2009-225 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090225 Application Number. A20090225
Tax Map No: 523400-289-012-0001-023-000-0000
Permission is hereby granted to: T &B ASSOCIATES LLC
For property located at: 3 BERRY PATCH 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: T& B ASSOCIATES LLC Fireplace
36 FIELDSTONE Dr Garage Attached
GANSEVOORT,NY 12831-0000 Single Family Dwelling $175,000.00
Total Value $175,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-225
2288 sq ft single family dwelling with attached 474 sq ft garage& 1 fireplace
$321.96 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,June 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 Town of Qheensbizrylf� � ,June 04, 2009
SIGNED BY " for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFI CATE OF OCCUPANCY
Permit Number: P20090225 Date Issued: Wednesday, December 23, 2009
This is to certify that work requested to be done as shown by Permit Number P20090225
has been completed.
Location: 3 BERRY PATCH Dr
Tax Map Number: 523400-289-012-0001-023-000-0000
Owner: T & B ASSOCIATES LLC
Applicant: T & B ASSOCIATES LLC
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEE1, RY
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.
_..+.i�,...._._...FICEUSEONLY........................
-2
TAX MAP NO. -PEERIVIiT NO.
FEES: PERMIT11�L— RECREATION ENGINEERING F �` ;
¢ (If applicable) - � ENSt
.� _7S1iv OF QUE
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSU-A�N^CE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: � I ,P-*S&"J z1k�� OWNER:
ADDRESS: 1p-n &aL' . C�Y�!�t_Se vE° 2�.N'L �DDRESS:
PHONE NOS. 996 _Zr L1 PHONE NOS.
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:60-r14 A PHONE:
LOCATION OF PROPERTY: *Z " Path
SUBDIVISION NAME: rarrrlinwifnin Cebyz Fs+ k-�
`J1 PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p w U.
APPLY TO YOUR Z I- ly- O cn
PROJECT 0 w
0 0H -j tY -� O = =
H
W 0 J � C'l °z C'f � F— Z
z Q Q cn Ncn OLL I- LL a = ca
SINGLE FAMILY p a�QGt CQC9
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3) ✓ q-74
OTHER
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? Iy D
ARE THERE EASEMENTS ON PROPERTY? 1 V U
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 a d agree to the above.
Signed �-Z
Director of Building& Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoninq 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.
o Application: ; ;
I ; 0 ,
1 , ; 10
; /
, ,
, ,
, ,
1
BUILDING & CODES APPROVAL s ZONING APPROVAL 10
,
0 , , /
DATE 0, DATE
,
QUESTIONS? CALL 761-8256 OR EMAIL
codesaueensbury.net CcD
................ r.............. .......1
OFFICE USE ONLY
TAX MAP NO. PERMIT NO._Q•-ZRMIT FEE
APPROVALS: ZONING TOWN CLERK-
0 ,
............................. ___--_--
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: T 1 , -ss -io--8s INSTALLER:
ADDRESS:10/ [ I )u,7b 9 &Qnsto_yw l w l ADDRESS:
PHONE NOS.-"7 - 0zjPHONE NOS.
LOCATION OF INSTALLATION:
....................... ..................................................................................... RES
IDENCE E INFORMATION.
YEAR BUILT ; X COMPUTATION= ': s TOTAL DAILY FLOW I
BEDROOMS » GARBAGE GRINDER
1980 or older ; ix 150 gallon per bedroom s I INSTALLED?
1981 1991 i X 130 gallon per bedroom !• s i i P T TUB
i»................................I........ . ......................... ;......,....r............,...........,..,......................,.....................; SPA OR WO
I! 1992•present I X ; 110 gallon per bedroo i /� INSTALLED?
1.......»..........»»......................»..................�I ..........».........»..I............i.............................................................-..........%...........i.................». ».......,...........................................
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 -5 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: 1o?SO GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT.
✓ TOTAL SYSTEM LENGTH:AFT. SEEPAGE PIT(S): HOW MANY?
✓ SIZE OF EACH— FT. X FT,
✓ SIZE OF STONE TO BE USED: # _/DEPTH OR THICKNESS 2- FT.
✓ BED SYSTEM SIZE:——X—L
✓ ALTERNATIVE SYSTEM: LENGTH ANDIOR SIZE
✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: I SIZE OF EACH
✓ GALLONS./TOTAL CAPACITY: GAL.
................................:.......................:.:.:...:................................................... ..:...................:.:.:» ,.,...,»........,......:.......:................,...:.,.,...,..............................., .....................
I; NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL wnRtt nnl 14ZT ac ;r.icor!^'rn^ • --
I; _
------ zzz
dire
Marshal's Office
z1 n of Queenslmry - 742 Bay Road - Queensbury, J%Few York --12804
Michael J. I'altner,Firekfarshal-Garin Stillman,Depat.ij Fire Marshal
-----------------
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 REQUIRED.
OWNER: INSTALLER/BUILDER:
ADDRESS: &17 R01,6 .&)Y ADDRESS:
PHONE NOS.—Sos -2-,q e4 12ft3)PHONE NOS
LOCATION OF PROPERTY: 3 Pj��'rr-1.4 Pa, -A J)r- SUBDIVISION NAME: F&_rw I' GRY)yc-
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE;Ggf 14 PHONE:
✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL
INFORMATION
STOVE
FIREPLACE INSERT V"
FIREPLACE,FACTORY BUILT*
FIREPLACE,MASONRY
FURNACE(GARAGE ONLY)
IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: —MODEL NO.
LISTED BY: NUMBER: QUESTIONS?
CALL 7614205 or 7614206
CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL:
firemarshalo.queensbury. et
MASONRY" CHECK ONE ✓ VISIT OUR WESSITE
TILE STEEL SIZE IN FOR MORE INFORMATION
INCHES www.oueensburv.ne
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.
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: ,07
NAME:
S
LOCATION:
PERMIT M v
Final Survey Plot Plan
AuDroved Denied
The attached final
survey has been
received by the ,i
Dept.of - L/
Community
> Development.
Upon review the
survey has
C own,Zoning Administrator
Notes:
L.1SueHaWngwayV3uilding.Codes.Inspection.FORMS\Fina1 Survey
Zoning Administrator.doc
MAP REFERENCE:
MAP OF A SUBDIVISION
MADE FOR .�Q�
RICHARD P. SCHERMERHORN
DATED:NOVEMBER 5, 2002
LAST REVISED:JUNE 23, 2003 MAGNETIC AS PER YAP REF.
--
BY: VAN DUSEN&STEVES
LAND SURVEYORS
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Date, May ,
'twAUTHpO2ED ALTERATION OR ADDITION TO A sIMVEY Scale 1'=4 0'
an u 's MAP BEMYM A LICENSED LAND SURVEYORS SEAL IS A Plot Plan made for
&D. %OLATION OF SECTION T2oe.sue—DINSON 2 OF THE
NEw YM STATE EDUCATION LAW
Sieves �Y� , � � TitlS SURVEY
MARNm wTH AN OPotiINAL OF THE LAND 9IMtvEYORS
SEAL SHALL BE CONSUMED M BE VALID TRUE COPIES.'
*CMMCATICINS wEPATEO HEREON WAHCE THAT T & BASSOCIATES -
THIS SURVEY WAS PREPARED w ACCORDANCE wml THE
Land Surveyors °fIS7 E CODE OF`S A STATE
A FOR LAND ON OF PROFS S ADOPTED
BY 711E NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND S11tV£YORS.SAID CERVICATNwS SHALL RUN ONLY
N THE PERSON FOR w1OM THE SURVEY IS PREPARED,AND
ON NIs BEHAIF TO THE TITLE COMPANY.GOVERNMENTAL
169 Haviland Road Queensbury, New York 12804 AG NCY AND`ENDING INSTITUTION LISTED HEREON'AND Town of Queensbury, Warren County, New York
,0 THE ASSI04M GF THE tENDw6 wSTII UM'
T + B ASSOCIATES
(518) 792-8474 New York Lie. No. 50135I [ N0. DATE DESCRIPTION DWG. NO. 02384-1
Queensbury Building & Code Enforcement - k466d6ntial Final Inspection
r.
Office No. (518) 761-8256 Arrive: am/pm Depart:. am/pm
Date Inspection request received: Inspector's Initials:
NAME: a.5 PERMIT#:
LOCATION: DATE: -
TYPE OF STRUCTURE:
Comments:
VN
4° Building Number Address visible from road
Chimney,Height/"B°Vent/Direct Vent Location SZ-- �� _��
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete oe
Platform at all exterior doors _
Handrail 4 or more risers
Guards at stairs deckspatios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Brad /Handicapp2d Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off eposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety lain /Win0ow in stairwells safety alazina
Interior Smoke ors 1 Carbon�oxid Detectors
Every level: jEvBedro m:Outside every bedrooInter Connected: Bafte backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area v
Crawl Spaces 18 inch x 24 inch access 1 .ft:150 s .ft.vents
Bathroom Fans if no window
Plumbing fixtures jq:37,-�
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency ress below grade
Gas Furnace shut-off within 30 feet or within fine of site
Oil Furnace shut-off at entrance to furnace area
FumaceMot 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 Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed Properly
Gas Loge in Sealed or Glass Enclosure
Final Electrical LJ
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 Temporary/Permanent
L:1Building&Codes Form"uilding&Codesllnspection FormsWesidential Final Inspection Forrn_revised_100405.doc;Revised
January 7,2008;Revised 6126/08
/O-!i T61K506f;�z -1
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: _____am/pm art:j� !� am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: v' 7"
NAME: � � PERMIT #:
LOCATION: 7" �_ INSPECT ON: - 5�--
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
r 15 minutes
Insulation %Residential Check/Commercial Check
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: Z, -ZA
Rough Plumbing insuiati n Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008
a
Framing / Firestopping Inspection Repo
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: ! PERMIT#:
LOCATION: enIn INSPECT ON:
TYPE OF STRUCTURE:
M- -
N N/A COMMENTS
Framing 2- :
I ccess 22" x 300 minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly —
12° O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 'h w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on enter
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
lfir*wal12, 17
, 4 hour
Firestopping
sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side'A inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. OM
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Farms-OLDrBuilci ft&CodesUnspedion FamsT aming Fuedoppi g Inspection Reportdoc Revised January 7,2008
Rough Plumbing I Insulation In ection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/p art: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #: N-ZZ�-
LOCATION:— INSPECT ON:
z or
TYPE OF STRUCTURE:
Y 7 N N/A
i PRough Piumbi /Nail Plates 4Z
Plum ' 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 propedy/No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing I Firestopping Ins *10 sport
Office No. (518)761-8256 Date In7sln
f r
Queensbury Building&Code Enforcement Arrive: err e
742 Bay Road, Queensbury, NY 12804 Inspecta s:
NAME: —7�z PERMIT#: V
LOCATION: 6M ra INSPECT ON:
OF STRUCTURE:
Y N PI/A COMMENTS:
Attic ss 22"x 30" minimum �, O
r jo v�
Jadc Studs!Headers
Bracing/Bridging / ✓ � '�O� hT�t� R�r�u�E� G ��c �
Jo
ist hangers ✓ / C3 c� c �R— t!-� F.:�
adc Posts/Main Beams ✓ ��'''PLET�. �R�06��� ��
Exterior sheeting nailed properly �F
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing �TW
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
ion 1, 2, 3 hour
Wall 2, 3, 4 hour
Pe ion sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 518 inch Type X
Garage side 5/8 inch Type X `��� `
Ceiling/wall
Windows Habitable Space/Bedrooms C3
24 in. (H) f
20 in. (M
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Foms-oLDlBuildkV&CodesUnspedion FoneT uWng Finstopping Impaction ReporLdoc Revised January 7,2008
Rough Plumbing / insulation Inspection Report
Office No. (518) 761-8256 Date Inspection reque
Queensbury Building &Code Enforcement Arrive: tt art: _AL_ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initial
NAME: PE MIT #: per—ZZS'
LOCATION: aU- P-� pe- INSPECT ON: og�t y
TYPE OF STRUCTURE:
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 1 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
insulati /Commercial Check
Pro r Vent, Attic Vent
uct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report,revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date inspection request received:
Queensbury Building &Code Enforcement Arrive: o- am/ Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspec#or's I itials. `�
� q
NAME: I PERMIT#: t �Z
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N PIA COMMENTS:
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
chor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall 'I .as�01-r\ A
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping n
Penetration sealed Cam` I C_ C-'�C✓
16 inch insulation in cavity min.
Garage Fire Separation
House side's inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
6l,r (/NW 644A
L:16uilding&Codes Forms-OLOftilci ft&CodesUnspection Fomns raminp Fxestopi ft inspection Report.doc Revised January 7,2006
Once No. (518)761-8256 Framing / Firestopping Inspection Re
Date ! request received: ��\
Queensbury Building $Code Enforcement Arrive. am/ ¢art: am/pm
742 Bay Road, Queensbury, NY 12804 Inspect s Initials
NAME: / R PERMIT#:
LOCATION: INSPECT ON: — —
TYPE OF STRUCTURE:
Y N NIA Framing COMMENTS:
Attic Access 220 x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12°O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/ w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall d /�
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 518 inch Type X
Garage side 5/8 inch Type X
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (VV)
5.7 sf above/below grade
.0 sf grade
oL� UA)
L Ouilding&Codes Forms-OLD1Building C®desYrapedion F ranarp Firestopping Impedion Report.doc Revised January 7,2006
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/ part: am/pm
742 Bay Road, Queensbury, NY 12MM Inspector's Initials:
NAME: PERMIT#: Z�S
LOCATION: _ INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Attic Access 220 x 3W minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
17 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
chor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%Inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. OM
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forms-0LD%BuHding&CodesUnspection FomtalFran*V Firestopping Inspection Report.doc Revised January 7,2008
/- A1)e54a7
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectio request received:
Queensbury Building&Code Enforcement Arrive: I f UU�� am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: R PERMIT#:
LOCATION: Gi ' INSPECT ON:
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 Drain Stone:
12 inch width
ve footing
6 mil poLyfor wet areas under slab
Sac HFApproval
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
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Septic Inspection Report _
Office No. (518) 761-8256 Date Inspection requ r iv d: 2—
Queensbury Building &Code Enforcement Arrive: a m- epart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials
NAME: � '� S�G�.` T �� Pomr-l-NO.: 1—
LOCATION: IPSP'ECT ON: Z
RECHECK:
f
Comments and/or diagram
Soil T a
Type of Water: Municipal/ Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casin Length 50' + / - Y N _N/A
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field/ Pit <<
Opening Sealed: N
End Ca _ N
Inlet/Outlet Pipes &Baffles N
Location Separations
Foundation to tank ft. —
Foundation to absorption '3 ft. %3`"r,�S7
Se aration of Pits ft.
Conforms as per Plot P _Y_ -
Engineer Report and -Buil Y
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System Use 7PApproved
artial 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
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&c Code Enforcement Arrive: am/Q / Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �/� -�
NAME: r �5 G PERMIT#: !
LOCATION: INSPECT ON: ZO
TYPE OF STRUCTURE:
Contmenb
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
Doting Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
ol
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspecction Report.doc
Last printed 12/20/2005 9:24:00 AM
/—,-3 flloKda 7- . 1 --7.?
Foundation Inspection Report
Office No.(518)761-8256 Date Ins tdo request received:
Queensbury Building&Code Enforcement Arrive: :c SS am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's lnitials:��_
NAME: PERMIT#: 0 7:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Doting Dowels or Keyway in place
Foundation Dampproofing l Ci�1 v
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
above footing
-fmw1 P01 r wet areas under slab
ackfill Appro al
Plumb' nder Slab
VC/Cast/Copper
Foundation r
lation tenor 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 In n uest received:
Queensbury Building�t Code Enforcement Arrive: - am/pi� / � Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's itials: �J�-'l/
i
NAME: PERMIT#: _ � E7
LOCATION: 0 Im INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
�� -
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinfbr�6mel in Place
Foot'Footiak Dow s or Keyway in place
Fours tion ampproofmg
Foun n 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 Fonns\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectiop west received:
Queensbury Building&Code Enforcement Arrive: YmJp Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 0 1`-'-''
NAME: _ PERMIT#:
LOCATION: �i T ,4y INSPECT ON:
TYPE OF STRUCTURE:
Comp a"
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 o
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
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectio VNuest received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspec 's Initials: Z _
NAME: AdT0QATAgL 3 PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUTTU
Commenb
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.
or se on site.
oundation/Wallpour _
Re orcemen ace
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report-doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Ins U n request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials-
NAME: PERMIT#:
LOCATION: INSPECT ON: /3 6
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.
Foun ion/Wallpour
enforce Place
Foo ' Dowels or Keyway in place
Foun on 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
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive./j , �/pno, Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: '� b(/ PERMIT#: ZZ"
LOCATION: INSPECT ON: o
TYPE OF STRUCTURE:
1. Commenu
Y N NA
Footings
o T'"
P
iers
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:\Buliding&Codes Fonns\Building&Codes\lnspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectipn u eceived:
Queensbury Building&Code Enforcement Arrive: Z(3��Part: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials.
NAME: � b PERMIT#: 7, ✓ Z�' ��
LOCATION: f 2 , INSPECT ON: Ce Z 114,0
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place �� e
The contractor is respon le for
-:A1q
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
MAP REFERENCE:
MAP OFA SUBDIVISION 1S
M SCHE R �
RICi1AR0 P..SCHERMERHORN
DATED:NOVEMBER 8,2002
LAST REVISED:JUNE 212003 Iumarr'�PaA>L�Ars.
BY.'VAN DUSEN 6 STEVES
LAND SURVEYORS
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10
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n e ny
Du S }� e >N Plot Plan made for
Scnle I'=40'
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Stever T & B ASSOCIATES S-i
Land SurveyorsallOET,,
169 Haviland Road ueenabu , New York 12804 ........s..�,.,..N... Town of Queenebury, warren County, New York
Q ry i+B ASSOCIATES
(518) 792-8474 New York Idc. No. 50135 NO. DATE DESCRIPTION owa No.o2sat-i