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2010-540 TOWN OF QUEENSBURY t T 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20100540 Date Issued: Thursday, December 08, 2011 This is to certify that work requested to be done as shown by Permit Number P20100540 has been completed. Location: 17 HERON HOLLOW Rd Tax Map Number: 523400-227-017-0001-004-001-0000 Owner: JANE SEARS Applicant: JANE SEARS This structure may be occupied as a: Fireplace By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property .> " owner of the responsibility for compliance with Site Plan,Variance, or other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals. TOWN OF QUEENSBURY � 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100540 Application Number. A20100540 Tax Map No: 523400-227-017-0001-004-001-0000 Permission is hereby granted to: JANE SEARS For property located at: 17 HERON HOLLOW Rd 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: JANE SEARS Fireplace 4 PADDINGTON Cir Single Family Dwelling $1,100,000.00 BRONXVILLE,NY 10708-0000 Total Value $1,100,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-540 6391 sq ft single family dwelling&3 fireplaces $766.92 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,December 22,2011 (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 Of9uee ry;„ /Wednesday,December 22,2010 SIGNED BY �� / 3 - for the Town of Queensbury. �' Director of Building ..'Enforcement I22 . 17 _ /_ I OFFICE USE ONLY /• 71-aft { .) TAX i,"' PERMIT t NP r.o. PFR 4117 NO. _ d010 Z ��.� __ � NOVNGV � �3 FEES: PERMIT 7 PE ,REATION ENi-3 NEEiRING TO`VVN OF QUEENSBIJRY Sy!'9a (If applicable) pp DP 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:J6(4 CO& rUt-k-iOWNER: 1.0kt2. ADDRESS: 7 T vo i f 3t (i4 Gecile ADDRESS: PHONE NOS. 6 6 e' 3 I€S PHONE NOS. CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: AAK > 1 PHONE: 7% s796 LOCATION OF PROPERTY: //t rr /71-v/low ro a� HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES ® NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z rr o , PROJECT 0 � p � J oI tLLL = Q n- OU Z a< :- V) iNU) Ou. i- u.. Q206 foreJ•.0 � 27�� 2 r 69.a'�� 33'� SINGLE FAMILY ,6 Z7'3z ...F.-410:74" 4 _ TWO-FAMILY " 9 •s ('-�3II• L MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: ESTIMATED CONSTRUCTIONnnCOST: /� A","v — FUEL TYPE: Pob��►; r-tX HEAT TYPE: ,ric.-tt *HOW MANY FIREPLACE(S): AND/ OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? NO 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 ��-'�G��✓'� 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) 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 \v--tAk.0 DATE DATE • QUESTIONS? CALL 761-8256 OR EMAIL codes(7a queensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net Operating Permit Issued: Yes No Occupancy Type: C"?..---3 Construction Classification: Assembly Occupancy Limit: Special Conditions: 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: Lv4( J/9'ic)$ SQi,!!ti°S INSTALLER: /3�60(c.,64.4( //��T7lr,1/46, /7OLL ADDRESS: //Wad ow 4• ADDRESS: 7.�(dvors 6 -(7/gte2 TftJ �C� �y �S / PHONE NOS. PHONE NOS. ‘‘E-3/e ot• 77-57 'C LOCATION OF INSTALLATION: RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older X 150 = INSTALLED? if/L2 1981 -1991 X 130 = SPA OR HOT TUB 1992-present 6— X 110 = SJO INSTALLED? /IID PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT OLLING X STEEP SLOPE %SLOPE __ ✓ SOIL NATURE: SAND LOAM CLAY CZ 1/�A7i, OTHER ✓ GROUNDWATER: AT WHAT DEPTH? /, ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? V/ VV % ACE- ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (If well:water supply from any septic system absorption is: ft) #/ Gn,..J3asec- ✓ PERCOLATION TEST: RATE IS13 /5701,..)2/.7s. 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: 2060 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: ❑ABSORPTION FIELD(WITH NO.2 STONE) Total length ft. Each trench X ❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size? ❑ALTERNATIVE SYSTEM Bed or other type? 5/1/4-c.4 PuQaPlo Owl S — 3/XS/ ❑ 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 regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL Sanitary ag• DisposalOrdin. ce. codes(c queensburv.net • /�� VISIT OUR WEBSITE FOR MORE INFORMATION www.queensburvnet S', ature of Person Respon ble Date :' Town of Queensbury* Community Development Office* 742 Bay Road, Queensbury NY 12804 "l{? 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: Rouqh-ln and Final Inspections Are Required: Owner:: (,,ice Stars Installer/Builder: qvwA14,13 Address: Address: 7 �=�ue;S 5f Phone Nos.: Phone Nos.: &(�S1-31 S' Location of Property: /7 /f - Ili(/ot Subdivision Name: c,ra_3t-e. Location of Proposed Construction and/or Installation: Contact Person for Building & Codes Compliance: '-)2., kk-0Jr4 t, 7 yG C.14 Ce Fuel Burning Applicance Wood Coal Pellet Gas Oil Information Stove Fireplace Insert Fireplace, factory built* Fireplace, Masonry Furnace, (Garage Only) * If Factory Built, Please Provide: Manufacturer Name: Model No. Listed By: Number: Chimney Information r BLOCK BRICK STONE Masonry** Check One,/ TILE STEEL SIZE IN INCHES Flue Check One ✓ ›- DOUBLE DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY VENT LINER Chimney Material Check One,/ ** If Non-Masonry, please provide: Manufacturer Name: 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 INSPECTIONS Town of Queensbury*Community Development Office*742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 i ,1 :111h 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: Rouqh-ln and Final Inspections Are Required: Owner:: (�� `A,AA j Installer/Builder: 4,(A3• CCC CC Address: Address: 7 .1-(vi uoiS 5i- L * .. CQ Phone Nos.: Phone Nos.: 626:21f - "tA'S Location of Property: r7//cam:+-. /i //ate Subdivision Name: Location of Proposed Construction and/or Installation: Contact Person for Building & Codes Compliance: ��-P.tlu k :A7?4, Fuel Burning Applicance Wood Coal Pellet Gas Oil Information Stove Fireplace Insert Fireplace,factory built* _ Fireplace, Masonry Furnace, (Garage Only) * If Factory Built, Please Provide: Manufacturer Name: Model No. Listed By: Number: Chimney Information BLOCK BRICK STONE Masonry** Check One,/ 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: 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 INSPECTIONS Town of Queensbury* Community Development Office* 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to-the Building&Codes Office for"he 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: Rouqh-ln and Final Inspections Are Required: �� ,� Owner:: ( uIL2 Se,�.rS Installer/Builder: /400. 11i-"t (�'oko Address: Address: ? i uoi' sF- ( ecP?J Phone Nos.: Phone Nos.: (,;k tb'f Location of Property: ? /,/lo Subdivision Name: e,rasi11L Location of Proposed Construction and/or Installation: Contact Person for Building & Codes Compliance: 14t),L, S1`t 4' Fuel Burning Applicance Wood Coal Pellet Gas Oil Information Stove Fireplace Insert Fireplace,factory built* Fireplace, Masonry Furnace, (Garage Only) * If Factory Built, Please Provide: Manufacturer Name: Model No. Listed By: Number: Chimney Information BLOCK BRICK STONE Masonry** Check One✓ X 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: 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 INSPECTIONS Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804 Permit Number (town use) DR [ 0. E V - Town of Queensbury ' Application for Stormwater Management ement Permit N V F .3 ZOO Under Chapter 147, Stormwater Management, LL 4-99 TOW OF QUEFNSBURY BUI 114, r. •t» ,, _ i • IS FOR A 0 Major Project 0 Mirror Project 1. OWNER XINDIVIDUAL 0 PARTNERSHIP 0 ASSOCIATION 0 CORPORATION ()MUNICIPALITY Q AQEI NAME Z.UKP tf .J if,vZ /9294,t 5,2 s. PHONE 9/4 �`ii.7-‘//L' MAILING ADDRESS -V P,42,1,/.4 7 w necLi : CITY /'OAux v/LLIc I STATE N y I ZIP CODE /0708 2*. O.SAME AS OWNER. .'e;CO A 1OR 0A .- _.. V_. t TENT 0QQNTA TP oc NAME PHONE MAILING ADDRESS CITY STATE ZIP CODE NAME DemLv i & // jzi#x/Coa.5/rvc-><rG� _Tv c, PHONE ‘C.6)"8/85 MAILING ADDRESSDRESSS 7 1,e0'048 51-4#2,1 1 qt G- 5 Iq �c) CITY ', 4t Ca,,$ STATE NY ZIP CODE /2g1/.5 AJ. 'l .M LPN Aeeo davie/ ,81#26444 ke.:4 FACILITY NAME(if not residential) SECTION 227/ BLOCK / LOT ----- -. lam_ ___ STREET /'� �k'�'O nloL/ocJ ZONING CLASSIFICATION PROPERTY IS PRESENTLY 0 VACANT 0 PARTIALLY DEVELOPED )DEVELOPED&OCCUPIED IS PROPERTY PART OF A SUBDIVISION? 0 No 0 Yes, name of subdivision PROJECT - DV, 3 157"i' hloasi V 0,7/v$iv ' . r v,L API-10Z N u) c'ec ; sib Di'UUE PROJECT INVOLVES: 0Earthwork/Landscaping 0Tree Clearing $'House Construction or Addition Driveway Construction 0 Garage Construction 0 Detached Structure gSeptic System 0 Modification of a Stormwater Device 0 Other L:ICRAIMTEMPLATESSTWATAPPsTOWN STORMWATER APPL.DOC11/2000 Page 1 • ---• �--a-- I�c�wc mai kseasonai) U rcesidential (year-round) Q Association Q Public U Uomm PROPOSED STARTING DATE Dqc, 20/7j PROPOSED COMPLETION DATE.-Jrzola DESCRIBE THE MAXIMU.M.SLOPE OF THE PROPERTY IN THE PROJECT AREA—?.- _ A 0-5% (Level) ❑5-10% (Gradual slope) p 10-15% (Moderate slope) Q Greater than 15% (Steep Slope) IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETE Q Yes )(No (if yes, please explain) 6. CALCULATIONS & CONTROLS TOTAL AREA OF PROPERTY /+ ACRES FT2 (circle one) - TOTAL AREA.OF LAND DISTURBANCE: /D ooc FT2(do not include area of stormwater controls) 44 TOTAL AREA OF NEWLY CREATED IMPERVIOUS SURFACE: 20 E30 FT2 TOTAL VOLUME OF STORM WATER TO BE CONTROLLED: 920 C F (see instructions) TYPE OF STORMWATER CONTROL MEASURES TO BE USED: .5)A4ZZow l h A) Jn2 HAS AN EROSION CONTROL PLAN BEEN PREPARED? Yes, plan is attached ❑No If no, please contact your County Soil &Water Cons ation District for assistance: Warren County 623-3119 7. SJTi 1NS?EC # N. During the processing of this a licationTown PP personnel-may need to visit this site-for the purpose ofirispecfing; measuring and/or photographing site conditions. I authorize town personnel to conduct such a site inspection • yes A no I wish to be contacted prior to any site inspection A yes A no CER 'KPI .ttION I hereby affirm that the information on this form and all attachments submitted herewith is true to the best of my knowledge and belief. As a condition to the issuance of a permit, the applicant accepts full legal responsibility for damage,direct and indirect, or whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the town from suits, actions, damages and costs of every nam and des atlon-resulting-#ram-#h ,_.---- SIGNATURE OF OWNER DATE / SIGNATURE OF AGENT DATE ///3/6 '-INCLUDE WITH THIS POMO: I: A .Site location Map A 'Projectsite;punson 4 X 11 papr iibmtt 4.� anyt .large :t1 .1"-}441.1 A Names and legal t Liriu ly ;Q e::o ,gar: d A Attathrnent A or mapr priOiects Ont A $torinwa +er;C of; orf,fir Major ts:.. A Environmental Assessment Form (for Major roonly). Failure to include any one of the required items will result in an incomplete notice and delay in processing your application_ Permits and approvals may be required from other agencies. .. for town use only LACRAIGTEMPLATESISTWATAPPSITOWN STORMWATER APPL.DOC 11/2000 Page 2 i rte project is appro - as shown on the attached approved plans and subject to the conditions list the attached Sch-: . Approved by on l Z l Z la Permit Epires 12122-(l/oning Administrator ate CON:DrONS OF APPROVAL C �I SG kv / D. l,• D,c ,v r^ t 6 n (� tv/!% leaf 4/6:sr 0( c 20i0 .,, 0.ee, c� 110 f s iffiaA 4 oft-€76. d14 - ATTACHMENT A to Stormwater Management Permit Application ....romp Or appto s-t ._.. . _ tto1,of _r. i, a... i _ _ _..... .. ... . _..._-......_ .. . ;11411!..1.9Y Permit or Approval iPtitte.Applied Date Issued • 'Liao pareeis*t 'fi t::. Tax Parcel Number - Mailing Address • L.1CRAIOITEMPLATE&STWATAPPSITOWN STORMWATER APPLDOC 11/2000 Page 3 E Town of Queensbury Fire Marshal A� � 742 Btiy Road t� Queensbury,NY 12804 761-8245/761-8206 fax 745-4437 Factory Built Wood Burnine Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications I allowed. 3U Permit# I(� " 5'40 Schedule Inspection I d 2 ' Time � am�anytime Inspector v'Y`'1� Name "S Address 11 4-/L,l0 ..) Ivu Rough In Final k Appliance Manufacturer 01/1-0-- c._6rt Model# 5 a 6c) -H 3 Masonry Chimney Factory Built Chimney )( Flue Size I) Double Wall Triple Wall Insulated_ Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Safety Strip Installation(fireplaces only) Firestop(s) Vertical Chase k �D mv)4� Wall Penetration Chimney Clearances to Combustibles X Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air X Hearth Extension �( Mantel(height above f/p opening) -)( Fireplace Doors/Screen(required) Carbon Monoxide Detection White—Building Dept. Yeiloe—Comer Pink—Fire Marshal Town of Quee bury Fire Marshal 11,- O 742 Road ` Queensb iry,NY 12804 761-82 /761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specificatibns is allowed. t 3v Permit# I v 5 4o Schedule Inspection I 1 1 Time I am 6�anytime Inspector ✓Yv-j P Name St:A Q S Address 1 '1 1-1C'2 noN Rough In_Final X Appliance Manufacturer 'Yl Model# 3 0 0 a Direct Vent Factory Built Chimney k Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection �( Clearances to Combustibles(all sides) Firestop(s) Vertical Chase (`n j N'S? 1 S Wall Penetration )( X r Vent Clearances to Combustibles P��-�� Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation r Tank Placement(if LP) CO Detection �( CSST Bonding X White—Building Dept. Yellow—Customer Pink—Fire Marshal Town of Queensbury Fire Marshal 742 Bay Road � /•,�� Qneensbt�,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. 7 / Permit# 11) 3�I ,:)17 Schedule Inspection � ` # Time 4Ir‘/3C./ pm anytime Inspectors 0/6/'c Name S i-A fl S Address ) I-1 Rough In Final Appliance Manufacturer s. St'+L,- Model# S C Masonry Chimney Factory Built Chimney ( Flue Size )) Double Wall Triple Wall Insulated__ Yes No N/A Comments Floor Protection Clearances to Combustibles(all sides) Safety Strip Installation(fireplaces only) t \ Firestop(s) Vertical Chase \.1 L- f Wall Penetration Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension X Mantel(height above f/p opening) X Fireplace Doors/Screen(required) Carbon Monoxide Detection White-Building Dept. Yana-Cusbmer Pink-Fire Marshal y� F 1%I. Town of Queensbury Fire Marshal `0T43742 y Road Queens ,NY 12804 761-8265/761-8206 fax 745-4437 Factory Built Gas Firealale/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. i() - (-1() 4i�/ I / �Permit# pTime ( ) m anytime Inspector6 69171( Name G h Address 1-) Ht-n r\W v11 Rough In_Fina Appliance Manufacturer pivk)ccftIL Model# 30‘) 1 ‘1B. Direct Vent Factory Built Chimney-3C Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection - Clearances to Combustibles(alLu des) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve X Combustion Air Hearth Extension(if any) Mantel Height above Up opening Witness Operation Tank Placement(if LP) CO Detection CSST Bonding White—Building Dept. Yellow—Customer Pink—Fire Marshal Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: i3 L NAME: vreZ LOCATION: l ( 1,44-(45N PERMIT#: 2.0 IC) T40 Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of Community Development. Upon review the survey has . : Craig Brown,Zoning Administrator Notes: 11 (4 64 6110 L:\SueHemingwayCBuilding.Codes.Inspection.FORMSWinat Survey Zoning Administratordoc I5uncleck Above IDock / Iron Pipe Found I �1/0 Lands N/F of ;(Moynihan Lake George Area West of ROW = 0.47± acres 178'± along shoreline as It winds turns. \ �� Lake Elevation 4 June 2010 = 31 9.75' /00' Shor�llne Setback / House Located 7 December 201 ;\ �\ � N35048'00"E 173.73' =,�e F� �� v \ \ (Tie Line Only) \ _ o`� / \IN Found 1 3� Iron Pipe Found Lands N/F of Mason (1420/73) map of an as -built survey for Lube Sears 5 ituiite in Town of Queensbur County of Warren State o New York Scale: I " = 20 feet Date: 7 December GO I 1 r. ovo��t+�ht'�noroorr`o t 5urvey ar d Map by Off' LAA'ri J `� `iii �� • • j a � s `� r "�� • • ASS IATE5 e * veyors Engineers z �- LAKE GE RGE, N1 W YORK 12845 �A° QU: ! 2_3_37 (old) QU: 227.1 7 1 4 (new) 50.0' (939/255) Concrete Monument Q ron Pipe Found 10 > \ `57 J \ \ \ Oji TP #� Gravel Parking Ql , A/C v Generator 25.0' OManhol 100' Shoreline Setback T 030.0' sherd 2A Mank �,S->O �0/ S% Iron Pipe Found /20.0' / 16 o A' O V / �0ti Area East of ROW = 0.50-±- acres IN, / -ii�-/ 30.0' PT # TP , 30.0' .' Q!l0 Propane #1 / 10 Capped Rod Found\ / 0) PT #3 / / °D (5) Puraflo Modules / 4/, \ Installed as per approved / \ plans and certified by \ \ this office. 7/7/11 \ Lands N/F of Mason (I 420/69) Capped Rod Found 00 om' 10.0' nv Map Reference Map of... Luke Sears By: D.L. Dickinson Associates Date: 27 July 2009 Last Revised: 16 December 2010 Iron Pipe Found Lands V of Hoffman ( 1188/ 179) Lands N/F of Wetherbee (986/49) Iron Pipe Found Mappin Notes Note: Only title surveys bearing the maker's embossed seal should be relied upon since other than embossed -seal copies may contain unauthorized and undetectable modifications, deletions, additions, and changes. Unauthorized alteration or addition to a survey map bearing a licensed land surveyor's seal is a violation of section 7209, 5ub-divi5ion2. of the New York State Education Law. Certifications on this boundary survey map signify that the map was prepared in accordance with the current existing Code of Practice for Land Surveys adopted by the New York State Association of Professional Surveyors, Inc. The certification is limited to the persons for whom the boundary survey map is prepared, to the title company. to the governmental agency, and to the lend ng institution listed on this boundary survey map. The certifications hereon are not transferable. The location of underground improvements or encroachments are not always known and often must be estimated. If any underground improvements or encroachments exist or are shown. the improvements or encroachments are not covered by this certificate. Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/pm part: \ am/ m Date Inspectionp request received: Inspector's Initials: NAME: �-4C45 PERMIT*: (7 ''\4 LOCATION: '� 1,-} (Z .J (Zfl DATE: [' .h Ill\ TYPE OF STRUCTURE: t 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/Wind• , n stairwells safety gl- " g Interior Smoke Det;,ors/Carbon Mo' aide detectors Every level: Eve ed Outside every bedroom ea: / Inter Connected: Battery backup: p/ 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 ��-Msf-xf4-e.).1- Floor truss,draft stopping finished basement 1,000 sq.ft. �� Emergency egress below grade A� "ky `� 1 Gas Furnace shut-off within 30 feet or within line of site vv �'1//) Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating ��"`/ v Low water shut-off boiler __/ o 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 Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% f Final Survey Plot Plan ;/ Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding f As Built Septic System/Sewer Dept. Inspection Sticker �J Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O[Tempora /Permanent 4,0/ 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 12 08/2011 10:50 FAX 5186683188 Howland Construction Inc 1002/002 /12/ itf ,11 15:57 5186689380 PAGE 01/01 r--------1—E-----------L.' • FtREPIA4. E "We Keep The Nolte "res : ming" The Fireplace Company,Inc. '_: December 7,2011 2951 Lake Shore Dr. I Lake George,NY 12845 • Howland Construction Attn: Dean Howland 7 Iroquois Street • Lake George,NY 12845 i I 1 To Whom.It May Concern: I I This letter is in response to the question posed about the installation of the safety strip under the fireplace installed in the Sears Residence. The1Fireplace Company,Inc. did install the safety strip as described in the owner's manua i. The strip was installed at the same time we capped the flue pipes. I I . Ai, 4y, I r ,r LoN I, 4 �11 1 Paul S ,, hers1 i i r j i I • i I The replace Company, Inc sporated 2951 Lake Shore Drive ILake George,NY 12845 I I phone: (518)668-9300 I = fax (518)668-9380 s I I 12/07/2011 16:01 5187930602 MAHONEY ALARMS PAGE 01 Lake Placid,NY 12946 518/523-1600 P.O.Box 767-15 Cooper St. Fax 518/7930602 Glens Falls,NY 12801 Mahoney 518(793-7788 Notify-Plus Inc. Plattsburgh, 8/566-91412901 Fax 518/793-0602 www,manonayalarms.com Al a rm s Fax 518(793-0602 December 7, 2011 Mr. Dean Howland Howland Construction 7 Iroquois Street Lake George, NY 12845 Re; Sears Project Harron Hollow Road Queensbury, NY Dear Mr. Howland: This letter will certify completion of the inspection and testing of the fire and carbon monoxide alarm devices at the above referred project At the time of the inspection the fire devices were found to be 100% operational. Testing was completed as per NFPA72. Should you have any questions, please do not hesitate to contact our office. Sincerely, — D. Benjamin Chapman Operations Manager r 9 PilekiitiDennis L. Dickinson, LS/PE A5 SATES S Telephone: Demon T. Dickinson (5 18)668-4676 7 Iroquois Street Lake George, N w York 12845 Facsimile: P.O. Box 388 (5 18)668-4674 Lake George, New York 12645 7 December 2011 Town of Queensbury Building& Codes Department 742 Bay Road Queensbury,New York 12804 RE: Luke Sears Residence 17 Herron Hollow Road QU: 12337 (old) QU: 227.17_1_4 (new) To whom it may concern: I have personally inspected the installation of the Puraflo septic system for the above referenced project. I hereby certify that the system has been installed according to the approved plans, in a workmanlike manner. I have also attached a copy of the certification letter provided by Emmons Pump& Control, Inc., dated 15 July 2011. If you have any questions or would like to discuss this further,please do not hesitate to contact my office. incerely, ( -:'‘ _....„, (,.., Dennis L. Dickinson,PE dtd UP IT, � , PIMP a CUM INC I EMMONS PUMP & CONTROL, INC. 453 NORTH PEARL STREET Albany, NY 12204 PHONE: 518-694-0404 * FAX: 518-694-0405 www.emmonspump.com July 15,2011 D.L. Dickinson Associates 7 Iroquois Street Lake George,New York 12845 Dear Mr. Dickinson, This letter is in reference to the Bord Na Mona(Puraflo)Effluent treatment system installed at the Sears residence, 17 Herron Hollow Road,Queensbury, New York on July 7, 2011. I Robert Carpenter, Sales Representative for Emmons Pump& Control,Inc and Puraflo Product for Eastern N.Y.State was present at the installation and startup of the five (5) module pad drip type filtration system and certify that the system was installed and tested properly by Pat J. Galusha Contracting,34 Pennock Drive, Warrensburg,New York 12885. . Mr. Sears was not present at the time of installation. I presented Pat Galusha with a packet of information on the proper use and maintenance of the Puraflo system. Best Regards, Robert Carpenter cy—f ii,//,--,', / /' , -------t--t,.: _ giK Queensbury Building & Code Enf /cement Residentiainal inspection Office No. (518)761-8256 Arrive: am/pm Depart: p ?mar - /pm Date Inspection request received: Inspector's Initials: f',. NAME: ALL f PERMIT#: 1 _ LOCATION: ` .r a /'-- `/ I , _ • l DATE: r 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 .L. 6r` 6 inch clearance to sill plate t t Gas Valve shut-off exposed/regulator 18 inches above grade T`--QQ1V\•— 1-1/4-3(Wi Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight _.-1 Safety glazing// in stairwells safety g - ing Interior Smoke tectors/Carbon Monoxi• Detectors `" -. ?� 4\k ic 4—e_.—'0Every level: Every Bedr km: r._._ Outside every bedroom rea: dd ( - 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 I Sticker on Panel / !)VQ Duct work sealed properly/Blower Door Test Certification ^) ,- � te < Floor truss,draft stopping finished basement 1,000 sq.ft. �~�° ` Emergency egress below grade (1X 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/' 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 _ Flood Plain Certification,if required Okay to issue C/C or C/0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 t , (Ar i Mh- U- / Z (r - Queensbury But ding & Code Enforcement - Residential F. al Inspection l Office No. (518) 761-8256 Arrive: am/pm Depart:2,11 am/pm Date Inspection request received: Inspector's Initials: NAME: S PERMIT#: /(/f CA.-- l . ` LOCATION: // �,rnL._ 1, � rl DATE: --j- ,f TYPE OF STRUCTURW 455C- -) ' -. ! Comments: Yes NI N/A 4" Building Number Address visible from road / V C/0 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 -QAC-^ ' A 4'-I Guards at stairs,decks,patios more than 30 inches above grade f Guard at stairwell at 34 inches or more 1 I--MV Guard at deck, porches 36 inches or more v Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant / 4/ Grade away from foundation 6 inches with 10 feet Y/ 6 inch clearance to sill plate /� Gas Valve shut-off exposed/regulator 18 inches above grade 'J •�—c2R-�� '- Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing 17 to(rzi-N '�Interior Smoke Detectors/Carbon Monoxide Detectorsi� ! Every level: Every Bedroom: ��,� Outside every bedroom area: - A-A;Z-6 A- �`4�!!` Inter Connected: • Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area /� I- ,� �� / Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents /j/&-- j/ W�' �S Bathroom Fans,if no window / ASt j _ Plumbing fixtures `// Foundation insulation/Insulation Certification/Sticker on Panel 7 Floor truss,draft stopping finished basement 1,000 sq.ft. 7c.. ) ',Ix /I - r -12 15- Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site V / "mac.__ 1 , Oil Furnace shut-off at entrance to furnace area _ Furnace/Hot Water Heater operating Low water shut-off boiler T Vz, �/ 4 _s � ! Relief Valve(s)installed/Heat Trap/Water Temp 110 a/ A _-. Enclosed Stairs Sheetrock Underside minimum W Gypsum !1�--`D i-3 u' Basement stairs closed rise>4 inches ti ✓ ktot "r:"2 -r Garage Floor Pitched Garage fireproofing/%hour fire door I door closer / ,F1*^'` '-f Duct work Sealed properly �✓ ir Gas Logs in Sealed or Glass Enclosure Final Electrical C l .� C) Final Survey Plot Plan *4 Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding V i s �V i � As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance requireddi A- Flood Plain Certification,if re• ' -• ��7 "' Okay to issue C I C or C/0 Q2;0~ 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 INFORMATION R BUILDING DEPARTMENT AND/OR LENDING AGENCY Atlantic-Inland, Inc. is in a process of issuing a Certificate of Compliance for the electrical installation project as covered in an application filed with our main office. Application#: cZ 370(2-? Site Address: /7 •44 .a„>Vi e . 1?-4 42 M� 11/ __)/ Date Electrical Inspector NEW YORK ATLANTIC-INLAND, INC. MAIN OFFICE: (607)753-7118 V - i --/ 7/tur ‘4„i 4,, Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/• '' a.rt:2�'��am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: i PERA .► '' NAME: ! MIT NO.: 1' 0 LOCATION: /-9- few �f/ ,) INSPECT ON: RECHECK: Comments and/or diagram Soil Type. n / Loam/Clay Type of Water: Mun pal/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] A -C-M. -__ Absorption Field: Total length ft. 6 Length of each trench ft. Depth of trenches ft. SizeStone ,�\/( \ ) 1 �r i`""(,�( > Seepage Pits:: Number Size: x Stone Size: -4— Ntn-Aa__K Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit 5/CZ 42t -iAic-)7 Opening Sealed: Y N End Capif N Inlet/Outlet Pipes&Baffles _N Manholes 12"or less below grade _N [provide extension collar if Yes] Y—N \r a� opicILL --w-R___ Location/ Separations P6 —V-2) —CtAlfA2Z35-Z--T Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per PIS Plan .Y Engineer Report and As-Built Y N ETU Maintenance Contract Y_N provided Location on Property: Front Rear Left Side Right Side Middle Front Middle Rear em - .t _. Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspectlon Forms\Septic Irspection Repori`03 29 10.doc c5's d- a o � s Z -Z � o � � 75 LLQ L m I' +1 ` m m m m m / w o •T Y D- V .�. _ _Ln tD na / O os . Lo ! W ` uj N �\� ate. 1 1@ m 1 d 1 16 N M A O ti ff 1 N Rough Plumbing I lnsul is n ction Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/p art: � /_ ,,ice, am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: i • PERMIT#: i" -411111 LOCATION: i 7 1 ;��,-1-- ' c Q INSPECT ON: 4'- TYPE OF STRUCTURE: ZAIII1 Y N N/AI Rough Plumbing/Nail Plates Plumbing Vent I 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 50 P. .Ifo 15 minutes Insulation esidential Check/Commercial Check 'miler 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 COMMENT'S. �`�'- A • ♦ itit,444-5 s Rough Plumbing Insulation Reportrevised Nov 17 2003,revised February 15,2005, revised January 7,2008 / v 7 Framing / Firestopping I on epo • Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart/44A am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 9 p /075-40 art NAME: PERMIT#: .�� _ LOCATION: / �(rz* / /c , 4 INSPECT ON: ACV_ TYPE OF STRUCTURE: Framing I N J 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 'A(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor busses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour -e T - i • sealed 16 inch insulation in cavity min. Garage Fire Separation • House side%inch or 5/8 inch Type X `AJ )tJ-a?(4) GarageCeiside 5/8 l ling/wall Type X Windows Habitable Space Bedrooms 24 In. (H) � — 20 in. (VV) 5.7 sf above/below grade 5.0 sf grade L:16uiiding&Codes Forms-OLDBuNding&CodesUrnpsciion FomtsVramNp Ficestopping Meowdlon Repoitdoc Revised Jemmy 7,2008 Rough Plumbing I Insulation InSpition Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/p Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: _>_cPERMIT#: - ,J ) LOCATION: ; 1;,' E INSPECT ON: '-- TYPE OF STRUCTURE: Y N NIA 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 i Water —4i Piping \2/ 50 P :i for 15 inutes Insulation I R ' ential Check I Commercial Check or ' r Exterior Sealant Proper Vent, Attic Vent Door/Wndow Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape t 4 COMMENTS: ---- CZ,— Rough ,—Rough Plumbing insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation Inspectiori 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 Initials: ( i NAME: PERMIT#: 2.0(0 - 0 LOCATION: t - '�, INSPECT ON: k,‘ TYPE OF STRUCTURE: 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 Pte.-•- = est (1. t 44 "1"4-t - 5 P.S.I. or 10 ft above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head �,2 2� 50 P.S.1 for 15 minutes Insulation/Residential Check/Commercial Check --eZ) 46•44--k-- Tyvek or Similar Exterior Sealant Proper Vent,Attic Vent u Door/Window Sealed (No Insulation) ap Duct/Hot Water Piping Insulation 6 o...0°` If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Qe--1,, 1 Varlickgervii s2.R_A-mvia.9 Ti-orLsA,1/43r6k tAprvre-r- rifer2 AREA Rough Plumbing insulation Report revised Nov 17 2003,revised February 15,2005, revised January 7,2008 / - 3 I;Jettitke&.5_ Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: t-2-5m/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: . 4 6 NAME: Sea/r3 PERMIT S.: LOCATION: /?- ��+�� Ho f el.. INSPECT ON: Ag9/.. 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] Absorption Field: Total length ft. Length of each trench ■ ft. Depth of trenches 'll►i '� Size of Stone �. Seepage Pits: Number Size: x _. -4'1C-- Ccc)—TD Stone Size: Piping 4z4Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y N VC5r? End Cap N Inlet/Outlet Pipes&Baffles Y N Manholes 12"or less below grade _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 Engineer Report and As-Built Y N ETU Maintenance Contract Y_N provided Location of System on Property: Front Rea Left Side Right Side Middle Front Middle Rear stem 47S .t • :•$L. ;. Vt Partial Approved a --0 to be re-inspected, please call the Building &Codes Office • • _. L:\Pam Whiiting\2010\Building Codes Forms\Inspecdon Fomis\Septic Inspection Report_03 29 10.doc 1176‘,/�/'I '4'5 ..14111_11 011%i Town of Queensbury Fire Marshal ''k / ,C '-7 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# ��/ iJ 9t. Schedule Inspections/i 7``/ Time I Z. /J anOanytime Inspector 1/ �l � Name 5(i9/2i Address //71494 itti,4; Rough Inn Final_ Appliance Manufacturer ,47I4// c71� Model# 300 27th,/ Direct Vent Factory Built Chimney/ Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments ff- Floor Protection Clearances to Combustibles (all sides) V Firestop(s) Vertical Chase Wall Penetration 1/ Vent Clearances to Combustibles V Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) ✓ ' Mantel X Ste' fi' 14441 Height above f/p opening Witness Operation Tank Placement(if LP) CO Detection CSST Bonding White—Building Dept. Yellow—Cust Amer Pink—Fire Marshal (fes j s &*) /D—/Z -7/7-e; Town of Queensbury Fire Marshal Fos 742 Bay Road � , Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifictions is allowed. .� / Permit# ' ' V1/ Time /V' am Inspector L Schedule Inspection 5-/7- � n Ytime Ins P Name. Address /7 I/e(b-.. 1! _) Rough Is/ Final_ Appliance Manufacturer Y ''`ift*st Model# yam' VAde Direct Vent Factory Built Chimney ,Y Flue Size (J 4' Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection *2-#112 kaPn- Clearances to Combustibles(all sides) Firestop(s) Vertical Chase` Wall Penetra on Vent Clearances to Combustibles Vent/Chimney Termination029iL,,l Chimney height must be 3 feet above roof f- g penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) ��LL L ` Mantel J U ,( f,isi /1 L Height above f/ opening g P Pe g Witness Operation 1/ Tank Placement(if LP) CO Detection CSST Bonding V White—Building Dept. Yello —Customer Pink—Fire Marshal (4c,. is hJ r) /0 -12 /hiesc4_, Town of Queensbury Fire Marshal � � 742 Bay Road 1 Queensbury,/ N12804 761-8205/7614206 fax 745-4437 Factory Built Wood Burning Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructionnsor specifications is allowed. gS____ Permit it /& 540 Schedule Inspection - -P g Time am pm ytime inspector Address17-- 7- kfT I Dt + • Fines Name ( � / T �!v C�1•�. �a ! Rough Appliance Manufacturer Milj eAV-i 4d Model# 5i1��4 Masonry Chimney Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles(all sides) . 5f4tif-p 1;g& JJ/ Safety Strip Installation(fireplaces only) /��r.A-( �Z/ -�G�� ho* Firestop(s) Vertical Chase?e‘ /10/ Wall Penetration Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration;2 feet above w/ any combustible construction within 10 feet / {, cker rod. �,L // *? M4lQTS Combustion Air f fp k ft`s t s-A Hearth Extension Mantel(height above f/p opening) Fireplace Doors/Screen(required) White—Buildlag Dept. Yellow—Comer Pick—Fire Marshal inRou h PlumbingI Insulation sPecton r po Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: �. PERMIT#: LOCATION: ,!�; ,iC ,;!11/ . E: INSPECT ON: - „� TYPE OF STRUCTURE: Y /N NIA Roug Plumbing/ =it Plates Plumb - Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test qetii2.6 Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test O � ,c e"' 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 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/p Depart: f-jv� r'am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: r L` SCC NAME: " -j PERMIT*: ".C, C) - 54 LOCATION: \`k .0 3 INSPECT ON: TYPE OF STRUCTURE: r 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 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: 2441) Ob-c_. & - C- Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 lL Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: LVZS2l Queensbury Building&Code Enforcement Arrive: am/pmm d, Depart. am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials • NAME: 5 Y9 7 PERMIT#: /0 -5 ` U LOCATION: ) W civ-) I- //c; ' ,2--1 INSPECT ON: —77-7'7/ TYPE OF STRUCTURE: . r5?1/4.) y_MA COMMENTS: taming Attic Access 22" x 30" minimum Jack Studs/Headers V - I ;5S Bracing/aging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed property 12"O.C. Headroom 6 ft. 8 in. C'"")(Stair'we 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 6(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side IA 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:Sullding&Codes Forms-OLD13uNdin &Codessnspection FonneVnening Firestopping Inspecbon Repo tdoc Reseed January 7,2008 `7 // /go cf Clef- Foundation Inspection Report G 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: 6NAME: PERMIT#: l(/ �� 0 LOCATION: /7 �� 4 ��,� 1 INSPECT ON: / TYPE OF STRUCTURE: Comments Y N N,�A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wailpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or um Footing Drain Stone: 12 inch width s I. above footing 6 mil po for wet areas under slab Backfill A y'royal • bing 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 Office No.(518)761-8256 Date Inspection request receive{: I i Queensbury Building 8e Code Enforcement Arrive: am/pm Depart: . am/' 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: A ') NAME: cam' S PERMIT#: 10 ,,s--yo LOCATION: (--(-01,(ow g,fb INSPECT ON: //r2 ( 4 TYPE OF STRUCTURE: ej. ) ` l jj Comments I 11 MA 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. r . Materials for this • • :- on site. ormdation/Wailpour 2^ cr,fL f Reinforcement in Place Footing Dowels or Keyway in place 2 , A 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:�uilding&Codes Forms\Buiiding&Codesunspectlon FormsWoundation Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM ) Mfr Foundation Inspection Repo 1� P Office No.(518)761-8256 Date Ins 'o- st ed: Queensbury Building&Code Enforcement Arrive: . • 1,� �w' Depart: am/pm 742 BayRd.,Queensbury,Q bury,NY 12804 Inspecto 's , . s. NAME: 5_%1L " PERMIT#: /(2 LOCATION: y />> , r /'T 1��..: INSPECT ON: / — — TYPE OF STRUCTURE: Con}mentt Footings Piers ' 4 Monolithic Slab Reinforcement in Place — 4f 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 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\Bulding&Codes\Inspectlon Forms\Foundation Inspection Repork.doc Last printed 12/20/2005 9:24:00 AM 1 -3 747ors,&,,,, Foundation Inspection Report Office No.(518)761-8256 Queensbury Building&Code Enforcement Date Inspection request received: 742 Ba Rd. Arrive: an 1pm Depart:U a�m/pm y ,Queensbury,NY 12804 Inspector's Initials: �(� NAME: � f - NAME: PERMIT#: LOCATION: p �Z'r73k "� INSPECT ON: /_20 TYPE OF STRUCTURE: Comments Footings Y N N/A 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 . p t ,. = on site. r Foundatio /Wallpour Reinforcement in Place c Footing Dowels or K J �` - Keyway in place (r.. Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil .►1 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 For ms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM