2011-407 TOWN OF QUEENSBURY
Bay Road,
742 Queensbury,NY Q s ury, 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110407 Date Issued: Thursday, May 31, 2012
This is to certify that work requested to be done as shown by Permit Number P20110407
has been completed.
Location: 14 CAITLIN Dr
Tax Map Number: 523400-301-017-0003-062-000-0000
Owner: KELACO, LLC
Applicant: KELACO, LLC
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage 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,Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Cod nfor cut
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
.41011%
F 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
S I
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110407 Application Number: a20110407
Tax Map No: 523400-301-017-0003-062-000-0000
Permission is hereby granted to: KELACO, LLC
For property located at: 14 CAITLIN 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: KELACO, LLC
35 FRONT St Fireplace
LAKE GEORGE,NY 12845-0000 Garage Attached
Single Family Dwelling $300,000.00
Total Value $300,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-407
2310 sq ft single family dwelling with 540 sq ft garage& 1 fireplace
$543.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 25,2012
(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.)
Dated at the Town-af9.7ensb,Gyi ; / ursday,.August 25,2011
SIGNED BY r' "f ',. for the Town of Queensbury.
Director of Building&Code Enforcement
•
tel I/7_ .. . _...OFFICE USE ONLY n r
TAX MAP NO. `./ f U 14� �_ i �J'is.
PERMIT N0. _ t
FEES: PERMIT ? RECREATION 1 1 ' PLo 1 1 Lc n
,,,II.I,I-I 1-�'c'=I. ENGINEERING -,
--.- (If applicable) TO GV�OF QUEENS8URY
Lit L.EN NG&,CODE.9
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILD
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CO BUILDING PERMIT
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTIIONAPPLICATION IS SUBJECT TO
APPLICANT/BUILDER:�e in Lc? L�(,.C:
,/ OWNER: J�Pj�v �-�
,� ru
ADDRESS: L // ,
, a -?—` ? �
ADDRESS: .,,•6/4
PHONE NOS. yF - I/02-e-, 3 eS 3-4? "3"--
PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: l�.PA Ce%%00
PHONE:7t!, .-sc7��
LOCATION OF PROPERTY: y CA, fL,ti B •
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? AYES 0 NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: pc,,;,7`�
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLECTO YOUR O O
O co
w O I-- a u �:w
LI-
y d o = f. Fa- a 2U
milniimisim„
SINGLE FAMILY /
TWO-FAMILY ''�/
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE IIIII
BUSINESS OFFICE --
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3) 2. V 5-4
/°
OTHER IIIIIIMIMIMIIIIIIIII
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: 7 (t CI-Chl
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /V0
ARE THERE EASEMENTS ON PROPERTY? P.%
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 provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read
and agree to the above.
Signed
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
r
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
Office Use Only codesaqueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issi,ar! .. .. u,„�..,,,.,.,,...�.._. ._
• OFFICE USE ONLY
j
TAX MAP NO. PERMIT NO. + PERMIT FEE
APPROVALS: ZONING TOWN CLERK
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. 11 - `
OWNER: Kr(�.�c7 LLC INSTALLER: (-C /4 IP GAL-1:* JLJ'i
ADDRESS: Ceti? fj' L d��' /
/� /��� 1?g-3() ADDRESS: 3 O7 Ce�/PID /-7 1-3-H7
PHONE NOS. 3 ei 5,cr 2- PHONE NOS. 7 1/0-0
LOCATION OF INSTALLATION: (A1 tL)N K'
NO.OF RESIDENCE INFORMATION:
YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW
GARBAGE GRINDER
1980 or older X 150 gallon per bedroom = INSTALLED? �)
1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB
1992-present ..( X 110 gallon per bedroom = gCf 0 INSTALLED?
PARCEL INFORMATION: /
✓ TOPOGRAPHY: Flat rolling L Steep slope %Slope
✓ SOIL NATURE: Sand V Loam Clay Other
✓ GROUNDWATER: At what depth? / c, /-
✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? ?
✓ DOMESTIC WATER SUPLY: Municipal ✓ Well (If well: Water supply from any septic
system absorption is ft.)
✓ PERCOLATION TEST: Rate is i7 minutes 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: I Z S C) 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:
2 ABSORPTION FIELD (WITH NO. 2 STONE) Total length 2-e-s, ft. Each trench T X S O
❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size?
O ALTERNATIVE SYSTEM Bed or other type?
O 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.
Revised 4/14/2010
APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS
Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the
New York State Fire Prevention & 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.
Important Note To Applicant: Rough-In and Final Inspections Are Required:
Owner:: /� I p s Installer/Builder: te/k fel 6/1d: /kit •
Address: 3 ('//%/i L-ev . !1. {. 1;7-39-39 Address: 3? (e/ie 4/1,'• )L !,S-3 3
Phone Nos.: ) yt! -II 2-c 3(3-3--r,2 2- Phone Nos.: 7% - Ii 10 36c
Location of Property#15 6 N L�/ Subdivision Name: 1//'e;nti. tA)p; f
Location of Proposed Construction and/or Installation: /4" CA,tL,,; Pg.
ContactPerson for Building & Codes Compliance: /(" .& (i//P/ o 2 42 744(-4Ale
• Fuel Burning Applicance Wood Coal. Pellet Gas Oil
Information
Stove ate'
Fireplace Insert
Fireplace,factory built* 1.
Fireplace, Masonry
Furnace, (Garage Only)
* If Factory Built, Please Provide: Manufacturer Name: gc.efModel No. 6 vi 3 ere'
Listed By: Number:
Chimney Information BLOCK BRICK STONE
Masonry** Check Ones(
TILE STEEL SIZE IN
INCHES
Flue Check One ✓
DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY
VENT LINER
Chimney Material Check One✓
** If Non-Masonry, please provide: Manufacturer Name: J-tc 1"4 61,• Model No.
ADDITIONAL NOTE: CONSTRUCTION / INSTALLATION MUST CONFORM TO NYS FIRE
PREVENTION & BUILDING CODE AND/OR MANUFACTURER REQUIREMENTS. CONSULT
AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTION'
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: "z'[ t Z.
NAME: 1,046
LOCATION: t`T 2_4tl- N
PERMIT#: 1l
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: n
CAt/D
Craig Brown,Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.lnspection.FORMS\Final Survey
Zoning Administratordoc
MAP REFERENCE.
MAP OF A TOPOGRAPHIC SURBEY MADE FOR
COLLETTE CONSTRUCTION
DATED: DECEMBER 1, 2008
BY. VAN DUSEN & STEVES
(i)
D.E.C.
WETLANDS
0', E
70° 55
N 488.86
75
77,960 sq. ft.
1.79 acres
0`7'W
S70° 5:,—
Map of a Survey made for
COLLETTE CONSTRUCTION
Town of Queensbury, Warren County, New York
NO. I DATE
DESCRIPTION
Scale 1'=40'
S-1
SHWA 1 OF 1
COLLETTE
DWG. NO. o8i42-j5
zi
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'UNAU7NOIlIZED ALTERATKM OR ADDrnQN TO A SURVEY
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MAP BEAWIO A LICENSED LAND SURVEYORS SEAT. IS A
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NEN YM STALE EDUCATION URC'
•ONLY nm iNE OISIWL CIN 7NIS SURVEY
P& P
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MARKED NI7N M ORIOYIAL OF 7FIE LAND SURVEYORS
SEAL SHALL K CON=M D 70 8E VALID MW ODPIES.'
•CER7FiCA104 JIM" ED HEREON SW" DiAT
Land
Surveyors
7MS SURVEY NAS PWMED IN A=M#AM WM THE
° YKWWVO """C'�F°"`"'° MAI. D
8Y 71E NEW YORK STATE ASSOCM11011 OF PROiE9&ONAL
LAND SURVEWRS. SAD CERTi1"Wis SHALL RIM ONLY
Haviland Road
Queensbury, New York 12804
TO 7W PERSON FOR WM 7NE SURVEY IS PREPARED, AND
ON NIS-8ENMF TO 7NE 71XE COMPANY. OOVENOWTAL
AWIC169
TO W A"° `M OIEWN MS717&CM 01511 HEREON AID
TO THE ASSKMFkS OF THE LENDRI6 MS717U7KM.•
;518) 792-8474
New York Lic. No. 50135
0`7'W
S70° 5:,—
Map of a Survey made for
COLLETTE CONSTRUCTION
Town of Queensbury, Warren County, New York
NO. I DATE
DESCRIPTION
Scale 1'=40'
S-1
SHWA 1 OF 1
COLLETTE
DWG. NO. o8i42-j5
zi
0
I
I a 62-Sdc Li� I-3 ( 1
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart:2\ Dam/pm
Date Inspection request received: Jr --/), Inspector's Initials:
NAME: '") 0 a C.6. PERMIT#: i/-./fj '/
LOCATION: /4-1 &Q `1•fi/IA DATE: 5-.D),(q-j
TYPE OF STRUCTURE: S r.0
Comments:
Yes/No N/A
4" Building Number Address visible from road V i
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake V,
3 inch Plumbing Vent through roof minimum 18 inches Vz
Roof Complete/Exterior Finish Complete v�
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 ,k/
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 y//
Interior privacy/trim I doors/main entrance 36 inches ✓/''
Bathroom/Kitchen watertight ‘7
Safety glazing/Wi in stairwells fety ing
Interior Smoke ors/ arbor no ' Detectors
Every level: E ry Bed .
Outside every bedroo 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 /' 1/
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel il 2-- i��M ?l
kie W
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft. / "T'
i-k)4. ,
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 ✓ �k. L
Furnace/Hot Water Heater operating t/
Low water shut-off boiler ‘7 40-,5?-c,Kir
Relief Valve(s)installed/Heat Trap/Water Temp 110 t°52.Enclosed Stairs Sheetrock Underside minimum'W Gypsum
Basement stairs dosed rise>4 inches
<J71
Garage Floor Pitched 'F1 - i'
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure /,,,/N
Final Electrical;Energy Saving Light Bulbs 50% f
Final Survey Plot Plan
Yr
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles (ii)
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/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forrns\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
41111111ftTown of any Fine Musial j - f(� (.011
1
742 Bay Bead
Qaeemshary,NY 12804
7614205/7614206
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection Report
!4otice: New York State regsases that all UL Listed,factory built appraisers be ismfaned according to the and
specification contained in the Installation Mammal accompanying the appiaoe.No deviation hew the manufacturer's
iastnctioas or specifications is snowed.
� /�
+a, # o�t i _ 7 Schedule Inspection I t 1 �,i t Time i a. pm mythic Ia:necbor
fame gC-i t kC-C- Address l° (LL; t,�-rte= Rough Inc "wl
ppliaee Man factu er Oltkit-Cle Model d `s fFCX1'
keel Vent y Factory Built Chimney Flue Size Doable Wan Triple Wan Imamlated
Yes No N/A7 Commasts
door Protection
irarances to Combustibles(all sides)
.!ir+estop(s) Vertical Chase
Wan Penetration
--
Vent Clearances to Combustibles
Vent/Chimney Termination
'tissney height must be 3 feet above roof
nuelration;2 feet abate any combsmlitile
m>stnction within 10 feet
Gras Shut-Off Valve AA)c'
Combustion Air
Hearth Extension(if any)
Mantel
Hhight above f/p amain
Witness Operation
Tank Placement(if LP)
Mite £Dept. Yellow-e stemer Pik-The Muskat
Rough PlumbingI Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: PAS-e
Queensbury Building &Code Enforcement Arrive: am/pm Depart\ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 1-
NAME:
cke4e, PERMIT#: !1- 7
LOCATION: -L INSPECT ON:
TYPE OF STRUCTURE: _ ���Gt,3)c6- 1-1)(e-e
—
Y N N/A
Rough Plumbing/Nail Plates
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
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
r 15 minutes
(insulation/ esidential 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
R/C—
COMMENTS.
Rough Plumbing insulation Report.revised Nov 17 2003,revised Febnaary 15,2005, revised January 7,2008
Rough Plumbing / Insulation Inspection Report�(Z
Office No. (518) 761-8256 Date Inspection request received: I-?
Queensbury Building &Code Enforcement Arrive: am/pm Depart: a pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
cm/1)
NAME: I/C�. LLL PERMIT #: I l - b
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1 36 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/Head
50 P.S.I for 15 minutes
nsulation/Residential Check/Commercial Check
yvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulations
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS: C3(,—\CCKA VolL>t
-k.)-444"A`14
01‹ r
cut420‹...
1
Rough Plumbing Insulation Repoitrevised Nov 17 2003, revue February 15,2005, revised January 7,2008
(4o i -rte (�a,-�
Rough Plumbing / Insulation Inspection Report
Office No. (51 8) 761-8256 Date Inspection request received: 1
Queensbury Building &Code Enforcement Arrive: am/pm Depart: e. .r =m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:(
NAME: Ke .(<Na (0 ) )- PERMIT #: / 1- 1I5 7
INSPECT ON: 11//777/
TYPE OF STRUCTURE:
Y N N/A 1
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 %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
Pressure Test
Water Supply Piping
Air/Head
, „50 P.S.I for 15 minutes ,
nsuiation/Residential Check/Commercial Ch1-,.
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 Supp -forfumace
Duct work seale. pr6perly/No duct tape
(51y
COMMENT •
. -3(.6
— *L -1/Vt/j1/‘ -5
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
( 7 O1 cY7O
Rough Plumbing I Insulation Ins ection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depa : am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: e QCT PERMIT#: //'` 07
LOCATION: o ; ; r . INSPECT ON: //-/2//
TYPE OF STRUCTURE:
Y7N NIA
Rough Plumbi • Nail Plates
• mbi • = /Vents in Place _
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test 1/1
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
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If = •uired unheated •aces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct to
Lir_2_ -c5.\---z3q3e11.3(D
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection epo
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depa am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials• .d."4"--)
NAME: e PERMIT#:
LOCATION: 9r� //4O7 .
J � � �)(- INSPECT ON.
TYPE OF STRUCTURE:
Framing
yra 1mACOMMENTS:
•- 22"x30" minimum
\//Jack Studs/Headers V
Bracing/Bridging
Joist hangers / GAS
Jack Posts/Main Beams V
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 %(w) gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
L
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'A inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:tBuilding&Codes Forms-Ol.D BuUding&CodesWapedion FonnsVFrerning Finstopping l Reportdoc Revised January 7,2008
// %�
illik 3
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm ►-pa . 2 0 am/pm
742 Bay Rd., Queensbu , NY 12804 Inspector's Initials: J....‘4110
/
NAME: Ccs ...
PERMIT NO.: V
LOCATION: pc ;�/►,_: ,//c. INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Type oam/Clay
Type of Water: mci ell Water
Waterline separation distance ft.
Well separation distance )....._ ft.
Other wells: X.ii
ft.
Well Casing Length 50'+/- Y N N/A
[150'to well required if NO]
Absorption Field: Total length LS.,r9 ft.
Length of each trench TO ft.
Depth of trenches _��ft.
Size of Stone ��
Seepage Pits: Number co,
Size: �'7
Stone Size:
Piping Size Type
Building to tank t'
Tank to Distribution Box Au _ ,;
Distribution Box to Field/ Pit , 14. t :54fL�‹
Opening Sealed: N
End Cap _N
r_t,
Inlet/Outlet Pipes&Baffles Y N
Manholes 12"or less below grade T NAY }
[provide extension collar if Yes] N A ‘Z !.,
Location/ Separations
Foundation to tankft.
Foundation to absorption ft. L.
Separation of Pits �l ft.
Conforms as per Plot Plan _Y
Engineer Report and As-Built _Y
ETU Maintenance Contract Y_N ..-,
provided AS.
Location of System sir party:
..
Front Rear Left Side Right Side Middle Front Middle Rear
stem S
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Fomu\Septic Inspection Report_03 29 10.doc
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I ',Ham on this document. I also represent that I have .
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ATE
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm3‘e?Tham/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: /"P_ /1(C() i PERMIT#:LOCATION: !{ 'L,f l i i� INSPECT ON: P-I
c l
TYPE OF STRUCTURE:
Framing -- _ COMMENTS:
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/Holes t Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge(8) 16D naIs each side
Draft sto 1,000 sq. ft. floor trusses
• Bolts 6 . or less on center
ce and water field 24 inches from wall For - q/4\41-viA\4(2.
. 'on 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:1Builditg&Codes Fonts-OL D Buliding&Codesdtapection Fomrt&Fmmirp Firestopping Inspection Reportdoc Revised January 7,2008
1-f,c '
Framing I irestopping Ins n Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's initials:
NAME: irk ittip
PERMIT#:
LOCATION: i f 1; i.. Di�. INSPECT ON: 1
TYPE OF STRUCTURE:
Y 6 NIA COMMENTS:
Framing \
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
StairweNs 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 'r4(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft.floor trusses
• ft. or less on center \
ce and water ; field 24 inches from wall ) .(� C
on1, 2, 3hour
Fire wall 2, 3, 4 hour
f
Firestopping � �--
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation r _
House side%inch or 5/8 inch Type X 1,
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:tBuildk�g&Codes Forms-OLDIBuiIding&Codes inspection ForinnVFr ming Firestopping Inspection Reportdoc Revised January 7,2008
2-4'
tUeeiktes (c7
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: .6.,a, )
NAME: -e4 c .
PERMIT#:
. l �o
LOCATION: ;f-/, � INSPECT ON:
TYPE OF STRUC f oirc
Comment
Y N
Footings
Pi.
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 ,,ii i015Footing Dowels or Keyway in place
Foundation Dampproofmg
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:\Bunding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:, AlIlk
NAME: Lp l(elt-c- , . PERMIT#: l !`0
LOCATION: / _el/1 7 INSPECT ON: 7.3 - /
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
• •ve footing
6 mil poly f• wet areas under slab 4/_,/)
11 ; • al
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\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report D
Office No.(518)761-8256 Date Inspection request received: i V/1/
Queensbury Building 8t Code Enforcement .Arrive: am/pm Depart am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: V e /tic O LLC - PERMIT#: ) (. ` Leib 7
LOCATION: )( (� ''- a, /1 NI- 1 -e INSPECT ON: (7//?A/
TYPE OF STRUCTURE: .�
Comments
X IY NIA
Footings
Piers
Monolithic Slab p
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 Dampproofmg
1
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
ji"_13a6 mil poly for wet areas under slab
1cSll 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\Inspecdoon FornnsV oundatlon Inspection Reportdoc
Lest printed 12/20/2005 9:24:00 AM
) 1 - --1;.t 47,
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart ___�__( -am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials441.1)
_�
NAME: /(6 -/CPERMIT_ #: f�— 0
1l_/ w r-- INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N
Footings
Piers
• . is Slab
Reinforcem..i t in Place
The co r •r is responsible for
• • • •.1 : protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wailpour �' ,
Reinforcement in Place 2 5/
n
Footing Dowels or Keyway in place
Foundation Dampproofmg
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:\Buliding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report fj
l �
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p19 Depart/TO am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: _.' A s d' 1ld
NAME: " f PERMIT#: -
LOCATION: moramsamsnr . INSPECT ON: , J
TYPE OF STRUC 'r
Conlment4
Footings 9
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 i A
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\Inspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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