2005-743 All&kh". TOWN OF QUEENSBURY
EIT
742 Bay Road Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20050743 Date Issued: Monday, January 23, 2006
This is to certify that work requested to be done as shown by Permit Number P20050743
has been completed.
Tax Map Number: 523400-315-000-0001-007-000-0000
Location: 21 FOUNDERS Way
Owner: KENNETH & LAURA COLLETTE
Applicant: KENNETH & LAURA COLLETTE
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, 4
- r- �
Variance, or other issues and conditions as a result of approvals by the
Director of Building 8c Code Enforcement
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: P20050743 Application Number: A20050743
Tax Map No: 523400-315-000-0001-007-000-0000
Permission is hereby granted to: KENNETH& T,AT TR A COT,T,ETTE
For property located at: FOUNDERS Way
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: KENNETH& LAURA COLLETTE
36 FRONT St Fireplace
Garage-2 Cars
LAKE GEORGE, NY 12845 Attached Single Family Dwelling $300,000.00
Total Value $300,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
•
Plans&Specifications
A2005-743 Lot 155, House No. 21 Founders Way
Bedford Close, Section 6
2712 SQ FT SINGLE FAMILY DWELLING
i
$387.72 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, September 26, 2006
(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 Quee sbury; Monday, September 26, 2005
SIGNED BY" for the Town of Queensbury.
Z
Director of Buil i g&C e Enforcement
Permit No.� U— -3
Building Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid R ` NL- 3
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director codes@aueensbury.net net
Phone: (518) 761-8256 FAX: (518) 745-4437 • li
'
Principal Structure Building Permit Application Application & Plans subject to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder (.&//e Pk;; Owner: s ,22 e
Address: :5- F:9-0)' S!; Address:
ire ?� �yP ,it1 '• 1 aSQll
Home Phone: : S S i Home Phone:
Email Address: L ( //eo' 4y. 41/(JJ, /Z.2 , Coin Email Address:
Cell Phone: 3'- S- Cell Phone:
FAX Phone: FS" 3'75 z FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: I2n) (.P//17
Address: _5,642 p Phone
me-345- S�
4.1
Location of proposed construction: Lot No. /55 Legal Address: Fof,ci9e,�s tr" y c?
Tax Map Number: Subdivision Name: (2 0 -.C.P
Estimated Cost of Construction: $ ,�� C'.Av
Proposed construction is for: 1/ Residential Use Commercial Use
Name of Business:
If proposed construction is an addition, what will use of new addition be?
New Addition Alteration Proposed Construction 1st Floor 2^d floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ft. Sq.Ft. Square feet Height
Ft.&in.
i/ Single-Family Dwelling / 7e. `/'/ 3
Two-Family Dwelling '-7 I -
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Garage 1,,2( 3
Type of Heating System: Electric, Oil, Gas' Wood, orced Hot A Baseboard, Other:
Is a fireplace and/or woodstove being installed, please refer to a separate application. & Yes No
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the application, together with the plans and
specifications submitted, are a true and complete statement of all proposed work to be done on the described
premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the
proposed work shall be complied with,whether specified or noted, and that such work is authorized by the owner.
Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location of all new construction.
Date: `?(/3/6-- Applicant/Builder Signature:
The application of dated is hereby approved and
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
forth above.
Date: Authorized Signature: o -
L:\Sue Hemingway\Building.Pe mit.FORMS\Principal Structure Permit Application.doc V:12/14/04
TOWNOFOUEENSBURY. _ -
- HIGH WAY Ridtardi. sita
tendent
Home �i8)79$-5127
M {( 1 F.Travis
742 Bay Road • Queensbury:NY 12804 Deputy aY Superintendent
Office Pfrone: (51&) 76t 4211 9h 79$0413
Fax: (518) 745-4466 08)
DRIVEWAY PERMIT
DATE: ! /71 b s 7.
APPLICANT NAME: _6>//e `--o''
TELEPHONE NO.: _
ADDRESS TO BE INSPECTED: 0
RETURN ADDRESS: �01� C - t
Applicant must show exact location and width of driveway(s)to be connected to the highway by
placing stakes at the specified location.
The Super
intendent of Highways of the Town of Queensbury has reviewed this application. The
following action has been taken:
STEP 1: ( )Preliminary Approval
NEED: ( )Slight swale
( )Level with the road
( )Deep Swale
Size pipe to be
eused(i nnecessary)4" ( )36"
( )12 ( )
completed
b DATE
Preliminary inspectiony .
Approval by Highway Supt.___________--Deptuty Sept
•
Upon completion,please 1 resubmit this approved permit for a final approval.
STEP 2: ( )Final Approval
{ )Rejected
DATE:_
Richard A. Missita,Highway Superintendent
,...z.-
Fire Marshal's Office Town of Queensbury, 742 Bay Road,Queensbury
(5181 761-8205
Application for Fuel Burning Appliances & Chimneys: ' CP
applicable to solid fuel & vented gas appliances
Date i 7 i a....
:, 20 Cf) Permit No.
Application is hereby made to the Building& Codes Office lOr the issuance of a Building'and Use
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enterpremises to perform required inspections.
tS'i'•
NOTE to applicant: Rough-4n and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: KPA) CO f/e IA77; Stove: wood coal pellet gas
Fireplace insert
Address: 3 5 Fizo,r st: .- rep ace, 'actOry-bui P7 wood Olt*
6Collx-P ii) Y laRzlIi -trep ace, masonry: wood gas
Furnace: wood gas oil
Phone: 34 1.$-'
If non-masonary applicance, please provide
tr." Manufacturer Name: kif/rt
Owner: ...iiiiil I,
.
Address: Model Number: D u Li fot,
e,
Chimney Information
Phone: (circle appropriate words), ./._
Masonry block brick stone
Flue tile steel size: . • incites
Exact Address: teemdr4.1. tt)44!,
of construction or installation Factory-Built
Manufacturer name: (2),IiiPt.t Vtitit
Model Number:
Note: Listed By: Number:
Construction /Installation must
conform to NYS Fire Prevention & Building Indicate (circle) chimney material:
Code. Consult available Toien of Queensbury
Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct renting
. .
Chimney Liner
1 fCwia.7.31 ilear'fia.110,taxt, a-tarxertit— 'Z'oammext. o1 ‹tx.i.e40143a,x.x3E--3,-, New'ileox--I-K- 1
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Fire Marshal Code# S Collected S Refimded Received,from (relitnded to): _ __L...6ii,..Q1U2!i;„21.1 .
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address:
— -— ----- .
.-1 173 3389 (190) Public Safety :, •
.4 233 2655 (230)Minor Sales .
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White(Applicant) , Green(Fire Mar'shal) I . Yellow(Bldg. Dept.) i Pink&Goldenrod(Cashier's Dept.)
Application for Permit=Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
Office Use
Location of installation: /�4 r / fdO K.5 ft-Mc/ c,
File Permit No. ?�7/
Tax Map No. 3/ / 6
Fee Paid
Owner's Name: ij ilv '
/�Address: 7 /('o7�J1 s' � A Cceo' P i C-
2. INSTALLER'S NAME : K let,/ 770744 PHONE NO. 2 C
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrm =
1980— 1991 x 130 gal/bdrm =
199I' present) 3 x 110 gal/bdrm = �'3c;>
Garbage Grinder Installed yes / no
Spa or Hot Tub Installed yes / no
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material . Domestic Water Supply
(Way' saner at what depth at what depth
nicipa
Rolling loam 7 ' feet <~' ' feet well--
Steep slope clay if well; water supply
_%slope other from any septic-system
depth: ! absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the(size
of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub.
Septic Tank: /,2_c t gallon (min. size 1,000 gal)
Tile Field: each trench 1 C) ft. Total System Length: .2i 7) ft.
Seepage Pit(s): number of --- size of each: ft. by — ft.
Size Q f Stone to be used: # / depth or thickness — feet
Bed System Size: x
•
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: " gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.,
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
'Signature of responsible person bate
, �` '►1'osiin of (ItIcr11s1)ttiry
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Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheck Software Version 3.6 Release 2
Data filename: C:\Program Files\REScheck\REScheck\2325-05 COLLETTE CONSTRUCTION-21 FAIRWAY CT,
QUEENS BURY.rck
PROJECT TITLE: PLAN NO. 2325-05
COUNTY: Warren
STATE: New York
HDD: 7635
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE: Non-Electric
WINDOW /WALL RATIO: 0.18
DATE: 09/12/05
DATE OF PLANS: SEPTEMBER 12, 2005
PROJECT DESCRIPTION:
COLLETTE CONSTRUCTION INC.
21 FAIRWAY CT.
QUEENSBURY, NEW YORK 12804
DES IGNER/CONTRACTOR:
WILLIAMS & WILLIAMS DESIGNERS INC.
509 GLEN STREET
GLENS FALLS, NEW YORK 12801
COMPLIANCE: Passes
Maximum UA= 557
Your Home UA= 486
12.7%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 1234 38.0 0.0 37
Ceiling 2: Cathedral Ceiling (no attic) 756 38.0 0.0 20
Wall 1: Wood Frame, 16" o.c. 1284 19.0 0.0 57
Window I: Wood Frame:Double Pane with Low-E 227 0.410 93
Door 1: Solid 38 0.130 5
Door 2: Solid 22 0.130 3
Door 3: Solid 22 0.130 3
Door 4: Glass 20 0.360 7
Wall 2: Wood Frame, 16" o.c. 1306 19.0 0.0 66
t. E
Window 2: Wood Frame:Double Pane with Low-E 212 0.410 87
Basement Wall 1: Solid Concrete or Masonry 1211 11.0 0.0 75
Wall height: 8.0'
Depth below grade: 7.0'
Insulation depth: 8.0'
Door 5: Solid 22 0.130 3
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 632 19.0 0.0 30
Furnace 1: Forced Hot Air, 92 AFUE
Air Conditioner 1: Electric Central Air, 10 SEER
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 Energy Conservation Construction Code requirements. When a Registered Design
Professional has s ped an: si ed this page, they are attesting that to the best ofhis/her knowledge, belief and
profi;ssional judg en , such ' an o ecifications are in compliance with this Code.
r
B /r,esign Date '�"i
L x
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheck Sofware Version 3.6 Release 2
DATE: 09/12/05
PROJECT TITLE: PLAN NO. 2325-05
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-38.0 cavity insulation
Comments:
[ ] 2. Ceiling 2: Cathedral Ceiling (no attic), R-38.0 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, 8.0'ht/7.0' bg/8.0' insul,
R-11.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.410
For windows without labeled U-factors, describe ii;atures:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] 2. Window 2: Wood Frame:Double Pane with Low-E, U-factor: 0.410
For windows without labeled U-factors, describe faatures:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
Doors:
[ ] 1. Door 1: Solid, U-factor: 0.130
Comments:
[ ] 2. Door 2: Solid, U-factor: 0.130
Comments:
[ ] 3. Door 3: Solid, U-factor: 0.130
Comments:
[ ] 4. Door 4: Glass, U-factor: 0.360
Comments:
[ ] 5. Door 5: Solid, U-factor: 0.130
Comments:
Floors:
[ ] 1. Floor 1: All-Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation
Comments:
Heating and Cooling Equipment:
[ ] 1. Furnace 1: Forced Hot Air, 92 AFUE or higher
Make and Model Number
[ ] 2. Air Conditioner 1: Electric Central Air, 10 SEER 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 framed 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.
[ ] Retum 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 far balancing air and water systems.
Temperature Controls:
[ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point ofthe largest zone.
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction
provisions ofthe 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 ofa 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%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the
levels in Table 2.
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(Fl Up to 1" Up to 1.25" 1.5" to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-169 0.5 0.5 1.0 1.5
100-139 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(Fl 2"Runouts 1" and Less 1.25" to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(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)
....
--------------,
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seen or observed:, or be;ieve I saw evidence of,
5-0 6 . .?„.1 o'-,,, ts such as houses, ,,,,le;Is, tcees, fences, etc.,
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Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive:
Date Inspection request received: '
Inspector'sin'o(/J "'art: am/pm
; r
NAME: C_C,C t "1 PERMIT#:
-- °7t5
LOCATION: Gs t7C (. i DATE: I L'3 Cc
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/"
Gypsum
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18" above grade
Gas Furnace shut-off within 30 ft.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
Interior privacy/trim/doors/main entrance 36 in. ,
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 Qc.--: RK
Bathroom Fans,if no window r V
Plumbing fixtures
Foundation insulation
lour truss,draft stopping finished basement 1,000 sf
mergency egress below grade
asement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3 hour fire door/door closer / ,
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure _
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft,-150 sq. ft.vents
Building No./Address visible from road /
Final Electrical
Site Plan /Variance requirec ✓
Final Survey Plot Plan % I--; NA..
As Built Septic System/Sevier D t.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res.Final Insp.form 2.docLast printed 2/12/04
//‘ V) I - --
111111111K Town of Queensbury Fire Marshal
itregA, .;
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fire lace/ tove Ins ecti n Re ort
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in''re Install:tion Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
1P-L—
Permit# L'' OL,S-- P-T-7 Schedule Inspection/4_ //2 3/u 6- Time V-/-eel ie.am pm anytime Inspector
_
,
/ - - \
Name _., ( , -). (- rL--- (,eeike4y resse , tzeid-ec 1-4 6.., /,--i
1U--. Rough In Final el
,') ---7 •
..-
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) /
v/4
Mantel /
Height above f/p opening
Witness Operation VI
Tank Placement (if 1: )
White-.Building Dept. Yellow-Customer Pink-Fire Marshal
t
Queensbury Building & Code Enforcement - Res' ential Final Inspection
•
Office No. (518)751 8256 Arrive: m/pm itDrt: am/pm
Date Inspection request received: I .> Inspector ' Initials:
,-,
NAME: C /,)�/t G --('C` , 0,� , L > . C` 7
LOCATION: � , L�y� PERMIT#: - 'S` 7 `,
TYPE OF STRUCTURE:
�4 i iY i S DATE: %lr1(;i\., . JC. 1) 2�C
`:).1'-.2 Comments
Yes /No N/A —TT )`,/-714 c-C...'
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 ti
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
wil
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall '� -
Interior/Exterior Railings 34 inches to 38 inches 4-4-Interior Handrails @ stairs 2 or more risers k ii � °
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 watertight1117
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom: 1/711tY
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 7
Crawl Spaces 18 inch x 24 inch access, 1 sq,ft.-150 sq. ft.vents
Bathroom Fans,if no window
Plumbing fixtures I
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 /______Tv
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 /
7---
Enclosed Stairs Sheetrock Underside minimum'A"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched �Garage fireproofing/%hour fire door/door closer i i&PA )48/11g6-6
_Duct work Sealed .r..eri
_Gas Logs in Sealed sr'Enclosure
Final Electrical Q,l /' ,� tll
Final Survey Plot '1 an i d 04i-
As Built Septic System/Sewer Dept.Inspection Sticker
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
Rough Plumbing / Insulation ispection Repoli
Office No. (518) 761-8256 Date Inspecion reqtjest received:
Queensbury Building & Code Enforcement Arrive: ,) diP' arillprn Depart: pm/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #: 03
LOCATION: Foc-,"-917c-12-5 INSPECT ON:
TYPE OF 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
Pressure Test
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
7/ Head giC eo
0 P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check ,
Proper Vent, Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date InspectiO jeest received: r/-//6 4,S-
o
Queensbury Building & Code Enforcement Arrive:( am/pyiras,part: am//m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: c
NAME: Co C- PERMIT #: 0
LOCATION: . 2- ( iA-- ci s e-,14,-/ INSPECT ON: tAnr,
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
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
tjodi.q6)
50 P.S.I for 15 minutes
insulation / Residential Check / Commercial Check
Proper Vent, Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape CA^ PL4--rb-
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
CI /v.
IOW.` Town of Queensbury Fire Marshal
r -\
whak, s
742 Hay Road
Queensbury,NY 12804
t 1,
•, ,'--, :_l'' 761-8205/761-8206
fax 745-4437
/
Factory Built Gas Fireplace/Stove Inspection Report l
Notice: New York State requires that all UL Listed,factory built appliances be installed accordin o th instructions and
, t\trfri,/
specifications contained in the Installation Manual accompanying the appliance.No deviation from ..manufacturer's
instructions or specifications is allowed.
Permit#-...- - - - (7) lr 4.3 Schedule Inspection Jo) 127 ( Time"7---11-e' am pm anytime Ixispec
7
._
Name C-f- \\ -C-At c'..„,.. r
, Address (-).. i r('; -, ('-' f' \- i , { ., Rough InJL Final
>I
Appliance Mann cturer lif\/\ it,.. ,ZSA--is-d,___ Model#
Direct Vent \s Factory Built Chimney _ Flue Size Double Wall Triple Wall Insulated
Yes No N/A 7 Comments
....._
Floor Protection / ‘I
_
Clearances to Combustibles (all sides) V
,
,
Firestop(s) Vertical Chase_ 1
Wall Penetration \e" ,7
ii
----
Vent Clearances to Combustibles
i
Vent/Chimney Termination /
Chimney height must be 3 feet above roof
V ,
penetration;2 feet above any combustible
construction within 10 feet7
I / ,
Gas Shut-Off Valve t
ki
Combustion Air V
------ /
/
Hearth Extension (if any) V
Mantel ,
v
Height above f/p opening
Witness Operation
Tank Placement(if LP) 1
White-Building Dept. Yellow-Caotonter Fink-Fire Marshal
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request,retrive,i: C 0-s
Queensbury Building & Code Enforcement Arrive: afri/pm: e art: '3 y'v-T. a repm
,
742 Bay Road, Queensbury, NY 12804 Inspector's
NAME:k Cbt--( kridi PERMIT #:
r 4Y1-6-14.
LOCATION: , 1--zu-cte*,./.1 -,t- c-5 INSPECT ON: `.73-110,S
TYPE OF STRUCTURE: trci-7) L-//14,3vjA'-
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 I,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
TnSulafrob/ Residential Check/ Commercial Check -4‘
Proper Vent, Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
\c‘
L:\Pam Whiting\Building&Codesqnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
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: AV
NAME: t� PERMIT#: �,'S 7
LOCATION: re 0 k),\ .‘ INSPECT ON:
TYPE OF STRUCTURE: i •
Y N N/A COMMENTS
Framing
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2 (w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fie wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/ inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report (r
Office No. (518) 761-8256 Date Inspection request received: 3 C o 5
Queensbury Building&Code Enforcement Arrive: am/pm Dep , .pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: G I C PERMIT#:
LOCATION: ( c ,/ INSPECT ON: 7 i y
TYPE OF STRUCTURE:
Y N N/A 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 '/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
irestopping r(1.14, 4 / U C5
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/4 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
Framing / Firestopping Inspection Report l 2--
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/prry epart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: �j I,��
NAME: � (� PERMIT#: C.J. 74t
—
LOCATION: 2 r ,-c--Cr\D k.)\—.)0,..A.,1 INSPECT ON:
TYPE OF STRUCTURE:
N N/A COMMENTS
\ , raming
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 '/z(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
, estopping Chitt,
I
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation CA,64_ Al _.
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
414-Rough Plumbing I Insulation Inspection Report
z
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: 77 *. am/pm_-
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:61Att:i )
NAME I PERMIT #: 3
LOCATION: INSPECT ON: _
TYPE OF STRUCTURE:
Ad-t,f-e 0), Pi----
",71 155
Y / N N/A
C-110.0_2liEnbi4/ Nail Plates A
Plumbing Vent / Vents in Place
1 1/2 inch minimum Drain Size tk) J
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet / change of direction
Pressure Test
Drain / Vent
eT-T(5P S pr 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Airf Head
50 R.S.I for 15 minutes
Ihülation / Residential Check / Commercial Check
Proper Vent, Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received: AA)
Queensbury Building&Code Enforcement Arrive: a nn epart: / A an Zp-m
Lteip
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: — .1' t
NAME: ( t _J i PERMIT#:
LOCATION: z / 71�r�C?P LzJ4 -/ INSPECT ON: 2 �1,
! . /5
TYPE OF STR :
(6$
Y N i N/A COMMENTS
Framin V
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging "� �i �- P#S1Z vlp
Joist hangers
Jack Posts/Main Beams C --- & & Te.
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 1/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping � P i yr A-AO
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
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection r.quest,`ec; -d: _
Queensbury Building&.Code Enforcement Arrive: am/pf epart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initia`
7
NAME: IT NO.: S--7
LOCATION: l C C C /14 SPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance _ ft. C)
Well separation distance ft.
Other wells: ft.
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/NI Partial _
End Caps
Location I Separations
Foundation to tank ft.
Foundation to absorption .
Separation of Pits ft.
Conforms as per Plot_Pila N
Engineer Report nd As-Built Y N
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
S stem Use St us:
Approved
Partial Approved and needs to be re-inspected, please call the Building& Codes Office
Disapproved
Last revised 1/6/05
i
c_.X
C, {' ,
41
__. E.m.._.p..y.._-�.- seen
{�.p� observed, or believe { saw evidence of,
�.�--- _— "I 1�3ve seen J1 obset ed, fences,
Vr-
5-0
houses, 'lei trees, lGic J, etc.,
�/ all obp,-. ts such as u wells,
that I
Ishs`ldl E;ris�is document. represent Qi an theiag;am.
L
i
SIGNATURE DATE
'7. .6.' 1
RECEIv( -005 - -71-1-3
P" •
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TOWN 770.,: _,..
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8
2005
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11- at t.-70d Ppe.4 max Cs1ktt� Coti A)c.,
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Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: �j 7 G��
Queensbury Building&Code Enforcement Arrive: am/.�,,y LDe.art: pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: 'v- (� _ ERMIT#:
LOCATION: / E�R r� ',a ZJi.,* INSPECT ON:
TYPE OF STRUCTURE:0< t�&d,,:-4-e/e
are Ac7
Y N N/A COMMENTS
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts I Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
,/ce ater sTiiel�,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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pin Depart:(0•'(dm/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:NAME: ( �� PERMIT#: �� 713
LOCATION: 6 UA) jralf INSPECT ON: .A/
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center Ole /
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour \fib
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 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
L:\SueHemingway\Building.Codes.inspection.FORMS\Framing Firestopping inspection Report.doc January 28,2003
0,yiu
U3_
Framing / FirestoppingInspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/prk. i.Depart: '" am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: _ ice, W + PERMIT#:
LOCATION: �Mi� ��'"
,JW.A►• INSPECT ON: \ \p--
TYPE OF STRUCTURE: J`` � —�_
Y N N/A 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 %z(w) 16 gauge(8) 16D nails each side �
Draft stopping 1,000 sq. ft. floor trusses
Anch r Bolts 6 ft. or less on center
e 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
d2a
Septic Inspection Report ;
Office No. (518) 761-8256 Date Inspection req s�t r "e' ,//
Queensbury Building&.Code Enforcement Arrive: p pert:
742 Bay Rd., Queensbury, NY 12804 Inspector's Initial .
NAME: `' 6/6- PE IT NO.:
LOCATION: S INSPECT ON: /i/e4 vv, 4 acas
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance
Well separation distance
Other wells:
Absorption Field: Total length
Length of each trench
Depth of trenches
Size of Stone
Seepage Pits: Number
Size:
Stone Size:
Piping — Size Type
Building to tank LID
Tank to Distribution Box \.°
Distribution Box t field/Pith Alt
Opening Seale . Y N/Partial _
End Caps �j
Location/Separations
Foundation to tank ft.
Foundation to absorption ]j ft.
Separation of Pits
Conforms as per Plot Plan
Engineer Report and As-Built Y 1� —‘?:)6\CT 66)1--a3a-ZTRIN
Location of System on Property:
/VT.
rout Re ,eft Side*ght Si
Middle Front Middle Rear.
System Use Status-
Approved
P 'al Approved and needs to be re-inspected,please call the Building&Codes Office
isapproved
Last revised 1/6/05
Z„, /
/--- S 0 11^1/4.'t.c--)L50,0-‘t,, ,,,,,,
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection r ues '- - ed: /0 // v
Queensbury Building&Code Enforcement Arrive: rn/p Depart: r a
742 Bay Rd., Queensbury, NY 12804 Inspector's Init als'
NAME: _ _ Irk-- ERMIT#: �� `/ 3
LOCATION: / s '� INSPECT ON: / a3
TYPE OF STRUCTURE:
Coge.C( --- Co ants
s-ecell
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,
7 Foundation/Wallpour
°\ Reinforcement in Place
1 Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing I Waterproofing
Footing Drain Daylight or Sump
q4Footing Drain Stone:
12 inch width
6 inches above footing
„ oly for wet areas under slab
Back.fi proval
Plumbing Under Slab
PVC/Cast/Copper .
Foundation Insulation Interior/Exterior
R-_____
Rough Grade 6 inch drop<within 10 ft.
L:\sueHomingway\Ruit„ ng,Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
1
cc)
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: amiçn Depart: t a pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials.
NAME: PERMIT#:
LOCATION: CN-SkLL INSPECT ON: JO
TYPE OF STRUCTURE: 5SZ)
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Rei orcement in Place
he contractor
providingproteicstiroenspforonmsibflreeefzoirng
for 48 hours following the placement
of the concrete.
aterials for this puTose on site.
foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/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.
LASueliemingway\Building.Codes.Inspection.FORMSWoundation Inspection Report.doc January 28,2003
®4
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: `0 3 o 5'
Queensbury Building&Code Enforcement Arrive: am/pm Depart: ,0 A am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: (4
NAME: [ ctsk_ , (�
PERMIT 1) -It:1- ca LOCATION: ne S INSPECT ON: O
TYPE OF STRUCTURE:
comments
_.._ -------- —Y N N/A
ootuig's -- ---Piers ^`—
Monolithic Slab
Reinforcement in Place Z
/7,
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
Foundation Dampproofing
Foundation!Waterproofing
Type of Dampproofing/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 SIab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Suet-lemingway\Bui1ding.Codes.Inspection.FORMS\Foundation Inspection Report.doe January 28,2003