2009-072 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090072 Application Number. A20090072
Tax Map No: 523400-297-006-0001-006-001-0000
Permission is hereby granted to: MATTHEW & CHRISTIE HUMMEL
For property located at: 45 LYNDON 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. Tyne of Construction Value
Owner Address: MATTHEW&CHRISTIE HUMME
LYNDON Rd Fireplace
QUEENSBURY,NY 12804-0000 Garage Attached
Single Family Dwelling $220,000.00
Total Value $220,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-072
2534 sq ft single family dwelling with 676 sq ft garage& 1 fireplace
$371.68 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, March 27, 2010
(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 f Quee bu a March 27,2009
SIGNED BY for the Town of Queensbury.
urY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20090072 Date Issued: Friday, February 19, 2010
This is to certify that work requested to be done as shown by Permit Number P20090072
has been completed.
Location: 45 LYNDON Rd
Tax Map Number. 523400-297-006-0001-006-00 1-0000
Owner. MATTHEW & CHRISTIE HUMMEL
Applicant: MATTHEW & CHRISTIE HUMMEL
This structure maybe occupied as a:
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEENSBURY
Single Family Dwelling
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, 4
'
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
17 c �/ �� �4 �FIC USE ONLY
TAX MAP NO. PERMIT NO. '
FEES: PERMIT RECREATION ENGINEERING ;
' -y ` (If applicable) ..
5
__________________ ___________-___ -
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF—A VALID PERMIT FOR CONSTRUCTION. �`
APPLICANT/BUILDER: �A 1 ��: IY►CL OWNER: I�l v iHor /)a,
ADDRESS: _�U C H Y U`y 51' 6LL3--� 1-ML ADDRESS: SAME
PHONE NOS. 1 107 - 91990) C-CLC PHONE NOS. b ' /L6 ^C04 0
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:1 " A T� WJ''gI X-L PHONE(5_1 %-L r1l,Q
LOCATION OF PROPERTY: L 3 ILYN_ � (ZOAO
SUBDIVISION NAME: -fi1 psn�;k�_
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW.
CHECK ALL THAT z
APPLY TO YOUR
PROJECT > p ~ pit can F w
I- LL Ci o 2 H O—z
z Q < U) CjU) OLL 0LL ai0s
SINGLE FAMILY 7Iw?,I/1 /� Oa3�17
TWO-FAMILY lvl ,/. 11 // V
MULTI-FAMILY(NO.�
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
� G
ATTACHED �� f '
GARAGE(1,2,3)
OTHER
Town of Queensbury - Community Development Office • 742 Bay Road, Queensbury, NY 12804
IF COMMERCIAL OR INDUSTRIAL NAME OF BUSINESS: (�
ESTIMATED CONSTRUCTION COST: C 0 �`°�Q FUEL TYPE: PAZP.AN
HEAT TYPE? HQT ItiFT&—HOW MANY FIREPLACE(S)_j AND/OR WOODSTOVES(S):
ZONING CATEGORY: S R -JA ARE THERE WETLANDS ON THIS SITE? -S
IS THIS A HISTORIC SITE? /X
PROPOSED USE OF BUILDING OR ADDITION: I `�-�-
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY? 14110
`Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. 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 1/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 agreg the above.
Signed
Director of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 7614266 OR EMAIL
regarding Building Permits, construction codes or septic codes(M-Queensbury.net
systems)
VIS IT OUR WEBSn E FOR MORE INFORMATION
Zoninq Administrator: 761-8218 (for questions regarding www.Queensbury.net
required permits, the permit process, application requirements or to
schedule an appointment)
-------- ---------------------------------------------
This application/proposed action described ; Permission is hereby granted to the above
herein is found to be in accordance with the ; 'o Applicant to erect or alter the building described
zoning Laws of the Town of Queensbury. o herein in accordance with said Application: 01
0 0
00 ,
0
0
0 , 00
ZONING APPROVAL DATE %0 BUILDING&CODES APPROVAL DATE
,
1
1
11
1____________i__________:___________________f _-------------------------------------------
0
QTown of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804
I' I
Fire Marshal's Office ;
Town of Queensbury • 742 Bay Road Queensbury, New York •12804
Michael J. Palmer, Fire Marshal•Gary Stillman, Deputy Fire Marshal
1
I ,
I______________________
APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS
Application is hereby made to the Building &Codes Office for the issuance of a Building 8, Use Permit
pursuant to the New York State 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�/R�E(Q�UIRED(. � (�
OWNER: �nr/ �UM 'u— 1 INSTALLER/BUILDER:r' A IT 1`�U�!MCI
I
V N" C!"413WES -
ADDRESS:
PHONE NOS. " v30 � � PHONE NOS. 566
v
LOCATION OF PROPERTY: 1 J /+ "�_J�f" , "�J SUBDIVISION NAME: RyLLR�v 1�1 tJ17`.
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION:Op, N FIU _, rl-Am�Cam/ ROO ",
CONTACT PERSON FOR BUILDING 8 CODES COMPLIANCE: PHONE:
✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL
INFORMATION
STOVE
FIREPLACE INSERT
FIREPLACE, FACTORY BUILT*
FIREPLACE,MASONRY
FURNACE(GARAGE ONLY)fORY B I L, PLEASE
SE P � �'S , NU_60 /y ly�O�l�N MODEL NO.BGN
*IF FACTORY BUILT,{P�LECA,SE PROVIDE: MANUFACTURER NAME: -^�
LISTED BY: WOLr J �� t.� NUMBER: 70�) `J _i
QUESTIONS?
CALL 761-8205 or 761-8206
CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL:
firemarshal(a)gueensbury.net
MASONRY" CHECK ONE ✓
VISIT OUR WEEiSITE
TILE STEEL SIZE IN FOR MORE INFORMATION
INCHES www.gueensbury.net
FLUE CHECK ONE ✓ (V-�;��%
DOUBLE TRIPLE WALL INS✓✓✓ULATED DIRECT VENT CHIMNEY
WAL LINER
CHIMNEY MATERIAL CHECK ONE ✓
**IF NON-MASONRY, PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO.
j o l:
ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR
MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED
INSPECTIONS.
For an EPA homeowner's guide: hffp://www.epa.clov/npdes/pubs/homeowner Guide long cusfomize.pdf
OFFICE USE ONLY ;
1 ,
TAX MAP NO. PERMIT NO. PERMIT FEE ;
i i
APPROVALS: ZONING TOWN CLERK 01
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT. OMIT
, }� `n/ �r ►
OWNER: I �ly 1 J 1�11�°1("ff E\�r C / INSTALLER: QN�AJM
ADDRESS: "70 'kj H 1y --/STI��6�; AD RESS: pr'9
PHONE NOS. �/ —399()(�� (2/) PHONE NOS. " /�
LOCATION OF INSTALLATION: �'7�LJV� ! ��
RESIDENCE
YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW INFORMATION:
BEDROOMS
1980 or older 0 X 150 gallon per bedroom = 0 GARBAGE GRINDER
1981-1991 Q X 130 gallon per bedroom = 0 INSTALLED?—NO_
1992-present X 110 gallon per bedroom = 0 SPA OR HOT
INSTALLED? ��
PARCEL INFORMATION:✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE SLOPEQ'1�'%
✓ SOIL NATURE: SAND_ LOAM CLAY OTHER_
✓ GROUNDWATER: AT WHAT DEPTH? BEDROCKIIMPERVIOUS MATERIAL: AT WHAT DEPTH?
✓ DOMESTIC WATER SUPLY-
MUNICIPAL WELL (If well:water supply from any septic system absorption is:( ft)
✓ PERCOLATION TEST: RATE IS PER MIINUTE 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: f QQ Q GALLON(MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for
each garbage grinder, spa or whirlpool tub.
SYSTEM TYPE:
❑ABSORPTION FIELD(WITH NO.2 STONE) Total length ft. Each trench X
❑SEEPAGE PIT(S)(WITH NO. 3 STONE) How pemany? Size?
ALTERNATIVE SYSTEM Bed or other
HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks?
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL
INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
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.
1 have read the regulations with respect to this application and agree =WEBSITE
61-8256 OR EMAIL
to abide by these and all requirements of the Town of Queensburysburv.net
Sanitary Sewage Di oral Ordinance. MORE INFORMATION
bury.net
3j
Signature of Person Responsible Date
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queen$Wry Building&Code Enforcement Arrive:. —am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT*
.r �-7 Z
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing V A COME
Attic Access 22"x 30" minimum
Jack Studs/Headers 7�z�
Bing/Bricking
Joist hangers
Jack Posts/Main Beams loo
Exterior sheeting nailed property
12"O.C.
Headroom 6 ft. a in.
Stairwells 36 in. or more
Exterior Dedc Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D naffs each side
Draft stopping 1,000 sq.ft.floor busses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wail
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in WvIty min.
Garage Fire Separation
House side%Inch or 5/8 inch Type X
Garage side 5/8 inch Type X
CeilingfWall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 of above/below grade
5.0 sf grade
LABuildi g&Codes Forms-OLDSuNding&CodesUnewtion FwmsWmnh V Fftdop ft Irap6060n RMpptt doc Ravhed Jsn 7,2000
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date InspectionVRMIT#*
d:
Queensbury Building $Code Enforcement Arrive:� rt:
742 Bay Road, Queensbury, NY 12804 Inspector's Initia
NAME: ) l___ —
LOCATION: INSPECT ON:
TYPE OF STRUCTUR
naming
Y X COMMENTS
XZ
Attic Access 22" x 30" minimum
Jack Studs/Headers
Bracing I Bridging
Joist hangers
Jadc Posts/Main Beams
Exterior sheering nailed properly _
12'O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom a ft. 8 in.
Notches I Holes/Bearing Walls � `�'— �
Metal Strapping for Notches Top Plate
1 h w 16 gauge 8 16D naAs each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts a 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
1e inch insulation in cavity min.
Garage Fire Separation
House side's inch or 5/8 inch Type X
Garage side 5/8 inch Type X
CeilingANall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. O
5.7 sf above/below grade
5.0 sf grade
L:\Buikifg&Cods Fortes-OLDOuNding&CodesYnspsGbn FomisTrwing Ficestopping Inspection Reportdoc Revised Jampry 7,2006
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
r 742 Bay Road
Queensbury,NY 12804
Date received: �ZZO/0
NAME: ��'`I✓ wt e L
LOCATION: � n
PERMIT#: �-
Final Survey Plot Plan
-A roved Denied
The attached final
survey has been
received by the
Dept.of
Community
Development.
review the
surve .been:
Z 171/0
Craig Brown, Zoning Administrator.
ZNotes: ��✓ (� `-L. O h
As BUIL
�`Gvy�S Q•. Sy�'Uuk
v
Show, ��S �o4 5k%-j
L:\SueHemingway\Buildmg.Codes.kapection.FORMS\Fina1 swvey
Zoning Adminiskator.doc
Queensbury Building & ode Enf ment - Residential al Inspection
ffice No. (518)761-8256 Arrive: < .1nDate Inspection request received: Inspectors Initia s:
NAME: E IT#: _ QS
LOCATION: E: -'- _
TYPE OF STRUCTURE:
Comments:
N WA
,V Building Number Address visible from road
Chimney Height/°B'Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete V-1 op
Platform at all exterior doors _
Handrail 4 or more risers
Guards at stairs decks tios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck es 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 i regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety lain /WirAow in stairwells safety glazing
Interior Smoke odors/Carbon Mopoxid9oVetectors
Every level: Every Bedro /
Outside every bedroo rea: /
Inter Connected: Batterybacku ✓✓✓
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, i .ft.-150 sq.ft.vents
Bathroom Fans,if no window
ol
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss draft stopping finished basement 1,000 s .ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrodk Underside minimum'A'Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Dud work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Eledrical
Final Survey Plot Plan
Arc fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if r2guired
Okay to issue C 1 C or C 10[Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\lnspecfion Forms\Residential Final Inspection Forrn_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Ins on r ue r iv
Queensbury Building &Code Enforcement Arrive: a art: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's In'h s:
NAME: A P IT #: C�R-U Z-
LOCATION: tA, i� � � IN PECT ON: Z.-t -tc
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing /Nail Plates _
Plumbing Vent/Vents in Place
1 %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.
Insu§6WIResidential Check ommercial Check
Tyvek or Simi r
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
COMMENTS:
Rough Plumbing insulation Report,revised Nov 17 2003, revised February 15,2005, revised January 7,2008
f
`V
Septic Inspection Report
Office No. (518) 761-8256 Date InMO
r iv
Queensbury Building&Code Enforcement Arrive: art: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspecto
NAME: —Hid M b 1 CS_ NO.: CO --(-) 7 ZLOCATION: �}-. L_ C�c��� (� ON:
RECHECK:
Comments and/or diagram
Soil Type: Sand Loam Clay
Type of Water: MuniclpalLWell Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50'+ - Y N N A ReC-V-XQ
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seeoge Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field Pit
Opening Sealed: Y N
End Cap Y N
Inlet/Outlet Pi Baffles
s&Baes Y N
Location Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan N
Engineer Report and As Built 4Y N
Location of System on Property:
Front R r Left Side Right Side Middle Front Middle Rear
System Use S
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
eLTool of Queemabmq We Marsial
742 Bay Road
Qmeend y,"12M
761-SM/76140K
faz 7454137
Facto Buik Gas EmwkgAtwe Inspection Roort
((MWC New York State mgmim tnht an ULL be insta■ed samrdimn to the bobwdows and
spermcations eomtalmed is the ladafado m Mammal panying the a@plimmm No deviation frog the mhamsf
imsbucdows or Mpecificadows is allowe&
atilt# CA — Sched■le Laspectia. 1 —� r r3 10 Time ��. anyti■ie
lama A -mM l-
woe 77mm
Medal#hired Ven Buis Chimun Flue Size Double wall Triplewan humbded
Yes No N/A Comhm embh
door Protection
3earaaces to Combustibles(all sides)
Irrestop(s) veaticai Chase
WA PCOCaadam
rest Gkaraaces to Combustibles VI
rest/Chisaaey Tarminatioa 00,
3mommey hegiht and be 3 fat above roof
eadradom;2 fed above any cede
oastnctim witita 10 feet
sus Shut-Off Valve
:" mbustioa Air
lea th Extension(if any)
Yiantel
Witness Operation
rank Placement cif UP)
WWe—Bii'iig Deft. YeBsw !ik—Fie 1i=sk4
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: C=�•tF a pm rt: am
Date Inspection request received: Inspector's Initials:
NAME: E IT#:
LOCATION: k AD E:
TYPE OF STRUCTURE:
Comments:
Y WA I Q
4" BuildingNumber Address visible from road
` ¢�u M �JA�-�
Chimney,Height/"B"Vent/Direct Vent Location
Fresh Air Intake 1LrJMAQ.� �TEtaj Cam'
3 inch Plumbing Vent through roof minimum 6 inches
Roof Co late/Exterior Finish Complete CAMQI �,�
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs deckspatios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterlor Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to silt plate
Gas Valve shut-off a sed/re ulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety alazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl S aces 18 inch x 24 inch access, i N.ft:150 ft.vents
Bathroom Fans if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emeraency 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'A"Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing I%hour fire door/door doser
Duct work Sealed proWdy
Gas Loge in Sealed or Glass Enclosure
Final Electrical
Final Surve Plot Plan
Are Fault Breaker in Bedrooms
Flex Gas Pipe Bond
As Built Septic System/Sewer Dept. Inspeon Sticker
Site Plan /Variance Leguired
Flood Plain Certification,if requb9==-
Okay to issue C I C or C I O ern ra Permanent
LABuilding&Codes FormslBuilding&CodeMinspedton FornslResidential Final Inspection Form_revise0_100405.doc;Revised
January 7,2008;Revised 6/26/08
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: nA n _
NAME: 140- m'�A6PERMIT
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing/Nail Plates
Plumbing Vent/Vents in Place
1 V2 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.1 for 15 minutes
Insulation /Residential Check/Commercial Check
"Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
C ` ,c>1
COMMENTS.
ZZ` /,-C_' MO�-
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
t I Of-
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: !Uhk c
Queensbury Building & Code Enforcement Arrive: am/pm Depart: 1136 1 m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: l
NAME: `'`"' L PERMIT #: 07- 67�L
LOCATION: LI S A,N-\ ;z=�j , INSPECT ON: C �'
TYPE OF STRUCTURE: `
Y N NIA
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 %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
J,Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS: ���- ������L��' �✓��S
- 7A
A T L� -
Rough Plumbing Insulation ReporLrevised Nov 17 2003, named February 15,2005, revised January 7,2008
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Rough Plumbing / Insulation In pection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:L am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: #t)kV'k-nAe_ PERMIT
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Numbing/Nail Plates
Plumbing Vent/Vents in Place
1 Y2 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
e
50 P. .1 for t5 minutes
Insulation/R idential Check/ Commercial Check
,TVek pcsw
'fiilar 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
k 5v A
COMMENTS:
Rough Plumbing Insulabon Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Septic 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 Initials:
NAME:
PERMIT NO.:
LOCATION: INSPECT ON:
RECHECK: W9 \4c-K
Comments and/or diagram
Soil Type: Sand Loam Clay
-Typeof Water: Municipal Well Water
Waterline separation distance ft•
Well separation distance ft•
Other wells: ft•
-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
Tank to Distribution Box
Distribution Box to Field Pit
Opening Sealed: Y N Partial
End Ca
Inl Outlet Pipes&Baffles Y N
Location Separations
Foundation to tank ft•
Foundation to absorption ft.
Separation of Pits =Lft•
Conforms as per Plot Plan N
Engineer Report and As-Built Y N
Location of System on Property:
Front Rear Left Side Right Side
Middle Fro Middle Rear
m
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection reclu ce'
Queensbury Building &Code Enforcement Arrive:Z=DQ a a zQ a4a)
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: �,�.� PER IT #: �—C�7._,_
LOCATION: �-}�� 1_�����, � INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place 41.4
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
leanout every 100 feet/change of direction
Pressure Test
praip/Vent
e
.1 r 10 ft. above highest connection for 15 minutes
Test
r Su ply Piping
'r ad
P.S. 15 minutes
Ins on/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
( rlier 15peprr-) G---v /
Rough Plumbing / Insulation Insp c ° n Re ort
Office No. (518) 761-8256 Date Inspection r ue ived:
Queensbury Building &Code Enforcement Arrive: -Z,=" _a Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initial :
NAME: PER I ##:
IV-07?—
LOCATION:— o INSP T ON. 2 /"
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing Nail Plates t') C
Vents in Place
1 % inch minimum Drain Size?' 1
Washing Machine Drain 2 inch minimum IF
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
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
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
,
Rough Plumbing / Insulation Irv6pection Report
Office No. (518) 761-8256 Date Inspect�ra5- M'
ed:
Queensbury Building &Code Enforcement Arrive: \�; m
742 Bay Road, Queensbury, NY 12604 Inspector's In'
NAME: y,, PERMIT #: �,� �
LO ATI C ON: INSPECT ON: YfZ4 2
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing/Nail Plates
Plumbing Vent/Vents in Place
1 % 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
. for 15 minutes
Insulatio /Residential Check/Commercial Check V
or Similar Exterior Sealant � �
Proper Vent, Attic Vent � � v�'h
Door/Window Sealed No Insulation LAJ
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Rough Plumbing / insulation spection Report
Office No. (518) 761-8256 Date Inspection request received: -
Queensbury Building &Code Enforcement Arrive: am/pm Depart:C am/pm
742 Bay Road, Queensbury, NY 12804 inspector's Initials: /
NAME: PERMIT #: �.
LOCATION: U INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing/Nail Plates
Plumbing Vent/Vents in Place
1 % 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
Amr
15 minutes
Insulation/&esidenfial Check/Commercial Check
juyvek or milar Exterior Sealant
Pro r ent, 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
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection re ived:
Queensbury Building&Code Enforcement Arrive: P Depart: D
742 Bay Road, Queensbury, NY 12804 Inspector's Initial
NAME: 1-} it tvl M .r�r PERMIT#:
LOCATION: IL\�Fc INSPECT ON:
TYPE OF STRUCTURE: T
Y N NIA COMMENTS:
Framk*-- . - J �V
Attic Access 2 2°LR- 9z* :mu _ fl p 6o LAV C �-�G Chi t�
Jack Studs/Headers Bracing LG�--
/Bridging ` L�CST i�t")
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 -Tb
Headroom 6 ft. 8 in. �-
Tp a
Notches-/--Holes-/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gagge 8 16D naAs each side
Draft stopping 1,000 sq. ft. floor trusses
r Bolts 6 ft. or less on center
TWO >
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cwft min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H) ,✓ EEC Iz���SF p tzF��Ns ky�
20 in. W
5.7 sf above/below grade ✓ W t'�
5.0 sf Wade W\"Zt pUtZ,
LABuild' Forms-OMBuiiding&C®desVnspedion Form Tmff irp Firestopping Inspee W ReporLdoc Revised January 7,2006
�JALt>t ,
Framing / Fire§to-PA Ins"-on Re -
Ofice No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Deepart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .p 1 AzN..--
NAME:- PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Attic Access 22" x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/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
or less on center
Ice and water sh' id 24 inches from wall
Pke,soperVion 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 518 inch Type X
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuiidmg&Codes Fortes-OLD'Suildit&CodesUnspection FOM*Tranft FireatoppWQ Impaction Repoltdoc Revised January 7,20M
1-3
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectioptequest received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect 's Initials:\,afC'
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
F
11?
iers
is 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 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 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: f
Queensbury Building&Code Enforcement Arrive: am/pm Depart: 16 am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:6L4? f L) \U�
NAME: vt vi i.-C I PERMIT#: CA
LOCATION: 2 o- INSPECT ON:
TYPE OF STRUCTURE:
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 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 12/20/2005 9:24:00 AM
Rough Plumbing l Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart:14-,4 am/pin
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #:
LOCATION: INSPECT ON: a
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing/Nail Plates
Plumbing Vent/Vents in Place
1 %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.1 for 15 minutes
nsulation/Residential Check/Commercial Check
T k 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
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
1"S beffel
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectioprequest received:
Queensbury Building&Code Enforcement Arrive: �h am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector`'S Initials:
NAME: ( PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Co men"
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
'als for this purpo, n site.
Foundation/Wallpour
orcement 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 Inspecction Report.doc
Last printed 12/20/2005 9:24:00 AM
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Departylt-
& am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: )4-ilvA PERMIT#: C
LOCATION: L./,, 4,w : INSPECT ON: c
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 % 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
5 or 15 minutes
,'Insulation/ esidential Check/ Commercial Check
imilar 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
COMMENTS: :�J�� `y `
Rough Plumbing Insulation Report,revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Rough Plumbing 1 Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: l Z 7 i�
Queensbury Building &Code Enforcement Arrive: am/pm Depa am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: w -L PERMIT #:
LOCATION: i2 INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 %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
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
COMMENTS:
----------------------
Rough Plumbing Insulation Repoit.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
/0- 00) 7 /i
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: ain/m Depart:VAIL,*
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: AUl PERMIT 4: K")- 7-674a
LOCATION: b INSPECT ON: —
TYPE OF STRUCTURE: iis
Commeab
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 thi on site.
Foundation/Wallpour ��rwA
em orcement 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.
U\Building&Codes Forms\Building&Codes\Inspecbon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Ins request received:
_ '
Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto ' itials:�
a
NAME: W` C'L PERMIT#: /
LOCATION: INSPECT ON: Zy L,)
TYPE OF STRUCTURE:
Commenia
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
DL
enforcement 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 12/20/2005 9:24:00 AM
o 7
y
Foundation Inspection Report
Office No.(518)761-8256 Date Ins 'o�r quest received:
Queensbury Building&Code Enforcement Arrive: • 5 am1&:,,"Pepart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto 's Initials:
NAME: rre , PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
t
Y N N/A
Footings
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 po!y 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\lnspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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EDGE OF JURISDICTIONAL FRESHWATER
WETLANDS AS DETERMINED BY N.Y.S. — �" Robert S. Reid
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D.E.C. ON JANUARY 3,2005. to 0
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Area: 8.246 Acres ± CY
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Filed in the Warren Count Clerk's Office on March 2, c
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m' io 1 31.1' NOTES: Wetlands Designation: "G-r - 191,
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located on May 14,2009. (Portion of) /09� /'¢
to WET
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-2s7.06-1-7 Tax Mop t. As s Mailinsa Address
290.18:1-12 Chalias H.Maine 32 Terrace Lane,Queensbury,NY 12804
5 297.4 1 2& Town of Queene bury 742 Bay Road,Queensbury,NY 128"
' .297.094-9
` 297.06-1-2 z,:Elizabeth Day c/o Fiduciary Trust Int.,600 Fifth Ave,.
NY,NY 10020
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MAP REFERENCE: REFER TO THE FOLLOWING:
y "Map of Section #4 - Rolling Ridge Estates," •
W Easement to Warren Count 225/570)
' 297.06-1.4 < John&Eileen Kin 1872 State Route 9,Lake George,NY y
co `�� dated September 18, 1981, made by Coulter 8E • Easement to`NY Telephone Company (412/306)
297,06-1-3 d O
?9 128".
' McCormack, Licensed Land Surveyors, Glens Easement to NY Telephone Company,(419/563)
c0c'�jF. 297.06-1-5 = Peter&SusaGazetos 12kory Hollow,Queensbury,NY Falls, NY and filed in the Warren County Clerk's • p Company ( )
R r �'
' Easement to NY Telephone Cam an 425/352
/ 8 297.06-1-6.2 Steve&Tracy Bureau 57 Lyndon Road,Queensbury,NY 12804 Office on November 20, 1981. • Easement to Town of Queensbury (675/342) MAP
^"V 297,06-4•11 �'%" • Easement to Niagara Mohawk Power Corporation
�a 297.06-1-7 RobertJ.Mirel 72 Lyndon Road,Queensbury,NY 12804 and NY Telephone Company (730/280)
cW ° / of a survey of lands of
297.06-1-8 Patrick&Jennifer Rowley 70 Lyndon Road,Queensbury,NY 12804 • Covenants/Restrictions (357/45, amended'by
,g / ZONING INFORMATION: 385/288 and 386/487) Matthew N and Christie A Hummel
297.06-1-9 Wendy Starting 6s Lyndon Road,Queensbury,NY 12804 Parcel is zoned "Suburban Residential (SR-1 A) N.
N HIc�RY� ,, 2s7a -1-16 a Covenants/Restrictions (1493/213 and 3461/68)
Cb 297.06-1-10 Nita Nevada 58 Lyndon Road,Queensbury,NY 128" Min. Lot size: 1 acre Being Lot. No. 48 in Section 4 of Rolling Ridge Estates
" Min. Lot Width: 150 Ft..
1 J .
287.06-1-11 Surendra&Nita Nevatia 58 Lyndon Road,Queensbury,NY 12804situated In
1 06 1-1 297.06-1-12 Surendra&Nita Nevitia 58 Lyndon Road,Queenabury,NY 12$04 Min. Front Yard: 30 Ft. I HEREBY CERTIFY TO Matthew N. Hummel, Christie A.
-� ,2� — _: Min. Side Yard: 10 Ft. (Sum of sides: 30 Ft., min.) Hummel, Trustco Bank, its successors and/or assigns and Town of Queensbury , Warren County , New York
297.06-1 13= s' MitcheN Potv,n, i�& 24tyndon Road,Queensbury,NY 12404 Min. Rear Yard: 20 Ft. Westcor Land Title Insurance Company that this map was
Scale: 1" = 50' May 14 2009
` eta�reer;4, on th g and by me, y ,
Cheri
prepared by me from actual surveys e ground
297.06-1-14 ' Gerald&Evelynne MatHce 16 Lyndon Road,Queensbury,NY 12804
according to record information. SURVEY AND MAP BY
a `' 297.06-1-15 Brian S Janine Granger 173 Broad St,#306,Glens Falls,NY 12801 ` CHARLES T. NACY
0 297.06-1-16 Robert A m
Reid ' 64 Wlncoa Drive,Queensbury,NY 12804
A Licensed Land Surveyor
_ ,. sHF.f�•?ON' e � . May 14, 2009 32 John Street
Charles T. Nacy, L.S. (Date) Queensbury, NY 12804
r 297.06-1-17 John D.Aspland,Jr. 15 Lyndon Road,Queensbury,NY 12804 N.Y.S. License No. 49117
297.06-1-18 Elsa Scuderi 22 Coatellos Dr.,Lk.Luzeme,NY 12046
Only copies made from the original ofthis
' ' 297.08-1-19 Elsa Scuderi ') 22 Costelh>s Dr.,Lk.Luzeme,NY 12046
Zoni g �Ilstr ts`& l rnin'g/M+earbv'Ow rs
297.0.E-1-20 Elsa Scuderi' 22•Costellos Dr.,Lk.Luzeme,NY 12046
;. • �- � maaubearin da licensed land surveyor'str scales survey map which are marked with an
r
'' original of the land surveyor's embossed
P 9seal and bearing the surveyor's original
a violatie:n of Section 7209,subdivision 2,of the signature in red ink shad be considered
(1» = 400' J 297.06-1 21 Gerardo J.DlManno 54:Lawrence St,Glens Fails,NY 12801
New York State Education Law. valid and true copies.
Town Hall
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EQUALIZER 36 CHAMBERS O 36' EACH,
/PG / m I INSTALLED IN CRUSHED STONE, 216 LF
/ cy0 �'� / �2 \ / TOTAL TO BE PROVIDED;
/ i / �- 36 -�*6 TRENCHES TO BE INSTALLED 2" MAXIMUM INTO
/ — 5' +I EXISTING GRADE, STEP EACH LATERAL 8"
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I SETBACK FROM SEPTIC TANK,--100'- SE REMAI
_ _ +8.0.5.320.
EBACK FROM ABSORP 8
NF �SW AO0 FRO 100 SETBAK FRO"ETENTION BASIN (HOUSE AWAY I 11
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S 2 REFERENCED PLAN 11
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—tom A —— —— _ / / DISTRIBUTION BOX 11
LYNDON ROAD
CATCH
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/ / \ PROPOSED 4" SDR-35 EFFLUENT SEWER,
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/ \ / INSTALL INSIDE STEEL SLEEVE
/ PROPOSED 1000 GAL PRECAST
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NEIGHBORING SCALE: 1"=20' V�,Q�1Sc�1
WELL
NYSDOH SPECIFIC WAIVER CRITERIA
IreflltrSROr: E036 O nd Sul ck 4
FRESHWATER WETLANDS 2-2007[MODIFICATION]Advanced Drainage Sy Stems (ADS): Bio-
TAX MAP # 297,6-1-6.1
P e by.- Envilro-septic ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL
ENGINEER IS A VIOLATION OF NYS EDUCATION LAW.
REQUIRED LENGTH OF ABSORPTION TRENCH
_ 8890 upon 110 owbnWit 'bedroom.
P�rcplallon 3 REVISED ABSORPTION FIELD 7/22/09
Rain 2 hec8 coma 8 bedrooms bedtl5r�rrrs S bedroom bedroa�r�s
2 ELIMINATE SEPTIC PUMP STATION 2/4/09
�-� � ~~ �� 18$ 1F2 206 1 VISION ENGINEERING COMMENTS 6/30/08
6-7 69 124 1 5 206 - 248 0 1 APPROVAL CONDITIONS & VISION ENGINEERING COMMENTS 5/28/08
6-7D so 138 183 228 276 MAP REFERENCE. No. Revisions Date
---..•-
y9-1S 296 29 BASE MAPPING INFORMATION INCLUDING SITE LAYOUT
16.211 118 236 296 344 INFORMATION TAKEN FROM "MAP OF A SURVEY OF LANDS REVISED WASTEWATER SYSTEM DESIGN
PROPOSED TO BE CONVEYED BY ROBERT S. REID BEING LOT NO.
21�0 78$ 2W 34 _ 413 48 IN SECTION 4 OF ROLLING RIDGE ESTATES," DATED AUGUST prepared for:
81�46 165 248 828 413 495 14, 2007, LAST AMENDED DECEMBER 24, 2007 AND APPROVED Matt Hummel
--- _. BY THE TOWN OF QUEENSBURY PLANNING BOARD VIA
4"a 143 rF5 sA7 459 550 FRESHWATER WETLANDS 2-2007 (MODIFICATION) ON MARCH 26, Lyndon Road - Rolling Ridge
Trendies.sha8 he equal Irn lenQlh. 2008, PREPARED BY.• CHARLES T. NACY LICENSED LAND
SURVEYOR, QUEENSBURY, NY. Town of Queensbury, Warren County, New York
- I!f'IIOCEaS,3fy,yhotolnF tN2nCN len�h ahep 6e sraurlclad up 1Iv cretily equal trer�titi Isngil�s. STORMWATER MANAGEMENT CONTROLS, WASTEWATER SYSTEM Drawn: LWD Checked: GTH Scale: NOTED Date: 5/8/08
Noygmher 20C>ll DESIGN AND GRADING PLAN PREPARED BY HUTCHINS 169 Haviland Road
ENGINEERING PER PLANNING BOARD APPROVAL CONDITIONS AND Queensbury, NY 12804
VISION ENGINEERING COMMENTS. (518) 745-0307 Phone 29312-01-S1
Hutchins Engineering 518 745-0308 Fax