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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 / IBQIXPRJC " rrr.76 E��o cz, �/—s cl o° ti AREA o v x . * �_ m� rnmK 3 0 2 14, 020' SQ. FT. Q 0.32 ACRES o WOOD TORY OUSE +i cn 3 HOUSE r110 L. a I ' f � � ' „ � S70NE DRIVE Fir f— WALK IPF 61 3 0` ' 2'--� 0 � ACF O N I o (p ' m n 1 07.81 N81.13'01 NW 2z 3 I ' LANDS`NIF OF IF SHANE ROSS l r k Z) li135 �� i I 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