2008-012 411111111ai TOWN OF QUEENSBURY
^r 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20080012 Date Issued: Monday, April 02, 2012
This is to certify that work requested to be done as shown by Permit Number P20080012
has been completed.
Location: 54 RICHMOND HILL Dr
Tax Map Number: 523400-308-007-0001-068-000-0000
Owner: TRA-TOM DEVELOPMENT INC
Applicant: TRA-TOM DEVELOPMENT INC
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage - 2 Cars 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 Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080012 Application Number. A20080012
Tax Map No: 523400-308-007-0001-068-000-0000
Permission is hereby granted to: TRA-TOM DEVELOPMENT INC
For property located at: 54 RICHMOND HILL Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: TRA-TOM DEVELOPMENT INC
677 STATE ROUTE 9 Fireplace
Attached
GANSEVOORT, NY 12831-0000 Garage-2 Cars
Single Family Dwelling
$357,000.00
Total Value $357,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2008-012
2859 SQ FT SINGLE FAMILY DWELLING & 464 SQ FT GARAGE & 1 FIREPLACE
$780.96 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, February 25, 2009
(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 T of Quee bury; .M nday, February 25, 2008
SIGNED BY <�;, for the Town of Queensbury.
Director of Buildin &Cd Enforcement
Permit No. 0E- 0 /2_
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury,NY 12804 Recreation
Dave H tin Director codesQqueensburv.net
I�
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permit for construction,
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder 1_40%Y11/f/3 f-- Owner:
Address: 1 *q 6 Address:
Home Phone: r'ts? — Home Phone:
Email Address: Email Address:
Cell Phone: Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: / .t9--i.- CO 40 Q —
Address: Phone e g3 '
Location of proposed construction: Lot No. / Legal Address: 10-'/P(
Tax Map Number: ,...x./80 7-I 6O 0 Subdivision Name: f )Lste 'Y\
Estimated Cost of Construction: $ J3 5 / ODD
Proposed construction is for: sidential Use _Commercial Use
Name of Business:
If proposed construction is an addition,what will use of new addition be?
New Addition Alteration Proposed Construction 15'Floor 2^d floor Other Total Proposed
structure (Occupancy Type) Sq.Ft. sq.ft. Sq.Ft. Square feet Height
Ft.&in. �( y�,
Single-Family Dwelling /(5-"I/ ? y Sf <zo .-�ef34
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other: %
Attached Garage 1� "?`j(0�! -
Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, Baseboard, Other:
If a fireplace and/or woodstove are being installed, please refer to a separate application. -25 C
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the application, together with the plans and
specifications submitted, are a true and complete statement of all proposed work to be done on the described
premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the
proposed work shall be complied with,whether specified or noted, and that such work is authorized by the owner.
Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a
licensed surveyor, drawn to scale,showing actual location of all new construction.
I J7
Date: (ID - Applicant/Builder Signature: � .L-,0 CC'-M
The application of dated is hereby approved and
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
forth above.
Date: Authorized Signature:
L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION: !�D
�// l Office Use
Location of installation: Li 1t� t } ,�?d Li ?t2 �c
File Permit No. a —6/Z.
Z
Tax Map No. / /
--�/ Fee Paid
�
Owner's Name: ! LCJIl 1( raA 57
Address: /p 7 /J
2. INSTALLER'S NAME : /9,, % �{,fJ��- - PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply #of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrm =
1980-1991 x 130 gal/bdrm =
991 —present x 110 gal/bdrm = 3 OC
Garbage Grinder Installed yes— / no
Spa or Hot Tub Installed yes+ / no 'i
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply-
Flat sand at what depth at what depth municipal
'Rolling l"vam 7()ffeet ( feet well
Steep slope clay if well; water supply
%slope other from any septic-system
depth: absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. 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: f?6D gallon (min. size 1,000 gal.)
Tile Field: each trench ft. Total System Length: ft.
Seepage Pit(s): number of size of each: by ft.
Size of Stone to be used: # ` " / depth or thickness feet
Bed System Size: x.
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant,shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
d
si a person ate
Signature of respon ��
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Date • l( , 200 v Permit No. -012
Application is hereby made to the Building& Codes Office for the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention and 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.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: rkarne /�C 'h.SL._ Stove: wood coal pellet gas
Fireplace insert
Address: 4 T) AL- q Fireplace, factory-built: wood
.4itS,r0 Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone: 6 8) -Era-6
If non-masonary applicance, please provide
Owner: �� C�����, • Manufacturer Name:
Address: Model Number: —
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue tile steel size: inches
Exact Address: , 14 e ume 1 d A
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: _ Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury —
Handouts regarding required inspections. Double wall / Triple wall / Insulated Direct venting
Chimney Liner
Cnischtie.z•'ier]7epavrt r eexct--T yam of Quee.zialibuzy-, 1Q ew Yc,z l
i
Fire Marshal Code# $Collec(ed $ 'e tnde Received from (refunded to):
address:
A173 3389 (190) Public Safety _ !
A 233 2655 (230)Minor Sales I
"698.
DATE: 6 _ � q_
- Tww Gee2�c
White(Applicant) / Green(Fire M, ) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.)
..
Permit#
Permit Date
C.../ REScheck Software Version 3.7.3
Compliance Certificate
Project Title: PLAN NO. 2504-05 SWEETBRIAR
Report Date: 11/20/07
Data filename: C:\Program Files\REScheck\REScheck\FARONE HOUSES\2504-05 FARONE-SWEETBRIAR-54
RICHMONDHILL,QUEENSBURY.rck
Energy Code: New York State Energy Conservation
Construction Code
Location: Warren County, New York
Construction Type: Detached 1 or 2 Family
Heating Type: Non-Electric
Glazing Area Percentage: 15%
Heating Degree Days: 7635
Construction Site: Owner/Agent: Designer/Contractor:
54 RICHMOND HILL DRIVE(LOT 21) THOMAS J.FARONE&SON INC. DANIEL WILLIAMS
QUEENSBURY,NY 12804 677 ROUTE 9 WILLIAMS&WILLIAMS DESIGNERS
GANSEVOORT,NY 12831 INC.
509 GLEN STREET
GLENS FALLS,NY 12801
518-798-HOUSE
Gross Cavity Cont. Glazing UA
Assembly Area or R-Value R-Value or Door
Perimeter U-Factor
Ceiling 1:Flat Ceiling or Scissor Truss: 1841 30.0 0.0 64
Wall 1:Wood Frame, 16"o.c.: 1855 19.0 0.0 89
Window 1:Vinyl Frame:Double Pane with Low-E: 283 0.320 91
Door 1:Solid: 20 0.130 3
Door 2:Solid: 33 0.130 4
Door 3:Glass: 40 0.330 13
Wall 2:Wood Frame, 16"o.c.: 1307 19.0 0.0 70
Window 2:Vinyl Frame:Double Pane with Low-E: 141 0.320 45
Basement Wall 1:Solid Concrete or Masonry: 1564 11.0 0.0 99
Furnace 1:Forced Hot Air:92 AFUE
The proposed building represented in this document is consistent with the building plans,specifications,and other calculations
s -miffed h t is.ermit application.The proposed systems have been designed to meet the New York State Energy Conservation
Con.tructio C..e r-. irements.When a Registered Design Professional has stamped and signed this page,they are attesting that
to h .-st hi-h i r owledge,belief,and professional judgment,such plans or specifications are in compliance with this Code.
1 i lUA6$[ AttlitiAlik( \)Kt. trtkiv2-s 11-7-0-6-1
, , aiCompany Name Date
PLAN NO.2504-05 SWEETBRIAR Page 1 of 4
REScheck Software Version 3.7.3
Inspection Checklist
Date: 11/20/07
Ceilings:
❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation
Comments:
Above-Grade Walls:
❑ Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
❑ Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
❑ Basement Wall 1:Solid Concrete or Masonry,8.0'ht/7.0'bg/8.0'insul,R-11.0 cavity insulation
Comments:
Windows:
❑ Window 1:Vinyl Frame:Double Pane with Low-E, U-factor:0.320
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?_ Yes No
Comments:
❑ Window 2:Vinyl Frame:Double Pane with Low-E, U-factor:0.320
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Door 1:Solid,U-factor:0.130
Comments:
❑ Door 2:Solid,U-factor:0.130
Comments:
❑ Door 3:Glass,U-factor:0.330
Comments:
Heating and Cooling Equipment:
❑ Furnace 1:Forced Hot Air:92 AFUE or higher
Make and Model Number:
Air Leakage:
❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed.
(3 Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from
combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation.
Vapor Retarder:
❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
❑ Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
PLAN NO.2504-05 SWEETBRIAR Page 2 of 4
❑ Materials and equipment must be identified so that compliance can be determined.
❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided.
❑ Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or
specifications.
Duct Insulation:
❑ Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
❑ Return ducts in unconditioned attics or outside the building must be insulated to R-6.
❑ Supply ducts in unconditioned spaces must be insulated to R-11.
Li Return ducts in unconditioned spaces(except basements)must be insulated to R-
❑ Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
.Insulation is not required on return ducts in basements.
Duct Construction:
❑ All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives),
mastic-plus-embedded-fabric,or tapes.Tapes and mastics must be rated UL 181A or UL 181 B.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500
Pa).
❑ The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
❑ Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest
zone.
Electric Systems:
❑ Separate electric meters are required for each dwelling unit.
Fireplaces:
❑ Fireplaces must be installed with tight fitting non-combustible fireplace doors.
❑ Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building
Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable.
Service Water Heating:
❑ Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral
heat trap or is part of a circulating system.
❑ Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
❑ Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from
non-depletable sources.Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table
2.
PLAN NO.2504-05 SWEETBRIAR Page 3 of 4
,
Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Non-Circulating Runouts Circulating Mains and Runouts
Heated Water
Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-169 0.5 0.5 1.0 1.5
100-139 0.5 0.5 0.5 1.0
Table 2:Minimum Insulation Thickness for HVAC Pipes
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0
Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD:(Building Department Use Only)
PLAN NO.2504-05 SWEETBRIAR Page 4 of 4
Queensbury Building & Code Enforcement - Residential Final Inspection
/
Office No. (518) 761-8256 Arrive: 15 am/pm Depart: am/pm
Date Inspection reques eceived: __ Inspector's Initials: ,`-e/
NAME: _� L • PERMIT#: - C 1�_
LOCATION: DATE: S 7-5 /l0
TYPE OF STRUCTURE: _,cr `~
�(`� Comments:
4" Buildin Number Address visible from road �_��
Chimne Hei ht/"B"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,decks,patios 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 Railin 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 I trim/doors I main entrance 36 inches
Bathroom/Kitchen watertight_w _
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors I 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. \ O t L—
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
Furnace/Hot Water Heater operating '— n 1 T� _ ��
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched _
Garage fireproofing/%hour fire door I door closer
Duct work Sealed properly _ }
Gas Logs in Sealed or Glass Enclosure
-
Final Electrical
Final Survey Plot Pian
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/O[Temporary/Permanent'
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6I26/08
I Yl bnet& / 0-1a
rQueensbury Building & Code Enforcement - Residential Final inspection
r '�,1
Jo. (518)761-8256 Arrive: am/pm Depart; LI.1 mipm
nspection request received: 3/3 a//a Inspector's Initials: ,
/IE: o®J7( e PERMIT#:CATION: -y RIC.h MQtnr� 4-1-) // DATE:PE OF STRUCTURE: Ca "_.. Comments:
'Building Number Address visible from roadmney Height/"B"Vent/Direct Vent Locationsh Air Intake ,/
3 inch Plumbing Vent through roof minimum 18 inches
1 Roof Complete/Exterior Finish Complete ✓Vi
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade f jf
Guard at stairwell at 34 inches or more V
Guard at deck,porches 36 inches or more / 7Handrail Termination at Newell Post or Wall >
Interior/Exterior Railings 34 inches to 38 inches /+�
Deck Bracing I Handicq Aped Ramp Compliant ,f
//t
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate V Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches /
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety c_tazing
interior Smoke Detectors I Carbon M oxide Detectors
Every level: t.,J Every Bedr V r
Outside every bedroom rea: ,'
Inter Connected: V 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 7
Bathroom Fans, if no window /7/
Plumbing fixtures
F ' risulte-flgor/Sticker on Panel -
Duct work sealed properly/ lower Door Test Certification --, ;ram f.. V 47
F oor , s op i finished basement 1,000 sq.ft. I
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site IOil Furnace shut-off at entrance to furnace area / i/
Furnace/Hot Water Heater operating �/
Low water shut-off boiler /�
Relief Valve(s)installed/Heat Trap/Water Temp 110 �( 7
Enclosed Stairs Sheetrock Underside minimum'/"Gypsum /
Basement stairs closed rise>4 inches V
Garage Floor Pitched
Garage fireproofing/%hour fire door I door closer
Gas Logs in Sealed or Glass Enclosure ,/r
Final Electrical; Energy Saving Light Bulbs 50% ,a//J
Final Survey Plot Plan �t//f
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles /�
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker 4s
Site Plan /Variance required Am-A. /�
Flood Plain Certification,if required 1,/
Okay to issue C I C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Fonns\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008:Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
Queensbury Building & Code Enforcement - Resid ntial Final Inspection
Office No. (518) 761-8256 AL,
� Arrive: am/pm apart: am/pm
Date Inspection request received: 3/, c= /j.Q Inspector's Initials:
e F
NAME: -ram .r,r'o to PEI IT#:
LOCATION: ] K/ }eiv, , (/ DATE:
TYPE OF STRUCTURE: S 1 cof_ r-, in 1
Comments:
Yes/No N/A
4" Building Number Address visible from road ',/
r
Chimney Height/"B"Vent/Direct Vent Locationkin. Cti ACC
Fresh Air Intake
3 inch Plumbin Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete V
/ 3ii:p'tat-Col
Platform at all exterior doors
Handrail 4 or more risers ,�
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more V
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 feetii i
6 inch clearance to sill plate
Gas Valve shut-off eposed/regulator 18 inches above grade
Interior privacy I trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight �r
Safety glazing/Win w in stairwells ty ing ;!
Interior Smoke De ctors/Carbon M noxidd Detectors
Every level: Eve Bedro '
Outside every bedroom •
ea:
y
/'
Inter Connected: Battery backup: 41
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area f,/
Crawl Spaces 18 inch x 24 inch access, 1 sq,ft.-150 sq.ft.vents t
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor I Sticker on Panel ://
Duct work sealed properly/Blower Door Test 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 V�/,
Oil Furnace shut-off at entrance to furnace area ti
Furnace/Hot Water Heater oaerating
Low water shut-off boiler
Relief Valve(s)installed I Heat Trap/Water Temp 110 w/ /
Enclosed Stairs Sheetrock Underside minimum%"Gypsum t1
Basement stairs closed rise>4 inches
Garage Floor Pitched .k1;•V —
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot Plan � �
Arc Fault Breaker Habitable Spaces I Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System I Sewer Dept. Inspection Sticker
Site Plan /Variance required ,;;_
Flood Plain Certification,if required J'
Okay to issue C/C or C/O[Temporary/Permanent] ,`Y(
L:\Building&Codes Forms\Building&Codes\Inspection FormslResidential Final Inspection Form_revised 100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
/C / bvJc
Rough Plumbing / Insulation Inspectioh Report
Office No. (518) 761-8256 Date Inspection_request received:
Queensbury Building & Code Enforcement Arrive: (f " -ain/pm ? Depart: am/pm
742 Bay Road, Queensbury, NY 12804 inspecto s Initials:
NAME: b'0 PERMIT ##: w O/Z
LOCATION: $ 2 X, 4 INSPECT ON:
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 GtO A-cc_ S R f
Water Supply Piping
Air/ Head s
------51rnifor 15 minutes J .
Insulation / Residential Check/ Commercial Check v/ ,�
Tyvek or Similar Exterior Sealant
71
Proper Vent, Attic Vent ' V
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
Town of Queensbury Fire Marshal i
` 742 Bay 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
�q{ instructions o spec cations is allowed.
Permit# — O2( Schedule Inspection ��, / Time"• / am pm anytime Inspector 'J ,(----
Name pCu20()G� Address 49
1 C 4-i \010 V\O--t--- `_' Rough In / Final__
Appliance Manufacturer _�_ _ Model#
Direct Vent _ Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
__....._.._.___w__ ___. Yes No N/A Comments
_-�___ _
Floor Protection (& :-i'Ve_._,
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase ___ \il
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)
Mantel
Height above f/p opening
Witness Operation
Tank Placement (if LP)
White-Building Dept. Yellow-Customer f Pink-Fire Marshal
Framing / Firestopping Inspection Report
Office No. (518) 7 1- % .Zit 6
6 8256 Date In uest received:
pp f
Queensbury Building &Code Enforcement Arrive: G amm/p. Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 1`'�
NAME: `f/c-i-1 I PERMIT#:
LOCATION: _ t4 it,GC, vt, cv\.i� (.� . l ( )It_,;tr INSPECT ON: Ni/2 LA
TYPE OF STRUCTURE:
Y N N/A , COMMENTS:
Araming
Attic Access 22" x 30" minimum
Jack Studs I 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
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
Ceiling/wall
Windows Habitable Space/ Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above /below grade
5.0sf •rade
L:\Building&Codes Fomis-OLDU3uiiding&Codea\nspec tion Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008
Town of Ques esbury Fire Marshal
ilf j 742 Bay Road
'1i Queensberry,NY 12804
76105/761-8206
fax 7454437
Factory Built Gas Fireplace/Stove Inspection Report
Notice: New York State requires that all ill.Listed,factory built appliances be installed aawrdis8 to the isstructioas and
rations costalued in the Installation Manual accompanying the appliance.No deviation from the ma■efadxrer's
histructions or moons is allowed. ''`'---
Puma# (0 Y'01 Z Schedule Inspection V 221ef fie /0 r t am pm anytime Inspected I L
Name 1/2---‘A —To"- Ci - Address >$ d2+ Ceti iv-.co 6 is4:i I P i , Rongh In"Fiinal
Appliance Manufacturer L N 111®i jI'Ii0 Mede1# 6 7 o 8 c 7 l 7 �t�
Direct Vent Factory Bulk Chimney , Flue Sire Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles(all sides)
Firestop(s) Vertical Chase (JG4'(t�G-C_- 47 Y ( C pt.,'I r.0
Wall Penetration
i ,
Vent Clearances to Combustibles
Vent/Chimney Termination
Caney 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
Reiglat above Up opening
Witness Operation
Tank Placement(f LP)
Wilke-Bird Dept. Warm-c'a6i.er Pik Fire T,Ia,aid
�/0 "vja., ----7 ,
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Innspect_ipfi request received:
Queensbury Building & Code Enforcement Arrive: 05 am/pm part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: - - et-i'" - j PERMIT #: /2� -6
LOCATION: /( y l J��l Lr INSPECT ON: '-o .
TYPE OF STRUCTURE:
` Y N ,, N/A
Rough Plumbing / Nail Plates / 4Y f
`` -Plumbing Vent/Vents in Place �'/
1 '/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Clftanout every 100 feet/ change of direction
OffrIrsa.;.!re, Test r
/Vent /
Air I Head \i
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
Fa-tA'y v_ ic.) e,.,_
Septic Inspection Report
Office No. (518) 761-8256 Date In ct' uest received: C1 0
Queensbury Building &Code Enforcement Arrive: i am/ to is am/pm
742 Bay Rd., Queen u , NY 12804 Inspecto s Initials:
�U ° ♦ �'01
NAME: PERMIT NO.:
LOCATION: c� l dih')o„t, i 1 , INSPECT ON: 2®U V
RECHECK: n L617
Comments and/or diagram
Soil Type: d/ Loam / Clay
Type of Water: ' ip J/ Well Water
Water) e se ation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + / - Y N N/A
Absorption Field: Total length Z7 ft.
Length of each trench 5 ft.
Depth of trenches ft.
Size of Stone j __
Seepage Pits: Number
Size: x
Stone Size:
Piping Siz r Type
Building to tank ,'o
Tank to Distribution Box it &
Distribution Box to Field/ Pit k A
Opening Sealed:
End Cap �N
Inlet/Outlet Pipes &Baffles _Y_ N
Location / Separations
Foundation to tank /V ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y pix 6vA
Engineer Report and As-Built Y N � k ,+.
Location of System on Prop.
Front R r Left Side Right Side Middle Front Middle Rear
S em se
pproved
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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspect/al r• -''ed:
Queensbury Building &Code Enforcement Arrive: •�,\ ;;�y�`►'►�%� ►,-part: '_)Cam/pm
742 Bay Road, Queensbury, NY 12804 Inspector's In' ��
NAME: 0 PERMIT#: Z
LOCATION: 5�� r h>� /114 INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/ Headers
Bracing I 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
An "Botts 6 ft: oNess on center
Ice and water shield 24 inches from wall
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
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Building&Codes Foams-OLD\Building&Codes'dnspedion FomtsTraming Firestopping Inspection Report.doc Revised January 7,2008
•
/./ kkdit e X .
Framing / Firestopping Inspection Rep
Office No. (518) 761•-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm part:C"' `� sam/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: () 1 ti
NAME: Fa i-OV R PERMIT#:
S Lj
LOCATION: . i 7--Lii.c-,---,t A/I IY INSPECT ON: - - - XY.
TYPE OF STRUCTURE:
Y N N/A COMMENTS:
Framing
Attic Access 22" x 30" minimum
Jack Studs/Headers
Bracing I Bridging
Joist hangers
Jack Posts I Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches I Holes/ Bearing Walls
Metal Strapping for Notches Top Plate
1 % (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses 1\11 �4
/
cher Botts 6 or less on center
Ice and water shi Id 24 inches from wall CI'v
Fire separation 1, 2, 3 hour W� ' P���
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
Ceiling/wall _
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/ below grade
5.0 sf rade
L:\Building&Codes Forms-OLO Buildi€u &Codes\Inspection Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: ,r0 rob am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: eiuo
NAME: /~(i A RI
PERMIT#:
LOCATION: f?Wif£2lJ I� INSPECT ON:
TYPE OF STRUCTURE: ?
Y N WA COMMENTS:
Framing
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 I -
1 'A(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
or : ••' . i. or less on center
Ice and water shie • 24 inches from wall
sec: , 2, 3 hour ,
Fire wall 2, 3, 4 hour `C1 f
Firestopping 4.. —,
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X rzi -.-c.
Ceiling/wall
A4,(2-e)
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Building&Codes Forms-OLD\Duildrng&Codes\Inspection FommsFraming Firestopping inspection Report.doc Revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Ins ecti•ryfequest received:
Queensbury Building&Code Enforcement Arrive: -_ am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector s itials: �/t
NAME: 4J PERMIT#: 0 ?/
LOCATION: r j,�f�,l 0,4/ ///tL, INSPECT ON: 0
TYPE OF STRUC
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 Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing ain Stone:
12 ' ch width
ches above footing
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
L Je
Foundation Inspection Report
Office No.(518)761-8256 Date Insy!ectioy request received:
Queensbury Building&Code Enforcement Arrive: > 45 am/pmL Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 InspectM's Initials:
NAME: } PERMIT#:
LOCATION: � 1V� ;�, /14, 11 INSPECT ON: Gi
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: J
12 inch width
6 inches above footing
1 for wet areas under slab
Backfill Ap oval
• g 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 quest received:
Queensbury Building&Code Enforcement Arrive/O. Ij, am/p L Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspedtor's Initials: CJ
NAME: ,g', ,,, PERMIT#: (9 " d('7�—
LOCATION: ��• ik OA/0 c�� INSPECT ON: /2_t ( 6 0
TYPE OF STRUC .
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing 1
, for 48 hours following the placement
/ of the concrete.
jFMaterials for this purpose on site.
oundation/Wallpour
R •• forcement in Place
Footing Dowels or Keyway in place
(7
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#equest received:
Queensbury Building&Code Enforcement Arrive: 3 , am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ,,i `.
NAME: t.5 'ramOA)c- PERMIT#: 61 ` VI/
LOCATION: K.,r G.G-&h,, O n;'' j t/ LL S 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/ allpour
einfor• went ' Place
Foot' g Dowels . Keyway in place
Foun;ation D 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
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
3g38
Foundation Inspection Report GOO
g
-- /0
Office No.(518)761-8256 Date Ins ection equest received:
Queensbury Building&Code Enforcement Arrive:LA . am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: "\
NAME: I-4 A - A'^' � -��I c f)evs- I PERMIT#: C — 0/ �-
LOCATION: 5 1 (� C l i,Y�,AA ` l i<"b INSPECT ON: 1Pc/4)
TYPE OF STRUCTURE: /4'
Comments
0
Y IV N/A
Footings
Piers
Monolithic Slab Pq. U1 p& 4c vies C V)t- --
Reinforcement in Place -1i
The contractor is responsible for Pe 0 R. A- jo t)ie PQ /c
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
P P
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: -,'?darn/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: �.-/ 'U f� PERMIT#: 0 °j"
LOCATION: k a N E7 r 11 c.L, INSPECT ON: Ø//
5— G>6
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings r i/eMd
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 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