2013-581 TOWN OF QUEENSBURY
woo742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20130581 Date Issued: Friday, May 30, 2014
This is to certify that work requested to be done as shown by Permit Number P20130581
has been completed.
Tax Map Number: 523400-227-017-0001-056-000-0000
Location: 135 SEELYE Rd
Owner: BERNARDO DEJESUS
Applicant: BERNARDO DEJESUS
This structure may be occupied as a:
Residential Alteration
By Order of Town Board
Septic Alteration Residential TOWN OF QUEENSBURY
Test Pit / Perc Test Review
Issuance of this Certificate of Compliance DOES NOT relieve the ` a 4
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
Oek TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
r
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130581 Application Number: A20130581
Tax Map No: 523400-227-017-0001-056-000-0000
Permission is hereby granted to: BERNARDO DEJESUS
For property located at: 135 SEELYE 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: BERNARDO DEJESUS Residential Alteration
MARGARET S DEJESUS Septic Alteration Residential
5 CHERRY GROVE Ct Test Pit/Perc Test Review
VALLEY STREAM NY 11581-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
DEAN HOWLAND
7 IROOUOIS STREET
LAKE GEORGE.NY 12804-0000
Plans&Specifications
2013-581
Res. Alteration 591.7 sq ft; ROOF & SEPTIC Alterations
Test Pit/Perc Test performed Dec 24,2013
$328.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 21,2015
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town f Que bury 41 es% . ►A ay 21,2014
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
:Office Use a Only
Town of Queensbury Building & Codes _
L Received: •
_ l7
Tax\ : 0E
PRINCIPAL STRUCTURE APPLICATION t No.: � d, ►�
A permit must be obtained before beginning construction Per 1fiNi C)F ODE
t 31
DIN
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee:
units, including single-family dwellings,duplexes or two-family dwellings, multiple family Site Plan No.:
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.:
homes,but not including mobile homes. This is in addition to the permit fee.
Date J 20/`1 Applicant I114k) / i)Z )d JJ4
Tax Map ID 2 ? /7— /_5Y Address vovs SIS
Zoning /Zit 47., �v "AY/28'45—
Phone/E-mail ‘,663-.. /(9_ '7 g'Ln —� 19Lo
( d'er. w .C42/07
Property Owner .t.5 i)t, l o ,t)eJaSUS Contractor/Agent Oc,motz
Address Ch, ,ge✓1L d. Address
Phone/E-mail 5/6 322-73/3 doPAo 4oL•coM Phone/E-mail 322- 236//e>0.60 4o4•oo
Building Street Address: /366— Sl Z(/ U- di NV
i
Subdivision Name: Lot#: Historic Site: Yes No
Estimated cost of construction: $
Type of Construction:
Check all that apply Please indicate measurements as required below:
o O
1st Floor 2nd Floor Other Total Height
F ¢ a
Single Family X/ 69I-2 3V 7 /3 3'
Two-Family
Multi-Family(#of
units )
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garages(# )
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
If commercial or industrial indicate name of business
Proposed use of building or addition At Irini 4 ' 1 / .,oce
Source of heat(circle one) Gas Oil Propane Solar Other N()A/Z
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" _Yes No
Are there structures not shown on plot plan? NO
Are their easements on the property? �o
Site Information
a. Dimensions or acreage of lot 22,OW s P' ,Site e4g .
b. Is this a corner lot? A/O
c. Will the grade be changed as a result of construction: _)[Yes _No .$gp7c LQC T L2'U
d. Public water or Private well kiZ Ai/51771e
e. Sewer or Private Septic System Ahhi u) -Cf/e)/re,
Value of all work to be performed(labor and materials) $ 4 ono
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 agr the above.
Signed .z r� � j Date: 44
FOR OFFICE USE ONLY:
Operating Permit Issued: _Yes _No
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
•
Office Use Only
Received:uu v 0 9 2014
Tax Map ID!�
Town of Queensbury Building & Codes Permit No r kSBUC-)
SEPTIC DISPOSAL PERMIT
Per Fee: pr OD
A permit must be obtained before beginning construction Approvals: - // � /
Applicant: gii�n�II,e 4 ,DLJ1S25,, Installer/Builder ?A711 (046.543 Ckc41`/ir3`
Address: S0:1 / C,o✓E Cl- Address `
V'LL J Sim Aly /15E31 zdnE2e sh44e, `.
Phone: $/6 .3,?c?-73/3 Phone 57c' f f3D1
Owner: Sfrn7/F 4'S /fi3,0d4z Location of Installation /33 5/7e, 4
Address: eLet> lce /Uy/Zee-)f
Phone
Contact Person for Building&Code Compliance: 'gP, nDeN c s'-5 Day Phone: 5/4 .32-2-7-3/-�
Residence Information:
Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow
1980 or older / x 150 = /67) Garbage Grinder installed? At)
1981-1991 x 130 =_ Spa or Hot Tub Installed? NV
1992-Present x 110 =
Parcel Information:
Topography X Flat Rolling _Steep Slope %Slope
•
Soil Nature )( Sand )( Loam Clay x Other SiEe
Groundwater At what depth? _ /7.i
Bedrock/Impervious Material At what depth?
Domestic Water Supply Municipal Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Rate- Trn.,J/`it5er minute per inch(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 /23O gallon (minimum size 1,000 gallons), add 250 gallons to size of septic tank for each garbage grinder,spa or
whirlpool tub
24)PFL5 5^-Po,Qc
System Type: Absorption Field(with#2 stone) Total length ft. Each trench X
Seepage Pit(S)(with#3 stone) How many? Size?
Alternative System Bed or other type?
Holding Tank System Total required capacity? Tank size? #of tanks?
NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified
Electrical form on Town website; 2)Effective as of March 23,2006 Septic System-As Built Plot Plan: The Building Department will no longer
allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed
system must match the septic system layout on file. There will be no exceptions.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted
which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known
by or on behalf of an applicant,shall be void.
/I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury
Sanitary Sewage Dispo Ordinance. ''// ff •
Print Name: / i t) /-107- d V 2- Date:.S/i%
Signature: iV ' rz �i Date: 1
!Y/✓`�L
Town of QueensburyBui ding&Codes Principal Structure Pack 518-761-8256
Town of Queensbury - " „� 1 Thomas R. Van Ness
"`> Highway Superintendent
- Highway L� .�--- ' ( )
1y Home 518 745-0929
Department 1 # g 2°4
742 Bay Road—Queensbury, NY 1 8' NS$UR David Duell
Phone: (518) 761-8211 „\069)g. COpE Deputy Highway Superintendent
10\k_D Home`� (518) 743-09384
Fax: (518) 745-4466 6
DRIVEWAY PERMIT I' 3.. 5 g I
DATE: 1,/-/-- 5�APPLICANT NAME: 0 `�'6o rde.J65425
TELEPHONE NO.: _5/6 322- 75/._5
�
ADDRESS TO BE INSPECTED: /2_5--- Simie g /-l/' Rac),0-J-S(o
RETURN ADDRESS: alar 1,r.2;a f'
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" 19
Preliminary inspection completed by: Date:
Approval by Highway Supt: (or) Deputy Supt:
Upon completion, please resubmit this approved permit for a final approval.
STEP 2: ( ) Final Approval ( ) Rejected
Date:
Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent
l3 - s 80
_ Town of Queensbury• Building&Codes Enforcement Office■742 Bay Road• Queensbury,NY 12804
DEEP HOLE/PERC TEST 1 E 12 0 21113
Request for Town Engineer Review
Property Owner: f Vt C' " 0 J e_),./ - Phone:
Property Owner's / F ✓-
Address: S 2/� �J (7�oJ e -/ , vc GtI el .5 (f-ek A-1l
S 5N y 1 l.� 63
Location of Test: / 3 -e- t-,- (4, Tax/ ID#: Z 27. 14- - )
*Applicant's Engineer: f� • L - J/• A5.3 CC' . Phone: 8_ f6.7-b
Applicant's Agent: b i vi 1 Llc L✓) S Phone: 66 8 "16 7-6
Additional Notes:
1. Reason for Request? New Septic System Replacement Septic System Failed Septic System
Subdivision Site Plan Review
2.Are Wetlands present? YES X NO UNKNOWN
*Note: Applicant is required to engage an engineer for design and testing of the system. The Town
Engineer's responsibility is to witness system testing only.
PLOT PLAN: Plot plan, to scale, to be submitted with application
FEE SCHEDULE:
a. $200 Flat Fee Date Paid: / i3
Check No.: i-j e /(v
b. OR Fee to be determined during To Be Determined:
Site Plan /Subdivision review process
SIGNATURE:
In carrying out the provisions of Article IV, the Local Board of Health or the enforcement officer may
engage the services of a qualified professional consultant for expert review and recommendation arising
from the carrying out of the provisions of Art. IV, including but not limited to the review of plans,
specifications and reports, attendance at inspections, dye tests, deep hole test pits, septic related deep
hole and percolation tests, system installations, and any other aspect of any matter contained in this Art.
IV, and any costs incurred in such review shall be paid to the Town by the owner of the property before
any approval can be granted under this Art. IV shall become effective within 30 days of presentment of an
invoice for same, whichever is sooner. Such costs shall not exceed $1,500 without prior written notice to
the party to be charged with same.
My signature below indicates I have thoroughly read and understand the instructions, agree to the
submission requirements and have completed the application. I also fully understand that additional
engineering fees may be necessary per Town of Queensbury Local Law 136-14D.
SIGNATURE OF APPLICANT: Date: � Z/2`)/1
2)20/3
SIGNATURE OF AGENT: / Date:
Original (B&C File) Canary (Planning) Pink (Applicant) Gold (Town Clerk)
h t:;!r a to cst,m
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm D art: ' /pm
Date Inspection request rreceived: Inspector's Initials: /'. A
NAME: �J °�-i1 esus PERMIT* 13- 57
LOCATION: /.3 S S C I e- kci DATE: g --a 3 j4
TYPE OF STRUCTURE: R g S P H +,
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 V
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 I trim I doors I 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 Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/34 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/C or C/0[Temporary/Permanent] Gi9C\
L:\Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008;Revised 6126/08; Revised 12/22/10, Revised 04/13/11
1 itu - c to cvn
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pml D art:/(� /pm
Date Inspection request received: Inspector's Initials: z-•
� d
te
NAME: r)e sU- PERMIT#: 13 5
LOCATION: / 5 e i DATE: S;
TYPE OF STRUCTURE: R t
Comments:
Yes No NIA
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 //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
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 1 trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety_gIazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: _ Every Bedroom:
Outside every bedroom area: 1�
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 1 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 closer
Gas Logs in Sealed or Glass Enclosure7.(j.
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/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13111
Town of Queensbury Building &Code Enforcement
Office 1v'o. (518) 761-8256
Septic Inspection Report
Inspection request received:
Name: 5 1-),
Inspected on:
Location: nv0 Arrive: IC.,29a.m.
Permit No.: Inspector's Initials:
Comments and/or diagram
Soil Type: Sand/Loam I Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50'+ - Y N/A
[150'to well required f NO]
Absorption Field: Te al length ft.
Length of each tren ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Numb r •���c.�
Size:
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field Pit
Opening Sealed:
End Cap _Y_N
Inlet/Outlet Pipes&Baffles _Y N
Manholes 12"or less below i•.de Y N
[provide extension collar if Yes] Y N
Location 1 Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Con�orm�Plot Plan � N
Engineer Report d As-Built Y N
enance Contract provided Y N
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System Use Stat
Asir. '.
Partial Approved and needs to be re-inspected, please call the Building & Codes Office
Disapproved
Septic Inspection Report
Dennis L. Dickinson, L5/PE IC ISO (TEL) 5 I8-668-4676
Devin T. Dickinson111 ll��ll (FAX) 5 18-668-4674
ASSOCIATES
SURVEYORS* ENGINEERS* LAND CONSULTANTS 6 1 5;11
7 Iroquois Street P.O. Box 388 Lake George, New York 12845
i --
12 August 2014
\ I � --U 1 2t114
L
Dave Hatin, Director , , ?,COD
Building and Codes dU1LJ �L
Town of Queensbury
742 Bay Road
Queensbury,New York 12804
RE: 135 Seelye Road
QU: 16_1_36 (old)
QU: 227.17_1_56 (new)
Dear Mr. Hatin:
On 12 August 2014, this office performed a site inspection of the wastewater treatment
system installed on the above referenced parcel. It is the opinion of this office that the
system has been installed in a workman like manner, according to approved plans.
If you have any questions, or would like to discuss this further,please do not hesitate to
contact our office.
Dennis L. Dickinso , 'E
dtd
---.., y_3_111)
Town of Queensbury Building & Code Enforcement —.3.
Office No. (518) 761-8256
Septic Inspection Report
Inspection request received:
Name: ` ' ' Inspected on: (1 ( (4—
Location: 1:3,5r— . -4AZ,) Arrive: ----3A
a.m./p.m.
Permit No.: �Z Inspector's Initials: ( ,-i—v)
Comments and/or diagram
Soil Type: Sand 1 Loam I Clay
Type of Water: Municipal I Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50'+1- Y N N/A V07( ,''
[150'to well required if NO]
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone __`/
Seepage Pits: Number
Size: x fq)-51/\--C)/C-
Stone
Size:
Piping Size Type 7
Building to tank 4c.( �"
Tank to Distribution Box ._ �t4— ,��Cho T-
Distribution Box to Field!Pit :t‘- c' -
Opening Sealed: _N ..-----
End Cap Y N
Inlet/Outlet Pipes&Baffles ,/�N
Manholes 12"or less below grade Y N
[provide extension collar if Yes] _Y N
Location/Separations
Foundation to tank ft. , -7 J>
Foundation to absorption ft.
Senn of Pirs ft.
Conforms as per Plot Plan Y N �� FG—A4--)
Engineer Report and As-Built _Y_N
ETU Maintenance Contract provided _Y_N
Location of System on Property:
Front Rear Left Side f Right Side Middle Front Middle Rear
S stem Use Status.
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Septic Inspection Report
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256 071,101, (
,
Framing 1 Firestopping Inspection Report F /U
Inspection request re 'ved: lV 11 LF�J� L( S P / r
Name: � � '' � Inspected on:
6//74 �
Location: 3 Arrive: 41IXs10 a.m./p.m.
Permit No.: (9'4013—
C� Inspector's Initials: / lAk
P ,
'&1,711-(.4?-„d>
TYPE OF STRUCTURE: C"&1 -!>j' \
N NIA COMMENTS:
Framing
ccess 22"x 30"minimum
Jack Studs/Headers 14 Cie.
Truss Specification Provided
Bracing I Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft.8 in.
Stairwells 36 in.or more c
Exterior Deck Bracing
Headroom 6 ft.8 in.
Notches/Holes I 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 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%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in.(H)
20 in.(W)
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing / Firestopping Inspection Report
Town of Queensbury Building & Code Enforcement 1' ki,uv6k61 1 J
Office No. (518) 761-8256
Framing / Firestopping Inspection Report
Inspection request received:
Name: Inspected on: LP- - q
i., -11
Location: 1'35 _Se e Rd /(_Arrive: C CZ a.m./p.m.
Permit No.: 13` ?) Inspector's Initials: 6 Q
TYPE OF STRUCTURE:
0_0„...‘, .+41tr_treay.rIci
Y N NIA COMMENTS:
Framing J N\-;
Attic Access 22"x 30"minimum
Jack Studs I Headers •
Truss Specification Provided/7C-A
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 '/z(w) 16 gauge(8)16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2,3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side IA inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in.(H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing/ Firestopping Inspection Report