2006-759 ..001h TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
���
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20060759 Date Issued: Friday, July 27, 2007
This is to certify that work requested to be done as shown by Permit Number P20060759
has been completed.
Location: 82 WESTBERRY Way
Tax Map Number. 523400-308-007-0001-041-000-0000
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 „9 4
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.
40TOWN TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060759 Application Number. A20060759
Tax Map No: 523400-308-007-0001-041-000-0000
Permission is hereby granted to: TRA-TOM DEVELOPMENT, INC.
For property located at: 82 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 $375,000.00
Total Value $375,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2006-759
2999 SQ FT SINGLE FAMILY DWELLING & 638 SQ FT GARAGE & 1 FIREPLACE
$423.68 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,November 06, 2007
(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 Tot of ensby'�, , Mo,nd y, November 06, 2006
a,17" r " for the Town of Queensbury.
SIGNED BY Qu ury
f
Director of Building&Code Eorcement
Permit No. �� l\, ,
Building &Codes Office-Department of Community Development-Town of Queensbury Fee Paid iir )
742 Bay Road,Queensbury,NY 12804 Recreation Fee 46Th
Dave Hatin,Director codes@aueensburv.net
Phone: (518) 761-8256 FAX: (518) 745-4437 OCT
12i_`�05
Principal
c pal Structure Building Permit ,Application
Application & Plans subject to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder /1_.(YYYvt/J` Owner:
Address: Lr ? 7 12-1--G Address:
Home Phone: ,`5"- Home Phone:
Email Address: Email Address:
Cell Phone: Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: • V-L-fQ ��Lx-� (�
Address: Phone irLS-g M,16 tS Le
Location of proposed construction: Lot No. /.S Legal Address:
Tax Map Number: . � . -I �I I Subdivision Name: /� (-
Estimated Cost of Construction: $ J� 7 ` /,O _J
Proposed construction is for: t!Residential Use _Commercial Use
Name of Business:
If proposed construction is an addition,what will use of new addition be?
New Addition Alteration Proposed Construction 1.1 Floor 2^d floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ft. Sq. Ft. Square feet Height gs
✓
Ft.&In. 35-Single-Family Dwelling c� G G�1
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing �
Other: �, 6.3
✓ Attached Garage 1,(3,/3 (e '?y,' /
Type of Heating System: Electric, 0.(G-- Wood, Forced Hot Air, Baseboard, Other:
If a fireplace and/or woodstove are being installed, please refer to a separate application. ' ZS
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 Codes, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location of all new construction.
Date: (0 I it- ` Q ll) Applicant/Builder Signature:E.t:.L•7r2 _tom
The application of A •. ei, 4 fZ is hereby approved and
permission granted for the construction, reconstruction or . erati'n • a ..'ding/and or accessory structure as set
forth above.
Date: j 1 t o(o Authorized Signature:
L:\Sue Hemingway\Building.Permi .FORMS\Principal Structure Permit 9•o ication.doc V:12/14/04
Application for Permit—Septic Disposal System 06-757
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION: 40+/S Office Use
Location of installation: 02 L) a,�2� L>2 i _ (.0t
File Permit No.
Tax Map No.
Owner's Name: 1111Ah. O % ids
Fee Paid
Address: if i2 r'J .0.1L/ lc2. INSTALLER'S NAME : f,J �h� 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 3 x 110 gal/bdrm = 3 3 C�
Garbage Grinder Installed yes i / 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
Fran' sand at what depth at what depth municipal
oiling —2D 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
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: /A57). gallon(min. size 1,000 gal)
Tile Field: each trench yl-$TS ft. Total System Length: ft.
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.
Signature of responsibl person Da e
1/ — ln.
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 I
Arrive: ', dam/p epart: am/pm
Date Inspection request received; Od 7 Inspector's Initials:sal -
NAME: tl/t o-f,-e-- PERMIT#:
LOCATION: $'a- litkArr DATE: o7
TYPE OF STRUCTURE: -a-1._,--... . - -
� Comments
Yes No N/A
Building Number/Address visible from road V
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete f/
Platform at all exterior doors ✓�t/`
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more /
Handrail Termination at Newell Post or Wall /
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risersc/4,,'
Grade away from foundation 6 inches with 10 feet >�
6 inch clearance to sill plate 1
Gas Valve shut-off exposed/regulator 18 inches above grade f
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight V✓
Safety glazing/Window in stairwells safety glazing f
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
//-
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq. ft.-150 sq.ft, vents 17
Bathroom Fans, if no window
Plumbing fixtures J!
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site f
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
iir.--1
Relief Valve(s)installed/Heat Trap/Water Temp 110 .7/
Enclosed Stairs Sheetrock Underside minimum''V2"Gypsum
Basement stairs closed rise>4 inches
_:77._
Garage Floor Pitched /
Garage fireproofing/'/<hour fire door/door closer
Duct work Sealed properly
7-
Gas Logs in Sealed or Glass Enclosure
Final Electrical d11.1, (jk --y/PI,/b?
Final Survey Plot Plan ((
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required `
Flood Plain Certification,if required
Okay to issue C/C or C/O_[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc
/ (- 1
Town of Queensbury Fire Marshal
�� 742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed
Permit# }(P _ (S j Schedule Inspection -11- 7/U 1 Time am pm anytime Inspector
Name ro h e Address - Lr Rough In Final
L
Appliance Manufacturer Model#
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement (if LP)
White-
Bedding Dept. Yellow-Cbeteacer Pink-Fire Mandel
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: /23 6
NAME: 6.ro
LOCATION: 07.— L4i57Lbny
PERMIT#: ( 61)
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the 1
Dept. of
Community
Development.
Upon review the
survey has been:
C
Craig Brown, ining Administrator
Notes:
L:\SueHemingway\Building.Codes.lnspection.FORMSwina1 Survey
Zoning Administrator.doc
MAP REFERENCE:
SUBDIVISION PLAN
RICHARD P. SCHERMERHORN
DATED: FEBRUARY 11, 2003
LAST REVISED: MARCH 17, 2004
BY: VAN DUSEN & STEVES
LOT 14
WE,sTB -
ERRY
L=30.17'
R=225.00 N08°42 58°E
97. 53'
o
o
ac
C)
Co
Q NCREfE WALK
!L
N
FORCN
2 STORY
WOOD FRAME
HOU5E
WAY
L =32 23
300.00
to
y ununEs
0
s�
to 37.37'
44O
C\l �O
6S ( 0�ry1
LOT 15
27,588.85 sq.ft.
N
0.63 acres
123,48'
S06°0755"W
LOT 18
a n D us
Steve s
Land Surveyors
169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lic. No. 50135
"UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW."
"ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES.'
"CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
STI
EXING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LENDING INSTITUTION LISTED HEREON. AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION."
LOT 16
LOT 19
Map of a Survey made for
;tucNarrc es rax r�r xar.
Thomas J. Farone and Son, Inc.
Town of Queensbury, Warren County, New York
1 05-29-07 I HOU5E LOGATION
NO. DATE DESCRIPTION
ADater September 29, 2
Scale 1"=30'
S-1
SHEET 1 OF 1
FARONE
DWG. NO. 02392-15
Septic Inspection Report
Office No. (518) 761-8256 Date InspectionLequest received:
Queensbury Building &Code Enforcement Arrive: 5 am/prr)Dpart: am/pm
742 Bay Rd., Queensbury, NY 12804 Ins r`s Initials: ./
NAME; 1>c►24,,L)e PERMIT NO.: _ �J
LOCATION: F?2 OC-r-721"-Th INSPECT ON: NM,
RECHECK:
Comments and/or diagram
Soil Type: Sand/ Loam/ Clay
Type of Water: Municipal/ Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length _ ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: - x---
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field/ Pit
Opening Sealed: Y/ N/ Partial
End Cap
Inlet/Outlet Pipes &Baffles ____.Y N
Location/ Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan
Engineer Report and As-Built -Y N OA./ 6 /e-
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use Status:
proved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury,NY 12804
Phone-518-745-4400 Fax -518-792-8511
May 8, 2007
Job# 46175
New York State Dept. of Health7.5
77 Mohican Street
Glens Falls,NY 12801
RE: Schermerhorn/Pine Ridge Subdivision- Queensbury(T)
82 Westberry Way (Lot#15) - Septic System
Dear Sir/Ma'am:
This letter is to inform you that we inspected the completed septic system for the house on 82
Westberry Way(Lot#15) in the Pine Ridge Subdivision on May 8, 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,
17/4frki/"''/C!,14/
Thomas R. Center Jr. ,
cc: Dave Hatin,Town of Queensbury .
Tom Farone
TOWN u,
BUIL tNL D
, ----Lcr"---
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 5 (CC/O-7
Queensbury Building &Code Enforcement Arrive: am/pm Depart:Z`fit/am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: efAT) ll
NAME: 112- --\c''' -e/U-e- ( , PERMIT NO.: 0 " -7 S
L 2 uue 5 4 b.2-rn/ a AA 7 INSPECT ON:
R CHECK:
Comments and/or diagram
Soil Type/ Clay
Type of Water:< al/ Well Wat
Waterline separation distance & ft.
Well separation distance ft.
Other wells: ti ft.
Absorption Field: Total length 722.10 ft.
Length of each trench • ft.
Depth of trenches 2_- ft.
Size of Stone - Z _
Seepage Pits: Number
Size: x_
Stone Size:
Piping Size Type ei
Building to tank c. �i � r , '''A.# �'� �/ •
Tank to Distribution Box `l7'4 ' e:'
Distribution Box t field/ Pit �3� a�—J
Opening Sealed: N/ Parti•�`� toD
',� .�,��•-� �j..• • s"%:'� �'
End Cap /
Inlet/Outlet Pipes &Baffles
N
Ai (41
;F
Location / Separations i�
Foundation to tank 2-- .. ft.
Foundation to absorption 4- ft.
Separation of Pits ft'
Conforms asper Plot Plane i�� N
11aL. , 2,\"-) 9
T-- \
Engineer Report and As-Built Y N
Location of System on Property:
Front ear Left Side fight Sid , r___ 0` L c9 /�, * ���<
RIT
��R
Middle Fro t Middle Rear 'V
-m Use -1.s•
• /rgi °:rtial/4).r• ra., to be re-inspected, please call the Building &Codes Office
. -n .. .,-.
Last revised 021006
Last revised 1/6/05
R=225.00 ` "" AS.iV08°42,58,
97•53,
`32.23 ,
8'300,00
v ur/Llrles �d
1 0 0
i
PROPOSED II
HOUSE r
I-0
0
37.55.
1
I
co co i \ 4.1
T. 0 � \' Y
a ! '?
0
V
0 11 4111'
0
13
LOT 15 LOT 1 E
Cil
0 :
b.
27,588. 85 sq.ft. 27,277.52 sq
0.63 acres 0.63 acre
123,46.
S06°07'55"w T
LOT 18
LOT
LTA- Du V 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A UCENSED LAND SURVEYORS SEAL IS A Map o
VIOLATION OF SECTION 7209,SUB-DIVISION 2,OF THE
NEW YORK STATE EDUCATION LAW.'
S t e v V sED COPIES FROM THEORIGINAL N TNIS VERSES
'ONLY IN ED AN ORIGINAL OFFTHE LAND SURVEYORS
SEAL SHALL BE CCNSDERED TO BE VAUD TRUE COPIES'
'EESUR\EY WMITI AS INDICATED HEREON SIGNIFY THAT Thomas J J. F a
THIS SURVEI'WAS PREPARED IN ACCORDANCE THE
d Surveyors E70STNO CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ATICN OF PROFESSIONAL
LANDVEYORS SAD CERTIFICATIONS LLASURSHALL RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND
ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL
Queensbury, New York 12804 AGENCY AND LENDING INSTITUTION US=HEREON,AND Town of Queensb
TO THE ASSIGNEES CF THE LENDING INSTITUTION.'
New York Lie. No. 50135
/0- il Udhsdw.
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive:/0) am/pr epart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �
NAME: 1,�r0 - { I PERMIT #: 06 5,
LOCATION: 1.1e-5/herr /u . INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain / Vent IA)AuA
Air / Head �c(
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test CC`(L 50
Water Supply Piping
ea
50 P.S.I fo 15 minutes
Insulation / esidential Check / Commercial Check
Proper Ve ,
Attic VentV
of Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
L:\Pam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspectic3 equest received:
Queensbury Building&Code Enforcement Arrive: Q f » art: am/pm
742 Bay Road, Queensbury, NY 12804 Inspect s Int to //
NAME: Q�C' PERMIT#: O 7�
LOCATION: � 4)e 7/ //e INSPECT ON: , 7
TYPE OF STRUCTU
I
Y y. N/A COMMENTS
Framing
Attic Access 22"x 30" minimum ./71e //t)6Jack Studs/Headers O��/ ./71e //t)6
Bracing/Bridging gel/t/i) $ /C A"..
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly /�
12"0.C. / Cr/L�� /706 (7rO�4c�
Headroom 6 ft. 8 in. ,� �'7
Stairwells 36 in. or more
Headroom 6 ft. 8 in. _ /�� � C7� Gil
Notches/Holes/Bearing Walls I / /y
Metal Strapping for Notches Top Plate
11/2(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 water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/z 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
/0 f --, 2/7/2_0k/
.
Framing/ Firestopping Inspecti n Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:in;70 am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: �`—' PERMIT#: _
LOCATION: 62 t4-5;1-JF/f. INSPECT ON: ,`e� „ �7
TYPE OF STRUCTURE: y
Y I N N/A
Framing COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers ¶�( v
Bracing/Bridging
Joist hangers V( FL--T-2-J°-%
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
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 water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side Y2 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
10. 1,Ja.e-scieu7 --/T7
Town of Queensbury Fire Marshal
• 742 Bay Road
'�`•,� Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Firepl /Stave inspection Report
Notice: New York State requires that all CIL 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.
Permit# c ' Schedule Inspection Time am pm anytime Inspector
Name Cl j).:_e____ __. ____.._Address 2- ijeV-- ,&ari Rough Inl!Final!
Appliance Manufacturer.__..ZeitiAid Model# k 1,A D V - / 1t ki;L / 6 K--T i4 i
Direct Vent JFartory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides) 1
Firestop(s) Vertical Chase-__—_--` J
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must he 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement (if LP)
White—Building Dept. Yellow Cuustuater pink—Fire Marshal
ik)atk:-eSd -/ 4//472
Framing/ Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins tion r st received:
Queensbury Building&Code Enforcement Arrives am/pr�i I�' .�part: _- am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: V
--7NAME: PERMIT#: 6--7,`
LOCATION: 2 taf �--�' ��� INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Attic Ac -- 22"x 30"minimum
Jack Studs/Headers I ce 11 /7 (Al
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly PO �-�_ /�p
(( J` # APA4
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 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses i
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
wa , 3 •our t
Firestopping
cnctraii. sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 'A inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in.(W)
5.7 sf above/below grade
5.0 sf grade
L tJ5j
z///-71
72
Rough Plumbing / Insulation Inspection on Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm� Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: t/
NAME: (D y= PERMIT #: 757
LOCATION: tJe l4. INSPECT ON:
TYPE OF STRUCTURE:
/,
Y /' N. N/A
Rough Plumbing / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washi . u .chine Drain 2 inch minimum
Ae-obt every 10 feet / change of direction
'Prure Test
(Drai / Vent
'Air .
Q.S.I. or 10 ft. above highest connection for 15 minutes '
Pressure Test
at Supply Piping
Air / ead
50 .S.I for 15 minutes
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 1 No duct tape
COMMENTS:
L:\Pam Whiting\Building&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
-%o /)1o1 /12/0D
Framing / Firestopping Inspection RepVrt
Office No.(518)761-8256 Date ins cyikki.request received:
Queensbury Building&Code Enforcement Arrive: 7 (/U am/pni "Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspect° s Initials: <<
NAME: �o. PERMIT#:
LOCATION: _ 1 / v�,�-1 lC INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA COMMENTS
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 'A(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft.floor trusses
(„ran–d—w.ater
r lessoncenter shield 4 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 ''A inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade _ _
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive:-L-:' am//m2_Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: 4
NAME: PERMIT#:
LOCATION: (-5r ,( 72Rt _ INSPECT ON: 2_I 0"2
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Meta trapping for Notches Top Plate
1 'z(w) 16 gauge(8) 16D nails each side
D aft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wail
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 'A inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Foundation Inspection Report
Office No. (518)761-8256 Date lnspectio request received: j 2'//5 oV
Queensbury Building&Code Enforcement Arrive: '7 �L)am/p Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspectot's Initials:\ jf
NAME: � l -U - PERMIT#: V tl -
LOCATION: 3.22 C&'S/Jt/ &My
INSPECT ON: Z4/1/47
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
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
• 6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Bullding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
()2 : ) /07? /1007) 7, i?-///16C)
Foundation Inspection Report
Office No.(518) 761-8256 Date Inspectio uest received:
Queensbury Building&Code Enforcement Arrive: 4s l � /p %}7 Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Ins ors Initials:V
NAME: atnj'L- r_� / PERMIT##: ,06`—'7,.C'
-- -
LOCATION: 5 2 G T�,„ ,”1 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
Re' forcement in Place
footing Dowels or Keyway in place /
Fo dation Dampproofing i//
oundation Waterproofing
FootingDrain Daylight or Sump '
/
F mg Drain Stone:
12 inch width
6 inches above footing
_.. • mi po • •et areas under slab
c pi
Backfill Approval
umbmg Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Buikiing&Codes\Inspection Forms\Foundation Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
- WE-7)/0E3W /2/6/b
Foundation Inspection Report
Office No. (518)761-8256 Date I ;4.,ction request received:
Queensbury Building&Code Enforcement ArrivA '/4. am/p part: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspe or's finals: �J—
NAME: (f CA /_� PERMIT#: 06.—-7S 7 .
LOCATION: ?2 Leal harty 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.
Mat s�fo"r eson site.
Found 'on/Wallpour
//
Reinforce in Place i
Footing ! owe or Keyway in place ,/
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
,
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
q11/ �� :� lues /9 (/ 1/ /2?
Foundation Inspection Report
Office No. (518)761-8256 Date Ins ti. uest received:
Queensbury Building&Code Enforcement Arrive 5 am/pn Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspe .r' Initials:
NAME: ' [r PERMIT#: <6 —7�
LOCATION: 4:7TR_T_, y 4/'" INSPECT ON:
TYPE OF STRUC : /
Comments
Y N N/A
(F )ootings
Piers
Monolithic Slab
Reinforcement in Place N,
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspecction Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM