2013-339 1� TOWN OF QUEENSBURY
F. 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130339 Date Issued: Wednesday, December 18, 2013
This is to certify that work requested to be done as shown by Permit Number P20130339
has been completed.
Location: 26 MASTERS COMMON SOUTH
Tax Map Number: 523400-290-017-0001-015-000-0000
Owner: MICHAEL & EILEEN HEALEY
Applicant: MICHAEL & EILEEN HEALEY
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 property 4 /
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
Vra742 Bay Road,Queensbury,NY]28045902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130339 Application Number: A20130339
Tax Map No: 523400-290-017-0001-015-000-0000
Permission is hereby granted to: MICHAEL& EILEEN HEALEY
For property located at: 26 MASTERS COMMON SOUTH
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: MICHAEL& EILEEN HEALEY
Fireplace
441 LOCKHART MTN Rd Garage Attached
LAKE GEORGE,NY 12845-0000 Single Family Dwelling $215,000.00
Total Value $215,000.00
•
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2013-339
SFD 1st Fir 2,490 sf; Garage 781 sf; 1 fireplace
$739.65 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 01,2014
(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 o u sbury; gnu a4, August 01,2013
SIGNED BY �!_ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building &Codes -1I
ID) Lt. t-, ki V I. 17 ,Received:
A PRINCIPAL STRUCTURE.APPLIc}4T emir {`U` ' Tax Map ID: �'�, —/
permit must be obtained before beginnin tidt?'3
I J Permit No.:
�
I t ;Permit Fee: $ r `fi '�� i 9 ios
Tom, :Fee: 5
Please read: *TB resolution 86-2013(1-28-2013): $850Tecxeaton fee for new dwelling *ReC , t o g4)
units, including single-family dwellings,duplexes or two-family dwellings, multiple family— USite Plan No.:
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.: f
homes,but not including mobile homes.This is in addition to the permit fee. /
Date cJ iccY c9S <9oi 3 Applicant Ali; 6. !ALEX
Tax Map ID lD. /7—/ - /S Address 4W/ /cr<lHAftr /-(r.J. 12o. -Fr6/
Zoning /ZES /A41 C6a12Ge7 A)y /.9.9i1.5—
Phone/E-mail
.9BYSPhone/E-mail ,369–eCce
wt pit-41 4-y le.vye4� 2k',co4t
` . �"y'Property Owner ' I r GA(AE c- i- Ei tEE,J/1644-E y Contractor/Agent
Address Address
-.54 nit _
Phone/E-mail Phone/E-mail
Building Street Address: t /445702.5 Lom Moi So,
Subdivision Name: MAS7E25CorotJ Lot 3 Historic Site: Yes ✓
t No
Estimated cost of construction: $ oQ/s-7) 00%°6 • .
Type of Construction: t
Check all that apply Please indicate measurements as required below:
C C
•
m ..D t i° 1st Floor -2nd Floor Other Total Height
Z aa
Single Family - / d y9t. '6 d ii90 of Olt
Two-Family V
Multi-Family(#of
units___)
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garages(#p a2 ) 78/ 1781
�
Other Sc2fE, lacy a if 7 .9417
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256.
•
If commercial or industrial indicate name of business 4
i1G
Proposed use of building or addition S/AE�Ti ( Moni
Source of heat(circle one) - m Oil Propane Solar Other
Fireplace-complete a separate application far'Fuel Burning Appliances&Chimneys' AZ Yes
. /—No
Are there structures not shown on plot plan?' / 0
Are their easements on the property? 4
Site Information
a Dimensions or acreage of lot o 7
,�0
JJ,4Geg
b. Is this a comer lot? •
/`2b
c. Will the grade be changed as a result of construction: -Yes _No
d. Public water or Private well PSL,G COA•re2
e. Sewer or Private Septic System SccJE2
Value of all work to be performed(labor and materials) $ a/,y; 000-
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. I certify that the application,plans,and supporting materials are a true and complete statement/description of the
work proposed,that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances,and
in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a
certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above.
Signed - _ / Date: 7"01 - 20/3
•
FOR OFFICE USE ONLY:
Operating Permit Issued: Yes No
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit
•
Special Conditions:
•
Toxin of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Office Use Only
Town of Queensbury Building & Codes Received:
Tax Map ID:
FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Permit No.: / 3 -33?
Permit Fee: $
Application is hereby made to the Building &Codes Office for the issuance of a Building & Use Permit pursuant to the NYS Fire Prevention &
Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that-are part of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
Important Note To Applicant: Rough-In and Final Inspections Are Required:
Date J.:fly as 01°13
Owner 6, 15.4i.t y Installer/Builder
Address yy/ L.oc ,04rcr aft" go.. SG/ Address •
LAnt CEcaO, .OY /A841.1—
Phone 369-roa4 Phonen
Location of proposed construction and/or installation: a&' /"(A5Tea5 115,1040) So,
Contact Person for Building
� //&Codes Compliance: ,'bkt /�,Aicty
Subdivision Name: /1IAS ?25 (] n„vASA)
Fuel Burning Appliance Information Wood Coal Pellet Gas Oil
Stove
Fireplace Insert
Fireplace,factory built*
Fireplace, Masonry •
Fumace, (Garage Only)
* If Factory Built, Please Provide: Manufacturer Name: NiAVEST;c- Model No. MIS DVC80
Listed By: Number:
Chimney Information
Masonry*' /check one _Block _Brick _Stone
Flue 'check one Tile _Steel Size in Inches
Material ',check one _Double Wall _Triple Wall _Insulated /Direct Vent _Chimney Liner
. **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 Building&Codes Principal Structure Packet 518-761-8256
Town of Queensbury Highway Department ,v e 13 , 3 39
DRIVEWAY PERMIT
Michael F. Travis, Highway Superintendent Thomas R. Van Ness, Deputy Superintendent
Home: (518) 798-0413 Home: (518) 745-0929
Office Phone: (518) 761-8211 Office: (518)761-8211
Fax: (518) 745-4466
Building Permit#:
Date: ,„3o'3
Tax Map ID: 0?900 /7=/ —/5—
Applicant
sApplicant Name: M,cNAet 6 ,%,4«
Address to be inspected: 06 MAsnnns Co,>,ile/au &•
Return Address: /c D D•ff2 12u3) /20-
44 Sgt.) ,SKS, Joy 4:n31
Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes at the
specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has
been taken:
Step 1: ( ) Preliminary Approval
Need: ( ) Slight swale
( ) Deep swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( ) 12" ( ) 15" ( ) 18" ( ) 24" ( )36"
Preliminary inspections completed by: Date:
•
Approved by Highway Supt: Deputy Supt.:
Upon completion, please resubmit this approved permit for a final approval.
Step 2: ( ) Final Approval
( ) Rejected
Date:
Michael F. Travis, Highway Superintendent Thomas R. Van Ness, Deputy Highway Superintendent
Town of Queensbury Building&Codes Prindpal Structure Packet 518-761-8256
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received:
NAME: Gl
LOCATIOI KS"
PERMIT#:
Final Survey Plot Plan
AliUna roved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
surve has beep:
41.
Craig Brown, Zoning Administrator
Notes:
L:\SueHemingwaytguilding.Codes.Inspection.FORMSTinal Survey
Zoning Administrator.doc
MAP REFERENCE:
MODIFICATION TO AN APPROVED
SUBDIVISION KNOWN AS
MASTERS COMMON SOUTH
DATED NOVEMBER 24, 1999
BY VAN DUSEN & STEVES
CgRT I
A
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f
IRF N07°30 SONE
76.82
LOT 4
/y9 v � - I111II
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LOT 3
28,963 sq. ft. I
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Land v \/ y O A J
169 Haviland Road Queensbury, New York 12804
ALiENANON OR AODmgV TO A suRVEr
MAPPBEARING AG A110EN5EB LAND SURVEYORS SEAL IS A
01 OF SECPON ]�pR. Su9-MGF.ON 2. OF TIE
NEW YORK STATE EDVCfl ZION LAW.,
ORIONTHE OF SU SUR EY
"ONLY COPIES FROM ORIGINAL
MARKED M AN ORUER OF THE LAND SURVEYORS
SEAL 'C SHARMFIC RE CONNID€REo TO RE SI IFY COPIES.•
YEENRVEYPWAS WOICq�D IN ICI SIGNIFY THAT
RM NG CQ WAS PREPAaEO IN ACCNDANCE VATI TIE
WSTNG CODE OF PRAGjDE FOR LPND SUAWYN5 ADOPTED
BY ME NEW jE
D SURVEYORS.SAI9CERNACAMONS SHALL RUNAISOCIAION OF ONLY
TO THE PERSON FOR WIVM THE SURVEY IS PREPARED, AND
ON HIS BF AM TO TIE Lim COMPANY, GOVFANMENTAL
AGENCY AND LENDINGI�§M,,ITON OSOLD HEREON, AND
TO ,HE ASSIGNEES OF ;E LENDING INSnnnN.
for
(518) 792-8474 New York Lie. No. 50135
&
Map
I
of a
Survey made
for
Michael
&
Eileen
Healey
Town of Queensbury,
Warren County,
New York
2 9/13/13 FOUNDATION LOCATION
1 7/23/13 REVISED HOUSE LOCATION
NO. DATE DESCRIPTION
— I I—
e 1'=30'
S-1
SHEET 1 OF 1
HEALEY
DWG. N0. MCS -3-2013
et
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Queensbury Building & Code Enforcement - Residential Final In pspectlon
Office No. (518) 761-8256 Arrive: am/pm Depart: 2'A am/pm
Date Inspection request received: Inspector's Initials:
NAME: 4-icce2 IE iv PERMIT#: /3- 339
LOCATION: iQ(o ma r;C Cern)/w,n /id-ii DATE: a y R--/ 3
TYPE OF STRUCTURE: .S rD
Comments:
Yes No N/A_
4" Building Number Address visible from road /
Chimney Height/13'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 V
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade / Vee
Guard at stairwell at 34 inches or more V
Guard at deck,porches 36 inches or more AZI
Handrail Termination at Newell Post or Wall r
Interior/Exterior Railings 34 inches to 38 inches v/
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet -�� J2VOLILbISZ-
6 inch clearance to sill plate C „�'" .�
Gas Valve shut-off exposed/regulator 18 inches above grade V
Interior privacy/trim/doors/main entrance 36 inches ✓
Bathroom/Kitchen watertight
Vi,"
Safety glazing/Win in stairwells safety gl ng V
Interior Smoke Dors/Carbon Mo. cid electors
Every level: �l/ Every ���rrr!!! 1//
Outside every bedroom a
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area / f,
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents / t/
Bathroom Fans,if no window V
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel V
Duct work sealed properly/Blower Door Test Certification /
Floor truss,draft stopping finished basement 1,000 sq.ft. p4
Emergency egress below grade /
Gas Furnace shut-off within 30 feet or within line of site en° l S-Sv
Oil Furnace shut-off at entrance to furnace area
e-40Fumace/Hot Water Heater operating
Low water shutoff boiler t/
Relief Valves)installed/Heat Trap/Water Temp 110 sn c2r2-.V-rv4 "IL'
Enclosed Stairs Sheetrock Underside minimum W Gypsum � iTl
Basement stairs closed rise>4 inches V/ f - ,c,6 r 2h� R���2�k rg�
Garage Floor Pitched ✓ U `i —h
Garage fireproofing/'''A hour fire door/door closer
Gas Logs in Seated or Glass Enclosure ----:--
Final Electrical;Energy Saving Light Bulbs 50% /
Final Survey Plot Plan
Am Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas PipetiBonding V
As Built Septic System/Sewer D t. Inspection Sti
Site Plan /Variance required tJ
Flood Plain Certification,if required 41
Okay to issue C/C or C/O[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codesllnspection FormssResidential Final Inspection Fomi_revised_100405.doc;Revised
January 7,2008;Revised 626/08;Revised 12/22/10,Revised 04/13/11
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection re est received: / a/i 311 3
Queensbury Building & Code Enforcement Arrive: G Lc)Pam/pm
742 Bay Road, Queensbury, NY 12804 Inspector'sVInitials: Aye
NAME: 1-�e ct e ,/ PERMIT#: ` J — T3
LOCATION: �4 rrvi " *�S (c2 —n--c Lo INSPECT ON: jU ,(p r3
TYPE OF STRUCTURE: S(j
Y N N/A
Plumbing under slab
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/HeadNfr
50 P.S.I. for for 15 minutes
4nsulation /Residential Check/Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant ''_AR 5`L
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation) /
Duct/Hot Water Piping Insulation - - v
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test
Air Sealing
COMMENTS: (Z-�3-4— G« C-- ?LLO = R� 4p
- k..L, 5
Rough Plumbing_Insulation Inspection_02 0513
we b 3 ern
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:a am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:0 A
NAME: 4401 fPERMIT#: 13 -339
LOCATION: noAgfa Ns (1-4t r‘na ) N INSPECT ON: it-147-43
TYPE OF STRUCTURE: C r 3
� Y N N/A �
111 IRough'P-lumbing /Nail Plates
Plumbing Vent/Vents in Place
1 IA 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 est 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 required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No dud tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins ecti n request received:
Queensbury Building & Code Enforcement Arrive: aa� /pm
742 Bay Road, Queensbury, NY 12804 Inspect° In ials: A ,_� Y
Pr
NAME: -1-k- PERMIT#: / 3 -339
LOCATION: % (O ik twos( ► y INSPECT ON: /t -rnai 3
TYPE OF STRUCTURE: S FD
•
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" 0.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
11/2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice ans water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour �\
Fir ptose ping
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 Fireslopping Inspection_Revised_02 0513
tfil
Town of Queensbury Fire Marshal /Pp
h/ /3
4WnsBay Road
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.
J
Permit# ! 3_3 //,_x" 113 Time JS
Schedule Inspection /0/ 11r7M am pm anytime Inspector�j�
Name1 /4W ,4S44 Address . `S .-- /l Rough IqE Final
Appliance Manufacturer Sia Model#
Direct Vent Factory Built Chimney,( Flue Size, Double Wall Triple Wall Insulated_
Yes No N/A Comments
•
Floor Protection Ve 6jgar-7 ly
Clearances to Combustibles (all sides) V ►tL 4' O 2344o JO
Firestop(s) Vertical Chase
Wall Penetration-
Vent Clearances to Combustibles l/�
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 `
r
V
Combustion Air
Hearth Extension (if any)
L
Mantel V .586f? 1 2 foe G/7��`/ 'se / 4114
Height above Up opening /S (5- l/75'5iGr4t
Witness Operation x
Tank Placement(if LP)
CO Detection
CSST Bonding x
White—Building Dept. Velkm—Customer Pink—Fire Marshal
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive.` as am/pm
742 Bay Road, Oueensbury, NY 12804 Inspectors nitialS:
p �
NAME: ..C�R.t6 PERMIT#: /3 -339
LOCATION: a - r , / . - Alas . a INSPECT ON: /a _a-73
TYPE OF STRUCTURE: S Fo
•
N N/A COMMENTS:
/Fraroi tg
Attic Access 22" x 20" minimum
Jack Studs/Headers 11
Truss Specification Provided V
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 Wails
Metal Strapping for Notches Top Plate
11/2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
-Ice-ans=G�iateer held-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 % 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
/cs_ l Z
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: . ;30 am/pm Depart am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: irk1`'lIPERMIT#: 2013 -33�
LOCATION: "Z. /AA-f-c dafrtivckJ INSPECT ON: /01 t t 3
TYPE OF STRUCTURE: r" `_J
Y N N/A COMMENTS:
Framing
Attic Access 27 x 30' minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed property
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 f(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft or less on center /
Ice and water shield 24 inches from wall ,/ 1 er fj-awh .n 7^/
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour rn iD ^'``a
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!Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1aufdi g&Codes Forms-OLD\Building&codesunspethon For sv:nnning est Inspection ted«Revised January 7,2008
Framing / Firestopping Inspection Report l,3 3
iTh
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depa • — am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:419.
NAME: 4 ' PERMIT#:
13 -' /
3
LOCATION: / ,7 (p SEINSPECT ON:
TYPE OF STRUCTURE: `to-) ct,p36 ' 3
Y N N/A_ COMMENTS:
Framing
Attic Access 22° x 30° minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12'O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 8 ft 8 in. •
Notches I Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge (8) 16D nags each side
Draft stopping 1,000 sq. ft. floor trusses
AnkBott-- 6 ft. or less on center
Ice h hiele 24 inches from wall -2/t T2
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 3 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:heunding&Codes Fonns-0LDSuikfng&Codesiinspedion Fo ne Finning Firestopping Inspection Reporldoe Revised January 7,2008
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: 9 a 3-/ 43
NAME: (Sty t.0 Q AA-CLeatet,
LOCATION: ol(,pi m @ba n t __ nectM
PERMIT#: 13 -339
Final Survey Plot Plan
Approved Denied_
The attached final
survey has been
received by the
Dept. of v
Community
Development.
Upon review the
.survey has been:
CtrowC\Crn, Zoning Administrator
Notes: (1)01‘I6A1ttli4 V Nuki
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LdSueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
MAP REFERENCE:
MODIFICATION TO AN APPROVED
SUBDIVISION KNOWN AS
MASTERS COMMON SOUTH
DATED NOVEMBER 24, 1999
BY VAN DUSEN & STEVES
CART p
f IRF ABY
/ s IRF N07030'50"E
76.82
LOT 4
/h N
LOT 3 _
28,963 sq. ft.
0.66 acres F0 �� ylON
% L
L=1.32.44'
R=225.00 m'
IRF r
RASTERS
78p'R .65
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169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lic. No. 50135
'UNAUTHORIZED ALT€"A➢ON OR ADDITION i0 A SURVEY
MAP BEARING A HCENjED LAND SURVEYORS SE. IS A
O PON DE SECTION ,z°B. SUB-DINSIDN 2. OF THE
NEW YORK STATE EOKABON LAW.'
'ONLY COPIES IHE ORIGINAL OF 1X1SBRVEY
MARKED INLH AN ORI ORSSINAL OF THE IPND SURVEYORS
SEAL SHALL BE CONSILERED i0 BE VAUD TRUE COPIES.-
'G SURFl APONS IN ECARED HEREON SIGNIFY THAT
FRIGSURVEY WAS PREPARED IN ACCORDANCE MWfliORS AD
EMOTING CODE R UAU E FOR LAND SURVEYORS ANAL
BYTE NEW YORK $ G CERTIFICATIONS ASSOC I OF PROFESSIONAL
LAND SURVEY°RS. SAo RESURVSHALL PA ONLY
TO THE BEHALF FOR IYr1OM INE MPMY, G PREPARED. AND
ON HIS BEHALF i0 FIE RitE COMPANY, GOVERNMENTAL
AGENCYASS�GEES OF'„°LE„BONG°I„ TTURON:°
Map of a Survey made for
�'//
Michael & Eileen H e a 1 e J
Town of Queensbury, Warren County, New York
Q e• . '- I . , —.-
Scale 1'=30'
'.
3HEEf 1 OF 1
2
9113113
FOUNDATION LOCATION
1
7123/13
REVISED HOUSE LOCATION
HEALEY
DWG. NO. MCS -3-2013
NO.
DATE
DESCRIPTION
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm
pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 9
NAME: H e)a-1/e j PERMIT#: f 3 -3 3?
LOCATION: �(> f p C�� INSPECT ON: q-9—/ 3
TYPE OF STRUCTURE: .5 F
Comments
Y N N/4
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.
oundstion/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place C
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
T� A ..
Under Slab t�
PV Cs/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 R.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundatfon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
•
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Foundation Inspection Report
Office No.(518)7614256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:��
NAME: `FEQA e � PERMIT#: / 3 -33
LOCATION: r. (a �'l\c2I' ti (.,rvm INSPECT ON: 9—41-13
TYPE OF STRUCTURE: S r A
Cony
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
/
The contractor is responsible for //
providing protection from freezing -e.2;
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
4.34418Eioii/Wallpour
Reinforcement in Placeiv^ _��
Footing Dowels or Keyway in place
V G
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:\BulldIng&Codes Forrns\Building&Codes\Inspectlon Forms\Foundation InspeCtion Report.doc
last printed 12/20/2005 9:24:00 AM
ems, 0111—'
Foundation Inspection Report ( -
Office No.(518)761-82% Date Inspection request received: ♦ , e-•! J
Queensbury Building&Code Enforcement Arrive: am/pm Depart am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:/ (�
NAME: --Q4r;2 i PERMIT#: a 0 l3 - 3 3
LOCATION: ?� f-�a (�3n.. .7o- INSPECT ON: C%/2r7/ad 13
TYPE OF STRUCTURE: cRr) ( 6
Comments
�� Y�, N N/A
(Footings J
gars
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 rC---- � 4as
Footing Dowels or Keyway in place V
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•\BufMing&Codes Forms\Building&Codes\lnspec0on Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
MAP REFERENCE:
MODIFICATION TO AN APPROVED
SUBDIVISION KNOWN AS
MASTERS COMMON SOUTH
DATED NOVEMBER 24, 1999
BY VAN DUSEN & STEVES
CART p
f IRF ABY
/ s IRF N07030'50"E
76.82
LOT 4
/h N
LOT 3 _
28,963 sq. ft.
0.66 acres F0 �� ylON
% L
L=1.32.44'
R=225.00 m'
IRF r
RASTERS
78p'R .65
CpAlAfON
SD UTi,
W
10O
00 o
00
�o
03
LOT -2
1,.
SEP 2 -1 2013
13-3 3<1
D t
-S.�{
I
`vl
& S
L !� j^ � d S � $/ v e Z T ® r s
C� 11 1 y L/ ✓V 1
169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lic. No. 50135
'UNAUTHORIZED ALT€"A➢ON OR ADDITION i0 A SURVEY
MAP BEARING A HCENjED LAND SURVEYORS SE. IS A
O PON DE SECTION ,z°B. SUB-DINSIDN 2. OF THE
NEW YORK STATE EOKABON LAW.'
'ONLY COPIES IHE ORIGINAL OF 1X1SBRVEY
MARKED INLH AN ORI ORSSINAL OF THE IPND SURVEYORS
SEAL SHALL BE CONSILERED i0 BE VAUD TRUE COPIES.-
'G SURFl APONS IN ECARED HEREON SIGNIFY THAT
FRIGSURVEY WAS PREPARED IN ACCORDANCE MWfliORS AD
EMOTING CODE R UAU E FOR LAND SURVEYORS ANAL
BYTE NEW YORK $ G CERTIFICATIONS ASSOC I OF PROFESSIONAL
LAND SURVEY°RS. SAo RESURVSHALL PA ONLY
TO THE BEHALF FOR IYr1OM INE MPMY, G PREPARED. AND
ON HIS BEHALF i0 FIE RitE COMPANY, GOVERNMENTAL
AGENCYASS�GEES OF'„°LE„BONG°I„ TTURON:°
Map of a Survey made for
�'//
Michael & Eileen H e a 1 e J
Town of Queensbury, Warren County, New York
Q e• . '- I . , —.-
Scale 1'=30'
'.
3HEEf 1 OF 1
2
9113113
FOUNDATION LOCATION
1
7123/13
REVISED HOUSE LOCATION
HEALEY
DWG. NO. MCS -3-2013
NO.
DATE
DESCRIPTION