2006-877 TOWN OF QUEENSBURY
VIS742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20060877 Date Issued: Thursday, August 30, 2007
This is to certify that work requested to be done as shown by Permit Number P20060877
has been completed.
Location: 6 WESTERN RESERVE Trl
Tax Map Number: 523400-301-009-0001-032-000-0000 •
Owner: WESTERN RESERVE, LLC
Applicant WESTERN RESERVE, LLC
This structure may be occupied as a:
Garage - 2 Cars Attached By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
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
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060877 Application Number: A20060877
Tax Map No: 523400-301-009-0001-032-000-0000
Permission is hereby granted to: WESTERN RESERVE, LLC
For property located at: 6 WESTERN RESERVE Trl
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: WESTERN RESERVE, LLC
395 BIG BAY Rd Garage-2 Cars Attached
QUEENSBURY, NY 12804-0000 Single Family Dwelling $250,000.00
Total Value $250,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2006-877
2400 SQ FT SINGLE FAMILY DWELLING WITH 620 SQ FT GARAGE
$350.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,January 03, 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 Tot of nsb , / W,SdneVaay, January 03, 2007
SIGNED BY ✓ Z for the Town of Queensbury.
Director of Building&Code Enforcement
Ax M1A -' �� OFFICE USE ONLY ................... ....................
........ ......... ......�.y,
T APNO. _ R .�VEV
,�/�'�� PERMIT N0. �
FEES: PERMIT- - RECREATION ENGI ��u l
NEERING
.......................................................
..---- .._.. (If applicable) TOVv �: .
_Bur
nor 7-7� .. ............
�DIiVG�a;Y,;�S7D.�',Y
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL &
A PERMIT MUST BE OBTAINED BEFORE BEGINNINGBUILDING PERMIT
REVIEW BEFORE ISSUANC OF A VALID PERMIT FOR CONSTRUCTION.PPLICATION IS SUBJECT TO
APPLICANT/BUILDER: S C ,
OWNER: 5A-4-)
ADDRESS: C , /
,•._ •At J ADC?RESS:
PHONE NOS. Z - 2_.
PHONE NOS,
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: , I ' ed ' .vPHO : -
�� ! NE. 6 / a G q
W
LOCATION OF PROPERTY: e S " fns 45), 5 ,ci v. ,,-6- #--
SUBDIVISION NAME: . t°3 ' -4 z(V€ ..
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY C O YOUR z FL- ix 0
Q O C3
� Cl) p w
.k'' o � ot UJ � _ _
� cpn p � O � a = ?
__,�a SINGLE FAMILY ots
1008 14o o a 31 if
TWO-FAMILY
MULTI=FAMILY
(NO.of UNITS,_)
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
L%G INDUSTRIAL
ATTACHED
GARAGE(1,2,3) (40,2c0
�O
OTHER
1p Cv2. O -L-2.:1--
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS. /1/4
4
ESTIMATED CONSTRUCTION COST:
_____2a0.22 . EL TYPE: A
HEAT TYPE:_- -F ��
"HOW MANY FIREPL. CE(S): 0
ZONING CATEGORY:_aid_ AND I OR WOODSTOVES(S):
ARE THERE WETLANDS ON THIS SITE? /v U
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: 5-F TD
'Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
r B 3-LGL 11-05
of Queensbury• Community Develowment Office• 749 Pall Pnn.1 n...._.._r__. ..,.-- -- . .
. /V° . ... .„._ ..
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERM /VP . .
i
. . . . . . ..
. . ,.4 ., • .
. . . . .. .. .._ . . .
' •
. . ...
. . • .. . .
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1 acknOwiedgem"zottatuotioti Atti*thil$41i 00.cOthtiumeed-Ot1otto istuaricii-ota valid '
permit I certify that the!application) pliOns, and supporting materials are a true and
complete statementkiescription Of the work proposed,that all.work will be peitinted in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local toning reguiatiesis. I acknowledge that prior to occupyOgitie
facilities proposed, I or my agents Will obtain a certificate of occupancy I also understand
that liwe are required to provide Ail aVbuilt survey by a licensed land surveyor Of all lleyotly •. '
•
constructed facilities prior t.-Issua0o0-44 a certificate ofbccupanoy:
. ..
. . ,
I haye read and ..,tole above. • ..
Signed 41./AL -.es
I ' '1 / •
. . . . •
.. . .,... ...
Dir_q449F184#4111.9i z. ,t 0",76:146166 iforill*stitrisloaarding.Building Permits, construction
03#s*Pr. ...'.. Pc.4,i.-,4;,, - -: i - • . • " • . . •
. • .. ..,a . ,• ••• , , .•
. .
, ..
Zoning Administrator: 761-821,8 (for questions regarding required permits, the permit process,
applidation requirements or to Schedule all-appointment)
., , , , ‘,...........t4...„
- • • •
, , • ,
• •, • ,
Permission is hereby granted to the above : : This application I proposed action described ..,
, •
i Applicant to erect or alter the building • • herein is found to be in accordance with the
, •
: described.herein in accordance with said .: , zoning Laws of the Town of Queertaktint.........•
Application: • 0
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. - Warr IONS? CALL 7614256 OREM% •
"Sd4t$65164/. . WINIMMIA •••'•' ' -. ' . : .. - -
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•. • vistrOuliwEstrre FOR MORE 1NPORNIATION .4 . •' . .- . :.
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. ,..),.. . „, Town of Queensbury• Community Development Office,. 742 Bay Road, Queembury, NY 12804
•
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4,0000000.rr....40rr
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`; 3c30/ OFFICE USE ONLY r....rrr.
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ot TAX MAP O. 54 '
PERMIT NO. '10-404 PERMIT 4iEE • ..
i
i
LL 000
.r...rr.FOR SEPTIC DISPOSAL SYSTEM PERMIT'PMgrr MUST BE OBTAINED BEFORE WORK BEGINS.
APPLICATION I$SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
OWNER: 5 (4)15 �
INSTALLER: � � •:
ADDRESS:; 1 6 I
4 4/
ADDRESS:
PHONE NOS._______2/2.-._=2 2 •.1._::
PHONE NOS. •
•
LOCATION OF INSTALLATION: We •
«NN.t«Nq.
Ariwis .
YEAR BUILT N0.. N
BEDROOMSX �NN•1•N...NNI «N,«.................. �,.................................
COMPUTATIONa R TOTAL DAILY FLOW RID E INFORMATION:
• 1980 or older ~N«««N•.tlM./{YNNNN „{«««
X
1981.1991 : ..w . .,. fir bedroom : N. GARBAGE GRINDER
X W••«••N{N{«IN«NN.N.NI«N.NN NWN.N1 I.NNNNNNN«NI.N.N/MNN INSTALLED? ^,o:›
.............10_
130 gallon I7r bedroom ..«"""'""'«'«NNNN.«N
1992-present �C 110gallon per bedroom -.N-""" "' '" �.I...N... INSTALLED?
OR HOT?TUB
«.»N� ««N.«NN«.
a
POE NwNN.,.a� INSTALLED? �d
L.t MATION: -
•
V MEgampil.Y: FLAT RaLL1N
. G., STEEP S %SLOPE
/oSLOPE_____
✓ ITAlag:SAND__,, LOAM
--� CLAYOTHER_____
AT WHAT DEPTH? ,- h1
WHAT DEPTH? /_ ,
1
VI .. : AT
se : MUNICIPAL
.2i WELL__
(IF WELL:WATER SUPPLY FROM ANY SEPTI -
OSYSTEM ABSORPTION•IS
� R T � -T: RATE IS____L—S.1.
r
COMPLETED BY A LICENSED PROFESSION PER MIINUTE PER INCH (TEST TQ BE tr*.
AL ENGINEER OR ARCHITECT}
PROPOSED SYSTEM�o�NEW CONSTRUCTION: (,4p7� ��G.e on
a licensed professional engineer or All individual sewage disposal 5"bd'a• d t,r s
9 architect(unless installed in a PlanningBoard? systems must be designeby
gallons to the size of the septic tank and leach field eachfor approved subdivision).
garbage grinder,spa or whirlpool tub:, } Add 250
1 rC TANK;laaGALLON(MIN. SIZE
IS 1,404 GAL) : EACH TRENCH (o
J _JT � FT• y`:�AnP!T( ): HOW MANY? /114-
......._-_.........______-
,' SIZE OF EACH FT.X / FT.
✓ • • " B: . E B:# /D
.' HDR "If KNES$-.-,—.� .
✓ Y _EM SI:
1 ALTERNATIVE STEM:
LENGTH AN OR SIZE
HOLDING T' K SYSTEM:{If re• fired} NO.O• TANKS:
/SLOE OF EACH
✓ GALLO ./TOTAL CA AC •
GAL.
i NNNMMNI•N14'1'NNNNNiIiN•NNNi•NNNbNNNMNNNNNN{.1.N{gy.i4•NNN/
NOTE: ALARM SYSTEM AND ASSOCIATED
NfWI{N{.i•IMVMM.{.{/{•N
NNNINy'NWNNW W W.Nyy.i•W.NNI.NNWI•NI•N14•NI.VNNNNNNMNNW.irl•NIgO•WN4.NlVyNW.yNW y�NIM.{MKyNyNM4N.NNNNNNi•NNiN.Ni
ELECTRICAL WORK MUST BE INSPECTED
APPROVED ELECTRICAL INSPECTION AGENCY. BY A
'�» .y,NNNNNiy.Nl,„,.NNf.NNNW,,.twN,�i.N1.NNNNW.NNNWNNN PLEASE REVIEW LIST PROVIDED. TOWN
WI'NI'NI•ik4.iNN/NWNt•NNNNIN• r
protection, i•NNNia=WtNNi4•NN{Vi{iNV•NNNNNiy.NNNNiHWNiWNN ._•.
• please note that pursuant to Section .Y 1{114/fqM.NppNNNININWy.W.WIfy11���W�.�.Nw/1MWNfN•
For your
permit or approval granted which is based upon or granted
36-29 of the Code of the Town of Queensbury,an
failure to make a material fact or circumstance known b by;or
In reliance upon any material misrepresentation or
y or on behalf of an applicant,shall be void',
I have re: a the reguli. Ions with respect to this application
agree
t. ab,9 e by t _e and all requirements of the Town ofQ
oulF.sTfo
s u Sanit/ Sewage Disposal Ordinance. Ns? CALL 7@1.8968 OR EMAIL
VISIT OUR WEBSITE FOR MORIZ INFORMATION
11,114111 -ROW fl ,b-& Effaimanamius
Sig - _ . - .. . ., Resp..-sibie
Date
IISATown of n1.oa,.,et,,.4.... n..__._..... .. ... _
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: .. 40`0
NAME: EayeS
LOCATION: ((; si ik. Rztif-t/c_
PERMIT#:
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has been:
/
/ F
j
Craig BroWn.,27oning Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspection,FORMS\Final Survey
Zoning Administrator.doc
MAP REFEREI
WESTERN RESERVE,
BY: VAN DUSEN &
DATED: JULY 15,
LAST REVISED: OCTOBEI
FILED IN THE WARREN
CLERK'S OFFICE: DECEMBE
an- D u s e
& -�
Steve s
Land Surveyors
169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lie. No. 50135
'UNAUTHORIgD ALTERATION OR ADDITION TO A SURVEY
YAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7208, SUB -DIVISION 2. OF THE
NEW YORK STATE EDUCATION LAW.'
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WTH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO 13E VALID TRUE COPIES.'
'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WTH THE
DUSTING 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 NHOM THE SURVEY S PREPARED. AND
ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LENDING INSTITUITION LLSTED HEREON. AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION.'
Map of a Survey made for
Hayes Construction Group
Town of Queensbury, Warren County, New York
►J1J'.L 11l.� "1" LiJ111 Z&" LV1L1
BY NACE ENGINEERING
stet June 14, 2007
Scale 1'=20'
S-1
SHEET 1 OF 1
1 8/29/07 SEPTIC SYSTEM AS -BUILT Hayes
NO. DATE DESCRIPTION DWG. NO. 01191-1
g..._...,/i7Xw3Zy.
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart:aV am/pm
Date Inspection request received: Inspector's Initials:
6
NAME: /" -t.. PERMIT#: ✓
LOCATION: - 0-- ,�� i '- DATE: _ D
TYPE OF STRUCTURE:
Comments
Ye No N/A
Building Number/Address visible from road V l A5 8u..' _T
Chimney Height/"B"Vent/Direct Vent Location ,
Fresh Air Intake ReCe l v
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete t,✓
Platform at all exterior doors , 1 . i‘ ._,viwi S I (f
Guards at stairs,decks,patios more than 30 inches above rade W/'
�
Guard at stairwell at 34 inches or more V f ' i'j.
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches � f
Interior Handrails @ stairs 2 or more risers V
Grade away from foundation 6 inches with 10 feet yc to sill lateCrc� ` ' <� L6 inch clearane p
Gas Valve shut-off exposed/regulator 18 inches above grade ✓
Interior privacy/trim/doors/main entrance 36 inches 6/0
LA.27:5)
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Be oom: \( J twcz6v4-t—5f2
Outside every bedroom a:
Inter Connected: i Battery backup: r•
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents /
Bathroom Fans,if no window
. ./. ..00000 _--...
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft. /' It/
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
I 7
Water Heater operating
Furnace/Hotp g
Low water shut-off boiler .17
Relief Valve(s)installed/Heat Trap/Water Temp 110 f
Enclosed Stairs Sheetrock Underside minimum V2"Gypsum �/
Basement stairs closed rise>4 inches V
Garage Floor Pitched _
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure n-�
Final Electrical `�c Z`Jt 1 Dq / /
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required `
-/
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:1Building&Codes FormslBuilding&Codesllnspection FormslResidential Final Inspection Form revised 100405.doc
NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury, NY 12804
Phone- 518-745-4400 Fax -5I8-792-8511
August 29, 2007
Job # 47320
New York State Dept. of Health TOvviv - ,,JRy
77 Mohican Street BUILDING AND COD
Glens Falls, NY 12801
RE: Western Reserve Subdivision - Queensbury (T)
6 Western Reserve Trail (Lot# 1) Septic System
Dear Sir/Ma'am:
This letter is to inform you that we inspected the completed septic system for the house at 6
Western Reserve Trail (Lot#1) in the Western Reserve Subdivision on May 21, 2007.
The septic system as installed was for a four bedroom house and consisted of a 1,250 gallon
septic tank and 245 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,
/c2t,9 =4^— 71.
Thomas Center Jr., P.E.
cc: Dave Hatin, Town of Queensbury
Hayes Construction
NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury, NY 12804
Phone- 518-745-4400 Fax -518-792-8511
REC
August 29, 2007
Job # 47320
New York State Dept. of Health TOvv I, _ •
77 Mohican Street BUtLD11!'
Glens Falls, NY 12801
RE: Western Reserve Subdivision - Queensbury (T)
6 Western Reserve Trail (Lot# 1) Septic System
Dear Sir/Ma'am:
This letter is to inform you that we inspected the completed septic system for the house at 6
Western Reserve Trail (Lot#1) in the Western Reserve Subdivision on May 21, 2007.
The septic system as installed was for a four bedroom house and consisted of a 1,250 gallon
septic tank and 245 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,
71)
Thomas Center Jr., P.E.
cc: Dave Hatin, Town of Queensbury
Hayes Construction
MAP REFEREI
WESTERN RESERVE
BY: VAN DUSEN &
DATED: JULY 15,
LAST REVISED: OCTOBEI
FILED IN THE WARREN
CLERK'S OFFICE: DECEMBI
0ji
,iJ u s e2.-2
'UNAUTHORIZED ALIERATION OR ADDITION TO A SURVEY
-
YAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7208, SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW
'ONLY FROM THE ORIGINAL OF THIS SURVEY
S
t e V e S
YA7H A T
YAKKED MATH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO IE VAUD TRUE COPIES'
'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
Land
Surveyors
THIS SURVEY WAS PREPARED IN ACCORDANCE MATH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ZONALADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS SAID CERTIFICATIONS SHALL RUN ONLY
1D THE PERSON FOR VMCM THE SURVEY IS PREPARED. AND
ON HIS BEHALF TO THE TITLE COMPANY, GOVERN6IENT&
169 Haviland Road
Queensbury,New York 12804
LISTED HEREON. AND
TO THE Mb LENDING ITHEI LENDING
ro THE ASSIGNEES OF THE LENDING INSIIlUTION.'
(518) 792-8474
New York Lic. No. 50135
Map of a Survey made for
Hayes Construction Group
Town of Queensbury, Warren County, New York
".".& l i V " 1 " 1 "111 t1" L V 1,iJ 1
BY NACE ENGINEERING
Dates June 14, 2007
S-1
SFEU I OF 1
1 8/29/07 SEPTIC SYSTEM AS -BUILT Hayes
NO. DATE DESCRIPTION DWG. No. 01191-1
IF' /O (Abdpte6 ,5.--/z-s/O-F .
Rough Plumbing / Insula ion Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 6,_..4
Queensbury Building & Code Enforcement Arrive: 9. 10 am/pm ' /Depart: am/pm
742 Bay Rr- n'et -h"gni f11V 1 10t1/t Tr.nr.ni.4.+✓.- Tvs:4:..1... !l
..r
Queensbury Building & Code Enforcement - Residential Final Inspection
1
Office No. (518)761-8256 /, Arrive: am/pm Depart: k,\^) 5am /pm
Date Inspection request received: I 2
7 01 Inspector's Initials:
NAME:
C ) f''VZ-i\f {.-PS CA 1,k [.LC . -RMM lik: / y77
IT#.
LOCATION: -62LL( S-rte ,-J /t`•F v`e t 'L PEDATE: S/Zkh-7
TYPE OF STRUCTURE:
Comments
Ye 4No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete \A/IC/2V/r/7,--
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade0-:
�� ! ��� 1512 �
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall 17:(1, -14-1-
.A ,
Interior/Exterior Railings 34 inches to 38 inches (1, -'*-.--
Interior Handrails @ stairs 2 or more risers f
Grade away from foundation 6 inches with 10 feet �/ � .._
6 inch clearance to sill plate �` .- .4-5{7.--M
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches _
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety gl. ing
Interior Smoke Det tors:
Every level: Every Bedom: /
Outside every bedroom rea: / �/
Inter Connected: Battery backup: t/
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
Vr 7-
Bathroom Fans,if no window
Plumbing fixtures V
Foundation insulation
/
Floor truss,draft stopping finished basement 1,000 sq. ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site / /
Oil Furnace shut-off at entrance to furnace area / �/
Furnace/Hot Water Heater operating V
Low water shut-off boiler _
Relief Valve(s)installed/Heat Trap/Water Temp 110 / /
Enclosed Stairs Sheetrock Underside minimum%a"Gypsum ✓
Basement stairs closed rise>4 inches
Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer7/./.1/7-
/
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure • «<///
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker 7/'
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: -31.' )am/pct part: am/pm
NY 12804 Inspector's Initials: l�J�
742 Bay Rd.,Queensbury, p�r
NAME: --tt(11 PERMIT NO.: J g77
LOCATION: 1 � P6-5) . INSPECT ON: 157-2- l 07
RECHECK:
Comments and/or diagram
Sal T • •: Sa►: Loa Clay
Type of • -•-r: unicipal , Well Water
Waterline sepa . •.n di ce _ _ - ft.
Well separation di ►: ce ft.
Other wells: ft.
Absorption Field: Total length 22 ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone .$ '//s)
Seepage Pits: Number
Size: x v
Stone Size:
Piping Size� Type
Building to tank 9 1473 �d
Tank to Distribution Box •' soa
Distribution Box to Field/ Pit <<
Opening Sealed: Y/ N/ Partial
End Cap
Iniet/Outlet Pipes&Baffles .�Y.,.�,,.N
Location/Separations
Foundation to tankft/ft•Foundation to absorption . ..
Separation of Pits
Conforms as per Plot Plan Y &ODE'Engineer Report and As-Built Y N C -4f/°%oU4'LA-
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use Status:
/Approved Approved . - . _`__ ._ _- _ . r� _. ..._ - call • - B � - - -��•�� • r.-
v Partial
Disapproved
Last revised 021006
Last revised 1/6/05
•
—y
Septic Inspection Report 2
Office No. (518)761-8256 Date Inspec�ti re•uest received:
Queensbury Building&Code Enforcement Arrive: am/p part: am/pm
742 Bay Rd.,Queensbury, NY 12804 Inspector's nitials:
NAME: IIiL46/7 PERMIT NO.: . , i7 ,
LOCATION: 6-x(-AN/0 keS - INSPECT ON: En1 b
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: Number40/
Size: x ,---�- la -
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/Outiet Pipes&Baffles .,, Y N
Location/Separations
Foundation to tank ft.
Foundation to absorption _ ..... ,ft.
Separation of Pits ft.
Conforms as per Plot Plan Y ,�.,.N
Engineer Report and As-Built Y N
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
tjv-- .
System Use Status:
App
ed
al Approved and needs to be re-inspected, please call the Building&Codes Office
P
isapproved
Last revised 021006
Last revised 1/6/05
Framing / Firestopping Inspection Report L
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm /414k
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: ! C 111) , LJ
NAME: �i PERMIT#: `' 7n7
LOCATION: (iC<�T- i&f.LD /? 5 INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Attic Access 22"x 30"minimum
Jack ds/Headers
racing/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 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
Firesto pP g in
uo f
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
l0 / i4;1-#4' % 5 //Clir9"
Rough Plumbing I Insulation In ' ecion Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:to tIc am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: cti
NAME: PERMIT #: --S)-7-
067
LOCATION: Pg 1 ,� �l-� _ INSPECT ON:
TYPE OF STRU RE:
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 I change of direction
Pressure Test
Drain / Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pr-
Water Supply Piping teD
.�,�•_.c .d
0 P.S.I f• 15 minutes
Insulation •esidential Check Commercial Check
Pro•er - t, Attic Vent
•uct I Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace _
Duct work sealed properly I No duct tape
COMMENTS:
L:\Pam Whiting\Building&CodesVnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
/--/:clau SY/ /0
Rough Plumbingj Insulati Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: , ' _�
NAME: ar: r- PERMIT #: •
LOCATION: .If/1: T /7 1/fNSPECT ON: IMPS \Ike)"
TYPE OF STRUCTURE:
Y N N/A 1
Rough Plumbing/ Nail Pl.tes
• . bing Vent/ Ven ' Place
1 1/2 Inc m nimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain / Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Ai Head
•. . 15 minutes
Insulation .,esidential Check/ Commercial Check e \\/;.
• • ent, 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:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
(0 r--I2 c) s"/7/d.
Rough Plumbing / Insulation Inspectionr Report
Office No. (518) 761-8256 Date Inspection r st received:
Queensbury Building & Code Enforcement Arrive: ' , , am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspe or's nitials: P-C,/
NAME:
7/144 /1PERMIT #: Z'ryr7 .
LOCATION: Lkp/'U. cy1J INSPECT ON:
TYPE OF STRUCTURE:
c Y/..
/J N/A
' .ugh Plumbin• Nail Plates ,J
IIs ' • -. t/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pr sure Test
Dr in / Vent
it / Head
.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air / Head / .44`��%/ "�
50 P.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 / No duct tape
i 'E'4111(,left p �,�� 7. /�i1 4, p&-PA/2 `_171_
COMMENTS: )'C ../° TC- 6 /p 44C-p
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003,doc Revised February 15,2005
2 l2ds
s/442
Framing/ ire stopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: l . Warn/pm Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: a:1772'
PERMIT it:
LOCATION: 6E. Pin., rvc INSPECT ON:
TYPE OF STRUCT
Y NV N/A
Framing COMMENTS
lc Access 22"x 30"minimum 4)0S r t y ItS �1Gtt( �' Z �R
Jack Studs/Headers
Bracing/Bridging C
Joist hangers PL F5 21 (�f
Jack Posts/Main Beams 6 19.344LL
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in. rtLLi)
Stairwells 36 in. or more
Headroom 6 ft. 8 in. P(204‘176- A 1\L
Notches/Holes/Bearing Walls ( �) W>
Metal Strapping for Notches Top Plate
1 %2(w) 16 gauge(8) 16D nails each side *au R °4 r�Draft stopping 1,000 sq. ft. floor trusses u l l
Anchor Bolts 6 ft. or less on center —(R.0
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping Lei
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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date]nspection re'u-, - e. ed:
Queensbury Building&Code Enforcement Arrive: ,-6 ia,t• F ep' : 10: orrM
742 Bay Road,Queensbury,NY 12804 Inspector's Initia s '
NAME:
ti�� �-•;4 PERMIT#:LOCATION: t< F_ A �iQ .fl1\ _ INSPECT ON: -14-0TYPE OF STRUC .
Y N A COMMENTS
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2(w) 16 gauge(8) 16D nails each side
Dr ft stopping 1,000 sq. ft. floor trusses
chor 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 %i 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
? // 7X5d ',
Foundation Inspectionekeport
Office No.(518)761-8256 Date Ins ;o equest received:
Queensbury Building&Code Enforcement Arrive: 4 -1 Depart am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto 's Initials:
NAME: Ll,a%__ Oz. , PERMIT#: ,!-
LOCATION: IF e *W 11"ezpnle INSPECT ON:
TYPE OF STRUCTURE:
Comments
4.00
Y N NA
Footings
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/Wailpour
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:�Buiiding&Codes For ms\Building&Codes\Inspection FonnsWoundadon Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
//
Framing/Firestopping Inspection Re 8 ort
Office No.(518)761-8256 Date Inspection r-•uest r-c-' ed• S .moi,/7
Queensbury Building&Code Enforcement Arrive: b • if ,, o e•; : /,, a:A►'r 7
742 Bay Road, Queensbury,NY 12804 Inspector's Initia s: I
OP
NAME: W�,5 N R-e 6k— • PERMIT#: a (1 - S'7 7
LOCATION: ( , ()f Jj- Al clig S-2- sem_ �INSPECT ON: 5-pp-)
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
c A
Metal Strapping for Notches Top Plate cfriS
1 %i(w) 16 gauge(8) 16D nails each side
Draft stopping in 1,000 sq. ft. floor trusses 0�
Anchor Bolts 6 ft.or less on center
ce and water shield 24 inches from wall
‘77
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'/i 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 7or / /cz
Foundation Inspection Report
Office No. (518)761-8256 Date Inspectio equest received:
Queensbury Building&Code Enforcement Arrive: �. m/p i, / Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto?s Initials: f�—�
NAME: ! PERMIT#: - S7
LOCATION: ire scrt' '� cc✓ INSPECT ON:
TYPE OF STRUC '
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/WalIpour
Reinforcement in Place
Footing Dowels or Keyway in place t
t/ Foundation Dampproofing V
Foundation Waterproofmg
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
m' po , wet areas under slab
Backfill Approva I
• •er 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
(F- /D 5if
Foundation Inspection Report
JZD
Office No.(518)761-8256 Date Ins 'o equest received:
Queensbury Building&Code Enforcement Arrive: p epart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect 's Initials:
NAME: -" PERMIT#:
LOCATION: �^•, -,S2rt/‹INSPECT ON:
TYPE OF STRUC :
Comments
Y E NIA
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
. . ,'a cite.
F: 'as for this purpose ; site.
Foundation/Wallpour
... '
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:\Bullding&Codes Forms\Building&Codes\Inspectlon FormsVoundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
( :oo). D
Foundation Inspection eport
Office No.(518)761-8256 Date Ins equest received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector s Initials:
NAME: �1� PERMIT#: —"F
7/
LOCATION: t, .1` �P�Lf`� INSPECT ON:
TYPE OF STR CTURE:
Comments
Y N Na.
Footings
Monolithic Slab
Reinforcement in Place z
The contractor isnsi le for
respo
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 Fors s\Building&Codes\Inspection FocroslPoundation Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM