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2009-116 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090116 Application Number. A20090116 Tax Map No: 523400-295-006-0001-012-000-0000 Permission is hereby granted to: BROOKVIEW PLACID, INC. For property located at: WEST MT. 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: BROOKVIEW PLACID, INC. 17 BRITISH AMERICAN Blvd Garage Attached LATHAM, NY 1 2 1 1 0-0000 Single Family Dwelling $125,000.00 Total Value $125,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2009-116 1040 SQ FT SINGLE FAMILY DWELLING &400 SQ FT GARAGE $164.80 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, April 20,2010 (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 'w--f Que b , / N 0i y,April 20,2009 t SIGNED BY, w R for the Town of Queensbury. XDirector of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 III Community Development- Building& Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20090116-35732 Date Issued: Friday, June 19, 2009 This is to certify that work requested to be done as shown by Permit Number P20090116-35732 has been completed. Tax Map Number: Location: 1208 WEST MOUNTAIN RD Owner: Applicant: Brookview Placid Inc This structure may be occupied as a: By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Directo of Building&Code nforce ent Planning Board or Zoning Board of Appeals. �_..__ ............. ., .. OFFICE USE ONLY -- TAX MAP NO. PERMIT FEES: PERM ITgECREATION ENGINEERING (If applicable) ; ' 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: LI L�,i•t_ OWNER: /-2 ,-��-j� +�J ADDRESS: ADDRESS: PHONE NOS. -7 -7-,. -7 D?7 PHONE NOS. CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: !' PHONE: LOCATION OF PROPERTY: �� L,J V-" HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z0 Q 0 0 �j w u PROJECT o w o w ow u- w a (L w o w _ ~ 0 z a ¢ :- � Nd pF- ~0 cr F- w a = 0 SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE( ,2, '-4cc� 1-4 co OTHER IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: , �' � FUEL TYPE: C:i cZ.� HEAT TYPP ��t^r rr \ *1-n%A*l KAAAIV CICCCI n/^1=101. 11 nuin i�n ni��rnT� .r- B 3-LGL I 1-05 -,.__ ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? � ARE THERE EASEMENTS ON PROPERTY? , 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 state me nt/d escri ptio n of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to pro ' as-built survey by a licensed land surveyor of all newly Llhav, tructed facilities pr' to issuan a of a ificate of occupancy. e read an gree to the Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Permission is herebyranted to the above 9 , This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the o described herein in accordance with said ; zoning Laws of the Town of Queensbury. Application: 0 - - ; , ; ; BUILDING & CODES APPROVAL ; ; 11 ZONING APPROVAL 10 0 1 , , DATE DATE 01 _.._ QUESTIONS? CALL 761-8256 OR EMAIL codesCd-gueensburv.net Office Use Only VISIT OUR WFRSITF FnP MADC 1k1Cn0RA Ar.^.. �----------------- -.--.... ... ................ OFFICE USE ONLY -----. TAX MAP Nd:& 0�/_ _ 0 PERMIT NO. %PERMIT FEE ' 0 , 0 APPROVALS: ZONING , TOWN CLERK 0 ' ---- ------ ' APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT•--- A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APP PERMIT. LICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID -� OWNER: INSTALLER: ADDRESS: ADDRESS: �� PHONE NOS, J PHONE NOS.__ -7� 7 LOCATION OF INSTALLATION: YEAR BUILT N0.OF 1............€............................ 3....,................................................................................ BEDROOMS i X COMPUTA RESIDE I TION= = i TOTAL DAILY FLOW i RESIDENCE INFORMATION. . . ......... 1980 or older X , ..... ................... _..._._.........-...................,. ; 150 gallon per bedroom y...__...... 1981 -1991 X �' 130 gallon per bedroom..... _ ; INSTALLED . GARBAGE GRINpEf�,_ �...........�. �-J ._...........................................t..............I................. .............; 1992 r 3................... .....................................................' i ........... 1......._...-_.w.p present 3 X ; 110 gallon per bedroom : ..... ................................................................... PA OR HOT TU _.............. ........... ....s '....-....._._.° — Z - INSTALLED? �y _ ; �G . PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING X STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. ) ✓ PERCOLATION TEST: RATE IS COMPLETED BY A LICENSED PROFESSIONAL ENGIN EPER NINUTE PER INCH GINEER OR ARCHITECT) TO BE 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). Add 250 gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub. ✓ SEPTIC TANK: GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH_5 rj FT. ✓ TOTAL SYSTEM LENGTH: ( U FT• SEEPAGE PIT(S): HOW MANY? ✓ SIZE OF EACH FT. X FT. ✓ SIZE OF STONE TO BE USED: # /DEPTH OR THICKNESS FT. ✓ BED SYSTEM SIZE: X ✓ ALTERNATIVE SYSTEM: _ LENGTH AND/OR SIZE ✓ HOLDING TANK SYSTEM:(If required) NO. 0:' TANKS: /SIZE OF EACH ✓ GALLONS./TOTAL CAPACITY.• GAL. li NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN i APPROVED ELECTRICAL INSPECTION AGENCY. p LEASE 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 ar2ntwl in ralinnna iinnr ,. rs•. 4, Queensbury Building.& Code Enforcement - Re ' ntia{ Final Inspection ffice No. (518) 761-8256 Arrive: tD am Date Inspection request received: InspectNAME: T#: LOCATION: !E: TYPE OF STRUCTURE: Comments: N N!A 4' Building Number Address visible from road Chimney,Height/"B"Vent/Direct Vent Location Fresh Air Intake ( 3 inch Plumbing Vent through roof minimum 6 inches Roof Co late/Exterior Finish Complete Platform at all exterior doors _ Handrail 4 or more risers Guards at stairs decks atios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more CO, 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 a sed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety lain /Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access 1 .ft.-150 s .ft.vents Bathroom Fans if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 .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 01 Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'A"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing I%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosurei� � Final Electrical Final SurveyPlot 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 required Okay to issue C/C or C 10 1 Tempolafg/Permanent - L:\Building&Codes Forms\Building&Codes\Inspection FormsWesidential Final Inspection Forrm_revised_100405.doc;Revised January 7,2008;Revised 6/26108 Queensbury Building & Code Enforcement - Residentia in rspection Office No. (518)761-8256 Arrive: a /p part: am/pm Date Inspection request received: Inspector's Initials NAME: P IT#: — LOCATION: 1 Z D TYPE OF STRUCTURE: Comments: Yes No N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Com fete/Exterior Finish Complete 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/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup:. Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access,1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency ress 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 closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bon din As Built SepticSystern/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C 10 Tem /Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forns\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No......077116....;,,,..Cert. N2 110 8 9 Cut-in Card No..................................... Owner...............&:a..r�............................................................................................................................. �+ �,/ C Location...............li1 l...../ll. nAz ............................................. Installation Consistin of..3!.... f't Z�� Ll. ..............- i.. .............................................. . /t W6. ..Z?..tug. �? G" j.... Z=. ........................................................................ .................................. ................................................................................................................................................ InstalledBy............D.�.................................................................Lic.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of mak' pections at any time, and if its rules aree violated, 'thee Company shall have the right to o e thi certi cate. Date....tiK...�i ..Y.. .................... INSPECTOR......... ....P.. .............................................. ................. Member N_F.P_A._I_A_F..I. Town of Queea*ury Fire Marslud 742 Bay Road J Queensbury,NY 12804 761-8205/761-5206 fax 745-4437 Factory Built Wood Burning Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained m the installation Manual accompanying the appliance.No deviation from the manufadurer's instructions or ifications is allowed. Permit# O f l J b Schedule inspection Time_L!44S am pm anytime inspector Name,WTl� Address �4A" , Rough Final Appliance Manufacturer A)JA Model# ^' Masonry Chimney Factory Built Cbimney Flue Size Double Wall Triple Wall insulated Yes No N/A comments Floor Protection /f�l f r Clearances to Combustibles(all sides) � - '� Chl7 ty p (fireplaces y) f s cf �►u7cdcn Safe Strip Installation fire laces only) � Firestop(s) Vertical Cbase Wall Ptnetraxion Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension Mantel(height above Up opening) F /dly��1�0-� � G� S��- ��►S�i'f�y Fireplace Doors/Screen (required) 6 White—1DaiNi"DepL Y _C Plrlc—PYre Marshal Final Survey Inspection Dept. of Community Development Town of Queensbury + 742 Bay Roast Queensbury,NY 12804 Date received: NAME: C L O l l LOCATION: PERMIT M I Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of Community Development. Upon review the . survey.has Craig Brown,Zoning Administrator Notes: L:�,SueHemingwaY%Uilding.Codes-Inspection.FORMS\Fina1 Survey Zoning Administratordoc MAP REFERENCE MAP OF A SURVEY MADE FOR RONALD HORNE ENTERPRISES, Inc. & RONALD HORNE BY: VAN DUSEN&STEVES DATED:JUNE 10, 1988 WEST MOUNTAIN LAST REVISED:SEPTEMBER 14, 1995 ROAD z o ,k. N56°59'00 u E 100.00' Q � L-ANPS Nir OF Po1LCFi i 1 STORY WOOD FRAME HOUSE 20.23` L.0 s AREA o o - � M 20,000 sq. f t. �- o to 0.46 acres I-ANOS NI OF O N CO CV) CV) CO)L=�.)W 'p ft!"1/�NI��t D 13'lN CV) 12�1/I�fl Z LAND.5 NI>=OF Nlr OF r,)FNNlS!'PANKL/N 7"OWN Or OUFENA-513UPY 7/2n4 cia ui N 100.5s' F G� 50049100 0 W r + r4,++" LANO5 N/F OF TOWN OF 0UjfFNS0UeY --- a ea June , 9 "UNAUTHORIZED ALTERATION OR ADDITION a SurveoN TO A SURVEY Scale 1''=3 0' ade for Dus MAP BEARING A LICENSEo LAND SURVEYORS SEAL IS A Map y Yn vWLATKXN of SECTION 7209,SUB-awsotr 2.of THE NEW PORK STATE EDUCATION LAW.' 'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY Ste ves MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.' •ems 'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE MATH THE LARRY CLUTE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED . arid Siarveyors BY THE NEW YORIC STATE ASSOCIATION OF PROFESSIONAL . LAND SURVEYORS.SAID CERTIFICATIONS SHALL RUN ONLY Tn THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO THE 717LE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSMMIM US7ED HEREON.AND Town of Queensbury, Warren County, New York 169 Haoiland Road Queensbury, New York 12804 TO THE ASSIGNEES OF THE LENDING wsTITU7m.- GLUTS (518) 792--8474 New York Lic. No. 50135 N0. DA TE DESCRIP TI DN DWG. NO. 88152-12 295.6-1-12 C2359 Framing / Firestop in Inspection Report P g p� po l?i Office No. (518) 761-8256 Date In#pectioo req _ Queensbury Building &Code Enforcement Arrive:kl+ a a pm 742 Bay Road, Queensbury, NY 12804 Inspectls: NAME: ERMIT LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N WA Framing COMME 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 'h w 16 gauge 8 16D nags each side Draft stopping 1,000 sq. ft. floor trusses Anchor Botts 6 ft. or less on enter 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 Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. CM 5.7 sf above/below grade 5.0 sf grade LASuilding&Codes Forms-=\Building&CodesYnspedion FormsTraming FiresMpping Inspection ReporLdoc Revised January 7,2006 Septic Inspection Report Office No. (518) 761-8256 Date Inspectio r ive . Queensbury Building &Code Enforcement Arrive: `A 10 D art: \ rrt' 742 Bay Rd., Queensbury, NY 12804 Inspector's Initia s: NAME: �t'��- P IT NO.: � ! LOCATION: v��c>7— T o � I SPECT ON: — bff RECHECK: Comments and/or diagram Soil T oam Cla Type of Water: Wci ell Water Wat ration distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + - Y N_N/A Absorption Field: Total length ft. Length of each trench Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank 90 � 1 E Tank to Di ut Pi O nin Sea ed: N T' End Cap Y N Inlet/Outlet Pipes &Baffles N Location I Separations Foundation to tank ft. Foundation to absorption Separation of Pits Conforms as per PI n N Engineer Report and -Bui Y N Location of System on Prope Front CRear �Lsl ight Side Middle Front Middle Rear System Use Statuxpp roved 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 +� f Septic Inspection Report Office No. (518) 761-8256 Date Ins ion r qest *Da Queensbury Building &Code Enforcement Arrive: m : Z`C7 742 Bay Rd., Queensbbury, NY 12804 Inspector's Initia . NAME: �I V PE IT NO.: '� LOCATION: ' �/208 l SPECT ON: RECHECK: 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 N N/A Absorption Field: Total length ft. Length of each trench ft. b3' 7 Depth of trenches Size of Stone ' SE i--\iE-T-J-— Seepage Pits: Number - Size: x ��7 L'� 1 _�. Fb Stone Size: Lam: 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 Pipes &Baffles Y N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y_ N Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear SystemeS Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 U\Building&Codes Forms-01-1)\Building&Codes\Inspection Forms\Septic Inspection Report.doc W* /- 3 Queensbury Building & Code Enforcement - Residrtial F' Irispection Office No. (518)761-8256 Arrive: 05 am/pn^� (Depart: am/pm Date Inspection request received: Inspectors Initials. fG i / NAME: c� W- (�Ci<l' ei� PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments: Yes No NIA I 4' 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 Co lets/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks atios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapp±d Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to silt plate Gas Valve shut-off exposed/ ulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Cartoon 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 CravW Spaces 18 inch x 24 inch access 1 sq.ft.-I s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .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/Hai 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 closed rise>4 inches Garage Floor Pitched (; Garage fireproofing/%hour fire door/door closer D(✓ Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure ` LivV Final Electrical Final Survey Plot Plan �i I Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System I Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C I C or C 10 Temporary/Permanent I �. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 P OO O Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Ins io rru edQueensbury Building &Code Enforcement Arrive: 't art: am/742 Bay Road, Queensbury, NY 12804 19;1 Inspector's InitiaNAME: C�- - `' ►�TERP2\ � PER �q 11 Cs9 LOCATION: �,�r=_ �- f -17r ;)Q INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing /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 Air/Head 50 P.S.I for 15 minutes Insulation /Residential Check/Commercial Check VI(J` Tyvek or Similar Exterior Sealants \ 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 7--/bl", Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspectiop.re Queensbury Building &Code Enforcement Arrive: c° ram/ 742 Bay Road, Queensbury, NY 12804 Inspector's Ini s NAME: C � L14 �' , � ?r, S �� PE MIT #: LOCATION:_ wPS i ✓V\o( .Kt0� � _ INSPECT ON: v TYPE OF STRUCTURE: Y N N/A 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 Report,revissed Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report l Office No. (518)761-8256 Date Inspection re 1 efi Queensbury Building&Code Enforcement Arrive: per' 742 Bay Road, Queensbury, NY 12804 Inspector's In C_-L NAME: a [ ---� PERMIT#: LOCATION: INSPECT ON: G �� .TYPE OF STRUCTURE: Y N NIA COMMENTS: Attic Access 220 x 3W minimum Jack Studs/Headers Bracing/Bridging / �' r � - ' •" :'= => `° '�� Joist hangers ✓ *� ; Jadc Posts/Main Beams Exterior sheeting nailed property ✓ tt 12 O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notdm/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 Botts 6 ft. or less on enter -- Ice and water shield 24 inches from wall separation 1, 2, 3 hour Tire wall 2, 3, 4 hour Penetration sealed 16 inch insulation in cavitymin. - 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) 20 in. (W) ✓ %' 5.7 sf above/below grade 5.0 sf grade ' LABuilding&Codes Forms-OLDSuilcift&CodesWispedion Fom*\Fmn ing Fi estoppft lrspec Lion ReporLdoc Revised January 7,2W6 Rough Plumbing / insulation nspec7ition Report Office No. (518) 761-8256 Date 1 s lion N Queensbury Building &Code Enforcement Arrive: rt: 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: C. PERM #: oc/7//�7 LOCATION: l,y f S T itA r+ /2-f�>. 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 i HVent Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Fr apply Piping eadP.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 propedy/No duct tape COMMENTS: Rough Plumbing Insulatan Report.rsevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Fra ing / Firestopping Inspection Report Office No. (518)761-8256 Date In r?=uest received: Queensbury Building &Code Enforcement Arrive: 5 am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: it NAME: PERMIT#: , LOCATION: _ INSPECT ON: TYPE OF STRUCTURE: Framing Y N PIA 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 'h w 16 gauge 8 16D naps each side Draft stopping 1,000 sq. ft. floor trusses ft. or less on center Ice and waters Id 24 inches from wall ire 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's inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilingtwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. OM 5.7 sf above/below grade 5.0 sf grade LABuiiding&Codes FornwOLDSuilft&CodesYnspedion FomhsTraming Firestopping Inspection Reportdoc Revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspe�e request received: Queensbury Building 8 Code Enforcement Arrive: 2 Yam/ Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:p5_ NAME: PERMIT#: D S-l6 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N A COMMENTS' Framing Attic Access 220 x 30' minimum n Jack Studs/Headers j/'a.+� Bracing/Bridging Joist hangers / Jadc 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 sift 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 Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (V1l) 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Fortes-01-1)1Buiiding&CodesUspedion FamslFt ning FireskVpmy Inspection Report.doc Revised January 7,2006 -Z/ Foundation Inspection Report Office No.(518)761-8256 Date Ins` tion reque i , Queensbury Building&Code Enforcement Arrive: Liam/ Depart: p 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: P T#: LOCATION: ECT ON: — -- TYPE OF STRUCTURE: Comments Y N N!A IJ Piers � \ onolithic 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 Waterproofmg 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\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 uest received: / /0 �, Queensbury Building&Code Enforcement Arrive:� I. p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector s Initials: aU NAME: /vt� v,c %l�a[, �C. . PERMIT#: 02 LOCATION: ✓ �. S i INSPECT ON: � t 6! TYPE OF STRUCTURE: Commemb 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 Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil 1 for wet areas under slab ackfill 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 Foundation Inspection Repo Office No.(518)761-8256 Date Inspectio reque i Queensbury Building&Code Enforcement Arrive: p Depart: am/p 742 Bay Rd.,Queensbury,NY 12804 Inspector s Initials. NAME: LI PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUC . m n 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 concrete. 11�aterinlsr-for this. se on site. 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 1 r wet areas under slab ppro Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\lnspecdon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date In ctio request received: Queensbury Building&Code Enforcement Arrive• �^ am/pn1 Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 inspector's Initials: --' NAME: iJ PERMIT#: LOCATION: 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 Reinforce ent in Place Footin we or Keyway in place Foun 'on pproofing 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 Backfiill Approval Plumbing Under Slab P Foundation Insul Interio /Exterior Rough Grade 6 inch thin 10 ft. L:\Building&Codes Fors\Building&Codes\lnspection FormsWoundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 3 M �,� i Foundation Inspection Report Office No.(518)761-8256 Date Inspection5RMT _ Queensbury Building&Code Enforcement Arrive: Depart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi NAME: (i�� . �f LOCATION: INSPECT ON: TYPE OF STRUC . Cou}ments 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 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 l4 d t4i r 3 f: n s 3 9 T i 1 J{1 ( 1 i LID 4 t S { 3 � 1 Jun 19 09 01:49p Clute 1 5187430955 p.2 77 0� s •- r ` / G � �P 1 1 •