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2006-209 TOWN OF QUEENSBURY f eilia 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060209 Application Number: A20060209 Tax Map No: 523400-295-019-0003-068-000-0000 Permission is hereby granted to: KATHLEEN LANT For property located at: 14 FOX FARM 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: KATHLEEN LANT 14 FOX FARM Rd Fireplace UEENSBURY NY 12804-0000 Re-a Cars Attached QUEENSBURY, Residential Addition $50,000.00 Total Value $50,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2006-209 948 SQ FT RESIDENTIAL ADDITION, 484 SQ FT 2-CAR ATTACHED GARAGE AND FIREPLACE (old garage to be removed as usage of a garage) (Needs Area Variance for side setback relief) $162.16 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, June 29, 2007 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town o ee bury h 1 • / . 29, 2006 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY Fors _ 742 B ay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Pennit Number. P20060209 Date Issued: Tuesday, December 11, 2007 This is to certify that work requested to be done as shown by Permit Number P20060209 has been completed. Location: 14 FOX FARM Rd Tax Map Number: 523400-295-019-0003-068-000-0000 Owner. KATHLEEN LANT Applicant: KATHLEEN LANT This structure may be occupied as a: Fireplace By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY Residential Addition Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, V° 1) Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. lYtel............................................ 4 OFFICE USE ONLY c. �� TAX MAP NO. .•. FEES: PERMIT �Qa (� PERMIT NO.__ 4pR RECREATION -, L`ENGINEERING ' 6, (It appneabl—e` .,kA r 200 l • l y� PRINCIPAL STRUCTURE: --'•-...`7',, O000&•• uT APPLICATION FOR ZONING APPROVAL YY /` A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. S SUBJECTIT REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION, APPLICANT/BUILDER: TO d L.c7 v/ OWNER:___________________L ADDRESS; i' ADDRESS: 1 CI 69X F' PHONE NOS. ft.--�_ PHONE NOS._ - ��I�I y CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: ?VL!L, C u .._ � PHONE:�_�, LOCATION OF PROPERTY; I L I�0 F44'011 �F44F44'011, 12c ae V e- /c SUBDIVISION NAME: y 4 Y PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z, '� t- APPLY TO YOUR O PROJECT _7 a i o0 ci O v' v o � w wis Q d Q F- n.V, U /_ SINGLE FAMILY *\i...: o w` ��/ WO-FAMILY �' ` — TI 9 + p MULTIFAMILY I, Milli" (NO.of UNITS�J l t� Ct Slid lis v' 111•1111.11B ' TOWNHOUSE II Rj fi Mf`. VBUSINESS OFF-ICE 12e- monsis ,..,„„„.,,,„1„,„„,„,...,,, ts' il FACTORY OR III • INDUSTRIAL, ATTACHED ■ / V L/ / M4,7 1111;,.. //„,.., 6..- GARAGE(1,2,3)OTHEROr 7 — // g... IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS; ESTIMATED CONSTRUCTION COST: 43-49 QO 1.2 HEAT TYPE: �y14+ FUEL TYPE: �`�OW MANY FIREPLACE(S): / ZONING —LAND/OR WOODSTOVES(S):� CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? /l/1 /VD PROPOSED USE OF BUILDING ��_`;� I 1 OR ADDITION: IC t S i ie.-, )4 C 'Please complete a separate Application for•F S �L C "Fuel Burning Appliances&Chimneys'availab'e in our office r,'� Toot of Queensbury a).LGL I I.05 Yy.Comrnu,lity Development Office•742 Bay Road, Queensbury,NY 12804 E00it000 4uQuid 0tCoA 0a dgjununuo:, LED75DLt115 XVa 90;DL Iia 9001/LS/f9 RFo o �� {._�D ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? •yQ APRi7MS ARE THERE EASEMENTS ON PROPERTY? ---~ ,2DE TOVVN iLt7t 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 agr t hove. Signed _ • Director of Buildin &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 Application: zoning Laws of the Town of Queensbury. ././A_ 41 n CODES APP.IITAL ZONING APPROVAL _60 IQ DAT ` DAVE • QUESTIONS?CALL 761.6256 OR EMAIL cadOSftDgU00I1&b .not VISIT OUR WEBSITE FOR MORE INFORMATION YAMN,gUe B n--•—gbUry net QTown of Queensbury•Community Development Office•742 Bay Road,Queensbury,NY I2804 f.00/7.000 ;uowdoLonoo Aw g7unwo,i CEDDSDl815 xvd 901D1 iaa 90G2/lU EO Fire Marshal's Office Town of Queensbury, 742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances SPR Date Y/ 2/ , 20 D Permit No ;�o�v J Application is hereby made to the Building& Codes Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and 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 requirc 'ons. NOTE to applicant: Rough-in and Final Inspections are re unr Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: u C.e `a •-. /- Stove: wood coal pellet gas � — Fireplace insert (( Address: I F x j N, k ci Fireplace, factory-built: wood ga Q‘-'""e 41 u r �1v� Fireplace, masonry: wood gas 7 V Furnace: wood gas oil Phone: 5-a--7 (f��sS/? If non-masonary applicance, please provide i / fh j L a HA Manufacturer Name: Owner: Ls j>'-u c � r� Address: PI hi( F�� '`/f J Model Number: ave he . - A / 2,6y Chimney Information Phone: 57/_ 7 '1r-5:J7) (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address: lir 61c a . of construction or installation Factory-Built Manufacturer name: Model Number: _ Note: Listed By: _Number: Construction/Installation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting Chimney Liner 1 Caerizier'aar XPeirmartairitaiit--Town cl'Qazeermarbuz r, 24Tiew 3freavelir I Fire Marshal Code it $Collected $Refunded Received from(refunded to): `� '_ '`— -t7_,.. �� address: � A 173 3389 (190) Public Safety '` `__.) A 233 2655 (230)Mina'Sales _ ___ DATE: 'T ',/ G) _ N_ ,. .,. - T,, ,, Gly 01. 2)..i../"7 White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) d 06 9, t. ) Foundation Inspection Report Office No. (518)761-8256 Date Inspection r-' t receiv . ,,,i .-;30 ) Queensbury Building&Code Enforcement Arrive: 2 D- •.rt: r " ,b m7 m 742 Bay Rd.,Queensbury,NY 12804 Inspector Initials: f � NAME: RMIT#: (J 6"20 7 LOCATION: /4 FOX (`Trim ! j _ INSPECT ON: +! -.,30 TYPE OF STRUCTURE: Comments Y N /A Footings iers � e-E6 )1`k 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:\Building&Codes Forms\Building&Codes\Inspection f=orms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM '3G-`I:bo Foundation Inspection Report Office No.(518)761-8256 Date Inspection requ= -rived. Queensbury Building&Code Enforcement Arrive: 3:30 a Ott Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: k--- .T_ _ _ 'ERMIT#: LOCATION: __)y FO Fy W �� INSPECT ON: . J7 —7-2-71--- TYPE OF STRUCTURE: Comments Y N N/A Footings 0 U-`— g-E_PcD`� 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. I Foundation/W allpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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 SIab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. I l.:`SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Reportdoc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depa niIpm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: _611.1..V) NAME: _ PERMIT#: .• LOCATION: 1.11 ��V't,�-V"�- INSPECT ON: _ TYPE OF STRUC 1�UkE: _�� Co mine uts 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 Place4 tc -CcP,S71, �- Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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:1SueHemingway\Building.Codes.Inspcction.FORMS1Foundation Inspection Report.doc January 28,2003 Z -A' /oEsiyi-y 7 -2_ -O� Foundation Inspection Report Office No. (518) 761-8256 Date Insppc 2.1.Lrsquest received: 7- 25--06 Queensbury Building&Code Enforcement Arrive j _am/pmpart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspectors Initials: NAME: La n PERMIT#: O 6 -20 LOCATION: l//' p,X f f f J INSPECT ON: 7 -2,S-- 0r 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/Walipour Reinforcement in Place F• F . '.: owels or Keyway in place Foundation D ampproofmg Foundation aterproofing ',1g 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 -77--)6LS 7)// -fFraming/ Firestopping Inspection Report Office No.(518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: �+ ` f `.... am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials:b U � NAME: J`Z-' "" v PERMIT#: d.,27,)60 .^71(O LOCATION: f Qin l 2f i,_ ; �{ INSPECT ON: TYPE OF STRUCTURE: Y N /A COMMENTS Framing • c Access 22"x 30"minimum Jack Studs/Headers � ` �Q Bracing/Bridging �-� U Joist hangers 06.)N-)/ 3 _ R- ' ' —Beams Exterior sheeting nailed properly ` 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more k5Y — Headroom 6 ft. 8 in. C Notches/Holes/Bearing Walls fv� �`� '.w c. Metal Strapping for Notches Top Plate 11/2(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 V2 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 Framing / Firestoppin.g 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:£� NAME: PERMIT#: 1 ' LOCATION: I INSPECT ON: EMU_ TYPE OF STRUCTURE: W al°, Y N N/A COMMENTS Framing Attic Access 22"x 30"minimum JackStuds/Headers B Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly /2 - 4 � n 12"0.C. � "' " Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 Y2(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%2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Framing / Firestopping Inspection Report ` Tt___ Office No. (518) 761-8256 Date Inspection request received: (02 qb6 Queensbury Building&Code Enforcement Arrive: am/pm Depart: l am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: I NAME: L A Ag PERMIT#: 06 ' C) LOCATION: I L` r U X 47-4‘A., )'LO Af> INSPECT ON: 7 2y/674 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 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 Bolts 6 ft. or less on center IV ce and water shield 24 inches from wall !// )\......Ve7c— r>--.<1-7 -' 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 2 — (i / 2 -6: Framing / Firestopping Inspection Report / Office No. (518) 761-8256 Date Ins ect' n request received: Queensbury Building&Code Enforcement Arrive: _00 am/p(� �epart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector s Initials:,.=t� !� /4 - % /7 6ju C-6-'"6 AME:sq°5-1/ PERMIT#: ‘100 — -__41LOCATION: 0 ,6rV., -� RJ . INSPECT ON: FEE /T TYPE OF STRUCTURE: � —:-..- Y N N/A COMMENTS Framing • - -ss 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 Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour F e wall 2, 3,4 hour irestopping / Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade ?-// l uFSDAV ?•- 12 -oe Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Ins etio equest received: Queensbury Building&Code Enforcement Arrive: { ' `� am/p epart: am/pm ems' 742 Bay Road,Queensbury,NY 12804 Inspectors Initials: _ /^' ( 1 NAME: Lar-..-47/ • - PERMIT#: 06:-s0J' LOCATION: /21 i4 . r- r pt., Re:;" , INSPECT ON: - ,/Wex„,i TYPE OF STRUCTURE: -111101 Y N/A COMMENTS Framing' �' Access 22"x 30" minimum L.`1 1"\ -z,5 11.�(/t. 7 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 Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses chor 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 7- 4e_A,C.r A-e.� o C 65 Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection reques ' e•. Queensbury Building & Code Enforcement Arrive: t a -'pyfr ► =•art: fir. a - pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initial- A - NAME: LROT- PER #: 010- Lc LOCATION: t 1-4 Foy_ RiZt-'\ RkD INSP CT ON: ‘Q -(a-0(n TYPE OF STRUCTURE: 1Jo --v E6- )) 'ADD IT‘06 Y N N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 1/2 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 • est insulation Residential Com/ Commercial Check R--7-1 JiAULI Proper Vent, Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revisecl Nov 17 2003.doc Revised February 15,2005 c '.."-// 773 �A^-1 /0,- 3 - . Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request r- e• Queensbury Building & Code Enforcement Arrive: .3-1 — a. . a 1 e" : am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials• p. NAME: / . . PER • IT #: 06-20 _ LOCATION: INSPECT ON: 1Q-;roto TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 1/2 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 ea• 50 P.S I for • 5 minutes Insulation 'esidential Check / Commercial Check Y >' p00t3_r i.VoV._ Proper Vent, Attic Vent Duct / Hot Water Piping Insulation 4A Rv1 EL ve3 uJAuS If required unheated spaces Combustion Air Supply for Furnace 'AF"` Lv t3C_i-} Duct work sealed properly / No duct tape COMMENTS: L:\Pam Whiting113uilding&Codcs\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 /O /05-31)/13-/ 7-0//6/o6 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection requ- eceiv� • Queensbury Building & Code Enforcement Arrive: o`. "^-,•s 'r-•.rt: f� m 742 Bay Road, Queensbury, NY 12804 Inspector's Initia s: NAME: / . PE- IT #: 7 . LOCATION: •63)( 6rr'wti INSPECT ON: lt> — 1D—o(o TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 1/2 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 .r 15 minutes Insulation/ •esidential Check / Commercial Check — LoR-V-ECV iN • ••- • _ , Attic Vent Duct/ Hot Water Piping Insulation 5L,\)175 If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection reques - = ed• ) Queensbury Building & Code Enforcement Arrive: \2, rio am : — rt: 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: :- NAME: - 'r�� PER IT #: Pk- 2-c` LOCATION: 1L-\ F-Pc4t-1 ?NO INSPECT ON: 10 10-o(c) TYPE OF STRUCTURE: - on Y N N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 1/2 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 FRMS i V40-1 Insulation / Residential Check / Commercial Check nv O°R Proper Vent, Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 /L ,' / /2_//5--/c/6 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart:f ,(. ) am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: C__kk\--2 NAME: jj__ PERMIT #: LOCATION: � )C ,`tcrvr� pp,/ INSPECT ON: _ RaBi TYPE OF STRUCTURE: N N/A_ Rough Plumbing Nail Plates Plumbing Ve ents in Place 1 z me minimum Drain Size Washing Machine Drain 2 inch minimum Cleariaut-ever 00 feet / change of direction 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 Proper Vent, Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: cfptL,A5L-- Va12-LF(7 t_SK `-( L:Pam Whiting\Building&Codesllnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003,doc Revised February 15,2005 MAP REFERENCE m Map of Lands To Be Conveyed To JFFREY L KELLEY t GREGORY d WEAVER DATED APRIL I , 1986 BY Coulter d McCormack 0 Zau � --'LUPI " o-" A M 4 e _. add, tion apps:s d Fa m JUN 2 S 2006 TOWN OF OUEENSBURY ZONING OFFICE •. r. a.• u•,z. a.. • r v. •a rs-, . a • ••, a,• ra... HAP OF.' A SURVEY RADE FOR ' Jown � Dov—\5 gL-L)os-t8Z1RCz}{ TOVN OF GZuc'F ea S 6u s y W A2rz.E u C13UNTY, N.Y. SCALE i \ '° = 3 DATE 1 -1, l h I vanDusen, & Steves LAND SURVEYORS, GLENS FALLS,NEV YORK N.Y. STATE LIC, NO. 35617