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2006-028TOWN OF QUEENSBURY Fofrro 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20060028 Date Issued: Wednesday, May 24, 2006 This is to certify that work requested to be done as shown by Permit Number P20060028 has been completed. Tax Map Number. 523400-301-017-0001-003-002-0000 Location:477 WEST MT. Rd Owner: LARRY CLUTE Applicant: SHIRLEY HARVEY This structure may be occupied as a: Garage - 2 Cars 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&Code orce t Planning Board or Zoning Board of Appeals. 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: P20060028 Application Number: A20060028 Tax Map No: 523400-301-017-0001-003-000-0000 Permission is hereby granted to: SHIRLEY HARVEY For property located at: 489 WEST MT. Rd 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: SHIRLEY HARVEY 489 WEST MT. Rd Garage-2 Cars Attached Single Family Dwelling 125,000.00 QUEENSBURY,NY 12804 Total Value 125,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2006-028 (TAX ID 301.17-1-3.2) Rec Fee Pd, Mylar filed w/Cty 477 WEST MOUNTAIN RD 1274 SQ FT SINGLE FAMILY DWELLING 196.88 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, February 28, 2007 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 Tow of Qu nsb , T : s' , February 28, 2006 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement OFFICE USE ONLY' TAX MAP NO. t'•'t r Y ;1- • PERMIT NO.o-- RECEIVE() FEES: PERMIT 1`7 i £RECREATION ENGINEERING JAN 2 5 2006 If applicable) TOWN-Wk.- -:-.e, ,,ts 1RY BUILDING AND CODE 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: -k v `' OWNER: "t-°, . C.c' 1 ADDRESS:CO --\-- mil&e, ADDRESS:VS ti t y 4 t,- ,-y f PHONE NOS.PHONE NOS. 5re) —79 73•7 7 csJ) Zit.% "73-7 7 CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: LC/SriPHONE: `7_ "7 77 LOCATION OF PROPERTY:1 77 ,- t"L.""3:-. QS SUBDIVISION NAME: if) 4)t4drf'1 i''Wke,C ''t— (...-11.i-el. 11r1*-------44-tt-0 v PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z 0 I c ).- APPLY TO YOUR Z cc O O LLI cn U Lu1=Lu PROJECT 0 O 0 •• cc a = _cc w o O CJ A — ! Q w Z Q Q cn cV co O w Z o Pk./'Zcx 52 SINGLE FAMILY J J a`-f co af5 I O f TWO-FAMILY y MULTI-FAMILY r i NO. of UNITS )1 s I I TOWNHOUSE 0 o y BUSINESS OFFICE Osg.if .A C i RETAIL- Or-6k 9 a MERCANTILE i U I 14ziFo SigbArFACTORYOR INDUSTRIAL ATTACHED a C. r• GARAGE(1,2,3)po 2t I No 9 (4 er OTHER I I IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: 7,(300.Please complete a separate Application for"Fuel Burning Appliances&Chimneys" HOW MANY FIREPLACE(S): q AND/OR WOODSTOVES(S): C4 available in our office ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? D- IS THIS A HISTORIC SITE? PROPOSED USE OF BUILDING OR ADDITION: kQ p,i,Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? V'.+- ARE THERE EASEMENTS ON PROPERTY? 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 prio e issuance of a certificate of occupancy. I ha: andrt0th0vereadee d 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) f 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: DIRECT R OF BUILDING _ CODES ZONING ADMINISTRATOR DA DATE QUESTIONS? CALL 761-8256 OR EMAIL codes @ queensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 OFFICE USE ONLY TAX MAP NO.PERMIT NO. PERMIT FEE RECF \IEE APPROVALS: ZONING TOWN CLERK JAN 2 5 Z006 Town, APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMITum.DING AND CODE A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. C ( OWNER: I J INSTALLER: E ADDRESS: `S 04r` ADDRESS: w PHONE NOS. PHONE NOS. 4( ,&.cf 'Zeat S LOCATION OF INSTALLATION: 1c t e RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION=TOTAL DAILY FLOW BEDROOMS GARBAGE GRINDER 1980 or older X 150 gallon per bedroom = INSTALLED? 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB 1992-present 3 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: (®00 GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT. TOTAL SYSTEM LENGTH: FT. SEEPAGE PIT(S): HOW MANY? SIZE OF EACH FT. X FT. SIZE OF STONE TO BE USED: # 2 /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. NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN 1111 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 re.- - 'ens with respe to this application and agree to abid: ey these and al eq :ments of the Town of QUESTIONS? CALL 761-8256 OR EMAIL Queensb Sani ry -.e D,>-.o .l Ordinance. codes@queensburv.net VISIT OUR WEBSITE FOR MORE INFORMATION t , www.queensburv.net ignatur- • Person Responsible Date Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 chashouses, v,ells, trees, fences, etc i trlisrIalsorenresentthatIhave edistanc,? '3rthonthediagram, r\- JO 4" J' 1 Oile e. cakhiullc.. DATEI Ilk7a) / RECEIVED----A bt:JURY JAN252006, e4, OWNo 1.,7" - T 4# BUILDINGANDCODE F'y I-*•'N c0 e s „NNNNNN4'.9CINHIIIISRIVITHR cb t 964'61 O. e ' 3.e,c, doa/msamvl Ni4b N. 4-dG N ti615.. OP— N N Ne 4. .c.) frv. db, v N 44cy s,A., e2 - 0, V SOJOBtet 1J •bs198'9S3S110H Jill107 anlvwvamnvAC so. I0-. aoaimSUNNI 43cz. zI15`1, I.:3: 1 o a,fri 4e9 P1 '10 Community Development Office O 0 R5C71VED 1 4 own of Queensbury • 742 Bay Road • Queensbury, New York •12804 JAN ?51006 Marilyn Ryba, Executive Director• David Hatin, Director of Building&Codes Craig Brown,Zoning Administrator TOWN (Jr uuttmtiURY, BUILDING AND CODE WINDOW SCHEDULE JOB SITE/ADDRESS: 03 DATE: ki(IW OWNER: i L\.,-J C.Nrcsvc--,/ - APPLICATION NO.: UNIT OR CLEARWINDOW- CLEARWINDOWSTOCKROUGHROUGHSQ.FT. OPENING NO.OR WINDOW SQ.FT. OPENING SPECIAL HARDWARE OR MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHTLETTER NAME MODEL/TYPE CALL WIDTH HEIGHT VENT OPENING WIDTH IN IN INSTRUCTIONS ON PLAN 9`1 '`SIZE INCHES INCHES k'k lesz '-it©c, 73` r `o 3z to I S c S+`c 3371 25.E ch 3 It I uz) 3' .3'7 -.(4,`i 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 BUILDING PERMIT CALCULATION SHEET: NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS AREA OF ROOM IN ACTUAL LIGHT REQUIRED ACTUAL SQUARE FOOT HABITABLE ROOM SQUARE FEET SQUARE FOOTAGE VENTILATION-4% VENTILATION OPENING FOR REMARKS OF ROOM AREA SQUARE FOOTAGE EGRESS 0-0 VS7 7 02 S,Y r 0 ( 5) QUESTIONS? GALL 761-8256 OR EMAIL codesCWaueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION www.quensburv.net RECEIVED FEB 0 9 2006 P 1-Number TOWN OF ..rt 4 BURY BUILDING AsND CODE Citc RES check Compliance Certificate Checked By/D to New York State Energy Conservation Construction Code REScheck Sofware Version 3.6 Release 2 Data filename: \\Clutel\shareddocs\Rescheck\477 West Mt Rd.rck PROJECT TITLE: 24x26 Stock Colonial COUNTY: Warren STATE:New York HDD: 7635 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric WINDOW /WALL RATIO: 0.10 DATE: 02/08/06 DATE OF PLANS: 01/08/06 PROJECT DESCRIPTION: 477 West Mountain Rd Queensbury, NY 12804 fi:‘,09Y DESIGNER/CONTRACTOR: Clute Enterprises, Inc. 13 Dawn Road Queensbury, NY 12804 COMPLIANCE: Passes Maximum UA= 354 Your Home UA= 306 13.6%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor j Ceiling 1: Flat Ceiling or Scissor Truss 1168 30.0 0.0 41 Wall 1: Wood Frame, 16" o.c. 1476 19.0 0.0 74 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 En-w Conservation Constriction Code requirements. When a Registered Design Professional has stamped and sit. =: is page they are attesting that to the best ofhis/her knowledge, belies; and professional judgment, such : ans or :ecitions are in compliance with this Code. Builder/Designer AILIPIPA41101.-.21 Date o RFScheck Inspection Checklist New York State Energy Conservation Construction Code REScheck Software Version 3.6 Release 2 DATE: 02/08/06 PROJECT TITLE: 24x26 Stock Colonial 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-1 1.0 cavity insulation Comments: Windows: 1. Window 1: Vinyl Frame: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-actor: 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. Ifnon-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 tamed ceilings, walls, and floors. Materials Identification: Materials and equipment must be installed in accordance with the manuficturer's installation instructions. Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-factors, and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in unconditioned attics or outside the building must be insulated to R-11. Return ducts in unconditioned attics or outside the building must be insulated to R-6. Supply ducts in unconditioned spaces must be insulated to R-11. 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 of the largest zone. Electric Systems: Separate electric meters are required f r each dwelling unit. Fireplaces: Fireplaces must be installed with tight fitting non-combustible fireplace doors. Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State, the Residential Code of New York State or the New York City Building Code, as applicable. Service Water Heating: Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: All heated swimming pools must have an on/offheater 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(F) 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(br 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) Queensbury Building & Code Enforcement - ResideAltial Final Inspection ice No. (518)761-8256 Arrive. r il airU m De date Inspection request received: Inspector's Initials f f NAME: P MIT#: Q!G 0 LOCATION: 1 7 \EZc1 \) LP TYPE OF STRUCTURE: ter, Comments Yes No N/A 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 Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs, decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy!trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector 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 Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%"Gypsum Basement stairs closed rise>4 inches oi Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly 1 wt.. Gas Logs in Sealed or Glass Enclosure Co I"1 c Final Electrical Final Survey Plot Plan fit>^b 101 d s i v rtMOVit As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required KU Flood Plain.Certification,if required Okay to issue C/C or C/0 [Temporary/ ermanen L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc Queensbury Building & Code Enforcement/Residential Final Inspection ryx Office No. 518 4'( )761 8256 Arrive: am/pm/ epart: am/pm Date Inspection request received: C6 Inspect is itials: ,,JJ NAME: PERMIT#: D 0 LOCATION: DATE: Q _ TYPE OF STRUCTURE: f r C o I v,Corti •nts Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake f f 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete yyGC t,treLe.c.,Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector 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 A6>1 j/ e6O 5 ,-/f) Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler L 1' Q Y Relief Valve(s)installed/Heat Trap//Water Temp110P rj TEnclosedStairsSheetrockUndersideminimum%2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan 6,g1/'G — LU'ti As Built Septic System/Sewer Dept.Inspection Sticker pAk, Site Plan /Variance required Flood Plain.Certification,if required Okay to issue C/C or C/O [Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc Septic Inspection Report Office No. (518) 761-8256 Date Inspe ion re est received: Queensbury Building& Code Enforcement Arrive: ' ./Ulp irt: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector' Initials: • NAME: A.,- ---PERMIT NO.: U? LOCATION:_ 1 -- ,- g,- INSPECT ON: rr RECHECK: Comments and/or diagram Soil Type: Sant, /Loam/C .y Type of Water: Municipal 'Well Water o b Waterline separa • •'. .nce ft. t ' Well separation distance ft. i Other wells: ft. Wf6-6e.-- Absorption Field: Total length ft.i d ,iJ 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/Partial _ End Cape Location/Separations Foundation to tank ft. Foundation to absorption ft. Se aration of Pits ft. Conforms as per Plot Plan Y N En ineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Stat, : Approved Partial Approved and needs to be re-inspected, please call the Building& Codes Office Disapproved Last revised 1/6/05 i k Town of Queensbury Fire Marshal 7,0 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No eviation from the manufacturer's instructions or s eci cations is allowed. A /, Permit# ( 6'-- t Schedule Inspection .S Time 1 pm anytime Inspector ... Name _ AAg14611Address 77 &/ • - _ ier? - Rough In Final Appliance Manufacturer_ Model# Direct Vent _ Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments ~^ Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel eight above f/p opening a,iWitnessOperafion oic.„ Tank Placement(if LP) White—Building Dept. Yellow____—__--- Yellow—Customer Pink—Fire Marshal Queensbury Building & Code Enforcement - Residential Final Inspection 1 Z-3- Office No. (518)761-8256 Arrive: am/pm Dart: am/pm Date Inspection request received: )/11 Inspector's Initials: / '44 NAME: I i ^ / J / PE i- 2_ 006 0 ;- LOCATION:if 7 7 (4,'-e 5 I /°(L,>/!1,W ` ) DATE: TYPE OF STRUCTURE: Comments Ye• No N/A 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 Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @a,stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector i, 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. 11 Emergency egress below grade t/ Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shutoff at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum`h"Gypsum Basement stairs closed rise>4 inches I Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer1/ Duct work Sealed properly Gas Logs in Sealed or Gla s E closure Final Electrical Final Survey Plot Plan aAir Rbrt) As Built Septic System/Sewer Dept.Inspection Sticker 4'500 `j ik Rep t7a2i W AY Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/0 [Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc Town of Queensbury Fire Marshal Nrimea 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# g ` e z(J Schedule Inspection Time am pm anytime Inspector l? 177 1Rou h In FinalNamewe.Ve Address i L_1 -- g _ Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase______ Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel 1 Height above f/p opening Witness Operation•--'-----__.k( PoRt4tAgo Tank Placement(if LP) While—Building Dept. Yellow—Guetaster Pink—Fire Marshal COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No. Cert. N2 9 3 3 0 0 Cut-in Card No. Owner CL.u.i e.142.14 Location L-12:2. Al 1..w ,cnis..ka se ray Installation Consisting of.....2Q.Qa A Q.C2.- FA fL5, nettu4.c.- c-7; D , /2/ P-h Cr- Installed By. D... Lie.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any time, and if its rules are violated,the Company shall have the right to revoke this certificate. Date d- N5-0 INSPECTOR—.4 Member N.F.P.A.,1.A.E.I. i - Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 6 Queensbury Building & Code Enforcement Arrive: am/pm Depart: 1 R 3 am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: , NAME: PERMIT #: LOCATION: Lh? 1, fi 1?- INSPECT ON: iN64 TYPE OF STRUCTURE: 1-, ) a I Y N N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 1/2 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 7 Water Supply Piping Air / Head r° for 15 minutes sulati / 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 pr erly / No duct tape COMMENTS: Y 6 L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 11111110 Town of Queensbury Fire Marshal r, 742 BayRoad yQueensbur ,lNY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowe Permit# (") f Time , 00 ampm nytime I r )lScheduleInspection1y Name L) Address 1 1) ` s Tft Rough In Final__ Appliance Manuf Cturer_ j4 l 6— 12,p,12RA)Model# 7---U7q 7 Direct Vent / Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A/ Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase____ Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration; 2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (ifany) Mantel Height above f/p opening Witness Operation Tank Placement (if LP) White—Building Dept, Yellow-Cuetaner Pink—Fire Marshal 6- /U >~ Rough Plumbing / Insulation Inspection Report ; Office No. (518) 761-8256 Date Inspe 'on request received: 1469itt C. '7( 6g' Queensbury Building & Code Enforcement Arrive: - Z5 am/pm` J/ epart: am/py'i 742 Bay Road, Queensbury, NY 12804 Inspect is Initials: NAME: LI1.-` - 4 PERMIT #: cDoc: -ae LOCATION: 4-7 -7 tJ)Y JR INSPECT ON: Li . ic;L 7 Co TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction Abl-l'a / j Pressure Test Drain / Vent d_ (( (jJ6 i3 c Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air / Head 1//, 5 P. .I for 15 minutes Insulation) Residential Check / Commercial Check fMZIt4'_ Tent Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace IDuct work sealed properly / No duct tape COMMENTS: sV J 1A/5 tj L__ . e „5„:7_01) QA 5 (Ay N,4l Ar,...:-._ c¢.v„„. 4 +i(AA-& N,%x_.ko cJ 7-1),2=. /eeeirs L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspection Report / f Office No. (518) 761-8256 Date Inspecti 0 r nest received: Queensbury Building & Code Enforcement Arrive: am/prpDepart: m/prm 742 Bay Road, Queensbury, NY 12804 Inspectors itials: k..1 i/ H 3 NAME: 14016(4( PERMIT #: 6),_ LOCATION: tk) . tAiL - i INSPECT ON: TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates j. /7 Plumbing Vent / Vents in Place kJ' 1 1/2 inch minimum Drain Size c 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 Iit / Head y 50 P.S.I for 15 minutes Insulation / Residential Check / Commercial Check a:6 , 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 vi WA/Co (?R• Cit.X) 1. COMMENTS: L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 0 — ( Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection r-+u-• - -iv-:: 0-j"' U Queensbury Building&Code Enforcement Arrive: ,C j. Dow. (%nr. 742 Bay Road,Queensbury,NY 12804 Inspector's Ini ials. NAME: CI PERMIT#: U ' "- LOCATION: c/`] i c. ie S 7 AA V . (1--b t4.) INSPECT ON: a O / TYPE OF STRUCTURE: 5 S=1) Y N NSA COMMENTS Framing Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 ''A(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center 4ce 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 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection reques v : T/4/ô(_ Queensbury Building & Code Enforcement Arrive: `.-1 D a part: \'- ”ji arr 742 Bay Road, Queensbury, NY 12804 Inspector's Initial . NAME: PERMIT #: G W --t leiLOCATIONVaTYr'" i INSPECT ON: 4/ i& 3 TYPE OF STRU URE:53 4 l----- Y N Z N/A cou h Nail Plates td\N--t .`NO\ -- Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size F'4 Washing Machine Drain 2 inch minimum i/ Clear. „, 100 feet I change of direction ssure Test Drain / Vent Air / Head 5 P.S.I. 10 ft. above highest connection for 15 minutes Pressure Test V Water Supply Piping Air/ Head 50 P.S.I for 15 minutes V Insulation / Residential Check / Commercial Check Proper Vent, Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace1 Duct work sealed properly / No duct tape g- cz,w Fi E_ ti;,4 COMMENTS: L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 2____ v- ,05? ,_ ,--,, Framing / Firestopping Inspection—Report 1 f Office No. (518) 761-8256 Date Ins ection reque e iv :0 Queensbury Building&Code Enforcement Arrive: 1 9 a pti art: a pm 742 Bay Road,Queensbury,NY 12804 Inspector's Init ais- 1 74111-1P-ef-- NAME: PERMIT#: 6 .-- .,_ LOCATION: f i 7 l t 6 #-IL-L''- INSPECT ON:Cal, TYPE OF STRUCTURE: Framin.-D N //N/A COMMENTS g Attic Access 22"x 30"minimum V,uQ C L 7 L Li: Jack A As/Heal- .: M j ange V 6 Tt- 1i$= 47 Jack Posts/Main Beams Exterior sheeting nailed properly V e 0 0-`\-- 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 'A(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center I i LA s-'04k dl 1 k V___A6 F Ice and water shield 24 inches from wall Fire s paration 1,2, 3 hour i w 2, 3,4 hour Firestoppi Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Septic Inspection Report Office No. (518) 761-8256 Date Inectioh_request received: Queensbury Building & Code Enforcement Arrive: Ci: Z ) am/pm, Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: L/4-/--- NAME:C\2,..,PERMIT NO.: c) de) LOCATION:9:1:1—W ciAIN RA INSPECT ON: 040 RECHECK: Comments and/or diagram SpoTfirpe: CM, Loa ) Ca L1 q\-n Type of Wa --. unicipal11 / Well Water A-- - t Waterline separa ion stance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length 7,717 ft. Length of each trench 57,1 ft. Depth of trenches ft. Size of Stone vte.-7-,-----' Seepage Pits: Number Size: x— Stone Size: Pi in S! z1/ Type / , Building to tank 44 5-0 Tank to Distribution Box q i Distribution BoxE,Id/ Pit t4 11 i Opening Sealed Y N/ Partial ji /rind Cap linlet/Outlet Pipes&Baffles Y N Location / Separations Foundation to tank ft. Foundation to absorption ZIL ft. Separation of Pits et4- ft. Conforms as per Plot Plan Z17_ N ' 4 - oit,rd Engineer Report and As-Built Y ,2filA i Location of System on Property: Front Oear Left Side Right Side Middle Front Middle Rear System Use Status; VApproved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 57.13' 47.1.14. II ' O - z _0 '11- Ce LANDS N/F OF o z co W & LINDA MAILLE / / LOT "B" HOUSE 56,881 sq. ft. 1.31 acres 62,....eb T 10y / t5s 4, elle b‘b 01 •,.. i •l K 0 4‘ 19*1 sie, 4120 ( vuzp C4 f>' N v . A2 0:7 liNNor 1 / I‹ N 9 4, &e/ e A. N 2- 4r 17 n. c3 ,1$$ 7. , 2 LANDS N/F OF i.P6,;as,N 4bWILLIAMSMITHN,.'s. G . ky. A i3000CINVONICIllneDi`l'. ci, , AelngPNrIr) 0 UMW. o.- t -Q 900Z g 3 NYI'P 41ci143i i:V 4A"* /• N ATh=10-1-5--ci 1 1171'1151Plir e-V tg r V we,,AEp oqi uo Lilio[- ,s seoueis!p 2 p..in :u 4;.' A7-)or 0 N 47 sosnoq SE' tons .s:. O.'1:.i-,...:C,P :•.',' ,:::.: .'i : ,:.._-..i . . ..,..._ .-, .,.., 0.,,..„ ' Z_ \ \'15 ) ___C-17‘-‘`D t,,,,4 Foundation Inspection Report 7 Office No. (518)761-8256 Date Inspection requ-:'" i d: Queensbury Building&Code Enforcement Arrive: R' . 1 4p j,Depart: / pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi.+ ° PERMIT#: Cn — 0; LOCATION: IllnallIMM f! ry INSPECT ON: 0 0 TYPE OF STRUCTURE: Comments Y _ N/A Foot' s 1.(1*-1-:-Ve\ D.; 4. iers 1 C qv,,Q Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper gyoundation ulati Interip icterior 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 VY Foundation Inspection Report 0,,,v \1/4_, 9 Office No.(518)761-8256 Date Ins ctio request received: O Queensbury Building&Code Enforcement Arrive: = am/p Depart: rpm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 4 3 (ti c" NAME: 1\,r PERMIT#: O'D-C)N...g LOCATION: \1 `0\- c INSPECT ON: TYPE OF STRC 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 oundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 m. ly for wet areas under slab r ill Approval Pl bing Under Slab VC/Cast/Copper Foundation Insulation Interio /Exterior7V Rough Grade 6 inch dro 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:.a pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 1 NAME: C-7\--C PERMIT#: LOCATION: 1.4'i —1 \ Y- .CO INSPECT ON: TYPE OF STRUCTURE: Comments N N/A ootings Piers Monolithic Slab y a Reinforcement in Place L 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