2007-705TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20070705-34407 Date Issued: Wednesday, April 2, 2008
This is to certify that work requested to be done as shown by Permit Number
has been completed.
P20070705-34407
Tax Map Number:
Location:
Owner:
301.20-1-25
39 HOWARD ST
Clute Enterprises, Inc.
Clute Enterprises, Inc.Applicant:
This structure may be occupied as a: Single Family Dwelling 1248 s.f.
Garage 400 s.f.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
Planning Board or Zoning Board of Appeals.
Director of Building & Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury NY 12804-5902 (518)761-8201
ET
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070705 Application Number. A20070705
Tax Map No: 523400-301-020-0001-025-000-0000
Permission is hereby granted to: LARRY CLUTE
For property located at: 39 HOWARD St
in the Town of Queens bury,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: LARRY CLUTE
6 HOLDEN Ave Garage-2 Cars Attached
QUEENSBURY,NY 12804-0000 Single Family Dwelling $135,000.00
Total Value $135,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-705
1248 SQ FT SINGLE FAMILY DWELLING AND 400 SQ FT GARAGE
$189.76 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,January 15, 2009
(If a longer period is requited,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at o of ry; ay, January 15, 2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Z/1 / C FICE USE ONLY /
TAX MAP NO. PERMIT NO. [^) 7— , J - oat,.
FEES: PERMIT -91:7 RECREATION 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:C.L 3 ,7-t= - OWNER: C.,\J
Ae
ADDRESS: (C.. • ( A s= -\. . } e ADDRESS:
PHONE NOS. 7'l _`D-7 - PHONE NOS.
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: C C 7„ ` PHONE: 7-,C, t - ,z,
LOCATION OF PROPERTY: 77,9 A----( Je-A1-4
3ot o'ao, - i- s�
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p O a o I—
coAPPLY TO YOUR Z = p
O O LL
T w aUPROJECT i= O J 2
WJ W
LL ' LL LL Q enW J U zU F- Of- ce0 —
Z < < 7,
- CI NU) OLL i LL d20S
SINGLE FAMILY / (47 tI (0 2' i
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS_ )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAG LI CO (L
E�',2;9�` ��
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: -----
ESTIMATED DNSTRUCTION COST: 15 7. (,,() FUEL TYPE: ti ter-c.A. (\C "'I
`_ ±ram e c_k
HEAT TYPE: *HOW MANY FIREPLACE(S): ( AND/OR WOODSTOVES(S): (f
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? \...:—,,
IS THIS A HISTORIC SITE? >r-�
PROPOSED USE OF BUILDING OR ADDITION: e---A..----CV. ZLN—.
*Please complete a separate Application for"Fuel Burning Appliances-&Chimneys"available in Sr office
B 3-LGL 11-05
Town of Queensbury- Community Development Office . 742 Bay Road, Queensbury, NY 12804
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? d`•. c`t
ARE THERE EASEMENTS ON PROPERTY? .i ,.
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the abo
)
Signed' . `C
,._
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
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.
Application:
r
¢UILgf G CODES A RO AL ZONING APPROVAL
' I (: c,<a /
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesOqueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
„47,_ Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
r
OFFICE USE ONLY ;
TAX MAP NO. PERMIT NO. % ""7C.�PERMIT FEE ;
•
APPROVALS: ZONING TOWN CLERK_. ,
•
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT)
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.
OWNER: C-\ INSTALLER: C—V. ' v'`Nc"e.` $' ,, -:- tS 1C ,
ADDRESS: ADDRESS: ( '4!--1e•�Akf' 1-''c
PHONE NOS. PHONE NOS. ` , 3 tl 7 f7-7
LOCATION OF INSTALLATION: _ t ,..).- 'C\ s
NO.OF RESIDENCE INFORMATION:
YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW
GARBAGE GRINDER
1980 or older X 150 gallon per bedroom = INSTALLED?
1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB
1992-present -5 X 110 gallon per bedroom = INSTALLED?
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT
WHAT DEPTH? `
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL
(IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. )
✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH (TEST TO BE
COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by
a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250
gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub.
✓ SEPTIC TANK: Vi..("cj, GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH ?� FT.
✓ TOTAL SYSTEM LENGTH: :Cr7 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. OF TANKS: /SIZE OF EACH
✓ GALLONS./TOTAL CAPACITY: GAL.
II NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
li APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. '••
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any
permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or
failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and
agree to abide by these andAlt requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL
Queensbury Sanitary See posal Ordinance. codes@queensburv.net
/ VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
f.,0/7 i k(I)_ ic 7
gna re of Person Responsible Date
t h-,, Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
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_ Community Development Office
""'' own of Queensbury • 742 Bay Road • Queensbury, New York •12804
Marilyn Ryba, Executive Director• David Hatin, Director of Building&Codes
Craig Brown, Zoning Administrator
WINDOW SCHEDULE
JOB SITE/ADDRESS: 39 --( .A —:c,,;Y\ ', DATE: k k IU21O7
OWNER: LL APPLICATION NO.:
UNIT OR CLEAR
WINDOW- CLEAR
WINDOW STOCK ROUGH ROUGH SQ.FT. OPENING
NO.OR WINDOW SQ.FT. OPENING SPECIAL HARDWARE OR
MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHT
LETTER NAME MODEL/TYPE CALL WIDTH HEIGHT VENT OPENING WIDTH IN IN INSTRUCTIONS
ON PLAN ,ram.--A - SIZE INCHES INCHES
1 .
B 26-LTR 11-05
IACommunity Development Office
141'.. Town of Queensbury • 742 Bay Road • Queensbury, New York •12804
Marilyn Ryba, Executive Director• David Hatin, Director of Building&Codes
Craig Brown, Zoning Administrator
BUILDING PERMIT CALCULATION SHEET:
NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS
REQUIRED ACTUAL
ACTUAL LIGHT REQUIRED SQUARE FOOT
AREA OF ROOM IN LIGHT VENTILATION
HABITABLE ROOM SQUARE FEET &%OF ROOM SQUARE VENTILATION-4% SQUARE OPENING FOR REMARKS
AREA FOOTAGE OF ROOM AREA FOOTAGE EGRESS
rS7Li kJ
Li
c `-i 1 L-f (c S(4.
QUESTIONS? CALL 761-8256 OR EMAIL
codes aI queensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.quensbury.net
B 10-LTR 11-20
1-7c
Permit Number
REScheck Compliance Certificate Check y ate
New York State Energy Conservation Construction Code
REScheck Soffware Version 3.6 Release 2
Data filename: \\Clutel\shareddocs\Rescheck\39 HOWARD ST QSBY.rck
PROJECT TITLE: 24x26 Stock Colonial -Dwyer
COUNTY: Warren
STATE: New York
HDD: 7635
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE: Non-Electric
WINDOW/WALL RATIO: 0.10
DATE: 11/12/07
DATE OF PLANS: 11/12/07
PROJECT DESCRIPTION:
39 Howard St
Queensbury, NY 12804
DESIGNER/CONTRACTOR:
Clute Enterprises, Inc.
6 Holden Ave
Queensbury, NY 12804
COMPLIANCE: Passes
Maximum UA= 375
Your Home UA= 318
15.2%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor TJA
Ceiling 1: Flat Ceiling or Scissor Truss 1274 30.0 0.0 45
Wall 1: Wood Frame, 16" o.c. 1616 19.0 0.0 82
Window 1: Vinyl Frame:Double Pane 163 0.490 80
Door 1: Solid 40 0.230 9
Door 2: Glass 40 0.490 20
Wall 2: Wood Frame, 16" o.c. 512 19.0 0.0 31
Basement Wall 1: Solid Concrete or Masonry 656 11.0 0.0 51
Wall height: 4.0'
Depth below grade: 3.0'
Insulation depth: 4.0'
Furnace 1: Forced Hot Air, 90 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans, specifications, and other calculations submitted with this permit application. The proposed systems have been
designed to meet the New York State Conservation Construction Code requirements. When a Registered Design
Processional has stamped and si this page, they are attesting that to the best of his/her knowledge, belief and
profissional judgment, such r sp ions pliance with this Code.
Builder/Designees.... 1901tte 11 Cloy
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheck Software Version 3.6 Release 2
DATE: 11/12/07
PROJECT TITLE: 24x26 Stock Colonial -Dwyer
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
Above-Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ] 2. Wall 2: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
Basement Walls:
[ ] 1. Basement Wall 1: Solid Concrete or Masonry, 4.0' ht/3.0'bg/4.0' insul,
R-11.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1: Vinyl Frarne:Double Pane, U-factor: 0.490
For windows without labeled U-fictors, describe features:
#Panes Frame Type Thermal Break? [ ] Yes [ ]No
Comments:
Doors:
[ ] 1. Door 1: Solid, U-factor: 0.230
Comments:
[ ] 2. Door 2: Glass, U-factor: 0.490
Comments:
Heating and Cooling Equipment:
[ ] 1. Furnace 1: Forced Hot Air, 90 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.
[ ] 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.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals kir 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.
[ ] 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 181B.
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 ofthe largest zone.
Electric Systems:
[ ] Separate electric meters are required far 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 onloffheater switch and require a cover unless over 20%
ofthe heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
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(Fl 2" Runouts 1" and Less 1.25" to 2" 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(fir feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
,(. --- IC) /Y'-t`
Queensbury Building & Code Enforcement - Res dential Final Inspection
i.
Office No. (518) 761-8256 Arrive:e/ ', ( � am/prrF, ,Depart: am/pm
Date Inspection request received: Inspectol-'s Initials: )N'
NAME: G/r? PERMIT#: _
LOCATION: f--ic, ,,p 5r S4- DATE:
TYPE OF STRUC E: (r-D
Comments:Y7.7
4° Building Number Address visible from road ( ' -1
Height —
Chimney /"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 l/7
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 VV
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet ,�
6 inch clearance to sill plate i! '
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches �/
Bathroom/Kitchen watertight 7
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 / /
Floor truss,draft stopping finished basement 1,000 sq.ft. �/
Emergency egress below grade /\/:7
Gas Furnace shut-off within 30 feet or within line of site f
_Oil Furnace shut-off at entrance to furnace area
Fumace/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 dosed rise>4 inches
Garage Floor Pitched _
Garage fireproofing 1' hour fire door/door closer /
Duct work Sealed property /
Gas Logs in Sealed or G! En ure .r ' ,/
Final Electrical IN'1O (2)�I L v '� l /0 1/
Final Survey Plot Plan / 7 Lk) . l t
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System I Sewer Dept. Inspection Sticker 'fit
Site Plan /Variance required
Flood Plain Certification,if required /
Okay to issue C/C or C/O[Temporary/Permanent 1 1!
L:1Building&Codes Forms\Buiiding&Codes\lnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008
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-.„ ✓.` ✓• is.ia.� .i�i�i�i ,t.,.pia :,',,i:'ia..,,,,✓a✓,,,,, .,".,.,
0 MIDDLE DEPARTMENT INSPECTION AGENCY, INC. Cad
0 fit that the electrical wiring to the electrical equipment listed below has been examined and is approved as C�
��� being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date Q
cy?
C?) noted below and is issued subject to the following conditions.
- :VP Owner: Clute Date:
���) 03/24/2008 >>
�;� Occupant: Unknown Location: C�
<<:�j 39 Howard Street
0 Occupancy: Single Family Dwg. Queensbury, Warren Co. NY ��5
4
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(�) Applicant: Don Beagle C��
0001747 Hadley Hill Rd.
0 Hadley,NY 12835
C L J 0
0 Raymond A. Novak
Ll No. � 3180
C�sd Equipment: a�
52 200 -Amp. Service Equipment 4/0; 24 - Switches; - e eptacles,30-Fixtures; 1 - Range;.:I - Dishwasher; 1 - 0
Dryer; 3 -20 Amp. Receptacles; 2 -Vent Fans; 6 Smoke Detectors; 1 Carbon Monoxide Detector C
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fie, � � ��� � � � � 0
5�
,; This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and .4,4
p above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership caA
j) inspection. No warranty is expressed or implied asr to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void. ((.���
Cea) ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, C`�v be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department �;Y
rLS9 system to which this certificate applies be altered in any way,including but not limit- Inspection Agency, Inc. An application for inspection must be submitted to Middle <<��
t't ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation `(.?,)]
C�� any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. v`�
�i•v.•r�i.SF•I�•r%.�r ir.Vi�is'1Si.V,�jV';V:Y'�•'�... .. . . . . . . . . . . . ___ ''
Y- "—IC trill
7
Septic Inspection Report
Office No. (518) 761-8256 Date In - iojr '�•ell: ,, ,
Queensbury Building &Code Enforcement Arrive: NO- __ /D_e • : -- __AQUI.m
742 Bay Rd., Quee sbury, NY 12804 Inspector's Initia .
NAME: 1 ��I� PERMIT NO.:
LOCATION: 2 74, -- , , 3 74, INSPECT ON: - -
RECHECK:
Comments and/or diagram
Soil Type: Sand oam / CIS ay
_Type of Water: unici al Well Water
Waterline separa i ce i ry z v'S ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length
Length of each trench
Depth of trenches =Z. - 3 ft.
Size of Stone 1r2
Seepage Pits: Number _
Size: x
Stone Size: _______
Piping Size Type
Buildiag to tank " ;/iCt1 `41)
Tank to Distribution Box /It '' h ne 36
Distribution Box to '-1dJ Pit ;r P c Pc=2r
_O nin Sealed: Y Partial
End Cap V
,-
Inlet/Outlet Pipes&Baffles _�� Y N
Location / Separations
Foundation to tank 1 C.) ft.
Foundation to absorption lv U ft. �� tv _�D 1V, -
Separation of Pit._____ --- ft. ‘\Iv--
Conforms as cr Plot •la ___ Y VN ( ` -ri
Engineer Report an. •..-Built Y Lk___
Location of System on Property:
Front Rear Left Sid Right Side
Middle Fron Middle R
System Use Status:
Ap ved
artial Approved and needs to be re-inspected, please call the Building &Codes Office
✓ Disapproved
Last revised 021006
Last revised 1/6/05
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection rewest received: 2 // 5/
Queensbury Building & Code Enforcement Arrive: v" 67 am/pm part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: � f`
NAME: C l"`/r- PERMIT #: o7 7v5
LOCATION: 7 1 /-lk-t-' -r- - INSPECT ON: z/l 3jCK
TYPE OF STRUCTURE:
/
Y �_ N /N/A
Rough Plumbing / Nail Plates
Plumbing Vent / Vents in Place I
1 1/2 inch minimum Drain Size 77
Washing Machine Drain 2 inch minimum KfZ U ��G
Cleanout every 100 feet / change of direction
Pressure Test /
Drain / Vent J
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 _ 1
Insulation / Residential Check / Commercial Check
Proper Vent, Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
L:\Pam Whiting\Building&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report
1
Office No. (518) 761-8256 Date Inspectio est received: - .,� Llek-
Queensbury Building&Code Enforcement Arrive: -s'� pm D part: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: ( L v
PERMIT#: CO- 7 c S.
LOCATION: 3 5' ./‘ -S 7 , INSPECT ON: -Z_/1
TYPE OF STRUCTURE:
Y 1 N N/A COMMENTS
.framing
V
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2, 3 hour
Fire wall 2, 3,4 hour
4efirestopping
,/
' Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 'Y2 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
Z.-, - L--/ ///ok dk
Framing I Firestopping Inspector{ Report
Office No. (518) 761-8256 Date Inspectipn request received:
Queensbury Building &Code Enforcement Arrive:-).-- . \`a am/ part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initial
NAME: N� -- PERMIT#: 7&2
LaLOCATION: � 7 �� .� .
Cl
1 . INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
Framing
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
Ancfior Boas 6 ft less on center7
Ice and water shi0 24 inches from wall
ation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed �r
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 f
L:\Suiiding&Codes Forms-OLD\Buiiding&Codes Inspection Forms\Framing Firestopping inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Insp otioest received:
Queensbury Building&Code Enforcement Arrive: .f) am/p //Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspect is Initra1s:� C�
NAME: (GV'r(� PERMIT#: (77i7_5
LOCATION: 4 mu A/RO 6 - . INSPECT ON: 2—
TYPE OF STRUCTURE:
Framing Y yi N/A COMMENTS
Attic Access 22"x 30"minimum 5. ,I.;.
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 `/z(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 '/2 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
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectio request received:
Queensbury Building&Code Enforcement Arrive: am/pni /) / Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspectors Initials: -\///`'
f�
NAME: t,��t..a re-- PERMIT#: 0
LOCATION: 1 rJ1�1,4.2dt'J �T; INSPECT ON: 557 7
TYPE OF STRUCTURE:
Comments
Y P N N/A
F otings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
iGe07
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: .))"am/Rm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector'Initials:
NAME: Chi& PERMIT#: Q 7? ?.7Q3
LOCATION: ? 7 IO1,3a FO 3+. INSPECT ON: /--A0
TYPE OF STRUCTURE:
Comments
Y N_ N/A
Fool s
Piers �1 L
` O
•
is Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation 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
2- ---
• ji-OrSdr,e,7
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p M Depart:2 \�am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: 0?- 70,,E
LOCATION: INSPECT ON: /-1 [Jg
TYPE OF STR .•
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
f.
Footing Dowels or Keyway in place
Foundation Dampproofmg
Avi
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
• 'u y.ir-s above foot
mil pol for wet are under slab
Backfill Approval
Plumbing n er 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)76I-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: (.1 7
LOCATION: -°` c 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/W allpour
Reinforcement in Place i,!
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