properly J
Gas Logs in Sealed or Glass Enclosure
/ PRo ��
Attic access 30 in.x 22 in.x 30 in. ht. In accessible area t� A-COM
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents
Building No./Address visible from road r
Final Electrical J �r
Site Plan /Variance required / ��� �( 5�,��e
Final Survey Plot Plan ✓ ! Y
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C 1 C or C/0 [Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
—1
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection reques received:
Queensbury Building&Code Enforcement Arrive: am/ VCDepart: P.m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: —J�� }� INSPECT ON: r" 03-0
Li
TYPE OF STRUCTURE:
Comments
Y N/A
ootin�` —
Pi- s
Mo . ithic 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:
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
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inection re• -- rec-
Queensbury Building&Code Enforcement Arrive w a► -%art:.•W am/
m0/-
742 Bay Road, Queensbury,NY 12804 Inspector's
NAME: I..-E1)P-RT PERMIT#: "-LO -S
LOCATION: _ (c ATL I9 Ao_Pi i INSPECT ON: 1 L- —('3
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3, R-4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
Copper, CPVC,Pex One &Two Family
v" Insulation/Residential Check/Commercial Check R F C KCS.
Proper Vent,Attic Vent V
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
•
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report /PA)
Office No. (518) 761-8256 Date Inspection request r= e ed:
Queensbury Building& Code Enforcement Arrive: . „p D : ' 0•r-
742 Bay Road, Queensbury,NY 12804 Inspector's Init.: • 4, �-
NAME: - . PERMIT #: OS -SC) (i)
LOCATIO : I -WV !�I INSPECT ON: - -
,)_ ta,3
TYPE OF STRUC
Y N N/A
PVC: R-1,R-2,R-3,R-4 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.
Head 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
C per Commercial
ooper,CPVC,Pex One and Two-Family
nsulation/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:
— .0 1 AFF. -- ►1� �7 P.,:_•• F 17)
- lN\,!D N �w \W
L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
4ft.
--
Town of Queensbury Fire Marshal ��
+ o 742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Masonry Chimney/Firelace Inspection Report
Permit# o5-5 .42 Schedule Inspection 12- 2, 03 : �� pm anytime RIn K.Final
Name ke(�''{4- Address (r/ Ah 1 r G1&e(djInspector 55
II
Yes No N/A Comments
FOOTING
Concrete or solid masonry
Minimum 12"thickness
Extends minimum 6"beyond f/p on all sides
Below frost line
Cleanout opening—noncombustible cover _
FIREBOX
Walls must be solid—no hollow masonry allowed
8"minimum thickness—back/side walls
Joints between firebricks—VP max
Refractory mortar used on firebrick
Minimum depth 20"
Fresh air intake
Clearances to combustibles:4"rear,2"sides/front
LINTEL/THROAT
Non-combustible material
Minimum 4"bearing length each end
Damper installed,minimum 8"above f/p opening _
SMOKE CHAMBER
Walls must be solid—no hollow masonry allowed
Minimum wall thickness 6"including liner
Firebrick lining laid with refractory mortar
CHIMNEY ', w� ( 4 ) t�/zjlQj4lit " w 5'1,16„ -
Minimum wall thickness 4"—solid masonry X _ ' , �� ^ �,n y• � ��t �
Must be lined with appropriate liner type (, LOLL /
At
Clay flue liner laid with refractory mortar ( 1 �,`,
Flue liner smooth surface inside,no mortar " — 41"11[111e14 - (f,
Minimum masonry thickness between flues 4 �(
Minimum clearances to combustibles 2"for ( t k�L 4e€4 -h,"/(1044,QuA €4 v,\
interior chimneys,1"for exterior
Termination height minimum 3 feet above highest
point of roof where it passes through,2 feet above
any combustible construction within 10 feet Ok- 0 q I" c et 'C__
Chimney cap installed
HEARTH/HEARTH EXTENSION
Constructed of concrete or masonry
Supported by noncombustible material n
No combustible material on underside 'j •
Minimum thickness 4"—hearth only 0 cd j/& JVt4 1
Minimum thickness 2"—hearth extension /
Hearth Extension—16"to the front,8"to sides
NOTE:if F/P opening is greater than 6 sq.ft.,must I
extend 20"front,12"sides
MANTEL/TRIM (--' n `� ► �"
No combustibles within 6"of F/P opening J
Combustibles within 12 inches of F/P opening cannot 121 Z . "/C).--
project
j.project more than 1/8"for each inch distance from
F/P opening
)/ :30
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection reque -ce ed.
Queensbury Building& Code Enforcement Arrive: . pm "IP:
:
742 Bay Road, Queensbury,NY 12804 Inspector's Init . .
NAME: „L _ y �,� /r ) PERMIT #: L):3
LOCATION: ":\r\-,-V11. ._,/ INSPECT ON: J / -03
TYPE OF STRUCTU :
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iro , Copper Drain/Vent/Comm.
Plu mg Vent/Vents in Place ✓ ham (—�--T�Q
ough 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/change of direction
Water Supply Piping
Coo • Commercial
Eoo.per- ' Pex One and Two-Family
Ins a Non/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 17,2003
Z \143 �c '
Framing /Firestopping Inspection Report
)646
Office No. (518) 761-8256 Date Inspection re• •est eceiv,::
Queensbury Building&Code Enforcement Arrive: . p► P i : r a rip
742 Bay Road, Queensbury,NY 12804 Inspector's Initi.i ..
NAME: �'' fl' d.- ! T n PERMIT#: "IA)),514
LOCATION: A N -k> INSPECT ON: ) -1
TYPE OF STRUCTURE:
N N/A COMMENTS
Framing Vic
Jack Studs/Headers 4,\1 � �� V
Bracing/Bridging ✓/
Joist hangers /
Jack Posts/Main Beams J
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 V2(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 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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Town of Queensbury Fire Marshal
�01.11441011114
^Vit� 742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Masonry Chimney/Fireplace Inspection Report
Permit# 03 -521; Schedule Inspection /2-- it/-67, & pm anytime Rough In X Final
Name ppi 1/+ Address 47 /1 hil C.eC Inspector ie' ei
Yes No N/A Comments
FOOTING q{,,ik.Oat'f
Concrete or solid masonry 1 a, (
Minimum 12"thickness
Extends minimum 6"beyond Vp on all sides i 17,
Below frost line
Cleanout opening-noncombustible cover a Vac 11,44,a4- Ok'
FIREBOX j
Walls must be solid-no hollow masonry allowed 6 5 5o1
i CI iMa4e00 1(
8"minimum thickness-back/side walls j/ J ', N , r`�?
Joints between firebricks-1/4"max U: `-A 1 C 5,, ext..e�'0, M
Refractory mortar used on firebrick G.� ` � y� �
Minimum depth 20" K�ry a 040424-
i
Fresh air intake f-Q r�,,h ( �Y( `d 1. oke : 'af"e:
Clearances to combustibles:4"rear,2"sides/front _ "
LINTEL/THROAT FA+ b u'l I � .x.1 cal- /Ci " j 't c�
Non-combustible material �/`�
Minimum 4"bearing length each endCO 11°J��1��'t ' `'
Damper installed,minimum 8"above f/p opening
SMOKE CHAMBER _ 3 C t i• , ,slat& 4'L4 V 7 trvolizmi4.4_. -ee ed, Mt A -
Walls must be solid-no hollow masonry allowed1,
Minimum wall thickness 6"including liner I, je4 f M y >Ai'1
Firebrick lining laid with refractory mortar
CHIMNEY
Minimum wall thickness 4"-solid masonry
Must be lined with appropriate liner type
Clay flue liner laid with refractory mortar
Flue liner smooth surface inside,no mortar f
Minimum masonry thickness between flues 4"
Minimum clearances to combustibles 2"forOk l4 ; `%
interior chimneys,1"for exterior ib � C
Termination height minimum 3 feet above highest
point of roof where it passes through,2 feet above
any combustible construction within 10 feet
Chimney cap installed
HEARTH/HEARTH EXTENSION
Constructed of concrete or masonry5 , , i ,
Supported by noncombustible materialW FiAll
No combustible material on underside
Minimum thickness 4"-hearth only
Minimum thickness 2"-hearth extension --1,
Hearth Extension-16"to the front,8"to sidesI q
ri
,,,
NOTE:if F/P opening is greater than 6 sq.ft.,must
extend 20"front,12"sides ,
MANTEL/TRIM
No combustibles within 6"of F/P opening
Combustibles within 12 inches of F/P opening cannot
project more than 1/W'for each inch distance from
F/P opening
Framing / Firestopping Inspection Report / O)
Office No. (518) 761-8256 Date Inspection reque eceived:
Queensbury Building&Code Enforcement Arrive: a 'rpm i:.art:.-;,/.1;1/ a�
742 Bay Road,Queensbury,NY 12804 Inspector's Initi. s•
NAME: " '7,p
�. PERMIT#: �✓3-
52.
LOCATION: Ail' or ,e INSPECT ON: 1 —/
TYPE OF STRUCTURE:
Y N NSA COMMENTS
raming \hT Z —F
Jack Studs/Headers ✓
Bracing/Bridging Hfli�' � ' 4\
Joist hangers
Jack Posts/Main Beams ✓ M
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in. t Z N
Stairwells 36 in. or more E
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls •6Y" ,;4\
Metal Strapping for Notches Top Plate `,�
1 %2(w) 16 gauge (8) 16D nails each side ‘'iC Nzv��
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 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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
3
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building& Code Enforcement Arrive: am/pm it ep.4 • f J . ter
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: __Ale , .
NAME: --V -. PERMIT #: ��(Z2
LOCATION: p 4)-
Lp/y INSPECT ON: )c2
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
Plupbing Vent/V. # . '.:
ough Plumbin /Nail Plates , t . /
1 '/2 inch min. Dr. i i ize
Washing Machine Drain 2 inch min.
4/
Head 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 tape
COMMENTS:
L:1SueHemingway\Building.Codesinspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
" ! —' Town of Queensbury Fire Marshal
N � 742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Masonry Chimney/Fir place Inspection Report /
Permit# /2c03- 52& Schedule Inspection 12///z� 03 ,-ram pm annytimeJ Rough In Final hi/
Name Lenz( � A ILS J C t'IKi� lAddress (0 A A''(V) lid C 1�vt'c4�( Inspector S�11kti
PP / <<
Yes No N/A Comments
FOOTING i
Concrete or solid masonry r 1 c -�
Minimum 12"thickness + LC 1�f„ -,�( - fd�iei `Nl Ifs lCwr'� 4117
Minimum
Extends minimum 6"beyond f/p on all sides ; 7
�, S j L,,/ ` 0 J
Below host line �� C�,J Atka{ 1k1
Cleanout opening—noncombustible cover
FIREBOX
Walls must be solid—no hollow masonry a4owedV
8"minimum thickness—back/side wells N/
Joints between firebricks—Y4"max f/
Refractory mortar useO on firebrick/
Minimum depth 2!y',J
Fresh air intake V
Clearances to combustibles:4"rear,2"sides/front
LINTEL/'tiH(OAT
Non-combustible material
Minimum 4"bearing length each end
Damper installed,minimum 8"above f/p opening
-
SMOKE CHAMBER
Walls must be solid—no hollow masonry allowed
�.FirMinimum wall thickness 6"including liner ['Li
ebrick lining laid with refractory mortar k:
�r4 / C
1
CHIMNEY J
Minimum wall thickness 4"—solid masonry
Must be lined with appropriate liner type _f
Clay flue liner laid with refractory mortar ryry ( n 4 o<‘( J/V k, 1
0 11
Flue liner smooth surface inside,no mortar 0�L
Minimum masonry thickness between flues 4"
Minimum clearances to combustibles 2"for
interior chimneys,1"for exterior
Termination height minimum 3 feet above highest
point of roof where it passes through,2 feet above
any combustible construction within 10 feet
Chimney cap installed 5 5 A/ In
L l t1HEAR /Y ARTH EXTEN IONJ C ')
1
HEARTH S
Constructed of concrete or masonry
Supported by noncombustible material 1 7/i 7/0
No combustible material on underside
Minimum thickness 4"—hearth only
Minimum thickness 2"—hearth extension
Hearth Extension—16"to the front,8"to sides
NOTE:if F/P opening is greater than 6 sq.ft.,must
extend 20"front,12"sides
MANTEL/TRIM
No combustibles within 6"of F/P opening
Combustibles within 12 inches of F/P opening cannot
project more than 1/8"for each inch distance from
F/P opening
\ : 3o
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request re -'yes•
Queensbury Building&Code Enforcement Arrive: am a xi .. : ° to a•-, I, •
742 Bay Rd., Queensbury, NY 12804 Inspector's kit. ,
..-
NAME: ` \m )._.-ev,e- ' ' ' ITNO.: ()3-` i
LOCATION: LP IA� �� A INSPECT ON:RECHECK:
Comments and/or diagram
Soil Type: . 'Low,/C
Type of Wat- . Municipal ell Wat ). 1JCrc cite AFT
Waterline separation distan ft.
Well separation distance 1 •
Other wells: ft,
Absorption Field: Total length ( ft. �� �
Length of each trench ?„ e i ft.
Depth of trenches ft.
Size of Stine E7._.1 1i, 2 111
Seepage,, its: Number ������
Size ' x 0 C \ TD !� ..,Vt-- \L
Sto ze:
Piping Size Type
Building to tank P}" D(.1 t
Tank to Distribution Bo ;.--10 y �,,,
Distribution Bo o ie /Pit 11 c A. 1-1) �L7e_t
Opening Sealed. Y/ /Partial
Location/Separations
Foundation to tank -.ft �E� j\— '\1 \_T '
Foundation to absorption ft.
Separation of Pits _ f. P\—C�T C-P4ctJ u \ i a c.
Conforms as per Plot Plan Y N _"- --.!C)A
Location of System on Property:
Front Rear Left Side Right Side Vo } D V- L. V-1 .-.--
Middle Fron iddle Rr ' -O Q-- L c C_ \U'l dR iX
System Use Stat :
Approved
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
Tl /~ 4 41
Framing /Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/4m epart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: ---�
NAME: J"t PERMIT#: C 3 -
LOCATION: fes_ INSPECT ON: if' -/5'-c >
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
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 V2(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 snow j,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 '/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.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
'irl '11–:
s-74÷61---
Framing / Firestopping Inspection Report —C--
Office No. (518) 761-8256 Date Inspection request received: _ t o✓, ( 03
Queensbury Building&Code Enforcement Arrive: al n /Depart: • _ am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials. ��•�
NAME:
ei --e-' PERMIT#: a 3 - _&)
LOCATION: 4a 41.)i•/--41,. / INSPECT ON: ---7--"4;;a7-7 c:U
TYPE OF STRUCTURE: A)4 p,j/Vt a c,1_
Y N N/A COMMENTS
Framing
-
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 %2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
/
�fil
/'or Bolts 6 ft. or less on center
ec, " The and sno* ld 24 inches from wall CrE
Fire separation 1, 2, 3 hour `�/L; A--I S s (�`
Fire wall 2, 3,4 hour 0 F o/ ,,6‹ k C/ 'I�•+�
Firestopping r nC(rk is40E-
� �
Penetration sealed rK
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 CCeiling/wall , (dk , �atcc (CWindows Habitable Space/Bedrooms /� 111"`
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
•
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
q---c)LV) I\ _CM
Framing 1 Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: ,,
Queensbury Building&Code Enforcement Arrive: am/p -pa•.'AMS am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: ,
NAME: o-6',`;) oNf} PERMIT#:
– (1)
LOCATION: ( p fir-- I Qr' INSPECT ON: \\—! Ck2
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
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 V2(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
An/r Bolts 6 ft. or less on center
„1e and snow shield 24 inches from wall PAS4 �
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
L:\,SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p epart:1�/ • pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initia :
NAME: PERMIT#: 0 3 Sp�.1
LOCATION: („�{�` e ' ( INSPECT ON: 11--G -03
TYPE OF STRUCTURE: 5 ��
Comments
Y N/A
APi- s
olithic 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:
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
Framing / Firestopping Inspection Report Rsf\nn
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pri\ D am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
03-
LOCATION: C -�� ( INSPECT ON:
TYPE OF STRUCT E:
Y N N/A COMMENTS
Framing
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 V2(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
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 '/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.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
IA
Foundation Inspection Report
Office No. (518),,761-8256 Date Inspection requeq received: Z10 3
a m�
Queensbury Building&Code Enforcement Arrive: -am/pm De�v . In/:R
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: -(�C,�, eW,5-K . PERMIT 21003, SDf-o
#:
LOCATION: A A mp--, 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 �� � � CV\
of the concrete.
Materials for this purpose on site. C)
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
,-Footing Drain Daylight or Sump.
Footing Drain Stone:
1.2 inch width
inches above footing
6 mil of for wet areas under slab
Backfill Approval.
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Gradd 6 inch drop within 10 ft.
L:\SucHemingway\Building.Codes.ITspectioii,FORMS\roundation Inspection Reportdoc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: )4) am/pm Depart. am/prn
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: w' f
NAME: PERMIT#: 0?
LOCATION: r-ve-��INSPECT ON: OZ)3
TYPE OF STRUCTURE: fd,-L
0 d,
Comments
Y N N/A
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for V,-
providing protection from freezing
for 48 hours following the placement C3) . C/
,( t,2a, � �u e^�
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Keinf6reemen-t`ih Place t,-Aj--
175 Tu-n-U Ht io—n D a m--pt p2=r=oo:fi n g 7^164,
Foundation/Waterproofing 6e7l9m
Type of Damppr(jofing/Waterproofing /XIV
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil of 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\Foundafion Inspection Report.doc January 28,2003
Foundation Inspection Report.
Office No. (5 18)761-825 6 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depart: " '7 am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial..
NAME: A"-T\ PERMIT#:
LOCATION: (Ant) p,6� L-S.rl INSPECT ON:
----------I TYPE OF STRUCT -
Comments
Y N N/A
otings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible fol
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:
1.2 inch width
6 inches above footing
6 mil of 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:\SueHen-iingway\Building.Codes.Ilispection.FORMS\Foundation inspection Report.doc January 28,2003
1 or
s 'A
A0111146 9DAti3 DESI E45
�•�• 003t '131 DESiGNERS FAX Q513D 663-3099_
LAME ZE044 iso NV 12345 • u Dacs zalkilatagnkeuaDi @ ®D.g®oar
CUSTUIN HUME DESIGN E CUWSTRUCTIUN
Ve. 'Piet
1" 1140 t C AGS.
= vc5DLoi
0.) = Lie.74
•1 �. ,a
a�E - 1gC.o1 0e5 c�Al
k.} ,AQ. s - S� -(•1 s ) - 'rete 4/4t o o
�.� 4.t,Dll`-�E
2.: '17EF- '.) � lxXLE�.t�-
II.
''q' T7--t-s't ri-rsz, 1414.17e.g4R4i.sut.3, -T2›,
Voluv-tom -
� s �P) ons' G = givies) 4,4i.
2;',11" 271)4 -
o --T-----�
ADX 131 _ FIS DESIGNERS FAX Q513D 663-3499
LAKE 8101146L NV 12345 %ME s tiOai®sugnbeu6➢i@t®➢aa®atit
currum MIME DESIGN S ctiNS?RUC71Wi '
Vel-5441-104 T,e.,v1Ca,s
s� w'‘,VL a F
camas (221 )' 41 ,,u,i E X les v �,•
1 - 'lcs 1 UH . r''F `` "- v t .
I
1111 1.01-14 X Li x k.G t>es-r '269,-/ef.
2tli c _ 70,2 ‘6a1,10,4s
7c)2 72Lo•
a u
I
t
•
MAP REFERENCE:
MAP SHOWING PARCELS
PROPOSED TO BE CONVEYED TO
VAN H. + AUDREY ANN WANAMAKER AND
CORDON W +NANCY M. HAMILTON FROM ; }
ERNEST A. KIRGHHOF
DATED SEPTEMBER 20. 1973
BEp
LAST ,EVIL ER +O McGORMACK 3'±
BY COU
LICENSED LAND 5URVEYOR5
108't ALONG
SHORELINE
LAXEx.
r,
O
Occf)vo
qS
i
O ,
co T
Z
1 HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS G�RTI mT OAR Y WAS ONLY
AND ON THEA
FOR W
OMPANY. GOVERNMENTAL AGENCY
BEHALF TO THE TITLE C
AND LENDING INSTITUTION L15TED HEREON.
CERTIFICATIONS AURA OWNERS. TO ADDITIONAL
INSTITUTION
CERTIFIED TO, TIMOTHY J• LEPPERT E5SOR5
ELAINE M. LEPPERT
WELLS FARGO HOME MORTGAGE. ING.. ITS' SUGG
AND/OR ASSIGNS
FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK
CERTIFIED BYE - MATTHEWG. 5TEVE5. Ll5 NY5 50135 ~_-
DATED, MARCH 18. 2004
n D -Li s e-1:1
� a &
SteVe s
Land Surveyors
Queensbury, New York 12804
169 gaviland Road New York Lic. No. 50135
f 518) 792-8474
u
v
'UNAUTHORIZED ALTERAnCN DR ApgnON TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
ViOLAnON OF SECnON 7109. sue
Z, OF THE
NEW YORK STATE EDUCAnON LAW.'
,Ow comes fROAI THt ORIGINAL Ot TH19 9URVtY
MAOM KITH AN OpGINAL of THC LAND 9IIRVtYCR9
SEAL SHALL BE CON=DERED TO BE VALID TRUE COPIES."
LFNDIN
CER'I".TIONS INDICATFA HEREON = , WITH TME
THIS SURVEY WAS PREPARED RT ACCORD ADOPTED
EIISnNG CODE OF pRAC710E FOR LAND SURVEYORS
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONLy
LAW SURVEYORS. SAID CER 1110NS SHALL RUN ONLY
Po INE PERSON FOR WHOM THE SURVEY IS PREPARED, AND
ON NIS K.., TD THE WILE COMPANY. GOVERNMENTAL
To TM A5%GN93 of Tl=.,,,ON U���HEREON, AND
C�
U
O
DECK
�r
N
O
N
U^l
N
N
S89°o4 40,E
292.68'
N \ I
_._ .. 131.70
I( V
r
CRUSHED STONE
f
f
g
PTIC
NK y '
AREA . 4
27,646 sq.ft I
0.63 acres
1
256,57' /
3
i
0
i
f -
cc
3
b
N
i4erp-1
&At, I De
,s
3
N
O
tt1
1'
2t
4�
i
:t
v,
,j.
It
t
it
+,t
CERTIFIED TO, TIMOTHY J• LEPPERT E5SOR5
ELAINE M. LEPPERT
WELLS FARGO HOME MORTGAGE. ING.. ITS' SUGG
AND/OR ASSIGNS
FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK
CERTIFIED BYE - MATTHEWG. 5TEVE5. Ll5 NY5 50135 ~_-
DATED, MARCH 18. 2004
n D -Li s e-1:1
� a &
SteVe s
Land Surveyors
Queensbury, New York 12804
169 gaviland Road New York Lic. No. 50135
f 518) 792-8474
u
v
'UNAUTHORIZED ALTERAnCN DR ApgnON TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
ViOLAnON OF SECnON 7109. sue
Z, OF THE
NEW YORK STATE EDUCAnON LAW.'
,Ow comes fROAI THt ORIGINAL Ot TH19 9URVtY
MAOM KITH AN OpGINAL of THC LAND 9IIRVtYCR9
SEAL SHALL BE CON=DERED TO BE VALID TRUE COPIES."
LFNDIN
CER'I".TIONS INDICATFA HEREON = , WITH TME
THIS SURVEY WAS PREPARED RT ACCORD ADOPTED
EIISnNG CODE OF pRAC710E FOR LAND SURVEYORS
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONLy
LAW SURVEYORS. SAID CER 1110NS SHALL RUN ONLY
Po INE PERSON FOR WHOM THE SURVEY IS PREPARED, AND
ON NIS K.., TD THE WILE COMPANY. GOVERNMENTAL
To TM A5%GN93 of Tl=.,,,ON U���HEREON, AND
C�
U
O
DECK
�r
N
O
N
U^l
N
N
S89°o4 40,E
292.68'
N \ I
_._ .. 131.70
I( V
r
CRUSHED STONE
f
f
g
PTIC
NK y '
AREA . 4
27,646 sq.ft I
0.63 acres
1
256,57' /
3
i
0
i
f -
cc
3
b
N
i4erp-1
&At, I De
Map of a Survey made for
LEPPERT 3 3/26/04 ADE
TIMOTHY &ELAINE 2 3/16/04
T
1 6-24-03 P
Town of Queensbury, Warren County, New York NO PATE
cl�
LEGEND:
c0.,= UTILITY POLE
e WELL
AV
Dane,, mr, T
Scale 1'=20'
S-1
SHEET 10F 1
LEPPERT 01017
DWG. NO. 03134
3
N
O
V-
O
Map of a Survey made for
LEPPERT 3 3/26/04 ADE
TIMOTHY &ELAINE 2 3/16/04
T
1 6-24-03 P
Town of Queensbury, Warren County, New York NO PATE
cl�
LEGEND:
c0.,= UTILITY POLE
e WELL
AV
Dane,, mr, T
Scale 1'=20'
S-1
SHEET 10F 1
LEPPERT 01017
DWG. NO. 03134
u
MAP REFERENCE'
MAP SHOWINE CONVEYED TO f
PROPOSED TO B
VAN H. + AUDREY ANN WANAMAKER AND
GORDON W. + NANGY M. HAMILTON FROM
ERNE5T A. KIRGHHOF
DATED 5EPTEM5ER 20. 1g73
LAST REVI5ED NOVEM ER 1q7 s t S89004'4011 I\PF G\RF
BY COULTER + MCG 292.68'
LIGEN5ED LAND SURVEYORS ,' r I I
-4, WELL N I N \ I I
131.70
3 a
0 pG -
I 8 ! \ y
GRU5HED 5TONE v
DOCK N Ell ! O
000O"o o„ �4I�!AO g iY I ' O N
1� > N o w
r \ 3
' tr °
SEPTIC > O
/ Z TANK ' C7 y
1 c
roe' AREA 9 o
27,646 sq.ft.
0.63 acres
108't ALONG `' Dec
SHORELINE
N
O N
4�
256.57' l l
�PF
LjrKE 2'±
N89°04'40 W
a
GE04CgGEC\1
I10U5ELA
�4
1 �!i
fit' O
A5 PREPARED .
Ja
I HEREBY CERTIFY THAT THE, MAP W THE PERSONS
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THEIR
G +�a Ca3-
FOR WHOM THE TITLEEGOMPAN 1 GOVERNMENNTALPARED, AND NAGENGY
BEHALF TO THE LEGEND
AND LENDING INSTITUTION L15TF-D HEREON.
GERTIFIGATIONS ARf NOT QUENT OWNERS BLE TO ADDITIONAL 1 �. ° ,, cp, = UTILITY POLE
IN51ITUTION5 OR SUB
D �
TIMOTHY J. LEPPERT WELL
- CERTIF ELAINE MORTGAGE. .. ITS INCIED TO M, LEPPERT GE550R5
WELLS FARG GNSME OF NEW YORK
AND/OR A5E TITLE INSURANCE COMPANY O
FIDELITY NATIONAL
iA
CERTIFIED BY'— MATTHEW G- STEVE5. LL5 NY5 50135 Datel MAY 23, 2003
Scate
DATED, MARCH 1B. 2004
Map of a Survey
made for S
DiAs NAU7NORIAL?ERATON CR YORS A SURVEYADDITIONAL LOCATION MAP BEARING A LICENSED 9,S SURVEYORS SEAL IS A ��� r�1T 3 3126104 SHEET t OF 1
µWYORN�SECTION
EDUCATION SUW DIM510N 4. THE E HL 1
�NLY �T °wGIN�aTNgBV OTy gc ELAIN HOUSE LOCATION
M,,w;Ep yATµ AN ow'NA1 OF TFIE LAND suRveYDw9 T 1( 2 3/16/04 G1017
ddd �y SEAL SNMl BE CONSIDERED TO BE VALID'TRUE COPIES. 11`/j HOUSE LEPPERT
^ � `,J 'CERTIFICATIONS INDICATE HEREON SIGNCE IFY THAT PROPOSED 03134
(vJ THIS SURVEY WAS PREPARE IN ACCORDANCE'✓ATµ THE } New York 1 6-24--03S DWG. NO.
BYSTHE NE�E OFYORKPSTATE�A IATNOH piRP OF SIONA� (',,Q11nty, DESCRIPTION
^ LAND SURVEYORS.SAID CERTIflE SURVEY
S SHALL RUN ONLY Town of Queensbury, Warren 1, NO. DATE
^ d. s u r V e y v TO TME PERµ P- E THE SURVEY 15 PREPARES AIdD
L a is AGENCYBAND LENDINGENS N1 ON LISTED EREDNE"AND
Lai
New York 12804 To rne,w11GN29 Ot THe IlNDItJG INSTINROH.•
Queensbury, 240.q- -3/10--1-4.4
189 Haviland Road New York Lic. No. 50135
(518) 792-8474
MAP REFERENCE:
MAP SHOWING PARCELS
PROPOSED TO BE CONVEYED TO
VAN H. & AUDREY ANN WANAMAKER 0
AND
GORDON W. & NANCY M. HAMILTON
FROM
0
ERNEST A. KIRCHHOF
DATED SEPTEMBER 20, 1973
LAST REVISED NOVEMBER 1973
BY COULTER & MCCORMACK
LICENSED LAND SURVEYORS -
. a
335
Lu
33Q ` y \340 { f 340
325 335 O
S$9'04'40't 4— I
'
?92.6 , PA
i % t I.R.F.
:
. f L
-
1•
i
t j
I -
� I .
I \ '
. 1
i
,
:
1 a
t
OUSE ' c iF b O
C3 I 3
i AREA i, .� q
W \ t N 3000 QNV 9N101in9 a� °'
8,142 sq.ft. + t Ito J+bf18S , '11,
V , _
0.65 acres
4
A 0 a(y'1
\ w
x
♦
I.PaF.
4. 4- t h O
I.R.F.
) ;
:
t. t
PIP
325 \ 330 35
611 Jill
WOOD FRAME I 1 e R 1:,
HOUSE �
a 3
LANDS OF c o Nrp��W �e R
JULIEN oo in e8 �
0Cv
WEu
I.P.F.
I.R.F.
236.96'
N89'04'40"yy
I.P.F.
ce .�•�
.r o
TENNIS COURT T^ iti
V1 O '
� z
0z
z
'7
aN
�1
Ode-ALY 4 2008
Bo" 11-w
S- 1
G EET 1 of 1
TAX MAP NO. 10-1-4.4 DATUM U.S.G.S. t DWG. No. 031348
D-657