2012-574 TOWN OF QUEENSBURY
7-12 NIV K03d,QUCCIE"bUrv,NY 12804 -5902 (5 18)76 1-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120574 AI)plication Number: A20120574
Tax Map No: 523400-309-011-000 1-O59-000-0000
Permission is licreby granted to: CHRISTOPHER J PATTEEN
For property located at: 30 GARNER St
in the Town of Queensbun-, to construct or place
at the shove;location in accordance with application together with plot plans and other information heretofiled
and approved and in compliance with the iv S'S Uniform litirlding odes and the Queensbury Zoning
Ordinance. Tyne of Construction Value
Owner_Wdress: VIRGIL I., HARRIS 11 Garage Attached
30 GARNER St Sin gle Fattlily I)WCI]illg $851000,00
QUEENSBURY NY 12804-0000 Total Value $85,000.00
Contr.lictor or Madder's Name / ,'address Electric-al JnspectionAgency
Plans&Specifications
2012-574
Single Family Dwelling 1,274 sq ft & Garage 484 sq ft
5330.40 PERMIT'FEE PAID-THIS PERMIT EXPIRES: Friday, December 13,2013
(If a longer period is required,an application for an extension rurust be made.to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Thursday, December 13, 2012
SIC;NFIM BY for tine Tow,n of Due ei isburi.
Director of Building& Clodc E'riforcement
e.4111ft TOWN OFQ UEENSBURY
•
7 2 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
41.111.
4 oa ,Quee ry,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120574 Date Issued: Monday, April 08, 2013
This is to certify that work requested to be done as shown by Permit Number P20120574
has been completed.
Location: 30 GARNER St
Tax Map Number: 523400-309-011-0001-059-000-0000
Owner: CHRISTOPHER PATTEN
Applicant: CHRISTOPHER J PATTEN
This structure may be occupied as a:
Garage Attached By Order of Town Board
Single Family Dwelling TO OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property (72)z
P Y
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.
r rte_• .sa")010
OFFICE USE ONLY ,
TAX
y 5-_ ,
TAX MAP NO. 09 , I i —1 —S tq PERMIT NO. I O' 11 i DEC 0 5 2012
3
FEES: PERM! • 27<RECREATION it /U A- ENGINEERING
AV
(If applicable)
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: @h1119U t€I1 OWNER: ,3- i-)TP,
1 JGC Kso ii ) I.
ADDRESS: S' &IYi15 ra 115, N4 )2b0:3 ADDRESS:
I_ LI
PHONE NOS. sgI-ic 6— (05L1 PHONE NOS.
CONTACT PERSON FOR BUILD • - s fat&CODES COMPLIANCE: 0)Yl -el'I PHONE: 5 18 I/9(0-'46 91--
LOCATION OF PROPE 613.-I'Ile{ S1-it
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? 0 YES tii NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR zz 0 p w w
PROJECT R- rt O OJ O = _
E W u_ 1-
u_ - 2 I¢- oU U
LU 0 _1 w d z d I— ~ o1- Dwz
z Q Q . co cV f/) oL. I-- LI- d2 06
SINGLE FAMILY v1 c ai1(110° , k1 gO
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
%45D4SSTRtiP& I
GA AGE(11,,2,3) ./ "1 O 9 1 (pia' --ajj 0
OTHER
Town of Queensbury* Community Development Office* 742 Bay Road,Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: n I cc"
ESTIMATED CONSTRUCTION COST: 4 g0.60 0 FUEL TYPE: N C11-uvcc
f-C rC d
HEAT TYPE.. Ho-f- .fit (✓ *HOW MANY FIREPLACE(S)•. 0 AND l ORWOODSTOVES(S)•. Y�
ZONING CATEGORY: N i ARE THERE WETLANDS ON THIS SITE?
fS THIS A HISTORIC SITE? No
PROPOSED USE OF BUILDING OR ADDITION: t 1 )91 E' T- fY) I Iy IN/vein/19
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? No
ARE THERE EASEMENTS ON PROPERTY? NO
'Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read an pgr 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)
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
LtFAX,
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE DATE
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: 2 Construction Classification: _
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
OFFICE USE ONLY
TAX MAP HO. PERMIT HO. I S.7t{MIT 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.
C�
OWNER: �11 1 Mtt.e Y1 INSTALLER: `I i--1 E.x(a L,CUt-C'Y1
-I .jCiCKsCn Kc4 • Ic 'O-�"
�11'' 1 �
ADDRESS: _C, . C- i1
-ee i15 failsr M,1 17 P)03 ADDRESS: Hv 101 P Y1 /4 J G
.I ct lot/ r 1�)' / T
PHONE NOS. 5 1)S) 1 9k) Li (� s--11 PHONE NOS. (-51 0 6g1 -11 5 (p 1
LOCATION OF INSTALLATION: '='(' 0 Cr) /1-E}-- S hreP"f
RESIDENCE INFORMATION:
YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW
BEDROOMS (Gallons per bedroom) GARBAGE GRINDER
1980 or older X 150 = INSTALLED?
1981-1991 X 130 = SPA OR HOT TUB
1992-present X 110 = INSTALLED?
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING `/ STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND ✓ LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? Vc
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? iv L
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELLy' (If well:water supply from any septic system absorption is: I LI: 'ft) I
✓ PERCOLATION TEST: RATE IS 1 'al Cwt:1- PER MINUTE PER INCH[moil
(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: I• ` 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:
Ig1ABSORPTION FIELD(WITH NO.2 STONE) Total length I '(✓ ft. Each trench ' X `;Z
❑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 se and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
Sanitary e aDispo ." ance. codes{�gueensbury.net
�� /z/ 77 vtsrr OUR WEBSITE FOR MORE INFORMATION
Signature of Person Responsible Date wvrw•cyucenstwsV.stiet
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Q k
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: \zt
NAME: C2`- ° "
LOCATION: '��"Q
PERMIT#: S-74.
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community V
Development.
Upon review the
survey has been:
Craig Brown, Zoning Administrator
Notes:
L:1SueHcmingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
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Queensbury Building & Code Enforcement - Residentia Final Inspectic _/U
Office No. (518) 761-8256 /i Arrive: am/pm Depart: b C m/pm
Date Inspection request received: il !; i -5 Inspector's Initials: ey,t,
NAME: F/4 .1-r 1'1PERMIT#: I Z- — 7
LOCATION: -' ( AP- t--1 I . DATE: /L�/
TYPE OF STRUCTURE: ow
Comments:
Yes No N/A
4" Building Number Address visible from road V ' \ „
Chimney Height/"B"Vent/Direct Vent Location 3--- I -t/°
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches — j C4" P c ��
Roof Complete/Exterior Finish Complete I ''
Platform at all exterior doors / /
Handrail 4 or more risers vc (1/11/ I c� i i--.. . .3
'Y
Guards at stairs,decks, patios more than 30 inches above grade
/
Guard at stairwell at 34 inches or more 1,/-
Guard at deck,porches 36 inches or more f
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches ,r
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 I trim I doors I main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Wine•w in stairwells safety glazing
Interior Smoke De ors/Carbon noxide petectors
Every level: Every Bedr m: i/ /
Outside every bedrooea: /
Inter Connected: r 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 -A—?-2 1.S. '"'-.6.-
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification V
Floor truss,draft stopping finished basement 1,000 sq.ft. �Tl 7 61 )13i.
Emergency egress below grade 4/ ,� r., '
Gas Furnace shut-off within 30 feet or within line of site V f
�
Oil Furnace shut-off at entrance to furnace area /
Furnace/Hot Water Heater operating - /.)'�-PVL- 5-t- Z4V
Low water shut-off boiler
Relief Valve(s)installed I Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum 1/2"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 V
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required - 4
Okay to issue C/C or C/O[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codesllnspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6126/08;Revised 12/22/10, Revised 04/13/11
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart:i 1 ���am/pm
m
�6
Date Inspection request received: Inspector's Initials:aC)G_
NAME: QA----\---<7K11PERMIT#: M1) A
LOCATION: -1y� C- 1 `tom„_ -- DATE: AAA
TYPE OF STRUCTURE: -c- --
Comments:
Y s No NIA
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location /1/
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors J
Handrail 4 or more risers t(
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more t
Guard at deck,porches 36 inches or more `- 't —
Handrail Termination at Newell Post or Wall
/ i--) V-.A _
Interior/Exterior Railings 34 inches to 38 inches / P���� ��
Deck Bracing/Handicapped Ramp Compliant
/ ►'�"Aa—
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 /1'7:
Interior privacy 1 trim/doors/main entrance 36 inches i
Bathroom/Kitchen watertight � V" �� \ ��Safety glazing/Win.•win stairwells safety !lazing 2
Interior Smoke Det-.ors I Carbon Mo�noxi. 'etectors /
Every level: _ Eve Bedrogf►i: J `-
Outside every bedroom a. /4
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area . 7
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 I ti el 0
Duct work sealed properly/BIo r Door Test Certification J
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 sitelOil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler i
Relief Valve(s)installed/Heat Trap/Water Temp 110 y/
Enclosed Stairs Sheetrock Underside minimum W Gypsum / ac
Basement stairs closed rise>4 inches
Vz•
Garage Floor PitchedGarage fireproofing/'/,hour fire door/door closer Y
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
7
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker /
Site Plan /Variance required
Flood Plain Certification, if required
&--‘" /
Okay to issue C/C or C I 0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection FormslResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
yICE,INC•
INSPECTION SER
CTRICAL iVianheim,PA 17sa5PPROVAIJ
COlyIMONVVF,A-L' ELE CTRICAL A
Main Office 176 Doe Run Road-
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NIUNICIPA
CERTIFICATE - ,••,,.........
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Cert. ......................................................
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Owner............... ... � w/ „cam t� //�
Location...... ... ..................9
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Consisting
Installation /� �` �MIV. ......................................................................................
Lic. issued is
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...... :.:f.......• on the
Installed BY•••••••""""'•••• of date. UP
governed the issuance of this certificate,an an m do made for inspection.
ui ment and installation conditions as and if its
The conditions following g the electrical eq P shall be time,
covers lication ections at any
cancelled: e of mak g m
This certificate only ent or alterations,aP tificate.
additional equIPm shall have the privileg thi c
introduction Of this Company ht to r v r
Inspectors of shall have the rig
the Company �... ......1...........•F
rules are violated, '� CTOR..............• Member N.
Date...................
(.3....................tNSPE
THERMAL ASSOCIATES
Quality. Comfort. Satisfaction.
Thermal / - ociates
21 Thomson Ave. Glens Falls, NY 12801
518.798.5500 Fax 798.5620
Patten Property Management
7 Jackson Road
South Glens Falls, NY 12803
5118-796-4654
We, Thermal Associates, performed a blower door test the project at 30 Garner St., Queensbury,
NY, to determine the air changes per hour, for Patten Property Management on March 29, 2013.
Testing procedure performed as per ASTM E779.
The result of the test is: (2400 CFM50 x 60 Minutes) / ( 1,289 sq. ft. x 19.5 ft.) =-
5.729
5.729 ACH50
Adam DeVit
Blower Door Tester
Thermal Associates
www.thermalassociates.com
T ns a
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm6.44)__
Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
c
NAME: �C PERMIT #: I, -S 7 T
LOCATION: a INSPECT ON: — A(9-13
TYPE OF STRUCTURE: S .:
Y N N/A
Rough Plumbing 1 Nail Plates
Plumbing Vent/Vents in Place
1 IA inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation I Residential Check I Commercial Check
Tyvek or Similar Exterior Sealant 41)Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated
Duct -20 " I
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape
COMMENTS:
— L1 t4-'5
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Rough Plumbing I Insulation Inspection Rep rt
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:'-. t" am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .1,A9
NAME: a PERMIT #: ( , —
LOCATION: 3,0 9artner- .rt INSPECT ON:
TYPE OF STRUCTURE: J fi p
Y N/A
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place i;.
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction
Pressure Test
Drain I Vent
Air/Head
5 P.S.1. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.1 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
COMMENTS:
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:
Queensbury Building &Code Enforcement Arrive: am/pm rt:.. 5- am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: A, !l
PERMIT*:
LOCATION: j , • INSPECT ON:
TYPE OF STRUCTURE: i- I
Y N NIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing/Bridging
Joist hangers
Jack Posts 1 Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more _
Exterior Deck Bracing
Headroom 6 ft. 8 in. •
Notches 1 Holes 1 Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2(w) 16 gauge (8) 160 nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center V!
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:\Building&Codes Forms-OLD\Building&Codes\inspec ion Fomns\Framing Firestopping Inspection Report.doc Revised January 7,2008
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Departs--j ' am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials C
NAME: Pit i PERMIT ##:
LOCATION: • ♦+ r 1 - r INSPECT ON:
TYPE OF STRUCTURE: S
Y N N/A �G
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place �■■
1 % inch minimum Drain Size
Washin• Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation/ Residential Check/ Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (Ne4RsuI '
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
Framing I Firestopping Inspection Report r g --/D
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: ! ! ' ' V
/
NAME: PERMIT#:
LOCATION: — —3(; 6.62I`/kt?r `+, INSPECT ON:
TYPE OF STRUCTURE: S t- IS
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.,w lesson center'- - -
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping _�-' c;j7._
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall _
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Buiiding&Codes Forms-OLD\Building&Codes\nspection Fom's\Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: /I l z_am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �J`';-
NAME: PERMIT#: 2 (2 _)`
LOCATION: ? J INSPECT ON:
TYPE OF STRUCTURE:
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 'A(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 6 ft. or less on center \.
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 'A inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/ Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/ below grade
5.0 sf grade
L:1Buiiding&Codes Forms-OLD\Building&Codeanspection Foms\Framing Firestopping Inspection Report.doc Revised January 7,2008
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(90-Jyt'l\- Pkil'62)
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:rT _(5-am/pm
742 Bay Rd., Queensbury,(� NY 12804 Inspector's Initials: •
l
NAME: 15t— p`'`' PERMIT NO.• I) ”/
LOCATION: rA.A.\_0_4_ INSPECT ON: 4- -/3
RECHECK:
Comments and/or diagram
Soil Type: 4d/ loam / Clay
Type of Water: Municipal/ Well Water -- -1'7
Waterline separation distance ft. r '
Well separation distance ft. k tv ^/� '�i� ac)1\
Other wells: ft. / I�'l
Well Casing Length 50' +/ - Y N N/A
[150'to well required if NO]
Absorption Field: Total length (J ft.
Length of each trench ft.
Depth of trenches _ __ ft.
Size of Stone
2
Seepage Pits: Number
—
Size:
Stone Size:
Piping ize Type
Building to tank `� -1" 1;9
Tank to Distribution Box k' -1‘-till •,,ib .-1,.--
Distribution Box to Field/ Pit ' ` U�- „�7
_r_
Opening Sealed: N
End Cap N
Inlet/Outlet Pipes&Baffles ,1,/?
Manholes 12"or less below grade _Y ,/
[provide extension collar if Yes] TY_ N
Location/ Separations
Foundation to tank [^ ft.
Foundation to absorption �L ft.
Separation of Pits .
Conforms as per P Pia. W N
Engineer Report and s-B Y N
ETU Maintenance Con act _Y_ N/Or
provided /
Location of System on Propel,,,
Front Rear / eft Side Right Side Middle Front Middle Rear
S stem Use Stat :
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report 03 2910.doc
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Jointa Galusha,LLC
Pallette Stone Corp.
I Proud illembea ofthe D.A.Collins Companies
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3 d1{1.. READY-MIX CONCRETE—CRUSHED LIMESTONE—BLACKTOP
. -- X - PRECAST STRUCTURES—SAND—AGRICULTURAL LIME
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TOPSOIL—LANDSCAPE BLOCKS—CONCRETE PUMPING
Corporate Office
269 Ballard Road
Wilton, NY 12831
Office: 518.584.2421 Fax: 518.584.4382
SAFETY, QUALITY, PRODUCTIVITY - WWW.DACOLLINS.COM
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Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: I l p/l 1
5
Queensbury Building&Code Enforcement Arrive: am/pm Depart:c
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: _tA) ;i.
H
NAME: Pi- -1 *V-\ Cl PERMIT#: �� �"J
LOCATION: �' t (. �,`,�,�� `r INSPECT ON:
TYPE OF STRUCTURE: =
Comments
N
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 nil poly for wet areas under slab
.;:.c ackfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L•\BuBding&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Ldo,a. /d -1,1
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: j am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: (..LeL4'? Q 7
I ")
NAME: PERMIT#: I -S 7 Y
LOCATION: INSPECT ON: / - / (p -L3
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
V &e-4 '-
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
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
rkLe4{,2
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: —cam/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: /.4 )
NAME: PERMIT#: I A-- /y
LOCATION: C 961.1:Th
r INSPECT ON: /I-V-757
TYPE OF STRUCTURE:
Comment,,
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
7. i •
Reinforcement in Place r7 - _ 2-t)-5
-t ./
Footing Dowels or Keyway in place — 1 '" \�-
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
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 Inspecction Report.doc
Last printed 12/20/2005 9:24:00 AM