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2012-259 TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 1280 -5902 (518)761-8201 ��� 4 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120259 Date Issued: Monday, May 20, 2013 This is to certify that work requested to be done as shown by Permit Number P20120259 has been completed. Location: 65 COUNTRY CLUB Rd Tax Map Number: 523400-296-015-0001-006-000-0000 Owner: ROGER M JACKOSKI Applicant: ROGER & LINDA JACKOSKI 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 ra,,P ,g)t-- 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. Temporary Certificate of Occupancy 90 Day Building Permit No. : 2012-259 Property Location : 65 COUNTRY CLUB RD. Property Owner: Roger and Linda Jackoski Approved for the following uses: Single Family Dwelling Conditions of approval : 1. Need to provide final survey; and 2. Fireplace to be installed at future date. $100 fee received on: November 16, 2012 90 Day Temporary CO expires on: February 16, 2013 *A final inspection for this project must be scheduled before the expiration of this Temporary Certificate of Occupancy — if your project is not complete within this 90 day period you will be subject to additional fees* Signature of Applicant: X11_ (-- avAP 1. . Director of Building & Codes: ha\ Town of Queensbury Building & Codes Office Dept. of Community Development 742 Bay Road, Queensbury, NY TOWN OF QUEENSBURY eall 742 Bay Road,Queensbury,NY 12804-5902 (5 I8)-61-8301 Community Development-Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: P20120259 Application Number: A20120259 Tax Map No: 523400-296-015-0001-006-000-0000 Permission is hereby granted to: ROGER&LINDA JACKOSKI \‘ � For property located at: 65 COUNTRY CLUB Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: ROGER M JACKOSKI Garage Attached LINDA L JACKOSKI Single Family Dwelling $200,000.00 P.O. BOX 4238 Total Value QUEENSBURY NY 12804-0000 $200,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2012-259 2,173 sf Single Family Dwelling w/663 sf garage 1 fireplace-nat. gas- CANCELED FIREPLACFrmanent CO issued 5/9/13 $534.05 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, May 31,2013 (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 Tow of Qu nsb /J T rsX _ ay 31,2012 !vJ SIGNED BY \ for the Town of Queensbury. Director of Building&Code Enforcement • TOWN OF QUEENSBURY ffri742 Bay Road,t)uccnsbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120259 Application Number: A20120259 Tax Map No: 523400-296-015-0001-006-000-0000 Permission is hereby granted to: ROGER & LINDA JACKOSKI For property located at: 65 COUNTRY CLUB Rd in the Town of Queensbury, to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: STEVEN & LISA JACKOSKI Fireplace 989 STATE ROUTE 9 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 2012-259 2,173 sf Single Family Dwelling w/663 sf garage 1 fireplace- nat. gas $534.05 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, May 31, 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 nsbury , Th r.dy,, May 31,2012 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement cbo' / OFFICE USE ONLY TAX MAP NO(I1O, 15 I "'CO PERMIT NO. / -0,5 9 FEES: PERMIT 53105 RECREATION —p — ENGINEERING �- 5D t/Z3 FAQ e (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 OFQA VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: R L 311-C-kDs lc OWNER: 1 L - J 4ck oSkJ- ADDRESS: S L O0/VIII CJAZ g4 C L?Y ADDRESS: t J COCA.cj-, 1 C-CL/674, QOJ PHONE NOS. J C, y i - 3 13 0 (tom.,t) - PHONE NOS. STI s - (.; V2_-313 G Si s'-- 37� — lac/ I (Ce L.' J TC,r CONTACT PERSON FOR BUILDING & CODES COOMMPLIANCE: 57CUi PHONE: Sir? .37( -3 L LOCATION OF PROPERTY: (v 5 C.OUit Tftl L c.)40 443 &A HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? El YES )514110 IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT p p APPLY TO YOUR Z 1= p - co PROJECT p O0 • _J O = _ w i w 'L " _ o , � w o O � wwz Q Q - Cn N In 0 u_ HIL CL oo SINGLE FAMILY 02 17 0211S aL3171 („° TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED - GARAGE(1,2,3) ���/// �j 3 crP 679.'6 OTHER Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 • Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: 02 00/ 0 (1 J FUEL TYPE: /VA TWAL (T c HEAT TYPE: A- /e, *HOW MANY FIREPLACE(S): I AND/ OR WOODSTOVES(S): 0 ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? }.LS IS THIS A HISTORIC SITE? N .� PROPOSED USE OF BUILDING OR ADDITION: JL/V(rLE 1:AA-V1-)' X E S 3--4 en) (. ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? N L7 ARE THERE EASEMENTS ON PROPERTY? /(f 3 *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office 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. 1 Signed iv1 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) Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 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 codes anqueensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net Operating Permit Issued: Yes No Occupancy Type: 1 �. Construction Classification: -Tyra-k--z- Assembly Occupancy Limit: Special Conditions: Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 OFFICE USE ONLY TAX MAP NO. PERMIT NO._) v`3 PERMIT FEE APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT.Li ' OWNER: TPIz kc3 ISS /� Q INSTALLER: �/JLL `�/UfT/-i E2(CAV 4-T�N(r- ADDRESS: 6> C U(J/VI Il y (/ vQ 4/- ADDRESS: /L T I i 1 `��I 0121 ,q/VN A-y PHONE NOS. S! e '- .) 7 G 315 I PHONE NOS. 77 1 2- — 72 W C LOCATION OF INSTALLATION: ( 04v-1(1i C-L Lid 2 i RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older X 150 = INSTALLED? A✓,1 1981 -1991 X 130 = SPA OR HOT TUB • 1992-present 3 X 110 = 77o INSTALLED? RA) PARCEL INFORMATION: Sef. ie}TTjtc.tic-AJ / TOPOGRAPHY: FLAT ROLLING/ STEEP SLOPE %SLOPE •7 SOIL NATURE: SAND .� (( LOAM r CLAY OTHER / GROUNDWATER: AT WHAT DEPTH? / BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL / WELL (If well:water supply from any septic system absorption is: ft1 / PERCOLATION TEST: RATE IS 1) PER MIINUTE PER INCH[mpi] (Test to be completed by a licensed professional engineer or architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE: r..:5 0 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: II (BSORPTION FIELD (WITH NO.2 STONE) Total length 1.30 ft. Each trench c X .�� ❑SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size? 0 ALTERNATIVE SYSTEM Bed or other type? o 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 Sani Sewa Disposal Ordinance. ` codes(a)queensbury.net �� 1'I VISIT OUR WEBSITE FOR MORE INFORMATION www.queensburv.net Signa ure o Person sible Date Town f Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804 D. -D. 'S9 Revised 4/14/2010 Town of Queensbury Highway Michael F. Travis Department 2812 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: — 2_() I t Applicant Name: 121` L �L K p SJ I Address to be inspected: (oJ cook/TA/ (Lug 4c) .r- Return Address: i57r • i go "Tc �( U cn�'Qur�y ���( LPu Y 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 I � �asQ) Revised 4/14/2010 APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the New York State Fire Prevention & Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Important Note To Applicant: Rouqh-In and Final Inspections Are Required: Owner:: ( 'a/1-C bS k r Installer/Builder: eq L ii k oS k.t Address: S cowl/JT CLUL� 1,,) Address: (93 c u-T/li C L UL�a�- c�tdcvsoe� j, �.y IL,?,y (uuGEAds/, )v 7, rv/ ( LPd / Phone Nos.: SIS-- 376 - 3 Lt I Phone Nos.: <12—37C-7 L`t Location of Property: Gj C(way C Lug Subdivision Name: Location of Proposed Construction and/or Installation: Cc > L u 1J/V f/2'1 C L(Ad 4a Contact Person for Building & Codes Compliance: f%EJc 'J/tC kt()Pc r Fuel Burning Applicance Wood Coal Pellet Gas Oil Information Stove Fireplace Insert >c. Fireplace, factory built* Fireplace, Masonry Furnace, (Garage Only) * If Factory Built, Please Provide: Manufacturer Name: I- ( ) Model No. 6 000 C_ Sr, c aO Listed By: Number: Chimney Information BLOCK BRICK STONE Masonry** Check One✓ TILE STEEL SIZE IN INCHES Flue Check One ✓ f„ DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY VENT LINER Chimney Material Check One✓ ** If Non-Masonry, pleaseprovide: Manufacturer Name: Model No. 0 C.-- 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 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pm Depart: - am/pm Date Inspection request received: Inspector's Initials: NAME: l an),f) I PERMIT#: . –. — e LOCATION: . . . !�. DATE: TYPE OF STRUCTURE: tlt Comments: Yes No NIA 4" Building Number Address visible from road -y�n Chimney Height I"B"Vent/Direct Vent Location e C.0 Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches 13 Roof Complete/Exterior Finish Complete a— I (9 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 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 I trim I doors I 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.-160 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation to floor!Sticker on Panel Duct work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched '— Garage fireproofing/3/4 hour fire door/door l1oser K! 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 I 0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codesllnspection FomislResidential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08; Revised 12!22110,Revised 04/13/11 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: /f-d g�f NAME: J aci- L� LJS LOCATION: (� `'> ,,, e Ll Rai PERMIT#: ) a 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: Qrown,ioning Craig Administrator Notes: L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc • MAP REFERENCES MAP OF A SURVEY MADE FOR BRIAN J. & STACY A. ALLEN BY: VAN DUSEN & STEVES DATED: JANUARY 25, 2003 LAST REVISED: MAY 30, 2003 MAP OF A SURVEY MADE FOR BARRY & LILLIAN EGGLESTON BY: VAN DUSEN & STEVES DATED: SEPTEMBER 13, 2001 CIRF J'4 'i L-, DIRT DRIVE W N co �h O tvr ® I I HYDRANT WALK E�sl "�u-�a, 1 STORY WOOD FRAME HOUSE POKCN Du"V �•.J T 7 e s v Land S is r v e y o r s 169 Haviland Road Queensbury, New York 12804 ZRINRIZEO ALTERATION OR ADDITION TOA 15 A MPP BEARING A7D 9. S SURVEYORS SEAL IS A SUB-DINSION 2, OF TLE VIEW WOR OF SECTORT EU EDUCATION NEW YORK STATE [DUCAT O ORIGINAL ONLY COPIES ORI 111E ORIGINAL OF THIS 50RVEY AN 11IDME OF THE LAND SURVEYORS MARKED ALL SEAL RTEc DE CB�I❑ICATE i0 BE VAIIO TRUE COPIES 'CE'UR-Y ONS, INDICATED HEREON SIGNIFY THAT THIS SVRVEY WAS, PREPARED IN ACCORDANCE WITH THE AFH AD BYTHEXISTING CODE OF FRACTCE FOR LANG SURVEYORS ZONAL O BY ME NEWLOE TOR STAR ASSOdTION OF PROFESSIONAL LAND 511RVEYON g3TA CERTIFICATIONS SHALL RUN ONLY TO ME PERSON FGR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF T9 THE TILE COMPANY, GOVERNMENTAL AGENCY AND I£NciND w511nmON UNTED HEREON, AND TO ME ASSIGNEE§ OF THE LENDING INSTIIUTION.- (518) 792-8474 New York Lie. No. 50135 PORCH AREA PORCH AREA T� !9 n Q 70,127.18 sq. ft. Q- ` 1.61 acres CO "0 f" . CMF I LANDS N/F OF ' - a LEGACY LAND HOLDINGS, LLC 457,80' N81004' 3RW I IRS LANDS N/F OF ALLEN LEGEND: i 'O CMF CONCRETE. MONUMENT FOUND OIRF -I IRON ROD FOUND .OIRS =�I IRON ROD SET / TO BE SET tiA O-C�v1-v �u.._ la� =I'i UTILITY POLE + --"� ,—❑❑— WOODEN FENCE LINE 1, NOV 2 8 2012 a f I I Date; June 20, 2008 Map of a Survey made for Scale 1'=40' I 5-1 Steven B. & Lisa M. Jackoski 2 11116112 HOUSE LOCATION ; SHEET l OF 1 - Town of Queensbury, Warren County, New York 1 12123109 NAME & WETLAND LOCATION JACKOSKI C2274 i NO. DATE DESCRIPTION { DWG. No. 08076 7-1-6 61-1-6 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/pm Depart: iam/pm Date Inspection request received: Inspector's Initials: �rw(1 NAME: PERMIT#: !2o12 .-25d1 LOCATION: :i` cam`' —r 2 DATE: i i l t 6 1 )-7 TYPE OF STRUCTURE: 5 r�' / Comments: Yes No N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Vz- Fresh Air Intake }�' 3 inch Plumbing Vent through roof minimum 18 inches ",_ J Roof Complete/Exterior Finish Complete i '' . .t_' _ O Platform at all exterior doors t// Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade V k ��t Guard at stairwell at 34 inches or more . , Guard at deck,porches 36 inches or more V P c- `'7,` 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 V/ 6 inch clearance to sill plate f Gas Valve shut-off exposed/regulator 18 inches above grade V/ Interior privacy/trim I doors I main entrance 36 inches ✓/ Bathroom/Kitchen watertight Safety glazing/Win••win stairwells safety glazing Interior Smoke D- :•«ors/Carbon Monoxicld Detectors Every level: • Every Bedroq�n z/ Outside every bedroom rea: l t Inter Connected: x/ Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area i/ Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents f Bathroom Fans,if no window Plumbing fixtures �' Foundation insulation to floor I Sticker on PanelC3c,-7-`� r, C:c C ' Duct work sealed properly/Blower Door Test Certification , .. t Floor truss,draft stopping finished basement 1,000 sq.ft. �J•?/v,YL�Y a rj' Emergency egress below grade /� Gas Furnace shut-off within 30 feet or within line of site l� / Oil Furnace shut-off at entrance to furnace area Y �_ Furnace/Hot Water Heater operating Low water shut-off boiler / Relief Valve(s)installed/Heat Trap/Water Temp 110 J f Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum </ Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing I%hour fire door/door closer f"kms 1t. Gas Logs in Sealed or Glass Enclosure .________ /` �,- Final Electrical; Energy Saving Light Bulbs 50% ✓ M//5-Y4-1.44. ) �'��'`�w` Final Survey Plot Plan � t� 0''-- Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding f j As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification, if re.u• Okay to issue C/C or C/01 -m.ora► /Permanent] L:1Building&Codes Forms\Building&Codeslinspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08;Revised 12122/10, Revised 04/13/11 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/p De art: i4 am/pm Date Inspection request received: Inspector's Initials: ,i NAME: ' -4e' <,\ PERMIT#: 7c5V-2, LOCATION: ' 6-' ‘---r•rcuL� --.t$, DATE: l-lkt' 1 Z TYPE OF STRUCTURE Comments.. Yes No N/A ' Y �� �� 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 k/ Roof Complete/Exterior Finish Complete " t.. v S Platform at all exterior doors V / Handrail 4 or more risers V � — Guards at stairs,decks, patios more than 30 inches above grade Guard at stairwell at 34 inches or more Y� / �'-- -&411/4311-4"4"----- Guard at deck porches 36 inches or more �/ Handrail Termination at Newell Post or Wall.,,2. c—� Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant 4 ? - - _ Grade away from foundation 6 inches with 10 feet 1..<", 6 inch clearance to sill plate ✓e Gas Valve shut-off exposed/regulator 18 inches above grade yr C ra44-' �- Interior privacy/trim/doors/main entrance 36 inches ✓� 4S _ `"lf�` ` Bathroom/Kitchen watertight ✓ Safety glazing/Win w in stairwells safety glazing ✓ Interior Smoke De ctors/CarbonMonoxide,6etectors � 1� Every level: Ev Bedrogfh t/ Outside every bedroom rea: �� � TV-s>1 ^� Inter Connected: i' Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area j _Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents \ `� cam'��"4 � Bathroom Fans, if no window } 4.' Plumbing fixtures 4.„// ` _ Foundation insulation/Insulation Certification/Sticker on Panel V / C. PkAk- _ Floor truss,draft stopping finished basement 1,000 sq.ft. 4 �/ ,�-,�r, Emergency egress below grade ,C ) �t � ---- �`1`•C: .t+� - Gas Furnace shut-off within 30 feet or within line of site 'l��/ Oil Furnace shut-off at entrance to furnace area / _ . Furnace/Hot Water Heater operating V 4, l � `� Low water shut-off boiler S Relief Valve(s)installed/Heat Trap/Water Temp 110 :5 ic _ �...'/z - Enclosed Stairs Sheetrock Underside minimum "Gypsum _. Basement stairs closed rise>4 inches V L ey 1:1-inag--istkf�� Garage Floor Pitched z ,/ Garage fireproofing/3/4 hour fire door/door closer r`�y/�' Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure 1/ Final Electrical Final Survey Plot Plan Kiri Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles /' Flex Gas Pipg,-Berrdirn,}-, V As Butt€Septstern1 Sewer Dept. Inspection Sticker V. J Site Plan /Variance required e/ Flood Plain Certification, if required `/�. Okay to issue C/C or C/0[Temporary/Permanent] Y L:1Building&Codes Forms\Building&Codes\Inspection Forms1Residential Final Inspection Form_revised_100405.doc; Revised January 7,2008; Revised 6/26/08; Revised 12/22/10 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: Tc/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials NAME: _ PERMIT#: LOCATION: INSPECT ON: `7,:"; TYPE OF STRUCTURE: N COMMENTS: Attic Access 22" x 30" minimum Jack Studs/ Headers 1 CL 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 n/� Exterior Deck Bracing -A Headroom 6 ft. 8 in. ` } Notches/ Holes/ Bearing Walls � e//5:)' Metal Strapping for Notches Top Plate 1 1/2(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. (11V) 5.7 sf above / below grade 5.0 sf grade L:1Building&Codes Forms-OLD\Building&CodesUnspection Fom►arFraming Firestopping Inspection Repott.doc Revised January 7,2008 Framing / Firestopping Inspection Report I " - ' Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pmpart:_ am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: tut NAME:_ J PERMIT#: /,� LOCATION: (Al 5 j -ct,.ti.-,,.` L v INSPECT ON: TYPE OF STRUCTURE: S D -' 0 N/A COMMENTS: Framing I • .I Attic Access 22" x 30" minimum Pre E 11 C-1 Jack Studs/ Headers S�-c, aid I bo Bracing I Bridging Joist hangers � r c� Jack Posts/Main Beams Exterior sheeting nailed properly ��'� 12" O.C. (,L1M Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. •--T �r Notches/Holes/ Bearing WallsMetal Strapping for Notches Top Plate 1 '/s(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 I Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\Building&Codes Forms-OLD\BuiIding&Codes\inspection Famns'Framing Firestopping Inspection Report.doc Revised January 7,2008 upta (>62 4 glib Rouo Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: •oir m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: PERMIT #: /. LOCATION: (62 INSPECT ON: d`T-/:.1 TYPE OF STRUCTURE: 0 A� Sem 1 � l Y N N/A jJ� Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place 1 Yz 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.{ for 15 minutes Insulation/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 COMMENTS: 3 3 )4,t,)\41- Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report LU "l) Office No. (518) 761-8256 Date Ins ion request received: _ Queensbury Building &Code Enforcement Arrive. ` O am/pm Depart: m/pm 742 Bay Road, Queensbury, NY 12804 Inspect s NAME: J C`t C KGS �( PERMIT#: - `y LOCATION: .� l tial , INSPECT ON: � CL— TYPE OF STRUCTURE: F i Y PIA COMMENTS: Framing Attic Access 22" x 30" minimum Jack Studs/ Headers t7_,/ � Bracing /Bridging Joist hangers W t-�f J' 1I\% te49-1 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 '/2(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 Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side Yx inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space I Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/ below grade 5.0 sf grade L:16uilding&Codes Forma-OLD\Building&Codes\inspection Fom}s\Framing Firestopping Inspection Report.doc Revised January 7,2008 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart:---3:_\41).am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: • r - PERMIT NO.: L-S3 ^2.9 LOCATION: - rd.) INSPECT ON: RECHECK: Comments and/or diagram Soil Type:. Sand / Loam / Clay _Type of Water: Municipal / Well Water ' Waterline separation distance' ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + / - Y N N/A [150'to well required if NO] j Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of atone Seepage Pits: Number _ Size: Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y_ N End Cap _YN 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. Conforms as per Plot Plan ,P7-`‘ . N Engineer Report and As-Built N ETU Maintenance Contract Y N provided Location of System on Property: tont Rea,' Left Side Right Si Middle Front Middle Rear System Use Status: 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 F" ZONING REQUIREMENTS SITE SOILS DATA MODERATE DENSITY RESIDENTIAL (MDR) TEST PIT #1 - 9/22/2010 TEST PIT #2 - 9/22/2010 TEST PIT #3 - 9/22/2010 o FRONT SETBACK -'30' : BY. T. HUTCHINS, P.E. BY: T HUTCHINS, P.E. BY: T. HUTCHINS, P.E. D REAR SETBACK - 30' 0-10" TOPSOIL 0=8" TOPSOIL 0-8" TOPSOILam _ SIDE SETBACK 25' 10-22" LIGHT BROWN SILT 8-29" LIGHT BROWN SILTY SAND 8-34" LIGHT BROWN FINE SANDY LOAM MAXIMUM BUILDING HEIGHT = 40' WITH SOME SAND, 'FIRM 29 60" OLIVE BROWN SILTY CLAY LOAM 34-60 OLIVE -BROWN SILTYjCLAY LOAM O o _ PERMEABILITY - 50% 22-50" OLIVE -BROWN SILTY CLAY LOAM FIRM F o 20' _ 50-52" FINE SAND, MOIST SLIGHT MOTTLING O 32" i y➢�a NO ELEVATE FPN5HED FLOOR �"� I 52-70" DARK BROWN CLAY LOAM NO MOTTLING ENCOUNTERED DEPTH TO S.H.G.W.T. 32" o a OF HOUSE A5 NEEDED TO ` "� �� BOUNDARY CONDITION AT 29 0� O° auow waucourleasEMENr MOTTLING © 22" PERCOLATION TEST — 9,, ?o10 Q I e DEPTH TO S. H.G. W. T. = 22 BY: T HUTCHINS,'` P.E. �0 4 1to _ �� 04� STABILIZED PERCOLATION RA TE. :. ' RETAINING WALLS t STAIRS - 475.51' 15 MINUTES PER INCH �� _ _ ;.I 1 2 (®� ASP(-jAL,T _ AS NEEDED TO ALLOW FOR \A� WALKOUT BASEMENT 3� 9.99,0.4 _SITE LOCATION LOCATION MAP 7s.ss a F NTS PLANTINGS , z \ AREA ,� ,�FLAG POLEV7O,127.18 SC/. ft. ► g oh �\ 1.61 acres WASTEWATER SYSTEM DESIGN I IZ Irn SWALE 0�� m4 BEDROOM RESIDENCE PROPOSED 4" 5DR-GO�WATER SAVING FIXTURES 1 6 GPF MAX. FLUSH, 3.0 GPM MAX. FAUCETSv GS HOUSE 5E1 ( ) 1/4" PER FT. MNLSL/_DESIGN FLOW 110 G /BEDR00PROPOSED 1250 GAL /�%�Q \ PD M hCPRECAST CONCRETE '�` . ,n O +�` ' � • � o 'M `SYSTEM DESIGN FLOW _- 440 GPD o IR 0 0 fig• ti SEPTIC TANK �� up�o \ �c�, SEPTIC TANK - 1250 GAL cFo�F l h LEACH FIELD - STANDARD PIPE -IN -STONE ABSORPTION TRENCHES TP#1 a --__�— \ �o y 4 — ----__1 _ - \a� c � d� vy i4 ! INSTALLED IN STABILIZED FILL - _ _ p 0 ! DESIGN PERCOLATION RATE = 16-20 MIN/IN b 32694, S / - �F 9 APPLICATION RATE 0.7 GPD/SF o REQUIRED: 629 SF / ABSORPTION AREA - _ 2' WIDE ABSORPTION TRENCH LENGTH REQUIRED: 315 LF _--_—'�_` 1_— V��\� CmF USE 6 TRENCHES AT 55' LONG (330 LF) POTABLE WATER SUPPLY TO BE TOWN OF QUEENSBURY MUNICIPAL WATER IRS 5w-- ALB_- 90—E — _ \ THE; WASTEWATER TREATMENT SYSTEM " IS DESIGNED AND APPROVED BASED UPON THE s£TBgGK _ \ INSTALLATION OF WATER CONSERVING FIXTURES AND A DESIGN FLOW OF 110 GPD PER BEDROOM. BE REMOVED PROPOSED DRIVEWA + SUBBASE To _ _ RAGDISTRIBUTION Box 'SW- `LE — \ ' THE SYSTEM IS NOT DESIGNED TO ACCOMMODATE EXTREME WATER USE FIXTURES, SUCH AS BE REMpvED AND NATIVE JACUZZI -TYPE SPA 'TUBS OR WATER TREATMENT EQUIPMENT. THE SYSTEM IS NOT DESIGNED TO PRIOR 51 TO BE PLACEMENT ED ACCOMODATE GARBAGE GRINDERS. THE INSTALLATION OF GARBAGE GRINDERS, NON -CONSERVING PRIOR Tp AB PLACEMENT PROPOSED 4" 5DR-35 --�-_ PROPOSED ABSORPTION FIELD. ' ' ' ' WATER FIXTURES OR EXTREME WATER USE FIXTURES IS 'CONTRARY TO THE APPROVAL OF THIS EFFLUENT SEWER. - C6� PN' -N9-STONE TRENCHES 1/8" PER FL MIN. SLOPE �-❑�, 3 WASTEWATER TREATMENT SYSTEM. " AT 55' EACH W5TALLED M! ��� ❑ `_ a STABILIZED FILL q -v I HYDRANT ABSORPTION TRENCH NOTES I`N8>4$__ _ y 4 THIS DESIGN UTILIZES STANDARD PIPE -IN -STONE ABSORPTION TRENCHES IN STABILIZED FILL. PLAN _ i CUT ALL TREES, STUMPS AND OTHER VEGETATION AT GRADE AND REMOVE. REMOVE STUMPS SITE PLAN _� AND EXISTING ORGANIC MATERIAL FROM SURFACE PRIOR TO PLACING FILL. USE TRACKED '�, EQUIPMENT FOR ALL WORK IN ABSOPRTION FIELD AREA. BOTTOM OF TRENCH TO BE INSTALLED SCALE: i"=20' AT APPROXIMATELY 2" ABOVE EXISTING GRADE TO PROVIDE 24" OF SEPARATION TO SEASONAL ®! HIGH / SUC,SESTED =.POLYETHYLENE GROUNDWATER TABLE. JCV11(, 1AIVK IVUICJ OF THE NEW YORK STATE S SHALL COMPLY WITH THE REQUIREMENTS ALL UNIT DEPARTMENT OF HEALTHAND SHALL BE OF PRECAST CONCRETE AS MANUFACTURED BY UTOPIA ENTERPRISES OR EQUIVALENT. ALL STRUCTURES SHALL BE PLACED ON FIRM, COMPACT SAND OR GRAVEL BASE. WHERE EXISTING SOIL CONDITIONS ARE UNSUITABLE, CRUSHED STONE SHALLBE PLACED AS NECESSARY TO ACHIEVE A STABLE BASE. '. SEPTIC TANKS "INSTALLED `IN TRAFFIC AREAS SHALL BE OF EXTRA HEAVY rnNSTRIjennN nFSIGNFD FOR H-20 WHEEL LOADING. SETBACK SCHEDULE WASTEWATER SYS.TEM S ULE PROPERTY LINE BUILDING SEPTIC TANK1 0' 10' ABSORPTION FIELD 10' 20' �I I I LI-2"�� � LLI LLI III I LI III MATE EXIS 1_ . NG GRA.D MI III TO EXISTING GRADE NSEPARATIN111 III II III III III „ I ; ;; APPROXIMATE SEASONAL-; —� U--a,I1--r— T lad T—n .... HIGH GROUNDWATER .. .. - -f. .(. - — I I—III .III III1 � � , I i1 I I II ''Ill'' III III III III LII III III 111 I I , , , , III III IIL. LLI I.I.I. LII III. I I III III III III F } 6 j �- NATIVE OR SYSTEM FILL AS EXISTING ORGANIC MATERIAL i 24" MINIMUM MECHANICALLY ._: ." �. >", TAPER AREA MAXIMUM NEEDED TO ESTABLISH FINISHED TO BE REMOVED PRIOR TO STABILIZED SYSTEM,'FILL i x' 1 + ,'F SYSTEM FILL SLOPE 1: J. GRADE AROUND HOUSE & TO 1. `PLACING SYSTEM FILL '. MATFRIAl _.5-10 MIN- 'IN PI ACF ,. a. l ' l s'r? ; MATFRIAI 'AII 'AROUNn Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: )j>I am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 1 NAME: �'`�1 _ PERMIT #: 2c' LOCATIO : / �.3ti< .r i 041) INSPECT ON: S/2 -3 I (-L TYPE OF STRUCTURE: _ Y N NIA Rough Plumbing / Nail Plates Plumbing Vent I Vents in Place 1 %z inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation /Residential Check 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 COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report I I\U rs tic —ID Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: 1 6 ' (.v PERMIT#: I ,) - as? LOCATION: tn 3 L G*I, � Car \S INSPECT ON: TYPE OF STRUCTURE: F L N IV/A COMMENTS:, Framing Attic Access 22" x 30" minimum `- Jack Studs/ Headers Bracing/ Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/ Holes / Bearing Walls Metal Strapping for Notches Top Plate 1 %(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bofts 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 1/2 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-OLD\Building&CodeAJnspection Fomms'Framing Firestapping Inspection Report.doc Revised January 7,2008 .--ft,c_amdaLA I (N(). Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/p D part: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: ^ NAME: 5- t<Z7 w S+ i PERMIT NO.: LOCATION: Le .5 _ ' f —124 INSPECT ON: `'1 RECHECK: Comments and/or diagram Soil Type: a2jan / Clay Type of Water: 40.• / 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 43 2 ft. Length of each trench ft. Depth of trenches Z+-L- ft. Size of Stone r ._., Seepage Pits: Number Size: Stone Size: Piping Size Type Building to tank 4.- .5 % -kb Tank to Distribution Box Distribution Box to Field/ Pit �1F?��cTLXL- Opening Sealed: _N End Cap _N erev„.51.1504,t7 .Inlet/Outlet Pipes &Baffles Y N ((��� Location/ Separations ��//� VV� • Foundation to tank 103c- ft. Foundation to absorption `- 1, ...ft. Separation of Pits r ft. Conforms as per Plot Plan N Engineer Report and As-Built Y� I Location of System on Property: Fron Rear 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 Framing / Firestopping Inspection Report � `� �=��� �; 1 ?- Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm DepartCj + j,� ? am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:( I l V PERMIT#: 1 <) a,5 ? LOCATION: to 5 Ci r\-k"{-'• ,- Of INSPECT ON: TYPE OF STRUCTURE: -� r - Y_ N NIA 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 Botts 6 ft. or less on center C <\ Ice and water shield 24 inches from wall ' i7 f*C-`AA-k-)Q- 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 '/2 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-OLD\Building&CodeslInspection Forms\Framing Firestopping Inspection Report.dac Revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/ Depart:z2m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. NAME: OV-(--, PERMIT#: 2 4:A 2 LOCATION: A INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS: Framing Attic Access 22" x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 Ys(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 '-r ` ,k- Fire separation 1, 2, 3 hour 601\AV-17- rSAYA.16(`') Fire wall 2, 3, 4 hour FirestoppingCTLYtS Penetration sealed drOtz,Wff 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 1 Bedrooms 24 in. (H) 20 in. (VII) 5.7 sf above/below grade 5.0 sf grade L:\Building&Codes Forms-OLDBuilding&Codes\inspection Fomns'Framing Firestopping Inspection Report.doc Revised January 7,2008 Framing / Firestopping Inspection Report c' /�1 Office No. (518) 761-8256 Date Inspection request received: _ —7/2, Queensbury Building &Code Enforcement Arrive: _am/pm Depart am/pm 742 Bay Road, Queensbury, NY 12804 inspector's Initials:0,t j,t NAME: � �-G S i PERMIT#: i - 2 5 ( LOCATION: ( ' � (e,,,-•7 i'/ C G t�� ,Z : INSPECT ON: �- J 2- TYPE TYPE OF STRUCTURE: Y N N/A COMMENTS: gaming /� Attic Access 22" x 30" minimum Jack Studs/ Headers Bracing /Bridging t S __ Joist hangers Jack Posts 1 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 V2(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 1/2 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 Fomes-OLD1Buildinq&Codes\lnspedian Forms\Framing Firestopping inspection Report.doc Revised January 7,2008 , V r1 C 6t L) -3 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart, i pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 6A9 NAME: 1-5-a Q D - 1 PERMIT#: LOCATION: La 5 CZ ft/1-T ( - u Lp INSPECT ON: ) _f (p- TYPE OF STRUCTURE: 3 i= Commenj N N/A Footings Piers Monolithic Slab ( Reinforcement in Place ca- K_ 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 Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM i Foundation Inspection Report `1 _ �.. 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: A ( NAME: 7 (�( � K�j r PERMIT#: J 5 c1 LOCATION: .5 (r$r- `� . k INSPECT ON: } - /0) TYPE OF STRUCTURE: .S F— t_) Comments N N/A P C s ,4 Footings .j) 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 �7 Footing Dowels or Keyway in placee_012_1(`) 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 er Slab PVC/Cast Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\BulIding&Codes\Inspection Forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM rr1c� g -- 1U Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart )/ pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:/t r \ r�� NAME: ON J Cli<r't, )cX i PERMIT#: / e) --A 5 9 LLe-LI 1_L c_c4 c1 -- INSPECT ON: 7— Lc -/A TYPE OF STRUCTURE: A17- Comments Y N ka 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 i ' 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- t0 Rough Grade 6 inch drop within 10 ft. L:\Buliding&Codes Forms\Buliding&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM I"-c 1cis �� g -- 10 Foundation Inspection Report Office No.(518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/pm Depart: 1.—arn/prn 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:/IAA') j/1 NAME: CT � "{•{r (, )Q>} PERMIT#: / ,) --A 5 Ci LOCATION: e_b-c ;,, - ;t '(t&-' INSPECT ON: 7"-- (' 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 Dampproofing Foundation Waterproofing ' Az_ 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\1nspection Forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM v J1Ci cc L 1 -3 Foundation Inspection Report L 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: --SCA e-t 04)S t PERMIT#: as LOCATION: La 5 (1 ,,,. C'S(t.Ak' INSPECT ON: ' / TYPE OF STRUCTURE: 1 S.r Comments Y N NLA 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 V Foundation Dampproofing CL Foundation Waterproofing A. 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\Buliding&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM --rues chid (- 3 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:2...Li, gm/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: to 5 0-p-tom„(,-11 11/4 Q Q y INSPECT ON: lQ —a(c, TYPE OF STRUCTURE: .S L Comments Y N N/A vS`�' COQ I , 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 //: . c V -{ -'S �. 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 h ursc c Foundation Inspection Report C 2 Office No. (518)761-8256 Date Inspection request received: ( ' -AI—)a. Queensbury Building&Code Enforcement Arrive: am/pm Dept am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:6:1Z- NAME: 0.c {i PERMIT#: /a —a s 9 LOCATION: L, M-r CA t c. R A INSPECT ON: la-a1.-/ TYPE OF STRUCTURE: S (J Comments N N/A Footin 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 ,�� Cis= 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. 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