2011-152 14i TOWN OF QUEENSBURY
vro742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
CERTIFICATEOF
Permit Number: P20110152 . Date Issued: Monday, September 26, 2011
This is to certify that work requested to be done as shown by Permit Number P20110152
has been completed.
Location: 17 GENEVA Dr
Tax Map Number: 523400-301-020-0001-080-000-0000
Owner: CLUTE ENTERPRISES, INC.
Applicant: CLUTE ENTERPRISES, INC.
This structure may be occupied as a:
Garage 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, r3J
f.
Variance,or other issues and conditions as a result of approvals by the �.
Planning Board or Zoning Board of Appeals. Director of Building&Code 'nfotcement
011.14"
er, TOWN OF QUEENSBURY
LT 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110152 Application Number: A20110152
Tax Map No: 523400-301-020-0001-080-000-0000
Permission is hereby granted to: CLUTE ENTERPRISES, INC.
For property located at 17 GENEVA Dr
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: CLUTE ENTERPRISES, INC.
6 HOLDEN Ave Garage Attached
NY 12804-0000 Single Family Dwelling $130,000.00
QUEENSBURY, Total Value $130,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-152
1300 sq ft single family dwelling&400 sq ft garage
$320.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,May 05, 2012
(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.)
! n
Dated at the Tor-c7ensfyyl Ipt121711lay 05, 2011
for the Town of Queensbury.
BY Q ury•
Director of Building&Code Enforcement
•
i
•
�\) l�1 OFFICE USE ONLY TAXMAPNO. • a " PERMITNO. 1f iS? 1 I i• I i APR 2 9 2011
FEES: PERMIT 32Cr RECREATION 4. ENGINEERING
(If applicable) : TOWN Or OUEE7.•
• 1. r.'.:Li--c..............
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: r .3 p 4�r_,,ti ``t' -C &`C.OWNER: C_t3ke
ADDRESS: (r--A--(ok --, t.y ADDRESS:
PHONE NOS. 7.27-2 PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: 2 PHONE: ld �3S5
LOCATION OF PROPERTY: V7 C---36-9....6,_.(7.- ( \e}4k .2?) sot . ® - 1 - izi<0
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL?YES 0 NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: Coe-- v C7,
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Za 1-
APPLY TO YOUR Z j Ir p w a w w w
PROJECT � cc p O -J 0 i =
w __I u_ u_ ii w Q a , U
o w o i OCC _ z_
Z < < �- � �, � o � O- u- 0- 105 n}
SINGLE FAMILY (0D-V ( _-7 f a7 (�C IU/
•
TWO-FAMILY l0 l4
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHE Li
f �t})j
GARAGE) V L40 �'l00 t !/lI1Y
OTHER
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: �-�C-
ESTIMATED CONSTRUCTION COST: t 3n' 000 FUEL TYPE: - 9ck
HEAT TYPE:&.ocCe k *HOW MANY FIREPLACE(S): a AND/OR WOODSTOVES(S): C4
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? -
IS THIS A HISTORIC SITE? '‘...- n
PROPOSED USE OF BUILDING OR ADDITION: f ` - 4.e..c_e
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? 0 Q
ARE THERE EASEMENTS ON PROPERTY? \L-r)-Th
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provid- . as-. . ilt survey by a licensed land surveyor of all newly
constructed facilities prior • 'ssuance of c- •' cate of occupancy.
I have read and ag -e to the abov=. /
Signed / / i .i
Directo o 2uilding & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or sep . systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
Permission is hereby granted to the above This application / proposed action described
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 Queensbury.
Application:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(cqueensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
Operating Permit Issued: Yes No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
//- / z
Revised 4/14/2010
OFFICE USE ONLY .
TAX MAP NO. PERMIT NO. PERMIT FEE
APPROVALS: ZONING TOWN CLERK ,1 APR 2 9 2011
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT. /�
INSTALLER: C.. U V � / _-
OWNER: «�P �te=a �.�.
ADDRESS: ADDRESS: ( `1,-'i ."-•
PHONE NOS. PHONE NOS. -7`1,S 7a7 7
LOCATION OF INSTALLATION: 1� (`�(� � ^,_ '��/ Q
RESIDENCE INFORMATION:
NO.OF COMPUTATION
YEAR BUILT X = TOTAL DAILY FLOW
BEDROOMS (Gallons per bedroom) GARBAGE GWVD R
1980 or older X 150 = INSTALLED?
1981-1991 X 130 = SPA OR HOT TUB
1992-present 3 X 110 = 33 o INSTALLED? '
PARCEL INFORMATION: ` /
s( TOPOGRAPHY: FLAT ROLLIN x STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH?
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT PTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (If well:water supply from any septic system absorption is: ft)
✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH[mpi]
(Test to be completed by a licensed professional engineer or architect)
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).
TANK SIZE: 01.37 GALLON(MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for
each garbage grinder,spa or whirlpool tub.
SYSTEM TYPE:
0 ABSORPTION FIELD(WITH NO.2 STONE) Total length 15t) ft. Each trench -2 XS '
❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size?
❑ALTERNATIVE SYSTEM Bed or other type?
0 HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks?
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
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 re. -ions wit' respect t. is application and agree
to abide by t e and all requ' ement . •e of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
Sanitary -wag//'
wage ispos. .r.' a• - codes(a�queensburv.net
...01100 t71641 VISIT OUR WEBSITE FOR MORE INFORMATION
ig . u person Responsible Date www.queensbury.net
•
Town of Queensbury* Community Development Office* 742 Bay Road, Queensbury NY 12804
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: q---2 ,) --//
NAME: (110?"C_
LOCATION: ( � �)-et-/ve )1•-,
PERMIT#: " /C7
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:
Craig Brown, Zoning Administrator
Notes:
L:1SueI-Iemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/p {Depart: am/pm
Date Inspection request received: Inspector's Initials: •
I"`'
NAME: C k) PERMIT#:
LOCATION: f7 6lq.p DATE: f�
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road p S
Chimney Height/"B"Vent/Direct Vent Location SUN f-eCei V
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches ��
Roof Complete/Exterior Finish Complete t�((�
Platform at all exterior doors
Handrail 4 or more risers
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
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
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 glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
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
Plumbing fixtures
Foundation insulation to floor!Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
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
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3A hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required 0 — . . /'4°�/ L
Flood Plain Certification,if required c ` ! '7
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; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
o:00) -'--//
• Queensbury Building & gde Enforcement - Residential al Inspection / 6
• Office No. (518)761-8256Arrive: •• 5-‘am/p ' Depart: am/pm
Date Inspection request received: inspector's Initials: --L-
NAME: CP-k/ PERMIT#: / /S-�LOCATION: 6e,Stecia,... DATE: riZt'
TYPE OF STRUCTURE:
Comments:
Y o N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
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 I'Iii
/
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches ,/ / /
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
ji
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches i/
Bathroom/Kitchen watertight /
Safety glazing/Window in stairwells safety glazing
g
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom: fit., j i) `- --64-5:11,-e-4/7-
Outside every bedroom area: S,„eKG` --1--
Inter Connected: Battery backup:
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.vents1.1
Bathroom Fans,if no window 17/Plumbing fixtures Foundation insulation/Insulation Certification/Sticker on Panel
Floor truss,draft stopping finished basement 1,000 sq.ft. 7
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 / v
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 /
Enclosed Stairs Sheetrock Underside minimum W Gypsum ✓
Basement stairs closed rise>4 inches
Garage Floor Pitched /
Garage fireproofing/'/<hour fire door/door closer ✓
Duct work Sealed properly
Final Electrical �', 11 e ✓ 7 i
�U
Final SurveyPlot Plan v6 Wt t I ' v�VG r
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C l C or C/0[Temporary/Permanent] (/
L:1Building&Codes Forms1Building&CodeslInspection Forms1Resiidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10
Queensbury Building & Code Enforcement - Residential Final Inspection 1
le
Office No. (518)761-8256 Arrive: +: am/ Depart: am/pm
Date Inspection request received: Inspector's Initials:
NAME: i G� PERMIT*: f '4
LOCATION: (r /t16 4 DATE: I
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/13"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
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 fiC—el1‘--L,-
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet ee6VIDa,
6 inch clearance to sill plate % am iie6
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 glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
,)eOutside every bedroom area:
Inter Connected: Battery backup:
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
Plumbing fixtures
Foundation insulation/Insulation Certification/Sticker on Panel
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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3A hour fire door/door doser
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan V1811,‘('(' c)ek T
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required i Okay to issue C/C or C/O[Temporary/Permanent j
L:\Building&Codes Forms\Building&CodeslInspection FormslResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10
L>r-S0/6?
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 11
l _
NAME: ( �] PERMIT#: j 7- -
LOCATION: / - (:)(--)A -'‘,/( ,,„� Lr_ INSPECT ON: ', ) 0-4
TYPE OF STRUCTURE:
Comment.
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 Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
• .• es above footing
6 'I ..ly for wet areas under slab
Backfill A,.royal `T
: .ing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior I Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building&Codes\Inspection Foam\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Rough Plumbing I Insulation napes on Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Budding &Code Enforcement Arrive: am/pm Depart \ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 3 jitAdti--.,
NAME: C� /ll' _____ PERMIT #:
LOCATION: /7 c-L7 ev�o�. r. INSPECT ON: __ -
Wits---2
TYPE OF STRUCTURE: _
Y N NIA
Rough Plumbing ! Nail Plates
Plumbing Vent 1 Vents in Place —.
1 '/z inch minimum 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
Air - --d
0 P.S. fo 15 minutes _
Insulation / Residential Check I Commercial Check _ Y
z miler Exterior Sealant
Proper Vent, Attic Vent
a oor/Window Sealed (No Insulation) %
Duct! Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
I-3 1 e J
Rough Plumbing I Insulation Insptión Report
Office No. (518)781-8256 Date Inspection = • - s - . •:
Queensbury Building &Code Enforcement Arrive: " .. ► p P ► = •art: 2°c n a m
742 Bay Road, Queensbury, NY 12804 Inspector's In - -•
NAME: C P 41IT#: /�-/S-LOCATION: I - (' e vim,„., - _ INECT ON: Y/
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing/Nail Plates
Plumbing Vent I Vents in Place
1 %inch minimum Drain Size
Washing Mac pine 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
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
P -
DoorWindow Sealed ( i Insulation) D7."
Dunt/ _ . = = " ° nsulation 1
If required unheated spaces ��
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Repoitrevised Nov 17 2003,revised February 15,2005, revised January 7,2008
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: amlpm De•art: ) /cam/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:—•, -�. `
��
NAME: C PERMIT #. 5-
-LOCATION: f ��i��' �f - �� INSPECT ON: -
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent 1 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 I Vent
Air I Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Al ad
O Railer 15 minutes
Insulation ',[Residential Check/ Commercial Check
Tyvek-o(Similar Exterior Sealant
Proper Vent, Attic Vent
Door I Window Sealed (No Insulation)
Duct I Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape _1
COMMENTS:
L-
Rough
Plumbing Insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008
.77-tor-se,nr
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive:fp Jc am/ Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �N�.L-
NAME: (7 !l� `'� PERMIT#: /— SZ
LOCATION: 17- 6)Ptnwtjo . INSPECT ON: AM"
TYPE OF STRUCTURE:
X N �11A
gaming ___ COMMENTS:
Attic-Access 22" x 30" minimum
Jack Studs/ Headers
Bracing / Bridging
Joist hangers
Jed( Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
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
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
(F$ tl-2 3,,4 hour
Firestopping / pvtpt/
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 16 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiting/wail
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/ below grade
5.0 sf grade
L:1Building&Codes Fomes-OLD\Building&CodesUnspection Fomns\Framing Firestopping Inspection Report.doc Revised January 7,2008
Rough PlumbingI Insulation lnspeo ion Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pry part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #:
LOCATION: /7- 6&r1 e% _ INSPECT ON:
TYPE OF STRUCTURE:
� r _ Y N N/�►
(6-Rough �7 Plumbing Nail Plates
4 /
—Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent i 0=47,OC(
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
i,
Air/ Head
50 P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check _
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: ' 30
Queensbury Building & Code Enforcement Arrive: \ Zic am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:-N---(
NAME: (I ();& PERMIT #: / - "4-
LOCATION: CcrvevA W ,. INSPECT ON: % II t
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates �/,
Plumbing Vent/Vents in Place 0_2J-c-\k^57 t k\r--W
1 1/2 inch minimum Drain Sizecx
W shing Machine Drain 2 inch minimum
eanout every 100 feet/change of direction
ressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
P essure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes _
Insulation / Residential Check / Commercial Check
_yvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7,2008
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: -7, am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: ci ;',9
NAME: 0 _3,_A—E- PERMIT NO.: 2-----)1 l
LOCATION: rt 2,00-1=\istA- INSPECT ON: 5/ \ \
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.
Weil Casing Length 50' + / - Y N N/A
[150'to well required if NO]
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 Distributio x -
Distribution Box to Field / Pit
Opening Sealed.‘ N
End Ca _ N
Inl t/Outlet Pipes &Baffles Y
Manh es 12"or less below gra e _Y`��
[provide extension collar if Yes _ _ N
Location / Separations
Foundation to tankft.
Foundation to absorption , ft.
Separation of Pits ft.
Conforms as per Plot Plan ^ Y N
Engineer Report and As-Built _Y^ N
ETU Maintenance Contract _Y N
provided _
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
S stem Use Sta• s:
r_Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report_03 29 10.doc
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/
_y . Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: /AL/�r�am/pm
742 Bay Rd., Queensb , NY 12804 Inspector's Initials: ` t
NAME: f . PERMIT NO.• /—
LOCATION: ('9- €JP v INSPECT O : .74 J
RECHECK:
//`` Comments and/or diagram
Soil Type: t / Loam/Clay
Type of Water: •I/Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50'+/- Y N N/A
[150'to well required if NOI
Absorption Field: Total length /` b ft.
Length of each trench --,S ,ft.
Depth of trenches '9i ft.
Size of Stone _
Seepage Pits: Number
Size:
Stone Size:
Piping , Size Type
Building to tank tt- .
t�Tank to Distribution Box
Distribution Box to Field/Pit � Z�
Opening Sealed: N
End Cap ,,N L: �•-
Inlet/Outlet Pipes&Baffles Y N
Manholes 12"or less below grade TO
[provide extension collar if Yes]
Location/Separations <--,64,3-1-c„._
i�
Foundation to tank ITft.
ft.
Foundation to absorption ft.
Separation of Pits
X.
Conforms as per Plot Plan y
Engineer Report and As-Built Y N
ETU Maintenance Contract Y N
provided
Location of System roperty:
Front Rear Left Side Right Side Middle Front Middle Rear
t m se S :
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
LAPam Whiting\2010\Building Codes Forms\Inspectlon Forms"Septic Inspection Repo&.03 29 10.doc
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Framing ! Firesto n !ns cion "` = • •rt
P 9 P8
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: 7 D (Cm/pr� Depart: am/pm J`)0 " (C)
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .
NAME: l , Life PERMIT#:
LOCATION: INSPECT ON: —Z. '/f
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
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches I Holes 1 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
(ie 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 %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:1Building&Codes Forms-OLDllauilding&Codesunspection Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008
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Foundation Inspection Report
Office No. (518)761-8256 Date Inspection requ- '4 - = ed:
Queensbury Building&Code Enforcement Arrive: - -.CO : pm ro epart: f am/4m742 Bay Rd.,Queensbury,NY 12804 Inspector's Initialer/ii
L, i
NAME: _ PERMIT#:
//—t ?
LOCATION: / L4311. --.a. , I, r. INSPECT ON: 5-- /0•f/
TYPE OF STRUCTURE:
} 1C_i: 1 O � 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
oting Dowels or Keyway in place /
oundation Dampproofing . ,‘,/
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
ines above footing ,'
),/
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC 1 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
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Foundation Inspection Report //
Office No.(518)7614256 Date Inspection req -st r cei e :
Queensbury Building&Code Enforcement Arrive: 7'-1;„(a • pm Depart: 7,31 aani/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi: "
NAME: ! P . I T#: J /3
LOCATION: C C%, INSPECT ON: j 77/
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\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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MAP REFERENCE
SUBDIVISION PLAN &
MAP OF A TOPOGRAPHIC SURVEY MADE FOR
LARRY W. CLUTE
BY: VAN DUSEN & STEVES
DATED: JANUARY 29, 2007
LAST REVISED: AUGUST 15, 2008
LOT
26
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LANDS IAAF OF
QUEEN VIGTCIRIA'S GRANT
HOMEOWNERS ASSOCIATION
S83044'19"E
100.01'
LOT
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AREA
1.5, 204 sq. ft.
0.35 acres
2 STORY
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MOUSE
27.9'
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Map of a Survey made for
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Town of Queensbury, Warren County, New York
LOT
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N0. I DATE
n
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DESCRIPTION
1iactel hep -temper ifi,
Scale 1'=20'
S-1
SHEET 1 OF 1
Glute
DWG. NO. 95001-25
D u s
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
V`
E?
NAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB -DIVISION 2. OF THE
NEW YORK STATE EDUCATION LAW.'
COPIES FROM THE ORIGINAL OF THIS SURVEY
S
RKED
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES."
'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
Land
Surveyors
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STALE 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
169 Haviland Road
Queensbury,
New York 12804
AGENCY AND LENDING INSTITUI DIN LASTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION.'
(518) 792-8474
New York
Lic. No. 50135
LANDS IAAF OF
QUEEN VIGTCIRIA'S GRANT
HOMEOWNERS ASSOCIATION
S83044'19"E
100.01'
LOT
25
AREA
1.5, 204 sq. ft.
0.35 acres
2 STORY
WOOD FRAMED
MOUSE
27.9'
PORCH
ID=AM
Ln
N I�
m m ASPHALT
I I DRIVE
1._00 00'
N84°21'05
GENEVA DRIVE
k
o
0
to -
.M
?� M
Map of a Survey made for
Clute Enterprises
Town of Queensbury, Warren County, New York
LOT
24
N0. I DATE
n
tM
DESCRIPTION
1iactel hep -temper ifi,
Scale 1'=20'
S-1
SHEET 1 OF 1
Glute
DWG. NO. 95001-25