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2009-156 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090156 Application Number: a20090156 Tax Map No: 523400-289-020-0001-011-000-0000 Permission is hereby granted to: MICHAEL & JANICE MASSIANO For property located at: 21 GRAND VIEW Dr in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: MICHAEL & JANICE MASSIANO 9 GREENWOOD Ln Fireplace QUEENSBURY,NY 12804-0000 Garage Attached Single Family Dwelling $840,000.00 Total Value $840,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2009-156 4426 sq ft single family dweliing with 928 sq ft garage and 3 fireplaces $623.92 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, May 04, 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 To of ensb Wild , May 04, 2009 SIGNED BY for the Town of Queensbury. IV-Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 4z Community Development- Building &Codes (518) 761-8256 CEIK".HFICATE (.3"'F77 OCCUPANCY Permit Number. P20090156 Date Issued: Thursday, April 22, 2010 This is to certify that work requested to be done as shown by Permit Number P20090156 has been completed. Location: 21 GRAND VIEW Dr Tax Map Number. 523400-289-020-0001-011-000-0000 Owner. SCHERMERHORN RESIDENTIAL HOLDINGS, L Applicant: MICHAEL & JANICE MASSIANO 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, 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. •rrrrr�=;r r i r r r� r r�r , rrrrr rrrrrrrrrrr...............r�S - ". rrrrrr r' r+ rr+'r r�ir�r FFICE USE ONLY U V TAX MAP NO. PERMIT NO. ; FEES: PERMIT RECREATI N �� ENGINEERING o APR 2 a 2009 _ r (If applicable) ; r - rr.r.rirr._.rrr.._.rrr.rr.rrr.rrrr.. T MrQF QUEENSBURY rr BUILDigGr&rG0MS.rr.. 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/BUILDERAV,#f l°&),tkhj C11f 1��� 1)C OWNER: I lkz 4-jow, ADDRESS: inDDRESS: l�lYl W U�d � -- PHONE NOS. `� L{ �{j PHONE NOS.-7q2 CONTACT PERSON FOR BUILDINGE r &CODES COMPLIANC tG�1"C i PHONE LOCATION OF PROPERTY: r Ld 1. �,i ,, br � 1`1 ��L V~�'r� /`A HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES JAI NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z PROJECT p Q O a O Ujw � H w o w o � U- U- w Q CL u_ = F- Ow � o � z Q Q N 0 �O � z d2ots SINGLE FAMILY �. TWO-FAMILY MULTI-FAMILY (NO. of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) y2 O OTHER IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: ��/y ESTIMATED CONSTR CTION COST 3 �I - -.� ' FUEL TYPE: HEAT TYPE: I ► } ti-i L. *HOW MANY FIREPLACE(S): AND/ OR WOODSTOVES(S): ZONING CATEGORY:- _ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? �` (0 c PROPOSED USE OF BUILDING OR ADDITION: *Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office Town of Queensbury - Communihj Development Office - 742 Bay Road, Queensbury, NY 12804 B 3-LGL I I-05 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?IV Q ARE THERE EASEMENTS ON PROPERTY? v 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 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 a agree to the above. Signed 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 hereby granted to the above ; This application / proposed action described 1001 ol Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. 00 Application: 11 ; ; ; ; 0 , 11 BUILDING & CODES APPROVAL lo ZONING APPROVAL ' ; DATE ' DATE 00 ,_---- QUESTIONS? CALL 761-8256 OR EMAIL codeslakgueensburv.net Office Use Only V(:] ISIT OUR WEBSITE FOR MORE INFORMATION Operating Permit Issued: Yes No www.gueensbury.net Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Towtt of Queensbury - Conimiinity Development Office - 742 Bay Road, Queensbury, NY 12804 e f"erc;3 AlEI1'shaEfS >ff�ce _i APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building &Codes Office for the issuance of a Building &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 REQj'UIRED. OWNER:Rl a �d� � ��� �( �' INSTALLER/BUILDER:1 G V iff 1.:`�'�1�1S�R ✓ l(J I ADDRESS l✓j i�, ,�'\Glelt�j ✓�GIsY 1.4_--' ADDRESS: !{�`� 1J1��GJr' V V�c-� ' �• �I I PHONE NOS!DAD j-7GI�v 1 '�" r PHONE NOS. 5 I i ! 44113 LOCATION OF PROPERTY: ' Gk el P V r SUBDIVISION NAME: LOCATION OF PROPOSED CONSTR CTION A D/OR INSTALLATION: C�LIt 1 CONTACT PERSON FOR BUILDING&CODES COMPLIANC14--)t)I� klvk J PHONE: ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT _ FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: 1—$" :fi '.r_ MODEL NO. LISTED BY: A,: NUMBER: QUESTIONS? CALL 7614205 or 761-6206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: fire marshal�2 ueerns ur,,et, MASONRY** CHECK ONE ✓ VISIT OUR WEEISITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES X,,�' . €ee ssbur`net FLUE CHECK ONE DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY WALL LINER CHIMNEY MATERIAL CHECKONE ✓ **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. 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. 1 Listing and Code Approvals A. Appliance Certification C. BTU Specifications Models Maximum Minimum Orifice MODELS: SL-550TR-E, SL-750TR-E, SL-950TR-E U.S. (0-2000 ft.)or Input Input Size LABORATORY: Underwriters Laboratories, Inc. (UL) Canada(2000-4500 ft.) BTU/h BTU/h (DMS) TYPE:Direct Vent Gas Appliance Heater SL-550TR-E{NG} U.S. 21,000 15,000 #44 STANDARD:ANSI Z21.88a-2007•CSA 2.33a-2007 SL-550TR-IPI-E(NG) Canada 18,900 13,500 #45 SL-550TRLP-E(LP) U.S. 20,600 14,600 #55 This product is listed to ANSI standards for "Vented Gas SL-550TRLP-IPIE(LP) Canada 18,540 13,140 #56 Appliance Heaters"and applicable sections of"Gas Burn- ing Heating Appliances for Manufactured Homes and SL-750TR-E(NG) U.S. 24,300 16,900 #42 Recreational Vehicles", and "Gas Fired Appliances for SL-750TR-IPI-E(NG) Canada 21,870 15,210 #43 Use at High Altitudes'. SL-750TRLP-E(LP) U.S. 23,400 17,600 #54 NOTICE: This installation must conform with local codes. SL-750TRLP-IPIE(LP) Canada 21,060 15,840 #55 In the absence of local codes you must comply with the SL-950TR-E(NG) U.S. 30,400 20,900 #37 National Fuel Gas Code, ANSI Z223.I-latest edition in SL-950TR-IPI-E(NG) Canada 27,360 18,810 #38 the U.S.A. and the CAN/CGA B149 Installation Codes in Canada. SL-950TR-E(LP) U.S. 30,800 23,000 #52 SL-950TR-IPI-E(LP) Canada 27,720 20,700 #53 NOT INTENDED FOR USE AS A PRIMARY HEAT SOURCE. This appliance is tested and approved as either supplemen- D. High Altitude Installations tal room heat or as a decorative appliance. It should not be factored as primary heat in residential heating calculations. NOTICE:If the heating value of the gas has been reduced, these rules do not apply. Check with your local gas utility B. Tempered Glass Specifications or authorities having jurisdiction. Hearth & Home Technologies appliances manufactured When installing above 2000 feet elevation: with tempered glass may be installed in hazardous loca- • In the USA: Reduce input rate 4% for each 1000 feet tions such as bathtub enclosures as defined by the Con- above 2000 feet. sumer Product Safety Commission(CPSC).The tempered . In CANADA: Reduce input rate 10% for elevations glass has been tested and certified to the requirements between 2000 feet and 4500 feet. Above 4500 feet, of ANSI Z97.1 and CPSC 16 CFR 1202 (Safety Glazing consult local gas utility. Certification Council SGCC# 1595 and 1597.Architectur- al Testing, Inc. Reports 02-31919.01 and 02-31917.01). Check with your local gas utility to determine proper This statement is in compliance with CPSC 16 CFR Sec- orifice size. tion 1201.5 "Certification and labeling requirements" which refers to 15 U.S. Code (USC)2063 stating"...Such certificate shall accompany the product or shall otherwise be furnished to any distributor or retailer to whom the product is delivered." Some local building codes require the use of tempered glass with permanent marking in such locations. Glass meeting this requirement is available from the factory. Please contact your dealer or distributor to order. Heat&Glo • SL-550%750/950TR-E • 2118-900 Rev.M - 1/09 7 APPLICATION FOR FUEL BURNING APPLIANCE & CI-IIlAINTYS Application is hereby made to the Building &Codes Office for the issuance of a Building & 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 REQUIRED. �1 )y/� OWNER:01 I (� `- ''�('< � �4tr ' INSTALLER/BUILDERWiffi ��J v�� l l + ADDRESS: j� t I I V "fir ADDRESS:�6 ' '�� +�, PHONE NOS PHONE NOS---) (_� I � L_ -1 4 `u LOC TION OF PROPERTY:s 1' e7 �it.`n )V L Z vj I SUBDIVISION NAME: Ue-e V1 S l'3 LA/''vl:), I\► ) (ZIIWYl LOCATION OF PROPOSED CO STRUCTION AND/OR INSTALLATION:t `, r t�f4'�l� FvV�Cy �f} ti PHONE:���_l�'` CONTACT PERSON FOP.BUILDING&CODES COMPLIANCE:i ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) Imo}- C'7t..� MODEL NO. *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: �'1AT LISTED BY: la - ���-' NUMBER:�� I�- ��-��ol QUESTIONS ? CALL 761-8205 or 761-8206 OR EMAIL CHIMNEY INFORMATION BLOCK BRICK STONE MASONRY** (J CHECK ONE ✓ VISIT OUR WEBSITE SIZE IN FOR MORE INFORMATION TILE STEEL INCHES FLUE CHECKONE ✓ I v' 5+� CHIMNEY DOUBLE TRIPLE WALL INSULATED DIRECT VENT LINER WALL CHIMNEY MATERIAL CHECKONE ✓ Y **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NOADDIT . NOTE:ONAL PREVENTION&BUILDING CODE ND/OR REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEEN BURY HANDOUTS EGARDING REQUIRED MANMANUFACTURERS ANU ACTUR RS INSPECTIONS. 1 Listing and Code Approvals A. Appliance Certification B. Non-Combustible Materials This fireplace system has been tested and listed in accor- dance with UL 127 and ULC-S610 standards by Under- Materials which will not ignite and burn, composed of writers Laboratories Inc. for installation and operation in any combination of the following: the United States and Canada. - Steel - Iron This fireplace may be installed in sleeping rooms EX- - Brick - Tile CEPT in manufactured homes. If installed with a gas log - Concrete - Slate set, provisions for the National Fuel Gas Code must be - Glass - Plasters met. Materials reported as passing ASTM E 136, Standard Test Method for Behavior of Metals,in a Vertical Tube This fireplace has been tested and listed for use with the Furnace at 7500 C optional components specified in this manual. These op- tional components may be purchased separately and in- C. Combustible Materials stalled at a later date. Installation of an outside air kit will • Materials made of or surfaced with any of the following require significant reconstruction and is best if installed at materials: the time of fireplace installation. - Wood - Compressed paper Heat& Glo is a registered trademark of Hearth & Home - Plant fibers - Plastic Technologies Inc. • Any material that can ignite and burn; flame proofed or not, plastered or un-plastered WARNING!Risk of Fire!Hearth & Home Technologies disclaims any responsibility for, and the warranty and agency listing will be voided by the following actions. DO NOT.• • install or operate damaged fireplace • modify fireplace • install other than as instructed by Hearth & Home Technologies • operate the fireplace without fully assembling all components • overfire • install an unvented gas log set • install any component not approved by Hearth&Home Technologies • install parts or components not Listed or approved Improper installation, adjustment, alteration, service or maintenance can cause injury or property damage. For assistance or additional information, consult a qualified installer, service agency or your dealer. NOTICE: This fireplace is tested and approved as a decorative fireplace. It should not be factored as a primary heat source in residential heating calculations. 6 Heat& Glo • EXCLAIM-36, EXCLAIM-42 •4013-251 Rev D • 03109 APPLICATION FOR FUEL BURNING APPLLANCE & CHIA4AEYS Application is hereby made to the Building &Codes Office for the issuance of a Building & Use Permit pursuant to the New York Staie Fire Prevention & Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT: ROUGH IN AND FINAL INSPECTIONS ARE REQUIRED.� � � vyv OWNER: Y/ P. INSTALLER/BUILDERW � r S.S (�,�II � �:�; ADDRESS: ADDRESS: & �tJ PHONE NOS PHONE NOS 1.� ,l �j r / I � C', IC`1 t ter SUBDIVISION NAME: kit LOCATION OF PROPERTY: —� LOCATION OF PROPOSED CON RUCTION AND/OR INSTALLATION: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE ��1 1,7C�S PHONE ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) MODEL NO. SC5�jO TiZ� *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: IA .'T' E'p LISTED BY: i 'r 1 NUMBER: QUESTIONS? CALL 761-8205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL MASONRY** N CHECK ONE VISIT OUR WEBSITE SIZE IN FOR MORE INFORMATION TILE ST�EEL INCHES z�.,�e;� .--` FLUE CHECKONE ✓ t/ f J CHIMNEY DOUBLE TRIPLE WALL INSULATED DIRECT VENT LINER WALL CHIMNEY MATERIAL CHECKONE ✓ I v I **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. NYS FIRE NG CODE ADDITIONAL NOTE: CONSTRUCTIONREQUIREMENTS. CJONSULTLATION MUST CONFORM AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING EGARDINIG REQUIRED ND/OR MANUFACTURERS REQUIREM INSPECTIONS. Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: 2Z— Ll NAME: LOCATION: PERMIT#: CEA-- Final Survey Plot Plan Avuroved Denied The attached final survey has been received by the / Dept.of Community Development. Upon review the nEey has been: Craig BrowlrZoning Administrator Notes: L:1SueHemingway\Building.Codes.hmpecdon.FORMS\Fina1 Survey .Zoning Administratordoc P� 2 /A Queensbury Building & Code Enforcement - ResidWil`Final Inspection O r No. (518) 761-8256 Arrive: am/pm Depart: , am/pm Date Inspection request received: Inspector's Initials: NAME: CC %�A PERMIT#: LOCATION: ' DATE: TYPE OF STRUCTURE: Comments: N A ,C Building Number Address visible from road Chimney Height/V Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/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/Dderior 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/re ulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety I /Window in stairwells safety glazing Interior nteri Smoke Detttctors/Carbon Monoxide electors Eve level: _U Every Bedro Outside every bedroo area: Inter Connected: Batts backu : 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 sq.-ft.vents Bathroom Fans if no window ( Plumbina fixtures ,�^ Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress,below grade Gas Furnace shut-off within 30 feet or within line of site 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 IN Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitdhed Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logo in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System 1 Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C 10 Temporary/Permanent L:1Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Forrn_revise0_100405.doc;Revised January 7,2008;Revised 6/26/08 Queens�ui��Build`ingl & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/pm Depa i am/pm Date Inspection request received: 0 Inspector's Initials: NAME: PERMIT* LOCATION: r �� + ) i- DATE: TYPE OF STRUCTURE: Comments: Yetw ,C 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 ete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs deckspatios more than 30 inches above Irade 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 priM/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight . 4 1 Safety glazing/Wi in stairwells safety Interior Smoke ors I Carbon noxi Detectors Every level: Ev Bed Outside every bedroom rea: 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 s .ft. Emergency ress below grade Gas Furnace shut-off within 30 feet or within line of site NIL Oil Furnace shut-off at entrance to fumace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Shestrock Underside minimum W Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Gars a fireproofing/%hour fire door/door closer Duct work Sealed prop2rly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Are 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 Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 Town of Queeusbury Ire Marshal 742 Bay Rod Qwmubwy,NY 12904 761-SM/761-5206 UK 7454437 Factory Built Gas Firmla ce/Stove Inspection Report Metiee+New York State regoim that all LOLL Iided,fadwy bola appliamm be m aped aoeordisg to the imAmctisms and spec�anhoas eosuddmed u the lastmlbdm Mammal acompaayisg;the applamm No deviation from the rer's ¢ indsssuieas or specific is some& # -/,5(p SdmWeWWccems I 2i C� Ti a /•` '� m p. aoytbw Is*cdw� S Address ` CiLPn,�i/I' ��1 t,�' Noses Isvd 4pp4aoe At adsmer �! Model# [/ lirect Vest p'aciny Benin Ctiisury_,(,�Siae Double Wan Triple Wan Iusulaied Yes No N/A Cep door Protection 3eafances to Combustibles(all sides) ?�f"top(s) vertical cbmw.,� Wan reoeiratisn Vent CleatmWes to Combustibles Vent/Chimney Tn mfiufim ,%d.ueiy bcgpt smod be 3 feet above roof mmeb*i ;2 feet above say combudible sughlocclom wiliiu to feet rss Shut-Off Valve :embustimm Air Eleafth Extension(deny) AA46kA Mantel eve-- witness operation �i i2/1j �/ `6ac A;� �tr�141 rank Placement(if UP) WhMe—DaMMIngD Yam,. r�- Twa of Qaeea dwy Fine Marshal 742 Bay head 2�V5 Quenabwry,NY 12M4 761-RM/761-5206 fax 7454437 Factory Built Gas Fir eDlace/Stowe Issnection Report Notice:New York State Wines tiadt as ILL Lined,factory Wit appiiaoces be iasfased according to tre mostroctiom ad sp contained is the Loa Manual aooaarpaayiag the appiiaaoe.No deviation froan the wardadarcr's instractiow or specificatiom is asowed. 9arslit# Swcbeeive 4�0 at dM� anytime Iss� tausie W4 56//7i'J'�(� Address / � �1� �/G Be00 h rant 1pptianoe Mannfaer Model# ev Nflect Vest Factory Balk Ctissaey Fire Size Dowble wa Triple wall Iasdated Yes No N/A Comments @loor Protection -leearances to Combustibles(A sides) Firestop(s) Vertical Chase was Peacb7Aim Vent Clearances to Combustibles Ak Vest/Cbimrtey Tarmination 4t/ � 3i.ney beigbt be 3 feet above resof woe ratios;2 fed above any aolghlodim withis to feet Gas Shut-Off Valve Combustion Air Volo Ile[learth Extension(if any) �'- i�S�l� ►a 4�t v4 L so 5' n"4- 3 Reebt above Up opeaft Witness Operation Cann Placement Qf LP) Wbbe-DWIMMg Dap- Yamw erg-em ear Town of Queensbury Fire Marshal 742 Day Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. J Permit# %7 Schedule Inspection 1011 Time pm anytime Inspector P Name SQ/ U Address Rough lnminal Appliance Manufacturer —1 y Model# �L � Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No NIA Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration_ Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) I vt Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept- Yellow r Pink—Fire Marshal .W r Y51 `Y5`'�� • Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-82051761-8206 fax 7454437 Factory Built Gas Fireplace/Stove Inspection Resort Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. �/ Permit# ��l.S �=C Schedule Inspectionl�/� A Time / a, p�m anytime Inspectoilt l IVZ'. 7 ly Name //5.S J +?/1 Address 72 I ( 5` �1�A zer_J Rough Ind Final Appliance Manufacturer 1 ''fU' Model# Direct Vent Factory Built Chimney__ZFl ue Size r Double Wall Triple Wall Insulated Yes No NIA Comments Floor Protection 9rf" - -14--0,-2 Ib 396- Sz PRO Clearances to Combustibles(all sides) Firestop(s) Vertical Chase Wall Penetration_, Vent Clearances to Combustibles �r Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White-Buiidiny DepL Yellow r Punk-Fire Marsha! /0 --/Z /fie Rough Plumbing / Insulation Inspec ' n Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm art: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 47� NAME: 44&,s5'11-iK. PERMIT #: LOCATION: 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 .S. 15 minutes Insulation/Apsidential Check/Commercial Check Tyvek or Sjp4lar Exterior Sealant ent, Attic Vent Door/Window Sealed No Insulation Duct I Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: yj y � � / Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 1-3 7. . Rough Plumbing / Insulation In eCtion 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: NAME: M&,5,5, PERMIT LOCATION: INSPECT ON: 9'—,�� 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 MAi P. .I 15 minutes Insulation/ftidential 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: V Rough Plumbing Insulation Report revised Nov 17 2003, revised February 16,2006, revised January 7,2008 Framing 1 Firestopping Inspection Roit Office No. (518)761-8256 Date Inspection request received: i Queensbury Building&Code Enforcement Arrive: am/ Depart:L�� m/pm 742 Bay Road, Queensbury, NY 12804 inspector's Initials: NAME: 1 PERMIT#: LOCATION: INSPECT ON: .- TYPE OF STRUCTURE: 5� t Y N NIA Framing COMMENTS'`Access 22"x 30" minimum Jadc Studs/Headersh,� ) S ►� 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 nk^ Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gagge 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 cay 4 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. (1N) 5.7 sf above/below grade 5.0 sf grade L:\BuildW*&Codes Forrn&0W\3uildkV&CodesUnspedion Fomns'Frarn ft Firedopp ft Inspection Report.doc Revisect January 7,2006 Rough Plumbing 1 Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: A0 01 Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT #: LOCATION: a 6 % . INSPECT ON: 4AP �l TYPE OF STRUCTURE: N N/A Rough Plumbi / it Plates ent/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 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/NoAucttw t � COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised.January 7,2008 O - Itl Framing / Firestopping Ins ' n Report Office No. (518)761-8256 Date Inspection request received:Queensbury Building&Code Enforcement Arrive: am/ Depart:c: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: AIN NAME: PERMIT#: LOCATION: b INSPECT ON: TYPE OF STRUCTURE: f 2�!n Framing Y N NIA COMMENTS' ' Attic Access 2T x 31Y minimum n Specl Ao Jack Studs/Headers 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 'r4 w 16 gauge 8 16D naas each side Draft sto 'ng 1,000 sq. ft. floor trusses Botts 6 or less on center /� Ice and,waters d 24 inches from wall / _ i radon 1, 2, 3 hour �y Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 518 inch Type X Garage side 518 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms ` ^' 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASulding&codes Forma-=\8ui1ding&CodesUnapecdion FonnsWraming Firestopping inspection Repoitdoc Revised January 7,2006 r f< 1 Rough Plumbing / Insulation spection Report Office No. (518) 761-8256 Date Inspection request received: a Queensbury Building &Code Enforcement Arrive: am/pm Depart: ) m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:A 1 T1 NAME: 114assla o PERMIT #: LOCATION. INSPECT ON: I TYPE OF STRUCTURE: Y N NIA Rough Plumbing / ail Plates ents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain Air H 5 P. .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 Insubifion Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Foundation Inspection Report Office No.(518)761-8256 Date InspqctionVequest received: Queensbury Building&Code Enforcement Arrive: am/pgn Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspec 's Initials: NAME: / G`t? PERMIT#: `I LOCATION: INSPECT ON: TYPE OF STRUCTURE: Commenb Y N NA 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 poly for wet areas under slab ackfill pproval 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\Inspecdon 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: Queensbury Building&Code Enforcement Arrive: am/pm Depart: Lj I am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials*�� ( I tv NAME: ' PERMIT#: LOCATION: �.-j INSPECT ON: TYPE OF STRUCTURE: Commenb Y N NA Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for 0 L- providing protection from freezing for 48 hours following the placement �y of the concrete. r this purpose on site. )) J Foundation/ allpour Re orcement 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\lnspection Forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM �- � A) Foundation Inspection Repo Office No.(518)761-8256 Date InsF's t' Or-quest received: Queensbury Building&Code Enforcement Arrive: 5 am/pr� Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 InspectoInitials: 1 NAME: N—zlPERMIT#: LOCATION: naINSPECT ON: TYPE OF STRUC r Commenb Y N N/A Footings iers Monolithic Slab Reinforcement in Place 1 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 Fors\Building&Codes\Inspecdon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM