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2010-373 TOWN OF QUEENSBURY w 742 BayRoad,Queensbury,NY ��� Q ury, 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20100373 Date Issued: Monday, September 12, 2011 This is to certify that work requested to be done as shown by Permit Number P20100373 has been completed. Location: 39 BARDIN Dr Tax Map Number: 523400-316-013-0001-012-000-0000 Owner: DANIEL & KELLY BARDIN Applicant: DANIEL & KELLY BARDIN This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the �4 t ,.,.� property P tY P } +ter V / owner of the responsibility for compliance with Site Plan, �:., t' � •` Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY wi 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100373 Application Number. A20100373 Tax Map No: 523400-316-013-0001-012-000-0000 Permission is hereby granted to: DANIEL&KELLY BARDIN For property located at: 39 BARDIN Dr in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: DANIEL&KELLY BARDIN Fireplace 16 BARDIN Dr Garage Attached QUEENSBURY,NY 12804-0000 Single Family Dwelling $200,000.00 Total Value $200,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-373 2416 sq ft single family dwelling 863 sq ft garage and 1 fireplace $376.22 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,August 19,2011 (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 Town off,QueQnsbury; Thursday,August 19, 2010 SIGNED BY f.° 1 0 for the Town of Queensbury. Director of Building&Code Enf ement 3/ 6 „ / 3 / —1c)— 3f, , ' 3 •-f— USE ONLY 1324.373_TAX MAP NO.FEES: PERMIT Y PERMIT N0 `�RECREATION ENGINEERING r�._.Lvree` (If applicable) PRINCIPAL STRUCTURE: APPLI CA TION 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: CenhE Y i OWNER: , nq e-- ADDRESS: SCO&idrn Oct1/4/Le- ADDRESS: PHONE NOS. I ---/ c5 ---0 '3 PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: \ 3 n 1P? '%-ONE: 111cl-60� LOCATION OF PROPERTY: -39' e)6(d ( n c��_ � `' l� HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ,2'NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT oz APPLY TO YOUR z 0 F- PROJECT 008 co Co �'- w D i U- w —' O = = U � � Z < Q c- 0 N0. OLL Oh- CLIJ — I- tL o_ I p SINGLE FAMILY / • TWO-FAMILY /`71/6 MULTI-FAMILY / (NO. of UNITS ) ' �j -Th TOWNHOUSE / 9 BUSINESS OFFICE \ RETAIL- • -6 MERCANTILE K FACTORY OR INDUS^s TRI�_,� �� ATTACHED $(DS fx GARAGE(1--,2,3) 3L;¢1 "A OTHER �C/ , _4,- ._(-- S cric. IF COMMERCIAL OR INDUSTRIAL- N E OF BUSINESS:`S ; LA . -f' ESTT. R, ,: IOAI.COS / FUEL L/ B 3-LGL 11-05 `" y •' c •s. 1 ,,.,. or •.,,,. K ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? r 1 a ARE THERE EASEMENTS ON PROPERTY? 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 rea nd greet e a ove. Signed Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: BUILDING & CODES APPROVAL ZONING APPROVAL DATE DATE QUESTIONS? CALL 761-8256 OR EMAIL codesaaueensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION OFFICE USE ONLY TAX MAP NO. PERMIT NO./ "37IRMIT 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: Ul1 � ,peiiidin \ a ( I i 1� INSTALLER: ADDRESS:)6 Tliip 1±%. Wd I 0 or ADDRESS PHONE NOS C.WEer ))S �J s1 15 ag PHONE NOS. LOCATION OF INSTALLATION: —.2-St6Ct r.clteiOn V e-, (9-oeet-Y----b-iry NO.OF RESIDENCE INFORMATION: YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW GA1980 or older X 150 gallon per bedroom = NSTGBAGE RINDER ALL D 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB 1992-present X 110 gallon per bedroom = INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: 9olling Steep slope %Slope ✓ SOIL NATURE: Sand t'--- Loam Clay Other , .) ✓ GROUNDWATER: At what depth? ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? '----t. ✓ DOMESTIC WATER SUPLY: Municipal i Well (If well: Water supply from any septic system absorption is ft.) t ✓ PERCOLATION TEST: Rate is 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 q a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE: 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: O ABSORPTION FIELD (WITH NO. 2 STONE) Total length41 ft. Each trench X O SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? O ALTERNATIVE SYSTEM Bed or other type? V) ❑ 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. . .. . .. -- - - /o37L3 ire Marshal's Off �.•'�.'_.'e T' iT,{c.t.'t�P F7PE;�i(FF.--:�....Pr.',=_q_...__��....sr i' L;. A 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: 1 �ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. OWNER: OCM IIP ! id` INSTALLER/BUILDER: ADDRESS: 1() (3O id in Or ADDRESS: PHONE NOS. atce 5 PHONE NOS. LOCATION OF PROPERTY:f� J Jfd'0 C • SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: j� CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: . Ln�j 'bi d In PHONE: 7( '-V.Ancf ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET G OIL INFORMATION j STOVE 4 RREPLACE INSERT ,r►' FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. LISTED BY: NUMBER: QUEST CALL 1-8205IONS or 761? -8206 76 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: srermarshaf ;er: s x_Lr.ret MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE: TILE STEEL SIZE IN FOR MORE INFORMATION INCHES v,,ww.queet sbiga.riet FLUE CHECK ONE ✓ DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY WALL 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 MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. 'r r Septic Inspection Re• • Office No. (518) 761-8256 Date Inspection • : ed: ,,-- Queensbury Building&Code Enforcement Arrive: �o /Depart: 742 Bay Rd., Queensbury, NY 12804 Inspector's I ` 1t� NAME: ( ROI PofIT NO.: \DLOCATION: G "` 1_ 1 I •ECT ON: \ — Z--\–\ RECHECK: QE'iQ,-\- N-r-s),ovc\-- 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 ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: _Y,N End Cap Y N Inlet/Outlet Pipes&Baffles .___.Y—N Manholes 12"or less below grade _Y_N [provide extension collar if Yes] Y N Location/ Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits _ ft. .• . -r Pi. • ngineer Repo __-44M110 Y__-••_N Iii a an - ct _Y N provided Location of System on Property: Front Re Left Side Right Side Middle Front Middle Rear stem Use Stat : Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspection Fortis\Septic Inspection Report_03 29 10.doc i t G. Peter Jensen 17 West Road South Glens Falls New York 12803 (518) 798—3859 December 06, 2010 To Whom It May Concern: I have designed(plan 10-0513) and observed the installation of the septic system for Dan&Kelly Bardin at Bardin Drive, Town of Queensbury, Warren County,New York. It would appear that the installation is within the intent of the design documents. To the best of my knowledge and belief, no field conditions were encountered that would require a re-design of the septic system. To the best of my knowledge and belief all of the distance separation requirements have been met. Sincerely, G. Peter'Jensen E D Agcy S 028.0 2.0 Ak.4. 1.-7rF OF NOAU' 54' t >; c T r A t At 2) 41 2t 4r ?_r �I Z� 41 2t - ABSDR PT•IDN TRE IVC H -_ - AMEN=I10 dR RISPL.AGEMC!NT S01 I-• A B:�DR PTS eh: Aid �� '��:� 1 N A5 B I -• .�_t���.y�-�., A tN G E i 4 r It is a Violation of the Law for any Person, �S ZE14yl ' �> e , Unless Acting 'Jnoer ithe Direction of a F R p til ' I * Document in any way "any Portion of this R_z T o A - ABSDR PT•IDN TRE IVC H -_ - AMEN=I10 dR RISPL.AGEMC!NT S01 I-• A B:�DR PTS eh: Aid �� '��:� 1 N A5 B I -• .�_t���.y�-�., A tN G E It is a Violation of the Law for any Person, �S ZE14yl ' �> e , Unless Acting 'Jnoer ithe Direction of a F R p til ' I * Document in any way "any Portion of this R_z T o A ti a Shall Affix to the n` , ^, :yv �I F -red his Seal and ,SEPTIC TANK OVT6.E7 M.H. 17'-E. 3cr=a 7-a,5r PIT Ret'`fEA t_tso ALI,TbP SO1r_ FDLI._0WEJ> SY a Specific Description cif the Alteration. QiSTRIf3U'1"tDN SOX $br-0 39`-D' I&"YEL.LaW 5AN0 F0L L6 W40 BY /8" ,MED IUM GPAY R 51EGIN_NING "T'RR!NCH* 1 39=(a 1 SANG FOLLOWFLO BY 30"COAI:kSg GRAY SAND- 'DRAY4 N BEGINNING-TRENGM 9 11L3G-2 SCALIS �4 2- p/T -► �a nit I � r�r� AT � = o t�Ik �-r� !�I c� T' � a I-4 L I�.; :... / : PE RGO t ,d,'Pt ON RATE WAS L E55 THAN O IN E I MINUTE PER INC,N. FFmoVE SOIL. TOA tAmimuo .0-051-3 DEPTH of 4' IN ASSDRPTJDN AREA, AMEND JUNE 10S ! SOIL. —rb A 5-7 MINUTE PLL RC0L_A-ri4;,y RATE DR REPLACE SOIL. -NEW SOIL TD t-#AVEA 5-7 t I MINUTE PGRC0t-.AXT►0N RA-ra AT ZOPS R6W i ( P1 T, GAM FACT R>-PLR-EMENT ArMENDEP OR MEW) I ---------------- ----- _ J 501 L IN (a r' L I FTM . NEW P F RC O 1 A TI ON TEST f MUST BE MRF0RMF_:x7 IN OR R9PLA 01�'MEN-r SOIL 't•'t; VEtRIFY TD VERIFY PERCbLAT'IQtd RATE ANa DE_3iG►�1RE5I�,7Et�E WrrH 444) GPU I- L0'vv RATS I N so t L yvtT►r 5-1 MINUTR PERG0L.A'Yt0P4 RATe REQuI RLg I 22saL1N,t`%+tiSSD�tt'TION TR�N�'Fi• 22��•' wty, r PRovtoml 9 moNs& 25' EAC H> , Z•, 5E SEPTIC TANK AND 1DI5TR)j3U770N tic L_E\IEL. 4 .-- . 3, IN -STALL SPE80 LEVELERS I N 01STRI BUTIDN �X 4, USE ONLY SC>LLD PIPiF WITH TirHT JOINTsa y PA -P0 BETWEEN RE610EN4E' ANt:) -se'TIC. TANK, p__ P>ETWEEN SEPTIC- TANK AI`1D ai5-rRte),UTION --� PR:7Pc�s�g ?BDx AN.D 8E'rWEEN 0IS7R►t3UT1ON SOX _� �! ,d,1�IJ3 'P EGfNNJNG b t= ASSUR�'7� bt�t 'j'I�ENG.H, - RES1D ENC. I`-- 1 � �, N PORT IDN OF �5gP"I"1C. 5YS7EM SHALL BE ,I W1`r'HIN /f�J*©F ANY PFCoPEta.~T°Y L1Ne-i Lr 6, N& OPCN Pc>RT![>N (DISTI�11�Ui`t+:3N 164PjC 1 i ` ®1t ,At3sU1RPTJON `j'REN44) SHALL )5J% WITHIN I470rQFANY WL5LL) LAKS) 7, Il�,1frrL`rRATOR WR F-7-- FI -Ow MAY 899 p - 4`O SOLIO PIPE SkjE�3'p vroTC- D FOR STONE AND Pt'F'C-' -.c, 51-) GAL E?T►G TANKg 1NSTAi_LA` o?,i Ouri. C'5IE tWe P} �',.TED- 01STRt r6U71tYN aLiX AL t}►� SOLID PIPE PI7�-,H -L�" PEr{ FADr PR IOR -M C 0\jr5R1 r,4d, - BY TME r6L)I L04146 6 N5Pr%4 T1?R . F `rN45 "TOWN OP GTUEErNSOI-)Ry II, i ��� ,q�� I i 1 ' ' A�55DRPT'tOt-► ,e�,j?Eh I t 1 I� a�sc��z�-rla�.f ;�,w►��aC9��� I I�, O UTLETZ ____.- MANHOLE C©VER SEPTIC i'ANK 5ECTIC>N N r5 "LE D I STR 1e>u'•1'"IDt4 BOX FLA KI N �'� "OWN OF QU BUILDING & Reviewed B Date:.. INLET OT__ MANNDI~E C0\/ER ouT L.E T '-`'--GAULK110 JOINT _ SANITARY 'r'EC .� SEPTIC TANK C MUSH ED STON E = t } T35M0Y LE COV91P, /---- ©uTLC T __ i ---;Iz 1I N s - --- C RU S MELT .STONE �4 2�� i 0IS`T'R1bUT1111>N e4c�X sse. TION 1\1TIS N - SEED AREA. AFTER )NSTALLAT101,1 •-i UN T REATEBCrq UILDINPAPER OFGEo"9xT1LE FABRIC 4"y6 SEWER PIPE PITCH- PER FST �/ .. E N OD` WASHED GRAVEL. OR GRUSHE0 STONE(4 -IZ} y ► I -- __ _ ____ TOP `+r, i.. r .SEE G 41, I I t t 1 , I I � �, .__ DtSTRtfr?,UTiDN PIPE N _ I rE F� � -- END C.AQ' -!'-YPIGA.t.•. ___... __,_ ._ _.. 32 � Z d.z,"4 i4 4�44.•221'4'Z4- 4 _ . AaGRt~GA�Te v9:L TFREN4 H E&TT'o M A R i:,} 1 N R. 1 TRENCH LDNG ►TUi.7{ r,1AL. I CT°IpN PLOT PIAN GOMPILEt7 FROM A NL 1,A t4 URAwlt4C. DATEjQ S)2603 F NT/'rLFKD'. MAP DFA SURVEY MADE 176R R0LAN00 STA7:'A BAR0II\I DANIELKELLY eARDIN PREPARIED $Y VAN OVSEN if 6-'PYQ,* ---. _-- { gDil'TRENCH MINIMUM 2 ABOVE �5EA_501\tAL 2!,b HIGH GRauND WATER OR I M PEr IGX,�v LAYER. TRENeHES 4=04.4. W/TN i'yfIlNrMt}M st O �SEAf3L� 501L REQLIIRP-P F3L T WEEty `i'I Er+iCM i SECTiN 1111T A5 B I ,\EA E D A,qC It is a Violation of the Law for any Person, �S ZE14yl ' �> e , Unless Acting 'Jnoer ithe Direction of a Licensed .Qrrh;tcc . tc A!'er tiny Portion cif This I * Document in any way "any Portion of this Document is Sri ,%tPrn i, the Aitering Architect ti a Shall Affix to the n` , ^, :yv �I F -red his Seal and the Notation "A)te1e Sy" F0owed by his Signature and the Date of Suc;I� Iteration, and a Specific Description cif the Alteration. i DA Ne KELLY D' G. PETER JENSENR Pt Ah1 'DRAY4 N DATE SCALIS 17 WEST ROAD SOUTH GLENS FALLS g7 NEW YORK 12803 (518) 798-3859 .0-051-3 JUNE 10S NOTED Framing I Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart:j am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: l v NAME: PERMIT#: //1 LOCATION: 'l •L, Rd , INSPECT ON: TYPE OF STRUCTURE: Y /if N/A Framing COMMENTS: s 22" x 30' minimum Jack Studs/Headers Bracing/Bridging / Joist hangers z. �{sl 14-4.7-16e~ 5 Jack Posts/Main Beams Exterior sheeting nailed properly l�'y` a ofJo s 12°O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more A i °6c4.6411 Exterior Deck Bracing Headroom 6 ft. 8 in. • Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'A(w) 16 gauge (8) 160 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 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 rader/'r ,,,,..�- H-11612101-A.1' Imo' C L:\Building&Codes Forms-OLD'8uIding&CodesWapedion FamsWraninp Firestopping Inspection Rspoltdoc Revised January 7,2008 N –7 ---)7.–N 4'„i,,,, ..1/44:7 . Septic Inspection Report Office No. (518) 761-8256 Date Inspection '-- � -- -•. , .- -- > Queensbury Building&Code Enforcement Arrive: a-1i ' ' ..-..rt: '',4--1,1-7aV pir---_:.'i j 742 Bay Rd., Queensbury, NY 12804 TO Initial• ,� NAME: j-T}' 'Th"�/,4� / NO.: 1 37 LOCATION: . )/ /3i P- / - lir: NSPECT ON: /2–j ``C RECHECK: % Comments and/or diagram Soil Type: .. .. -y Type of Water . ' ell Water Way- ••• - --paration distance rLilft. Well separation distance ft. Other wells: v ft. Well Casing Length 50' +/- Y N N/A [150'to well required if NO] Absorption Field: Total length "—ft. Length of each trench 1 r�74 ft. Depth of trenches -3, ft. Size of Stone t W,1,----t t fi v,ii•i-� Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank L1 t< % 1 -b�L.-, Tank to Distribution Box y ' . i 1 LV Distribution Box to Field/ Pit ,t C t4t t v t 0-',F t v i -• � Opening Sealed: _N i End Cap YY����--••••N Inlet/Outlet Pipes&Baffles N Manholes 12"or less below ade ,Sf_N [protide l r f1 Y—N Location/ Separations Foundation to tank (9� ft. Foundation to absorption )ft. I K;., =� ii\- i- Separation of Pits _____4;-2 ft;. Conforms as per Plot Plan �w Y r T_ Com; i"` .c. i� Engineer Report and As-Built Y /../11,/,,, ,,,,,..„.„.., 4 7 , ETU Maintenance Contract Y EE,-, t 134'4-) provided Location of System on Property: Frontes Rear Si.... .....-Right-Side Middle Front Middle Rear System O' atus: pproved 't✓ Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved L:\Pam Whiting\2010\Buiiding Codes Fomis\Inspection Forms\Septic Inspection Report,_03 29 10.doc Framing / Firestopping Inspection Report CF// _ Office No. (518)761-8256 Date Inspection request received: I ( -3 /0 Queensbury Building&Code Enforcement Arrive: am/pm Depart: 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: e4, NAME: E'3/ C I PERMIT#: 1 U — LOCATION: S �;g�n . �� ,- , v..p INSPECT ON: is TYPE OF STRUCTURE:_ Framing I N 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. 81n. StairweNs 36 in. or more Exterior Deck Bracing Heatkoom 6 ft. 8 in. • Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'A(w) 16 gauge(8) 16D naps each side Draft stopping 1,000 sq. ft. floor trusses,f Anchor Bolts 6 ft. or lesson center and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire waN 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side"A inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:1Buikding&Codes Ferns-OLD Buffing&Codes\inspection FoeneFraming FIreetopp ng Inspection Repodl.doc Revised Jemmy 7,2008 Framing I Firestopping Inspection Report' Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:02fGam/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:• . NAME: Ci i-. PERMIT#: 3. 7j LOCATION: .�� : 1-41,' ,, )r INSPECT ON: //17% -/G/ TYPE OF STRUCTURE: b'34\ ? - Framing I N 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 %(w) l6 gauge(8) l6D nails each sick! Draft stopping 1,000 sq. ft. floor trusses b'iic olts 6 ft. or lesson center /Ice and water'shield 24 inches from wallC\j/ 2-A. -► - �iC�s ration 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side'r4 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 LABuilding&Codes Fotms-0LDY3uiidkp&CodesYnspedion FoinielFierning Firestopping Inspection Repod.doc Revised January 7,2008 Frami - ng /Firestopping Inspection Report ?". Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ : am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 3\t/( WII4)/ �--NAME: PERMIT#: l � � 73 LOCATION: ;' 9 ;,, Or, INSPECT ON: /1 r'–/C TYPE OF STRUCTURE: Framing Y N 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 8 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. • Notches I Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'h(w) 16 gauge(8) 160 nails each side Draft : •,•: • 1,000 sq. ft. floor trusses • • : . = 6 or less on center ✓ L— �,��JI'.Jiti- TO ice andwatsMeld 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf wade L:1Buiiding&Codes Fom s-OLD1Bufding&Codes\lnspec tion Fom*VFraming Firestopping brspection Rsport.doc Revised January 7,2008 ez-TFoundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart:0; am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: pt 64 Lt.— PERMIT#: /0 3 ( - LOCATION: -7-5c7' / z i�. '� INSPECT ON: //2 '2- Aj TYPE OF STRUCTURE: Comment Y N N/A Footings Piers 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 '7`FC5(1 /tAdtAA5 Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspectlon Forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 11. 0D -71,e5c67 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: l I'_I�-` am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials IP 'or' NAME: Ertdr‘r,-----f , PERMIT#: /1 77LOCATION: 3 7 r- 't,_. )D/ , INSPECT ON: /0--.5---/CD TYPE OF STRUCTURE: -' - ) Comment Y N N/A Footings Piers 4 : , c rl, lab :, in Place tor is responsible for . = • : protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place / V 2 Y- 7.._, I Footing Dowels or Keyway in place --2.7._73:3 1bt Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump 2 44:Ord 44e41 Footing Drain Stone: z!:*--.. 12 inch width 6 inches above footing 4 \/ -( '- 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. LABullding&Codes Fonms\Building&Codes\Inspectlon Fonns\Foundation Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Ins. •, .uest received: Queensbury Building&Code Enforcement Arrive: 1�am/Pnd6 Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspe tor's . 'dais: V NAME: 4,10/,Vt PERMIT#: / 3 7 LOCATION: '/',`)l,�r/ /�_ INSPECT ON: 70,7/74,) TYPE OF STRUCTURE: Comments Y N NL /Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Fooling Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Buliding&Codes Forms\Building&Codes\Inspectlon Fonns\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 7 " 1- Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: �p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspectors Initials: `- NAME: i r 9(/ PERMIT#: - 3 773 LOCATION: 3 7 r ,' ,('f-. INSPECT ON: 0 -9.-4Q TYPE OF STRUCTURE: Commentti Footings Y _VELA 4(1V Piers Monolithic Slab Reinforcement in Place The contractor is responsible fore providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Fonns\Foundation Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM ( co) I -3 lint-u.(17 , Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: andpm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: /J•13 NAME: lzr PERMIT#: ✓ ?_ LOCATION: -37 Litt-re INSPECT ON: 7,-2. TYPE OF STRUCTURE: Comments Y N Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the F•11- •als for ail - • <-on site. ' Foundation/Wallpour , 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 ••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:\Buliding&Codes Forms\Building&Codes\Inspection Fortes\Famdation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM M Sekt-A7 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: e7eL:a7 NAME: �..- PERMIT#: �� - I LOCATION: j 7yl rc, INSPECT ON: 7, -;()•-d�:a TYPE OF STRUCTURE: /C5C) Comment Y Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing mac"u\kh.9- : Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 ' ches above footing mil . ,ly for wet areas under slab Backfill • ' i royal .ing Under Slab PVC/Cast/Copper (1.1 � ec3e) 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 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: 44. ` pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ; ' I-,.tA NAME: ! ' `° PERMIT#: i (0 LOCATION: ' `� {�-f�_.� ' `v ;y,�,.�„� INSPECT ON: TYPE OF STRUCTURE: Comments Y N NIA Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Bulding&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 2-171 bOedlie5,ch,_ Foundation Inspection Report , Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart`. am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ) • NAME: rot i PERMIT#: �/ 373 LOCATION: (-�o r ( INSPECT ON: -/6) TYPE OF STRUCTURE: Comment Y N NSA outings Piers Monolithic Slab r" -`41'`A`5`5 Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspectlon FormsWoundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 1 - Date received: f/d/,?,0o NAME: r11�^ , ,-) LOCATION: NJ PERMIT#: 2-010-37 5 Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the survey has been: )./\.) Craig own, Zoning Administrator Notes: L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc --- //_ZJ� Chieensbury Building & Code Enforcement - Resident" I Final Inspection Offi No. (518)761-8256 Arrive: am/pm Depart\�am/pm Date Inspection request received: Inspector's Initials: NAME: --2ti--- �1 PERMIT#: /0L c '7 LOCATION: ��00.-e�;I r v� P.c( 1 DATE: 7- R--// TYPE OF STRUCTURE: Comments: Yes. No N/A 4" Building Number Address visible from road Nol Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Vi.. Roof Complete/Exterior Finish Complete V Platform at all exterior doors Handrail 4 or more risers , Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more 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 I Handicapped Ramp Compliant q 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 , O _--1: \fi•t Interior privacy I trim/doors/main entrance 36 inches , Bathroom I Kitchen watertight , Safety glazing/'Mn•• in stairwells safety gl�ing Interior Smoke I =.,ors/Carbon�onoxide Detectors , Every level: Every Bedroom: oo�" C> ' Outside every bedroo area: . �� Inter Connected: " Battery backup: ; �� Attic access 30 inches x 22 inches x 30 inches(height)in accessible area V ilf Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window - -" Plumbing fixtures V' 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. V Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site ri Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 • Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/g hour fire door/door closer Gas Logs in Sealed or Glass Enclosure V Final Electrical;Energy Saving Light Bulbs 50% t I Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding V As Built Septic System/Sewer Dept. Inspection Sticker ! -, Site Plan /Variance required Flood Plain Certification, if required Okay to issue C/C or C I 0[Temporary/Permanent] !' V ) 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 I " "4. 11114 401.1.1*4 Ignition Barrier DEMILEC (USA)LLC. Technical Data Sheet Product Description BLAZELOK'° IB4 is a water-based,fire protection, intumescent ignition barrier. Five dry mils of BLAZELOKTM' IB4 applied over SEALECTION®500 or SEALECTION Agribalance®successfully complies with the ICC-ES,AC377, Appendix X as an ignition barrier for use in attics and crawl spaces. ASTM E$4 Flame Spread 0 Smoke Developed 20 Protective Properties Oa per NFPA 286) Complies-with the X77,Appendix X as an.Apiticebarrier over SEALECTION 500m dAgril nce®`spray polyurethane foams Flash Point None VolatiLityNOC 2.7 gIl—sigrtificantlyiw ai comp s with_S0 g/1 AQMD&EPA Solvents Water Bared - Toxicity Non-Toxic No Fontoldehyde Environmental Impact(as per greengulde.com) EPA&SE O.MD&VED ockipliant Weight per Gallon 10.3—10?lb. Solids by Volume 51-54% Color Dull Flat Bite Wet film I coat to DFT 9 mils drito 5 mils,nominal. Recommended final DFT 5 mil to comply with Ai77,Appendix X'_ Dry Times 2-3 hrs.dependingen-hamidffifitemperature.,Humidity above 50%RH has a significant•knpac t on dryingtime. Recommended Equipment Grace 69S/ASM2100 3300 psi with spray gun tipmade!number RAC 521 or LD(521 or larger. 'Hese size: use'/<"dra. last 50'to gun,additional lengths of hose use min ri 3/8" Iia.to minimize pressure loss.Remove pump andejun Bitters prioito spraying. Coverage Up to 115 /gallon at 5 relladry ona a-relativelysmooth surface. Coverage rates will$reduced on foam surfaces with lafge undulations or rough surfaces. Minimum temperatures Product pl ternperatufe,70°F Substratenperature,50°F Use infrared grin to,i :temperatures. Fungus/Mold Resistance No mold" �.. per'A N D 32' 3test Please contact your DEMILEC(USA) Technical Services Representative for assistance regarding the installation of this product ;elf Disclaimer:The information herein is to assist customers in determining whether our product is suitable for their application(s).We request that customers inspect and test our product before use and satisfy themselves as to contents and suitability.Nothing herein shall constitute a warranty,expressed or implied,including any warranty of merchantability or fitness,nor is protection from any law or patent inferred.All patent rights are reserved. 2925 Galleria Drive•Arlington,TX 76011 BLAZELOK""1B4 Ignition Barrier Phone:(817)640-4900•Toll Free:(877)DEMILEC(336-4532) Last Revision Date:February 8,2011 Fax:(817)633-2100•E-mail:Info@DgmilecUSA.com•www.DemilecUSA.cornt Page 1 of 1 11117 Jib Queensbury Building & Code Enforcement - Residential Fin nspection O No. (518) 761-8256 Arrive: am/pm Depart:?_,tam/pm Date Inspection r est receired: Inspector's Initials: NAME: rot I t L. ,�)• PERMIT#: /(i r ...._3 S ` LOCATION: ? ,rte DATE:-C DATE: ��--/7- TYPE OF STRUCTURE: Comments: YYe No N/A 0 , Building Number Address visible from road C /�-" �� Chimney Height/"B"Vent/Direct Vent Location ` Fresh ake ''� iity.)h S tic) �a 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete ly,Z dd A O.r Platform at all exterior doors Yv .=+'C1 r Handrail 4 or more risers , Guards at stairs,decks,patios more than 30 inches above grade / Guard at stairwell at 34 inches or more Y ,_ &,1/4.5 I L 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 v(3) R V A-k cr5PQ Grade away from foundation 6 inches with 10 feet V s .17i-,r" .�Z 6 inch clearance to sill plate �- Gas Valve shut-off exposed/regulator 18 inches above grade ./1_,...4DR Interior privacy/trim/doors/main entrance 36 inches V Bathroom/Kitchen watertight Safety glazing/Win•.w in stairwells safety glazing Interior Smoke D- «ors!Carbon Monoxid erectors Every level: Every Bedr m: Ci��C Outside every bedroo area: 140-. Inter Connected: ♦ Battery backup: y Attic access 30 inches x 22 inches x 30 inches(height)in accessible area V 7 01 il C -2 Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window 1,7 "` �t"'ra-' Plumbing fixtures I C�v Foundation insulation to floor/Sticker on Panel Duct work sealed property/Blower Door Test Certification V' Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade / D ty.1_. ....4„..4.3c-tat....\ Gas Furnace shut-off within 30 feet or within line of site {/ Oil Furnace shut-off at entrance to furnace area d C U Fumace/Hot Water Heater operating M/ -t,�c'C'=,�C..-4,- Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 V Enclosed Stairs Sheetrock Underside minimum%"Gypsum e. PalA-SegitdtgN\-- Basement stairs dosed rise>4 inches Garage Floor Pitched V 40 Garage fireproofing I hour fire door!door closer Gas Logs in Sealed or Glass Enclosure f Final Electrical;Energy Saving Light Bulbs 50% V 6__AAA• �� _ ' �..' Final Survey Plot Plan /' Arc Gas Breaker Habitable Spaces/Tamper Proof Receptacles _,(/ --e--1/0C%-0�� �`�, . Flex Gas Pipe Bonding ��,`,�"'"��� As Built Septic*stem/Sewer Dept. Inspection Sticker o� Site Plan /Variance required _ Flood Plain Certification,if required Okay to issue C/C or C/O[Temporary/Permanent] Of L:\Building&Codes Forms\Building&Codes\Inspection FormssResidential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE� - ELECTRICAL APPROVAL Permit No. #••L ,,,� ...,,,,., Cert. N2 219 O Cut-in Card No. Owner D. 6, 2Pi kv Location 3 I)/ 1 2Q). qrif Cl1 Installation Consisting of IP K 1 rl', iJ t ?S L f r S%u2 1u�<r. , az.47v Dflu, Jof2A1f2, Installed By Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making .ections at any time, and if its rules are violated,the Company shall have the right to re o his ate Date r INSPECTOR Member . __ /0 - R____ 7 (ho.rIt imilhollik Town of Queensbury Fire Marshal 14.0.To 742 Bay Road Queensbury,NY 12804 //2 761-8205/761-8206 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# 0": 5 7 5 Schedule Inspection Timell i : 10 ii pm anytime Inspector d...-- Name rd 1 h--.) Address 37 ,nd i t- 2r. Rough In_Final X Appliance Manufacturer Model#-c)v 1 h-/V f FV 7 Direct Vent St...Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection /1 . Clearances to Combustibles(all sides) Firestop(s) Vertical Chase Nif /' Wall Penetration V 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 if Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) VI/ CO Detection CSST Bonding 0 White—Building Dept. Yellovi—Customer Pink—Fire Marshal Framing / Firestopping Inspection Report Office No. (518)761-8256 Date I '11111, •,'0 Queensbury Building&Code Enforcement Arrive: b- a '� � `: 1" a 742 Bay Road, Queensbury, NY 12804 inspector's In'�;,; _di�I ' NAME: ,Y7t�S PERMIT#: \ D --)7 3 LOCATION: .'5'! 9,A PO10 R1\)E_ INSPECT ON: .5—7�—i 1 TYPE OF STRUCTURE: Framing Y _B IV& 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 6(w) 16 gage (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 enetration sealed 1 inch insulation in cavity min. Ga Fire Separation , /e/ 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:\Buiiding&Codes Forms-OtD Buldin9&Code&inspectlon FomisV mining Firestopping Inspedion Reportdoc Revised January 7,2008 Rough Plumbing I lnsu ati nnsP ection Report Office No. (518) 761-8256 Date inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart::V� am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's initials: NAME: CP'1 � h-- PERMIT#: i �� LOCATION: 57 ,r/ Dr , INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 %inch minimum Drain Size W- = : • = ine Drain 2 inch minimum _.. every r r feet/change of direction •ressure Test Air 1 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 f--%-c7-4-c-s--v3wvi`51 COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 m in ispRou h Plugtolation Inspenc o Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart:7? c ` am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: )41 .3?,3 • NAME: (id PERMIT#: (01a* LOCATION: 3 7 f re r INSPECT ON: 5-- 7 - /. TYPE OF STRUCTURE: 3417 Y N N/A Rough Plumbing I Nail Plates Plumbing Vent/Vents in Place 1 34 inch minimum Drain Size W- ' - - r ine Drain 2 inch minimum 7tery ' • feet if change of direction Pressure Test Drain/Ve I ". tor 10 ft. , •ve h's hest connection for 15 minutes Pressure Test Water . - ping Air 50 P.S.1 for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) 1 Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS:e /4}kAiL_ cY-z' - Rough Plumbing Insulation Reportrevised Nov 17 2003, revised Febnlay 15,2005,revised January 7,2008