2005-423 �A TOWN OF QUEENSBURY
"42 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20050423 Date Issued: Tuesday, December 27, 2005
This is to certify that work requested to be done as shown by Permit Number P20050423
has been completed.
Tax Map Number: 523400-301-005-0001-062-000-0000
Location: 55 NOBLE Way
Owner: THE BH GROUP, INC
Applicant: THE BH GROUP, INC
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, Liorcement\
Variance, or other issues and conditions as a result of approvals by theDirector of Building&Code
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
For*
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050423 Application Number: A20050423
Tax Map No: 523400-301-005-0001-062-000-0000
Permission is hereby granted to: THE RH GROI TP_ INC
For property located at: 55 NOBLE 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: THE BH GROUP, INC
467 ALBANY-SHAKER Rd Fireplace
Garage-2 Cars Attached
LOUDONVILLE, NY 12211-0000 Single FamilDwellin
$365,000.00
Total Value $365,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-423 LOT 11 HOUSE 55 NOBLE WAY
2533 SQ FT SINGLE FAMILY DWELLING
$354.36 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, June 22, 2006
(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 therown Que 131; do day, June 22, 2005
SIGNED BY �'�( for the Town of Queensbury.
Director of Building&Code Enforcement
•
Town of
Building Permit Application
Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
•
AApermit must be obtained before beginning construction. �► ,
ection will be made mt1l Peewit File No. �� ,,,,
valid 1)uilding Peru, All applicants'cant has reoeivcd a Pee Paid j �
• appliaat ion must be stapes on r to t Rea Pee P:': '-
application form. Meted and must appear on the �Tr, / aL'
Reviewed B 4"
Applicant: e Q Fl 6:0J ,
A • � Owner: •S\ddress; tlan
CJ d Address:
Phone# / V` Z/
Phone#77—
•••••0111M.._..__ �_.,..,,
Property Location: Lot Number: I1 / House Number SS / / /e L4/
Subdivision Name: __J,4 s CoS1
Tax Map Number .
car, New Building: commercial 'Estimated Market Value of Construction: $ 3 6 S_ 0.)3
o Addition: residence/ coral 1
o Alteration: / commercial If an Addition,what will use of new addition be?
v mchange to exterior
er size: residence/coral
Check QoeuPaneyinformation 1 Floor 2`Floor
Below Other floor Total
14 ft. sq.ft. sq.ft. Square Peet
o S,. • e : .. dwe / 36
o Two famil dwelling .�
o Townhouse
o g
# s
of unitdive
o Office
o
• Matftlfiletneill
O 1 oar detached !es
a 2 oar Mach*/
O 3 oar detached
a 1 oar attached
O 2 oar attached
a 3 car attached �•.,:.
a Storage building. -
commercial
o Storage building-
residential0 •
What is the proposed height of the structure 2
Will any second-hand orfeet inches
ungraded lumber be used? If so,for what? //0
Type of Heating System: electric/ oil / wood efGed hot air baseboard/other:
Number ofEitszigaz to be
izistalled Number of/flats=to be installed
List below the person(s)responsible for (/
supervision of work as regards to building codes:
Name
Builders far , Address / j�Phone Number
)/., .`M'i i r�
Plumber �
i1
_
Masan ; i a; i
Electrician ,
• Application for Permit -Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION: RECEI
Location of installation: SS ,Uc,dje Office Use ,
v5��3QS `t�3 joy
1 /U
Tax Map No. 3 01 / S / /—6Z File Permit No.
TOWN OF(wE ,is
Croo Fee PaidZONING pF1COwner's Name: e P
Address: ea7 ),
'kI!e, y /22-l/
2. INSTALLER'S NAME : e Q 1 at-a-)e, PHONE NO. I/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 150 gal/bdrm =
1980—1991 x 130 galtbdrm =
1991—present y x 110 gal/bdrm = 9Y0
Garbage Grinder Installed yes t ..
Spa or Hot Tub Installed yes_ . no
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
.,.`.�. . ., o' Nature Growl. W, : a.0 •r_s,.
Flat +t - - 'al Do.. �c Wats u••l
at what depth at what depth
o loam Sr feet /1/24 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: /as gallon(min.size 1,000 gal)
Tile Field: each trench YJ , ft. Total System Length: ZO 0
ft.
•
Seepage Pit(s): number of /-//A- size of each: /t. 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.
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys RECEjv1
applicable to solid fuel & vented gas appliances
pp 65.-Q2-3 JUN
1 o TOWN Permit No. _r
p-
Date / _, 20 e� .e0/11 k Q ii+ - Bl
Applk(� of
ation is hereby made to the Building& Codes Office for the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
_ -. .ropriate words)
Name: \4 (7 10 Stove: woo4 coal pellet gas
Y
Fireplace inse
Address: LI
1#7 ig , V..,...4.,, (2, -...,; -.
ory-built: wood gas
d Lis- Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone: ( .r"---21?de
If non-masonary applicance,please provide
Owner: Manufacturer Name:
Address: _ Model Number:
Chimney Information
Phone: circle appropriate words)
Masonry block brick stone
i lue tile steel size: lches
Exact Address: 4-d /— 1 \ 4jt-t44-t—,53
_
of construction or tallation Factory-Built ,..
/l1j /-),, Manufacturer name: •� � Model Number:
Note: IListed By: Number: —
Construction/ nsta ation must
conform to NYS Fire Prevention &Building Indicate(cir c min material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wa 1 / Triple xa1 , In:.toted / Direct venting
Chimney Liner
1 G'a,ethier'is.Departmerit—My= of Queeinutobury, 147'4ew z 1
1
Fire Marshal Code li $Collected S Refunded Received from (refimdect to) __ _ G /
address:
A 173 3389 (190) Public Sufety
. 21e_.-
�-'`--
A 233 2655 (230)Minor Sa s
DATE:_ 1.3 d S — — ---- --- —
UpI.a-1wt o- T wn. tit`.44 02 D 7
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.)
\\ Cy
\ 7Y
,"9 / DEC 2 8 2005
o s
2 g 2�fi}5 ! moo. �°•a� TF�A�
LOT 10
/ !! LOT #11
1 1.346 t ACRES /
�
AR
LOT 12
Sa3 63 ' f /
a=10*23'30" °.
L=58.95 P WOOD StfP
R=325.00 ti p 0m" ? s v kDj
S0' n
A�
NOTES:
` 2 ryryN
I, SURVEY SHOWN WAS PREPARED FROM AN DEC. 2005 FIELD SURVEY o Y
2. NO SEARCH OF PUBLIC RECORD WAS MADE IN CONNECTION WITH `t' b 0OQ,
EASEMENTS OR RESTRICTIONS THAT MAY NOT HAVE BEEN CONTAINED �Cr ry
IN COMMITMENT FOR TITLE INSURANCE (TITLE NO. NVR 056267)ISSUED {j
BY CHICAGO TITLE INSURANCE COMPANY ON NOVEMBER 10,'2005.
3. SURVEY SHOWN IS SUBJECT TO ANY SUBSURFACE CONDITIONS THAT o-: 800•o° r V�
MAY EXIST, IF ANY. ///' �,"o ?8S•
4. UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP �`✓°j o
BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF y y
SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION ry`y
LAW. &S
5. ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH HOUSE ENLARGEMENT:
AN ORIGINAL OF THE LAND SURVEYOR'S EMBOSSED SEAL, AND N.T.S.
SIGNATURE IN RED, SHALL BE CONSIDERED TO BE TRUE AND VALID
COPIES.
6. CERTIFICATIONS INDICATED OR IMPLIED HEREON SIGNIFY THAT MAP REFERENCE:
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISTING 1. MAP ENTITLED "KINGS COURT SUBDIVISION"
CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK DATED OCTOBER 15, 2003 AND PREPARED BY
STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SAID BOSWELL ENGINEERING AND FILED IN THE WARREN
a CERTIFICATIONS SHALL RUN ONLY TO THE PERSON OR PERSONS FOR COUNTY CLERKS OFFICE ON JUNE 30, 2004 IN
^z WHOM THIS SURVEY WAS PREPARED, AND ON HIS OR THEIR BEHALF PLAT CABINET B, SLIDE 258.
TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING
INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE CERTIFIED TO:
S LENDING INSTITUTION. CERTIFICATIONS ARE NOT TRANSFERABLE 1, JAMES D. CASTLER
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. 2. COUNTRYWIDE HOME LOANS, INC., IT'S SUCCESSORS AND/OR ASSIGNS.
7, AT THE TIME OF SURVEY THERE WAS A COVERING OF 4" OF SNOW 3. CHICAGO TITLE INSURANCE COMPANY
AND ICE.
MAP OF SURVEY
MICHAEL P. WHEELER, J.S. LOT 11 NOBLE WAY
NEW YORK STATE LIC. NO 49,717
KINGS COURT SUBDIVISION
A TOWN OF OUEENSBURY
COUNTY OF WARREN STATE OF NEW YORK
LL BOSWELL, ENGINEERING SURVEYED BY: ORM CHECKED 8Y: MPW DATE: DECEMBER 21, TI fi
{ DRAWN 8Y: TRM ,OB N0. A02-008 DWT ND EMBER 8—,200final
S 799 MADISON AVE., ALBANY, N.Y. 12208 518-436-6310 SCALE 1" = 50' SHEET 1 OF 1
•
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: 1 p d D rt: am/pm
Date Inspection request receiiv/ed: Inspector's niti ls:
/
NAME: 6I / PERMIT#: 2 Z-
LOCATION: /Lk/ C DATE: /Z�f s
TYPE OF STRUCTURE:
Comments i.
YN N/A I
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake s C
3 ' ch Plumb Vent through roof minimum 6"
oof Complete/Exterior Finish Complete
Guard 30 in.or more pstairs,decks,patiosi./ .
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %2"
Gypsum
rade 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
I rior privacy/trim/doors/main entrance 36 in.
athroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: s / Battery backup:
Carbon Monoxide Detector
/Bathroom Fans,if no window
Plumbing fixtures CSP 17RAIQ , i
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed ri .>_4..inches
arage Floor Pitc
✓Garage fireproofs /'/<hour fire door/ oor closer
tDuct work Sealed p y.._------
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
/eP1an /Variancereuired q -/
al Survey Plot Plan 1/•'�%'�'�� ��g6141.
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required /
Okay to issue C/C or C/0[Temporary/Permanent] �! 14�
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Framing / Firestoppink Inspection Report
V
Office No. (518) 761-8256 Date Inspection request received: 0 S
Queensbury Building&Code Enforcement Arrive: am/pm Depart a pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: c
NAME: 31 Com'✓ PERMIT#: `' --� 7-`4-
3
LOCATION: r /�� 5Z ALA-44/ l INSPECT ON: a (..)c.77/
TYPE OF STRUCTURE:
Cprizrk)
Y N/A COMMENTS
Framing °S t-
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properlykfAx-v1
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more ; y1 ).¼3 t 114
Headroom 6 ft. 8 in.
tA114-1 -04Fsk-2—, A-5
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate <`-e
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 V2 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
-.r
Framing / Firestopping Inspection Report //"-ilc.-10
Office No. (518) 761-8256 Date Inspection request received: 2 • 0)
Queensbury Building & Code Enforcement Arrive:
am/p part: ' am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 4( 6 . _ PERMIT#: "5-7/Z
LOCATION: �` __A/� INSPECT ON: , IV,' —
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Jack Studs/Headers &OPE" eG�D4.1Bracing/Bridging _�
Joist hangers .61( C 'M • p A)d ( 40/
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 snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
F. e wall 2, 3, 4 hour
Firestopping C4A U L'& 1 ,4 S b r 5 C uC S 6
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/z inch or 5/8yinch Type X 0 I� �v /AIc()Garage side 5/8 inch Tp e X L
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade !
5.0 sf grade I !
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report -7//
Office No.(518) 761-8256 Date Inspection request received: . -
Queensbury Building&Code Enforcement Arrive: am/p , epart:(2 /7tm`7pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initial4:.,,YV -
NAME: 614 6 V PERMIT#: C J 1/7Z-5
LOCATION: 4)o/'��L (n�ty INSPECT ON: ---7-63t105-
TYPE OF STRUCTURE:
Y Ny/1 /A COMMENTS
Faming p
Attic Access 22"x 30"minimum d 26 6-A)C.
Jack Studs/Headers
Bracing/Bridging 4pfie �R j V",�O�O
Joist hangers
Jack Posts/Main Beams j if/\ /Jo G
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
FiFre wall 2, 3,4 hour
restopping // Wori-'44-ve(
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
( ,i
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/8V part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: `7( GRP PERMIT #: "—' • z.,5
LOCATION: 35_ /00 c GJ eil INSPECT ON: /Mr 3
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 ii /V ,
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
i .
Pressure Test
. -r Supply Piping7
Air Head
5' '.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check
Proper Vent, Attic Vent /e&°L -c
Duct/ Hot Water Piping Insulation
If required unheated spaces Jc/-e— Du`
/Combustion Air Supply for Furnace / r-- `
1— r4S
4 Duct work sealed properly / No duct tape "
c_
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
c
Septic Inspection Report
Office No.(518)761-8256 Date Inspection request received:� '
&
Queensbury BuildingCode Enforcement Arrive: am4},JD part: dr_am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: re PERMIT NO.: i ; 3
LOCATION: I fr( x,8 ' INSPECT ON: fOrAWP j
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 Caps
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan N
Engineer Report and A3 Built Y_N
Location of System on Property:
Cf Ape/dv-i, 0,0 .,C__C---'
Front Rear Left Side Right Side
Middle Fr nt Middle Rear
System Use Sta s:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
Last revised 1/6/05
Sep 29 05 10: 24a Boswell Engineering 5184360859 p. l
A
9
® BOSWELL ENGINLERING
1924
FNG3NEERS ineunveYons t PLANNtHy■SCIENTISTS
793 Madison Avenue•Albany,N.Y.12208•(518)436.6310•Fax(518)436-0859
VIA FACSIMILE 0 S--- -
(518)745-4437 ��
September 29, 2005
Town of Queensbury Building Department S p r` =1 ZI105
742 Bay Road
Queensbury, NY 12804
Re: Septic System Installation
Lot 11 Noble Way ,4 -6-1"--
Kings Court Subdivision
T/O Queensbury, Warren County, NY
Our File No.: A02-008-05
To Whom It May Concern:
Based upon a visual inspection conducted by our office on September 22, 2005, we hereby attest
to the fact that the septic system has been installed for Lot 11 Noble Way. The septic system
appears to have been installed in the relative location shown on the approved plans and appears
to he installed in general conformance with the NYSDO1I approved plans (plans entitled `Kings
Court Subdivision - Final Plans', dated October 15, 2003, last revised: April 7, 2004, with a
NYSDOH approval date of May 17, 2004).
Should you have any questions, or require any additional information, please feel free to contact
our office at (518)436-6310,
Very truly ours,
B ,sA MING
...41.
13 4:- 1A07110/0'
(_(
cc: Mr. Frank Barber BH Grou Esgia '�
'� p(via facsimile#51 R-.:>._
Ms. Anita Gabalski, NYSDOH, 77 Mohican St., Glens Falls NY 12801
BDB/EJH/ejh
X:Y'Ot12W02•0111 WEST MMIN1'AINNUITTERS13LD0 DEPT SEPT C13RTLETTLR U92QO5 LO'I'1'NOOI.l:WAY IioC
Framing / Firestopping Inspection Report '--- /,')50
Office No. (518) 761-8256 Date Inspection request received: /
Queensbury Building&Code Enforcement Arrive: am/U// part: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: , C', . PERMIT#05 1 1----- -
,:,_.3
LOCATION: j ,C; ' E-i __ - i
INSPECT ON: - - _.c>
TYPE OF STRUCTURE: -
N
Y 1_v/ N/A COMMENTS
ming
/
Attic Access 22"x 30"minimum AIY\\-Jack Studs/Headers
Bracing/Bridging 1 I
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly ../1 DC /,e U�/ 4/)66 S
12"O.C. 7
Headroom 6 ft. 8 in.
Stairwells 36 in.or more
Headroom 6 ft. 8 in. v0 (076 vs5 (0 VT-I-kV) (C2 C) l O-
Notches/Holes/Bearing Walls -iV b 1;S( 6E- C�(tivP6)(e7
Metal Strapping for Notches Top Plate
1 `/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses rR v u ( r'6- ACLG—S 5 1 o /MA-1A
Anchor Bolts 6 ft. or less on center QUO F
Ice and water shield 24 inches from wall N A-PPAJA-L
p,.oc) 1DC
Fire separation 1, 2, 3 hour role- I.' V .r-g�t�4 /f-r2l.0 C i
ire wall 2, 3,4 hour Cj A' k•- -'k
Firestopping r /`c.i10 ()
Penetration sealed 1
16 inch insulation in cavity min.
Garage Fire Separation
House side to 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
Rough Plumbing I Insulation Inspection Report
•-z./'v5/
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:
NAME: I? R CORAP PERMIT #: 6 5 — 3
LOCATION: 53 MI - LL A-`t' INSPECT ON: o)�
TYPE OF STRUCTURE:
7ugh
Y / N N/A
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
P essure Test
Drain / Vent
Air / Head /
5 P.S.I. or 10 ft. above highest connection for 15 minutes r,(J& //AiIC— it
JO
ressure Test Re-co/9,0/WaterSupy a
Air/ Head rn&& ciie6 /c-
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
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
f 1 Town of Queensbury Fire Marshal
742 Bay Road
�,,•� Queensbury,NYY 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 s = ill 'ons is allowed.
Permit it 03 ( 2- Schedule Inspection Z� 6 Time am pm anytime
Name e)R �QE Address ' A)06c6 C0/9 j _.___ Rough1:1
Appliance Manaf Curer #6,,t f &_6 Model# S& `752)7"R — 0 46 OW-8/d 5-5—
ry
Direct Vent V Facto 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
Waft 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—Building Dept. Yellow--Customer Pink—Fire Marshal
/1 7
/
Septic Inspection Report
Office No.(518)761-8256 Date Inspection request received: I
Queensbury Building&Code Enforcement Arrive: am/ 2, epart: ( am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: CS .• PERMIT NO.: C (4
LOCATION: . 0 c MP.• - INSPECT ON: all
-- _ __ —
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft. kRIC
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
/1/0 ��/�l
Stone Size:
/
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field/Pit _ _
Opening Sealed: Y/N/Partial
End Caps
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
System Use Status:
pproved
artial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
Status:
Last revised 1/6/05
e / o
Septic Inspection Report
Office No.(518)761-8256 Date Inspection request received: . �•
Queensbury Building&Code Enforcement Arrive: am/p�n,r,depart: ' • ' am/
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: J V'-
NAME: )1A, PERMIT NO.:
LOCATION: D. Q-111 kt25 INSPECT ON: — j-
RECHECK:
Comments and/or diagram
Soil Type: Sand A .: . ay
Type of Water: unicipal ell Water
Waterline sepa . ion ,' •nce ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches eL ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size: 6x/"51--51-- T-,NiL 46'A rFew
Piping Siz / Type 5rAt1Co w E A) �f—1 e,R ez-P
Building to tank '5t-b. 7a
Tank to Distribution Box
Distribution Box to Field/Pit i" �5' .O
Opening Sealed: Y/N/Partial ,
End Caps 1 L
/ L(/)
Location/Separations csveA-G 5
Foundation to tank
Foundation to absorptionrv,e !� \/l�� ,/
Separation of Pits fit.
Conforms as per Plot Plan
Engineer Report and As-Built _Y_-1)1•41'
‘ U,(i1..t t-( Ci)p /�^T9p45vA
Location of System on Property:
Fron 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 1/6/05
J
Framing / Firestopping Inspection Report jOe11/4/VO\3
Office No. (518) 761-8256 Date Inspection request received: ��� �/7 C/,) ��
Queensbury Building&Code Enforcement Arrive: am/pm Depart:
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:L AA) c:"
NAME: 4. PERMIT#: lb --j".")
LOCATION: 55 -A e, INSPECT ON: 0
TYPE OF STRUCTURE: 6 /
Y N N/A
Framing — — COMMEN S
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
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
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 V2 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
Jc —i
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 7 / e
Queensbury Building&Code Enforcement Arrive: am/pm Depart: I a am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: Op_
,_.5.1;17-
NAME: 1-e 6`Z� PERMIT#: _
LOCATION: /1 �" 4 p 7A) INSPECT ON:
TYPE OF STRUCTURE:
Comm• its
Vir
--�— Y I N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
• ;!' of for wet areas under slab
Backfill Approva +n� 4
Plumbing Under Slab l/�`
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
I.:\SueHemingway\Building.Codes.Inspection.FURMS\foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am Depart: __1026,41,t•m
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
11
_ �irI)
•
NAME: PERMIT#: - ���",,
LOCATION: A� Z[ PiPi ral :iii INSPECT ON: __
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings ------------------ — -- —Piers
Monolithic Slab
Reinforcement in Place _
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site. —
Foundation/ Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/ Waterproofing I
Footing Drain Daylight or Sump
-----------------
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil .ol for wet areas under slab I 6L )
Backfill Approval ''
Plumbing Under SIab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingwaydRuilding.Codcs.Inspection.FURMS\Foundation Inspection Report.doc January 28,2003
/- }-1-
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: /SU s
Queensbury Building &Code Enforcement Arrive: am/pm j//'epart: �j—' n>/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: , PERMIT#: Z /61
LOCATION: lit' / Na INSPECT ON--1/UV, 7/Co
TYPE OF STRUCTURE:
itit/tv, 55 Comments
N N/A
Footi
Piers
Monolithic Slab
Reinforcement in Place 2/ 4.
The contractor is responsible Th
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 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.Inspcction.FURMS\Foundation Inspection Report.doc January 28,2003