2013-013 0" TOWN OF QUEENSBURY
FAT
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130013 Date Issued: Thursday, September 12, 2013
This is to certify that work requested to be done as shown by Permit Number P20130013
has been completed.
Location: 5 BOSS Rd
Tax Map Number: 523400-316-009-0001-003-000-0000
Owner: CHERYL DANIELS
Applicant: CHERYL DANIELS
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEENSBURY
Single Family Dwelling
Issuance of this Certificate of Occupancy DOES NOT relieve the propertyavP
jj
for Variance,
owner of the responsibility compliance with Site Plan, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
AO` TOWN OF QUEENSBURY
er. 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
E7
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130013 Application Number: A20130013
Tax Map No: 523400-316-009-0001-003-000-0000
Permission is hereby granted to: CHERYL DANIELS
For property located at: 5 BOSS 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: CHERYL DANIELS
10 ROSE Ln Fireplace
QUEENSBURY,NY 12804-0000 Garage Attached
Single Family Dwelling $135,000.00
Total Value $135,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
CLUTE ENTERPRISES
13 DAWN Rd
QUEENSBURY,NY 12804-0000
Plans & Specifications
2013-013
1st Flr 1,312 sq ft; 2-car attached garage 440 sq ft
1 Fireplace
$328.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,January 23,2014
(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 of Que sbu / W. i ,e �a January 2-3,-2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
rs-- ,-_ ,... ,,010
TAX MAP NO. 3110icl-1 3 PERMIT NO. I3 6 (3 JAN 1 0 2013
FEES: PERMIT3AM RECREATION —C-- ENGINEERING
(If applicable)
.FSP-0 __ _50°a
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: CAL) OWNER: �Chsti:e`5
ADDRESS: CO a--(--a&r-L ,_ieICD7xjADDRESS: 5 s=:`:->:"> 1
PHONE NOS. `79 7 a:77 PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE:` LcL`1 PHONE: �Cr� $ , `Z:S(
C
LOCATION OF PROPERTY: 5 , s ` 3‘(a g c� -" I -
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? tit-YES ❑ NO IN 1)00--
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: qt
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p o (—
APPLY TO YOUR z i= O w O cn Lu �` w
PROJECT O ¢ O O a co O ~ _
F- � u~ amu~ w Q CL 0
W 1G z C� 1- I.: O � XuJz
Z < < — U) NU) 0u I— IL IZZo2S
SINGLE FAMILY
X 1 %D `� 1 D ` r k4D
TWO-FAMILY f
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHEDf Lilo
GARAGE(0) (-No �y V I(
OTHER
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED C NSTRUCTION COST: (;`", GOC FUEL TYPE: `-'P
HEAT TYPE: � ckc't, *HOW MANY FIREPLACE (S): i AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? n.
IS THIS A HISTORIC SITE? t\� �D-'
PROPOSED USE OF BUILDING OR ADDITION: ` ` \f,= ° ems hq.Li 'cam , &_e_...,-NLP
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ��
ARE THERE EASEMENTS ON PROPERTY? a
`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 provid- _ - as-built survey by a licensed land surveyor of all newly
constructed facilities prior • issuanc- of - certificate of occupancy.
I have read and a. -e to the a•. "
40.
Signed '
Director of i:JuilcJing & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
`Ont,. .. ,-dr Thistrator: 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
PjOi3
Revised 4/14/2010
APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS
Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the
New York State Fire Prevention & Building Code. The applicant or owner agrees to comply with all applicable laws,
ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter
premises to perform required inspections.
2313
Important Note To Applicant: Rough-In and Final Inspections Are Required:
Owner:: Installer/Builder: ('
Address: Address:
Phone Nos: Phone Nos.: 777
Location of Property: Subdivision Name:
Location of Proposed Construction and/or Installation:
Contact Person for Building & Codes Compliance: UtS-r--1 .SQ;1 `b
Fuel Burning Applicance Wood Coal Pellet Gas Oil
Information L P
Stove
Fireplace Insert
Fireplace, factory built*
Fireplace, Masonry
Furnace, (Garage Only)
* If Factory Built, Please Provide: Manufacturer Name: \"lcf"\e 4c. Model No. ,Re)
Listed By: Number:
Chimney Information BLOCK BRICK STONE
Masonry** Check One✓
TILE STEEL SIZE IN
INCHES
Flue Check One ✓
DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY
VENT LINER
Chimney Material Check One,/
** If Non-Masonry, please provide: Manufacturer Name: Model No.
ADDITIONAL NOTE: CONSTRUCTION / INSTALLATION MUST CONFORM TO NYS FIRE
PREVENTION & BUILDING CODE AND/OR MANUFACTURER REQUIREMENTS. CONSULT
AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
..:.._ ,4v1 J 2Q
TAX MAP NO. PERMIT NO. PERMIT FEE /3
APPROVALS: ZONING TOWN CLERK. -
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT.
OWNER: C7O r\ t?) ( INSTALLER:
ADDRESS: S ;t 1Z i ADDRESS:
PHONE NOS. PHONE NOS.
LOCATION OF INSTALLATION: 5 3l Lo .9 - f
RESIDENCE INFORMATION:
YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW
BEDROOMS (Gallons per bedroom) GARBAGE GRIN_DaR
1980 or older X = INSTALLED? ;
1981-1991 130 = SPA OR HOT TU
1992-present X 110 = .7 INSTALLED? �:}
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING�IN (< STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND T< LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH?
✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (If well:water supply from any septic system absorption is: ft)
✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH[mpi]
(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 a.•roved subdivision).
TANK SIZE: GALLON(MIN.SIZE IS 1,000 GAL.)Add : .. •ns to the size of the septic tank for
each garbage grinder,spa or whirlpool tub.
SYSTEM ' PE: PC's tc
❑A: ' ION FIELD(WITH NO.2 STONE) Totaingth ft. Each trenc X
❑SEEPAGE P - i to - - . 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•• •-•-f of an applicant,shall be void.
I have read the •ulations with resp= I. this application and agree
to abide by ese and all requir: •-,"the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL
Sanita ewa•- Dispo 4• = - .
' VISIT OUR WEBSITE FOR MORE INFORMATION
....110i...../410.
- ignatu"of Person Responsible Date ---
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
D 'r cv� �- /-4,13-J3 Pi3--e5f,?
Revised 4/14/2010
Town of Queensbury JAIL 1 (; 2013
Highway Michael F. Travis
Department Highway Superintendent
742 Bay Road, Queensbury, NY 12804 Home (518) 798-0413
Office Phone: (518) 761-8211 Thomas R. Vanness
Fax: (518) 745-4466 Deputy Superintendent
Home (518) 745-0929
www. Queensbury.net
DRIVEWAY PERMIT
Date:
Applicant Name: P
Address to be inspected:
Return Address: (v
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 Higway 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* Community Development Office * 742 Bay Road, Queensbury NY 12804
ST--' iS
Queensbury Building & Code Enforcement - Residenti. i - Inspection
Offi t �
ce No. (518) 761-8256 Arrive: t�-� � y Depart: am/pm
Date Inspection request received: Inspector's Initial. ✓4 \-
NAME: 1 \ d; bseQg4 P IT#: /.3-6 /
LOCATION: �J c .( D 'E:
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/13"Vent/Direct Vent Location �1 E_('n ao L' tn
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim I doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor I Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical. Energy Saving Light Bulbs 50% _
Final Survey Plot Plan (_ D -
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles 17
- 3
Flex Gas Pipe Bonding i til
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C/O[Tempora Permanent
L:1Buiiding&Codes Forms\Building&Codeslinspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10, Revised 04/13/11
tet\
Queensbury Building & Code Enforcement - Residential Fi• 01 I. _pection
Gmk;C Ma, (518) 761-8256
`/ V l ��/7 \Z"-aaArrive: a r e.:rt: \1_�•. —\ a p�
Date Inspection request received: Inspector's Initials: ��
NAME: � `' , IS P_.MT#: l� --�} 1 3
LOCATION: 5 Pxs '>j. 1'C 4 ,1> i • Lip L 1
TYPE OF STRUCTURE: /J /
Comments:
_Yes, No N/A
4" Building Number Address visible from road vy
Chimney Height/"B"Vent/Direct Vent Location Tr t-\` D Q-IfN pA W o
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches //
Roof Complete/Exterior Finish Complete ✓/ C,C. —\ .E � 15 \ 1 C
Platform at all exterior doors �J n��� `����
Handrail 4 or more risers / ` a
Guards at stairs,decks,patios more than 30 inches above grade V`
Guard at stairwell at 34 inches or more ✓/ L O NAVT n �� \ D
Guard at deck,porches 36 inches or more v� C J F `J
Handrail Termination at Newell Post or Wall 1 O �� [����
Interior/Exterior Railings 34 inches to 38 inches ` L \
Deck Bracing/Handicapped Ramp Compliant / �l� t. 3'`Eiv
Grade away from foundation 6 inches with 10 feet J ��
6 inch clearance to sill plate ! -\' _ 6 o eDt-\t CEJ OD
Gas Valve shut-off exposed/regulator 18 inches above grade �� -
Interior privacy/trim 1 doors/main entrance 36 inches ✓V 6Ecv\p ��
Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glaz' g
Interior Smoke Deteet'ors/Carbon Monoxide r etectors /
Every level: �// Eve Bedroorr7/ ,//
Outside every bedroom ea: / /
Inter Connected: Battery backup: ✓ -� ��o TF'M� `�
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area / O a
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents C-
Bathroom Fans,if no window
Plumbing fixtures f j
Foundation insulation to floor/Sticker on Panel ✓
Duct work sealed properly/Blower Door Test Certification /
Floor truss,draft stopping finished basement 1,000 sq.ft. / ,/
Emergency egress below grade ✓
Gas Furnace shut-off within 30 feet or within line of site /�
Oil Furnace shut-off at entrance to furnace area ,/
Furnace/Hot Water Heater operating /
Low water shut-off boiler ` �/
Relief Valve(s)installed/Heat Trap/Water Temp 110 /
Enclosed Stairs Sheetrock Underside minimum W Gypsum / /
Basement stairs closed rise>4 inches ,//
Garage Floor Pitched ,//
Garage fireproofing/3 hour fire door/door closert/
Gas Logs in Sealed or Glass Enclosure f
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
Site Plan /Variance required /
Flood Plain Certification, if required j
Okay to issue C/C or C 1 0[Temporary/Permanent] V
L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
Queensbury Building & Code Enforcement - Residential - -i I section .— 0
Office No. (518) 76 - i
1 8256 Arrive: -- - a ; fir e•:rt: 7=30 m/ m
Date Inspection request received: (. —O 13 Inspector's Initials: ` '—
NAME: _ w _ O 1 3
" ""'�-C 5 "MIT#: 1 .
LOCATION: g "153 liATE:
TYPE OF STRUCTURE:
Itf_P ...ditw_i
Comments: 1
Yee/ No N/A
4" Building Number Address visible from road •//
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake P i lS�
3 inch Plumbing Vent through roof minimum 18 inches i ,
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 51°{Q 7 C?-16 f
Guard at deck,porches 36 inches or more ( .\
Handrail Termination at Newell Post or Wall (// /1_1/ (4, �a61�
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet p G-e.
ic:
6 inch clearance to sill plate ' /� 1
Gas Valve shut-off exposed/regulator 18 inches above grade /,� Gf d
Interior privacy/trim/doors/main entrance 36 inches ✓ /MX
Bathroom/Kitchen watertight
Safety glazing/Win w in stairwells safety gl ing
Interior Smoke Det dors/Carbon M oxidetectors
Every level: E ry Bedroo ✓✓✓ f 1�%�M �3 E.-kEwJnT bJ
Outside every bedroo area:
Inter Connected: Battery backup: ,� 0 �+�� �O
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area • / - 'F1C2-Cip-'CoV' 5\-NotES
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents ,✓ c_o s;LE ,--\•AvY9lL
Bathroom Fans,if no window
Plumbing fixtures O•F - T A\ -.1) x 1, 601---k1
Foundation insulation to floor/Sticker on Panel _ 1060 UtV V
Duct work sealed properly/Blower Door Test Certification -A-t, \-5Floor truss,draft stopping finished basement 1,000 sq.ft. L �D�� PO�-L1� (�-
Emergency egress below grade C 11 t-ca-� 6 CR, bV
Gas Furnace shut-off within 30 feet or within line of site J \ bb V Ey,
Oil Furnace shut-off at entrance to furnace area / _ ��J,
Fumace/Hot Water Heater operating V �' D FF
N %� li=
Low water shut-off boiler P�,R� �u,�� t,Z sRelief Valve(s)installed/Heat Trap/Water Temp 110 �1� F
Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum / — Q � _ ( ���
Basement stairs closed rise>4 inches/ E� o �J h i Rpt
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer 4\9-0 -f\t k-±)k-±) ) \-\12
S �
Gas Logs in Sealed or Glass Enclosure
. b`�vi "\-t_.) 1.___C: %.>-. 'Final Electrical; Energy Saving Light Bulbs 50% ',2'`Final Survey Plot Plan
1/7/ %i.'� k DArc Fault Breaker Habitable Spaces/Tamper Proof Receptacles _ CSR AOC o �-��Flex Gas Pipe Bonding — ?-EAF__ E 13.-x,11 9 o
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required T3 131,,c1- t,-ik obi--6%3,
Flood Plain Certification,if required Al ov ft,-vE 1\1)6,`l FeW
Oka to issue C/C or C/0[Temporary/Permanent] �
. illt ___ k - —�L F I - ° -- �
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential inal Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: / /1 >
NAME: p r"Lc
LOCATION: o
PERMIT#: j 3 _013
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has been:
Th)/Z.)
Craig Brown, Zoning Administrator
Notes:
L:LSueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
1
MAP REFERENCES:
MAP OF A SURVEY OF LANDS OF
CHERYL DANIELS LEGEND:
DATED AUGUST 29, 2012 z O IPF =IRON PIPE FOUND
BY CHARLES T. NACY
O CIRF =CAPPED IRON ROD FOUND
cx:D 0 = STONEWALL
MAP OF A SURVEY MADE FOR 3 = UTILITY POLE
JOSEPH ELLSWORTH, ET. AL.
DATED DECEMBER 14, 1989
BY VAN DUSEN & STEVES LANDS NIF OF
LINDA CONTI
DEED REFERENCE:
SANDRA L. ALLEN
TO
CHERYL DANIELS
DATED MARCH 28 2005 /
IN BOOK 1437 PAGE 314 j S81. 23 53,(E /6'
F.y 1 66.27 v`F
561 06 36RE
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Date• SEPTEMBER 14, 2012
Du •UMQTH = 4$MATON OR ADDITION TO A SURVEY ' - SC0.le 1'=20'
NAP DEMINT A UCERSEO VNO SURVEYORS SEN. IS A
& NQATDN DP SECTION ,Eos.:ve-NW9OH x °F T,E Map of a Survey made for
NEW YORK STATE EOVCATCN LAW.'
�{'-� OI "CNI.Y "IN I FROM41- FIRENAL OFIfTHEL Ci THIS SURVEY
t e - 7 e s NMI�FO MRH AN N-EEAL OF ME M STRUEYORS
��1 ®/ SEAL SMALL Be OOrySIDEREO i0 RE VPLO TRUE COPIES.' pp//--11�� 1qA 1 Daniels
Tl !^1 yam■ P j1 C
IS SU
Y WAS IIYVIOAIEO HEREON SONIFY THAT Che 1 yl JJ W ni e d N � '
THIS SURVEY WAS `PE„°„° w pAND SUS N,TS AD 3 4110113 HOUSE LOCATION
c EASTE COOS Ci F ATEASSOOATON FOR AND SURVEYORS OR& -
L a 1Z d S iAr v e y o r' s WY THE NEW YTS FATE R..... OF P ,, Oi CORRECT ROAD LINE SHEEP t of 1
TONT E PERSON
yA °ERTHE WRVE IS P P CNIY .2 1125113
ON THE OLHIUi FOf� E ,F ME SURVEY IS ,,NW, FD. MO
ON HIS BEXNF TO THE INIE.CONPMT. GOKANNENTAL -
169 Haviland Road Queensbury, New York 12804 r ME MSS°N 5 'mE F °„° „� �°"� M° Town of Queensbury, Warren County, New York 1 10/10/12 FIELD LOCATION & MAP
DANIELS C-2627
(518) 792-8474 New York Lie, No. 50135 N0: DATE DESCRIPTION MG. No. 12053
316.9-1-3
"r' halL l --- 3
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection r- • :
Queensbury Building &Code Enforcement Arrive: '-tea •,20, ��- •art:
742 Bay Road, Queensbury, NY 12804 Inspector's Initia-isw
NAME: PE?MIT #: I 3-'672
LOCATION: t 4 INSPECT ON: ,a $--/3
TYPE OF STRUCTURE: S 3
2:__ V VEc\ori
Y N N/A
Rough Plumbing 1 Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation /Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
if r- •uired unheated s•aces
ombustion Air Supply for Furnace
Com'Duct work sealed properly/No duct tape
Ft R AEPig errna -('4)FSFAi
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 18,2005, revised January 7,2008
Rough Plumbing / Insulation Inspection Rep rt
Office No. (518) 761-8256 Date Inspection r.;. 1 ed:
Queensbury Building & Code Enforcement Arrive: '• J m = fr •art: 'Wa
742 Bay Road, Queensbury, NY 12804 Inspector's Initr. : _
NAME: ( Ltz PERMIT #: /3 -b1 3
LOCATION: 5 33 _ INSPECT ON: 3 - a - A3
TYPE OF STRUCTURE: S f-I
Y N NIA
Rough Plumbing / Nail Plates
Plumbing Vent I 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 V--.77(3
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent R-(1 R-a3
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If r;•uired unheated s•aces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape ' - ` 3C-2.)
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing I Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection et-A- •-ived:
Queensbury Building&Code Enforcement Arrive:'? /GU ._• -rt: _ ?5 arp742 Bay Road, Queensbury, NY 12804 Inspector's Initia -.
:/PERMIT#: 3-y)13
LOCATION: 5 3c` Rd INSPECT ON:
TYPE OF STRUCTURE: 3 D
11.)y t
� Y N N/A
/ COMMENTS:
naming /
Attic Access 22" x 30' minimum vvv
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 ✓ _6
Metal Strapping for Notches Top Plate �� �� ��
1 '%(w) 16 gauge (8) 160 nails each side
Draft stopping 1,000 sq. ft floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall 6\ i'S20\b2
e separation 1, 2, 3 hour QG b`v_QeV—
`"Fire wall 2, 3 4 hour U
Fire`stopping �`� �' �`
Penetration sealed _ o
16 inch insulation in cavity min. v,t- e �����
Garage Fire Separation
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade _
L:1Building&Codes Fors-OLD\Building&Codes\inspection FamsTraming Firestopping Inspection Report.doc Revised January 7,2008
--(u,e s 1-3
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection requ ., -ce' •:
Queensbury Building & Code Enforcement Arrive: .=v arnAty a -4* rt:
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:gee
NAME: nr PER l T #: / 3--013
LOCATION: 5,B 0 s-s INSPECT ON: 3-5=-13
TYPE OF STRUCTURE: --SF
N N/A
Rough Plumbing /Nail Plates O., .T LCL
Plumbing Vent/Vents in Place _ MNL
1 % inch minimum Drain Size
Washin• Machine Drain 2 inch minimum �/ clo C t <\%C
Cleanout every 100 feet/change of direction
Pressure Test
flint/Vednt ✓�
ea /
.8.I. or 10 ft. above highest connection for 15 minutes
Pressure Test •
r Supply Piping
'rj ead
S.I for 15 minutes 1i2670
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 Reportrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Framing I Firestopping Inspection Report a-04
Office No. (518) 761-8256 Date Ins. N)n -• = -••='ved: 02 . , l3
Queensbury Building &Code Enforcement Arrive: yW_,•• P»part: ill ••/•m
742 Bay Road, Queensbury, NY 12804 Inspector's Initia s:
NAME: ( � . G/s PERMIT#: 13 6 l 3
LOCATION: ^ CGU ! INSPECT ON: MLA-a
TYPE OF STRUCTURE:
(4-70)-61
Y N NIA COMMENTS:
Framing �A
Attic Access 22" x 30" minimum i �'l i'J� ç/-)OJ
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:Biifft. or_less on center
Qce and water shie4 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/ below grade
5.0 sf grade
L;1Buiiding&Codes Fomis-0LD\Buiiding&CodesUnspection Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing I Firestopping Inspection ReportGc�--
Office No. (518) 761-8256 Date Ins .on u• e.; .11 4-0 / 3
Queensbury Building &Code Enforcement Arrive:r a m - • : • am�pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initia s:
NAME: �n PERMIT#: - /
LOCATION: INSPECT ON: . L.?
TYPE OF STRUCTURE: ? 61k-
1 N N/A COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs 1 Headers
Bracing I Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches I 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 watershiel 4 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 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:\Building&Codes Forms-OLD\E3uilding&Codes\lnspection Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008
-lo
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection st r= iv •:
Queensbury Building&Code Enforcement Arrive: 6 Tr?-711). . Depart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Ini
NAME: Q�X ' P'RMIT#: /3 -O I3
LOCATION: 5 6 ,1, INSPECT ON: —/ -
TYPE OF STRUCTURE:
Comments
•
Footings Y N NL S ('1 c7�
l
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Buliding&Codes Forms\Buliding&Codes\Inspection Forns\Foundat on Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection reque• ecei
Queensbury Building&Code Enforcement Arrive: Z=()!) am/V Depart: 7...:718 amt.)
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: A PERMIT#: (. —013
LOCATION: \ dAN_16 O ft 0 INSPECT ON:
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 I Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofmg
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval Y-c\D R l
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Bullding&Codes\Inspection Fonms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
.1j5P5jb4S--- . -.. --1-
Foundation Inspection Report et-U*Vik
Office No.(518)761-8256 Date •. tion •-: . • -•.- ed:
Queensbury Building&Code Enforcement Arrive: ='_ I 1 ,.4 F.epart: ' • am/.m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi: r,
NAME: Cz_. i el % L/ PERMIT#: \
'1>.--N.-17
LOCATION: S 6 v S ss ed INSPECT ON: 02—,w J3
TYPE OF STRUCTURE: S F6
Comments
— • VE_ I--'1T:-_ ,
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
)AFooting Dowels or Keyway in place
('Foundation Dampproofing
AA Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
'jj 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\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
D
Office No.(518)761-8256 Date Inspection request received: / 3 3
Queensbury Building&Code Enforcement Arrive: am/pm Depart:. r . pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: yX) t f�
NAME: kti t E S � C`'`rl` PERMIT#: t CIL' -3
LOCATION: 3 .>`=> r O - 7 INSPECT ON: / 3d f )
TYPE OF STRUCTURE: / 1
Comment,
r Y N NLA
Footings �Y
Piers �`YY
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 ✓ ;�.A - -
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM