2014-450 `�,�` TOWN OF QUEENSBURY
a742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140450 Date Issued: Thursday, September 03, 2015
This is to certify that work requested to be done as shown by Permit Number P20140450
has been completed.
Location: 87 RICHMOND HILL Dr
Tax Map Number: 523400-308-007-0001-057-000-0000
Owner: TRA-TOM DEVELOPMENT INC
Applicant: TRA-TOM DEVELOPMENT INC
This structure may be occupied as a:
Single Family Dwelling By Order of Town Board
•
TOWN
^OF QUEENSBURY
,µS"_'`(/
Issuance of this Certificate of Occupancy DOES NOT relieve the property [ / 4 44te
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
FV$1 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140450 Application Number: A20140450
Tax Map No: 523400-308-007-0001-057-000-0000
Permission is hereby granted to: TRA-TOM DEVELOPMENT INC
For property located at: 87 RICHMOND HILL 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: TRA-TOM DEVELOPMENT INC Single Family Dwelling $150,000.00
677 STATE ROUTE 9 Total Value $150,000.00
GANSEVOORT,NY 12831-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2014-450
SFD 1st Fir 993 sq ft; 2nd Fir 1,009 sq.ft.
Garage attached 484 sq.ft.; 1 Fireplace (gas)
$400.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, October 02,2015
(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 oq<�tssbury;n Thu t ay October 02,2014
SIGNED BY �✓ �t Yl1 1. for the Town of Queensbury
Director of Building& Co.- Enfo\- ent
. Office Use Only
Town of Queensbury Building'& Codes „ - -- -
;u 7 u (� h r 'Received:
� L kai '
' r1 � "�-• -�_ Tax Map ID: 3e) ti- /-64)
PRINCIPAL STRUCTURE APPLICATION, i P4Irrillit No.: 4,3 PI Ca TIP
A permit must be obtained before beginning c� truction 2014 r' i /
r ,_ Permit Feely $cr ,� //� p
J *Rec Far $ aJv iKe l
Please read: *TB resolution 86-2013(1-28-2013):, 850 recreation fee for new dwelling, r y V
units,including single-family dwellings,duplexes or tv 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 Seip\ tZ a011 Applicant f rovIc
Tax Map ID 302.1- i-Ey Address
Zoning
Phone/E-mail
Property Owner 11-lf.164L-L% Contractor/Agent l %%tt. -91 Vc.roNe
Address Address toil kc.-.l
Gc..Se_Aoo.t ,rv,Y rat-s(
Phone/E-mail Phone/E-mail S i as
Building Street Address: Si b2:��* 6 N�`` o r- - 93
Subdivision Name: Zan.& tle.aInk s Lot#: IO Historic Site: Yes A No
Estimated cost of construction: $ 45 f SDS°700
Type of Construction:
Check all that apply Please indicate measurements as required below:
_
o c
d 1st Floor 2nd Floor Other Total 7 Height
? a a y7:61 410
Single Family
qq 1 1- 1001,1-i\_ ao 0 a
Two-Family
Multi-Family(#of
units )
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garages(# 1 ) Uc84��� 4/21 s f t
9
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Town of Queensbury Thomas R.Van Ness
Highway Superintendent
Highway Home(518)745-0929
Department
742 Bay Road—Queensbury,NY 12801 David Duell
Phone: (518)761-8211 Deputy Highway Superintendent
Fax: (518) 745-4466 Home (518) 743-0938
DRIVEWAY PERMIT
DATE: .S'e e CZ QC,l`1 CC
APPLICANT NAME: — f o S 1.\ t�d�
TELEPHONE NO.: 5(3 '53 t -888°
ADDRESS TO BE INSPECTED: 8i D..<- e-t\J ON
RETURN ADDRESS: //(0 7 7 iLt....\
GG S¢1/41061-4-, tU. ( v'-0731
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 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
1,1j nI
Only
11n'lu` SEP 2 tallith] I / l
Town of Queensbury Building & Codes Permit No.: I / </—y5 0
SEPTIC DISPOSAL PERMIT TOWN OF l.tperbit Fee JRY $ I
A permit must be obtained before beginning co,stnrctionfUILDIN 3provls"g_J
Applicant InstallerlBuilder T t,o:.w� e.tt �lon e 3:4:11e5
Address: Addressb17 Re3._-k1 R
G4aneuo0!d, N.Y. I a8'St
Phone: Phone S/8 SW? ' flC
Owner: Location of Installation t'-1 R,iCy. ra,wc\ t.\ :ct
Address:
Phone
Contact Person for Building&Code Compliance: cJc& .`ck \' C_ Day Phone: 8 5'8 -SLSto
Residence Information:
Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow I
1980 or older x 150 = Garbage Grinder installed? 4
1981-1991 x 130 = Spa or Hot Tub Installed? NM-
1992-Present
VM-
1992-Present 9" x 110 = `/40
Parcel Information:
Topography V Flat Rolling _Steep Slope _%Slope
Soil Nature T( Sand Loam_ Clay _Other
Groundwater At what depth? 5n ' a '
BedrockimperviousMaterial At what depth?
Domestic Water Supply V 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)
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 /SO 0 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 Q ft. Each trench Y X si
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 lime 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: re-e—CC2
Date:
Signature: Date: S.e/QA-
Town of Queensbury Building&Codes P ncipal Structure Packet 518-761-8256
Office Use Only
Town of Queensbury Building & Codes Received:
_ Tax Map ID:
FUEL BURNING APPLIANCE &CHIMNEY AP,h
PL_ICATION; br 'perma no'. Su ti/8, ,
Permit Fee: $ D {�
SEP 2 2 ?pt4 ��!
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 ap`plicable,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: Rouqh-In and Final Inspections Are Required:
Date 5-Eck, n acw4"
Owner Installer/Builder TFlor. , 5. ie-.*.Me Floc -6biler3
Address Address to -7-1Ro e 9
G ql+s eu e,,--F . W.? .1 a-8 3 I
Phone Phone S 18 S 8 i $8'a6
Location of proposed construction and/or installation: Z1 R:c1.0,o.d. li i S\
Contact Person for Building&Codes Compliance: De ,:A. 71 er-Xe-
Subdivision Name: 3 tir I-t nese s \\e_4.k- ,
Fuel Burning Appliance Information Wood Coal Pellet Gas Oil
Stove
Fireplace Insert
Fireplace,factory built* X'
Fireplace, Masonry
Furnace,(Garage Only)
* If Factory Built, Please Provide: Manufacturer Name: b.wut-{. Model No.
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 /6 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
i+tts.ta
WueesbuwBiIding & Code Enforcement - Residential Final Inspection��
Office No. (518) 761-8256 Arrive: am/pm De art: 2 f C)onrn/pmt
Date Inspection request received: 91217-at 5 Inspector's Initials:
NAME: Wit.'limn 1),P NAAagvvunvCk— PERMIT#: 1*–Lt�
LOCATION: al- K-t On,.ntw.rt 41111 DATE: C1)3 I 2.o,4.54
TYPE OF STRUCTURE: sec,
Comments:
Yes No N/A_
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location /
Fresh Air Intake r✓
3 inch Plumbing Vent through roof minimum 18 inches t/"
Roof Complete/Exterior Finish Complete ✓
Platform at all exterior doors • /
Handrail 4 or more risers V I.
Guards at stairs,decks,patios more than 30 inches above grade / 1/
Guard at stairwell at 34 inches or more ✓�
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall Vie
Interior/Exterior Railings 34 inches to 38 inches ✓
Deck Bracing/Handicapped Ramp Compliant ✓
Grade away from foundation 6 inches with 10 feet /
6 inch dearance to sill plate v".,/
Gas Valve shut-off exposed/regulator 18 inches above grade ✓
Interior privacy/trim/doors/main entrance 36 inches ✓
Bathroom/Kitchen watertight
Safety glazin /Win ow in stairwells safety glazing p�
Interior Smoke ors/Carbon MAnoxide'betectors
Everylevel: ���///���/// EveryBedron: p��
Outside every bedroo rea:
Inter Connected: Battery backup: J
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 �j
Bathroom Fans, if no window //
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel VP.
Aa-r<
' �
Dud work sealed properly/Blower Door Test Certification , 9 "\'�S""�y"� `/
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade /t d
Gas Furnace shut-off within 30 feet or within line of site t/
Oil Furnace shut-off at entrance to furnace area ✓
Fumace/Hot Water Heater operating /
Low water shut-off boiler t
Relief Valve(s)installed/Heat Trap/Water Temp 110 V /
Enclosed Stairs Sheetrock Underside minimum%"Gypsum Y
Basement stairs closed rise>4 inches
Garage Floor Pitched ✓/ { j L51 `�Apr
Garage fireproofing/ hour fire door/door closer ✓ L J, l'f?Tir WM—
Gas Logs in Sealed or Glass Enclosure v
Final Electrical;Enemy Saving Light Bulbs 50% t, s^. . ,n� . .ra r!`Y}
Final Survey Plot Plan p (/' *& �J�+P� l
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles �/ [// (kms-A-5. L
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker ii:PlCe
Site Plan /Variance required Oree
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent I
L:Wuilding &Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
Town of Queensbury Building &Code Enforcement
Office No. (518) 761-8256
Septic Inspection Report
Inspection request q13\ Z0 AS
V
Name: ra—TQyt.) bZ.N_CAOyyltV1r Inspected on: b120k5
Location: 89' ttcJnm l -i\-01 Arrive: , - a.m.I p.m.
Permit No.: 11-1p Inspector's Initials: i 1k
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distance ft
Other wells: ft.
Well Casing Length 50'+/- Y NIA
[150'to well required if NO]
Absorption Field' Total length ft
Length teachtrench ft. aay+/C)
Depthpthof trenches ft.
Size of Stone
Seepage Pits: Number
Size: 1 x
Stone Size' 1
1 � -�
.
ork
Piping Size Type ����
Building to tank
Tank to Distribution Box
Distribution Box to Field/Pi \
Opening Sealed: y N 1 ���
End p Y_N �( //
nletlOuOutlet Pipes&Baffles Y_N L/�/��'
Manholes 12"or less below grade _Y N
[provide extension collar if Yes] Y_N 40- r--
Location/Separations
Foundation to tank ft
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan
Engineer Report and As-BuiltON
N
ETU Maintenance Contract provided _Y N
Location of System on Property:
Front R:.r Left Side Right Side Middle Front Middle Rear
S stem Use Stat. :
,I Approve.
•.-'. Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Septic Inspection Report
Queensbury Building & Code Enforcement - Residential Final Inspection�� 4
2 4d
Office No. (518) 761-8256 Arrive: am/ppmm; Dep `kpaartt 2 rn/pm
Date Inspection request received: 9 1 Z(2 Oh`� Inspector's Initials: J !
NAME: \ t&- 1A -
vmActAapmsavit" PERMIT#: I2k-
LOCATION: al- V-tcanc "ri -i}itl DATE: CI at 12c.t5,
TYPE OF STRUCTURE: Sen
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
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 V
Guard at stairwell at 34 Inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wail
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant k!
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 I Kitchen watertight
Safety glazin /Win ow in stairwells safety ! azing
Interior
r Smoke ors/ry Carbon WI no>ada�0etedors
Everylevel: ���///���/// Eve Bedrophi: p� /
Outside every bedroo rea: / /
Inter Connected: Battery backup: J
1 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 A
work sealed properly/Blower Door Test Certification • a-�
Floor truss, draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade i
Gas Furnace shut-off within 30 feet or within line of site II + IZSz.EINkrr4n
Oil Furnace shut-off at entrance to furnace area A
Fumace/Hot Water Heater operating ►Tct /�—t.-
Low water shut-off boiler V
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetroc k Underside minimum 14"Gypsum
Basement stairs closed rise>4 inches
✓/ CS
, e
Garage Floor Pitched bk//l `��/0.
Garages fireproofing or asn door/door closer v
Gas Logs in Sealed or Glass Enclosure
Final Electrical;Energy Saving Light Bulbs 50% a--^.PM . .�, er-f-
Arc Survey Plot Plan �� J3.c
Se !
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles 37:7
Flex Gas Pipe Bonding ��//
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plann Variance required
FlooddPlain Certification,if required 0
Okay to issue C/C or C/0[Temporary/Permanent)
L:iBuilding&Codes FormsiBuilding&Codestlnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
Ci)
E Residential Final Inspection -/ O
Inspection request received g/3(1 /S7—
Name c /v-e Inspected on eV?- l S
Location g7 (-I a itNemb j>1, /Arrive 9 ;3 agpm
Permit No. 1 LI Ll Rt Inspector's Initials eat
Type of Structure
Yro N/A Bathroom Fans,if no window Y s
4" Building Number Address visible from road Plumbing fixtures ✓ /
Chimney Height/"B"Vent/Direct Vent / Foundation insulation to floor/Sticker on Panel V
Location / Duct work sealed properly/Blower Door Test /
Fresh Air Intake ✓/ Certification V
3" Plumbing Vent through roof minimum 18" ft Floor truss,draft stopping finished basement
J.
Roof Complete/Exterior Finish Complete f 1,000 sq.ft. V
Platform at all exterior doors 1,C, Emergency egress below grade
Handrail 4 or more risers V Gas Furnace shut-off ft. or within line IGuards at stairs,decks, patios more than 30 " of site (a4 gZ_
above grade Oil Furnace shut-off at entrance to furnace area V/
Guard at stairwell at 34"or more f Furnace/Hot Water Heater operating t//
Guard at deck, porches 36"or more ✓ Low water shut-off boiler v
Handrail Termination at Newell Post or Wall ✓ ' Relief Valve(s)installed/Heat Trap/Water
Interior/Exterior Railings 34 "to 38" ✓ Temp 110
Deck Bracing/Handicapped Ramp Compliant N Enclosed Stairs Sheetrock Underside minimum
/1 1/2"Gypsum /
Grade away from foundation 6" with 10 feet N ✓
Basement stairs closed rise+ 4 inches
6" clearance to sill plate Garage Floor Pitched Yf
Gas Valve shut-off exposed/ regulator 18"above V Garage fireproofing/ '''A hour fire door/door ✓
grade closer
Interior privacy/trim/doors/main entrance Gas Logs in Sealed or Glass Enclosure v/
36 " ✓� /
Bathroom/Kitchen watertight ✓ Final Electrical: Energy Saving Light Bulbs 50% V
Safety glazing /Window in stairwells safety ti
Final Survey Plot Plan
it
glazing Arc Fault Breaker Habitable Spaces/Tamper
Interior Smoke Detect /Carbon Monoxide Proof Receptacles t
Detectors / /
Flex Gas Pipe Bonding t
Every level: __ __ Every Bedroomr� !
/ As Built Septic System /Sewer Dept. Inspection
Outside every bedroom a4: �/ Sticker
Inter Connected: _ Site Plan /Variance required t/
Battery backup: / Flood Plain Certification, if required
Attic access 30" x 22" x 30"(height) in ✓/ Okay to issue Temporary/Permanent
(0
accessible area
Crawl Spaces 18" x 24"access,1 sq.ft.-150 sq.
Certificate of Occupancy OR7 Certificate of Compliance
ft. vents
Yes No N/A R a >+
�e /�►�`, A ,a thiSjaile
Comments: < <
f oLP
oF 1-ti-E- -- R.,
Town of Queensbury Building& Code Enforcement Office No. (518)761-8256
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: Rb_i 20Acp
NAME: -c C,-Tod-f t2X601 1,nt nt
LOCATION: L Lpt/ 8� nr y -c3 t 1\
PERMIT#: 11 -1 z)
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has been:
Craig Brown, Zoning Administrator
Notes:
L:\SueHemmgway\Building.Codes.Inspectwn.FORMS\Final Survey
Zoning Admmistrator.doc
MQ,,\)
- Town of Queensbury Building &Code Enforcement q_i 1
Office No. (518)761-8256
Septic Inspection Report
Inspection request received: 6\1 -\20.15
Name: \ (A,- MAW\ Inspected on: e2 . • Ate
Location: b1- Q-1CAnvyicwya-AA IV Arrive: s�='� AS..m.
Permit No.: li —I}`-)Q Inspector's Initials: _do.
ments and/or dia•ram
Soil Ty : Sa /Clay
Type of Itinicipa Well Water
Waterline separation distance ft.
Well separation distance ft
Other wells ft.
Well Casing Length 50'+I- Y N NIA
[150'to well required if NO]
Absorption Field' Total length 2.2.n ft.
Length of each trench f'i€E/-� 7Z ft.
Depth of trenches v Lttf.
Size of Stone —L.,--
Seepage Pits Number
Size: x
Stone Size •
•
Piping Size Type
Building to tank LA Al /6VC.IDS
Tank to Distribution Box tt
Distribution Box to Field/Pit tit V00 IA"
%) ��Q�
Opening Sealed: N 'D
End Cap N
Inlet/Outlet Pipes&Baffles Vt., N
Manholes 12"or less below grade VY N�
[provide extension collar if Yes] Y ✓�j
Location I Separations
Foundation to tank _1QX
ft f �'
Foundation to absorption Z2.- ft. •itc: `
Separation of Pits ft/ ctt 6 N2 ""�� --�� >�
Conforms as per Plot Play _Y VVI \
Engineer Report an _Y tt
ETU Maintenance '• ract provided Y N .. ��\ C• \tJ _
i ?eLocation of S stem on • ooe • i 111
Front 0 -ft Sid- eight Side Middle Front Middle Rear
System Use Statu .
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved43
Septic Inspection Report
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: A.. am/pm
Date Inspection request received: Inspector's Initials:
orp
NAME: � PERMIT#: ti ACCPPb
LOCATION: tr77 ({e J�t��k-kt$ DATE:
Q
TYPE OF STRUCTURE: -Seer)
?
Comments:
Yes o N
Building Nu er Address visible from road
`thrmney Height/"B'Vent/Direct Vent Location s
Fresh Air Intane ✓� / t ,<R e\ "`Ltic.
3 inch Plumbing Vent through roof minimum 18 inches v/� � �Q�
Roof Complete I Exterior Finish Complete vcs
✓ t5}10-55a Z�'
Platform at all exterior doors1
Handrail 4 or more risers f ~�
Guards at stairs,decks,patios more than 30 inches above grade ,41gLI-2-C -1)sc
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more ic,, r
Handrail Termination at Newell Post or Wall Y/ ����_ ,I � '� `t ^
Interior/Exterior Railings 34 inches to 38 inches ✓✓
Deck Bracing/Handicapped Ramp Compliant /% Ve_:r
Grade away from foundation 6 inches with 10 feet / q —
" -^�t
6 inch clearance to sill plate %?..
( C % u Dr-
V
Gas Valve shut-off exposed/regulator 18 inches above grade � �
Interior privacy/trim/doors/main entrance 36 inches Y L
Bathroom/Kitchen watertight �-i ZA,41 A 43y.
Safety glazing/Window in stairwells safety glazing 1-i
` :/"t�
Interior Smoke Det ors/Carbon Monoxide�etectors v/. =6 �,
Every level: Every Bedraetiii: t/ �{.'.Z� "�
Outside every bedroom a: fit//
Inter Connected: Battery backup: �� d:----c--
Inter
access 30 inches x 22 inches x 30 inches eight)in accessible area / t l� 1 %
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
�/ ��/
Bathroom Fans,if no window Vtz-
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel /(/
Duct work sealed properly/Blower Door Test Certification v ! L
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 �{ � e
Oil Furnace shut-off at entrance to furnace area 1c C_..e 3 .3 of 3S
Furnace/Hot Water Heater operating 117/
Low water shut-off boiler 4/0)7
7 / J c�LT..MS 0-- _7)
Relief Valve(s)installed/Heat Trap/Water Temp 110 (�/
Enclosed Stairs Sheetrock Underside minimum'W Gypsum /
Basement stairs dosed rise>4 inches ✓/ � � >�
Garage Floor Pitched i/
Garage fireproofing 1%hour fire door/door closer T
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
is System/Sewer Dept. Inspection Sticker
Variance required
••• ' am Certification,if re u' T 1
Okay to issue C/C or C/O em ora ermanent 1 V
L:\Building&Codes Forms\Building&Codes\Inspection Fonns Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
Town of Queensbury Building&Code Enforcement lvlP''v
Office No. (518)761-8256
Rough Plumbing / Insulation Inspection Report
Inspection request received: i 1 1 1 'S
Name: Inspected on: <►- / 5
Location: 97 (cc4ki rC C' (s4, U Af Arrive: L' Jr• �� .m.
Permit No.: 1 " -I 9) Inspector's Initials: a
Type of Structure:
COMMENTS
Y N NA
Plumbing under slab
Rough Plumbing/Nail Plates
Plumbing Vent I 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 I 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 I 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
Rough Plumbing/Insulation Inspection Report
Town of Queensbury Building&Code Enforcement 14
Office No. (518)761-8256 1'3
Rough Plumbing I Insulation Inspection Report j
Inspection request received: 'l'ut It'
Name: \YU -1 nn Inspected on: l'LA-Vide
Location: el- 9-Ac - w,,Qina I\l Arrive: -MJ' . - .1 p.
Permit No.: 1A-Ther-00 Inspector's Initials: Orr
Type of Structure: fir*
COMMENTS
Y N NA
umbing tnd slab) 2. L.)g, p,— 'vlzb
Rough Plumbing/Nail Plates
Plumbing Vent/Vents in Place
1 '%inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet I change of direction
Pressure Test
Drain/Vent
Air Head
5 P..S.I. or 10 ft. above highest connection for 15 minutes i))
Pressure Test 1/ (/(
Water Supply Piping
Air/Head ey b \L 3 SQ
50 P.S.I for/15 minutes -$ Zo6
kr Insulation//!Residential Chec /Commercial Check f 5 ��' �
Window S&aling
Tyvek or Si 'la xterior 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
Rough Plumbing I Insulation Inspection Report
t-3
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection requ• t rece' • 4124-1-25 .15,....9
Queensbury Building& Code Enforcement Arrive: 11.fY)a I AirDepart: V. amii
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial.: y/
1 T
NAME: etrot 7(3111ARMIT#: 14-4
LOCATION: bi-Qc),-,rvvcv,c1 it1-t1t INSPECT ON: '1 L1-12QA5
TYPE OF STRUCTURE: �`
i13—p-- -' (``r_ `� ' Comments
Y N N/A bo.ptc, ,E) ti _5108c,
ootings J
� Piers 1/
4 Monolithic Slab , 4 V
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 /�,
Foting Drain Stone:
12 inch width
41, -
6 inches above footing
r '- 6 mil poly for wet areas under slab
- -
l:aclri- Approval Approval- --
�- Plumbing Under Slab 5 , 7
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 12/9/2014
4
Town of Queensbury Building & Code Enforcement MONI 15
Office No. (518) 761-8256
Framing ! Firestopping Inspection Report
Inspection request received: 3\kgl2( tS
Name: TYA-avvl touve aoPm�nfi Inspected on: 3)23 2-015_—_Location: 81- a- 1 U'nv'n .rcj -V1.1 Arrive: a /
Permit No.: t�– "iSti Inspector's Initials:
TYPE OF STRUCTURE: S`- /
Y N NIA
V COMMENTS:
tric Framing
Attic Access 22"x 30"minimum ,et0c{C-0C----
Jack Studs/Headers
Truss Specification Provided Q
Bracing/Bridging 3C1vV.Q� 65b —aldatp
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft.8 in.
Stairwells 36 in.or more
Exterior Deck Bracing
Headroom 6 ft.8 in.
Notches I Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(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
Ceilinglwall
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 v6 v 1 ^S
Office No. (518)761-8256
Rough Plumbing ! Insulation Inspection Report
Inspection request received: 3,\W\t5
Name: ✓7A- tO m &MAOprnont Inspected on: 3 1& 2015
Location: oq- (2kckvrrtipnd A-Lt\\ Arrive: : ♦S' a.m. p.m.
Permit No.: VI -z Inspector's Initials:
Type of Structure: 45C /
Nor
,u NRS es
COMMENTS
y,�ng VS \pc` Y N NA
Plumbing under slab GUYS 6515 - 3(4 b
(10�Ro_u�h Pl�,umbing�ail Plates ,c1 tit. ji_�� F��
Plumbing Vent/Vents in Place
1 1/2 inch minimum Drain Size V/
Washing Machine Drain 2 inch minimum ,/
Cleanout every 100 feet I change of direction /
Pressure Test ✓� YV_�
D _'q /Vent ,-//�,
'- d ✓ �FQ� \QED o�
tr 10 ft. above highest connection for 15 minutes /
r- essureTest f Pyr `U O
a . •r Supply Piping �i
A/ ✓/
"� ' �r 15 minutes
-. .tion/Residential Check I Commercial Check Q.
Window Sealing
Tyvek or Similar Exterior Sealant s . 1 $ •vL"�
Proper Vent, Attic Vent ° I o t,s
Door/Window Sealed (No Insulation) (�
Duct I Hot Water Piping Insulation M oflEL: J\ Ee_\
If required unheated spaces t t p a`- TM13
Combustion Air Supply for Furnace '/
Duct work sealed properly/No duct tape !J 0 A �I Kut Ita9
Blower Door Test
Air SealingE-C-X \ E -Clk
fie-})E O -
Rough Plumbing/Insulation Inspection Report
Town of Queensbury Building & Code Enforcement E 1
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request received:
Name: \Y L\•-Tay- \ cflt1Q'imru It Inspected on: 3 I lb 1,2_0 t
Location: e7+ 9tomo 1t tt` Arrive: . /.m. 0
Permit No.: 19 —150 Inspector's Initials:
TYPE OF STRUCTURE: ScfN
Y N / NIA COMMENTS:
ram = 67=i z,�o ✓ 3 b�
"Pdtic AtEess 22"z 30"minimum — 1� 1\ ,,,t, o e "
kp
Jack Studs I Headers ✓/ ' r
Truss Specification Provided _.,.—(�
Bracing/Bridging /' \b351-Auu - F13+�°j 33RAL\e 6 (kb
Joist hangers �/ T7 kbC.J3 b jED -
Jack Posts/Main Beams
Exterior sheeting nailed properly
7 t \.1&vALL vkiaarry,S bt
12"O.C. .' 'FaM X12 Ruot-1/4 cE\u\J�
Headroom 6 ft.8 in. 7— ti)5 _
Stairwells 36 in.or more
Exterior Deck Bracing
Headroom 6 ft.8 in.
Notches I Holes I Bearing Waiis ✓/
Metal Strapping for Notches Top Plate
1 %(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
Fr_ ora ion 1,2,3 hour
ire-wall 2,3,4 hour {/
,&restoppingana`3 .7 a>(.) FLW' _ J
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 I Gies W'is
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request received:r
Name: �7 AO-- "tO M Inspected on: t; _ --3"/y
Location: g 5 +D Arrive: I a.m.!p.m.
Permit No.: I H - 5b Inspector's Initials: •—
TYPE OF STRUCTURE: S F b r
Y N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided
Bracing/Bridging
Joist hangers
Jack Posts I 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 'A(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center
fc nolwafe&s6iefdl1 inches from wall
Fire separa ion 1,2,3 hour
Fire wall 2,3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side'A inch or 5/8 inch Type X
Garage side 518 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
91/
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/pm Dep am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials \ 5
NAME: " PRE)-j.._, M PERMIT#: /CI-
U1 - 41 60
S
L'
LOCATION: / I'tt th K1 etrA -J1 t 1 INSPECT ON: /
TYPE OF STRUCTURE: S r V
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
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Stone:
12 inchch width
6 mil es abo footing
6 mil poly for wet areas under slab
t Bacl�ll'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
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/pm Depart:
m/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
J C (� r 7�
NAME: l_n� rte- PERMIT#: ( 7'—4460
LOCATION: 7 R(1+1. tINSPECT ON: / /—/h d 'Y
TYPE OF STRUCTURE: e' FI:).
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.
:Foun n/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
1'hW it
Csabk
Foundation Inspection Report btrivv)
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:/ Wy/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:C G5/ C((J
NAME: 4A 4 I 0-nr* PERMIT#: �'i .9 SD
LOCATION: D I !'1 ti-RActernelft tHINSPECT ON: / 6 -3 i9'"ly
TYPE OF STRUCTURE: S F b
Comments
Y/ N N/A
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 vt,V �is c %
Reinforcement in Place 2
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 ti .�--r
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
169 Haviland Road, Queensbury,NY 12804
Phone-518-745-4400 Fax -518-792-8511
E
KBUTOWN
P 0 3 2015 September 2,2015
OFNG&ENSBU CODESRJob#46170
New York State Dept. of Health
77 Mohican Street
Glens Falls,NY 12801
RE: Barringer Heights Subdivision- Queensbury(T)
87 Richmond Hill Drive (Lot#10) - Septic System
Dear Sir/Ma'am:
This letter is to inform you that we inspected the completed septic system for the house on 87
Richmond Hill Drive (Lot#10) in the Barringer Heights Subdivision on August 7, 2015.
The septic system as installed was for a four bedroom house and consisted of a 1,250 gallon
septic tank and 200 lineal feet of absorption trench constructed with stone and perforated pipe.
The system conforms to the requirements of the approved subdivision design drawings.
Please call me if you have any questions or concerns.
Sincerely,
Thomas R. Center Jr. , PE
cc: Dave Hatin, Town of Queensbury
Tom Farone