2012-279 ..4111% TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120279 Date Issued: Friday, June 14, 2013
This is to certify that work requested to be done as shown by Permit Number P20120279
has been completed.
Location: 83C PILOT KNOB Rd
Tax Map Number: 523400-227-018-0001-012-000-0000
Owner: JOHN CELESTE
Applicant: JOT-IN CELESTE
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property (DJ4
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.
Art* TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
ION
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120279 Application Number: A20120279
Tax Map No: 523400-227-018-0001-012-000-0000
Permission is hereby granted to: JOHN CELESTE
For property located at: 83C PILOT KNOB 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: JOHN CELESTE Residential Alteration 50.00
THOMAS VALENTINE Total Value $0.00
32 FIFTH Ave
SARATOGA SPRINGS NY 12866-0(
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-279
852 sq ft residential alteration
$127.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,November 23,2013
(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 Quee ury• ri t 1 , /' • •• 1 er 23,2012
SIGNED BY I \ for the Town of Queensbury.
Director of Building&Code Enforcement
0./k TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120279 Application Number: A20120279
Tax Map No: 523400-227-018-0001-012-000-0000
Permission is hereby granted to: JOHN CELESTE
For property located at: 83C PILOT KNOB 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: JOHN CELESTE Residential Alteration $0.00
THOMAS VALENTINE Total value
32 FIFTH Ave $0.00
SARATOGA SPRINGS NY 12866-0(
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-279
852 sq ft residential alteration with SEPTIC ALTERATIONS
BOH Sewer Variance 13-2013
$127.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,November 23,2013
(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 of Queensbury; Friday,November 23,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
TAX MAP NO. O a.5. I g!— a PERMIT NO.
I � -x '19 -Date '
FEES: PERMIT °/ 7` ECREATION ENGINEERING rs
20'2
(If applicable) 0, ,
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: 5<' `fOWNER:
ADDRESS: ADDRESS: 32 Aft
PHONE NOS. PHONE NOS. CIS - �{�PI 01-3le1
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: CC C t4i, PHONE: '/%/' 4RU6'7
LOCATION OF PROPERTY: V 5 t 164 k3 (1,(4;I
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES JT NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z j
Ci
w
PROJECT 0 IS)
g 0 p w
U-
W
amu_ U ¢ d = v
o 1— 0 — Z
SINGLE FAMILY T61) 0ie 0 0 $52
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
WA-
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: FUEL TYPE: ri,�L
HEAT TYPE: WA-A- *HOW MANY FIREPLACE(S): 0 AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? 'v
IS THIS A HISTORIC SITE? MO
PROPOSED USE OF BUILDING OR ADDITION: SG.111 "4JL 61-A-114 P
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
B3-LGL 11-05
tJ,f7 '
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /v/L
ARE THERE EASEMENTS ON PROPERTY? /Ya
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
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:
(01
BUILD! G CODES APPROVAL ZONING APPROVAL
N Lu Iv
DATE DATE
J J
QUESTIONS? CALL 761-8256 OR EMAIL
codes a(�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:
" Community Development Office
Jf Town of Queensbury • 742 Bay Road • Queensbury, New York •12804
Office Use Only
TAX MAP NO. PERMIT NO. 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.
OWNER: �bhr, c si IONi we /nt INSTALLER: QS&i1 has Cons)i'UGTADl1
ADDRESS: `/ , % 4VL. `5/ /ed- a- ADDRESS: 39 ,i/I/IQno 4w. aoliii z,Q,�,Ny
PHONE NOS. S78- 587- T327 /�i L PHONE NOS. .W— S��— 9t 'J/
LOCATION OF INSTALLATION: 8,3 plied 14 rrdb *'d. eertsburt/
J RESIDENCE INFORMATION:
NO.OF COMPUTATION
YEAR BUILT X = TOTAL DAILY FLOW
BEDROOMS (Gallons per bedroom) GARBAGE GRINDER
1980 or older X 150 = INSTALLED? A/
1981 -1991 X 130 = SPA OR HOT TUB /
1992-present q X 110 = $W INSTALLED? Al
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING )( STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? > X
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH?,/.A�7
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL /( (If well:water supply from any septic system absorption is:4-7/1ft)
✓ PERCOLATION TEST: RATE IS 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: GALLON(MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder,
spa or whirlpool tub.
SYSTEM TYPE:
o ABSORPTION FIELD(WITH NO.2 STONE) Total length ft. Each trench X
❑ SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size?
❑ALTERNATIVE SYSTEM Bed or other type?
MOLDING TANK SYSTEM Total required�ca�pacity? 7j M!' Tank size? /liGo 9 Number of tanks? 2
Varienne 2.1 OGre 9
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
Sanitage• is pith
ante. I codes(c�aueensburv.net
OSA? 1 VISIT OUR WEBSITE FOR MORE INFORMATION
ignature of Person �le ate www.queensburv.net
Community Development Office
Town of Queensbury • 742 Bay Road • Queensbury, New York •12804
Office Use Only
TAX MAP NO. PERMIT NO. PERMIT FEE
APPROVALS: ZONING TOWN CLERK
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED
BEFORE WORK BEGINS. APPLICATION/'ISSUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT.
OWNER: GG/ V
ti a+/e-pi74lie f4 eK Ofie'S�'e— INSTALLER:
ADDRESS: °7.3< /�i teii /<Y«k /€7d'
ADDRESS:
PHONE NOS. ``PHONE NOS.
LOCATION OF INSTALLATION: r-:34-: , 4,76 x.or,1, A-424
RESIDENCE INFORMATION:
NO.OF COMPUTATION
YEAR BUILT X = TOTAL DAILY FLOW
BEDROOMS (Gallons per bedroom) GARBAGE GRINDER
1980 or older ' X 150 = INSTALLED? /�e
1981 -1991 X 130 = SPA OR HOT T /
1992-present
9 X 110 = [f L�Q INSTALLED? //VV
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING t/ STEEP SLOPE/ %SLOPE
✓ SOIL NATURE: SAND LOAM '✓ CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? ? c/ it'.-
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? -
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELLX (If well:water supply from any septic system absorption is: ft)
✓ PERCOLATION TEST: RATE IS 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: 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. // r. !
SYSTEM TYPE: n
pABSORPTION FIELD(WITH NO.2 STONE) Total lengthi(Wb ft. Each trench -5 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
Sanita wa rloispo al 07�f�i�inance. codesna queensburv.net
-ti- `/ 10' � �s J���/z VISIT OUR WEBSITE FOR MORE INFORMATION
i na ure of Person Res o ble ate
9 p� www.queensbury.net
RESOLUTION APPROVING SANITARY SEWAGE DISPOSAL
VARIANCES FOR JOHN CELESTE AND THOMAS VALENTINE
RESOLUTION NO.: 13, 2013 BOH
INTRODUCED BY: Mr.Anthony Metivier
WHO MOVED ITS ADOPTION t71 I ' pv
SECONDED BY: Mr.Brian Clements
WHEREAS, John Celeste and Thomas Valentine filed an application for a variance from
provisions of the Town of Queensbury On-Site Sewage Disposal Ordinance, Chapter 136 to allow a
holding tank in lieu of a standard septic system/absorption field and another variance to allow a
2,500 gallon capacity tank in lieu of the required 4,000 gallon capacity tank on property located at
83 Pilot Knob Road in the Town of Queensbury,and
WHEREAS, the Town Clerk's Office published the Notice of Public Hearing in the Town's -
official newspaper and the Local Board of Health conducted a public hearing concerning the
variance requests on Monday,June 17th,2013, and
WHEREAS, the Town Clerk's Office has advised that it duly notified all property owners
within 500 feet of the subject property,
NOW,THEREFORE,BE IT
RESOLVED,that
1. due to the nature of the variances, it is felt that the variances would not be materially
detrimental to the purposes and objectives of this Ordinance or other adjoining
properties nor otherwise conflict with the purpose and objectives of any Town plan or
policy; and
2. the Local Board of Health finds that the granting of the variances is necessary for the
reasonable use of the land and is the minimum variances which would alleviate the
specific unnecessary hardship found by the Local Board of Health to affect the
applicants; and
BE IT FURTHER,
RESOLVED, that the Local Board of Health hereby approves the application of John
Celeste and Thomas Valentine for variances from the Sewage Disposal Ordinance to allow a
holding tank in lieu of a standard septic system/absorption field consisting of a 2,000 gallon holding
tank directly connected to a 1,000 gallon septic tank to provide 3,000 gallons of capacity in lieu of
4,000 gallon capacity on property situated at 83 Pilot Knob Road in the Town of Queensbury
bearing Tax Map No.: 227.18-1-12.
Duly adopted this 17th day of June, 2013, by the following vote:
AYES : Mr. Metivier, Mr. Clements,Mr. Strough, Mr. Brewer, Mr. Montesi
NOES : None
ABSENT: None
I,Karen A.O'Brien,Deputy Town Clerk of the Town of Queensbury,Warren county,
New York,do hereby certify that I have compared tk foregoing with the
original resolution as listed above adopted at a of ul C2. meeting
of the Town Board of the Town of Queensbury held on the ) day of
k) -\sr_ 201 fat which a quorum was present and that the
same is a correct transcript there rom and of the whole original thereof
to date,
IN WITNESS THEREOF,I have hereto set and and the SEAL of said Town
of Queensbury,thisay of v .20 f3
SEAL SIGNED: Q. fl't-'\
Karen A.O'Brien
Deputy Town Clerk
Town of Queensbury
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Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: C Gv' am/pm Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspectors Initials: 2-
NAME: V C A +\- i ,/1 Pa PERMIT NO.: /
LOCATION: , Sr1 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]
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field/ Pit
Opening Sealed: _Y_ N (
End Cap _Y_ N - 4/4 -r, �/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 Plan1'N
Engineer Report and As-Built 4' Y_ N
ETU Maintenance Contract Y N
provided
Location of System on Property:
Front Rear Left Side fight Si 3 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
1 u_i'-'36kavOf>in
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: c 3" am/pm Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: IV
NAME: PERMIT NO.:
LOCATION: '�' 3d. ' .b. v eh INSPECT ON: /D--1 ''-i 3
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]
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x /
Stone Size: _ r// /1 l��
Piping Size Type
Building to tank _ Ue'i F /� o F� `r �'''`
Tank to Distribution Box
Distribution Box to Field/ Pit S orra/y
Opening Sealed: _Y N or
End Cap Y_ N — F"' P/ n<</ sf,e a
Inlet/Outlet Pipes&Baffles Y T 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 —Y N
Engineer Report and As-Built Y T N
ETU Maintenance Contract _Y_ N
provided
Location of System on Property:
Fron ' Rear Left Side Right Side 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
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
5141 Community Development-Building& Codes (518) 761-8256
Inspections per Permit
Permit# P20120279
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
06/06/2012 Miscellaneous Residential Alteration STAFF
Misc 2012-279
permit app rec'd&entered
11/23/2012 Miscellaneous Residential Alteration STAFF
Misc 2012-279
permit issued
04/09/2013 Framing Residential Alteration CHARLES DYER Staff
Approved 2012-279
04/09/2013 Ice&Snow Sheild Residential Alteration CHARLES DYER Staff
Approved 2012-279
04/09/2013 Fire Stopping Residential Alteration CHARLES DYER Staff
Denied 2012-279
04/10/2013 Fire Stopping Residential Alteration CHARLES DYER Staff
Approved 2012-279
04/18/2013 Insulation Residential Alteration CHARLES DYER Staff
Approved 2012-279 Non Heated seasonal cabin
R-21 ceiling/R-15 Walls
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-3902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
Inspections per Permit
Permit# P20120279
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
04/18/2013 Proper Vent Residential Alteration CHARLES DYER Staff
Approved 2012-279 Non Heated seasonal cabin
R-21 ceiling/R-15 Walls
06/13/2013 Final Inspection Residential Alteration CHARLES DYER Staff
Approved 2012-279
06/14/2013 Miscellaneous Residential Alteration STAFF
Misc 2012-279
CO issued&mailed
Queensbury Building & Code Enforcement - Residential Final Inspecti_
Office No. (518) 761-8256 Arrive: am/pm Depart:, \?am/pm
Date Inspection request received: Inspector's Initials: ,
NAME: c C r1 :NI PERMIT#:
LOCATION: ' 3 C_' t I y)-F c,1, Rci DATE:
TYPE OF STRUCTURE: ,S ,P f 3
Comments:
Yes No N/A
4" Building Number Address visible from road CCj -.N.,
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake f J lam__Af1C? 1
3 inch Plumbing Vent through roof minimum 18 inches 1�
Roof Complete/Exterior Finish Complete k c c `il e
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 I Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxids'betectors
Every level: Every Bedroom: �/
Outside every bedrooyn 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 *v/
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
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 W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/34 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/O[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codesllnspection FormslResidential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6126/08; Revised 12/22/10, Revised 04/13/11
Rough Plumbing / Insulation inspection Repo
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm art: 7 am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ( )kAkk 1
NAME: ��/� Rin 1 ✓i C PERMIT #: / -2 ,
LOCATION: C ri (c V '•-C//3 1L -i INSPECT ON: (-1147
TYPE OF STRUCTURE: / c1cN' e„./17-r3 Jv
)
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 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
0 P.S.I for 15 minutes
sulation / Residential Check/ Commercial Check
Tyvek or Similar Exterior Sealant
Pro•=r Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct I Hot Water Piping Insulation
If required unheated spaces
Combustion Air Su• •I for Furnace
Duct work sealed properly/ No duct tape
COMMENTS: 1
Rough Plumbing Insulation Repoitrevised Nov 17 2103, revised February 15,2005, revised January 7, 2008
Framing / Firestopping inspection Report tke, S
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building &Code Enforcement Arrive: am//pmDepa ---r am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME:-_ fie PERMIT#: `r�
LOCATION: E C'. E,Q,- tii , d�, P4 INSPECT ON: – 3
TYPE OF STRUCTURE: _ (1 e s
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 Bolts 6 ft. or less on center l
Ice and water shield 24 inches from wall ( /
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hourFirestopping
(7\/
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 I below grade
5.0 sf grade —_
L:\Building&Codes Foram-OLD\Building&Codes\inspection Fomrs\Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report W c-
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:7 -lc am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:34t
i
NAME: ( , _fa 22 tI, PERMIT#:
LOCATION: � �, `�Q ne INSPECT ON:
TYPE OF STRUCTURE:
X N tcUA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing I 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 I 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 (7\
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 I below grade
5.0 sf grade
L:\Building&Codes Forms-OLD\Building&CodesUnspection Fomms\Framing Firestopping Inspection Report.doc Revised January 7,2008