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2014-094 ,��` TOWN OF QUEENSBURY IFTO742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20140094 Date Issued: Friday, January 16, 2015 This is to certify that work requested to be done as shown by Permit Number P20140094 has been completed. Location: 111 Boulderwood Dr Tax Map Number: 523400-266-001-0002-046-000-0000 Owner: JEFFREY MERRIGAN Applicant: JEFFREY MERRIGAN This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling- with Winter Conditions Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan,Variance, or Cs 4111 other issues and conditions as a result of approvals by the Planning BoardDirector of Building&Code Eforce\nt or Zoning Board of Appeals. TOWN OF QUEENSBURY `ON 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140094 Application Number: A20140094 Tax Map No: 523400-266-001-0002-046-000-0000 Permission is hereby granted to: JEFFREY MERRIGAN For property located at: 111 Boulderwood Dr 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: JEFFREY MERRIGAN Fireplace SARAH MERRIGAN Garage Attached 464 GLEN St Single Family Dwelling $250,380.00 GLENS FALLS NY 12801-0000 Total Value $250,380.00 Contractor or Builder's Name /Address Electrical Inspection Agency GILCHRIST. ROBERT Plans&Specifications 2014-094 SFD 1st Flr 1,276 & 2nd Fir 1,276 sq ft Garage 576 sq ft; 1 Fireplace (wood) $596.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, April 18,2015 (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 To of Que nsbu /) Fri ,y/4 18,2014 fYf SIGNED BY ' for the Town of Queensbury. Director of Building&Code Enforcement EVEI\ Offi•3l Town of Queensbury Building & Codes \ nR 0 4 2014 Rece Tax M= . is �PRINCIPAL STRUCTURE APPLICATION Permit o.: e Nor • CODE ...,° A permit must be obtained before beginning construction • .(;11 )1aEut-1. 7 e Please read: 'TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling '� units, including single-family dwellings,duplexes or two-family dwellings,multiple family Bite`tan,No.:�� L 3� _A(/I37='t dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.: homes,but not including mobile homes. This is in addition to the permit fee. Date 3//-2-/r1 Applicant Cth rs&ak MLA"; jot. Tax Map ID VoG. l - - y to Address a rzl lc-n.4_ Zoning 6:2-)W 1 b-ar j r.J`( tasru-{ Phone/E-mail - r3Zc.� jMcrr J.�n a' Qym�',t.wti, Property Owner ire--R3, S^ h HLrr,� Contractor/Agent eobe t+ Oil tine S a- Address a- S(-.c-vi- Address S' 9,7te_ i7r. Q-i.b l.,) 't ta-3t4 Albar Y r Al if I -a-oC Phone/E-mail ,.3o --rt312 -a j ncrr_•5su' � w., ' Phone/E-mail (sit) 3 12-- -n'-I gM1,1t" €0 C/S Q jalchr,s#rc.nodtiki ,��„� Contact PersonforB . : ..- ___•• '_..•• Po -(- 611CAr,5r- Day Phone: 312- anti � (578 Building Street •ddrecs: \�+ efl kI tom✓ it ataY1 Rce_¢__.. Subdivision Name: --, T 7! Lot#: 39 Historic Site: Yes YNo Estimated cost of construction:$ 252 t 3$o. rf Type of Construction: Check all that apply Please indicate measurements as required below: 0 o d v d 1st Floor 2nd Floor Other Total Height F a a Single Family 100/A 1.11-54-10111 irom-Tar Two-Family Multi-Family(#of units ) Townhouse Business Office Retail-Mercantile Factory-Industrial X Attached Garages(#t) par 5-} Other Town of Queensbury Building&Codes Principal Structure Packet 518-761-82 D/ (svo ) • If commercial or industrial indicate name of business N•4 Proposed use of building or addition P,,i. :1-1 Source of heat(circle one) _ Gas Oil €ropan Solar Other Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" Yes No Are there structures not shown on plot plan? p0 Are their easements on the property? N p Site Information a. Dimensions or acreage of lot 1-10% c,cn y b. Is this a comer lot? {�S c. Will the grade be changed as a result of construction: _Yes 6` No d. Public water or Private well qr\oak waC e. Sewer or Private Septic System Situ,k kP A c. Value of all work to be performed(labor and materials) $ • aso 13 30,t5 Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 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. i urr, Print Name: Ja_ec-F Signature: j4 iDate: 3/i2-( fq FOR OFFICE USE ONLY: Operating Permit Issued: _Yes _No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 1 e r t E 1�1j Town of Queensbury Building & Codes Rec:i •• Tax ,a ;, FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Perm No.: a (WEENY:" are y Permi Fee?OeUS--iNG& ' Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the NYS 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: tADOC± &A-it SlinrC- Date 3/ ia-11 -1 Owner Zc-CC- Me4 Installer/Builder Ichr1 S F to n 6te." Addressa/'�- 54 nfvra lu--c- Address 2rrf(.0 Dr...c- �KJr-QMSbvr� NY Ea-ro-1 AI JSn..I V /aa or Phone (Slg) 30'9- -r3a-L. Phone _c/W) 312 -1-n& Location of proposed construction and/or installation: vas 91-405 Contact Person for Building&Codes Compliance: Rob (ot I c4ar,s +- Subdivision Name: crc S PA 2L Fuel Burning Appliance Information Wood Coal Pellet Gas Oil Stove Fireplace Insert Fireplace,factory built* Fireplace, Masonry Furnace,(Garage Only) *If Factory Built,Please Provide: Manufacturer Name: iter rtks}c_ Model No. Listed By: Number: Chimney Information Masonry** check one _Block Brick Stone Flue 'check one Tile u-Steel Size in Inches Material check one VDouble Wall _Triple Wall _Insulated t9Direct Vent ✓Chimney Liner *"If Non-Masonry,please provide: Manufacturer Name: Model No. GU I darr Signatures: Print Name: lice- rac,rr�. Signature: /0/7 Date: 3/ /4 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. IPA orct .- 02:1 Re.:i 1., Tax .• a: 0_ '1 ' Town of Queensbury Building & Codes Perm , SEPTIC DISPOSAL PERMIT Permit tF ee. U •ESS e % y A permit must be obtained before beginning construction Appro 4s: Its 11121/4 -------- .. 1t_D Applicant: Tt.fc 1. -- Installer/Builder •,. &t I C hn9}- Address: - .- ' fl rj,1RCAa°D Dl Address Sr Qcqpt,- be. Q carsh Ai/ f A)If/3a Df Phone: (cM 3DB-- 13 2., Phone ipigz---„,_ _ .,„,4 ,, ,� (/ ui ➢it LOwner: T<£� N{?�rr�c�w�,. Location of Install da Address: `2 5..,..41wa L • ( Fr°n 3 e-,310, LO r w 4-3 Jl i icn5 Phone (S7&' 3D}- 13 2A0. tr7s') Contact Person for Building&Code Compliance: gob &;\ c-1,r k_s 1` Day Phone: 3 1-2--- 9-qr.( Residence Information: Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow 1980 or older x 150 = Garbage Grinder installed? An" 1981-1991 x 130 = Spa or Hot Tub Installed? ,vo 1992-Present 3 x 110 = 33O Parcel Information: Topography Flat Rolling _Steep Slope %Slope Soil Nature ie.-tend vtoam ,/Clay _Other Groundwater At what depth? %/1 Saar-,Q k• k) Bedrock/Impervious Material At what depth? -1S-f f Domestic Water Supply _Municipal ✓Well(if well,water supply from any septic system absorption is (..?"5-- ft.) Percolation Test Rate- per minute per inch(Test to be completed by a licensed professional engineer or architect) $'M • SO uw.JS peer ,huh 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). 4, ants, p�� / 34t P Tank size as 1.(41) gallon (minimum size 1,000 gallons),add 255 gallonsio size of septic tank for each garbage grinder,spa or whirlpool tub Qi ) System Type: Absorption Field(with#2 stone) Total length ft. Each trench "1 X 6P Seepage Pit(S)(with#3 stone) How many? '1 Size?7 gg Alternative System Bed or other type? t4',4 /14o r cl (� Holding Tank System Total required capacity? Tank size? 40910 #of tanks? d—" NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified Electrical form on Town website;2)Effective as of 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. 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, 11 have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. i Print Name: 3t Me i-, A`^ Date: 1131 1'1 Signature: ! Date: Town of Queensbury Buil inj Codes Princi ure Packet 518-761-8256 Town of Queensbury Highway Department (� Q DRIVEWAY PERMIT DMichael APR 04 2014E F.Travis, Highway Superintendent Thomas R. Van Ness, Dep S iq Home: (518)798-0413 Home: (518)745-0929 BUILDING&CODESRY Office Phone:(518)761-8211 Office: (518)761-8211 Fax: (518) 745-4466 Building Permit#: 2 (9G• - 2 - `�� � 9) Date: 0r/4 Tax Map ID: Applicant Name: -TQC Rya, Address to be inspected: /// o&Iderw°adde Return Address: 0. S$ ��Ra-� N 7 /?-3-61 Applicant 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 inspections completed by: Date: Approved 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 Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 FR) 1C Foundation Inspection Report T� Office No. (518) 761-8256 Date Ins Section request Queensbury Building& Code Enforcement Arrive: '.'l7 dT epart: em 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: 1'1 E(�Q 1 ♦J P- • I T#: kg--&1 14 LOCATION: \ \ \ G' 3WEcaumCOC) OR INSPECT ON: —\t—t—�c TYPE OF STRUCTURE: NitRitt3C, Dkd, CN PL.n1 U t��l13LE TO co M PLEA e0?-t'-& l>v 1 1.' vaR co co - - 1 o(C)6 , Comments Y N N/A �Footings �J � iers fEQ1��l 1' CAbiI C1 Egr Monolithic Slab FOC\ VEC—Yl 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 Forms\Foundation Inspection Report.doc Last printed 12/9/2014 Town of Queensbury Fire Marshal i. al 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning 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 J wed. ,,�n(N/n/ Permit# 1 LII-CP LI Schedule Inspection 1�i 1 1 1 Time I�'b�UUam anytime Inspector �1 ' " " Name MtthiCia 5 Address 111 &lat-U00Rough In Final ( Appliance Manufacturer A L: fl M 3- w�. Model# Irn`A x•c�r�it;. < 3 U C.? Masonry Chimney Factory Built Chimney X Flue Size_ Double Wall_Triple Wall_Insulated_ Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Safety Strip Installation (fireplaces only) Firestop(s) Vertical Chase 01ifti Wall Penetration— -L/c ecyfv\P Chimney Clearances to Combustibles �( Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension Mantel(height above f/p opening) 11 Fireplace Doors/Screen(required) Carbon Monoxide Detection White—Building Dept. Yellow—Custrmer Pink—Fire Marshal Queensbury Building & Code Enforcement - Residential in4 spection Office No. (518) 761-8256 Arrive: Z n() .i( a .art: am/pm �n Date Inspection request received: Inspector's Initials: . �!'t �A I y NAME: i_ aR (-,� PER #: `Lk-69I L LOCATION: 11\ t. Nl 1)EctJ )lh17 t)2 DAT: I —I (Q_IA— TYPE OF STRUCTURE: Comments: Yes, No N/A 4" Building Number Address visible from road J/ - Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake V/ t�Rt� \ 09 tt�� 3 inch Plumbing Vent through roof minimum 18 inches ✓� J\OJE Roof Complete/Exterior Finish Complete I/ \ GJQFC-�\ R����pppppp `{s Platform at all exterior doors �_\ "\l ��RL�`` iSY Handrail 4 or more risers C i ,1L.ts Guards at stairs,decks,patios more than 30 inches above grade / Guard at stairwell at 34 inches or more Jiir / Guard at deck,porches 36 inches or more J Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches i / Deck Bracing/Handicapped Ramp Compliant I ✓ Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plateGas Valve shutoff exposed/regulator 18 inches above gradeInterior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/W dow in stairwells safety lazing Interior Smoke[ctectors/Carbon Mpno n Detectors Every level: ✓✓✓_ Every Bedrokt(n: Outside every bedroo/n 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. d Emergency egress below grade / Gas Furnace shut-off within 30 feet or within line of site ✓ Oil Furnace shutoff at entrance to furnace area Fumace/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 dosed rise>4 inches ✓/ ch Garage Floor Pitched 2/ 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 J kx Site Plan /Variance required J/ ©V-+ TO \�t�UE co. Flood Plain Certification, if required ...----- \ l LA t1/431- R COO,��`L /Permanent Okay to issue C/C or C/O[Temporary ] /1 `� 1 Ct/LSZ \t> S t nGCalc &o166-r' ntwe.4-1 L:\Building&Codes Forms\Building Codes\Inspection Forms1Residential Final Inspection Fonn_revised_100405.doc;Revised January 7,2008; Revised 6/26/08;Revised 12/22/10, Revised 04/13/11 a 7:100 -z=30 , Queensbury Building & Code Enforcement - Residential n-I ' • -ction Office No. (518) 761-8256 Arrive: ,gyp . ,i/At,. ..rt:z b__ /p , Date Inspection request received: Inspector's Initials: ..--I1 NAME: MeV R \C->\C->P)0� � f#: LOCATION: 1 1 \ L�OcDEkDhfl llK . \ — 15-tF- TYPE OF STRUCTURE: Comments: Yep/ 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 JV 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 ,r/ 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 I Handicapped Ramp Compliant j / V/ Grade away from foundation 6 inches with 10 feet is r c j,t ✓ 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade 7Interior privacy/trim/doors/main entrance 36 inches ✓ Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors V Every level: Every Bedroom: Outsideevery bedroom area: _ Inter Connected: Battery backup: / Attic arracs 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 / k/ Bathroom Faure if no window �/� Plumbing fixtures Foundation insulation to floor/Sticker on Panel (�/�t Duct work sealed properly/Blower Door Test Certification �`n L/this` Floor truss,draft stopping finished basement 1,000 sq.ft. 9.` ` -- Emergency egress below grade / Q V� d Gas Furnace shut-off within 30 feet or within line of site ./ , / �7�\i \ Oil Furnace shut-off at entrance to furnace area ✓/ ✓ \ C�C Fumace/Hot Water Heater operating Low water shut-off boiler I Relief VA(*)installed/Heat Trap/Water Temp 110 e►/J� Enclosed Stairs Sheetrock Underside minimum''/:"Gypsum / Basement stairs dosed rise>4 inches ‘r Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical; Energy Saving Light Bulbs 50% FinalcSurvey Plot Plan �� \ Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles 0 Srn3, Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification, if requiredil: Okay to issue C/C or C/O[Tempora Permanent 1cu,SS los tna € ao15 er newer 4 L:\Building&Codes Forms\Building&CodesUnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26!08; Revised 12122/10, Revised 04/13/11 plir oo Queensbury Building & Code Enforcement - Residential F. -1 Inspection ,,so Kf� Office No. (518) 761-8256 Arrive: v ' item Art:1 •p; 40 Date Inspection request received: Inspector's Initials: i NAME: MERR1�Pkta P" , IT#: 114 LOCATION: 1 1 1 SPCsOialE�W(rD UPR1\3� s ' E: ( —S— TYPE OF STRUCTURE: A FO w I 2 C#t R (��B RPS Comments: Yes o 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 7 ? NU.— EkT&Si oV----E/C6 Handrail 4 or more risers f tk I Guards at stairs,decks,patios more than 30 inches above grade Tc 6 RADE D 19 Guard at deck,pll atrc 3e inches oa more ti V V 1 'V k Q V—� Guard at deck,porches 36 inches or more °Tey‘Q (2,d\{\ 1 t (-, Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches t\\ 'I 7._cc\3c_K3 \N\O Deck Bracing/Handicapped Ramp Compliant / Grade away from foundation 6 inches with 10 feet V.- 1.r7NL.L 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade t� Interior privacy/trim/doors/main entrance 36 inches - / 7 W \ _ss- L¢- \\1 Bathroom/Kitchen watertight - ,•& EAS ftixJ?-6?-2yi3 Safety glazing/Window' stairwells safetygl ng 1 ��a t3cLL Voc " 1 tE Interior Smoke Det rs/Carbon Monoxidetecors , "` Every level: _ Every rydm: !////// b *EDVID p DC - Outside oevery bedroom a ✓ / Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area V Crawl Spaces 18 inch x 24 inch amass, 1 sq.ft.-150 sq.ft.vents Bathroom Fans, if no window Plumbing fixtures At� .n Cal Foundation insulation to floor/Sticker on Panel k`P C 1 Dud work sealed . ...- / -:.':.ii::..' :.:v.,:;d,.. I ; e. , Floor truss,draft stopping finished basement 1,000 sq.ft. F Emergency egress below grade —� � 1 Q R� Gas Furnace shutoff within 30 feet or within line of site % LCi 4 j \\1J c Oil Furnace shut-off at entrance to furnace area *a/ Fumace/Hot Water Heater operating .2...2_ Z-k k '6 3ok Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 \ Q Dttt LA- elk 56FWV Enclosed Stairs Sheetrock Underside minimum Y:°Gypsum , ` CC4 ERCV\ taiW Basement stairs dosed rise>4 inches ,,,f//// \� Garage Floor Pitched tA\f�\)D\A` Garage fireproofing/'I..hour fire door/door closer 7 Gas Logs in Sealed or Glass Enclosure / Final Electrical;Energy Saving Light Bulbs 50% \/ 1c Final Survey Plot Plan Nb :,J ay\ Arc Fault Breaker Habitable Spaces I Tamper Proof Receptacles - Flex Gas Pipe Bonding7 p As Built Septic System/Sewer Dept. Inspection Sticker 7 ` ��LU- �� \S Site Plan /Variance required Flood Plain Certification, if required TRA M t'3' ppr �` Okay to issue C/C or C/O[Temporary/Permanent] 613Q4-.‘6Q4 \9 Y -C-01/4)“' \c- \ rb c\dot) tl 1/4-b\2- VORF-V L:tBuilding&Codes Forms\Building&Codeslinspection FormstResidential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08; Revised 12/22/10,Revised 04/13/11 Septic Inspection Re Office No. (518) 761-8256 Date Inspection Queensbury Building &Code Enforcement Arrive: t Ofl f a t0 )-part: ;WAS_ t /pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial 4-, NAME: M RR GF\A P' ' IT/ NO.: I4'-QHN LOCATION: 1 \\ \ ()\_ PtAbb() DPS\W •ECT ON: l —S— 1 S RECHECK: Comments and/or diaaram Soil Type: Sand/ Loam/Clay Type of Water: Municipal / Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/- _Y_N_N/A [150'to well required if NO] Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: —Y _N End Cap Y N 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 Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan —N Engineer Report and As-Built Y N ETU Maintenance Contract Y N provided — — Location of System on Pro rty: Front Re Left Side Right Side Middle Front Middle Rear S m 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\bopedlon Forms\Septic Iron Report03 29 10.doc • CEO pV FEB 2 5 2015 D TOWN OF QUEENSBURY BUILDING& CODES i i BUS.?-(Jerk)0UC �Eft- COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. I Main Mee 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL� CERTIFICATEI' - ELECTRICAL APPROVAL Permit No. .Zel}-r� / - alit l� 17 • Cert. 9 277 1 Cut-in Card No.,................................... - Owner .i..£4 -(.1. cf....LJgLIR..l.rsAL.L i . Location..%11....I.iP..as,Qs.a.W. ;.G..p1Cr, Q.stf o.S..txuGt.x • Installation Consisting of 7Q...I2-e-cI y'11,4344,,,?,y t r,S,.._.a„fes. y,...- t. 2T- ...._.........._- Installed By . oirrmS.- Lie.No. The conditions following governed the tssuvur of this certificate,and any certificate previously issued . cancelled:- is . This certificate only corers the electrical equipmhnt and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made fur inspection. • Inspectors of this Company shall have the privilege of making inspections at any time, and if its rules arc violated, the Company shall have the right to revoke this certificate Date... ....I ti '/i INSPECTOR..,.,,,. c,,... . ,.-'— • i ...PLRP.A..1.4.R.1. • Z0 3DVd O1BWfW NON 289186L hZ :8L SLB%/SZ/%0 MBA PBS 1E164 PPS l S IOZ/SZIZO awlllale0 XM Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury, NY 12804 Date received: I�y _ NAME: LOCATION: PERMIT#:±-11- Final 'I—Final Survey Plot Plan ale attached finaA' 'roved Denied survey has been received by the Dept. of __The ommunity evelopment. Upon review the surve has been: Cra rownZoning Administrator Notes: L11ot' 10661;v1 poidUlln6 ii17t744 i Az ' _:/ . F i1 22 Lc le- . is /1viIf. . .i�1 5t&wk A ` L 1SueHemingway\Building Codes.Inspechon.FORMSWfnal Survey Zoning Administrator doc i -.j' Town of Queensbury Building &Code Enforcement Office No. (518)761-8256 Framing I Firestopping Inspection Report Inspection request received: Name: (\iN QJ` Inspected on: ,/ /M.., /W Location: l/l Q(�tUU de et_z°i Arrive: Ii»lt M. Permit No.: / 9-0 9 Inspector's initial- M' TYPE OF STRUCTURE: .R F b er Y N N/A COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs I Headers Truss Specification Provided 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) 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 Separation insulationinch in cavity min. Garage Fire House side%inch or 518 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 Design Professional Sign-off,if required Framing / Firestopping Inspection Report - 11 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection re. . ed: Queensbury Building&Code Enforcement Arrive: Z sir r/ Depart: arn/p. 742 Bay Rd., Queensbury, NY 12804 Inspector's Initia s:p NAME: :�\ 1 .D fro P�,/ii7 IT#: LOCATION: /// Rya id 4J`(.a7 aDci INSPECT ON: TYPE OF STRUCTURE: S t=1), Comments Y N /A Footings Piers E Monolithic Slab t( IN F Reinforcement in Place The contractor is responsible for providing protection from freezing Ti)3 for 48 hours following the placement % 7 of the concrete. C -Ai Materials for this purpose on site. [—�— Foundation/Wallpour Reinforcement in Place �,(� Footing Dowels or Keyway in place GR1`� (}c e C \v_c y Foundation Dampproofing Foundation Waterproofing r �/�}`� Footing Drain Daylight or Sump )�� C_-\_c7 \� 67 Footing Drain Stone: \C � 12 inch width N 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 12/18/2013 2:44:00 PM Rough Plumbing / Insulation Inspection Report Jtz-A\fJ Office No. (518) 761-8256 Date Ins u ecti t n re Queensbury Building & Code Enforcement Arrive: 0.. 4 742 Bay Road, Queensbury, NY 12804 Inspector S Initia _ 77 1 1 eaO " LoOo NAME: M ER�4 G Rt.) PERMIT • \ —0914 LOCATION: \ t \ QOULDEBAobo oto INSPECT i k TYPE OF STRUCTURE: Ari FS) W, ? cskR GAR. Y N N/A Plumbing under slab Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place 11/2 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. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head / 50 P.S.I. for for 15 minutes Insulation /Residential Check/Commercial Check c7d )CE\U41 v' GE ' t-' X06 R3c8 Window Sealing /Tyvek or Similar Exterior Sealant SRL fZ-Z\ ,(/Proper Vent, Attic Vent f �,� � V( Door/Window Sealed (No Insulation) ° Zc\ Duct/Hot Water Piping Insulation 44L8 VEC, ZS2 If required unheated spaces • `� Combustion Air Supply for Furnace Duct work sealed properly/No duct tape . Blower Door Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 0513 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date lnspectio` - • _� e, •: a Queensbury Building &Code Enforcement Arrive: 1 9 „ r • i •art: 15- 4 am/ 742 Bay Road, Queensbury, NY 12804 Inspector's In • --/J_. NAME: MER-al C AIS PER r' T#: 11-t—Uel►-! LOCATION: 1 e\ za,t7JLDEQt cW 9e.. INSPECT ON: 1D -Z3- I`{ TYPE OF STRUCTURE: Z l_S ;WL Or - - i Y N N/A Rough Plumbing/Nail Plates Plumbing Vent I Vents in Place 1 '/s 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 ater Supply Piping - Air/Head 50 P.5.I for 15 minutes Insulation./.Residential Check?Commercial Check 1-1 \etc_ Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent k- .-1_.-S Door/Window Sealed (No Insulation) 7--2-:\Duct/ Hot Water Piping Insulation If required unheated spaces glreY o. 1 Combustion Air Supply for Furnace - —1-6-MD. tQuct work sealed properly/No duct tape it_ Fav-CIS-: • '?rt t C , COMMENTS: Rough Plumbing Insulation Repoitrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 No Dasit5/12 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Ins'ecti i ns-quest received: Queensbury Building & Code Enforcement Arrive: v Ile amm//pm� 742 Bay Road, Queensbury, NY 12804 Inspecto s I lila s: _ t NAME: � p PERMIT It: I y OrPV LOCATION: 4 j o$[4 INSPECT ON: /O —acHY TYPE OF STRUCTURE: S FL Y N N/A Plumbing under slab Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place 11/2 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. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I. for for 15 minutes Insulation /Residential Check/ Commercial Check Window Sealing itaTfvek 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 Blower Door Test 010=Vling < COMMENTS: Qc< vt 0 )�2 )k�rl - ) 'IAS L 5 ,may &nr5M4ES ` [Ci is i ClyM/ W1 - Rough Plumbing_Insulation Inspection_02 0513 Town of Queensbury Building & Code Enforcement 'Fh 'y Office No. (518) 761-8256 Framing I Firestopping Inspection Report Inspection request received: it, —4/44 Name: ['A ' s Inspected on: + -0- A Location: rt- Location: fn Aetr_t_te. reed Arrive: a.m.l p.m. Permit No.: /CI —b 9 q Inspector's Initials: TYPE OF STRUCTURE: S P 1, ,+',"'„'',�o. v/ N NIA COMMENTS: Attic Access 22"x 30"minimum '�Jack Studs 1 Headers Truss Specification Provided Bracing/Bridging Vex. Joistk hasters 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 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 Design Professional Sign-off,if required Framing / Firestopping Inspection Report Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection re est received: J'110'/'i Oueensbury Building & Code Enforcement Arrive: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ,f sq / NAME: M PERMIT#: �fN-6 �I t`! LOCATION: / //�tcrtsioe d INSPECT ON: I 1)--/y TYPE OF STRUCTURE: 3 F /3dto Y N N/A Plumbing under slab oug Plumbing /Nail Plates / Plumbing Vent/Vents in Place V/ 11/2 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. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I. for for 15 minutes Insulation /Residential Check/Commercial Check Window Sealing 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 r oor Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 0513 Town of Queensbury Building &Code Enforcement r= !v Office No. (518)761-8256 Framing I Firestopping Inspection Report Inspection request received: Name: $1 o'f-rl 5H NJ Inspected on: // Location: ( I 1 P-490(d- � Lt./0ON NC Arrive: t : ere' r •m• Permit No.: 1 l —C"? 9 Inspector's Initials: TYPE OF STRUCTURE:Crx—e_ ,y7 I Y N NIA COMMENTS: 110, , .4 • c Access 22"x 30°minimum Jack Studs/Headers ` Ft�THF>r DF �A�- WVt'w Truss Specification Provided 6 Eta C_& ( est- - O A Bracing/Bridging Joist hangers LL tJ Jack Posts I Main Beams \TE 0 Ea — N z Exterior sheeting nailed properly L-`"hM2e_o 1 £T 12"O.C. �J rl J Headroom 6 ft.8 in. 9r i b kA �ce Stairwells 36 in.or more t� Exterior Deck Bracing k b--7 R- 1-1\ Headroom 6 ft.8 in. � ��[ Notches I Holes 1 Bearing Walls t�� J 00 \ 2-PT . Metal Strapping for Notches Top Plate '/„fw)16 gauge(8) 16D nails each side 0 a piling 1,000 sq.ft.floor trusses Thor Bolts 6 ft.or less on center •° ire separa ion , _ Fire wall 2,3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 518 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space I Bedrooms 24 in.(H) 20 in. (W) 5.7 sf above I below grade 5.0 sf grade Design Professional Sign-off,if required Framing I Firestopping Inspection Report likif Queensbury Building & Code Enforcement 'J1\ h Office No. (518) 761-8256 Septic Inspection Report I o— I'D-) Inspection request received: Name: rn é_rT ir�,(1 Inspected on: `] -J b I y Location: // / ac ti I ai°Y Cabo c1 Arrive: , e rl� a.m./p.m. Permit No.: LC/C?1 Inspector's Initials: ,..,.� Comments and/or diagram Soil Type: Sand 6/i... Type of Water: Municipal/(( t Waterline separation distance ft. � �� Well separation distance ft. D M r7J'7 i kr Other wells. ft. EE// Well Casing Length 50'+/- Y N N/A ( th) d.015T_ 1-0 L/ [150'to well required if NO] Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size x Stone Size Piping Size Type Building to tank 4 It 4 Tank to Distnbution Box W ,,t4 J fir) Distribution Box to Field/Pit �// J Opening Sealed: Y —N 1 End Cap Y N Witt -a) t� j 6r/-1 0O — d47K Inlet/Outlet Pipes&Baffles Y_N e J �{� ¢/t ' \ Manholes 17 or less below grade Y_N Y�/ ` " �" [provide extension collar if Yes] _Y N Location I Separations A Foundation to tank 1c.y;, ft Foundation to absorption V ft, f7 — Separation of Pits ft. Conforms as per Plot Plan —Y f 15 t t7lie J_„ C-t c E12 A r_ Engineer Report and As-Built Y(ip y I����,Q� ` /�^� %� 1 ETU Maintenance Contract provided Y_N t { V -0(44- p\'RV V� Location of System on Property: Cyeg_vi- (En i) - ! U '1�Aim) Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Ap roved aa��e pkv and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report n �' Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/pm Depart: pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: /%. ) – NAME: N\ 1�•1 ( QQ l� ,/ "' / PERMIT#:: /) ry—(�9/ LOCATION: // I J3cLg IL(,a rend INSPECT ON: 'F01 41 TYPE OF STRUCTURE: S F 0 cav OciAnid° Si g da )-gbtb d 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 Foundation Dampproofingle Foundation Waterproofing / Footing Drain or Sump ` / Footing1Stone: v 12 inch width , / 5 6 inches above footing V 6 mil poly for wet areas under slab r[Lckfill'Approval t, 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 12/18/2013 2:44:00 PM Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: r /• 40) Queensbury Building&Code Enforcement Arrive: am/pm Dep- vti: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: -P,f) 9 NAME: iv PERMIT#: 0/ 09g LOCATION: /1 " Fin tent)t D'/INSPECT ON: 0)--,-/ TYPE OF STRUCTURE: 1) Co m n Footings N N/At7)5— 1s ot Bs Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. atotials for i r se on site. oundat on/Wallpour 14: Reinforcement in Place t dA cc-csui Footing Dowels or Keyway in place 11.7r Foundation Dampproofmg C k 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:\BuiidIng&Codes Forms\building&Codes\Inspectlon Fortes\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM I-- 3 /air) Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 1.-18— — 1 Queensbury Building& Code Enforcement Arrive: am/pm Depart/ am/pm 742 Bay Rd., Queensbury,/ i `,,NY 12804 Inspector's Initials:NAME: NAME: nsakle tugAa > PERMIT#: r4-- Ern LOCATION: /// sigat JX,/Dbad INSPECT ON: k-/el 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 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 arun er Backfill Approval(1)... ` 'vPlumbing Under S ` ' A�� O J`-cZ ' 2� PVC/Cast/Copper Foundation Insulatio derio Exterior le R_� �j Rough Grade 6 inch drop within 10 ft. \\ L:\Building &Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM ! Metcalerfq (/'('C Foundation Inspection Report 9U Office No.(518)761-8256 ‘0‘-"D Date Inspectro. • 0 u [G� Queensbury Building&Code Enforcement Arrive: •;a : ,, , .. A s. , NY 12804 �m `• T1 Pm 742 Bay Rd.,Queensbury, /� is Ini+': s: r NAME: V"1 I G�R¢S//V"1�'C(o..g//AI PERMIT#: iii— G t7 y TYPE OF TRUCTUR1 (T UU' �curiUb INSPECT ON: (�/ y ( 7J Comments Z A �0 -Ta YJ N N/A ootm gmb / Piers x 6 1p 1�I/1/4‘ A 5_ Monolithic Slab If Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. /7 e _iMaterials for this purpose on site. Foundation/Wiillpour Reinforcement in Place __ Footing Dowels or Keyway in place wALKo� ..0S�- l3 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\Bu0ding&Codes\Inspectio n Forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/p Depart: t s am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial C 7 NAME: 1M\i 2r/ r t g Q n PERMIT#: t� 4� LOCATION: Y 1/ A00 tde f-w ooa. INSPECT ON: La — b "/Y TYPE OF STRUCTURE: ..D F Q Comments Y V N/A 'Footings � Piers p r may' 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 / ,. 1r� f Foundation Dampproofing VVV 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 12/18/2013 2:44:00 PM 1 Town of Queensbury Building & Code Enforcement lues do 65- ( Office No. (518) 761-8256 Septic Inspection Report Inspection request received: Name: rn E-C ri Ban Inspected on: tp f I � Location: 1/ BD Q I d t r 1. 3n nA Arrive: 2 � c a.m.l p.m. Permit No.: /At--a9'y Inspector's Initials: ,rWa Comments an' ordia.ram Soil Type: Sand I Loam I Clay Type of Water Municipal I 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_ �l fL ! 1 LVCV H, J Depth of trenches ft. I,I / r • �r IUSLYKY Size Stone Seepage Pits: Number � \ Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit 1• soR PA-1214- Opening Sealed: __VeN End Cap 4.11 Inlet/Outlet Pipes&Baffles Y VN Manholes 12"or less below grade Y N [provide extension collar if Yes] _Y N K2fZ/tom Jv `r�� _ -ge Location I Separations �`�Ce)`_7� T 121 �,� Foundation to tank ft. 1 Foundation to absorption ft Separation of Pits ft. Conforms as per Plot Plan N Engineer Report and As-Built Y N ETU Maintenance Contract provided Y N Locatio o Y m on Property: ront Rear Left Side fight 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 Septic Inspection Report