2009-314 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (]"I'VE7 OCCUPANCY
Permit Number. P20090314 Date Issued: Friday, November 20, 2009
This is to certify that work requested to be done as shown by Permit Number P20090314
has been completed.
Location: 20 TEE Dr
Tax Map Number. 523400-289-011-0002-043-000-0000
Owner. CAROL & RICHARD SCHEIDEGGER
Applicant: CAROL & RICHARD SCHEIDEGGER
This structure may be occupied as a:
Garage Attached By Order of Town Board
Single Family Dwelling 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 Director of Building&06de ErNrcernent
Planning Board 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: P20090314 Application Number. A20090314
Tax Map No: 523400-289-011-0002-043-000-0000
Permission is hereby granted to: CAROL& RICHARD SCHEIDEGGER
For property located at: TEE 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: CAROL&RICHARD SCHEIDEGGI
26 EMILY Ln Garage Attached
CHESTERTOWN,NY 12817-0000 Single Family Dwelling $150,000. 0
Total Value $150,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-314
1456 sq ft single family dwelling with 576 garage
$232.32 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,July 22, 2010
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To f Queens ury;� Wednesday,July 22, 2009
SIGNED BY for the Town of Queensbury.
Director of Building Co nforcement
........... ................... OFFICE USE ONLY -_......_....._...__..__._.. ��.�.r��q.�_
TAX MAP NO. PERMIT NO. � i
_ �UIL 0 7 2009
FEES: PERMIT2� RECREATION ENGINEERING ; -
(If applicable) ' ';�'�tily u? �P�SBURY
............................... ' BU1LD4Wc,.&.CpDEs.._,
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: �S��� OWNER:
ADDRESS: 6 �� �y �a�,. _(� p� w� ADDRESS: a `^A e�
PHONE NOS. 7 5 /-/0 67 PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: ��\c PHONE: / - L
LOCATION OF PROPERTY: o+ 2 6 /ee J7►-,
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES Cy' NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLY TO YOUR Z 0LL p O O o U- co
PROJECT 00 00 O w 0 = _
w -, w u w w Q a0U
z Q a � a Na oLL oLL a = oa
SINGLE FAMILY ✓ l r7 y
IysC
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3) 5-7 6 577
OTHER
IF rr)MMFRripl r)P Wr)l CT01A] —AIA�AC nc D c'i�i�c`c`•
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY? 140
1 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 nd agree to above.
Signed
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
o
Permission is hereby granted to the above This application / proposed action described0.
Applicant to erect or alter the building10 herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury. ol
Application:
, , ,
11
BUILDING & COD S APPROVAL ZONING APPROVAL
0 0
o DAT DATE
0
... POT
CEU ONLY
Dyl-
TAX MAP N ��PERMIT PERMIT FE
0 . P � ,
AUG r `7OQ9 ✓`
APPROVAL ING TOWN C K 3i
-----------
BUILDING& CODES
APPLI 717C DISP L S YS TEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATIO T TO REVIEW
PERMIT.
OWNER: ✓ INSTALLER: Pv 1' A00% f4
ADDRESS: ADDRESS:
T-e- 07r( �
PHONE NOS. '-2 5 1 -/ 0 b PHONE NOS.
LOCATION OF INSTALLATION: �e- D y' y At-
RESIDENCE INFORMATION:
YEAR BUILT NO.OF X COMPUTATION= TOTAL DAILY FLOW
BEDROOMS GARBAGE GRINDER
1980 or older X 150 gallon per bedroom - INSTALLED? 34
1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB
1992-present X 110 gallon per bedroom = - INSTALLED? 14 ,1
PARCEL INFORMATION:
✓ TOPOGRAPHY: Flat rolling Steep slope %Slop
✓ SOIL NATURE: Sand Loam �� Clay Othe n�
-v 1
✓ GROUNDWATER: At what depth? b
✓ BEDROCKlIMPERVIOUS MATERIAL: At what depth?/
✓ DOMESTIC WATER SUPLY: Municipal Well �/ (if well: er supp any septic
system a rption ' ft.)
✓ PERCOLATION TEST: Rate is per minute per inch.
(Test to be completed by a licensed professional eng' r 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).
TANK SIZE: GALLON (MIN. SIZE IS 1,000 GAL.) Add 250 gallons to the size of the septic tank for
each garbage grinder, spa or whirlpool tub.
SYSTEM TYPE:
❑ ABSORPTION FIELD (WITH NO. 2 STONE) Total length t. Each trench �� X _
❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size?
❑ ALTERNATIVE SYSTEM Bed or other type? �V,k rw s
❑ HOLDING TANK SYSTEM Total required capacity?
Tank size? Number of tanks?
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE RFVIFw I ICT oon
0�____________________________ ____________________ .
' OFFICE USE ONLY ' 0
, 11 00 11
, 10 1 ,
d' TAX MAP NO. PERMIT NO. 7-1? PERMIT FEE o I
o
01
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.tV INSTALLER:
ADDRESS: In C'.1'y7l& �.�np�S J"�O ) ADDRESS:
PHONE NOS. / ► _ I O�� PHONE NOS.
LOCATION OF INSTALLATION: L-,c3� `fee A-i'yr'
NO.OF RESIDENCE INFORMATION:
YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW
— GARBAGE GRINDER
1980 or older X 150 gallon per bedroom = INSTALLED? Lj 0
1981 -1991 X 130 gallon per bedroom =
SPA OR HOT TUB
1992-present X 110 gallon per bedroom 330 INSTALLED? 4 J
PARCEL INFORMATION: /
✓ TOPOGRAPHY: Flat rolling V 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� minutes per inch [MPI]
(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).
TANK SIZE: l 0 OQGALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for
each garbage grinder, spa or whirlpool tub.
SYSTEM TYPE:
❑ ABSORPTION FIELD (WITH NO. 2 STONE) Total length 2-0 U ft. Each trench 0 X Z '
❑ SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size?
❑ ALTERNATIVE SYSTEM Bed or other type?
❑ HOLDING TANK SYSTEM Total required capacity?
Tank size? Number of tanks?
. ............................_...._.......____......:!......:._......................:.......:..:..:.::.:.::.
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12844
Date received: ( ( 10
NAME:
LOCATION:
PERMIT M 20(- q -3 'y
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the ✓/
Dept.of
Community
Development.
Upon review the
surve 'has
Craig Brown,Zoning Administrator
Notes:
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Zoning Administmtor.doc
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Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: �V.55 am/pmi epart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: �j . " G=/!7 � /Z. PERMIT NO.:
LOCATION: ��G� 2 _ INSPECT ON: 10111
RECHECK:
Comments and/or diagram
Soil Type: Sand
Type of Water: Munici a W I
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + VN N/A pp V 1 t7C—
Absor tion 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: Y N
End Ca Y N
Inlet/Outlet Pipes&Baffles Y N
Location Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Engineer Report and As-Built Y` N
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System Use Status:
-proved
V 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
4 4
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: _
NAME: PERMIT#:
4Y
LOCATION: INSPECT ON: --
TYPE OF STRUCTURE:
c
CoMmenb
Y N NA
Footings
Piers '
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of Mat 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&Codesunspectlon Forms\Foundation Inspecdon Report.doc
Last printed 12/20/2005 9:24:00 AM
/-'45 err'
Rough Plumbing / Insulation 1 spection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: �am/p Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: WPERMIT #: (�77--
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: -
Y N NIA
Rough Plumbing/Nail Plates
Plumbing Vent I 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
5 minutes
Insulation/R ' ential Checic/Commercial Check a,,k
mllar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If nuired 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
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: Vz-
Queensbury Building &Code Enforcement Arrive: am/pm Depart: - , am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ,
NAME:_ C-' - PERMIT #:
LOCATION: Z v 1 0r► k--e INSPECT ON: 2
TYPE OF STRUCTURE:
r
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
50 P.S.I for 15 minutes
nsulation/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 SupRly for Furnace
Duct work sealed properly/No duct tape
COMMENTS: R-- -L t
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: am/pm Depart• am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#: C
LOCATION: INSPECT ON: '
TYPE F• STRUCTURE:
Framing Y N WA COMMENTS:
Attic Access 2T x 30' minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jadc Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % 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
irestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 518 inch Type X
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. OM
5.7 sf above/below grade
5.0 sf grade
Q,60GAIN VWMTT k
L. ul—ld 1BuNdkV&CodesUnspe rsmbV Fuestopp V Inspection RepoIt.doc Revised January 7,2W8
G O-�
Rough Plumbing / Insulation Ins action Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:�am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #:
== 46
LOCATION: INSPECT ON: 22 -02
TYPE OF STRUCTURE:
Y NIA
Rough Plumbi Nail P
ant/ nts in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation /Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed property/No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised Febuary 15,2005, revised January 7,2008
/0-/Z- %
Framing / Firestopping Inspection pport
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm part:-L j ;f, am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
N NIA COMMENTS
Framing
Attic Access 22° x 3W 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 ggAe 8 16D nails each we
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour ,
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuiiding&Codes Fortes-OLD Suiiding&CodesUnspedion FomisTraming Fi estopping Irapedion Reportdoc Revised January 7,2006
Framing / Firestopping Inspection Report
Once No. (518)761-8256 Date Inspection request received: l�'
l
Queensbury Building &Code Enforcement Arrive: am/pm Depart: am pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: - C[1 Q , C 'Z� PERMIT#:
LOCATION: -c-C�. INSPECT ON: C,
TYPE OF STRUCTURE: b
Y N A COMMENTS:
X V
Framing
Attic Access 27 x 30" minimum
Jadc Studs/Headers G A-L�
Bracing/Bridging
Joist hangers .---
Jadc Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D naAs each We
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
CeigMNmll
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. OM
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forms-OLD1BuNding&Codeslln,W ion FonnsTran fing Fumtopping Inspection ReporLdoc Revised January 7,2000
Framing / Firestopping Inspection Report � '3
Office No. (518)761-8256 Date Inspection request received: "9'
Queensbury Building &Code Enforcement Arrive: am/ De rt:�am/pm
742 Bay Road, Queensbury, NY 12604 Inspector's Initials:
NAME: C'A i j P 9 PERMIT#: 0- 3 I t"
LOCATION: _ �-C--C or INSPECT ON: "1
TYPE OF STRUCTURE:
Framing Y N NIA COMMENTS:
Attic Access 220 x 317 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 sift
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
$.Xce 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's 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. (M
5.7 sf above/below grade
5.0 sf grade
LABuiiding&Codes Forms-OLD1Buitding&CodesUnspadion FwmsTrarning Firestopping Inspection Report.doc Revised January 7,2008
Framing / Firestopping Inspect' Aeport
Office No. (518)761-8256 Date inspection i
Queensbury Building&Code Enforcement Arrive: a part: am
742 Bay Road, Queensbury, NY 12804 Inspector's Initi s:
NAME: / Gf -�'P"^ PERMIT#: P�
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N WA COMMENTS:
Attic Access 2T 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
r Bolts 6 ft. or less on center
The and wate hield 24 inches from wall "
4kampaWron 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. W
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forms-OMBuilci ft&CodesMnspection ForsnsTran ft Restopping Inspection Report.doc Revised January 7,2006
Septic Inspection Report
Office No. (518) 761-8256 Date In i request received:
Queensbury Building &Code Enforcement Arrive: - am/pot!part: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspect is Initials:
NAME: 45G C PERMIT NO.:
LOCATION: INSPECT ON: 211(p IL
RECHECK:
Comments and/or diagram
Soil Type: Sand Loam Clay
Type of Water: Municipal/ Well Water
I Waterline separation distance ft.
Well separation distance ft. deovel�:-
Other wells: ft.
Well Casing Length 50' + / - Y vN N/A d �JC C IC
7�
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: Y N
End Cap N
Inlet/Outlet Pipes&Baffles Y N
Location Separations
Foundation to tank LC> ft.
Foundation to absorption ft.
Separation Pits ft. 0 r , V
Conforms as r Plott Plan _Y_ N K �
Engineer Report and As-Built Y N
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System Use Status:
proved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-01-1)\Building&Codes\Inspection Forms\Septic Inspection Report.doc
-f fer ;s hlk2 ') 2- -Z/ Ala-Ale�
7
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/ De art: am/pm
742 Bay Rd., Queensbury, NY 111.2804 Inspector's Ini ials:t�
C'
NAME: E' PERMIT NO.:
LOCATION: INSPECT ON: 2
RECHECK:
Comments and/or diagram
Soil Typk,Sand I Loa
Type of Water: Munic
Waterline se ration distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50 + / - Y N N/Avw,,��
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone t
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type L� �
Building to tank ✓I/,,-� / /�S��¢G� � /A)&&
Tank to Distribution Box /' ' '
Distribution Box to Field / Pit N 0
Opening Sealed: N
End Ca Y N
Inlet/Outlet Pipes &Baffles Y N
Location Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y
Engineer Report and As-Built Y N
Location of System on Property:
Front Rear Left Side Righ Side Middle Front Middle Rear
System Use Status:
ADP
pproved
artial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 U\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
L'- H
Foundation Inspection Report �.-F O
C-1v �
Office No.(S 18)761-8256 Date Inspectio uest received: GC
Queensbury Building&Code Enforcement Arrive: Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector Initials.
NAME: S e l t PERMIT#: L
LOCATION: INSPECT ON: 0
TYPE OF STRUCTURE:
Commeats
Y N NA
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
ackfi11 Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Buliding&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: am/pm Depart� am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �--
NAME: \��C� ., PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Commenta
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 Ok
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 Inspection request received: —
Queensbury Building&Code Enforcement Arrive: am/pm Depart- pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: cf�_�, d�Gc3 PERMIT#: `- t_-3 ,—
LOCATION: r V-1Q INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N NA
ootings
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 -7-0Z
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
Backfd1 Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Bullding&Codes Forms\Building&Codes\lnspection Forms\Foundation Inspection Report-doc
Last printed 12/20/2005 9:24:00 AM
Queensbury Building & Code Enforcement - Residential kn spection
r
t61-8256 Arrive: am/pm part: am/pm
,-in request received: Inspector's Initials:
PERMIT#:
�TION: DATE: _
TYPEOF STRUCTURE:
Comments:
N A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Co fete/Exterior Finish Complete
Platform at all exterior doors _
Handrail 4 or more risers
Guards at stairs decks ios more than 30 inches above race
Guard at stairwell at 34 inches or more
Guard at deck porches 36 inches or more A+cTA�.
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches ur— `1 ,
Deck Bracing/Handicapp2d Ramp Compliant '
Grade away from foundation 6 inches with 10 feet
6 inch clearance to silt plate
Gas Valve shut-off ex sed/regulator 18 inches above grade
Interior priM/trim/doors/main entrance 36 inches ,
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safe glazing
Interior Smoke De ors i arbon noxid etectors
Every level: E ry Bedro m:
Outside every bedroom rea:
Inter Connected: Batts bac ku :
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access Isq.ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation 1 Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency ress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrodk Underside minimum W Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed prop2rly
Gas Loge in Sealed or Glass Enclosure
Final Electrical _
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker L
Site Plan /Variance Tguired _
Flood Plain Certification,if re uired
Okay to issue C/C or C 10 Temporary/Permanent
LABuilding&Codes FormstBuilding&Codes\lnspection FormsWesidential Final Inspection Forrn_reviseo_100405.doc;Revised
January 7,2008;Revised 6/26/08
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