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2011-421 TOWN OFQUEENSBURY r 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 ��� Q rY, Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20110421 Date Issued: Monday, October 17, 2011 This is to certify that work requested to be done as shown by Permit Number P20110421 has been completed. Location: 18 GENEVA Dr Tax Map Number: 523400-301-020-0001-069-000-0000 Owner: DKC HOLDING, INC. Applicant: DKC HOLDING, 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 (T h\ � ore // property owner of the responsibility for compliance with Site Plan, A ,n Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY Iwo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20110421 Application Number: a20110421 Tax Map No: 523400-301-020-0001-069-000-0000 Permission is hereby granted to: DKC HOLDING, INC. For property located at: 18 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: DKC HOLDING, INC. Garage Attached 6 HOLDEN Ave Single Family Dwelling $135,000.00 QUEENSBURY,NY 12804-0000 Total Value $135,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-421 $268.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 25,2012 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) rt Dated at th(To Qu sbla�ry; ay,August 25,2011 SIGNED BY ;X y for the Town of Queensbury. Director of Building&Code Enforcement , . V50h 2C,I —/,CO/CE USE ONLY , RE_Cc-S.1 N., --,,c,0 TAX MAP NO. PERMIT NO. //- /Z/4/ AUG 18 2011 FEES: PERMIT425r RECREATION , ENGINEERING (If applicable) TOWN OF QUEENSB RY ... au Lai .$'caQ S 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. c APPLICANT/BUILDER: C VJ�Vit, e((�--,���.rC, OWNER: We. ADDRESS: ( , Q01& `- a ADDRESS: PHONE NOS. 7c' , '7.77 PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: i PHONE: 1. of LOCATION OF PROPERTY: \CA Ge e•e, _ Qf. Je 3 C 02p 1 — 69 HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? YES 0 NO IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: C`�r , o_ LCA ty- PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z p Ci C w i cn PROJECT 0or 0 OJ I- et —1 0 = _ W tJi. � U- 1-1- . 2 H a.OAU w < < i- U) OA in OU. I- LLLL Lt ZG SINGLE FAMILY >e 1,040 10y0 \`i TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(0) X 40o LI o0 14 3-b— OTHER Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: t 3 f ono , FUEL TYPE: 9q p N. (..-16 S HEAT TYPE: Ir(. *HOW MANY FIREPLACE(S): [ AND I OR WOODSTOVES(S): d ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? ‘‘ D� PROPOSED USE OF BUILDING OR ADDITION: S'+.,1\e &-es.-.L1 c-e �. ...tee ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? `vim ARE THERE EASEMENTS ON PROPERTY? 'ND.174 *Please complete a separate Application tor"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 provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to uanc- of a certificate of occupancy. 0 I have read and agre: o the above / Signedfr �40 Director of B i ding & 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) 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(a�queensburv.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 Revised 4/14/2010 Town of Queensbury Highway Michael F. Travis Department Highway Superintendent 742 Bay Road, Queensbury, NY 12804 Home (518) 798-0413 Office Phone: (518)761-8211 Thomas R. Vanness Fax: (518) 745-4466 Deputy Superintendent Home (518) 745-0929 www. Queensbury.net DRIVEWAY PERMIT Date: "(V$ Applicant Name: C 31L r- c wt- . Address to be inspected: 1 IS G e,"e.,) . Return Address: Cc• a c G c t ) :0 I Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: Step 1: ( ) Preliminary Approval Need: ( ) Slight swale ( ) Deep swale ( ) Level with the road ( ) Level with the top of the paved wing Size culvert pipe to be used (if necessary) ( ) 12" ( )15" ( ) 18" ( )24" ( )36" Preliminary inspections completed by: Date: Approved by Higway Supt: Deputy Supt.: Upon completion, please resubmit this approved permit for a final approval. Step 2: ( ) Final Approval ( ) Rejected Date: Michael F. Travis, Highway Superintendent Thomas R. Van Ness, Deputy Highway Superintendent Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 OFFICE USE ONLY 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. OWNER: CAJ‘Q INSTALLER: __ \e_ - _ - - �+ �T VAC • ADDRESS: ADDRESS: .1\. C it 11 PHONE NOS. PHONE NOS. 79,_; /D-77 LOCATION OF INSTALLATION: i.`1. be d�k,�-Q r-i e� �O�., --c•-. 1 '- 6 9 RESIDENCE INFORMATION: YEAR BUILT NO. X COMPUTATION = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRIND_Ell,, 1980 or older X 150 = INSTALLED? V4....Ja 1981 -1991 X 130 = SPA OR HOT TUB 1992-present x 110 = .0 INSTALLED? p PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? ✓ 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 PER MIINUTE PER INCH[mpij (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: \,000 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: SBSORPTION FIELD(WITH NO.2 STONE) Total length I SO ft. Each trench 42 X SO 0 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 b - • •-half of an applicant,shall be void. I have read th= -•ulations wit re-•- - "I s application and agree to abide by ese and all r ir: ent • Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL Sanitary =ewa•- a is•-.as d •ma codes a(�queensburv.net /A01, / '/�/� VISIT OUR WEBSITE FOR MORE INFORMATION atur of Person Responsible Date www.aueensburv.net fr" Town of Queensbury Community Development Office 742 Bay Road, Queensbury NY 12804 Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 5--1-12` Queensbury Building &Code Enforcement Arrive: am/pm Depart: &,/,5-- am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: Q b I b or' PERMIT#: / /- LOCATION: -LOCATION: I : Com- - n siva. INSPECT ON: 5 - /- / TYPE OF STRUCTURE: S 5 Y N N/A ()L.)l'()<=1-0 Rough Plumbing /Nail Plates 4-t`Pg- Plumbing Vent/Vents in Place 1 6 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 Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent y- 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 _ N (dc, N, D COMMENTS: c7LAsVk ` 04. Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 O—/Z MO Queensbury Building & Code Enforcement - Residenti inal Inspection Office No. (518)761-8256 Arrive: am/pm Depart: k.)\„,qaTn/pm Date Inspection request recei Inspector's Initials: ! NAME: CIO -e__, PERMITMI #: //—li/Z / LOCATION: /6- 6e yve ve,„ L 1f ; DATE: o -/P--// TYPE OF STRUCTURE: ` -/ Comments: No N/A 4" Building Number Address visible from road V Chimney Height/"B"Vent/Direct Vent Location ,\// Fresh Air Intake V 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 f// Handrail Termination at Newell Post or Wall V Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Y Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety gl ing VV Interior Smoke Dictors/Carbon noxid etectors /' Every level: Ev ry Bedr m: ,// Outside every bedroo rea: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area f Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents / Bathroom Fans,if no window V e. Plumbing fixtures Foundation insulation to floor/Sticker on Panel Duct work sealed properly/Blower Door Test Certification . imp 1 '` 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 1/ Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum W Gypsum t� 7Basement stairs closed rise>4 inches Vg-rtAT1 934/0 Garage Floor Pitched r Garage fireproofing/%hour fire door/door closer Gas Logs in Seal End Final Electri neritlg Light Bulbs 50% Final Survey Plo cc— sç Q Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker / /r � ,,, SitePlan /Variance required ✓/ C �' Flood Plain Certification,if required ✓ Okay to issue C/C or C/O[Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pm Depart (, am/pm Date Inspection request received: Inspector's Initials: OA_( NAME: PERMIT*: k.D1� "tZ LOCATION: ( j (- Jf-kJA T)P _ DATE: (c..5ti—tk\\ TYPE OF STRUCTURE: Comments: Yes No 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 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: �c-� 0 5 Inter Connected: Battery backup: � C� 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 Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheeted(Underside minimum W Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing 1' hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical 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 Flood Plain Certification,if required Okay to issue C/C or C/O[Temporary/Permanent] L:1Building&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 Queensbury Building & Code Enforcement - Residential Final Inspectio'ATn Office No. (518) 761-8256 Arrive: am/pm Depart: ( 1 ` ) am/pm Date Inspection request received: Inspector's Initials: O/`..(_ NAME: PERMIT#: « 2� LOCATION: 1)17- _ DATE: (C511-1.k\\ TYPE OF STRUCTURE: �4C�� Comments: Yes No 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 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 U � Bathroom/Kitchen watertight 1 Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: 710 Inter Connected: Battery backup: 'TOC...� 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 Furnace/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/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical 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 I Variance required Flood Plain Certification, if required Okay to issue C/C or C/0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08; Revised 12/22/10 Rough Plumbing I insulation nspection Report Office No. (518) 761-8256 Date Inspection request received: /0/f! Queensbury Building &Code Enforcement Arrive: am/pm Depart. l arh/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials c� NAME: C/L✓� PERMIT #: LOCATION: 1 Q ;a 1\a INSPECT ON: 10/1l ! TYPE OF STRUCTURE. Y N N/A Rough Plumbing/Nail Plates Plumbing Vent 1 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 50 P.S.I for 15 minutes sulation/Residential Check/Commercial Check ..v, ,n A Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If r uired 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 / insula ion insp ion Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am! m Depa . �`� am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials• NAME: PERMIT#: F1 12 /� 1 LOCATION: j< 6r erg e INSPECT ON: -1 TYPE OF STRUCTURE: N N/A Rough Phunbing !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/ted 50 P.S.I for 15 minutes Insulation/Residential Check/Commercial Check , Tyvek or Similar Exterior Sealant Proper V- .•: Ven Door indaw = =led ' o Insulation) k>ti%iz_vorz_ D - -, • _ ,_ - .mg Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly I No duct tape _ COMMENTS: e.:- \/74-3(0 fSe:1 Rough Plumbing Insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 — &; Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:)c pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: C/ l: '�. PERMIT#: /WI " 121 LOCATION: ifs �p�e �, h r. INSPECT ON: 9-30-1/ TYPE OF STRUCTURE: 11—) Conimentt 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 - above footing c mil ..ly for wet areas under slab Backfill +royal -- g Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\BuUWing&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: g--23"/ NAME: 044C—, LOCATION: k PERMIT#: j! — /2—/ Final Survey Plot Plan Approved Denied The attached final survey has been received by the I Dept.of Community Development. Upon review the survey has been: Craig Brown, Zoning Administrator Notes: L:\SueHemingway\Building.Codes.lnspection.FORMS\Final Survey Zoning Administrator.doc 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 13 urlu'nE5 P ❑ 19.2' GENEVA DRIVE 02110511 00.001 LOT 14 AREA 16,098 sq. ft. 0.37 acres LANDS N/F OF MANCE 20.5' Map of a Survey made for Angela M. Bologna Town of Queensbury, Warren County, New York LOT 15 NO. I DA TE DESCRIPTION gaze: !,epTepwer ca, Scale 1'=20' S-1 SHEET I OF 1 Bologna DWG. NO. 95001-15 j,/ u s 'UNAUTXO[EgD ALTERATION OR ADDITION TO A " EY 06.1-1 E? &D,. YM BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209. 9J8-OIMSION z OF THE NEw TURK STATE EDUCATION LAYL• 'ONLY COPIES THE ORIGINAL OF SURVEY S t e v e s ORI 4ARKED w1H AN ORIGINAL OF THE LARD SIXNVEYORS S SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.' 'C£RTFICATTONS INDICATED HEREON SION!" THAT Land u �' V e y o r S THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE ET THE GODS a PRACTICE FOR LAID OF PRYORS ZONALADOPTED 8Y THE NEW YORK STALE ASSOCIATION OF PNOFESSIONAL LAND SURVEYORS. SAID CERMCATIONS SHALL RUN ONLY TO THE PERSON FOR *IOM 7HE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL Haviland Road Queensbury, New York 12804 AGENC169 TO TM SSIAND LENDING THE LENDING LISTED " HEREON..'ANo TO TME ASSIGNEES a: THE LENDING wsnTunON.' 518) 792-8474 New York Lie. No. 50135 GENEVA DRIVE 02110511 00.001 LOT 14 AREA 16,098 sq. ft. 0.37 acres LANDS N/F OF MANCE 20.5' Map of a Survey made for Angela M. Bologna Town of Queensbury, Warren County, New York LOT 15 NO. I DA TE DESCRIPTION gaze: !,epTepwer ca, Scale 1'=20' S-1 SHEET I OF 1 Bologna DWG. NO. 95001-15 iRoul - /-2 r h Plumbing / Insulation Inspection Repo Office No. (518) 761-8256 Date Inspection request received: 64 " Queensbury Building &Code Enforcement Arrive: am/p, Depart: 4 am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: i.. NAME: PERMIT #: 1- ?- LOCATION: LOCATION: I. (,�,-, ��,i 'v INSPECT ON: TYPE OF STRUCTURE: N NIA I Rough Plumbing /Nail Plates Plumbing Vent 1 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 ) 1nsulation/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: - 19> Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 nRou h PlumbingI InsulatioInspectift Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials4a44) c. • )(-) NAME: (1! PERMIT#: !l LOCATION: 1 6e1A4 v2�- INSPECT ON: y2G)// TYPE OF STRUCTURE: 4n. 2t YN N/A Rough -lumbing/ Al Plates Plumb , • -, ents 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 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 L' S(s' —Li /L.i(' Framin / Firest pping Inspection Repo - Office No. (518)761-8256 Date inspection request received: Queensbury Budding&Code Enforcement Arrive: am/pm ?„17)5am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: idje-- ° -2f �� PERMIT#: � �. LOCATION: /r `('�cf';.�i� , r, INSPECT ON: 2 U`j TYPE OF STRUCTURE: naming A COMMENTS: •• _ 22"x30"minimum ` Jed(Studs/Headers V#02.1 -1C--1) JoistBracing /Bridging - C — r rs Jack Posts/Main Beams E derior sheeting nailed properly °-�,� 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Dec(Bracing Headroom 6 ft. 8 in. Notches/Hobs/Bearing Walls Metal Strapping for Notches Top Plate 1 %(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft.floor trusses Anchor Bolts 6 ft. or lesson center ice and water shield 24 inches from wall Fire separation 1, 2,3 hour 3, 4 hour Firestopping inch insulation in ca ' min. Garage Fire Separation House side'A inch or 518 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space 1 Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf .rade L:1BuNdinp&Codes F. • • : . & ..._,Wapection Fom►*VFnming FUweopP ng Inspection Reportdoc Revised Jemmy 7,2006 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm !: . rt. am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: 20111/4-" � LOCATION: t tC7 C INSPECT ON: i skim l TYPE OF STRUCTURE: Framing I /I COMMENTS: Attic Access 22"x30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jadc Posts I 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 %(w) 16 gauge(8) 16D naus each side Draft stopping 1,000 sq. ft. floor trusses �---� Aj y e`er Anchor Bolts 6 ft. or less on center i Ice and water shield 24 inches from wall C-/C-1\.d(Ara—NW 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:1Buildi g&Codes Forms-OLDDBuad ng&CodesJnspedion FonnsVmining Firestopping Inspection Report.doc Revised January 7,2008 i Septic Inspection Report Office No. (518)761-8256 Date Inspection request received:�� Queensbury Building&Code Enforcement Arrive: ame - epart: \ am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT NO.: z LOCATION: s ;C. -- INSPECT ON: 11 1 l C 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. Well Casing Length 50' +/ - Y N N/A [150'to well required if NO] c am' Tc-A-2-r^.).) 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: N End CapN Inlet/Outlet Pipes&Baffles _N Manholes 12"or less below grade Y_.N [provide extension collar if Yes] Y N Location/ Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y.„�N Engineer Report and As-Built Y N ETU Maintenance Contract _Y N provided Location of System on Prope . Front Rear Left Side Right Side Middle Front Middle Rear System Use S us: V Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Foims\Inspection Forms\Septic Inspection Report`03 29 10.doc s.wr.waw..��+M...«.yn:.mm�w.,�,nw•*v��,»,.H.:...w..K�pw+r�. � • I- a 1 ([0' c;c,) 2- ll `7c- hi' Framing / Firestopping Inspection Report Office Na. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: , .. 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: i 1P� b 1 , NAME: (JJ PERMIT#: 7_4 *232/ (7,-i,L.� INSPECT ON: -7/ TYPE OF STRUCTURE: Framing I N IA 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/Bearing Walls Metal Strapping for Notches Top Plate 1 16(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft.floor trusses Bolts 6�', less on center .Cf\-)\\ _______--, Ice and - i field 24 inches from wall ( N.9. `' iVr?---'i � • , • 1, 2, 3 hourN--2 -44c --k. Cik- Fire wall 2, 3, 4 hour Firestopping c— s Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Ck(,, <Z — A �t 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:1BtdklIng&Codes Forms-OLOSuNding&Codesllnspedion FomnlFraming FlnutoppMp hmpedbn Rspotdoc Revised January 7,2008 °C) 2- 77t, /54 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm •-part: //v/r am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: ; / ''e.� NAME: rj; /0/C- PERMIT NO.: 4/2 LOCATION: � Pt�� ice. . INSPECT ON: - '- RECHECK: Comments and/or diagram Soil T ,2_1.4_ Loam/Clay Type of Water: ? c1 • /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 NO] Absorption Field: Total length [ _. ft. Length of each trench S ft. Depth of trenches t ft. Size of Stone Seepage Pits: Number i k Size: Stone Size: Piping Size Type t Building to tank 44 t t Tank to Distribution Box Distribution Box to Field/ Pit 4" '3 Opening Sealed: N End Cap N Iniet/outlet Pipes&Baffles Y N Manholes 12"or less below grade Y ;.//$1 / � 1 �* t [provide extension collar if Yes] Y N j Location/ Separations — Foundation to tank IL ft. 12C- - Foundation to absorption ft. Separation of Pits ` / ?q7r:- - Conforms as per Plot Plan �9,�'�y Engineer Report and As-Built _Y_N ETU Maintenance Contract _Y N provided Location of Sy on Pro' rty: Ih Front ('Rear eft Side Right Side Middle Front Middle Rear -m zA • Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiiting\2010\Building Codes Fams\Inspectlon Forms\Septic Inspection Report_03 29 10.doc (kw_ -(O 2 _ "t P14^ Foundation Inspection Report Office No.(518)761-8256 Date ion received: /- 7! /7 Inspection request Queensbury Building&Code Enforcement Arrive: am/pm Depart:VI—jun/ Pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 644X)'' NAME: C L� i PERMIT#: . l jj z/ " LOCATION: 1 ' & tel/; Dr-ii.VC INSPECT ON: '13 D /!I TYPE OF STRUCTURE: Comments Footings Pe 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 Dampprooflug 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 kfll Approval lambing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LABuliding&Codes Forms\Bulding&Codes\Inspection FormslFoundation Inspection Reportdoc Last printed 12/2W2005 9:24:00 AM /0 — / 2_ &i.A7 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart: ;'' ; : I. pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: C PERMIT#: LOCATION: ]y eAr bn INSPECT ON: •—.2 6 /I TYPE OF STRUCTURE: • Comment( N NA Footings XPi 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:\Buliding&Codes Forms\Buiiding&Codes\Inspection FormsWoundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM . ...._ . 'PCI' , Pi. F .COPY ,..._______:__••,-, , . _ . . . , • ____,,-::-;;::: %.„•_, I 'M Y.^.7' 'r‘5, ^, _1 4 .: , , ;21; :Z � �. . __._ R viwed - � Date _ _ �.,� : 5 �� 1,• TOWN OF QUEENSBU� - BUILDING DEPARTME `� ��-�*-.�W.\s-; - : Based on our limited examination,cu tltacO `t"ti .-,`_ ,� ' " ... . F with our comments shall not be con-WOO-as—. ' indicating the plans and specifications are of �G New York State. 44 "$;`+,„�'`�,ii ••�a- f��• ` ” ° 1 full compliance w!th the Building _ , [•. �' - -� �`� � 1 � • ° -� �_« __ 0 ti .4 . , ©O :9: , - mow..... .. io'\O ,_....u"-_:rte.: f Di . I , tt __ , , o 4 ' \ 42*k A '''-c. Vo Vfitf>c\eki A Ti \-\---fo' ,.. -T.4)6U-L. .1,7Y:CA"Z„ 0 . , . i allan001.10 i -61..q1/221 , l. ., ...„1 \,... orL,,,.01, 7-''' '.." --.......„. -1:6:•-,t15:764-..va7rirlkeinut:.,, _t, Ei:Vi,,::_, . . I : . I 1 1 txcrra.....:,scsse- &a,' _...,...... i . _ • , :-.:.,...iinev.:.:01:--.--:. Th.A-7:10ENT4 : 1F,' WPa,t...- 1(1‘_121.24._ . . . I A,,, 11 i•lve. see.n or observed, or believe I saw evidence of, i ects such as .;J: ::„`wells,trees fences, etc., on thi' cocurnent also r- :,t,e the I have . ,.., l2,-;,rsoncdi it. ir ed t . iis47 • th on the di,w-,)1T).- . ) ..,. . , . , . AI .14111641146P Sik.;',..:ATURE DEJ . , . . - • ',. I • . , I • . 4 . J. (7\ i ,,--' I . . . ,..,„.. . 1 4'7 r )x.. . , .1.., , p ••, ) 1 • r ! , . . C ...,,,, 1 — C' . ,. . r . .. ,--------- 0 : ---, i 4.1 e'. *re—': ! — 0 ) ; , 1 ; , .... - 61 , I t „, ,. ......, . ..,,..,..._ .1' •f\.) 4.-..., K., I ' c -------, -:. ), . , „.. ., .c...•-•'' . , .. .. . . .,. ) I .. . _ ) i , . , i ..... i ... . _ ___._ ..... .. .. . 0.-- .nc--- :„..., -,. r COMMONWEALTH ELECTRICAL INSPECTION SERVICE, e/ Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No.............................. ..Cert. ........ N 2213 Cut-in Card No..................................... Owner.............. G�; .................................................................................................. Location... ....... f .. ..... .............................................. ............... Installation Consisting of... %«' �.^� .. .. ..: z.........................:...... .......................>..r;�r..............= ............... �. ...............................I.......... ................................................... Installed By....., .................................................................. . ........................................... ,..,;�J�-�,. ................... ............................................................... Ltc.No................. ................................ The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making in ech,ns at any time, and if its rules are violated,the Company shall have the right to rek ok tis cer Date...............................°................. INSPECTOR............... .................................................. Member N.F.P.A.,I.A.E.I.