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2012-423 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 5Q r}� Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120423 Date Issued: Wednesday, October 09, 2013 This is to certify that work requested to be done as shown by Permit Number P20120423 has been completed. Location: 121 BIRDSALL Rd Tax Map Number: 523400-289-017-0001-043-000-0000 Owner: JOHN & PAMELA CEMBROOK Applicant: JOHN & PAMELA CEMBROOK This structure may be occupied as a: Fireplace By Order of Town Board Garage - 2 Cars Detached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property r- J41 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. TOWN OF QUEENSBURY 441111111111k 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120423 Application Number: A20120423 Tax Map No: 523400-289-017-0001-043-000-0000 Permission is hereby granted to: JOHN& PAMELA CEMBROOK For property located at: 121 BIRDSALL 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: P3 REALTY,LLC Fireplace 31 TOWER MT Dr Garage-2 Cars Detached BERANRDSVILLE,NJ 07924-0000 Single Family Dwelling $500,000.00 Total Value $500,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications BP 2012-423 Single Family Dwelling 4,106 sq. ft. with 2 car detached garage of 1,522 sq. ft. ; 2 fireplaces(one in basement, one in living room): AV 25-2012 approved; SP 27-2012 approved $1,049.50 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,September 13,2013 (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 Townrlu sbury Th a, , September 13, 2012 for the Town of Queensbury. SIGNED BY � Q ury. Director of Building&Code En.cement OFFICE USE ONLY TAX MAP N0. ;. ?�?r�.." PERMIT NO. �ra w F S: PERM �!'�'" : '� ---- �� _ RECREATION .717,��1`i ��''/ ENGINEERING �� o . f- � (If.applicable)._ I .. ..... `--4 i 1 PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING A PERMIT MUST BE OBTAINED BEFORE BEGINNING1LD1NG PERMIT REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOROCONSTRUCTIIONAPPLICATION IS SUBJECT TO APPLICANT/BUILDER: OWNER: l 0114 ,,,,b •• _ fo ADDRESS: � g i / I ^i - = ' • • ADDRESS: PHONE NOS. ��Q- �(� ---'�z � ��vi PHONE NOS. ��`� 4. CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: 1 �� _ y-I�-7R'�� LOCATION OF PROPERTY: PHONE: 4-7?'� r' .l HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? IF SO, INDICATE APPLICATION NO. AND DATE OF APPR V a -- ' � YES 11 ❑ NO s (i c" i<'LAlA.) AL. (� M�4 I �O 2�'4 — - — ��;. aaf� vet PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW'' • CHECK ALL THAT ZO APPLY TO YOUR _______r__________________________________ PROJECT Op O a C'1 0 , 0 IT � � 0 � w M 0 = = Z ' W ¢ Q r ---I N ~ �-T O O SINGLE FAMILY V/ i-- V � �SYO �Sb6 TWO-FAMILY MULTI-FAMILY }+' '' (NO, of UNITS ) • ' ,0,4111111417, .i. .. TOWNHOUSE /= 0-J BUSINESS OFFICE 111111 1 — RETAIL MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) C'Aq OTHER 8.5.6g- 6 / )-- I i SF tx.q, -- IF COMMERCIAL OR INDUSTRIAL - NAME OF BUSINESS: /< ESTIMATED CONSTRUCTION COST: 'Y� 00 UEL Y'E: P cpa,i,e HEAT TYPE: IZI.D i+,Acr *HOW MANY Fl—'LA' ( 4a14I• / OR WOODSTOVES'S): ZONING CATEGORY:14)R-1/3 ARE T ERE W ANDS ON THIS SITE? N40 IS THIS A HISTORIC SITE? SID PROPOSED USE OF BUILDING OR ADDITION: Per-5c),-).,,Q. kms; Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office n r n • B 3-LGL 11-05 14 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? • . _ I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have 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: B I i G & CODES APPROVAL ZONING APPROVAL DAT' DATE QUESTIONS? CALL 761-8256 OR EMAIL Office Use Onlv codes(cilgueensbury net VISIT OUR WEBSITE FOR MORE INFORMATION Operating Permit Issued: Yes No www.gueensbury net Occupancy Type: Construction Classification: Assembly Occupancy Limit: • Special Conditions: Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 For an EPA homeowner's guide: htto://www.eoa.ctov/nodes/Dubs/homeowner guide long customize.odf r OFFICE USE ONLY TAX MAP NO. PERMIT NO. . ' PERMIT FEE APPROVALS: ZONING TOWN CLERK AUG 28 2O12 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: John& Pamela Cembrook INSTALLER: to be determined ADDRESS: 31 Tower Mountain Dr Bernardsville.NJ 07924 ADDRESS: PHONE NOS. (908)391-5238 PHONE NOS. LOCATION OF INSTALLATION: 121 Birdsall Road,Town of Queensbury New York RESIDENCE YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW INFORMATION: BEDROOMS ! _ �_ 1980 or older X 150 gallon per bedroom = 0 GARBAGE GRINDER INSTALLED? no 1981 -1991 X 130 gallon per bedroom = 0 1992-present 6 X 110 gallon per bedroom = 660 SPA OR HOT TUB INSTALLED? no PARCEL INFORMATION: X(in area of leaching system) ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE SLOPE 2± % ✓ SOIL NATURE: SAND X LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH?greater than 10'BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH?greater than 10' ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL X (If well:water supply from any septic system absorption is:( 174 ft) ✓ PERCOLATION TEST: RATE IS bin 21s PER MIINUTE PER INCH(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: 1750 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: ❑ABSORPTION FIELD Infiltrator Systems Inc Total length 330 ft. Each trench 7 laterals X 48' long D 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 QUESTIONS? CALL 761-8256 OR EMAIL to abide by these and all requirements of the Town of Queensbury codes anqueensbury.net Sanitary Sewage Disposal Ordinance. VISIT OUR WEBSITE FOR MORE INFORMATION 1 �) www.queensbury.net 9x �,- �- Signature of Person Responsible Date Qw Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804 Effective Immediately - March 23, 2006 Septic System - As Built Plot Plan The Building Department will no longer allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed system must match the septic system layout on file. There will be no exceptions. CI / _ Gz,} / Director of Building and Codes Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761 -8256 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: •- 8 2012 Owner:: 4 ,AAA CP.,-1 ) bemel Installer/Builder: ~-(Jl*Le- CD, Address: IQ ( 1rr(5t-Qq Address: q5 I L - i•-)or•z°. Phone Nos.: gos -- LI t S - -7 23Phone Nos.: - Cc(-c8 -`73(..Z ley Location of Property: I I /v t lrf QO r Subdivision Name: J/4- Location of Proposed Construction and/or Installation: Contact Person for Building & Codes Compliance: (•P r vik,rcls q0 `-fl a - • Fuel Burning Applicance Wood Coal Pellet Gas Oil • Information Stove Fireplace Insert Fireplace, factory built* • Fireplace, Masonry Furnace, (Garage Only) * If Factory Built, Please Provide: Manufacturer Name: Rey7,c;,,5c ce Model No. lj �. 1 (-% Listed By: Number: Chimney Information BLOCK BRICK STONE Masonry** Check One/ TILE STEEL SIZE IN INCHES Flue Check One V DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY VENT LINER Chimney Material Check OneV ** If Non-Masonry, please provide: Manufacturer Name: Model No. ADDITIONAL NOTE: CONSTRUCTION / 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 I1/ 4 / /PYLP4--(1--- 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. ZUiZ Important Note To Applicant: Rouqh-ln and Final Inspections Are Required: Owner:: j 1t✓1 CevrihroeiC Installer/Builder: `rt r pic&c . , Address: I a f ctS cft P49 Address: c1 5 1 La-ke ez be . Phone Nos.: 90?- y iJ - YV)- Phone Nos.: lg - (._oLo8q 300 Location of Property: /at P"-{Q S aft Q_ a, Subdivision Name: 4/4 Location of Proposed Construction and/or Installation: Z.a.s..e,r►ie,Y.-- Contact Person for Building & Codes Compliance: Jo ✓' CP,'vt brook 9oe-qts- Fuel Burning Applicance Wood Coal Pellet Gas Oil Information Stove Fireplace Insert Fireplace, factory built* Fireplace, Masonry Furnace, (Garage Only) * If Factory Built, Please Provide: Manufacturer Name: Model No. 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✓ ** If Non-Masonry, please provide: Manufacturer Name: Model No. _ ADDITIONAL NOTE: CONSTRUCTION / 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 `I 31-h W rT�, . 'rte 34 8P ) Toi�-n of Otteenshury Michael F. Travis Highway Highway Superintendent De art hent ALB 2 8 2012 Hoe:e: (418) 798-0-113 p 742 Bay Road Queensbury,NY 12804 Thomas R. Vanness Deputy Superintendent OJl 18,) %44--441; Phone: 4186 761-8211 Fax: DRIVEWAY PERMIT Nome ((518) 745-0929 n>>ww.yueensbury.net DATE: 2 / 9 / 1, . APPLICANT NAME: Joh✓1 Ce-yr) b rock TELEPHONE NO.: C)0? " t S - ADDRESS TO BE INSPECTED: ! DI i c-cl.sa_A e k ens(a`'r't, kiy AL3ApRETURN ADDRESS: „C Mkv,T-D /tqr L' `IQ t4-3- Applicant plicant 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 inspection completed by: Date: Approval by Highway 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 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pm Depart:f()' l cam/pm Date Inspection request received: Inspector's Initials: NAME: '(J ,r,\ U v PERMIT#: 3 LOCATION: // DATE: TYPE OF STRUCTURE: Comments: Yes No N/A 4" Building Number Address visible from road -10 n � Chimney Height/"B"Vent/Direct Vent Location c - T1 Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches (y --) 0_)-3 Roof Complete/Exterior Finish Complete 0 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/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 Q r ', ` ` Relief Valve(s)installed I Heat Trap!Water Temp 110 tsl� NY) ' \ hV Enclosed Stairs Sheetrock Underside minimum%"Gypsum Basement stairs closed rise>4 inches C-t1" ) ` �? '� Garage fireproofing FloorPitched �� —TC$ Garage firepr000fingng/'f,hour fire door I door closer Gas Logs in Sealed or Glass Enclosure �� _ Final Electrical; Energy Saving Light Bulbs 50% v"w 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:1Building&Codes Forms\Building&Codeanspection Forms1Residential 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: — –13 NAME: ( Le&- `� LOCATION: p(l g t1 ' Rd PERMIT#: / <- a 3 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: 0 Craig Brown, Zoning Administrator Notes: L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc 4? k,`ENCES: 1. MAP OF SURVEY MADE FOR JOHN & PAMELA CEMBROOK 'ATT: AUGUST 24, 2004 PREPARED BY VANDUSEN & STEVES LAND 5 'RVEYORS REMAIN_` At GLEN JU"— 41/ REMAINS WOOD RETAINING WALL ALONG SHORE s :STAINING WALL SHORE �t FOUND IRON ROD / 3 / G > m PA LEGEND. • FOUND IRON MARKER O SET IRON ROD WITH CAP e DECIDUOUS TREE WITH FENCE CONIFEROUS TREE WITH FENCE TREE STUMP WITH FENCE UTILITY POLE —E— OVERHEAD POWER LINE —STONE WALL -----FENCE ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED Wl7H AN ORIGINAL OF THE LAND SURVEYOR'S EMBOSSED SEAL OR INKED STAMP SHALL BE CONSIDERED TO BE VALID TRUE COPIES. Unauthorized Alteration to this map is o violation of Section 7209, Subdivision 2 of the New York State Education Low. \tb- LANDS N/F OF BEADLESTON 1/2 STORY, FRAME APPROXIMATE SEWAGE PUMP STA77ONS 0 FT9 7 \ �- \ \ \ \ \ LANDS N/F OF \ RUSSELL PlT7ENGER 11.1 \ OTRANSFOR\ MER\ c -Q-) ♦ \ ELECTRIC \ \ METER \ WOOD RAIL \ FENCE cokeo AV25-zoz \ JG�a ��1D1 "f 5 v � v \ AREA 1.08 ± A CRSS i \ o \ > \ \ r0UROD RON \ �•q, ♦ DIRT / PARKING \ AREA / \ / ♦ I \ / ` ♦ AREA EAST OF ROAD NOT SURVEYED \ \ ♦ \y S70NE RETAINING WALL DRAINAG� CA TCH \� BASIN ` \ \ F^ v� / ROD \ \ I , , , " �ri 41,, C��\��PM 'P� C # m; W.J.R0URKE .ASSOCIATES WALIAM J. Licensed Lend Surveyors 299 RESERVOIR ROAD FORT EDWARD, NEW YORK 12828 SURVEYOR No. 49098 w 0. <1, LANDS N/F OF HUGHES ET.AL. aP I a -,,4A3 Abb 0 2 2013 FINAL ASBUILT OF NEW CONSTRUCTION ON LANDS OF JOHN & PAMELA CEMBRO OZ TOWN OF QUEENSBURY WARREN COUNTY NEW YORK SCALE.• 1 "=20' JULY I 11, 2013 DWG No. 12-117.DWG JOB No. 12-117 Queensbury Building & Code Enforcement - Residential Final Inspection l a-> 1 Office No. (518) 761-8256 Arrive: am/pm Depa -��am/pm Date Inspection request received: Inspector's Initials: NAME: C 't�la PERMIT#: %�� j(,A 3LOCATION: ,_) LA t* ( 4 (-�c DATE: -------75--,:). -7.3 TYPE OF STRUCTURE: S '�O 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 l trim I 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: r� \JOR.--V L( Outside every bedroom area: Inter Connected: 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 Bathroom Fans,if no window ��`�„i' ` ' � Plumbing fixtures (^'k/ r '`> � Foundation insulation to floor/Sticker on Panel �A� Duct work sealed properly/Blower Door Test Certification r - 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 F=CZ— r g \ 4' r'. 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 C�/Q y `- I�, t. Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door l door closer Gas Logs in Sealed or Glass Enclosure `nionow•, 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 r ui"' Okay to issue C!C or C/ emporary/ ermanent] L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised January 7,2008; Revised 6/26/08;Revised 12/22/10, Revised 04/13/11 rti Queensbury Building & Code Enforcement - Residential Final Insp ction I 3 Office No. (518) 761-8256 Arrive: am/pm Depart: I 1 (c am/pm Date Inspection request received: Inspector's Initials: %t� NAME: 0rlvlbrdoPERMIT#: 1 — y a3 LOCATION: -I al j!'ci add I DATE: .c 1 la- 13 TYPE OF STRUCTURE: .g j,() Comments: YeV'No /AA 4" Building Number Address visible from road �// Chimney Height/"B"Vent/Direct Vent Location ti// Fresh Air Intake 3 inch Plumbing Ven t,throu h roof minimum 18 inches 60 ,` �6� Roof Complete/ enor Finish`C 1ete `- Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade V,, Guard at stairwell at 34 inches or more ✓ Guard at deck,porches 36 inches or more � �\ Handrail Termination at Newell Post or Wall f/ �^'k' ` 1..� Interior/Exterior Railings 34 inches to 38 inches ✓✓ i' ,\44,A.) .) Deck Bracing/Handicapped Ramp Compliant t/ v/ __ // 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/Win ow in stairwells safety gla ing \Sr." Interior Smoke Detectors/Carbon onoxid�etectors1:2��"`� Every level: c(// EveryBedro m: Outside every bedroom tea. / ` ri'��- Inter Connected: Battery backup: ,�f f Attic access 30 inches x 22 inches x 30 inches(height)in accessible area ✓ /� C,i ' Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents t1 Bathroom Fans, if no window 1 Plumbing fixtures -- Foundation insulation to floor Sticker , y 4 Duct work sealed properly/ o r Test Certification? c; t-Aa L -CZ_ 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 / �/ Fumace/Hot Water Heater operating ✓ Low water shut-off boiler - r- elief Valve(s)installed/Heat Trap/Water Temp 110 1— � Z nclosed Stairs Sheetrock Underside minimum'/"Gypsum _ / 1 Basement stairs closed rise>4 inches Garage Floor Pitched / Garage fireproofing 1%hour fire door 1 door closer Gas Logs in Sealed or Glass Enclosure Final Electrical; Energy Saving Light Bulbs 50% V I ' Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles // r*--/•Yrar1.4—)1qa-fL- Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker a ,i Site Plan /Variance required Flood Plain Certification, if reqq _.--c's, Okay to issue C/C or C/UTTemporary/ rmanent] L:\Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10, Revised 04/13/11 CIL oil 0-4 tz > (rq E; CD ca 00 co cr CL IV tm CD C � Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pm Depart:' •"3 am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: LOCATION: 1Z,\ nj�1 &\-t- DATE: WI • TYPE OF STRUCTURE: S 11 Comments: Yes No NIA 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 ec ,stairwell at 3c es oor more � 1� �, more Guard at deck,porches 36 inches or more i �iC>Z� Handrail Termination at Newell Post or Wall j� Interior/Exterior Railings 34 inches to 38 inches � f ;! ^ �G` Deck Bracing/Handicapped Ramp Compliant 1 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 1 trim I doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing I 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/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/%hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical; Energy Saving Light Bulbs 50% Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification, if required Okay to issue C/C or C/0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised January 7,2008; Revised 6/26/08;Revised 12/22/10, Revised 04/13/11 Framing I Firestopping Inspection Report /C/S \ j y , . --- Office No. (518) 761-8256 Date Inspection request received: ( 7 / 3 Queensbury Building &Code Enforcement Arrive: _am/ .m Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials' r NAME: C 7C(2( PERMIT#: LOCATION: �� /=>, �I 11 ��N� INSPECT ON: LOWS TYPE OF STRUCTURE: `'? �N N/A COMMENTS: gaming �/ Attic Access 22" x 30" minimum Jack Studs/ Headers Bracing /Bridging Joist hangers Jack Posts/Main Beams e2 � v - Exterior sheeting nailed properly �� u" e k 12"O.C. Headroom 6 ft. 8 in. �� Stairwells 36 in. or more / Exterior Deck Bracing Headroom 6 ft. 8 in. • Notches I Holes I 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 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 'A 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:1Building&Codes Forams-OLD\Buildinq&CodexUnspection Forms\Framing Firestopping Inspection Report,doc Revised January 7,2008 Framing / Firestopping Inspection Report N"\ D' c Q — I Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart:r t am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 7 NAME: 0.eQ.; PERMIT#: / a- - LOCATION: / 1 ¢r"d..so Q ( INSPECT ON: ,� - a.�'-/ 3 TYPE OF STRUCTURE: S f 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 %(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 1 I Fire separation 1, 2, 3 hour L-4U- '4 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 Fomes-OLD\f3uildinq&Code^s\inspecton Fomts\Framing Firestopping Inspection Report.doc Revised January 7,2008 fl1noid{19/ Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: l " am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: 1 NAME: .1 P MIT NO.: - ► 3 LOCATION: /AI tr e6 INSPECT ON: . RECHECK: or .-___, Comments and/or diagram Soil Type / liAT4 Clay Type of Water: Municipal / Well Water Waterline separation distance ft. Well separation distance 1 ft. Other wells: - ' ft. Well Casing Length 50' +/ - Y N N/A [150'to well required if NO] Absorption Field: Total length .13_)__ ft. �Lf•-� ---p___.64-q��i-z- Length of each trench _N v ft. Depth of trenches '?- ft. Size of Stone t. y I Seepage Pits: Number 1 i •. Size: i Stone Size: Piping Size Type Building to tank ( ,lre> Tank to Distribution Box Aq 01.` --` .,- /v Distribution Box to Field/ Pit �v23+� Opening Sealed: N End Cap V_N Inlet/Outlet Pipes&Baffles '✓ Y N Manholes 12"or less below grade _Y_N [provide extension collar if Yes] Y_ N Location / Separations Foundation to tank • :li5 ft. Foundation to absorption ft. ------ Separation of Pits ft. 4____ck�`� 4j p\ Conforms as per Plot Plan _Y `�N� 7 mo - (3 i, Engineer Report and As-Built _Y Y � �iU ETU Maintenance Contract _Y `�N Fepv provided,t,6 0 --R7(- -A-it P-C-I - ,------------ Location of System on Property: Y P Front Rear Left Side fight Side Middle Front Middle Rear System UseStatu : Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report03 29 10.doc /' Town of Queensbury Fire Marshal w � L 742 Bay Road � � Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 ,w0 Factory Built ORS Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance. No deviation from the manufacturer's instructions or specifications is allowed. l3 Permit# I � ��0 Schedule Inspection ;I II' I 1.5 � Time � �� am pini anytime Inspector Name 0_,m*no Ke Address ja A 1ft 'OO AQ( Rough In Final_ Appliance Manufacturer tNNct) Model# % S V� Direct Vent Factory Built Chimney Flue Size )LI Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection , jy M&>17-4-- fm )Vkq, ) 5 Clearances to Combustibles (all sides) `/ , , Q S tbt ‘y tk/TOP Firestop(s) Vertical Chase `� Wall Penetration X Vent Clearances to Combustibles ‘, �� rt l��. �S hIt n l ' t I 15 X�-- 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 Ni Combustion Air (j 0-\ \r) 1") Hearth Extension (if any) 3. Mantel Height above f/p opening Witness Operation Tank Placement(if LP) ;\ CO Detection • CSST Bonding r White—Building Dept. Ycllon—Customer Pink—Fire Marshal uiecl Rough Plumbing 0 Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm art: L j c/'�r"-am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: k-) NAME: Q,,-4 PERMIT #: 3 LOCATION: INSPECT ON: /- 9--/3 TYPE OF STRUCTURE: Y N N/AJ Rough Plumbing /Nail Plates Plumbing Vent 1 Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet 1 change of direction P es Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation /Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape PW"k) t•-1.1- :- - COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: 7 am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: `- NAME: C &i, PERMIT #: -9a3 LOCATION: I a ! cc;� �Q.(� INSPECT ON: TYPE OF STRUCTURE: S F t Y N N/A Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/chane e 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 (z/-4- Insulation /Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape ,W1AA4'55 COMMENTS. L4' ..�. Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report rjttja 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. I NAME: �J 11Jv T� PERMIT#: i <I LOCATION: — G `vii) _ c ' INSPECT ON: TYPE OF STRUCTURE: U X 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 'h (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 '4%0 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 1 Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:113uilding&Codes Fomes-OLDtt3uikiing&CodeAnspection Fomts"Framing Firestopping Inspection Report.doc Revised January 7,2008 Framing / Firestopping Inspection Report N7Nota- ID -"1 Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Depart: 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: / NAME: 0x4 `` t�K PERMIT#: / )1-jia3 LOCATION: I / (2(' r1 INSPECT ON: /a-3 i-%a TYPE OF STRUCTURE: S FL) N WA COMMENTS: Framing Attic Access 22" x 30" minimum Jack Studs/ Headers Bracing/Bridging Joist hangers C � Jack Posts/Main Beams J` � -- Exterior sheeting nailed properly 12' O.C. �J ��'� l , - Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. • Notches/Holes I 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 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 ku Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation �- �,�✓ -�- ��C� House side%inch or 5/8 inch Type X Garage side 5/8 inch Type X ->" 1` 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 Fortes-OLD\Building&Codes'nspedion Foam &Framing Firestopping Inspection Reportdoc Revised January 7,2008 ctCiP -\ Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart:A.r ff - am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: t NAME: a PERMIT#: LOCATION: J j P) L&'ty: g ( INSPECT ON: TYPE OF STRUCTURE: •S F a Comments Y 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 Dampproofung 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\Bullding&Codes\1nspecdon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: ) \/c am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: C to ‘)l NAME: ` PERMIT #: - _ LOCATION: uz,,L � � -- INSPECT ON: Z TYPE OF STRUCTURE: Y Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washin$Machine Drain 2 inch minimum Cleanout every 100 feet i change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes Insulation / Residential Check I 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 (1,..Acz.tx-,t) COMMENTS: p ev '-i,<..-st --- Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: 1 2"/>�J Queensbury Building &Code Enforcement Arrive: am/pm Depart: r atn/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials '/ \-' t NAME:_ Celli I7r-ce IZ- PERMIT#: i Z v '-f-z 3 LOCATION: __________4_ad. i J ' .� l( I' -(4) INSPECT ON: Z ilffr z_ TYPE OF STRUCTURE: N/A COMMENTS: Framing Attic Access 22" x 30" minimum _ Jack Studs/ Headers - `-- � \ J7L- Bracing / Bridging Joist hangers Jack Post /Main Beam: Exterior sh ting nailed rroperly (-6jc 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bract g Headroom 6 ft. 8 in. • Notches I Holes/Bea 'ng ails • Metal Strapping for No es Top Plate 1 %(w) 16 gauge (8) 4D nails each side Draft stopping 1,000 sq.'ft. floor trusses Anchor Botts 6 ft. or le-- on center *doe and water shield 2• inc es from wall Fire separation 1, 2, hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulati n in cavity min Garage Fire Sep*Fation House side '/ 'inch or 5/8 inch T ,pe X Garage side /8 inch Type X Ceilin all Windows Habitable Space I Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/ below grade 5.0 sf grade L:1Buiiding&Codes Forms-OLD\Buiiding&Codes\Inspection Fomes'Framing Firestopping inspection Report.doc Revised January 7,2008 -Fiu(Aat, icy.tu) Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:po.am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: "�L il.A,� NAME: .Q PERMIT#: /,�l .(/),3 LOCATION: /,.3 J N _ -" 'F' rr I INSPECT ON: /1-3o-1,1 TYPE OF STRUCTURE: S F () Comments N N/A Footings , Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval • Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Buliding&Codes Forms\Building&Codes\Inspectlon Forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM t>L� Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: J A� am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:(JL) l PERMIT #: Z - '' Z LOCATION: INSPECT ON: TYPE OF STRUCTURE: _. Y N N/A J Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 '/z inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout eve 100 feet I chan•e 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 l Head 50 P.S] for 15 minutes -insulation/ Residential Check/ Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) S> 9$4,. -15 Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: \g-47--)Lk-2:\-1.'' 2 ` s Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 -'(c,t eS d a. /6-icA Foundation Inspection Report Office No.(518)761-8256 Date Inspection -. : • - : ved• Queensbury Building&Code Enforcement Arrive: ° _ „, Depart: I Z 5—an/pm T) 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: C,0 ,r(1 An rop K PERMIT#: /,. "t/a,3 LOCATION: T a i 13 t rd scj t INSPECT ON: / O TYPE OF STRUCTURE: .9 Comment VOP3Ye to 135 - Y N N/A R ,skoticucv 4 Footings cj„h, IJJ- ,,;;�� Piers &V Monolithic Slab 7 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 l '\. --) Z L I C= c & o 03 Foundation Dampproofmg p v-‘k)‘) ,- P--- ,S1 mill._ Foundation Waterproofing FbV-- Qbis\-- Quo`F C�lca� Footing Drain Daylight or Sump � Footing Drain Stone: 12 inch width . 6 inches above footing • n 6 mil poly for wet areas under slab . —,f-- L`' i-C3A-P` 9 Backfill Approval V Plumbing Under Slab a PVC/Cast/Copper .cuoc Foundation Insulatio: Int Exte r', , w:��-� �� > Y 0/ Rough Grade 6 inch drop within 10 ft. .- - ,,, ,A.n� L \„, L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM I-3 0 em) Foundation Inspection Report J Office No.(518)761-8256 r- - Date Ins do�requ -•-z-'x � Queensbury Building&Code Enforcement Arrive: 7_�3!� : �ifp Iilk ,,,.44W * •art: •- : ! r.m 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi: NAME: C '1 Co j\ i ri 0 'PERMIT#: I .;' — / 3 LOCATION: / I _Ai !cJS Q'11 P4 INSPECT ON: Jo— /- I TYPE OF STRUCTURE: Commenili - \ l '&---- -Al2)*,,` Y N NSA 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 \ tJ` Foundation Dampproofing \�s, � Foundation Waterproofing a` �� ,Z. 6.,. /Fociting Drain Daylight or Sump ,,-,i, r t7' Footing Drain Stone: f/ I 12 inch width l'. 6 inches above footing 6 mil poly for wet areas under slab Backfill royal ______________,. PI _ nder Slab re/ •' Cast/Copper 1// ' Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Buiiding&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Ckir — - L-f-Ace--(7 Foundation Inspection Report I 0 ) /0 i Office No.(518)761-8256 Date Ins tion,t4,est r-- ' , I: � — Queensbury Building&Code Enforcement Arrive: 1 ,,. 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: C�-L• r 0146-- I PERMIT#: /Z — L LOCATION: .4- t 13, r ( ( (Z „INSPECT ON: 'IMF –2-- TYPE TYPE OF STRUCTURE: Comments 3 % 11.. 54(1/4---0, ,/.> I 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 ( ,V/Footing Dowels or Keyway in place \ Foundation Dampproofmg ,� 't� Foundation Waterproofing F ting Drain Daylight or Sump �$�U c� t�P��T t� Tb �� „„ting Drain Stone: 12 inch width it ✓ A 6 inches above footing 6 mil poly for wet areas under slab 1 Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Fonns\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM fy\r Foundation Inspection Report Office No. (518)7614256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: m 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: p NAME: C 1 rbCN _ LOCATION: PERMIT#: � � </A3 TYPE OF STRUCTURE: f `� s6.4 INSPECT ON: (7'` y._�� 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 A4•\ Foundation Dampproofmg Foundation Waterproofmg Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\BuHding&Codes Forms\Buliding&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report 1�� tit��d 47 Office No. (518)761-8256 Date Inspection request received: 9 Queensbury Building&Code Enforcement Arrive: am/p Depart: pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: ( i'Ylio K PERMIT#: 4c71- 3 LOCATION: INSPECT ON: TYPE OF STRUCTURE: 5,11% /16/Ast Comment Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Mated purpose on site. oundation/Wallpou Reinforcement in Place Footing Dowels or Keyway in place �� o� -c rS Foundation Dampproofing Foundation Waterproofmg Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspectlon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Ins tion - . c (V Queensbury Building&Code Enforcement Arrive: 1 CJD : 'rector Depart: "- : , 6 m 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials ` — NAME: Cell 1 or 00 (/�- P WIT#: LOCATION: Irk I 1(?)i j 7-// , ► PECT ON: IF7 2 TYPE OF STRUCTURE: Comments Y N ,N/A 400tings Piers ;✓ IJCST EiN\ C E Monolithic Slab 3 7O T Reinforcement in Place j `A The contractor is responsible for providing protection from freezing \ \ ED \‘ gL � 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\Inspection Foam\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM � ti C_, Foundation Inspection Itep-CoirFT Office No. (518)761-8256 Date Inspection r we • Queensbury Building&Code Enforcement Arrive: - i/pm Depart: n� 742 Bay Rd.,Queensbury,NY 12804 Inspector's Ini a NAME: Cw P ' T#: LOCATION: \ Z.\ -111MIP L 11 ► SPECT ON: `l — \ 1—\2-- TYPE TYPE OF STRUCTURE: Comments Y j N N/A Footings Piers Monolithic Slab 1 / 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 Dampproof-mg 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 Keith Cramer, Architect 95 Hurst Ave., Albany, NY 12208 (518) 438-8352 September 19, 2012 John O'Brien Building Inspector Town of Queensbury Building Dept 742 Bay Road Queensbury, NY 12804 RE: Cembrook House, 121 Birdsall Rd. Footing Rebar Inspector O'Brien, I have approved the installation of the footing 'L' dowel into the wet concrete rather than being tied to the footing rebar prior to the pour. I spoke with the concrete contractor about the soil conditions found during excavation and there are no adverse conditions or abnormal loads. Therefore, I have determined that omitting the rebar tie will have no effect on the strength and durability of the foundation. Please call me if you need more information. Thank you. Keith Cramer Architect