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2014-133 TOWN OF QUEENSBURY ` o 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 F Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20140133 Date Issued: Tuesday, September 30, 2014 This is to certify that work requested to be done as shown by Permit Number P20140133 has been completed. Location: 908 SHERMAN Ave Tax Map Number: 523400-301-017-0003-064-000-0000 Owner: KELACO, LLC Applicant: KELACO, LLC This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY SingleFamily Dwelling Issuance off this Certificate of Occupancy DOES NOT relieve the property joi te 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 ` a 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140133 Application Number. A20140133 Tax Map No: 523400-301-017-0003-064-000-0000 Permission is hereby granted to: KELACO. LLC For property located at 908 SHERMAN Ave 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 Fireplace 35 FRONT St Garage Attached LAKE GEORGE,NY 12845-0000 Single Family Dwelling $190,000.00 Total Value $190,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency • Plans &Specifications 2014-133 SFD 1602 sq ft w/Garage 476 sq ft $391.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,April 23,2015 (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 Townnsbuty We •s/.y,April 23,2014 SIGNED BY t //,w/ (� 3.\ for the Town of Queensbury. Director of Building& Co.e Enfo ement Office Use Only Town of Queensbury Building & Codes Received: Tax Map ID: ,30 . 1'1-3-(n'/ PRINCIPAL STRUCTURE APPLICATION Permit No.: 41- 133 A permit must be obtained before beginning construction Permit Fee: $ .597 s�'�� 1-28-2013 : $850 recreation fee for new dwelling 'Ret Fee: $ Z) °� ! Please read: *TB resolution 86-2013 tE � ( ) /wL 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 9�i7/i / Applicant CoMi'e C,, - f. 0-1C Tax Map ID Address 3 aa- Ce/fefr Gv Zoning Res,cgoAiki I SR I A fp)cwv)'i 1 f' Phone/E-mail /nifaeile1:eJ4'i (life* CRS 4am.( Property Owner KP 14 c O Contractor/Agent Ca62 S &�� s S d 2. Address 3r fRostf 4• Address L.40 c4bt9.a • ill .1 Phone/E-mail Phone/E-mail Building Street Address: 9O g trpeit 5X ttn r) Ade' Subdivision Name: eAte f.Ue5T Lot#: I7 Historic Site: Yes Alo Estimated cost of construction: $ 19 0,rob Type of Construction: Check all that apply Please indicate measurements as required below: C = 0 0 m v 1st Floor 2nd Floor Other Total Height F a .1t- Single Single Family V 11 02- idoa a(4 ' Two-Family te Multi-Family(#of 4 � units ) Townhouse Business Office • Retail-Mercantile Factory-Industrial Attached Garages Of 2. ) ✓ 117 L H dr/ Other 0 1 it Town of Queensbury Building&Codes Principal Structure Packet a (.2\f,°`/ 518-761-8256 t/k-C k: 4i S) • If commercial or industrial indicate name of business Proposed use of building or addition 5]/�/r Finn•I y Source of heat(circle one) Oil Propane Solar Other Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" 1/Yes _ No Are there structures not shown on plot plan? A) D • Are their easements on the property? (a 2J LAA 1ug3p Etz e Site Information Lst! — /litecOy -041e rIjl a. Dimensions or acreage of lot 1 4cf.e ;$C x/5-6 b. Is this a comer lot? es c. Will the grade be changed as a result of construction: _Yes 1LNo d. Public water or Private well v/0 r •C e. Sewer or Private Septic System P126/1 .. p2I Ud TP Sepik, Value of all work to be performed(labor and materials) $ / Li/_Coti 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 War--.NC- & 3 Date: `7/17//1 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 Town of Queensbury Building & Codes Received: Tax Map ID: FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Permit No.: �,: Permit Fee: $ Aran 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 'ihgsfiy / y� Owner Ke 14to Installer/Builder (0//eftF Ganr,r Vile. Address 2s- f RcA,j- Address 3?, (o//e; . 4v tart ,Q.Y I2-?4S' / r,�cOn FA /s C5:-LPhone Phone 3C5:- Location ocation of proposed construction and/or installation: 45t- I? Poir.P Punt - 90R- &rpmQ sl7 e/Un44 Contact Person for Building &Codes Compliance: ize N fey/@_fte Subdivision Name: ed,1 IA)c Sf Fuel Burning Appliance Information Wood Coal Pellet Gas Oil L./ Stove Fireplace Insert Fireplace,factory built* 1/ Fireplace, Masonry Furnace, (Garage Only) * If Factory Built, Please Provide: Manufacturer Name: Hen rx 3/o Model No. 7 d ,01a 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$256 Office Use Only Received: Tax Map ID: Town of Queensbury Building & Codes Permit No.: 11 ' / 33 SEPTIC DISPOSAL PERMIT Permit Fee: $ A permit must be obtained before beginning construction Approvals: Applicant: Ca 17‘ ( &re— 70r-1 rit1C' InstallerBuilder Ce//elir Cc-vi fid Address: 3 ( /kCAddress N /tp A/l6 , A; ,y Phone: 3cc $E?- — Phone Owner: J<QIACO Location of Installation 9O Off PR s`]P.c c M/ be.' Address: 2s mrAx �f CAsep Geerge ti•r' Phone 6/25'2 /I" // ,,yy Contact Person for Building&Code Compliance: Kph 6�ie if, Day Phone: 36/ rSY 2a— Residence Information: Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow 1980 or older x 150 = Garbage Grinder installed? ND 1981-1991 x 130 = Spa or Hot Tub Installed? No 1992—Present ✓ x 110 = '; ?C) Parcel Information: Topography ✓Flat Rolling _Steep Slope %Slope Soil Nature ✓Sand Loam Clay _Other Groundwater At what depth? /4—� 1- BedrocIdImpervious Material At what depth? Q k Domestic Water Supply ✓Municipal Well(if well,water supply from any septic system absorption is ft.) Percolation Test Rate- per minute per inch(Test to be completed by a licensed professional engineer or architect) sLi6 D7r/Isf6M 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 /O DO gallon(minimum size 1,000 gallons), add 250 gallons to size of septic tank for each garbage grinder, spa or whirlpool tub System Type: Absorption Field(with#2 stone) Total length a1-0 ft. ' Each trench ss X a- 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 Disposal Ordinance. / Print Name: Jee4J Ce//�eJJt' Date: y/7,E.,///y Signature: I• &..4M '`� Date: y�/2//y Town of Queensbury Building&Codes Prindpal Structure Packet 518-761-8256 Q i50 � , Town of Queensbury Highway Department ki4`3'L\ 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#: I y -133 Date: (i,I ieby Tax Map ID: Applicant Name: Co Chile- Cir 251; tdG rf Address to be inspected: qit uPp9,2 S<�()gm Ar'a -��7 JL'r�jt )n1a Return Address: ro/% 4'^'' lljscriv Fid,N .7' 02'37 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 Principal Structure Packet 518-761-8256 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury, NY 12804 Date received: 9 S jy NAME: k�,�QCc7 LOCATION: 90 S ,4.,,..c2fr,, PERMIT#: ! 3 3 Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the 16-2-l;( survey has beedip : _ Craig Brown, Zoning Administrator Notes: LASueHemingway\Building.Codes.Inspection.FORMSTinal Survey Zoning Administ alor doc Queensbury Building & Code Enforcement - Residential Final Inspectio Office No. (518) 761-8256 Arrive: am/pm De am/pm Date Inspection request received: Inspector's initials: NAME: PERMIT#: " 2.014— V LOCATION: tar DATE: TYPE OF STRUCTURE: Comments: 60 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 sfalrwell 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 I 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 aooessIble area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents ny Bathroom Fans,if no window Plumbing fixtures �y ,/ Foundation insulation to floor/Sticker on Panel ,� Y r, .J 4 l/-- 012- Duct work sealed properly/Blower Door Test Certification �� Floor truss,draft stopping finished basement 1,000 sq.It 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 Fumace/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 / w/ J i\'� 41 Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles �� , - Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Slicker Site Plan /Variance required Flood Plain Certification, if required Okay to issue C/C or C/O[Temporary/Permanent] • L:1Building&Codes Forms\Building&Codes\Inspection Forms!Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 1222/10,Revised 04/13/11 STown of Queensbury Fire Marshal �� 742 Bay 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 ��1,^, '` instructions or specifications is allowed. Permit# r�-tl L4 l 33 Schedule Inspection L�(+c 3/i4 Time 1"-J ani 62)anytime Inspector( Name see�L�j Address ��- C S1 ern--oeQ._, 4-c. C Rough In Final Appliance Manufacturer Z "O�� Model# � ` 'a Direct Vent Factory 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 tit Wall Penetration ✓ ✓✓✓ Vent Clearances to Combustibles 7 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 V Tank Placement(if LP) ✓ CO Detection ✓ CSST Bonding White—Building Dept. Yeno.,—Cust Amer Pink—Fire Marshal Queensbury Building & Code Enforcement - Residential Final Inspection / 3$n1 Date InspeOffice No. c518) 761-8256 tion request received: -1 - I Y' Insppector's Initials:ive: wpm De rt:C— ��am/pm NAME: oc I a co PERMIT�o20 I'Y - / 31 LOCATION: Id V ,Shannw. ,4,.c� DATE: 9u - C a 4 3//ii TYPE OF STRUCTURE: R "n, s Lc(2 i o Comments: Yes No N/A 4" Building Number Address visible from road /" a/G Chimney Height!"B"Vent/Direct Vent Location t� (/ Fresh Air Intake / 3 inch Plumbing Vent through roof minimum 18 inches 1/109 l / Roof Complete/Exterior Finish Complete %.",,,,. l[`�ev` t�dC Platform at all exterior doors s/; r / .. Handrail 4 or more risers !ll�� C�'� — Guards at stairs,decks,patios more than 30 inches above grade 1,,' 3 (p -. Cts.3- Guard at stairwell at 34 Inches or more ve Guard at deck,porches 36 inches or more NV Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches t� Deck Bracing/Handicapped Ramp Compliant Nor Grade away from foundation 6 inches with 10 feet V 6 inch clearance to sill platetordie .. E. Gas Valve shut-off /regulator 18 inches ess grade vole Interior privacy/triim/doors/main entrance 36 inches volei—e--)c.. /LICe‘aareenne•—• Bathroom/Kitchen watertight Safety glazing/Wince in stairwells safetygl ng t✓ l�DI Z �5 Interior Smoke Deft tors/Carbon Monoxideodors ! ia ,ham A6 6....../�•-►1C�" Every level: J Every BedjEm: �K7 �W�`+� Outside every bedroo rea: / Inter Connected: 4 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 Duct Foundatrks gdinsulation to floorStr on Panel \ bes � �:YC„ , „) Duct work sealed properly Blower/ Door Test Certification �� Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade V ars-- Gas Furnace shut-off within 30 feet or within line of site h/ I Oil Furnace shut-off at entrance to furnace area >/ water s14 Lo Water Heater operating 7 Q1rC—�O L!i� _) ~ Low water shut-off boiler Relief Velvets)installed/Heat Trap/Water Temp 110 ✓ Enclosed Stairs Sheetrock Underside minimum''r4"Gypsumy cv ` "X' " Basement stairs dosed rise>4 inches - IVV/ Garage Floor Pitched u/i Garage /%hour fire door!door closer GasLogs in Sealed or Glass Enclosure ver 4MF1 C"1/44-4-461°L Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles 9.38.4)4C1 Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker t/ Site Plan I Variance required ved' Flood Plain Certification,if required Okay to issue C/C or C/O[Temporary/Permanent Ig)e L:'Building&Codes Forms'Building&Codestlnspection Forms Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12122/10,Revised 04/13/11 f Queensbury (518) 761-8256 Building & CodeWEnforcement } jk tce No. w Septic Inspection Report Inspection request received: Name: K 0,1 a m° Inspected on: V -13-('J Location: cyp g G hca r ec .n Pr oe Arrive: f , 4'0a p. . Permit No.: r'-1-I 33 Inspector's Initials: Lai Comments andlor diagram Soil Type: Sand I Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/- Y N N/A [150'to well required if NO] Absdrption Field: Total length ft. Length each trench ft. Cie—At Depth off trenches ft. (—?,‘ Size of Stone Seepage Pits Numberage G j Size: x t. / Stone Size: Piping Size Type .N., 1 j I Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed Y N End Cap Y N Inlet/Outlet Pipes&Baffles Y N Manholes 12"or less below grade Y N [provide extension collar if Yes] Y N Location/Separations Foundation to tank ft. Foundation to absorption ft Separation of Pits ft i Conforms as per Plot Plan _Y_N Engineer Report and As-Built _Y_N ETU Maintenance Contract provided Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Stat : Approve. '. ,pproved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report VISION Engineering CIVIL• STRUCTURAL • MUNICIPAL • ENVIRONMENTAL 8/13/14 rfr t 3 3 Building and Codes Department Town of Queensbury 742 Bay Road Queensbury, NY 12804 RE: Collette Construction 908 Upper Sherman Avenue— Lot 17 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. Sincerely, ENGINEERS STAMP: Digitally signed by Daniel W.Ryan P.E. Of �,�� Date:2014.08.13 08:35:27-04'00' fr ,�� Daniel W. Ryan, P.E. r� 9 �� VISION Engineering, LLC s 4;t` a,': v e Yom_ %7 fLf F_ 11 lV Rer ESSt V 16 Pearl Street•Suite 200•Glens Falls, NY•12801 •P: 518.792.9264•F: 518.792.9282 www.visionengineering.org Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date In , do I e'nest received: Queensbury Building & Code Enforcement Arrive. am/pm 742 Bay Road, Queensbury, NY 12804 Insp:ctor's Ini s:f NAME: 1)<SOLOo PERMIT#: /{{-133 LOCATION: Q7 S PI/04--- INSPECT ON: R- 7–/(/ TYPE OF STRUCTURE: S Eh 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/Head 50 P.S.I. for for 15 minutes Insulation /Residential Check/Commercial Check Window Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent 5/` / Door/Window Sealed (No Insulation) /V/ Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape Blower Door Test /J Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 0513 Town of Queensbury Building & Code Enforcement e- to aft,r. c-Officri No. (518) 761-8256 pe J "._,0 Li Septic Inspection Report ivl Inspection request received: E(4l,�Iii: Name: Tl 67-1C_0 Inspected on: _1' i 3-4' ( �6 t 5 i� Location: Arrive: `a, a.m.l p.m. Permit No.: dC)f -/ 3 3 Inspector's Initials: C— / Comments and/or diagram Soil Type: a / Clay Type of Water: ., '.I I Well Water Waterline sepa . .n distance Well separation distance Other wells. Well Casing Length 50'+/- Y N N/A [150'to well required if NO] Absorption Field: Total length ft. Length of each trench -4.10—ft. Depth of trenches Z. ft. 2SeepSize of Stone -412— Seepage age Pits. Number Y } ,I� Size: . Fxx Stone Size: Piping Size Type Buildinganko totank u gii ILIA Tank to Distribution Box __12-vi 9 Distribution Box to Field/Pitc SalWrar— Opening Sealed: N End Cap Y_N Inlet/Outlet Pipes&Bathes fr `-5�� / Gl C I Manholes 12"or less below grade _Y y 1 ` {- [provide extension collar if Yes] 7 _Y ` N { — ; ✓`_ " w O (ak Location/Separations Foundation to tank ft}tdFft. Foundation to absorption ft. Separation of Pits Conforms as per Plot Plan Engineer Report and As-Built Y N ETU Maintenance Contract provided _Y_N Location of System on Prop Front Rear eft Side Right Side Middle Front Middle Rear System Use Status: pproved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report • ; A guilt series 90 lett s�, 22ih�� A N S Ke.IA co 0-1111 j4ou3 has L ;w€ I Ilot '=i sAeI 9 lNk Aue r 6 Ip F 'll 1-i 'IC' is!{ i XL � i a 3 ' 6v i i i I4 I i I1 50 w 1 LAlrLIA) P e; Rough Plumbing / Insulation Inspection Repor�f"� - a) Office No. (518) 761-8256 Date Ins Iec 'on request received: Queensbury Building & Code Enforcement Arrive SiA&,_ am/pm 742 Bay Road, Queensbury, NY 12804 Inspecto 7 In ials: NAME: W PERMIT#: LOCATION: 41 Q-S til Vt'M6 7 INSPECT ON: 3/44/ TYPE OF STRUCTURE: S F sb Y N N/A Plumbing under slab Rough P uml bing /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 �f Drain /Vent •i// Air/Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I. for for 15 minutes Insulation /Residential Check/Commercial Check Window Sealing 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 Blower Door Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 0513 Rough Plumbing / Insulation Inspection Report olpm Office No. (518) 761-8256 Date Ins ec ion request received: Oueensbury Building & Code Enforcement Arrive: a am/pm 742 Bay Road, auueensbury, NY 12804 Inspecto 's Initials: NAME: KNikQ G D PERMIT#: / C/'' /3.3 LOCATION: Ch2 g Shgrtt<N n INSPECT ON: TYPE OF STRUCTURE: S T /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/ Head 50 P.S.I. for for 15 minutes Insulation /Residential Check/Commercial Check Window Sealing 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 Blower Door Test Air Sealing I ��L ' COMMENTS: ik-^ ?- / Rough Plumhing_Insulation Inspection_02 05 13 LUed , a-y Rough Plumbing / Insulation Inspection Report (3 ?) Office No. (518) 761-8256 Date Ins ection uest received: Queensbury Building & Code Enforcement Arrive: am/p 742 Bay Road, Queensbury, NY 12804 Inspect Initi A . NAME: K,Dl et) PERMIT#: r " 33 LOCATION: yo .SFcr'aaA INSPECT ON: 7-,'a TYPE OF STRUCTURE: S FO Y N N/A Plumbing under slab ;'Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place VA 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 litto*Cm Pressure Test Water Supply Piping v/ Air/ Head 50 P.S.I. for for 15 minutes Insulation /Residential Check/Commercial Check Window Sealing 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 Blower Door Test Air Sealing COMMENTS: Rough Plumhing_Insulation Inspection_02 0513 — Y_ Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspect on equest received: 7/2-0y Queensbury Building & Code Enforcement Arrive' am/pm 742 Bay Road, Queensbury, NY 12804 Inspect r s I ti Is: / NAME: It(etIa CIS PERMIT#: 1 — 133 LOCATION: 96A She- 2.—n, Ue INSPECT ON: ti /Y TYPE OF STRUCTURE: Y N N/A Plumbing under slab Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 11/ 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/ Head 50 P.S.I. for for 15 minutes Insulation /Residential Check/Commercial Check Window Sealing — ktfl2�Ag — / Iyvek or Similar Exterior Sealant \v/ 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 Blower Door Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspeclion_02 0513 WC°k Iv Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart'Cfl�g�/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials- NAME: nitials {{ U NAME: (/e.46-04-1-131 p PERMIT#: I p LOCATION: ` 0 VZ 9c or*t\c& INSPECT ON: 2' 3 di TYPE OF STRUCTURE: S F/ Comments Yf N N/A Piers riarAdh, 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 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 12/18/2013 2:44:00 PM W L S - lb Town of Queensbury Fire Marshal F4 1 742 Bay 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.pr � �/ Permit# 14J —/ 33 Schedule Inspection'1t 23\VA" Time 1. /� l -pm anytime Inspected: Name KEOda Address7/�S \C)ertcvar, 43 a r,fx'x inal_ Appliance Manufacturer 1 t Model# Direct Vent Factory Built Chimney_ Flue Sizt÷kDouble WalX Triple Wall Insulated_ Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase 2 Wall Penetration / y. ��Z— w�ac `�-�—� Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof i _r l , penetration;2 feet above any combustible w ` -' --- construction within 10 feet `- JP s f t'' <t t .-1s S - Gas Shut-Off Valve 17�7�� Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) CO Detection CSST Bonding White—Building Dept Yellow—Cust►mer Pink—Fire Marshal Town of Queensbury Building & Code Enforcement /, a �vjla Office No. (518)761-8256 (N Framing I Firestopping Inspection Report Inspection request received: Name: 14 (4 ato Inspected on: 7- / Location: 90g S Witur Q,..- Arrive: G - • p.m. Permit No.: Inspector's Initials: C. rrl) TYPE OF STRUCTURE: y N NIA COMMENTS: rF-Attie n � Attid Access 22"x 30"minimum Jack Studs/Headers V Truss Specification Provided / Bracing/Bridging l< Joist hangers V �? p Jack Posts I Main Beams — N'C�=' � '1 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 I Bearing Walls Metal Strapping for Notches Top Plate 1 1/2(w)16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft.floor trusses V 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 V/ 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) D 20 in.(W) 5.7 sf above/below grade 410%AJ 01— C r 5.0 sf grade Design Professional Sign-off, if required Framing / Firestopping Inspection Report Town of Queensbury Building &Code Enforcement l(,fie, U,/6- 101 Office No. (518)761-8256 Framing / Firestopping Inspection Report Inspection request received: Name: Inspected on: Location: q0y Sc-n-ma (I Arrive: a.m.1 p.m. Permit No.: / 'y-/3.3 Inspector's Initials: .al� TYPE OF STRUCTURE: B Y N NIA COMMENTS: Framing Attic Access 22"x 30"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 '/z(w)16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 less on cefror EIY etc _a-wer-shiathierdld-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 ref trie‘ 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: KeTatt-D PERMIT#: /<-133 LOCATION: qSh&f"Mac INSPECT ON: £ c)b -f� TYPE OF STRUCTURE: S FD Comments Y N N/A Footings Piers _ g • onolithi Slab f 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 6 inches above footing • '1 pol •for wet area under sl pproval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Farms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM t Le e s 1 3 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection req ___ -d: Queensbury Building& Code Enforcement Arrive: 12:-40• r� w it Depart: in- a (001 742 Bay Rd., Queensbury, NY 12804 Inspector's Initisa — / , rr NAME: �+K Ciao-4)Q,CC) PERMIT#: /<7 `/ aa [ LOCATION: 0 g a F\J INSPECT ON: i 0 —ii>" 1%' TYPE OF STRUCTURE: S F A 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/Wallpour Reinforcement in Place . ooting Dowels or Keyway in place iIFoundation Dampproof=n Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing - wc:6 mil poly for wet areas under slab / t - 4 Backfill'Approval 1 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 12/18/2013 2:44:00 PM 1 k uAt. g - io Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/p Depapm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials.Lo, !! 39Y' NAME: l 6.t N b PERMIT_ #: LOCATION: 9'Og S LOv..62 .t.. INSPECT ON: /o—/..24W TYPE OF STRUCTURE: S F b 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 7"Wallpour `/�/ Reinforcement in Place Footing Dowels or Keyway in place V / CZ‘- -L\'°-.1t C `' `-�_�/�J M Foundation Dampproofing CYO �t 't 1 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 12/18/2013 2:44:00 PM t hwt blot /o - Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/pm Depart'- am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial2/l NAME: ,O_ f0s°o PERMIT#:: 1 u"1 3 3 LOCATION: 90$ s INSPECT ON: t r c-/y TYPE OF STRUCTURE: S ,J Comments Y N N/A 41 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/WallpourAt'S C 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 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 12/18/2013 2:44:00 PM yng-fit/ kQ►ac_o - owtie.2 \'‘‘h Collet' Cak;,� !� hlOf P/AAJ 1 01 16 (f,DL-it) DR. PERMIT PL n•' 't4 Ifl S a Vi U..._U,-I-_- I HAVE PERSONALLY MEASURED THE DISTANCE FROM THE PROPERTY LINES TO THE PRO OSED, E(S)OR (4)1 l APR 21 2014 { TURE TOWN OF & CO DATE BUILDING & CODES • i zCv ti d,(Vy EAsen, Nf1. l 96. +J Leif or I 1 nSS' 1 ' Fila,., ` Ely j C r� L, u� lGuo" t/«ue / r/R�rti nil 7Afre , K.N\ ' { ., , +- it Dit I _ __ __ �- � Ives, car rg D SS up P°t2 5 e A^' Af)C ' 5u�e,d�5+�• f0" su+le I yb'�� \flr� d .