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2012-504 TOWN OF QUEENSBURY Foto 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120504 Date Issued: Wednesday, March 20, 2013 This is to certify that work requested to be done as shown by Permit Number P20120504 has been completed. Location: 11 CAITLIN Dr Tax Map Number: 523400-301-017-0003-049-000-0000 Owner: KELACO, LLC Applicant: KELACO, LLC This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or (� other issues and conditions as a result of approvals by the Planning Board Director of 71 ding&Code En IF em-`k. or Zoning Board of Appeals. TOWN OF QUEENSBURY 7-12 Bay Road,Qucctiburv,NY 12804-i902 (5 i 8)61-9201 Coninninity Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120504 Application Number: a20120504 Tax-1\1ap No: 523400-301-017-0003-049-000-0000 permission is hereby granted to: KELACO, LLC For property located at: I I CAITLIN Dr in the Town of Queensbury,to construct or place ,it the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: KELACO, LLC Fireplace 35 FRONT St Garage Attached LAKE GEORGE,NY 12845-0000 Single Family Dwellhig $250,000.00 Total Value $250,000.00 Contractor or Budder's Name / Address 1.1ectrical InspcctionAgcricy Plans&Specifications 2012-504 Bldg Lot#4 Single Fam Dwelling 1,804 sq ft Garage 624 sq It/ I Fireplace $454.40 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, October 26, 2013 (If a longer period is fecluircd,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, October 26,2012 SIGNED BY for the'.['own of Queensbury. Director of Building&Code Enforcement f OFFICE USE ONLY TAX MAP NO. 36 I,( -3 /g PERMIT NO. FEES: PERMIT 1 /R) CREATION ENGINEERING Y (If applicable) � 12 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: ( � //�7% & t /, t. OWNER: f 1 /A(c) ADDRESS: 3W //e /-A G�iscvu ltd/ ,�SX ADDRESS: 3 c I' P/4 t- . 6. PHONE NOS. 7 V6 /lam 3 CS72 - PHONE NOS. 6 68 5-.2 f5 CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:[-IPA.) Ce//P7�e PHONE: 3K. • � jZa LOCATION OF PROPERTY:Jct y <t ') 40g. - (kir.) HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? EKES CI NO IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: b //SIO PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z j 0 C� LU LI- PROJECT p p 0 •w 1-= LFE -1 u-• LL L1 = Q c- U z Q Q Cr N � Ori i- � CL 06 SINGLE FAMILY %ROS — / o L/ r , TWO-FAMILY /Rot/ is MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) a- (--414C .� OTHER IF COMMERCIAL OR INDUSTRIAL— NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: )- ) (Tel> FUEL TYPE: G/1.5 HEAT TYPE:poi- /2,R *HOW MANY FIREPLACE(S): / AND/OR WOODSTOVES(S): ZONING CATEGORY: S'Q I /1 ARE THERE WETLANDS ON THIS SITE? /J IS THIS A HISTORIC SITE? /J65 PROPOSED USE OF BUILDING OR ADDITION: RPS/c/'v R *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL 11-05 �t5 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /U U ARE THERE EASEMENTS ON PROPERTY? /U6 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 J�,__ eeX(' Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: BUILDING & CO APPROVAL ZONING APPROVAL DATE DATE QUESTIONS? CALL 761-8258 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: Revised 4/14/2010 OFFICE USE ONLY TAX MAP NO. PERMIT NO. 13, 3 D 3ERMIT 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: k'9.. /.fIZ C cl INSTALLER: 1 i l/e fr f' cwt.- i1"L ADDRESS: 3i F QCtiT _5r ¢3 L4 �jP ADDRESS: s 10/b7P -rU II f PHONE NOS. C67 c)-is- �Cc" 3 ?a- PHONE NOS. 7 II //. 3 C S -"�a S • - LOCATION OF INSTALLATION: 1-67 �tL�'L OR, RESIDENCE INFORMATION: NO. COMPUTATION YEAR BUILT X = TOTAL DAILY FLOW BEDROOMS (Gallons per bedroom) GARBAGE GRINDER 1980 or older X 150 = • INSTALLED? 0 1981-1991 X 130 = SPA OR HOT TUB 1992-present 3 X 110 = 33e, INSTALLED? /tKX PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING E/ STEEP SLOPE • %SLOPE ✓ SOIL NATURE: SAND ✓ LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? /5-1+ ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? (Ji,;I�Jt,c_' U ✓ DOMESTIC WATER SUPLY: MUNICIPAL✓ WELL (If well:water supply from any septic system absorption is: ft) I PERCOLATION TEST: RATE IS I PER MIINUTE PER INCH[mpg (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: / c t 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 TYP : SORPTION FIELD(WITH NO.2 STONE) Total length CO ft. Each trench X ❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size? ❑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 Sanitary Sewage Disposal Ordinance. codes(5 queensburv.net Date VISIT OUR WEBSITE FOR MORE INFORMATION ,maygueensburv.net Signature of Person Responsible Road, Queensbury NY 12804 Town of Queensbury* Community Development Office*742 Bay P \ -50 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: Rough-In and Final Inspections Are Required: Owner:: I t(A&o Installer/Builder: (.-if//P P C_1 / , /A/c Address: 7 ,3 S- Fie-e>01-5*- Address: 3F- Cid/PrP Ln), i - ? Phone Nos.: 6(f cm.! s Phone Nos.: 3 c tea-?- ) 9% 1/ Location of Property: (cil ( ii ' .rill. Subdivision Name: A i P141P,S7L Location of Proposed Construction and/or Installation: Ai-Ai-6 6WSD Contact Person for Building & Codes Compliance: ked 6ff# P OR_ dui) Fuel Burning Applicance Wood :Coal Pellet Gas Oil Information Stove Fireplace Insert Fireplace, factory built* t/ Fireplace, Masonry Furnace, (Garage Only) * If Factory Built, Please Provide: Manufacturer Name: /Ifnff 6/0 Model No. 3 6 .0 (/ 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 VEN 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 J-.- Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 �, , Arrive: am/pm Depart: , .1(:)-(") am/pm Date Inspection request received: 277- �3 Inspector's Initials: NAME: V\-er1CD LLC PERMIT#: ("? SLl L� LOCATION: ) �" ,-t I 1/-1 DATE: TYPE OF STRUCTURE: .3P-V) Comments: Yes] No N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Locatio Fresh Air Intake = _ _ 3 inch Plumbing Vent through roof ••• imum 18 inches Roof Complete/Exterior Finish 'omplete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,deck ,patios mo than 30 inches above grade ��— Guard at stairwell a ;• inches more Guard at deck,po.M es 36 in es or more Handrail Termi =tion at Ne II Post or Wall InteriorlExteri• Railings inches to 38 inches Deck Bracin• /Handicapped Ramp Compliant Grade awa from foundation 6 inches with 10 feet 6 inch cle. .nce to siii,plate Gas Valv: shut-off exposed/regulator 18 inches above •rade Interior p vacy/trim/doors I main entrance 36 inches Bathroo /KitchenAvatertight Safety gl. ing/Win•• in stairwells safety !I.,in Interior Smoke D: -Mors/Carbon Monoxi•,- s- ect•rs / Every level: Every Bedrg6m: J ✓ Outside every • •roo area: �( Inter Connected' Battery b. kup: o <�r Attic access 30' ches x 22 inches 30 inches t el, •t)i accessib : area Crawl Spaces 1; inch x 24 inch a••:ss, 1 sq.ft.-15. ft.vents Bathroom Fans if no windowfri€51\A_ t �'( Plumbing fixtur:s Foundation ins .ation to floor/Sticker on Panel Duct work seal properly/Blower Door Test Certification Floor truss,dra' stopping finished basement 1,000 sq.ft. \TEmergency egre-s below grade l `-C Gas Furnace sh -off within 30 feet or within line of site 1 � Oil Furnace shut •ff at entrance to furnace area Furnace/Hot Wat- Heater operating Low water shut-off••Her Relief Valve(s)inst: ed/Heat Trap/Water Temp 110 Enclosed Stairs She-. ock Underside minimum%"G psum Basement stairs close. rise>4 inches Garage Floor Pitched Garage fireproofing/%ho• fire door/door M•ser Gas Logs in Sealed or Glass 1psure Final Electrical; Energy Saving Light Bulbs 50% Final Survey Plot Plan Arc Fault Breaker Habitable Spaces I 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 Forms1Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 : . ,.. 2v1 0AeJ,) Ac P( S ___ • ( /1- ,vrT 4 el'-', & t',1\..1`... \.) (c.ft) ----.1-- ->, .. ( -r-0 v,....,)04.t.--,1 .,_1 E.-, r"-7"-- :•, 9 __ ------, , ktr \ if . - • . •• • . . I -,,...7,,i.,7%,,:j_\_. r 1 :i i) )Y( rt zxci L.71)(ok / _ _ yfN ei.kl- r 2 1,m3tc,(It) i Y kA VjA, P .).V 5- / N . / 2_4( SA'S 1 , .. ( 6 k/kf:. (6kSi*,54A,i- cow fe,i3 ,/,,t LI_ 71S" .Z)cq VJA k k -5T(A) . .._ ,,-."07.; ',.4r:: ' -- ..,--- .,.-A":, ,I .... ,1...•,':,,,:l 2 !I.:',2'.'.. 40) --- (...- ---. g.ti: .L., • ,.; /..f...i . 4, . DQI0 1( / :. a ahtki :A,I WE._ 7 i11 A -1iz.itc, t-_f (.t.I 1 ve-_ rfsi. i ,-(. (y11--scr17.. 2 v le:),--,ji -r -. — 2>< 10 stokkiuls, A r ricc, (c -, /1, .i. 11 c to iriu biaTkt — z x t4 Ci.c.A.:-R-- 14tAt(A Mt, .?Y q kit AU Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury, NY 12804 Date received: 3 \3 NAME: Z ••(�-11 LOCATION: ( I L:',--)A---a—L)-S—) PERMIT#:2,0 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: -) Craig :rown, Zoning Administrator Notes: L:\SueHemingwayV3uilding,Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc Queensbury Building & Code Enforcement - Residential Final Ins ecfion5 7 -lc' P Office No. (518) 761-8256 Arrive: am/pm Depart I .) am/pm Date Inspection request received: Inspector's Initials: (.5.“) NAME: Ia C7 PERMIT*: - 5b 5' LOCATION: _Q,�-f- -ITI) Dr DATE: —/ TYPE OF STRUC/ E: _ C) Comments: Ye "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 !l Roof Complete/Exterior Finish Complete t/ Platform at all exterior doors V/ 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 / y Handrail Termination at Newell Post or Wall ✓4 Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant . - _ t • �1.to 5 Grade awayfrom foundation 6 inches with 10 feet ^-�/\//�{'��Tf 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade V _Interior privacy/trim/doors!main entrance 36 inches Bathroom/Kitchen watertight V Safety glazing//tow in stairwells safety gIzing Interior Smoke ors/Carbon Monoxid�etectors Every level: Eve�Y Bedro/dm: �l�l / ,/ Outside every bedroom afea: / Y Inter Connected: t/ 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.vents7: 4/ Bathroom Fans,if no window Plumbing fixtures V Foundation insulation to floor/Sticker on Panel L4 ,�, � /E-"Ai sealed properly I Blower Door Test Certification �7- oor trus draft stopping finished basement 1,000 sq.ft. �-1fZ � egress below grade Gas Furnace shut-off within 30 feet or within line of site Y / vk- � 7J&I/�`�' "� Oil Furnace shut-off at entrance to furnace area ✓ TI Furnace/Hot Water Heater operating v` / ' .fy3i•1 �� Low water shut-off boiler / tI -1---.NI �, Relief Valve(s)installed/Heat Trap/Water Temp 110 �/ / .." - Enclosed Stairs Sheetrock Underside minimum%"Gypsum � ,r � Basement stairs closed rise>4 inches .v/ i�`"-' Garage Floor Pitched Garage fireproofing I%hour fire door/door closer tvi,-`''`_ c' /;Gas Logs in Sealed or Glass Enclosure Final Electrical; Energy Saving Light Bulbs 50% Final Survey Plot Plan / J TZ— Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles ✓` _ Flex Gas Pipe Bonding f �— As Built Septic System/Sewer Dept. Inspection Sticker f Site Plan I Variance required _ , , ice`' v '. L Flood Plain Certification, if required •-- Okay to issue Cl C or C I 0[Temporary/Permanent] ( t/i' � `" 1. �="r 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 a :w y� to ST�HRpPo1E' WOOD gSt Hou C., ° LOT4 46,506 sq. ft. 46,506 4- o 1.07 acres o 1153 _ i a :w Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm rt: t°40 am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: e_.13 PERMIT NO.: ___5I a- s o I LOCATION: KY-?' a tl +i,' Dr INSPECT ON: RECHECK: ket 1 Comments and/or diagram Soil Type: Sand / Loa / Clay Type of Water: Municipal/ Wel Water Waterline separation d tance ft. Well separation di tance / ft. Other ells: ft. Well Casing Length 50 + / - / Y N N/A [150'to well required i NOV 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 l+uilding to tank Tank to distribution Box Distribution B to Field/ Pit 0 ning Sealed: Y N End Cap _Y N Inlet/Outlet Pi.'-s&Baffles Y N Manholes 12"or less a-low grade _Y_ N [provide extension cellar if Yes] Y_ Location/ Sep:•rations Foundation to tan Foundation to absorp Separation of Pits - . er-Wet21.4n N En4.1neer Report and As-Bui 3! Y N a Maintenanc- •.i . - N provided Location of System on Property: Front R r Left Side Right Side Middle Front Middle Rear S stem Use S s: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report 03 29 10.doc RX Date/Time 03107/2013 11:18 P.001 2013-03-07 04: 18 VISION Engineering 1 » 5187454437 P 1/2 VISION Engineering CIVIL•STRUCTURAL• MUNICIPAL• ENVIRONMENTAL -W11460011." o 10�3 �jPl a5a � March 7, 2013 Date x of Post-it"y Fax Note 7671 2� 7 �� Pages► Building &Codes Department To�9 3 ,i 6 ,From U (Or) Town of Queensbury CirDCP` _ • p L 1Co. 742 Bay Road Phone# !Phone 4 Queensbury, NY 12804 Fox p - 7.l rax n -- - RE: Collette Construction 4 Caitlin Drive VISION Engineering previously designed the Pointe West Subdivision which included individual household onsite septic systems installed at the above locations and/or lots. This letter shall serve as certification that, based upon information obtained from inspections and the Contractor, with exception of the final installed location of the onsite sewage system, portions of work designed by our office were installed in general conformance with the approved plans and specifications. Thank you and please do not hesitate to contact me if you have any questions or require additional information. Res• ►tfully, ., •Y NSW i aniel . Ry.-, = . o'l 4;7 9 V e Engineering, LLC * , 2 r- aft/ 0.3 cr m tr l Y4y i o °- )7906() • r 16 Pearl Street•Suite 200•Glens Falls, NY•12801 •P:518.792.9264•F: 618.792.9282 www.visionengineering.org c., O A Cl. 0.1 / CL \ N ' /4:1:://5/53 (/ . % 1 , in N- / 6, 4.§5 SI 6 P. Lt I 11'#< i r. 4«-a / : .I INSTALLED `:_ �° p90e3 G. SEPTIC SYSTEM • r'SIC A u, I i D-SOX A ? r 12-0., y ,I J I Nc \W I N O y'rN \ /�' \ ).� �//U/.W/////AJ// !M/ /!//AWLS,/ / ,T,/ / //////r,H////////// /11/...e1,7 'p// / � 12'* O f REAR NORTHEAST p % CORNER OF HOUSE Jzz 14'± 03 r0 C 1000 GAL. �f' L SEPTIC TANK✓ c rn a) .(4'; c i NOTE: DIMENSIONS AND LAYOUT OF SEPTIC SYSTEM w ` COMPONENTS, HOUSE, AND PROPERTY LINES Cr, a 0- SHOWN ARE BASED ON APPROXIMATE FIELD oJ $ MEASUREMENTS ONLY-THIS PLAN WAS CREATED cn + WITHOUT THE BENEFIT OF AN ACTUAL SURVEY o co 1 1 E c) i= c) SEPTIC SYSTEM AS-BUILT - COLLETTE d I 0 1.,-, CONSTRUCTION, 4 CAITLIN DR., LOT 4, ce QUEENSBURY, N.Y., 3/6/2013 0 N rtvryctat Septic Inspection Report Office No. (518) 761-8256 Date Inspection request..rece'w Queensbury Building &Code Enforcement Arrive: 1\ �c- . � '' : `Z= a m 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: C11 C.O PERMIT NO.: 0-50 LOCATION: // ict-1--We) INSPECT ON: 3 —<1-/3 RECHECK: Comments and/or diagram Soil Type: and/ am / 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 19,2— ft. Length of each trench z-GL1 to ft. Depth of trenches 2-0„,50. ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank y " AC-14 1-n Tank to Distribution Box y IN Distribution Box to Field/ Pit QJc_ xt9 RE LE Opening Sealed: N End Cap �Y._ N Inlet/Outlet Pipes&Baffles N Manholes 12"or less below grade VY _ N Wi;"1)‘[provide extension collar if Yes] Y N Location / Separations 11...E Foundation to tank ft. Foundation to absorption ft. 4 I%) 4 P t t 5 EJ Tt J„t F- " Separation of Pits ft. Conforms as per Plot Plan Y ` Engineer Report and As-Built Y v N 1 6 ‘Nat_y_ ETU Maintenance Contract Y_ N provided Location of System on Property: G_E➢ 21 CQo �1 Front Rear Left Side Right Side / Middle Front Middle Rear S stem Use Statu . 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 / / v\loi , P / . -------- / to , .4t,ctii,-, ,./ I 1 ‘ ./// .,, F------. , / z...,I / 1 ,1/ ..... , 11 z 5' 1 I ) /.., ‘. z i , 1.-; .... . 1- ,- ,- _____________. „0„ I z ( ..- Lie; . \\,/ 1 i 1 1 . , 1 i cda • I \ i , 1 , a ) ! , , 1 . 1 I \ i \ • ,?_ 1 0.1 \ . I J oRlt, , a \ / ,,,,,,,, , I czp_ARK_ or pocivz_ \ 1 • . , ti 1 . i 0130 A liOki i , J , 1 1 II i 1 I Anfoe C Li 3 2c) 0- 10 a-ttA- Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: ../ztVd / 3 Queensbury Building & Code Enforcement Arrive: am/pm Depart (-7.i_ am/pm 742 Bay Road, Queensbury, NY12804,E��4 Inspector's Initials: -.4, `,--', 1 =' NAME: 4,LA-c.,o PERMIT #: 44Lei, 1 S LOCATION: b{ 5n v . - INSPECT ON: a/�1a-ie/ 3 TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbin• Vent I Vents in Place Or�. ■ 1 %z inch minimum Drain Size 7 6L Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction Pressure Test �'`D Drain /Vent g-4-4-1 Air/ Head 5 P.S.I. or 10 ft. above hi hest connection for 15 minutes Pressure Test Water Supply Piping II Air/ Head a P.S.I for 15 minutes sulation /Residential Check/Commercial Check Tyvek or Similar Exterior Sealant P . Ve Attic Vent 1.111E IIIII ii Door/W 1.•ow led (No Insulation) s- '-t"{f`, -,_',-,(.� .` Duct/ Hot Water Piping Insulation If r- •uired unheated s•aces 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 (•(1T) dra.L.: (5-/ (Jc ± A Rough Plumbing I Insulation Inspection Report) Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: j /Z ) NAME: K .�6J PERMIT #: I soq LOCATION: // L ti INSPECT ON: J- 7-/3 TYPE OF STRUCTURE: Y N NIA J �---- Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place • 1 'A inch minimum Drain Size _ `f 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 I 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 I Hot Water Piping Insulation if required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape _f COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008 Framing I Firestopping Inspection Report 1 b Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm b=• If-1 am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: I� <Z-- NAME: K Nil Q.00 nPERMIT#: - aO LOCATION: I �'.� r`-1-(1 !, l J - INSPECT ON: TYPE OF STRUCTURE: S F 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) 160 nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall _ Windows Habitable Space / Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf grade L:1Building&Codes Forms-OLD\Building&CodeA inspection Fom,s\Framing Firestopping Inspection Report.doc Revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: »/�9f/� Queensbury Building &Code Enforcement Arrive: _am/ rt: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: f1.1, i NAME:_ j/� �� '(7/ PERMIT#: LOCATION: Cop T 11 , INSPECT ON: ?-® Z. TYPE OF STRUCTURE: =/ Li NIA COMMENTS: raming ��" 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 I Holes 1 Bearing Walls Metal Strapping for Notches Top Plate _ 1 % (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping 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:1Building&Codes Form -OLD\Building&Codesllnspeciion Fomts\Framing Firestopping Inspection Report.doc Revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection requested: / -Z%Y/(?i Queensbury Building &Code Enforcement Arrive: 1 `-1--10am part: 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: ./ 1\( () L C I PERMIT#: 12'V` LOCATION: �� , ;l I ,, i • LANSPECT ON: 1(j r I (� TYPE OF STRUCTURE: Y N NIA 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/ Holes/ Bearing Walls Metal Strapping for Notches Top Plate 1 ' (w) 16 gauge (8) 18D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center #6e and water shield 24 inches from wall ,/ Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping _ Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side ' inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/ Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above I below grade 5.0 sf grade _ L:\Building&Codes Forms-0LD\Building&Codeslospection Famis\Framing Firestopping Inspection Report.doc Revised January 7,2008 fYdc /-3 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pqn Depart: am! 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: f ,J NAME: f.<& I '32•,, PERMIT#: I — JDy LOCATION: �( x i -H a v INSPECT ON: I TYPE OF STRUCTURE: t= ) Comments Y N N/A Footings Piers � Monolithic Slab Reinforce nt 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 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 P,1 , Under Slab \, ' C/Gst/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspectlon Fortes\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM W____ I 0 aly.._./ Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: i t I 1 S-6o i Y Queensbury Building&Code Enforcement Arrive: am/pm Depart. jsb_am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 4.4q9 NAME: `-' 1 PERMIT#: Ion ^5D LOCATION: l ( i rst.;-1-(y INSPECT ON: ii '/4210 i al- TYPE OF STRUCTURE: 'e'l uThA7 Poied-k- !, 4 v Comments ‘4,61- Li , Y N NIA Footings Piers (IiI ) Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. ' . s ,r this purpose on site. oundation/ allpour uI orcement in Place Footing Dowels or Keyway in place Foundation Dampproofing .Sk _. Foundation Waterproofing Footing Drain Daylight or Sump 77 Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab f 'Backfill Approval / Plumbing Under Slab YY 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 ih urseA6o6 Foundation Inspection Report C`Q c/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: 1_ NAME: )� 62162 0,c7 PERMIT#: /cx Ci LOCATION: / 1 (=6t( -÷. I- INSPECT ON: i %-/ -/) TYPE OF STRUCTURE: -3 , C) Commeutt 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 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 fed Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Dep am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: C (G?ct o PERMIT#: / - 5 b / LOCATION: / +-11,1 INSPECT ON: 2 TYPE OF STRUCTURE: S F () Comments N NA 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 "fj Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing 1$ L 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\Foundatfon 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: ; .<7, am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: (_� ;�-�'l ( � 1)t' NAME: PERMIT #: 2.c t2 h v LOCATION: : ! �4� :; INSPECT ON: Z-- TYPE OF STRUCTURE: 5C1--) Y N N/A Rou!h Plumbin' / Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. or 10 ft. above hi hest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation / Residential Check/Commercial Check x 7 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: cfr ''- ( IBJ �'U o Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 J6s f6 -ie) Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: rLZ am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: 4! NAME: - PERMIT NO.: `-6-b LOCATION: tfrin1 .•nI INSPECT ON: �� 1-- RECHECK: r Comments and/or diagram Soil Type: f�/�Loam / Clay Type of Water: 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 '2` ft. Size of Stone .- Seepage Pits: Number y rrA_______ Size: N • x Stone Size: Piping ize Type --) Building to tank k. .&_A-1-Az") R----). . /, _ _-. Tank to Distribution Box A. Distribution Box to Field/ Pit '( 5'{t) Pi'-c12,1- Y Opening Sealed: v ,N ��j/�iC/ Q R iz ►- End Cap N 4 -+� Inlet/Outlet Pipes&Baffles ✓Y `~~__—' Manholes 12"or less below grade _Y , [provide extension collar if Yes] Y— . Location/ Separations Foundation to tank Il) ft. Foundation to absorption 2J ft. Separation of Pits JJ rt ft. Conforms as per Plot an s//'Y_ N Engineer Report and -B t ✓ Y_ N ETU Maintenance ontract _Y_ N provided Location of System on Property: (-TD ---c----\ Front a, eft Side Right Side Middle Front Middle Rear System Use Status / Approved V ( Pa`rtial.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 A _ ,- -,-. • .I f 1 , , , .- I ,' i / / . . ."'• . • . .- .• . , , .• . , / /./7 /.., . • ..." , . • . . ../ . . , • / >- .. . , , . ..,' .. . .- . . . ,.., . . '(.. . , ' fl4._ /. / ..,- . . . . , , 0 . . ... / . , .-- .. . \ 1 ii 6 1 1 1 1 r) I \ 'e) . .... . . . V., L f ---. ._. . ._ 1 1 ! •‘._ -.,"-:... • •••• _ ., ...II::: 1 I . ; 1 ._. ____.... .,.; t . I --, , . • ..., • ra--. --, , .. ,. ,.. ......... i 1 7,4--. , . i I 1 -,.- ',., ; , - , ! . i ....i. 1 ii F._____. . . r---1 ......, _. • _..... . 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