2014-627 TOWN OF QUEENSBURY
742 Bay Road,Quecnsbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140627 Date Issued: Monday, July 27, 2015
This is to certify that work requested to be done as shown by Permit Number P20140627
has been completed.
Location: 5 Elk Ridge Dr
Tax Map Number: 523400-301-015-0001-019-000-0000
Owner: FOOTHILLS BUILDERS, LLC
Applicant: FOOTHILLS BUILDERS, LLC
This structure may be occupied as a:
Garage Attached By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property (DJ 4 x4t-
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.
aTOWN OF QUEENSBURY
` N 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140627 Application Number: A20140627
Tax Map No: 523400-301-015-0001-019-000-0000
Permission is hereby granted to: FOOTHILLS BUILDERS. LLC
For property located at: PEGGY ANN 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: FOOTHILLS BUILDERS, LLC Garage Attached
9 MOUNTAINSIDE Dr Single Family Dwelling $95,000.00
QUEENSBURY NY 12804-0000 Total Value
$95,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2014-627 Building Lot#16 Elk Ridge Drive
SFD 1,344 sq.ft. with Garage 528 sq.ft.
Sub 2-14 completion is pending final mylar maps etc. New tax map# /911 street address TBD
$348.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,December 15,2015
(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 Qu bu , �M i i i ,,'( t ecember 15,2014
SIGNED BY //®®® \ for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
DATE 12 J 8 / I Lf ceived
i
urU 1 e Map ID .
TAX MAP ID j0 ( . 15 ' ( L Permit No.
Permit Fee ,t'•
ZONING MDR Rec Fee /rot I 6.-1 /a'm l�
Site Plan# -i v . D '
SITE Yes No Subdivision # c2-0�6/ �
HISTORIC I k No �A� l lv
. {V 6/- ao 14.
��. /V` /(
SUBDIVISION NAME flit/ tty t#
dr vl e1OL `IW
TOWN BD.RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY rvMP'41 GS,DUPLEXES
OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED &
MODULAR HOMES, BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE.
APPLICANT FOU 1 Hit-Ls b L1,L D E RS OWNER . CSC P 14 LE&LI
ADDRESS q MO RNTAINS OF bg . ADDRESS q Mr u NJA INSIDE 1)K•
aLkEcNS8ur2Y /.If /260`,1 ( UEENS guvy N / 12f
?01
PHONE/E-MAIL COO 4.11 1(s6uIIc1C0ISL Iry �ma11•COM PHONE/E-MAIL 116"3520 1"L,CLIC.tLY@NaTMAU.co'
CONTRACTOR COST OF CONSTRUC�ION(ESTIMATED): $ t S 0 0 0
�.�
ADDRESS: BUILDING ADDRESS: �� EI IC13e
-7612-- 13 0 ( rooSe ct�,�
PHONE/E-MAIL
- AIL �8 v �CONTACT PERSON FOR BUILDING& CODES COMPLIANCE:0o,��,�0 S C fP N LE U L l PHONE 19
6-3s-2.0
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alteration 1St floor sq.ft. 2nd floor sq.ft. Total sq.ft. Height
Single Family x' 13y y /3 y L/
Two-Family
Multi-Family
(# of units )
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial
Attached Garage
(# of I ) X c28 0 CZ el'1, v
Other
1
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial indicate name of business
Proposed use of building or addition
Source of heat (circle one) G Oil Propane Solar Other
Fireplace: complete a separate application for Fuel Burning Appliances &
Chimneys Nl.)A)6
Are there structures not shown on plot plan? 610
Are there easements on the property? I`J O
Site Information
a. Dimensions or acreage of lot o • g S ACRES
b. Is this a corner lot? Y E S
c. Will the grade be changed as a result of construction Yes No
d. Public water or Private well P1ABLIL TL/L
e. Sewer or Private Septic System Pg_f Y A 1'E s C P T 1 C
Value of all work to be performed (labor or materials) $ q s,0 0 0
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed,subject to fees and department
approval.
3. 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.
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy.
5. 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: PRINT NAME: 3Q SE P f4 Lettca DATE /2./P/it/
SIGNATURE: DATE /IA/it/
FOR OFFICE USE ONLY
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
2
Town of Queensbury Building&Codes Principal Structure Application July 2014
L 1
Town of Queensbury `4 C oZ 17 Thomas R. Van Ness
1x,11,-11 Highway Department Highway Superintendent
742 Bay Road, Queensbury, NY 12804 Home: (518) 745-0929
Phone: (518) 761-8211
Fax: (518)745-4466 David Duell
160 Deputy Highway Superintendent
Home: (518)745-0938
Coq DRIVEWAY DRIVEWAY PERMIT
isP-erDate: 12 18 /I Y
Applicant Name: RccTNILLS guILDE12S , LLC
Telephone No.: Cs ti?,) 3sz v
Address to Be Inspected:
Return Address: 9 Moun)TA 14\isIDE naive otAcEl'si3val ' (2 r.a y
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 approval permit for a final approval.
STEP 2: ( ) Final Approval ( ) Rejected
Date:
Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent
7
Town of Queensbury Building&Codes Principal Structure Application July 2014
SEPTIC DISPOSAL PERMIT Office Use Only
DATE 17_ I8/ 1 y Received
Tax Map ID
TAX MAP ID 30 1 I —I 1 Permit No. / [U
�` Permit Fee
LOCATION OF INSTALLATION I L� .& I kR i8,r,,A 1�t. Approvals:
APPLICANT F pOTI{ILLS guALDE(Ls LLL PHONE/E-MAIL 1614, iSZ�
F6C7HII.1-S(SuizDE/ZSD+-CL &-mA1 .com
ADDRESS 9 MoNIAirJSIDr: DQ- at,EENS031,0,'1 N4 12EC 'l
INSTALLER/BUILDER: c-001.Bi1LL,S P' 1 Li)E(LS PHONE/E-MAIL "IRC" ZC/ RILLS Sui LPGQS
&Cn+AiL.Lvm
ADDRESS:
N�A(NsIOL Di-- G�t,leen.31gfdiQy iJti (24C a
OWNER CS E P I& PHONE/E-MAIL 1%- 5-2° 3 L( ULT Z.',Qm
Cc IA
Address ) ( 'OL ,.cTAINStl)f:* mKitvE autEeK.,s8tAvi W-1 12 & C'/
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: 7T0 S C P t L E to L I PHONE 19 --3S-2-0
RESIDENCE INFORMATION
Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow
1980 or older Garbage grinder installed _Y N
1981-1991 Spa or Hot Tub installed _Y J N
1992-Present
PARCEL INFORMATION
Topography X Flat rolling Steep slope %slope
Soil Nature X Sand Loam Clay Other
Groundwater At what depth? NON k
Bedrock/Impervious Material At what depth?
Domestic Water Supply X 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 licensed engineering/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank Size gallons(minimum size 1,000 gallons,add 250 gallons to size for each garbage grinder or spa or hot tub)
System Type Absorption field with#2 stone Total length ft.; Each trench x
Seepage Pit with#3 stone How many: ;size
Alternative System Bed or other type?
Holding Tank System Total required capacity? Tank size #of tanks
Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will no longer
allow systems to be covered until such time as an As-Built plan is received &approved. The installed system must match the septic system
layout on file—no exceptions.
DECLARATION: Any permit or approval granted which is based upon or is granted in reliance upon any material representation or
failure to make a material fact or circumstance know by or on behalf of an applicant,shall be void. I have read the regulations and
agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Print Name: OSE PN LEvt -I Date: 1i-/(� I
Signature: � Date: i2-
j l
6
Town of Queensbury Building&Codes Principal Structure Application July 2014
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury, NY 12804
Date received: -4-I2- 2D 15
NAME: I\I151.mickYS
LOCATION: Lb-4110 e\k �a�{Q \bY.
`1
PERMIT#: 2-0 1 - 2,1-
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:\SueHemingway\Building.Codes.Inspection.FORMSU'inal Survey
Zoning Administrator.doc
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Queensbury Building & Code Enforcement - Residential Final Inspection " -
i2 . 4ipmOffice No. (518) 761-8256Arrive: am/pn D art:
Date Inspection request received: 911-4-12-cake Inspector's Initials:
NAME: 1 e1.1C__1 PERMIT#: )A-V2-1
LOCATION: •B el...14. (L1 DCa& DATE: -1'12-2-12o IS
TYPE OF STRUCTURE: SCJ
Comments:
Yetv/No N/A_
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location f ci3Q, 'o "352-0
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches ViV
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 � -<( tf tetj{ /. - --
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more �'=t? �
Handrail Termination at Newell Post or Wall A/ ..
Interior/Exterior Railings 34 inches to 38 inches r�
Deck Bracing/Handicapped Ram_p Compliant C___Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate ir
(../ (7-.. -1445 :— V` '-"`'-
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim I doors/main entrance 36 inches �(",�' (, 44-iAl
117
Bathroom/Kitchen watertighti
Safety glazing/Window in stairwells safety gla ing
Interior Smoke Det ors/Carbon Monoxide 4etectors
Every level: Eve Bedrgbm: /Outside every bedroom ea: t/
Inter Connected: Battery backup: /
Attic access 30 inches x 22 inches x 30 inches(heigh)in accessible area / /
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents r/
Bathroom Fans,if no window
Plumbing fixtures +
Foundation insulation to floor/Sticker on Panel /'
Duct work sealed properly/Blower Door Test Certification 1/
Floor truss, draft stopping finished basement 1,000 sq.ft. V
Emergency egress below grade
i,/
Gas Furnace shut-off within 30 feet or within line of site ��(6 � �
Oil Furnace shut-off at entrance to furnace area 1,7
Furnace/Hot Water Heater operating 67
Low water shut-off boiler f /J 44,22 't- `,') r�
Relief Valve(s) installed/Heat Trap/Water Temp 110 t/
Enclosed Stairs Sheetrock Underside minimum%2"Gypsum dr )-3-04,,Lir(-,a>vf
C
Basement stairs closed rise>4 inches /
Garage Floor Pitched
Garage fireproofing/3/4 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 7 /
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 i[Temporary/Permanent]
0
L:1Building&Codes Forms1Building&Codesllnspection Forms1Residential Final Inspection Form_revised_100405.doc; Revised
January 7, 2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
NORTH EAST BUILDING PERFORMANCE ADVISORS
Serving the Capital District, Saratoga and Adirondack Regions
July, 15 2015 7 Rocky Ridge, Warrensburg,NY 12885
Foothills Builders LLC
Joesph Lucci
5 Elk Ridge Drive, Queensbury,NY 12804
RE: Blower Door Test for NYS Building Code
To Whom it May Concern:
After inspection of your addition to your home at 5 Elk Ridge Drive, Queensbury,
New York and completion of a Blower Door Test consistent with the practice of
depressurization to 50 Pascal in a winter condition with the exterior windows and
doors shut and the interior doors to all the rooms open, my observations are as
follows:
❖ The home passes the current New York State Building Code for Air Changes per
Hour @ 50 Pascal of less than or equal to 7 ACH/50. The tested number is 6.07
ACH/50: 1125 CFM/50 times 60 minutes divided by the volume of the heated space.
❖ The total heated volume of the addition on the house is 11120 cubic feet taking into
consideration all first floor heated space. The cubic feet per minute @ 50 Pascal was
1125 CFM/50. The height correction factor for New York State is 19 for a one story
building, as such the tested home @ 5 Elk Ridge Drive has the natural rate of air
exchange of 0.32 air changes per hour/natural.
❖ Average homes built today typically have air change rates from 0.35 to 1.0 ACH.
Extremely tight new construction can achieve air change rates of 0.35ACH or less.
Homes with air change rates below 0.20 ACH, would require some form of
mechanical ventilation to bring in fresh outside air for the occupants and to control
humidity. Since the blower door test indicates that currently the house has an air
exchange rate of 0.32 air changes per hour natural, mechanical ventilation is not
required. I would however, encourage the use of the kitchen and bathroom fans to
help control humidity and improve indoor air quality.
❖ My credentials are as follows:
➢ BPI Certified Building Analyst
➢ BPI Certified Envelope Specialist
➢ BPI Certified Heating Professional
➢ HERS Rater
❖ If you have any questions regarding my findings please feel free to contact me.
Sincerely,
Jack rawIAe'
1.888.472.2774
7 Rocky Ridge Road 4A Vatrano Drive
Warrensburg,NY 12885 Albany, NY 12205
Phone (518)623.7016 Phone (518)350.2941
Fax (518)623.7015 Fax (518)694.0102
ikkeblite4 ei 1/1"-
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Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: /_-i a-e IS
Queensbury Building&Code Enforcement Arrive: am/pm Depart. am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: oC L'L4 U PERMIT#: O /471-6,61-7 •
LOCATION: j_46t- ((�o ` ot4 Jr<lc. a 5 1 ) -fv SPECT ON: eci, 7/i/ad/J
TYPE OF STRUCTURE:
ICY►
ll '
Comments
Y� N N/A
ootingsLerAc ,:for
Piers
Monolithic Slab 7W— / ` 3 3 C9"`
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement 7 / ., 3S .z O (JR-
of the concrete. y� . �f
• Materials for this purpose on site. ��td
•Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 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 12/9/2014
Town Uf Queensbury Building&Code Enforcement
Office No.(518)761-8256
Rough Plumbing / Insulation Inspection Report
Inspection request received:
Name: i- S\ ok--c) ,� Inspected on: r5--
Location: 1,rs t 11e F LV Rk DE,F_ RhfrO Arrive: 411' a.m. / p.m.
Permit No.: ( Inspector's Initials: , ^
Type of Structure: 5 FD
COMMENTS
Y N NA
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 1 I - J EVA F\En RLLS _
Insulati. / Residential CI_LLes,IsAommercial Check pkv\c\1_ ��I 'll. V10‘Zb7 1
•
Window Sealing
Tyvek or Similar Exterior Sealant EE N
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 I No duct tape
Blower Door Test
Air Sealing
Rough Plumbing/Insulation Inspection Report
QUOTE# QUOTE DATE BID BY ORDER PLACED BY ORDER TAKEN BY
221499 1/26/2015 MIKES
JOB NAME CUSTOMER PO# TERMS CARRIER
1501-Q45434
LINE# DESCRIPTION QUANTITY ROOM/COMMENT
300-1 *UNIT* 100 Operating/Single Hung(2 LKs)- J-Channel 1
* CALL SIZE *3-0 X 5-0
*OVERALL MANUFACTURED SIZE*35 1/2 X 59 1/2
*OVERALL ROUGH OPENING*36 X 60
*FRAME COLOR*White
*ALUMINUM REINFORCING*Horizontal Only •
r
* SCREEN *Half Screen,Fiberglass Screen
*JAMB *4 9/16"Primed Extension Jambs
**ROWI: ** -
* GLASS* ST Energy Star(U: 0.29/SHG:0.26); -- 35 5'
* GRID*White Profiled Grid VIEWED FROM EXTERIOR
PROJECT QUOTE
JOE LEUCI Unassigned
Comments:
Disclaimer:
Print Date: 5/14/2015 3:28:09 PM Page 2 Of 2
Builder Report Modernview Windows
��� 60 School Lane
� Fonda, NY 12068
em=„ „:.„,,,...,..,... Phone: 1-800-452-7535
Fax: 518-853-3299
BILL TO: SHIP TO:
QUOTE# QUOTE DATE BID BY ORDER PLACED BY ORDER TAKEN BY'
221499 1/26/2015 MIKES
JOB NAME CUSTOMER PO# TERMS CARRIER
1501-Q45434
LINE# DESCRIPTION QUANTITY ROOM/COMMENT
100-1 *UNIT* 100 Operating/Single Hung(2 LKs)-.1-Channel 6
* CALL SIZE*3-0 X 5-0
*OVERALL MANUFACTURED SIZE *35 1/2 X 59 1/2
* OVERALL ROUGH OPENING *36 X 60
*FRAME COLOR*White
*ALUMINUM REINFORCING *Horizontal Only -
* SCREEN*Half Screen,Fiberglass Screen
*JAMB*6 9/16”Primed Extension Jambs
**ROW 1: ***GLASS* ST Energy Star(U:0.29/SHG:0.26); 35.5
* GRID*White Profiled Grid VIEWED FROM EXTERIOR
LINE# DESCRIPTION QUANTITY ROOM /COMMENT
200-1 *UNIT* 100 Operating/Single Hung(2 LKs)-J-Channel l
*OVERALL MANUFACTURED SIZE*35 1/2 X 39 1/2
*OVERALL ROUGH OPENING*36 X 40
*FRAME COLOR*White*ALUMINUM REINFORCING*Horizontal Only
*SCREEN*Half Screen,Fiberglass Screen - - r
*JAMB*6 9/16”Primed Extension Jambs '
**ROW 1: **
*GLASS* ST Energy Star(U:0.29/SHG:0.26);
*GRID* White Profiled Grid ~— 35.
5.
VIEWED FROM EXTERIOR
Print Date: 5/14/2015 3:28:09 PM Page 1 Of 2
Town of Queensbury Building &Code Enforcement
Office No. (518)761-8256 `—J
Rough Plumbing I Insulation Inspection Report
Inspection request received: 5\1115
Name: �1\5 Inspected on: \\11)2_0‘5
Location: -El Arrive: b. ' ..m4
Permit No.: 1. 4— Inspector's Initials:
Type of Structure: SC-L
COMMENTS
Y N NA
Plumbing under slab cin TD5— ' i
Rough Plumbing/ Nail Plates
Plumbing Vent/Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test l �
Water Supply Piping t �
Air/Head 1
50 P.S.I for nu es
Insula '•n/Re '.-• " •• /Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic VentL.,-= a
Door/Window Sealed (No Insulation) ,.\\A
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
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/ Depart: i ‘"i ' t. am/Pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: � v 1 -t-k-X)1C-1Z5 PERMIT NO. : /,
- Z
LOCATION: • (,-(3--(.._ Fcc-� iE RV) INSPECT ON: / ISM
RECHECK:
Comments and/or diagram
Soil Type: Loam / Clay
Type of Water: icpgP/ Well Water
Waterline separation distance ft.
Well separation distance Lft.
Other wells:
Well Casing Length 50' + / - Y N N
[150'to well required if NO]
Absorption Field: Total length .C7'—/c];"--C> ft.
Length of each trench 5 ft.
Depth of trenches /0 t _-
Size of Stone
Seepage Pits: Number j
Size: 7 v
Stone Size:
Piping Size Tyae
Building to tank Ate .-I 1
Tank to Distribution Box A.' - '1A—�
Distribution Box to Field / Pitt < <)�� 't LS —
Opening Sealed: V N
End Cap VY N
Inlet/Outlet Pipes & Baffles VYPR '/ t� `= ii) yt i
4a--—
Manholes 12"or less below grade _Y c N �' -�
[provide extension collar if Yes] _ Y N� � ` C6 6L-L--C.--
Location / Separations
Foundation to tank `10, ft.
Foundation to absorption -{ ft.
Separation of Pits _ A-ft./
Conforms as per Plot Plan Y NA
Engineer Report and As-Built Y
ETU Maintenance Contract Y N
provided
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System Use Stat :
A!Rroved—'--
Lial Approved:and needs to be re-inspected, please call the Building &Codes Office
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report_03 29 10.doc %I
of Queensbury Building &Code Enforcement F- -10
...Alice No. (518) 761-8256
�i/1,C
, Seic Inspection Report
Inspection request received: b Name: (0_.0t Ul rt ( Vt�� ���5Inspected on: t..._//7/2
//7 2-3
Location: F..I u go. c1r�.c' /0e'� dire, VP 1 1L �l'� i.m.
r_ y
Permit No.: 114 — CPP 7 Inspector's Initials: �`"
Co- •nts and/or diasram
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'+I- Y N N/A
[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
Stone Size:
Piping Size Type
Building to tank
I Tank to Distribution Box
_
Distribution Box to Field I Pit
Opening Sealed: €<:.----2- :71C Z?,\
_Y_N
End Cap _Y__ N 521 �
Inlet/Outlet Pipes&Baffles _Y._N p\
Manholes 12"or less below grade _Y_N ``' ,<ZZC(----/- L..—.)- r—
[provide extension collar if Yes] _Y_N 1�
:c7(v„...-
Location/Separations (...,2‘
�/
Foundation to tank __ _ ._ft.
Foundation to absorption ft. 9‘...'
Separation of Pits — .
Conforms as per Plot Plan _ _N
Engineer Report and As-Built _Y_N
ETU Maintenance Contract provided _Y__N
Location of System on Pro.- :
Front r Left Side Right Side Middle Front Middle Rear
S stem Use, atus.
Ap. o -d
P:,.al Approved and needs to be re-inspected, please call the Building&Codes Office
T .disapproved
Septic In 'en Report '�
Town of Queensbury Building&Code Enforcement --Thuy3eVi
Office No. (518)761-8256
Rough Plumbing I Insulation Inspection Report
Inspection request received: 5112 I 2-Q)I b
Name: \_s „�Acv Inspected on: 2112 120 `�
Location: I .F �cicJr�, r v'� Arrive: a.m. I p.m.
Permit No.: 14- b2 �- Inspector's Initials: C___;k--t '
Type of Structure: $F
COMMENTS
Y N NA
Plumbing under slab 1%►��1 " �� '
Rough Plumbing/ Nail Plates cJ
Plumbing Vent 1 Vents in Place
1 '/z 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
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check 1 Commercial Check
Window Sealing •
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation) V/
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape
Blower Door Test
Air Sealing
Rough Plumbing/Insulation Inspection Report \\-&
Town of Queensbury Building & Code Enforcement
Office No. (518) 761-8256
Framing / Firestopping Inspection Report
Inspection requesxeseived:
Name: ' ' 1" i41b" - Inspected on: \_- l i\
Location: le—T'`-T 1 4} Arrive: a.m.1 p.m.
Permit No.: �`'� ` •Z". Inspector's Initials:
TYPE OF STRUCTURE:
Y� N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs I Headers
Truss Specification Provided
Bracing I 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 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 1/2 inch or 518 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space I 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 /
Office No. (518)761-8256
Rough Plumbing I Insulation Inspection Report
Inspection request received: 2 ` Y r7/3
Name: k ,l i c (n�, d( W L e Inspected on: .,1 7/
Location: L l 1/IL Arrive: CA / p )
Permit No.: / Inspector's Initials: -- "=:10111
Type of Structure: > n '
COMMENTS
Y N NA
Plumbing under slab
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Window Sealing
yvek 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,
Office No. (518) 761-8256
Framing / Firestopping Inspection Report
Inspection request received: a-jly 1J-6' /
Name: {bre- _(tICrg. Inspected on: l ,�" b "of (5
Location: L� r G I t (� Arrive: ii. .VC) ; s.m.
Permit No.: kV-' Yl 1C't,',.5L1,4 t- Inspector's Initials: __ r
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs 1 Headers L ]
Truss Specification Provided �� r
Bracing/Bridging
Joist hangers
Jack Posts!Main Beams
Exterior sheeting nailed properly �— � n {�
12"O.C. ///")
Headroom 6 ft.8 in.
Stairwells 36 in.or more
Exterior Deck Bracing
Headroom 6 ft.8 in.
Notches J Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft or less on center
e and w 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'A 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 I below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing/ Firestopping Inspection Report
—/c)--,402
—a
""1"-R6d-r4a7
Foundation Inspection Report LJ an
ad- SIS
Office No. (518)761-8256 Date Inspection req i:st -ce -d• //a/44/S
Queensbury Building&Code Enforcement Arrive: v•r a Depart: ii).1 ar irk
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: -,;
NAME: �`rThrl 15 43/d s -saki i( .., ..,#: 2O/L-1.- (0.)-7
' dCn. a�j�/,.
LOCATION: e�k R�s,ii i •• `.- '�v L INSPECT ON:
TYPE OF STRUCTURE: I 'j/, -, AlYee
s�1o,L,;ar\
Comments
2- \ _) f\ Ike
Y N N/A
Footings
Piers 7I1/1
Monolithic Slab 361_ 3,24/3
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
l� Footing Dowels or K Keyway in place
``JJ r".
Foundation Dam ni" ,6e' ',..-,i)
o dation Waterproofing ri
Footing Drain Daylight or Sump
Wooting Drain Stone:
12 inch width
6 inches above footing
6 mi wet areas under slab
(2ckfill 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 12/9/2014
--rues 9-8I
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:7';A, A�
NAME: l_e LQt1 Tt PERMIT#:
LOCATION: P, A-nn INSPECT ON:
TYPE OF STRUCTURE: S I b
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for . �f
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place r'
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 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 12/9/2014
Qui? Wi
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: /-/3
Queensbury Building&Code Enforcement Arrive: 14/5 am/pm Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: J$
NAME:
42-atf PERMIT#: _ l 1+' Ln 2
LOCATION: PLL INSPECT ON: /— /9-1
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings V
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for /
providing protection from freezing rj
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 J
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 12/9/2014
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