2012-162 el` TOWN OF QUEENSBURY
gy742 Bay Road,Qucensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120162 Date Issued: Monday, October 01, 2012
This is to certify that work requested to be done as shown by Permit Number P20120162
has been completed.
Location: 10 CAITLIN Dr
Tax Map Number: 523400-301-017-0003-063-000-0000
Owner: KELACO, LLC
Applicant: COLLETTE CONSTRUCTION
This structure may be occupied as a:
Garage Attached By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property 4
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.
06• TOWN OF QUEENSBURY
0.4 .
IF , 431 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120162 Application Number: A20120162
Tax Map No: 523400-301-017-0003-063-000-0000
Permission is hereby granted to: COLLETTE CONSTRUCTION
For property located at: 10 CAITLIN Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: KELACO, LLC
35 FRONT St Garage Attached
LAKE GEORGE,NY 12845-0000 Single Family Dwelling $280,000.00
Total Value $280,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-162
2,365 total sf with attached garage 758 sf
1st floor 995 sf, 2nd fl 1,030 sf+unfinished bonus room 340 sf on 2nd floor
$586.70 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, May 01,2013
(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 o ueen ury; AIon•, . �� . •• 0,2012
SIGNED BY /d . \ for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY ;
•
E STRUCTURES NOT SHOWN ON PLOT PLAN? 'tic)
THERE EASEMENTS ON PROPERTY? cc-e)0
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 theaboe.
Signed ^ („q-e-a-,e6
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
J
QUESTIONS? CALL 761-8256 OR EMAIL
codes a(�.oueensburv.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.net
Operating Permit Issued: Yes 'No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Revised 4/14/2010
OFFICE USE ONLY
TAX MAP NO. PERMIT NO I�-U.D)PERMIT FEE T�
APR 1 3 2012
I �
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: (/Q CO INSTALLER: (�2O/�t'
ADDRESS: 3g Ce/% / /Y U�SdA.) 645. ADDRESS: js, c,/-4-771; [vv . // 1,
PHONE NOS. 7 y6 I 0-0 / }- PHONE NOS. 7 yD - //d-o �b S� 01O'
/-0,74-
LOCATION OF INSTALLATION: +-0, /b (e. '
RESIDENCE INFORMATION:
YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW
BEDROOMS (Gallons per bedroom) GARBAGE GRINDER
1980 or older X 150 = INSTALLED? A_I a
1981 -1991 X 130 = SPA OR HOT TUB
1992-present / -3 X 110 = 330 INSTALLED? A..10
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING ✓ STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND i/ LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? /7
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? 6 U!°2 /1/
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (If well:water supply from any septic system absorption is: ft)
✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH[mpil
(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: /(PTO 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:
IBSORPTION FIELD(WITH NO.2 STONE) Total length „ `'e ft. Each trench 71 X
❑ 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.
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 Sewage Disposal Ordinance. codes{a?queensburv.net
ea4wy7z/iceVISIT WEBSITE FOR MOREueensburvnet INFORMATION
Signature of Person Responsible Date www•
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
GBP
e/c)- 6)' Revised 4/14/2010
Town of Queensbury j�1 is r Y
Highway Michael F. Travis
Department j � ' Highway Superintendent
APR 1 �3 2012 i
742 Bay Road, Queensbury, NY 12804 Home (518) 798-0413
Office Phone: (518)761-8211 ;j;`, - Li Thomas R. Vanness
Fax: (518) 745-4466 Deputy Superintendent
Home (518) 745-0929
www. Queensbury.net
DRIVEWAY PERMIT
Date: 11/0 /1
Applicant Name: K" 6
Address to be inspected: L,t /t; CA i L \/' R•
Return Address: 3? C„//P l7 ,(& 1� sn,V f //S Y. ��2
Applicant must show exact location and width of driveway(s) to be connected to the highway by placing
stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following
action has been taken:
Step 1: ( ) Preliminary Approval
Need: .( ) Slight swale
( ) Deep swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( ) 12" ( )15" ( ) 18" ( )24" ( )36"
Preliminary inspections completed by: Date:
Approved by Higway Supt: Deputy Supt.:
Upon completion, please resubmit this approved permit for a final approval.
Step 2: ( ) Final Approval
( ) Rejected
Date:
Michael F. Travis, Highway Superintendent
Thomas R. Van Ness, Deputy Highway Superintendent
Town of Queensbury* Community Development Office* 742 Bay Road, Queensbury NY 12804
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: Bali I
NAME: d q
LOCATION:
PERMIT#:
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has beep:
Craig Brown, Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.lnspection.FORMSIFinal Survey
Zoning Administrator.doc
MAP REFERENCE:
POINTE WEST SUBDIVISION
DATED JANUARY 15, 2008
REVISED JUNE 12, 2009
BY: VAN DUSEN & STEVES
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169 Haviland Road Queensbury, New York 12804 .
(518) 792-8474 New York Lie. No. 50135NO.
AU AL ILRATON OR ADDITION TO A SURVEY
MAP HEARING A LICEII�EO LANG SUNVEYIXiS SEAL ISA
VIOIAYIOR OF SECTON' 7209, SUB-DIASION 2, OF THE
NEW TORN STATEC7" LAW.'
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED MIH AN OF'UEOL OF THIS LAND SURVEYORS
'CERRFICARDNS INS SATESHEREON SGNIFY THAT
THISSEABHALL BE CDN�NCRED TO HE ORD ,RDE `G THE
THIS SURVEY WAS PREPARED IN ACCORDANCE PoiH AD
BY TE ERV R §IATEEd CE FOR -AND SURVEYORS IONOPIEO
BY THE NEW TOHN $IAiE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSONS A
TOS NE SURVEY IS PREPARED, AND
ON HIS BEHALF i0 ¶IE TIT£ COMPANY. GOVERNMENTAL
AGENCY MY LENT jNSTNITION „STED HEREON. AND
E ASSIGNEES OF ;„E LENDING BTTD•
TD NINNN
Map of a Survey made for
'
C 0 LLE TT E CONSTRUCTION
1L
Town of Queensbury Warren County,. New York
' 1.
Date; JWY c -'b, C!WL
Scale 1'=40'
"
�� I OF
COLLETCE;
DWS. NO. 08142-16
DATE
DESCRIPTION
At.
Queensbury Building & Code Enforcement - Residential Final inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: L � am/pm
Date Inspection request received:
Inspector's Initials:
NAME: { �--S `t� PERMIT#: 7 01
LOCATION: c-✓-t-k-i l--/V N P- DATE: /v ( t J 12.-
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 o•f minimum 18 inches
Roof Complete/Exterior Finis l omplete /
Platform at all exterior doors /
Handrail 4 or more risers
Guards at stairs,decks,patios m• e than 30 in, es above grade
Guard at stairwell at 34 inches or ore
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Po-. or Wall
Interior/Exterior Railings 34 inches 38 inc es
Deck Bracing/Handicapped Ramp ompli nt
Grade away from foundation 6 inche. with 0 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulate 1; inches above grade
Interior privacy/trim/cbors/main en = ce 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells sa -ty glazing
Interior Smoke Detect.rs/Carbon Mo 'de Detectors
Every level: Every Bedroom.
Outside every bedroo area:
Inter Connected: Battery b.cku••
Attic access 30 inche. x 22 inches 30 in es(height)in accessible area ff2Crawl Spaces 18 inc x 24 inch a• :.ss, 1 st.ft.-150 sq.ft.vents
Bathroom Fans,if no endow1—th
Plumbing fixtures
Foundation insulatio to floor I S cker on Panel
Duct work sealed p ••erly/Blo er Door Test Certification
Floor truss,draft stop•ing finis -d basement 1,000 sq.ft.
Emergency egress •:low gra•- l A
Gas Furnace shut-off'Mthin feet or within line of site
Oil Furnace shut-off at entra'ce to furnace area &Se-
Furnace/Hot Water H:E•-ratin•
Low water shut-off boi - --�
Relief Valve(s)instal! eat Trap/Water Temp 110 civi • '-y9
Enclosed Stairs Sheet • k Underside minimum'/2"Gypsum C i'-?,
Basement stairs closed rise>4 inches �''�" fa1V
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&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10, Revised 04/13/11
Queensbury Building & Code Enforcement - Residential Final Inspection `}
Office No. (518) 761-8256 £ �7 �/- Arrive: am/pm •/ t4� am/pm
Date-Inspection request received::/ ! Inspector's Initials:
NAME: �o" / (67t.kiYI4(4Z)k) PERMIT#: ,�2CJ! - /74
LOCATION: 1d 6±6.A:f-(Lik-- ' DATE: j ; d
TYPE OF STRUCTURE: 5j�
Comments:
Ye o NIA
4" Building Number Address visible from road ✓
Chimney Height/"B"Vent/Direct Vent Location
Z./
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches V
Roof Complete/Exterior Finish Complete VPlatform 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 V /
Guard at deck,porches 36 inches or more w/
Handrail Termination at Newell Post or Wall t/
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 V/V
Gas Valve shut-off exposed/regulator 18 inches above grade ti//
Interior privacy/trim/doors I main entrance 36 inches
Bathroom/Kitchen watertight V
Safety glazing/Wind in stairwells safety gI. ing CRA5V-A7A.— -{�$,
Interior Smoke Det ors/Carbon noxid: I etectors
Every level: Eveyv Bedro m: tc / ��
Outside every bedroom area:
Inter Connected: t/ Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area y/ � rCrawl Spaces 18 inch x 24 inch access, 1 sq.ft:150 sq.ft.vents
/ R,kzik/IXA,V
Bathroom Fans,if no window ,.R6erv , r-4< 1A/
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel 1-1,2-7Q 05 (c?4-J—
Duct work sealed properly/Blower Door Test Certification '
Floor truss,draft stopping finished basement 1,000 sq.ft. / �.
Emergency egress below grade VJ Aexso"127-
Gas Furnace shut-off within 30 feet or within line of site / /
Oil Furnace shut-off at entrance to furnace area / t
Furnace/Hot Water Heater operating �/
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/"Gypsum V d
Basement stairs closed rise>4 inches
Garage Floor Pitched V
Garage fireproofing/3/4 hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure /
Final Electrical;Energy Saving Light Bulbs 50% V Y
Final Survey Plot Plan4 '
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding V/
As Built Septic System/Sewer Dept. Inspection Sticker V
Site Plan /Variance required
Flood Plain Certification,if required
- 0..//
Okay to issue C/C or C I 0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codesllnspection Fomis\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10, Revised 04/13/11
GRAJNY Consulting, LLC
69 Hayden Point Loop
Diamond Point, NY 12824
518 221-3240
09/28/2012
Collette Construction
38 Collette Lane
Hudson Falls,NY 12839
Inspection Address: Lot#16, 10 Caitlin Drive, Queensbury NY 12805
Report Number: 0928121
Dear Ken:
At your request, the Blower Door Inspection of the post construction test to verify
infiltration rate of the house, as per requirements of the NYS 2010 Energy Conservation
Construction Code was performed on 09/28/2012. GRAINY Consulting, LLC is pleased
to submit the following report.
The following data was provided:
- Square Footage of the house, including conditioned basement=3,020 SF
- Volume of the house, including conditioned basement=25,155 CF
Based on above,the following test data was collected:
- Infiltration Rate, including conditioned basement at 50 Pascal= 1.651 CFM
- ACH50,Actual Changes per Hour at 50 Pascal= 1,651X 60/25,155=3.9<7
The Instruments used for test were provided by the Energy Conservatory Digital Gauge
DG-3 rated accuracy=+/- 1%,calibrated minimum once per year.
Thank you for selecting our company.We appreciate the opportunity to be of service.
Please call this office if there are any questions.
us
Sincerely, ;
4.75
Stan Grainy,rainy, e
PE V ,. •. '
NYS HERS Energy Rater BER-041 FOp 085406 ,r
NYS PE 065406-1ESSIdN*
VISION Engineering CIVIL •STRUCTURAL • MUNICIPAL • ENVIRONMENTAL
..1 . 1610porw
August 17, 2012
Building & Codes Department
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
RE: Collette Construction
10 Caitlin Drive
20 Caitlin Drive
VISION Engineering previously designed the Pointe West Subdivision which included individual
household onsite septic systems installed at the above locations and/or lots. This letter shall serve as
certification that based upon information obtained from inspections and the Contractor portions of work
designed by our office were installed in general conformance with the approved plans and
specifications.
Thank you and please do not hesitate to contact me if you have any questions or require additional
information.
Respectfully, ENGINEERS STAMP:
of N E'
-s - y
r,..
P. 1 `..
Daniel W. RYan, P.E. o
* 0 _ . ` �
VISION Engineering, LLC
S 0
13'9
°FESSI
16 Pearl Street•Suite 200•Glens Falls, NY• 12801 •P: 518.792.9264•F: 518.792.9282 "NolpliV
www.visionengineering.org
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:/0 17 vl am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: (1___::,•-ii)
NAME: , �1 -- � d< PERMIT NO.: 2-C t Z- (Co 2—
LOCATION: C l �.o )f? INSPECT ON: �J -ri l
RECHECK: tt
Comments and/or diagram
Soil Type: .nd / Loam / Clay
Type of Water: Muni ipal / Well Water
Waterline se.aration distance ft.
Well set aration distance ft.
Other wells: ft.
Well Casing Length 50' + / - N N/A
[150'to well equired if NO]
Absorption Field: Total length ft.
Length o'each trench ft.
Depth .f trenches ft.
Si - of Stone a ` r `-
��
Seepage Pits. Number — � (- " /
Siz:. x /
Sto Si e: 01)
Piping Size Type
Building to tanv^�
Tank to Distribution Bo ,AX — (-3
,(��
Distribution Box to Field / it
Opening Seal d: Y N
End p NWPCr-7A---.
Inlet/OutletPipesY N
& B es __.
Manholes 12"or less below rade _Y \ N ,:
[provide extension collar if Yes] —Y \ N /"
Location / Separations `\.
Foundation to tankff.
Foundation to absor.tion ft.
Separation of Pits ft.
Conforms as per Plot Plan _ N
Engineer Report and As-Built Y N
ETU Maintenance Contract Y N
provided
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System Use Sta s:
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report03 29 10.doc
VISION a _. .-.1.11gineering CIVIL • STRUCTURAL • MUNICIPAL • ENVIRONMENTAL
..4111440000..,
August 17, 2012
Building & Codes Department
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
RE: Collette Construction
10 Caitlin Drive
20 Caitlin Drive
VISION Engineering previously designed the Pointe West Subdivision which included individual
household onsite septic systems installed at the above locations and/or lots. This letter shall serve as
certification that based upon information obtained from inspections and the Contractor portions of work
designed by our office were installed in general conformance with the approved plans and
specifications.
Thank you and please do not hesitate to contact me if you have any questions or require additional
information.
Respectfully,
Daniel W. Ryan, P.E.
VISION Engineering, LLC
16 Pearl Street•Suite 200•Glens Falls,NY•12801 •P: 518.792.9264•F:518.792.9282
www.visionengineering.org
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection req - - <-••
Queensbury Building &Code Enforcement Arrive: 12.::1-15-a r • _, - • - : I = lb amm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ,�
NAME: JQM, D P' ' IT #: /
LOCATION: I v Co f--H ( r INSPECT ON: 5
TYPE OF STRUCTURE: S F (J
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 I change of direction
Pressure Test
Drain /Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.1 for 15 minutes
� — 1�-��'z>J�
Insulation/ Residential Check/ Commercial Check 4 �T \(21)JE\L
Tyvek or Similar Exterior Sealant C .1LA R
Proper Vent, Attic Vent
Door 1 Window Sealed (No Insulation) Z\
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
Framing / Firestopping Inspection Report Li (d-(N " d'U -k "--/
Office No. (518) 761-8256 Date Ins. «'on�r- �� cei'ed:
Queensbury Building &Code Enforcement Arrive: 447743, •-rt: °cu . •m
742 Bay Road, Queensbury, NY 12804 Inspector's In _11.
NAME: I10j(D(CD
PERMIT#: /)-/(� •
LOCATION: ,oJ-1-/ r INSPECT ON:
TYPE OF STRUCTURE: S b
Y N NIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing/ Bridging
Joist hangers
Jack Posts I Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes / Bearing Walls
Metal Strapping for Notches Top Plate
1 'A(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 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
-7/
Firestopping '�
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/2 inch or 5/8 inch Type X
Garage side 518 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:16uilding&Codes Fomes-OLD\Building&CodesUnspection Forrns\Framing Firestopping Inspection Repoct.doc Revised January 7,2008
- to
Framing / Firestopping Inspection Report /
Office No. (518) 761-8256 Date Inspection3`'
Queensbury Building &Code Enforcement Arrive: am!pfn received: ç3m/Pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:64,4V) l�
NAME: V` ala co PERMIT#:
LOCATION: / U ( , /, 11 hr. INSPECT ON:
TYPE OF STRUCTURE.
Y N N/A COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing/Bridging
Joist hangers CLO
Jack Posts/Main Beams
Exterior sheeting nailed properly 7 ,�
12"O.C. j `' `,�-ZAA
Headroom 6 ft. 8 in.
Stairwellsi36 in. more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/ Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge (8) 16D 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 �� - i
Penetration sealed --
16
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X k‘
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:1Building&Codes Fom►s-OLD1Building&Codes\Inspection Fom1s1Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report (-Jed- l -
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart ., ; ,y` am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:014 .(' v
NAME:_ lei (4 CO PERMIT#: I ,),-710 c�
LOCATION: I i:) �� r f 1�2 ,, INSPECT ON: 7 --A 5=
TYPE OF STRUCTURE: t= I
Y / N N/A COMMENTS:
Framing 4- Tyr
Attic Access 22" x 30' minimum
Jack Studs/ Headers7-4E rZA- ‘.°)
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 '/s(w) 16 gauge 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
(V)
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall _
Windows Habitable Space/ Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/ below grade
5.0 sf grade
L:\Building&Codes Forms-0LD\Building&CodesUnspection Fomts\Framing Firestopping Inspection Report.doc Revised January 7,2008
0E..d;Dedcq, I - 3
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: t40.am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: _
NAME: Tai` CJ PERMIT NO.: " Ia.'
LOCATION: / 0 /-dr1t„f•, ,i)2_ INSPECT ON: Til
RECHECK:
pp_
Comments and/or diagram
Soil Type: / Loam / Clay
Type of Water: uni" al/ Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + / - Y N N/A
Absorption Field: Total length -_ft.
Length of each trench 1 ft.
Depth of trenches /b'4:=2-1144,°'
Size of Stone Z
Seepage Pits: Number
Size:
Stone Size:
Piping Size Type
Building to tank � A.c'7
Tank to Distribution Box At- `-)
Distribution Box to Field/ Pit 4, cL _ =cam
Opening Sealed: N
End Cap +/Ye N
Inlet/Outlet Pipes &BafflesUY— N
Location/ Separations
• Foundation to tank V2, ft.
Foundation to absorptionft.
Separation of Pits ,I ft.
Conforms as per Plot Plan N
Engineer Report and As-Built ` ___ N
Location of tern on Property:
Fron Rear Left Side ight Side Middle Front Middle Rear
System Use Statu
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
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Framing 0 Firestopping Inspection Report MD ,r\aca_ I �3
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/ m Depart) \ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: L>
NAME: C k C? PERMIT#: 1 `
LOCATION: _ /Z'_C-CLr' n- INSPECT ON: 7 ,3 /A
TYPE OF STRUCTURE: �3.r
J
Y ` NIA COMMENTS: J
Framing �, ( ,
Attic Access s 22" x 30" minimum �-tr-6c)
Jack Studs/ Headers
Bracing /Bridging j '
Joist hangers v
Jack Posts/ Main Beams
Exterior sheeting nailed properly ckc12" O.C.
Headroom 6 ft. 8 in. 1OQ' *k: —
Stairwells 36 in, or more
Exterior Deck Bracing
Headroom 6 ft. 8 in. •
Notches I Holes/Bearing Walls 1431)
Metal Metal Strapping for Notches Top Plate
1 Y/2(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 %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:1Building&Codes Forms-0LD\Building&Codes\Inspection Fomtsframing Firestopping Inspection Report.doc Revised January 7,2008
DIN\ \6L± l - 3
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/im Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
JJll ((
NAME: PERMIT NO.: /Ds—/t9 a.
LOCATION: / C7 Q f .� ���,�] �Dr INSPECT ON: '7 -313--/
RECHECK:
Comments ad/or diagram
Soil Type: Sand/ Loam / Clay (? J
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
Absorption Field: Total length ft.
Length of each trench 1 ft.
Depth of trenches 5 r ft.
Size of Stone
Seepage Pits: Number
Size: 1 x C- s"(A_<�
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field/ Pit
Opening Sealed: Y N
End Cap Y u�
Inlet/Outlet Pipes&Baffles Y VN
Location/ Separations
Foundation to tank IS--
Foundation to absorption J ft.
Separation of Pits ft.
Conforms as per Plot Plan „T Y N
Engineer Report and As-Built _.Y N
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
S s- - us:
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
-Thu rs d c 1 IDc
Rough Plumbing I Insulation Inspection 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:64) ll)
NAME: x&11__ PERMIT ##: /
LOCATION: / a Ccs c .- ( ,:/> _ INSPECT ON:
TYPE OF STRUCTURE: F
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place 1/
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test 1
Drain /Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes _
Insulation / Residential Check/Co mercial Check
Tyvek or Similar Exterior Sealant WI Mx,,
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated seaces
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
t. )L_sdae, 3 \ A 1
Rough Plumbing I Insulation Inspection Re ort /
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: C am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: CIA—) L L.
NAME: K1 PERMIT #: I --Jh
LOCATION: /0 CciiQ , INSPECT ON:
TYPE OF STRUCTURE: sr n
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet i change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
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
J `"�
COMMENTS: l
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
FramingPi(
n
/ Firestopping Inspection Report (-1(- `,_ /--s--
Office
3Office No. (518) 761-8256 Date Inspection request received: ?-.a--/
Queensbury Building &Code Enforcement Arrive: _am/pm Depart: • m/pm
. 1
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ..k-; C� ,
NAME:�„�_ 1. - 'L7) CG' PERMIT 0: / )--- ) b;,
c �
LOCATION: I
__-. , L.i :� INSPECT ON: I'7.- --/,
TYPE OF STRUCTURE: .S /- n
1P N N/A COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs I 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 1
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/ Holes l Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
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 grade
L:\Buildiing&Codes Forms-0LD\Buildin9&CodesUnspection Fomts'Framing Firestopping Inspection Report.doc Revised January 7,2008
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: Lo —S IA
Queensbury Building&Code Enforcement Arrive: am/pm Depart. . am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: C rrazit(' PERMIT#: I tv,&
LOCATION: / 0 a ctiAleia.., INSPECT ON: to—X —/4
TYPE OF STRUCTURE: S {�
Comment
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation 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
Under Slab
PVC Casty 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
to
Foundation Inspection Report
Office No.(518)7614256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ,
NAME: L.�IN1�� PERMIT#: 201 — [ -2-
LOCATION: (0 /�-Sy t- �fZ INSPECT ON: Co ct['�...
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg / 1
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
4 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
fv\v i-N d eck .,--.1 (..Q6a4:1A, %-.4,
Foundation Inspection Report ti - ,
Office No. (518)761-8256 Date Inspection request received: L9" I I a
Queensbury Building&Code Enforcement Arrive: am/pm Depart:3_ am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
(..
NAME: C`__J&' PERMIT#: /(,-/!n a
LOCATION: /r 0 at a, in\ 1)4 INSPECT ON: (o --A-1_!,.
TYPE OF STRUCTURE: S-F 6
Con mento
Y N N/A
Footings
Piers
Monolithic Slab .
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site. _
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place it
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 7� C/
./kBackfill Approval
PlumbingJ1(
Under Slab
PVC/Cast/Copper
2
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
rr►`�a� g (jQrL's)
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Dep ; , pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:/' C
NAME: a i ' PERMIT#:
LOCATION: /Dt04‘,-% INSPECT ON:
TYPE OF STRUCTURE: F
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.
V( Foundation/Wallpour
/*/
Reinforcement in Place �AeS
Footing Dowels or Keyway inplace f
'
Foundation Dampproofmg
Foundation Waterproofmg
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\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
--(hu.rzd2t I - 3 ( i
Foundation Inspection Report
Office No.(518)7614256 Date Inspection request received: 5 — ) Li a
Queensbury Building&Code Enforcement Arrive: am/pm Depart:/z? •c-_am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:( iLt ) /NAME: (:: a I °L. 'C. PERMIT#:
LOCATION: 1 0 C at 4'I tin INSPECT ON: S a y��
TYPE OF STRUCTURE:
Comments
Y / N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
/1 ---
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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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