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2013-278 3X -(� V,SS rVOV (�,V 7�1.82° 56 O �.59Q2 51g�X61$2 Y 12$� SC, ,sbxl, S God 14'1gay Road' �,Uildin�n sent' OCC ofZp�3 �sday �/ ate�ggU pZ�g �Zp,�3pZ�S -�Zp13 er1tUmber Ibex: ne as Sh°ten b P P exp d to be do Ueste that Wor�.reg .ibis is to cerrnp eted' CA1��I�Dt 03�053'OOOr0000 l,as been Co 25 0 301`0"1.00 oaxd 5230 r Location Ubex; �,�i, sEA BY oidepF Q ESB�RY 't ax N1aP� �,,C�p' WN ower• �: Lp,co'LL� c d as a. �£Qxeemen APPbcant• xe�ay be°ecupie uiiding&Code E jbis stvx cc �e the propextY gixetO�of e Attached ening 5�pT relieVariance�°r Garag Family�`� �eeopa°e�p�b site��he plant'ingP' sing this Certificate 0f liars rO V als y ,ace of onsibilitS f as a es"lt of apP Iss°a f the rest' ditions oN,t'er° and con eals• other issues °ard Of App or Z°nin%B TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130278 Application Number: A20130278 Tax Map No: 523400-301-017-0003-053-000-0000 Permission is hereby granted to: KELACO.LLC For property located at: 25 CAITLIN 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: KELACO,LLC 35 FRONT St Garage Attached LAKE GEORGE,NY 12845-0000 Single Family Dwelling $321,000.00 Total Value $321,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2013-278 Single Family Dwelling $625.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,July 15,2014 (If a Ionger 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 TownQuee V4;r 15,2013 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement 13- X) 9 Revised 4/14/2010 APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS JUH 2 ! 2013 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. Important Note To Applicant. Rough-ln and Final Inspections Are Required.. � Owner:: ka lik t.p Installer/Builder: (!al/e tx G)J' j�-c_' Address: S� S L , ' Address: /A tA t-A) Phone Nos.: -7 Y6 /)?--6 Phone Nos.: Location of Property: Subdivision Name: �df�v f� (west Location of Proposed Construction and/or Installation: OFF L f,P-pir- 54 w-m mi A e Contact Person for Building & Codes Compliance: j�P N f/Q x Fuel Burning Applicance Wood Coal Pellet Gas Oil Information Stove Fireplace Insert Fireplace, factory built* Fireplace, Masonry Furnace, (Garage Only) * If Factory Built, Please Provide: Manufacturer Name: u-PAf 1� C C. Model No. 3 0 V 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: 14P A 6/v Model No. 36 0(/ 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 OFFICE USE ONLY TAX MAP NO. PERMIT N013PERMIT FEE hii] � zl 2013 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. �y / OWNER:Vy t A��> INSTALLER: rA /f? rp (e7llc� Plle `-/I � f R ADDRESS: 3 r Sf �/k"' Pc�� ADDRESS: S � (� t'�/�' �/�l ` #1A'()(',` Pli PHONE NOS. S A SW PHONE NOS. LOCATION OF INSTALLATION: RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW BEDROOMS Gallons per bedroom GARBAGE GRINDER 1980 or older X 150 = INSTALLED? A;, ) 1981 -1991 X 130 = SPA OR HOT TUB 1992-present 3 X 110 = 6 INSTALLED? 416 PARCEL INFORMATION: / ✓ TOPOGRAPHY: FLAT ROLLING V STEEP SLOPE %SLOPE ✓ SOIL NATURE: SANDI_/ LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? ✓ BEDROCKIIMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (If well:water supply from any septic system absorption is: ft) ✓ PERCOLATION TEST: RATE IS 0AA k _� 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 approved subdivision). TANK SIZE: 0� M) GALLON(MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder,spa or whirlpool tub. SYSTEM TYPE: ❑ABSORPTION FIELD(WITH NO.2 STONE) Total length 3-0-0 ft. Each trench -S'a X ;7 y ❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size? o ALTERNATIVE SYSTEM Bed or other type? ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL Sanitary Sewage Disposal Ordinance. codes(&gueensbury.net 6 i j/1 VISIT OUR WEBSITE FOR MORE INFORMATION Signature of Person Responsible Date www-aueensburv.net Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 Town of Queensbury Highway ji '' 2013 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: 6 Applicant Name: 14LA CO Address to be inspected: L,f /*6 CA 01r1 0/ Return Address: r G//,e7- kna• �, - j�o3° 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 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/pm Depart: am/pm Date Inspection request received: Inspector's Initials: NAME: J PERMIT#: LOCATION: V DATE: TYPE OF STRUCTURE: — Comments• Yes 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 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/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/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 Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C I C or C 10 Temporary/Permanent LABuilding&Codes FormslBuilding&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 p r QueensburyBuildin & Code Enforcement - Residential Final InsPection —zZ P Office No. (518)761-8256 �� Arrive: 3176 am/pm Depart: am/pm Date Inspection request received: i Inspector's Initials: 3A d NAME: 6C ,1w" 01- PERMIT LOCATION: DATE: TYPE OF STRUCTURE: p� Comments: 1A� Yes No NIA 4" Building Number Address visible from road � ��tem J ChimneyHeight/W 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 Handrail 4 or more risers _? Guards at stairs,decks,gatios more than 30 inches above grade Guard at stairwell at 34 inches or more 7 Guard at deck,porches 36 inches or more P /X�- 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/doors/main entrance 36 inches Bathroom/Kitchen waterli ht safety glazing/Window in stairwells safety glazing Interior Smoke Det ors/Carbon Mone Detectors Every level: Every Bedrootr Outside every bedroom rea: s/ Inter Connected: Battery backup: 2t/i�'3u 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 W, Foundation insulation to floor/Sticker on Panel - Duct work sealed property/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency ress 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 Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/"Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Garage fire roofin 1'/.hour fire door I door closer Gas Lo s.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 Site Plan /Variance required Flood Plain Certification,if required Oka to issue C/C or C 10 Temporary 1 Permanent LABuilding&Codes FormsTuilding&Codeslinspection FormslResidential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08;Revised 12/22110, Revised 04/13/11 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: l , NAME: eta 0 2—Eb2 LOCATION: PERMIT M 1 Final Survey Plot Plan A roved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the survey has been: Craig Brown, Zoning Administrator Notes: i i L:\.SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc f E JU I . I /-3-b3 Town of Queensbury Fire Marshal 742 Bay Road f �" Queensbury,NY 12804 761-8205/761-8206 ( fax 745-4437 Factory Built Gas 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 allowed. Permit# R 0 l 1 3 -X791- - Schedule Inspection . JTime am pm anytime Inspector Name �� Address _ 21 , �� t4�i Rough In Final Appliance Manufacturer t Model# VL �' l Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension(if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) CO Detection CSST Bonding -7 White—Building Dept. Yello —Cust mer Pink—Fire Marshal Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Septic Inspection Report Inspection request received: Name: d-e..2 L Cclik-33X Inspected on: , ,_ < Location: 1 ----- G' 4- 't---03 I) Z__ Arrive: - k-- a:m 1 p.m. Permit No.: C- 2_76 Inspector's Initials: 1 ILIft Comments and or diagram Soil Type: Sand I Loam I Cla Type of Water: Municipal/ 'ell Wa -r Waterline separation distant- ft. Well separation distance . Other wells: ft. Well Casing Length 50'+/- Y N N/A [150'to well required if SI Absorption Field: Tota length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Numier Size: Stone Size: Piping `ize Type Building to lank Tank to Distribution ox Distribution Box to eld/Pit Opening Sealed: _Y_N End Cap Y N Inlet/Outlet Pipes 8j Baffler Y N Manholes 12"or I s bei6w grade _Y_N [provide extensio col r if Yes] Y N Location/Separa ons Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan N Engineer •epor)d As Built N E U Maintenance Contract provided N Location of S stem on Prose : Front Rear Left Side Right Side Middle Front Middle Rear S stem Use Stat : Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Septic Inspection Report RX Date/Time 11/20/2013 11:59 P.001 2013-11 - 19 23:23 VISION Engineering 1 » 5187454437 P 1/1 VISION Engineering CML • STRUCTURAL • MUNICIPAL • ENVIRONMENTAL 1t/LV/ IJ NGV > u 11113 �I iiIi1inQ nnrl flnrlii flip rtmint Town of Queensbury 742 Bay Road Queensbury, NY 12804 RE Collette Construction Caitlin Drive — Lot 25 Onsite Sewage System VISION Engineering, LLC previously designed the Pointe West Subdivision which included the individual household onsite wastewater disposal system (septic system) for the above location. This letter shall serve as certification that, upon information obtained from inspections and/or the Contractor portions of work designed by our office appear to have been installed in general conformance with approved plans and specifications. Thank you and please do not hesitate to contact me if you have any questions or require additional information. Sinc-rely, — Da - h. Ryan, P.E. VIS • Engineering, LLC Post-Its Fax Note 7871 Date/,/[To iX /11/6-7L From Co/Dept065 CO i.1.5 tcrB►/�!�/ lIf l ct,,V Phone k 1PnOne p Fax# 1J `1 Li /7 Fax 16 Pearl Street•Suite 200•Glens Falls, NY•12801 •P: 518.792.9264• F:518.792.9282 www.visionengineering.org LL Town of Queensbury Fire Marshal 742 Bay Road Nov- 1 Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas 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 allowed. Permit# 3 - 7 Schedule Inspection .r .5 Time 4— ` 1 am pm anytime Inspector Name / `P i64 Address :4\J 0,6irill rl Rough In A,Final_ Appliance Manufacturer Model# Direct Ventactory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) V Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extensionif any) Y) Mantel Height above f/p opening Witness Operation Tank Placement(if LP CO Detection r✓ L7tok./ ct CSST Bonding • White—Building Dept. YelloK—Cust Amer Pink—Fire Marshal Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/p Depart: —am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: eJe4 PERMIT #: / 3- `)Y LOCATION: 0 j,h _ INSPECT ON: TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent I Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain I Vent Air/ Head 5 P.S.I. or 10 ft. above hi+hest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes _ Insulation / Residential Check/Commercial Check V - Tyvek or Similar Exterior SealantC‘..)--t),--NV>,-x-c-----5) Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If r=•wired unheated s•aces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape COMMENTS: 352:, Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008 v. cl / _3 Rough PlumbingI Insulation Inspection Repoli Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: � NAME: (C�� ..C`,o PERMIT #: 3 - g LOCATION: 5' Co:\.-‘J i; _ INSPECT ON: jT ._i S7-_0 TYPE OF STRUCTURE: __Y./Li N/A \ Rough Plumbing / Nail Plates V Plumbing Vent/Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction _ Pressure Test Drain /Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes _ Insulation / Residential Check/ Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) 1 _ Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape COMMENTS: Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008 Nur$ g J► cD Septic Inspection Report Office No. (518) 761-8256 Date Inspecti9irrequest received: Queensbury Building &Code Enforcement Arrive: !0-\5 am m Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials h c� NAME: i' I( -� PERMIT NO.: / 3 - A / b�,7 LOCATION: ,IS CJS-4'\\/ INSPECT ON: rQ -177—/3 RECHECK: Comments and/or diagram Soil Type:(' / Loam / Clay Type of Water: Municipal/ Well Water Waterline separation distance ft. Well separation distance ptitora Other wells: ft. Well Casing Length 50' + / - Y N N/A [150'to well required if NO] Absorption Field: Total length 67_, -(..) ft. Length of each trench 3 ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank ` , - 40 Tank to Distribution Box 4� 5!).4"-A' 7 Distribution Box to Field / Pit q- 3-4.A.? �M-f?,j,' Opening Sealed: _ N End Cap Y/_N Inlet/Outlet Pipes&Baffles �/Y_ Manholes 12"or less below grade _Y N [provide extension collar if Yes] Y N Location/ Separations Foundation to tank C i' ft. Foundation to absorption '1 ft. Separation of Pits 7U A-ft. Conforms as per Plot Plan Y )d Engineer Report and As-Built Y V N Z CR0VL ` 1b-t�t ETU Maintenance Contract _Y N provided aO i`F0.122A Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report03 29 10.doc Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection quest received: Queensbury Building &Code Enforcement Arrive: ff � am/pm De art: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's In als: NAME: K Q,� PERMIT #: / 3 -).'> g LOCATION: Glc- hit INSPECT ON: Io.-/ TYPE OF STRUCTURE: 3 0 Y N N/A I Rough Plumbing / Nail Plates Plumbing Vent I Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain/Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air l Head 50 P.S.I for 15 minutes Insulation / Residential Chedc/Commercial Check_)k "J Tyvek or Similar Exterior Sealant 4 i Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct I Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 F CAcaL'� 0/— Framing iFraming / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection uest received: Queensbury Building & Code Enforcement Arrive: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials/?l".� NAME: (.Z PERMIT#: -3 —a�a LOCATION: o c all--VI ON DrINSPECT ON: TYPE OF STRUCTURE: .r Y N N/A COMMENTS: Framing Attic Access 22" x 20" minimum Jack Studs/Headers Truss Specification Provided 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 v �� 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 ans 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 1/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) / 20 in. (W) t/ 5.7 sf above / below grade 5.0 sf grade Design Professional Sign-off, If required Framing Firestopping Inspection—Revised-02 0513 M IP ACL, L, Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: '� am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: CT `�_) NAME: is(01 cz-c-Z PERMIT#: /_3 '— LOCATION: A �5 CC',C_ i::t( i 8r INSPECT ON: TYPE OF STRUCTURE: .<�, i .6 Y N N/A COMMENTS: Framing Attic Access 22" x 20" minimum Jack Studs/Headers Truss Specification Provided 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'/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 ans 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 1/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf grade Design Professional Sign-off, If required Framing Firestopping Inspection—Revised-02 0513 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspectionre v d: Queensbury Building & Code Enforcement Arrive: '>% a 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: I� �' l�� PER �-� LOCATION: o -f5 0-rd INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS: Framing Attic Access 22" x 20" minimum Jack Studs/Headers Truss Specification Provided 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'/2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses i Nkl� Anchor Bolts 6 ft. or less on center Ice ans water shield 24 inches from wall Fire separation 1, 2, 3 hour . Fire wall 2, 3, 4 hour � � ICA 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/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_Revised_02 0513 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: ,R,I C,,.N: PERMIT#: 13 LOCATION: a �".� ?(� i;m, 2 INSPECT ON: TYPE OF STRUCTURE-- F Conimeft N NA tings , Piers Mff olithic 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 Mose 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 miljLoly 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. U\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(5 18)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement .Arrive: am/pm Depart- pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ✓ fh NAME: PERMIT#: 7 LOCATION: - / INSPECT ON: ? 3 TYPE OF STRUCTURE: Con m n Y N NA 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 Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width es above footing 6 mil poly for wet areas under slab ac 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\Inspecbton 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: t S Queensbury Building&Code Enforcement Arrive: am/pm Depart: `, am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's initial J � NAME: 'L4C U PERMIT#: 13 _? LOCATION: S C va ' 2 INSPECT ON: TYPE OF STRUCTURE: Co m n Y N NA 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 po!y for wet areas under slab Backfill Approval lumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. U\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspecdon Report.doc Last printed 12/20/2005 9:24:00 AM - Lku Foundation Inspection Report Office No.(5 18)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial s C ` NAME: PERMIT#: LOCATION: INSPECT ON: Q TYPE OF STRUCTURE: Cox m ng Y N NA 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 A—A Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing biiE Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil RUI 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\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM / Lwvo-> ydacar s �J h 9 1 hl r 4 :2 in Cat bi d�' # SEPTIC PLOT PLAN I HAV EEN OR OBSERVED ALL OBJECTS SUCH AS H S,WELLS,TREES, FENCES, ETC SHOWN ON THI DOCUM T.I HAVE PERSONALLY MER RE H ftANCE0 M*DIAGRAM. ,/ 1 3 StGUGZE ! QA f i r l i i t � � f i.;ox, � E 3 I �E 1� I ; v 'Ijvu5el -�--5 = 30, IN wvt 'I /1 9 71 4,0 rj 71 .-St 4`7 99 OFFICE USE ONLY TAX MAP NO, 3 Q p_• �� ...V PERMIT NO. r /.. . _ ki l 2 -: 2013 ; FEES: PERMIT-kf 2—S1G-✓RECREATION__�,5__TENGINEERING—.___ —._.-_--,-- ` .................................. {If applicable}....... ;._.._...._..__...._ PRINCIPAL STRUCTURE. APPLICATION FOR ZONING APPROVAL &BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION, p / APPLICANT/BUILDER: /C /Ie�Prw��ltit t'�a arc OWNER: ADDRESS: �n. �f 'i t" LAJ 110d5ai jI ADDRESS: ' S K S� K fes^' � PHONE Nos, 3 6 "� Y6 PHONE Nos. 3-� CONTACT PERSON FOR BUILDING&CODES COMPLIANCE.: 1 *,j Ct,I/OP PHONE: -3 LOCATION OF PROPERTY: `r7 t1DU4� -S C1 i t t iJZ HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? BYES 13 NO IF SO,INDICATE APPLICATION NO,AND DATE OF APPROVAL: W)j 0 PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT p o t- APPLY TO YOUR zF= p cn d Ul U-w PROJECT I? d O O c J O r- LU U-O u U_ ¢ a-(D J w u- z d Q :-r) cv r) O u F- LL 0.S aS SINGLE FAMILY TWO-FAMILY v �i MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) ` OTHER IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST r2 1, m FUEL TYPE: , HEAT TYPE:•,jLt to fL `HOW MANY FIREPLACE(S):_,_AND!OR WOODSTOVES(S): lc b ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? !lJ 0 IS THIS A HISTORIC SITE? A!Q PROPOSED USE OF BUILDING OR ADDITION: P R nk ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? t(!t1 ARE THERE EASEMENTS ON PROPERTY? Ah) "Please-complete a separate Application foz'I uel BUming Appliance-,&Chimneys'available in our office I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above. I Signed el Director of Building&Codes: 761-8256(for questions regarding Building Permits,construction codes or septic systems) Zoning Administrator, 761-8218(for questions regarding required permits,the permit process, application requirements or to schedule an appointmebt) --------------- ------------ --------- o Permission is hereby granted to the above This application/proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: BUILDING&CODES APPROVAL ZONING APPROVAL DATE DATE .......... 13UE -8256 OR EMAIL STIONS? CALL 7611 ,od,,C,)iQuee9sbwy...t Office Use Only. VISIT OUR WEBStTE FOR MORE INFORMATION www.gueensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury Community Development Office 742 Bay Road,Queensbury NY 12804