2010-149 eiltak TOWN OF QUEENSBURY
to
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
Q ury,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100149 Date Issued: Monday, December 19, 2011
This is to certify that work requested to be done as shown by Permit Number P20100149
has been completed.
Location: 60 BLIND ROCK Rd
Tax Map Number: 523400-296-007-0001-014-000-0000
Owner: PETER M SANKEY
Applicant: PETER SANKEY
This structure may be occupied as a:
Garage Attached By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
,f) 4 / I
Issuance of this Certificate of Occupancy DOES NOT relieve the property ¢1 l +s,r
owner of the responsibility for compliance with Site Plan,Variance, or "' `'v' 1/4/_ '
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 QUIEENSBURY
` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
0
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100149 Application Number. A20100149
Tax Map No: 523400-296-007-0001-014-000-0000
Permission is hereby granted to: PETER SANKEY
For property located at: 60 BLIND ROCK 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: RICHARD &DEBRA MCNAIRY
56 BLIND ROCK Rd Garage Attached
PO BOX 4132 Single Family Dwelling $155,000.00
QUEENSBURY,NY 12804-0000 Total Value $155,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-149
3320 sq ft single family dwelling& 1080 sq ft garage
$506.40 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, May 05,2011
(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 To of ensb a 1." • : May 05,2010
1
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
_ ,,
C'c .,7 1 h OFFICE USE ONLY r
!66TAX(44 NO. PERMIT NO. /6' //I
7 . )3
?u-10 PERMIT RECREATION ? ENGINEERING
(If applicable)
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:IT+ 1.-- OWNER:
ADDRESS: (cA C TfAC.U5 ' &ceJ54-LA ADDRESS:
PHONE NOS. 578-Z.52,- fJ (-7 PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:
PHONE:
LOCATION OF PROPERTY: (?O &«D Boat RD. uJ o ( )k-1 � 8
` � I
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES )gcNO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z cc d tb O F- .2
PROJECT 0 ¢ 0 (f) O co
0 1=
0 LFEI -J LL
Z 0 ¢ � 0 z 0 i-- i-- Q OI-- Qc CL w - ce
N (n OIL s, I— LL 0- i0tS
SINGLE FAMILY
V.
(915 332_0 1 r t11 3;005- 1°80 *>141Q 2Ct—4
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
ETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED v IC
GARAGE(1,2,3) ff ,,
OTHER
I
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS:
ft I ESTIMATED CONSTRUCTION COST: 5si COO FUEL TYPE: GAS
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? PO
ARE THERE EASEMENTS ON PROPERTY? )30
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 re-. ;Ind agree the above.
-. . -
Signed i c
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:
l„4
-72//
B . WING & COD. APPRO AL ZONING APPROVAL
D DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(aqueensbury.net
Office Use Only
OFFICE USE ONLY
TAX MAP NO. , (U 1!U]
PERMIT NO. 2 / ERMIT 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: Pel Ll�
INSTALLER: Gcai 134-1-a66-
ADDRESS: bA k jj�; 5T: (,,. �/i ADDRESS: of G I M h-0 6/(I )5 au"((
PHONE NOS. 5/8 Z32.40/ PHONE NOS.$78 — 150
t
LOCATION OF INSTALLATION: 610 t3G(P Rt) £uCW.Js ,id
YEAR BUILT NO.OF tf�. RESIDENCE INFORMATION:
BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW
1980 or older X 150 gallon per bedroom = - GARBAGE GRININSTALLED?INSTALLED? /LJQ
1981 -1991 X 130 gallon per bedroom =
1992-present SPA OR HOT TUB„
X 110 gallon per bedroom = 4/90 INSTALLED? YC5
PARCEL INFORMATION:
✓ TOPOGRAPHY: Flat rolling Steep slope %Slope /Q pp
✓ SOIL NATURE: Sand Loam Clay Other
✓ GROUNDWATER: At what depth? (POW > I
✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? OPKOOW4
✓ DOMESTIC WATER SUPLY: Municipal V Well (If well: Water supply from any septic
system absorption is ft.)
✓ PERCOLATION TEST: Rate is /. 25- minutes per inch [MPI]
(Test to be completed by a licensed professional engineer or architect.)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by
a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision).
TANK SIZE: /5SOt 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: �/
El ABSORPTION FIELD (WITH NO. 2 STONE) Total length Z4/0 0 ft. Each trench 6)0 X `T/
❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size?
❑ ALTERNATIVE SYSTEM Bed or other type?
❑ 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.
ZeVC) -- H-7
APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS
Application is hereby made to the Building &Codes Office for the issuance of
Buir winging &aUse
eeP er ciomply
t
pursuant to the New York State Fire Prevention &Building Code. The app
with all applicable laws, ordinances,regulations, and all conditions that are part of these requirements and
also will allow all inspectors to enter premises to perform required inspections.
IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED.
OWNER: PIGCar... SAN� -, `��
'`�•_ "INSTALLER/BUILDER:NSTALLER/BUILDER:C., `/��"`��
VA. 6 4J nw' ADDRESS:
ADDRESS: im�}} (�,/'� �J
PHONE NOS. 6I8*-Z32--GOk/ p PHONE NOS.
LOCATION OF PROPERTY: .0
i P. uK�'1 O r. + - v ' -UBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 6F'CJ'7 g4, IR
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:
PHONE:
FUEL BURNING APPLIANCE GAS OIL
1( FUEL COAL PELLET
INFORMATION
STOVE • -
FIREPLACE INSERT V
FIREPLACE,FACTORY BUILT* .
FIREPLACE,MASONRY
FURNACE(GARAGE ONLY)
*IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME:OLIWOUJO Pa I�LS-CtMt MODEL NO.
LISTED BY:
NUMBER: QUESTIONS?
CALL 761-8205 or 761-8206
STONE OR EMAIL:
CHIMNEY INFORMATION BLOCK BRICK =.'.__ _.A-,f;,ueenib_ ;,y.rte+
MASONRY** CHECK ONE V. VISIT OUR WEBSITE
SIZE IN FOR MORE INFORMATION
TILE STEEL INCHES '' :is=1`:: 2D1,..n1
FLUE CHECK ONE ✓
CHIMNEY
DOUBLE TRIPLE WALL INSULATED DIRECT VENT LINER
WALL
CHIMNEY MATERIAL CHECK ONE ✓
**IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME:
MODEL NO.
N&BUILDING CODE
NOTE: CONSTRUCTION/INSTALQU REMENTS. CONSULTLATION MUST CONFORM TO NYS FIRE AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED ND/OR
MANUFACTURERS REQUIREMENTS.
INSPECTIONS.
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: Z. ( \
NAME:
LOCATION: lQ 0 P
PERMIT#: ?01.0 4c-c
Final Survey Plot Plan
A_ pproved Denied
The attached final
survey has been
received by the
Dept.of
Community
Development.
Upon review the
survey has been:
Craig rown,Zoning Administrator
Notes:
op
L:\SueHemingway\Bui121ing.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
Pir /o tz_ Mo
Queensbury Building & Code Enforcement - Resid tial Final Inspection
ht ice No. (518) 761-8256 Arrive: am/ m Depart:'l t<<-� am/pm
Date Inspection request received: Inspector's Initials:
NAME: c PERMIT#: /°'—iii 7
LOCATION: 6f1 et/,. �io�.�"c✓ DATE: /2-`7 7(
TYPE OF STRUCTURE:
Comments:
Ye- No N/A
4" Building Number Address visible from road >f
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 iet
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 /�.l'�
Grade away from foundation 6 inches with 10 feet (/
6 inch clearance to sill plate ✓ 5-c q/Ati
Gas Valve shut-off exposed/regulator 18 inches above grade l// �,
Interior privacy/trim/doors/main entrance 36 inches ✓ 017/AL)
Bathroom/Kitchen watertight
Safety glazing/Win.• in stairwells safety glazing O <, �4. r Q
Interior Smoke 11- ors/Carbon Mpnoxidq/betectors �� 1
Every level: Every Bedrogfn: v/
Outside every bedroom yr
y/
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 71
Bathroom Fans,if no window Y
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft. + ,
Emergency egress below grade ✓�
Gas Furnace shut-off within 30 feet or within line of site /
Oil Furnace shut-off at entrance to furnace area 4/
Fumace/Hot Water Heater operating Y
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% V
Final Survey Plot Plan
/r i
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles /
Flex Gas Pipe Bonding ✓ /
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance requiredI.7
Flood Plain Certification,if required
Okay to issue C I C or C I 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,Revised 04/13/11
IT\ ,S-/U filo r - 0-..�'e c ( �cii-/� <
Queensbury Bui' AO S Code Enforcement - Residiai Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart: m/pm
Date Inspection request received: Inspector's Initials:
NAME: .56 - . PERMIT#: ' I/-
LOCATION: é C' 13 . /4 P ..mi DATE:
TYPE OF STRUCTURE:
Comments:
Xs Me Wit
4" Building Number Address visible from road /
Chimney Height/"B"Vent/Direct Vent Location ,/
Fresh Air Intake J
3 inch Plumbing Vent through roof minimum 8 inches
Roof C. • - ,- /Exterior Finish Corn.ete A A
Platform at all exterior doors rVi
Handrail 4 or more risers Milli
Guards at stairs,decks,patios more than 30 inches above •radeAWA
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interbr/Exterior Railings 34 inches to 38 inches r' it
Deck Bra. • /Handica• -.. Ram• Com•tient /
Grade awa from foundation 6 inches with 10 feet 11111112R/� !!
8 inch clearance to sill plate IMAM 1 `-'1\'L$
Gas Valve shut-off exposed/re.uiator 18 inches above ,rade 111I/111111�
Interior privacy I him I doors/main entrance 36 inches �n� / :�, i) t c L j�
Bathroom/Kitchen watertight ( � ,
Safety glazing/Window in stairwells safety lazing
Interior Smoke Detectors/Carbon Monoxide Detectors ��
Every level: Every Bedroom: ' -
Outside every bedroom area: i/tf
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches = .ht in accessible area II TS
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 -•.ft.vents 111111P311111111V/
Bathroom fixtures if o window 111151111 if,
eon • 4-z4m Q
Foundation insulation I Insulation Certification � ��
Floor truss,draft stopping finished basement 1,000 sg.ft. 6.7 L>p 4l ) A 4
E = .;:1,,u -,ress below ,rade � -�
Gas Furnace shut-off within 30 feet or within line of site —i a
Oil Furnace shut-off at entrance to furnace area IN (' c �� ) A,'
Fumace/Hot Water Heater operating 1`
Low water shut-off boiler –
Relief Vaive(s)installed 1 Heat Trap/Water Temp 110
Enclosed Stairs Sheetrodc Underside minimum'r4'Gypsum 1 (;;) .. ;,4 (Z,J -‘1"S *ver.
Basement stairs dosed rise>4 inchestk y
Garage Floor Pitched (> -- > - ayZ
Garage fireproofing/° hour fire door/door closer
Duct work Sealed propel/ II/II6D. w .
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Sun,- Plot Plan A/*. Irc., u M-011
Arc Fault Breaker in Bedrooms TV - v f Y'"`–
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker 1/1.1
Site Plan 1 Variance required
Flood Plain Certification if -:•u��='•�. EWA
Okay to issue C I C or C l • emporary/ •ermanent I W,
L:\Buiiding&Codes Forms\Building&Codes\nspection Forms%Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
ri _„__3 Queensbury Building.& Code Enforcement - Resider Final Inspection
ANo. (518)761-8256 Arrive: am/pm Depa . /pm
Date Inspection request received' Inspector's Initials: ,/k, (.....,....D.,,,,,:Th
NAME: _�1-=.("- 1 1, , PERMIT#: /r.)-/7
LOCATION: ..1 s:.. DATE: /2 -13 -7c)
TYPE OF STRUC URE: __.___
Comments:
, / tom
4" Budding Number Address visible from road V �-i
7/2, `—`f/ 1"
Chi , Hei.M/'B'Vent/Direct Vent Location I I 1
Fresh Air Intake
IMEN
yo c'/t o /1 yOLY-7
3 inch Plumbing Vent through roof minimum 6 inches
Roof Co • - /Exterior Finish Com•ete GLC
Platform at all exterior doors �1M�
Handrail 4 or more risers c`
~ ' / 7 .
Guards at stairs,decks,patios more than 30 inches above •rade �
Guard at stairwell at 34 inches or more ■Rill __________---------,
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or WallA/eft
Interior/Exterior Railings 34 Inches to 38 inches ��j A . —
Deck : /Handica..-. Ram' Com..,nt Mali
,r Grade away from foundation 6 inches with 10 feet
8 inch clearance to sill plate _
Gas Valve shut-off exposed/rejulator 18 inches above .rade IMPAI . 1'1,--4--bit- bk•P
Interior privacy/trim/doors I main entrance 36 inches
Bathroom/Kitchen watertightgin ......„----
Sa : 41 • /Window in stairwells safe .I, 4 . 2 _ 1 r�
Interior Smoke Detectors I Carbon Monoxide Detectors
Every level: Every Bedroom: )Vic,
Outside every bedroom area: IIIrN �"�v'I
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches e•ht in accessible area
Crawl Spaces 18 inch x 24 inch access, l sq.ft.-150 -..ft.vents 01't'/
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site 49 :r.
ON Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating t\-54---E-
Relief
water shut-off boiler Ak -1 t
Relief Valve(s)Installed I Heat Trap/Water Temp 110 ENO
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs dosed rise>4 inches .c____
Garage Floor Pitched INIIINE111111
Gars.- fi -•roofi • /%hour fire door/door doser X11,4/.'
Duct work Sealed properly EIPJ1111
Gas •. in Sealed or Glass Enclosure
Final Electrical 100.211111
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms Ell
Flex Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan I Variance required
Flood Plain Certfication�if requiredi
Okay to issue C/C or C/O[Temporary/Permanent] pr
LABuilding&Codes Forms\Building&Codes\lnspection Forms\Residentiai Final Inspection Form_revised 100405.doc;Revised
January 7,2008;Revised 6/26/08
Tow.of Qneeasitnry Fire Marshal
4 � 742 Bay Road
Omni6ary,NY 12804
761-52051761-8206
fax 745-4437
Factory Boat Gas Fireplace/Stove Inspection Report
Notice:New York State resin' es that all IJI.Listed,factory built apptianoes he installed according to the inions and
specifications eo.taoed in the Iasta/:tion Mammal accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is'Bowed.
Den*# /o 'I � Schedule I.spectioa t v 1-1-1 Time 11-3° ampm anytisae Inspector
dame Ai . —fir Address(� 6LI,,G� a IC[_'& Bough Irk Final
1pptiaace Massfacturorij -�/ZA5 -.F-f 1 I Modd#
Bract vent /� Factory Bs&Chimney ?(Fb.e uch Doable WallerTriple WaN Insted/ Yes No N/A Comments
Floor Protection
Clearances to Combustibles(all sides) ►
FSrestop(s) vertical Chase ` 1
West hadration (-)
Vent Clearances to Combustibles
Vent/Chimney Termination
Chmey heist mast be 3 feet above roof
pe etraiiou;2 fat above any eembs.Rible
construed's within 10 feet
Gas Shut-Off Valve x
Combustion Air
-21IN� 4-) L11;11/-11
Hearth Extension(if any)
Mantel
Height abovelipopening C6) 1 N'
Wham Operation c -7-
Tank Placement(if LP)
White-Baiikg D . Yaw-Cos tsser tisk-Fine Mandl
110111,
Town of Queensbury Fire Marshal
tc1 742 Bay Road s
Queensbury,NY 12804
761-8205/761-8206 (93/ 7
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.
pcI /c:/ i u t S n
Permit# 1 , i Schedule Inspection �/ Time am pJanytime Inspector f
Name an C',� rs✓t Address 620 hn dU( a l) RoughInX Final_
Appliance Manufacturer - i -a'r? - Model# e Li Lf
Direct Vent Factory Built Chimney A. Flue Size L, ,
Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase _ 6T i t t t-1 c r 0 `1' A +
Wall Penetration k „, c 1 f' b cx4o PP if 4 Tf'
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve )(
Combustion Air
Hearth Extension(if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
CO Detection X
CSST Bonding �(
White—Building Dept. Yellow—Customer Pink—Fire Marshal
i /VC
Rough Plumbing I Insulation inspetiion Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: it i V am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's initials:/�' I
NAME: , PERMIT#: A /4
LOCATION: t C 13) )s K INSPECT ON: /67-/a -
TYPE
'(7--/a -TYPE OF STRUCTURE:
Y N N/A [', i TI AL •
Rough Plumbing/Nail Plates - ("ve��
Plumbing Vent/Vents in Place ���c
1 %inch minimum Drain Size ' `' �
Washing Machine Drain 2 inch minimum there_
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.S.I r 15 minutes
nsulation Residential Check/Commercial Check ,
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
/o --/2 .
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: 1 am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: /
NAME: PERMIT#: /0 / 7
LOCATION: INSPECT ON: /)
TYPE OF STRUC �
Comment
Y / N NA
Footings 111111111111111111111111111 11111 -2
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 . •• :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 nil!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:\Budding&Codes Forms\Building&Codes\Inspectlon Fortes\Foundation Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
cT es-A--
Rough h PlumbingI Insulation Inspection Report'
Office No. (518) 761-8256 Date Inspection request received: a L% C�
Queensbury Building &Code Enforcement Arrive: am/pm Depart: * a pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 6
•
NAME: - A / PERMIT#: Zv/
LOCATION: G' ) , .- r 1- INSPECT ON: ,j/C1
TYPE OF STRUCTURE: 4S-°1)
Y N NIA
$ ouh 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
P = • -
ater Supply Pipi •
7
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
9®
} Town of Queensbury Fire Marshal
vs —
X31 IIV742 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
/1Gj instructions orspecificationsis allowed. ,�y
Permit# gala.l` / Sched7,eule Inspection %/27 /(1 Time am m anytime Inspector v*�
Name 4Q(./ .54c1 f��'✓ Address 0 Z/P1sL ! Rough Iu inal_
Appliance Manufacturer �/ ,, Ir ._ �� Model# 61641
Direct Vent Factory Built Chimney /Flue Size f Double Wall Triple Wall Insulated
/� Yes No N/A Comments
Floor Protection X
Clearances to Combustibles(all sides) )( ,
Firestop(s) Vertical Chase)( �"�'� -)V /)t/
Wall Penetration Pe
t i 0/02,46 Cel L„R, fri Off )
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 �>
4 .
Gas Shut-Off Valve � r.9 - j 41/1 " 4i,
Combustion Air
a _
7—/ vilz Chi ' ', Z
Hearth Extension (if any) X
Mantel )( •-` Ai /04411,
Height above f/p opening ,----
Witness Operation
Tank Placement(if LP)
)1/4" .
' %.../peN/1 .--(p 6?"4,6
CO Detection >,,x
CSST Bonding )/
White—Building Dept. Yelloi—/Customer Pink—Fire Marshal
Rough PlumbingI Insulati�nlns ection Rep ort
9 P Rep
orf
No. (518)761-8256 Date Inspection request received: 9/i 71/0
Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:eit,„ 775
NAME: 9A-ivPERMIT#: Z„0
y
LOCATION: LQ t 3 I c r\ d (mac/- (2-1 _ INSPECT ON: ` /7//l�
TYPE OF STRUCTURE: 51;1
Y flit/ NIA J
tilough Plumbing/Nail Plates
Plumbing Vent/Vents in PlaceN./
1 34 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 I Window Sealed (No Insulation)
Duct I Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS: enc5V43°C
//1(5 cN)-g.-"Cri)_4.17t- cS1-55
Rough Plumbing Insulation Reportrevised Nov 17 2003,revised February 15,2005, revised January 7,2008
(0 S--e
Framing / Firestopping Ins ( —
Office No. (518)761-8256 Date Inspection request received: 7/l 7//O
Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector'sIni ials:
NAME: S/) l PERMIT#: /6' LI
LOCATION: (n 0 1st c-4 - ( ) INSPECT ON: /
TYPE OF STRUCTURE:
COMMENTS:
gaming
Attic Access 22"x30" minimum
Jack Studs/Headers V Bracing/Bridging t/
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 naps each sift
Draft stopping 1,000 sq. ft. floor busses
Anchor Bolts 6 ft. or lesson center
Ice and water shield 24 inches from wail
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
Horse side 6 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:\Buuildkp&Codes Forms-OLDABuilding&Codesanapection FonnsVFrarning Firestopping Inspection Rsport.doc Revised January 7,2008
7.
Framing / Firestopping Inspection -eport
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depa am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initial
NAME: PERMIT#:
LOCATION: t7) Eir-kolpocic INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in. •
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 6(w) 16 gauge (8) 16D nails each side
Draft :..- • •'ng 1,000 sq. ft. floor trusses
• Bolts ; • or less on center •
I«: and water s =kl 24 inches from wall
Fi : _,• - on 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cav' 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:\Building&Codes Fortes-OLDrBuuiding&CodesYnspedion Forms\Framing Firestopping inspection Report.doc Revised January 7,2008
I -/t) -?-id,L.,,
Foundation Inspection Report
Office No.(518)761-8256 Date i •- 'on -•U. - rece., : _
Queensbury Building&Code Enforcement Arrive: a: fm •- tart: 'W 1 : .t .in
742 Bay Rd.,Queensbury,NY 12804 Inspector's Inti: s- 4
NAME: C 1 L _ PERMIT#: /0. /4'7
LOCATION: C • - `, Wer INSPECT ON: _____6___25:__--
___6 _ _"–
TYPE OF STRUCTURE:
Comments
z ‘1 VEC__--S- `\o 1,
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
e...orcement in Place
0 J o
•*s g Dowels or KeywayDampproofmg in place
dation
'oundation Waterproofing
Footing Drain Daylight or Sump
F• eting Drain Stone:
011 12 inch width
ches above footing
- —6 mi ..ly for wet areas under slab
Backfill A.proval
' . ..b'i _ nder Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Buliding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
(L - qpiet
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection ; (o a am"
Queensbury Building&Code Enforcement Arrive: 2-°c ID 8 Dep : ;7 pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's hitt. I.:. 017A_
•
NAME: : CL-� "E'4 I T#:
LOCATION: (s,Q / Li , . 11 SPECT ON: , fin , • t o
TYPE OF STRUCTURE:
brfil
Comments /
Y N N/A
Footings
Piers ( "
Monolithic Slab f J\!
171
Reinforcement in Place
The contractor is responsible for C\--'
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 Dampproofng
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
Plunlbing Under
ast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Vedke,V7
Foundation Inspection Report
la
Office No.(518)761-8256 Date In ti uest received:
Queensbury Building&Code Enforcement Arrive: 1 � P part: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspec is Initials:
NAME: "Si& P� PERMIT#: /0 .
LOCATION: O /pi, K r,r)r fr leaf INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N NA
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 = • is .urpo on site. _
Foundation Wallpour
Reinforcement m • :T
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 po t areas under slab
B: . . 4 pproval
PI ,.• •ing Under Slab n e r �6
- ,l� a
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
/O—JZ fry
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart:/5
pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: (--- -1111.--Oki PERMIT#: /014 7
LOCATION: j0 ;r1fok INSPECT ON: 6 -I n
TYPE OF STRUCTURE:
Comment
Y N L ErCLS+- 13 a'te
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 p on site.
Foundation/Wallpour �
Reinforcement in Place d t�L ,5 601 ,y
Footing Dowels or Keyway in place
Foundation Dampproofmg JI 44
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecs: \
NAME: liPi)k6PERMIT#: /72
LOCATION: &/x,'h /ex"( ,9 INSPECT ON: 6e/it O
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 7f the concrete.
Materials for this purpose on site.
oundation/Wallpour
Reinf.. - a' - a ' Place
Footing s•wels o Keyway in place ,
Foundah• , I, la ,proofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
We4
L
Foundation Inspection Report
Office No.(518)761-8256 Date Ins on request received: (' 7 /0
Queensbury Building&Code Enforcement Arrive:/' " v am/pm Dep : am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: J�
NAME:
d -SGr'f d� PERMIT#:
LOCATION: 2621.v INSPECT ON: .Dv, /G
TYPE OF STRUCTURE:
Comments
y N NL
Footings
Monolithic Slab
Reinforcement in Place z
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 ureas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
,__ _ 130......_
Septic Inspection Report
Office No. (518) 761-8256 Date Ins iol uest received: J D 4. '34) 1°
Queensbury Building&Code Enforcement Arrive: !(J am/pm rt: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: 4. ''j PERMIT NO.: (
-9f
LOCATION: V) &;,ci_–.J 0c.L <� INSPECT ON: •J0 2-Di
RECHECK:
Comments and/or diagram
Soil T Loam/Clay
Type of Wat : Munici- 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 'Z, ft.
Length of each trench ft.
Depth of trenches # V ft.
Size of Stone --7.--,
Seepage Pits: Number
Size: x
Stone Size:
Piping Siz Type
Building to tank -t.1,
Tank to Distribution Box a
Distribution Box to Field/ Pit .‘
Opening Sealed: T N
End Cap N -%)‹.
Inlet/Outlet Pipes&Baffles N
Manholes 12"or less below grade ti _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 Property:
Front Rea Left Side) Right Side Middle Front Middle Rear
System Use Statu :
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Repoi 03 29 10.doc
- . av1 • 0y33
Queensbury Building & Code Enforcement -• I - 3 ir',--la idential Final Inspection
Office No. (518) 761-8256 Arrive: 1.14) am/Em Depart: am/pm
Date Inspection request received: Inspector's Initials: Pik
NAME: PERMIT#: ,i'l7
�,LOCATION: ,7 L/,hJ R e DATE: /— /()
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road � G 0Chimney Height/"B"Vent/Direct Vent Location / !!! /
Fresh Air Intake V,
3 inch Plumbing Vent through roof minimum 18 inches V
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers ,p
Guards at stairs,decks,patios more than 30 inches above grade Vz- Ali,- ¢‘ ,
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more V
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 JJ
6 inch clearance to sill plate V:,. —FP%IS 4 b ate 4�a.X`ti La
Gas Valve shut-off exposed/regulator 18 inches above grade ►
Interior privacy/trim/doors/main entrance 36 inches V
II/ 1;7"Bathroom/Kitchen watertight ✓ —11.011.11
Safety glazing/Window in stairwells safety glazing V
Interior Smoke Defectors I Carbon Monoxides Detectors
Every level: V Every Bedro : r/
Outside every bedroo�ea: /
Inter Connected: Battery backup: �/
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area ./ ,_KhlJlr cis, /X X(-
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents /
Bathroom Fans,if no window ✓ /
Plumbing fixtures V/ T / // ''T_ 6
Foundation insulation I Insulation Certification/Sticker on Panel ,/ — > .' �Jh 4 / 11 lhn� t�+-�S
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 / �4s11 /(�lic� f%tly� ppb
Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum �/}}/ l
Basement stairs closed rise>4 inches _ A si. h.(,/�«
Garage Floor Pitched i.. � �
Garage fireproofing 1%hour fire door/door loser V T- rel,4 k F; Det- .4 "^
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure ,. ~f=�`- S `i�'
Final Electrical V / _
Final Survey Plot Plan J ✓ f id4 '%Z,Je>„x.1 I ./�
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles 1 I'"
Flex Gas Pipe Bonding /
As Built Septic System/Sewer Dept. Inspection Sticker Y / PrOa1/10.- �n4/1,,-v,
Site Plan /Variance required 1J/ `y
Flood Plain Certification,if re ✓ i l,t� t`s �•ti t f �
Okay to issue C/C or C/0 pora 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