2012-172 TOWN OF QUEENSBURY
*ow742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120172 Date Issued: Monday, August 27, 2012
This is to certify that work requested to be done as shown by Permit Number P20120172
has been completed.
Location: 20 CAITLIN Dr
Tax Map Number: 523400-301-017-0003-061-000-0000
Owner: KELACO, LLC
Applicant: COLLETTE CONSTRUCTION
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 property
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
0./` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
F
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120172 Application Number: A20120172
Tax Map No: 523400-301-017-0003-061-000-0000
Permission is hereby granted to: COLLETTE CONSTRUCTION
For property located at: 20 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 Fireplace
Garage
LAKE GEORGE,NY 12845-0000 Gage Attached
Single Family Dwelling $285,000.00
Total Value $285,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2012-172
2,362 total sf Single Family Dwelling w/attached garage 576 sf& 1 fireplace
1st flr 1,277 sf, 2nd flr 1,085 sf
$558.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 30, 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 Quee bury Mo• t -y, s ril 30,2012
SIGNED BY ' \ for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
TAX MAP NO.3o1, 1)- 3 "(v/ PERMIT NO. p�— 1 r Date
� r
n,c� �?� 1. r2012
FEES: PERMIT q / I ECREATIQN(1 ) ENGINEERING ta 1.11 0
'to it _.:��D) }Le fyx- (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 FORU� CONSTRUCTION. (/
APPLICANT/BUILDER Co /4 Ito f6ti6 OWNER: Ky f4 c�
ADDRESS: 3 5- FiLetr ADDRESS: ..31? C (k CJ- If' F
PHONE NOS. 5"'")./ PHONE NOS. -3 6
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: 16';,, Cc%/p to PHONE:3 (-5'
LOCATION OF PROPERTY: (-01- /L/ /16 t) 4-Jo CA / .1 P., ,Ok.
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0/ES 0 NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT0 Ci
Z
APPLY TO YOUR Z
o �
PROJECT 0 O • a O
F- u- o CL
LU I- f— 0 Ci Z
Z < < i— � Nco0 Ol~L = otf
SINGLE FAMILY an
� � O re
� S
�3
-MO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED /
GARAGE(1,2,3) j t� /-?
OTHER J
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: �Si rfi FUEL TYPE: (?/5;
HEAT TYPE: Inc[ /1/ *HOW MANY FIREPLACE(S): I AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? 4
IS THIS A HISTORIC SITE? 4)
PROPOSED USE OF BUILDING OR ADDITION: N;/ci94/ e
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /0 U
ARE THERE EASEMENTS ON PROPERTY? 1r9.e c
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above.
Signed ere 4/7/7//z_
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
codesCa queensbury.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:
lJ �1 AP1 7 2017
Devised 4/14/2010
APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS
Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the
New York State Fire Prevention & Building Code. The applicant or owner agrees to comply with all applicable laws,
ordinances, regulations,and all conditions that are part of these requirements and also will allow all inspectors to enter
premises to perform required inspections.
Important Note To Applicant: Rouqh-In and Final Inspections Are Required:
Owner:: /H � A ch Installer/Builder: 6 A //N
Address: 35- fazkt3 f• L- ' C' Address: 1? C /4 f7 Lft;s l�3 p
Phone Nos.: -6K j d-i c 3 9`1- Phone Nos.: S (5'-
Location
cLocation of Property:L t7"i q (4 i''Lrry & Subdivision Name: ! 01 AJ).p GiJi31
Location of Proposed Construction and/or Installation: Lor / #(14-1,12- b. CA itLik 2.
Contact Person for Building & Codes Compliance: <PA.% Ittif 1°
Fuel Burning Applicance Wood Coal Pellet Gas Oil
Information
Stove
Fireplace Insert
;/ Fireplace, factory built* Lf
Fireplace, Masonry
Furnace, (Garage Only)
* If Factory Built, Please Provide: Manufacturer Name: tlP4?-''Co Model No. iN WL)
Listed By: Number:
Chimney Information BLOCK BRICK STONE
Masonry** Check One✓
TILE STEEL SIZE IN
INCHES
Flue Check One ✓
DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY
VENT _ LINER
Chimney Material Check One L.
** If Non-Masonry, please provide: Manufacturer Name: Model No.
ADDITIONAL NOTE: CONSTRUCTION I INSTALLATION MUST CONFORM TO NYS FIRE
PREVENTION & BUILDING CODE AND/OR MANUFACTURER REQUIREMENTS. CONSULT
AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS
Town of Queensbury* Community Development Office* 742 Bay Road, Queensbury NY 12804
APR 1 7 2012
Town of Queensbury Revised 4/14/2010
Highway Michael F. Travis
Department Highway Superintendent
742 Bay Road, Queensbury, NY 12804 Home (518) 798-0413
Office Phone: (518) 761-8211 Thomas R. Vanness
Fax: (518) 745-4466 Deputy Superintendent
Home (518) 745-0929
www. Queensbury.net
DRIVEWAY PERMIT
Date: yJ I).J/
Applicant Name:
Address to be inspected: 1-6-1-- )W CAI I L 11v 0+2., I4 6-os t )-(b
Return Address: Ce 1fc'17 ' 1-/\)‘ 114603 A 11I-3 1
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
Septic 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: (I in L} )
NAME: e_.0 C•iLi2- e__OK, PERMIT NO.: 2:,-1 Z- - 1 7 Z-
LOCATION: "2 c> C'-✓4-�j-k.�i n,P,--- INSPECT ON: ;(2`1 \ CZ-
RECHECK:
Comments and/or diagram
Soil Type: Sand / Loam / Clay
Type of Water: Municipal / Well Water
Waterline. eparation distance /' ft.
WelE's paration distance ft.
Other wells: ft.
Well Casing Le :th 50' + / - Y N N/A
[150'to well -.Lifted if NO]
Absorption Field: •tal length ft.
Length of e. h trenc ft.
Depth of ' ench s ft.
Size o tone
Seepage Pits: Nu 4er
Si :: _ x
Stone ize"
-2_,)..,..(-t, L
kit I)
NM
— Piping Siz1111 Type - N t--
Buildin• to tan ri,„)--G-L
Tank to Distribution Bo 11
Distribution Box to Field / Pit 4
Opening Seale.: Y N 1
M -
End Co
Inlet/Outlet Pi•-s & Baffles Y N {
..,c2&C-72S
Manholes 12"or less below grade _Y_ N
/ C4—
[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 ,• '-'1f N
Engineer Report and As-Built N
ETU Maintenance Contract Y N
provided
Location of System on Property:
Front ar 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 Report_03 29 10.doc
VISION Engineering CIVIL • STRUCTURAL • MUNICIPAL • ENVIRONMENTAL
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
hc,crs � 1 -
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/ m Depart:L am/pm
Date Inspection request received: - 3)) Inspector's Initials: rl��
NAME: k o_facD PERMIT#:
LOCATION: p C ( DATE:
TYPE OF STRUCTURE: C� � (� f,
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches _
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches-
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor 1 Sticker on Panel �,
Duct work sealed properly I Blower Door Test Certification (5(51(c-9—e31TSi-)� v
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade v (
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area ri'j.(4- A`V
tq
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed I Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 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:1Buiiding&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
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: S 22..V-7---
NAME:
LOCATION:2+ C:✓k Ips-ki--A3Q
PERMIT#:7 CD \—L.^ CO---
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the /
Dept. of r/
Community
Development.
Upon review the
survey has been:
C \A-- i
rown, Zoning Administrator
Notes:
L:\,SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
1"0 1: 1�
LU d(.6s d cal 1 .-3
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: / 3' amipm
Date Inspection request received: Inspector's Initials:
NAME: 1')1 d A ev P IT#: / e, — ri
LOCATION: A 0 CAI1- 11A Dr DATE: y -243--/ca
TYPE OF STRUCTURE: S F (J
Comments:
Yes, No N/A
4" Building Number Address visible from road '/
Chimney Height/"B"Vent/Direct Vent Location �j
Fresh Air Intake i�f
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete V/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 ,r
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches ✓
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate V 7 );\/
Gas Valve shut-off exposed/regulator 18 inches above grade (---7--- }yd
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Wind. in stairwells safety lazing ✓
Interior Smoke D- - ors/Carbon noxi Detectors
Every level: Ev Bedro m
VVV f
Outside every bedroom rea: /1
Inter Connected: Battery backup: ✓/ TR,D\A /A-----' AIVA4
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 t/r Vi CO% d_Fj:S
Bathroom Fans,if no window
Plumbing fixtures f`/
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. /j
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating /
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum Y2"Gypsum
Basement stairs closed rise>4 inches l�
Garage Floor Pitched
Garage fireproofing/3/hour fire door/door closer
Gas Logs in Sea or_Gas&Enclosure___
Final Electrical• Energy Saving Light Bulbs 50%'4r--- ----- V----g)V .
Final Survey Plot Plan,
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles 1. �`
Flex Gas Pipe Bonding - 1 `kLtA��
As Built Septic System/Sewer Dept. Inspection Slicker V
Site Plan /Variance required ..—...,_ 7
Flood Plain Certification, if required /\
Okay to issue C/C or C/O[Temporary/Permanent] �V
L:1Building&Codes Forms\Building&Codesllnspection FomislResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
1v — r �
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received: Z�' / 2--
Queensbury
Queensbury Building &Code Enforcement Arrive: am/ mD_epart: i . am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: V-(1'4 L v L1=C. PERMIT NO.: 2 / 7i
LOCATION: q0 ( 1 ' i Li 14 1)( . INSPECT ON: MEW 2,
RECHECK:
Comments and/or diagram
Soil Type: , • Loam/ Clay
Type of Water: M tiui-I/ 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 7_ _ > ft.
Length of each trench .S�_ft.
Depth of trenches 4e,'1/4-2-.4-`1$
Size of Stone 2_
Seepage Pits: Number Q
Size: 1" x
Stone Size:
Piping Size Type
Building to tank -
Tank to Distribution Box at 56-k
Distribution Box to Field/ Pitf r "?2
--7 eRpvtAX'y
Opening Sealed: YY_ N
End N '� j
Cap �/Y Ri2Clu-12-T
Inle Outlet Pi.- &Baffles
Manholes 12"or less below grade _Y N
[provide extension collar if Yes] _Y Y N
Location / Separations
Foundation to tank IC) ft.
Foundation to absorption -22_ ft.
Separation of Pits -V-1 -‘7,"
Conforms as per Plot Plan
Engineer Report and As-Built Y N
ETU Maintenance Contract _Y_ N
provided
Location of System roperty:
Front Rear Left Side Right Side Middle Front Middle Rear
S 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 Forms\Septic Inspection Report 03 29 10.doc
rnvrdc1
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: anAi Depart 5---am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials C
NAME: /cv CSC' 0 PERMIT NO.: /D — / c),)
LOCATION: • 0 CO 1.-41•14 Or INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: Sand/ Loam / Clay ,�
Type of Water: Municipal/ Well Water �SO pIC
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 ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping )ize Type
Building to tank `e'� (�
Tank to Distribution Box ��� e_5
Distribution Box to Field / Pit
Opening Sealed: •Y N
End Cap
Inlet/Outlet Pipes &Baffles Y N
Location/ Separations
• Foundation to tank / ft.
Foundation to absorption 472—_ft.
Separation of Pits - i; .
Conforms as per Plot Plan AV Y!!
Engineer Report and As-Built __ N
Location of Sysem-o►�Property:
Front Clea2.) Left Side Right Side Middle Front Middle Rear
System Use Status:
pproved
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
it
, Z,' 4 -
tl
,O
1 E-- 3°
1 -
•
L
f
7_c
'° 1
J — i-ii— s _.... --- -� _
i � 1
1
k1
Cl °312 .
Ldt -a
CA it Ltt I )P.P..
c-- 1--,-. /7 fi,-,,/ft
f
W--
j�� /' r Town of Queensbury Fire Marshal ! a (b
' e. : —19
it_ 742 Bay N3 _
Queensbury,NYY 1 12804 ( �,�,�� r.rL
``--- - . ' 761-8205/761-8206
fax 74.5-4437
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. Nodeyintion from the manufacturer's
instructions or specifications is allowed. 7
Permit# (9.0i.;-1-7' Schedule Inspection 7__( '`�.0-Time ` pm anytime Inspector d ,
Name Kel. 6WAddress ;�L C r C restIti.,,7)3`- Rough I Final_ ..-
Appliance
Appliance Manufacturer C— `-1Model ALS-Fe__ P3 (.O :\` �
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
•
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
V/
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air k
Hearth Extension (if any)
Mantel /
Height above f/p opening e
Witness Operation
Tank Placement (if LP) V
CO Detection 1.7 ,
- ----3>j G—t5C-. -e<'''(;1/4 /1\-1 ----
CSST Bonding
White—Building Dept. Yellow—Cust umer Pink—Fire Marshal
rn01d / 3
Rough Plumbing I Insulation inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm DepartL am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .6\cick"
NAME: pig c e _ PERMIT #: 0-6,71
LOCATION: c 0,a C-1-1A10 INSPECT ON: '7-- q-- /d
TYPE OF STRUCTURE: S F D
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent I Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. abovehi hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.1 for 15 minutes
y, Insulation / Residential Check/ Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent ,
Door/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:
rz- )c6a-c-u)li
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report 1 hur_s - `� `�
.41
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: ) s ( am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �0, /,. -
NAME: PERMIT#: 1A-1)-1
LOCATION: INSPECT ON: >-7-%:�
TYPE OF STRUCTURE: S t n
PIA 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 %(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
Fir4 hourCr/
Firesta ng i
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House sideY2 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 Fours-0LD\Building&Code,Unspection Famns'Framing Firestopping Inspection Report.doc Revised January 7,2008
r10 -1a,
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart:IL)
1 ( ) am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .1449 F
NAME: PERMIT #: / �,-/`)a.
LOCATION: a C INSPECT ON: Co- a3.-/A
TYPE OF STRUCTURE: 0
( Dnc4 errvne
jRou9h Plumbing / Nail Plates �.
Y N N/A
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation I Residential Check I 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:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report M t7I`Q,3 D-14
Office No. (518) 761-8256 Date Inspection request received: i91
Queensbury Building &Code Enforcement Arrive: _am/pm Depart: .1. am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials/ .,:1)
NAME:_, C° i( - PERMIT#: /.-:_-)—) '7.4
LOCATION: 4- v c.Q i 't-1 in r INSPECT ON: io- I .' -L
TYPE OF STRUCTURE: S .1 p
Y ' ;. N/A COMMENTS:
( miiI 11111Kli: - --}' } ,L<< (---K
Attic Access 22" x 30" minimum Nilip
Jack Studs/Headers
Bracing /Bridging
Joist hangers
Jack Posts/Main Beams • ) ✓ q:4V d_-,= --- .
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 I v A '4.
h'i .4, i' 11." ''
k z(>6*6$5(
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 t�lJ f A",�� LL, i_cL5
Ice and water shield 24 inches from wall �
Fire separation 1, 2, 3 hour l ' `v- 2-vk
Fire wall 2, 3, 4 hour -
Firestopping
El
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) ,1
5.7 sf above/below grade
5.0 sf grade —
L:\Building&Codes FormsOLD\Building&Codeslinspection Forms\Framing Firestopping Inspection Report.dac Revised January 7,2008
1)1 t.(\e-4 -<-
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: L l -1
Queensbury Building & Code Enforcement Arrive: am/pm Depart:-3' ') am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: _L`
NAME: c , 11,__14, PERMIT ##:
LOCATION: 37, Co / r" INSPECT ON: (Iv--r g.14
TYPE OF STRUCTURE: S F
Y N N/A
Rough Plumbing 1 Nail Plates
Plumbing Vent I 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 I 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
anon / Residential Check/ Commercial Check
T Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct I Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealedproperly/ No duct tape I
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008
Framing / Firestopping Inspection Report c ' (C).���`
Office No. (518) 761-8256 Date Inspection request received: (1" f
Queensbury Building & Code Enforcement Arrive: am/pm Depart:'j
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ,,l
i,
NAME: ! L U �--�= PERMIT#: l 2
LOCATION: ' r-� i h,�t \(` INSPECT ON: C///O Z.
TYPE OF STRUCTURE: _
N N;A COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing/Bridging A )
Jahangers
Jack Pasts/Main Beams
Exterior sheeting nailed properly
12" 0.C.
- cc)
Headroom 6 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 1/2(w) 16 gauge (8) 16D nails each&de
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 6 ft. or less on center
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 1A 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:1Buiiding&Codes Forms-OLD\Building&CodeslInspection Fomos\Frarning Firestopping Inspection Report.doc Revised January 7,2008
� 1t I
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: fram/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:0f`_
2
NAME: PERMIT#: / --/
LOCATION: Cry,`f 1 n INSPECT ON: 5 -d -f:?
TYPE OF STRUCTURE: .S.E
Comments
eD I t..) Lu'"C(-61 41/4411-6-
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wailpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 nail poly for wet areas under slab ..(L. ,t)-
Backfill Approval
•
bi g Under Slab
VC/tast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Bullding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
rr ca 1 3
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: -- — �1
Queensbury Building&Code Enforcement Arrive: am/pm Depart:( am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
6�
NAME: K /( (Cj PERMIT#: /A- ,'701
LOCATION: DD C c (11'11 r1 INSPECT ON: ,5 — S-
TYPE OF STRUCTURE: S 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.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump S
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab 7'
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 Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
( sc fv _ R _
Foundation Inspection Report
Office No. (518)761-8256 Date Ins ection qu-: -�.' ed: 5 /1 / 1 1 Z
Queensbury Building&Code Enforcement Arrive: V:��I : . . Depart: "
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial-. �
r-w
.r NAME. C u t t-f f� / ��C C 'If C � L �p. T#: �
LOCATION: ) C \r INSPECT ON:
TYPE OF STRUCTURE: !!
Comments
. /, Y N N/A
#outings
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
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 Foam\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
....,
— .
. ..
c5---
.. .
I .. ., i
c 1
s.„ .
Y_..
,4
--- ;" ,...... •
' 74 ).;
,-- V.\ I \‘ ..,
'
,,-/ A
.._ 0 11
(.... .„ -:
I ,
I . ..
. .
. Z .
-7 -. •.* .-_,
- 6---- - - - ,
1 .
•
C .'s.
__i --- '<.?r,\,,I. .,.'. \ 1.-•
1 i
, \ -
n 1:-.. ...I.---r . . / . ,,-
,----
g .. L.
., •
.
. 1,1
L
c.,
..:. ..
-
c.-..:
.1 , 1 „
._..
--- --- - . ..,
,._..
t ,. .---- ,
-,
! i
il
••"(z) I
•
.5'. / ( .
•
. .
%-_--
1
ia,..... ,
1
.. ..
t
,t
- -- -4- -- •
0)
_ • :',..:.)S e r v e L'„ or itiL.:1;etie I saw evidence of,
H -
as roses, we.11s, trees, fences02, etc.,
c -4
.2.1 iis d.-Joilm2n . I also represent that I have
, 0•:-. 1=1 I
' y nktasured the distances set fth on the diagram ,
. 0,_, r....s. •'-'
!
L. ....___J