2002-063 T.0'%N aF QUEENSBURY
742 Bay Road,Queensbury,NY 1280002 (518)761.8201
Community Development-Building&Codes (518)761.8256
U IF I%r..Aa'PrLE fv"F OCCUPANCY
Pem itNumber. P20020063 Date Issued; Thursday,Apri107,2005
This is to certify that work requested to be done as shown by Permit Number P20020063
has been completed.
Tax Map Number. 523400-289.011-0001-059-311-0000
Location: 3 OSPREY VIEW .
Cromer. DONALD KRUGER
Applicant; DONALD&SANDRA KRUGER
This structure maybe occupied as a:,
By Order of Town Board
Fireplace_ TOWN OF QUEENSBURY
Garage-2 Cars Attached
Single Family Dwelling .. ..
I _
Directorof Building&Code Enforcement
CiTOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 ,(518)761-8201
v
i Community Development-Building&Codes (518) 761-8256
' P
BUILDING PERMIT
j
Permit Number± P20020063 Application Number: A20020063
Tax Map No: 523400-289-011-0001-059=311-0000
Permission is lierebygranted to: DONALD & SANDRA KRITGF,R
For property located-at: 3 OSPREY VIEW
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 incompliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value_
Owner Address: DONALD KRUGER
3 OSPREY VIEW Fireplace
QUEENSBURY,NY 12804-0000. Garage-2 Cars Attached
Single FamilyDwelling $100,000.00
Total Value $100,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
DONALD KRUGER COMMONWEALTH ELECTRICAL A
3 OSPREY VIEW
OUEENSBURY.'NY 12804-0000
PO BOX 706
HAGUE. NY
Plans&Specifications
2002-063
1993 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$301.56 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wed sday,November 16,2005
(If a longer period is required,an application for an extension mnst.be made to the code Enforcemen
of the Town of Queensbury before the expiration.date.)
Dated at the Quee ury; riday,February 01., 2002
h
SIGNED BY for the Town of Queensbury.
Director of Buildin Co Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020063 Application Number: A20020063
Tax Map No: 523400-289-011-0001-059-311-0000
Permission is hereby granted to: DONALD & SANDRA KRUGER
For property located at: 3 OSPREY VIEW
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 I
Ordinance. , Type of Construction Value,-,,
Owner Address: :DONALD KRUGER Single Family Dwelling 100,000.00
.3 OSPREY VIEW Garage-2 Cars Attached
QUEENSBURY,NY 12804-0000 Fireplace
Total Value 100,000.00
Contractor or Builder's Name Address Electrical Inspection Agency
DONALD KRUGER COMMONWEALTH ELECTRICAL At
3 OSPREY VIEW
OUEENSBURY<NY 12804-0000
PO BOX 706
HAGUE,NY
Plans&Specifications
2002-063
1993 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$301.56 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,January 30,2004
(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 Frioax,February 01,2002
SIGNED BY for the Town of Queensbury.
Director of Building �E K Cod nfbrcernent
Building Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518) 761-8256
A permit must be obtained before beginning construction. Permit File N
No inspection will be made until applicant has received a Fee Paid
valid building permit. All applicants' spaces on this Rec. Fee Paid S
application must be completed and must appear on the' Reviewed B
application form.
Applicant-Z� _ A Yvv) W Owner' -
Address: Addr ..
Phone# RECEIVED Phone 9
Property Location: Lot Number: —JAN-�, 'ITU"Inber tii J/
Subdivision Name: Tax Map Nurnber;,�2
TOWN OF QUEENSBURY
jIM2 ND CODE
U New Building: residence 1 1 EtniLlihated Market Value of Construction: S
L:j Addition: residence/ commercial If an Addition,what will use of new addition be?
0 Alteration: residence/ commercial
L3 No change to exterior size: residence com1
E3 Other work(describe
Check OccupancyInformation I`Floor 2"`'Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Fee#Qp�
C3 Single family dwelling Al) VY
U Two family dwelling
U Townhouse
0 Multifamily dwelling
#of units
U Office
U Mercantile
0 Manufacturing
0 1 car detached garage
D 2 car detached garage
U 3 car detached garage
E3 I car attached garage
Ll 2 car attached garage ...........CZ-2 L J
U 3 car attached garage
Ll Storage building-
commercial
Li Storage building-
residential
0 Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so, for what?
Type of Heating System: electric/ oil / gas/wood /forced hot air/.baseboard/other:
NlumberofTW (aces to be installed Number ofWoodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder
Plumber
Mason
Electrician
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this 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 bf the Building Code,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 Survev by a licensed surveyor; drawn to scale,showing actual
location of all new construction.Sign.nir... owner,owner's agent,architect,contractor
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bqv Road Queensbury, NY 12804 (518),761-8256
1. OWNER INFORMATION: ............ ...........-............... ...........................
Office Use
Location of installation: -S
File Permit No.
Tax Map No.
Fee Paid
Owner's N'me7DO�+1
.......................... ........................................................
Address: 0 le clj
2. INSTALLER'S NAME &—et-(a PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling,indicate 4 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
1991 —present x I galfbdrm
I
Garbage Grinder Installed yes_ no V
Spa or Whirlpool Installed yes_-/ no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
To RR
pojz=hv Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Su
Flat (sand��' at what depth at what depth In .cipal
Rolling roam feet —feet we
ll
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
neer 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: 'flgallon (min. size 1.000 gal.)
Tile Field: each trench d ft. Total System Length:
Seepage Pit(s):. number of. size of each: ft. by_ft
Size of Stone to be used: # depth or thickness feet
Bed System Sh,re: 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)
Far your protection,please note that pursuant to Section 136-29 of the Code of the Town
of QZe sbu permit or approval granted-which is based upon or is granted in
C:n al fact or
up
failure to make a material reliance p
M a any material misrepresentation or f
C, c" :an a known by,or ehalf of an applicant, shall be void.
I have read the re I bons with respect o this application and agree to abide by these and all
requirements of e o ojfQueens Sanitary Sewage Disposal Ordinance.
Sig ature of responsible-parson Date
rare Marsual,S V111ce .1UTVIIUIVUVVLINPJUry, I-f/.-oily lwau,Veer"'Nuttry'ni
(518)761-8205
Application for Fuel Burning
rning Appliances & Chimneys
applicable to solid fuel & vented,gas appliances
Date20 Permit Na.
(Pi
Application is hereby made to the Building&Codes Office for 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 enter premises to perform required inspections.
NOTE to applicant: Rough-in and:ViridlInspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
e--To'od,�, coal pellet gas
Stove:
Name:
Fireplace insert'�
Address:Ci 9' Fireplace, factory-built: wood gas
Fireplace,masonry:,-, tj wood gas
Y-T Furnace:,,,,, wood gas oil
Phone:
If non-masonary applicance,please provide
Owner: Manufacturer Name:
Address:
Model Number:
on
Chimney Information
Phone: (circle appropriate words)
Masonry block , brick stone
Flu'e tile stee`l" size: inches
Exact Address:
oy canlif-6 -O ilist—aliaitoli Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction lInstallation must
con form to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triplew' all 1 Insulated J, Direct venting
Chimney Liner
Fire Marshal Code# $Collected $Refunded Received from(refunded to): _e
address:
A 173 3389 (190) Public Safety
A 233 2655 (230)Minor Sales ... ............... .
A
White(Applicant) t Green(Fire Marshal) Yellow(.Bldg.Dept.) 1 Pink&Goldenrod(Cashier's Dept.)
' +.Jr.:�,c:x - ::.y.. �ti•. +'-t'; �V,41;r _ .*y.=f«. v`�r7f�,G- fa y'
S j F
BLDG. PERMIT NO. 2002-063
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
{
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; 3 0.6pxey View
for the following uses: S.ingte Fq&tly Dutet?.i nc
NovembeA 16, 2004
DATE SIGNATURE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby (OAPPROVED
( )DISAPPROVED
with the following conditions: Cetti6 c.cate oS Occupancy to be izzSu.ed
upon comptetion o6: 1) Complete conAtu ction o� MazonLy Chimney.
2) Compi'ete Extendon s=ini.6h.
TEMPORARY CERTIFICATE OF OCCUPANCY FEE:-(* 10.00 D PV
T: ( $1*00.00
received.on 11116104
Date of Issuance Director'of Bld `g. dq,Co e Enforcement
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 90 DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This. Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee.
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods: PART 5 - Acceptable Practice Method
1&2 Family Dwellings (only)
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings;. Multi-Family
Dwellings (3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S E: PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - qq-3 square feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanically cooled? Yes No
4 . Percentage of area of windows and doors over 17% )r Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R
b . Exterior walls R
C. Glazed areas R
d. Exterior doors R 10
e. Floors over unheated spaces R JCJ
f . ' Edge of slab on grade (heated building) R /6
g. Basement/cellar walls (above grade) R /q
h. Basement/cellar walls (below grade) R
i . Heating/co ling-ducts-piping in unheated space R Iv
6 . Service (dom s ic) hot w ter heating device
/
Conforms to. i imum ef f i iency per code V/Yes No
TEMPERATURE COL IMUM SETTING 1400 WILL NOT BE EXCEEDED
Applicant' s S t e Date Phone Number
INSPECTOR' S RE ARKS :
Queen9bury Building & Code Enforcement - Resi enti Final Inspection
Office No.(518)761-8256 Arrive: a pm leart: aZ!�m
Date Inspection requelt received: Inspector's Initials:
NAME- Y\"f R R-/M T
o
LOCATION: I TE:
TYPE OF STRUCTURE:7 V
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location V,
Fresh Air Intake V/
3 inch Plumb Vent through roof minimum 6" V
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 V7,"
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 A
Furnace/Hot Water Heater operating V
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy I trim/doors/main entrance 36 in.
Bathroom I Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Dete tors:
Every level; Every B M:
e
Outside every bedrooma : /00
Inter Connected: * / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4hour fire door/door closer_
Duct work Seated 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 V/
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C 10[Temporary/Permanent
L:\PamW\Building&CodesUnspection Forms\Res.Final Inso.form 2.docLast rrinted 2/12/04
Town of Queensbury Fire Marshal
742.Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
Masonry Chimne /Fire lace Ins ection Reiport
Permit# "' Schedule Inspection 14 kelo!L_ am b anytime Rough In Final
Name 0 tj Address _7� �� Ll� " A/ .Inspector 5
Yes No N/A Comments
FOOTING
Concrete or solid masonry
Minimum 12"thickness
Extends minimum 6"beyond f/p on all sides
Below frost line
Cleanout opening—noncombustible cover
FIREBOX `
Walls must be solid—no hollow masonry allowed
8"minimum thickness—back I side walls q R
Joints between firebricks—a/"max
Refractory mortar used on firebrick
Minimum depth 20"
Fresh air intake l
Clearances to combustibles:4"rear,2"sides/front
LYML i THROAT �� b
Non-combustible material
Minimum 4"bearing length each end
Damper installed,minimum 8"above f1p opening
SMOKE CHAFER
Walls,must be solid—no Hollow masonry allowed
Minimum wall thickness 6"including liner
Firebrick lining laid with refractory mortar
CHIMNEY
Minimum wall thickness 4"—solid masonry
Must be Hued with appropriate liner type
Clay flue liner laid with refractory mortar
Flue liner smooth surface inside,no mortar
Minimum masonry thickness between flues 4"
Minimum clearances to combustibles 2"for
interior chimneys,1"for exterior
Terminaflon-height minimum 3 feet above highest
point of roof where'it passes through,2 feet above
any combustible construction within 10 feet
Chimney cap installed {�
HEARTH HEARTH EXTENSION
Constructed off concrete or masonry
Supported by,noncombustible material
No eombii"stible material on underside
Minimum thickness 4"—hearth only
Minimum thickness 2"—hearth extension
Hearth Extension—16"to the front,8"to sides
NOTE:NFIP opening is greater than 6 sq.ft.,must t iO b A, C t4
j /
extend 20"front,12"sides
ALANTEL TRIM
No combustibles within 6'.'of F'/P opening ' A (Jy
� _ ,►1V�^ eA
Combustibles within 12 inches of F/P opening cannot
project more than 1/8"for each inch distance from
F/P opening
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Masonry Chirane /Fie lace Inspection Report
Permit# Xok (20 Schedule Inspection L2 . !pm anytime Rough In At Final
Name Vo K) U9 eIr Address �Pre Inspector
Yes No N/A Comments
FOOTING
Concrete or solid masonry
Minimum 12"thickness
Extends minimum 6"beyond f/p on all sides
Below frost line
Cleanout opening—noncombustible cover
FIREBOX
Walls must be solid—no hollow masonry allowed
8"minimum thickness—back/side walls
Joints between firebricks—%"max
Refractory mortar used on firebrick
Minimum depth 20"
Fresh air intake
Clearances to combustibles:4"rear,2"sides/front
LINTEL/THROAT
Non-combustible material
Miwiniam 4"bearing length each end
Dampeeinstalled,minimum 8"above f/ opening
SMOKE CHAMBER
Walls must be solid—no hollow masonry allowed
Minimum wall thickness 6"including liner
Firebrick lining laid with refractory mortar
CELUMNEY 0 AAI tiall *Kkez OK
Minimum wall thickness 4"—solid masonry ,
Must be lined with appropriate liner type , &�Clay flue liner laid with refractory mortar r C 1AWL'I
r'V�
Flue liner smooth surface inside,no mortar G 1
Minimum masonry thickness between flues 4" "" �j Q � 1 A "1z \
Minimum clearances to combustibles 2"for
interior chimneys,l"for exterior
Termination height minimum 3 feet above highest (�
point of roof where it passes through,2 feet above s-• �,k f A
any combustible construction within 10 feet J
Chimney cup installed
HEARTH/HEARTH EXTENSION
Constructed of concrete or masonry
Supportednoncombustible material
N
No combustible
ble material on underside
Minimum thickness 4"—hearth only
Minimum thickness 2"—hearth extension
Hearth Extension—16"to the front,8"to sides
NOTE:N F/P opening is greater than 6 sq.fL,must
extend 20"front,12"sides
MANTEL I TRIM
No combustibles within 6'.'of F/P opening ��� � It+0
Combustibles within 12 inches of F/P opening cannot �( C,
-project more than IN'for each inch distance from �\
F/P opening
f/ a 1Z 60
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
745-4437
Factory ui has Fire 1 ge Stove Ins actions ort
Notice:New York State requires that A UL Lists pliances be inAamlled according to the instructions and
specifications contaiiacd in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or s ecifications is allowed.
Permit#� Schedule Inspection f Time /Q win pm anytime inspector 5_5
Name DOA) Get_ na e'tr .Address I EN 9 Rough in Finalk
Appliance Manufacturer �e c� Model# ED '�-
Direct dent Factory Built Chimney Flue Size r t Doable Wall. Triple'WaI insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical!Chase ! 14 63Q, PPA001�_j
Wall Penetration
Vent Clearances to Combustibles x
OK L�
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction withiia 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension(if any)
Mantel
Height above f/p opening'
Witness Operation � x
Tank Placement(if LP)
Whfte—$ttlidinglDept. Y/
Pink—FireManhaYellow4 s# er
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
Main Office 176 Doe Run Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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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 prii�ilege 01 MaK inspections at any time, and if its
rules are violated, the Company shall have the right r ke th's certifica of
Date,,1Ni{lf11}f11}tiii i4M iiMiltMM4i1t}►tfttftf INSPECTOR ,,,,,,,,,,
Nli4lii iNiilili!►i riftit / 1
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Queensbury Building & Code Enforcement - Resi ntial Final Inspection
Office No.(518)761-8256 Arrive: PTE:
* t7a m
Date Inspection request received: Inspector's Initial0�0
NAME:LOCATION: „ p ,
TYPE OF STRUCTURE: Y
Comments UL
Y N . /A
Chimney Ht./"B"Vent/Direct Vent Location -T
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 �T
Guard at deck,porches 36 in.or more
Exterior Finish Complete �C,��C ��LP
Interior/Exterior Railin s 34 in.to 38 in.
Platform at all exterior doors t
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %Z" j
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 Valves 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 Dete tars: j
Every level: / / Every Bedroom: ,Jj
Outside every bedrooT�}�area: _�
Inter Connected: J / Battery backup:
Carbon Monoxide Detector
Bathroom Fans,if.no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 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 S aces 18"x 24"access, 1 s . ft:150 s .ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certificatio f re uired
Okay to issue C/C o /MerirporarA Permanent
L:\PamW\Building&Codes\Inspection Forms\Res.Final Insp.form 2.docLast printed 2/12/04
Septic Inspection Report
Office No.(518)761-8256 Date Inspection re e rec v
Queensbury Building&Code Enforcement .Arrive: am/ m epart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Ini 'als:
NAME: ----- �-�` RMIT NO.: c — O
LOCATION: SPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total len 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/Partial
Location/Separations
Foundation to tank
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Location of System on Property:
Front Rear Left Side Right Side
Middle Fr t Middle Rear
System Use St tus•
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
LASueHemingwayiBuilding.Codes.Inspeation.FORMS\Septic Inspection Report.doc January 28,2003
)QM -------------
-_
------------
4 X2 -8 DRYWELL CONNECTED
TO ROOF GUTTERS do DOWNSPOUT-
/ SEE DETAIL (TYPICAL FOR 2)—
r/
0
t� Ir' e1
WELL TO BE USED BY I `
® PROPOSED HOUSE IN COMBINATION,
WITH EXISTING CAMP. `
rr ;r
/ r
WOOD
B E C4,Wp
RicK PAnoANDS N/F OF
FEVEN B. JACK SKI
48.
fit
GLENCIRF
LAKE
z 1 / _ _ --� f�, o AREA
!�� 1 a _
2
27.593 sq.ft.
ELEV. = 399 t O
/ " % / // 0.63 acres
' r � 420
� '
VC --
WOODED AREA
' ! /V00L AE
/ �'
• ! ! GUY
l R p �. c
r / I ! Q ii
y� \
CIR
1,250 GAL.
1 SEPTIC
T'- -_ PUP 1
- -' u►r E wAT(R \ ` \ `� TANK
110*1
• ' fir` ••- __ — _ • w ` ` ` Q ` "•/ � I ✓ / .1 •_
10-40,
ZONING INFORMATION: ;ir \ ��\ \ �o�w T.
WR — 1A
0
65
�
o
a
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V
(n
W
0
U
to
Q
14
0
w
d
b
N
w
d
z
m
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Jill
2 ill
Q�I g
ba814 11 1111
gIPINXa1R lid
WATERFRONT RESIDENTIAL 1 ACRE `1, `, ,V / \ // SF� \
MINIMUM LOT SIZE = 1 ACRE �RAMF
MINIMUM LOT WIDTH = 150' CgMP _ _ ` 1 1 1
-_ _ �"
MINIMUM LOT WIDTH = N/A = �_ , ` , - e✓ 11i
MINIMUM PERCENT PERMIABLE = 65% /
MAXIMUM FLOOR AREA = 22% L / ! r \ \,� -- � \
,MAXIMUM BUILDING HEIGHT = 28' t ` �c�" i `7 have ;e-n observed, or b� C-V�dence ;
.,ii \ all c� ;r,'s s h as horses, we'' . �,,, etc. CO 0
SETBACKS: AP%R , 4�b r� �' <�� s°' cat
i s document. I a s, 3 "acre -
FRONT 30' - MAC ` ° _=--•—_�o t Ta .,� ( shy un I�r -
}}--.. _
' S�'AC�o - .- ` s413 EL P ,ally easured the dish= ,;ti the di ram:'
SIDE — 12' g
REAR = 25' ; I ;� :-_ 1 14 c z `
SHORELINE = 50 . / c'kAcf 3; 40 ' 14
—�•— �� �� v-- \ S ATURE SAT 0:e
LANDS N/F
SITE CALCULATIONS: b F4 IN ` ` z
� \ � ` � T�
CHARLES & SUSAN. 'OGDEN``
TOTAL AREA = 27.593 sq ft 624/ 1104 `, ` 1 %K"/
PROPOSED BLDG. FOOTPRINT = 1986 sq ft `�V"' / `! / „�-- W 1
PROPOSED DRIVEWAY AREA = 2065 sq ft j �/ _ c"� ~� 0 z
EXISTING ROADS, DRIVE AREA _ 1450 sq ftr . Zpp2 �. / 70 �� ` A i� v
TOTAL NON—PERMIABLE AREA = 5501 sq ft ., jp,N �' / S / / r r S�U�or
PERCENT NON —PERM IABLE AREA p,VE�NS00� �`�srg S�• / `� ` \ �o :: i o
5501/27,593 = 20%
— _ '
FLOOR AREA — 2110/27,593 8 0
LEGEND:
0 IPF = IRON PIPE FOUND i ` 'r r o
O CIRF = CAPPED IRON ROD FOUND i 17
a
i _ f
�M � UTILITY POLE _ \
®=, WELL j STANDARD VSTEM
ENCH IFS 0-4 CQ
PERCOLATION TEST ABSORPTION , '� ,zoo O .
LATERALS 0 60' EACH
= DEEP TEST PIT " have seen obser ed, or believe I saw evidence of,
,/ ► ! �� ` �c x
= APPROXIMATE EDGE OF TREES 1 bjects su ash ses, wells, trees, fences, etc., LANDS N/F OF (SEE DETAILS) a, • Y �° =°
s o 011 hi doc ent. I also represent that I have C LES &i SUSAN OGDEN
p o all m s ed the distances set forth on the diagram. 11 g 1 /228
Dat& 'MARCH 10, 2001,
MAP REFERENCES: 0/ c r r CIRF _x gs° r'`b'
0� o- SpN
MAP OF LANDS OF NOTE. SIG ATURE DATE - j a
DATUM = U.S.G.S.t THIS PARCEL IS SUBJECT TO / �___ OWNER APPLIC
% _ / ANT:
USA M. JACKOSKI - -
UR INTERVAL 1 FOOT
CONTOUR ACCESS RIGHTS OF ADJOINING LANDOWNERS.
DATED: MARCH 26, 1999 - LISA ' M. JACKOWSKI ._
LAST REVISED: MAY 30, 2000 NOT OF PARCEL'S AREA SHOWN ON MAP. --� / •
21 GARRISON ROAD — —1
8Y: JEFFREY G. MARTIN
o� /
Y t QUEENSBURY, NY 12804
81tEr 1 OF 2
GAP 41
518-385-7178 D336
45-3-32.1
DWG. NO. 01014
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: _a p epart* pm
Date Inspection request received: Inspector's Initials:
SL�Crv,, Iky P T#: 6
NAME: 0-0(02)
LOCATION: i E: X
TYPE OF STRUCTUREt--"\-`�
Comments
Y N L NIA \60,—
Chimney Ht./"B"Vent/Direct Vent Location C—C) je
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" c-,C>
Roof Complete/Exterior Finish CoLnplete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more Tic
Guard at deck,porches 36 in.or more tA -
Exterior Finish Complete �74 vz�
Interior/Exterior Railings 34 in.to 38 in. 7
Platform at all exterior doors 1�7%Nb
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum Y2"
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 glain
Interior Smoke Detec rs:
Every level: Every B om: ✓
Outside every bedroom aVa: !�k
Inter Connected: V / Battery backup;
Carbon Monoxide Detector
Bathroom Fans, if no window
PlumbiN fixtures V/
Foundation insulation JV—
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade t3 \1z 0 X
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/114 hour fire door/door closer
Duct work Seated 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, I sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent
L:\PamW\Building&Codes\lnspection Forms\Res,Final Insp. form 2.docLast vrinted 2/12/04
Framing ! Firestopping Inspection Report
Office No (518)761-8256 Date.Inspection request received:
Queensbury Building&Code Enforcement Arrive: 9:0 anV m Depart: am/pm
-742 Bay Road, Queensbury,NY 12804- Inspector's Initials:Z)/---
NAME: PERMIT
LOCATION: It I\'0INSPECT-ON: -- ��
-TYPE OF'STRUCT
Y N N/A Framing COMMENTS
Jack Studs/Headers
ti �
Bracing/Bridging $I
Joist hangers 1
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) 1-6 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
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 Spade/.Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/;below grade
5.0 sf grade ;
L:\SueHemingway\Suilding.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
V" - Ater`
Town of Queensbury Fire Marshal
742 Day Road
Queensbury,NY 12804
761-8205/751-8206
fax 745-4437
Fa tory Built Gas Fire la e/ tove ins ecti n f ort
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 relcations is allowed
)Permit# 1<0-0 Schedule Inspection � Time-_ �5ram im anytime Inspector
�� L2 Rough In >a'inal_
Name � it �� Address g
Appliance Manufacturer- 1,1AIMOK, Model# "LQ3.5---1
Direct Vent Factory Built Chimney_X Flue Size Double Wall, Triple Wall Iusulatcd
Yes No N/A Comments
Floor Protection
Clearances to Combustibles all sides
Firestop(s) Vertical Chase /Wall Penetrationl' �—AOT 1.. cye,
'dent Clearances to Commmbustihles
Vent/Chimney Termination
Chimniey height must be 3 feet alcove roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension(if any)
Mantel
Height above flp opening
Witness Operation
Tank Placement(if LP)
Wh#e—elalldingDept. _ Yellow Cua# er Fink—lfireMarshal
Town of Queensbury Fire Marshal
742 Say Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
Masonry Chimney/Fireplace Inspection Report
Permit# Schedule inspection i a pm anytime Rough IreJ_Final
Name !7� �1,( 7 Address �� 1L Inspector.
Yes No N/A Comments
FOOLING
Concrete or solid masonry
Minimum 12"thickness
Extends minimum 6"beyond f/p on all sides
Below frost line
Cleanout opening—noncombustible cover
FIREBQX
Walls must be solid—no hollow masonry allowed
8"minimum thickness--back/side walls
Joints between firebricks-114"max
Refractory mortar used on firebrick
Minimum depth 20"
Fresh air intake
Clearances to combustibles: 4"rear,2"sides/front
LINTEL/THROAT
Non-combustible material
Minimum 4"bearing length each end
Damper installeL nummum 8"above f!p opening
SMOKE CHAMBER � Q i� l��5 �a�nu� mz o ii cur
Walls must be solid—no hollow masonry allowed:Wt 1 �Lt
Minimum wall thickness 6"including liner jj r
Firebrick lining laid with refractory mortar l,9q,U� ,i C �} OK
CHIMNEY
Minimum wall thickness 4"—solid masonry X
Mrast,be lined with appropriate liner type j Clay be
liner,laid with refractory mortar �„ OUL �� �� G' �� �Qi9�
Flue liner smooth surface inside,no mortar
Minimum masonry thickness between flues 4" y
Minimum clearances to combustibles 2"for jc'_�W�
interior chimneys,l"for exterior
Termination height minimum 3 feet above highest ` tea a-3 0/<
point of roof where it passes through,2 feet above
any combustible construction within 10 feet
Chimney cap installed
HEARTH/HEARTH EXTENSION
Constructed of concrete or masonry
Supported by noncombustible material
No combustible material on underside
Minimum thickness 4"—hearth only
Minimum thickness 2"—hearth extension
Hearth Extension—16"to the front,8 to sides
NOTE:if F1P opening is greater than 6 sq.fL,must
extend 20"front,12"sides
MANTEL/TRIM
No combustibles within 6".'of F/P opening
Combustibles within 12 inches of F/P opening cannot
-project more than 1/8"for each inch distance from
F/P opening
Town of Queensbury Fire Marshal
742 Say Road
Queensbury,NY 12804
761-8205/761-8206
fax 74.5-4437 1 V
MasonKy Ohimne /Fire lace Inspection Report
Permit# c,t r" Schedule Inspection - am pm anytime Rough In X Final
Y/K
Name 0� Y'bC. " r Address ' i�2 1/G�r2� �1 Inspector
Yes No N/A Comments
FOOTING
"r
Concrete or solid masonry ti►`�a T �UJ1d 11�At-1 nGY7
Minimum 12"thickness J �,,n� t
Extends minimum 6"beyond f/p on all sides -- -'� EJ ��. '�'ill �1�7_
Below frost line
Cleanout opening—noncombustible cover
FIREBOX
Walls must be solid—no hollow masonry allowed
8"minimum thickness—back!side walls � } �� WO
/Joints between firebricks—'/.,"ma {fit r �jb�1
Refractory mortar used on firebrick i)K 't I�} r� [
Minimum depth 20" Y ��< 1 r�JJ } l�l� 1�
bviFresh air intak
Clearances to combustibles:4"rear,2"sides/front
3.YML/THROAT
Non-combustible material
Minimum 4"bearing length each end �'t� ®� Vk/ ��5�
Dam er installed,minimum 8"above Vp opening
SMOKE CHAMBER
Walls must be solid—no hollow masonry allowed
Minimum wall thickness 6"including liner
Firebrick lining laid with refractory mortar
CHIMNEY
Minimum wall thickness 4"—solid masonry � t
Must be lined with appropriate liner type
Clay flue liner laid with refractory mortar tJ
Flue liner smooth surface inside,no mortar
Minimum masonry thickness between flues 4"
Minimum clearances to combustibles 2"for � ��
interior chimneys,V for exterior
Termination height minimum 3 feet above highest
point of roof where it passes through,2 feet above
any combustible construction within 10 feet
Chimney cap installed r, Q
HEARTH/HEARTH EXTENSION J ' t� l 04
Constructed of concrete or masonry
Supported by noncombustible material
No combustible material on underside
Minimum thickness 4"—hearth only
Minimum thickness 2"—hearth extension
Hearth Extension—16"to the front,8"to sides
NOTE:if F/P opening is greater than 6 sq.2t.,must
extend 20"front Ir sides
MANTEL/TRIM
No combustibles within 6"of V/P opening Q
Combustibles within 12 inches of F/P opening cannot_
-project more than 1/8"for each inch distance from }
F/P opening t
Town of Queensbury Fire'Marshal
742 Bay Road ,
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
Masonry Chimne /Fire lace Insipection Report
Permit# Schedule Inspection am pin anytime Rough In�Final
Name ��� {LC e� Address d �/v re 101Z Inspectorz--
/ Yes No N/A Comments
FOOTING
Concrete or solid masonry
Minimum 22" jet!.thickness }{` � V t,
Extends minimum 6"beyond Vp on all sides j U
Below frost line
Cleanout opening—noncombustible cover
'Wal�E�sbe solid—no hollow masonry allowed
8"minimum thickness—back/side walls
Joints between firebricks—_/"max
Refractory mortar used on firebrick �„n �1 �o t f
Minimum depth 20" L W 0� "
Flesh air intake t2 . + ekClearances to combustibles:4"rear,2"sides/front p
LINTEL/THROAT
Noncombustible material
Minimum 4"bearing length each end 1`
Damper installed,minimum 8"above Vp opening
Si09CIDKE CHAMBER
Walls must be solid—no hollow masonry allowed
Minimum wall thickness 6"including liner
FirebrickIning laid with refractory mortar
CHIMNEY .
Minimum wall thickness 4"—solid masonry
Must be lined with appropriate liner type (}
Clay flue liner laid with refractory mortar ] l fr-
Flue liner smooth surface inside,no mortar V
Minimum masonry thickness between flues 4"
Minimum clearances to combustibles 2"for
interior chimneys,i"for exterior
Termination height minimum 3 feet above highest
point of roof where it passes through,2 feet above
any combustible construction within 10 feet
Chimne 2p installed -
HEARTH/HEARTH EXTENSION
Constructed of concrete or masonry
Supported by noncombustible material
No combustible material on underside
Minimum thickness 4"—hearth only
Minimum thickness 2"—hearth extension
Hearth Extension—16"to the front,8"to sides
NOTE:if F/P opening is greater than 6 sq.fl;,must
extend 20"front,12"sides
MANTEL/TRIM V
No combustibles within 6'..'of 1+/P opening 4
Combustibles within 12 inches of F/P opening cannot ,1
_project more than 1/8"for each inch distance from Q
F/P opening
Framing/Firestopping Inspection Report '
f Office No: (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pnq Depart: am/pm ,� '
742 Bay Road, Queensbury;NY 12804 Inspector's Initials: 1
NAME: Y PERMIT#: 'C
LOCATION: j�" INSPECT ON:
TYPE OF STRUC
_ N .AN/A COAIMENTS
lacyStuds/ eaders
racing/Bridging'
Joist hangers.
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwell's 36 in.or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Wails
Metal Strapping for Notches Top Plate
1 %2(w) 16 gauge($) 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
Fire wall.2, 3,4 hour
Firesto ing 1 Elf
;`: co
,.-�L � j "lL V '
Penetra Mori 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 1 Bedrooms
24 in.(H)
20 in.(VV)
5.7 sf above/below grade
5.0 sf grade
L:\Suel-Iemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January"28,2003
Framing 1 F>restopping Inspection Report 1
Office No. (518).761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p��D/epart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: 22.E
NAME: 1'� -s'—GpG�y PERMIT#: G14'0�e
LOCATION: INSPECT ON: 'x O'!:�,
TYPE OF STRUCTURE;
-.-- --_ Y N /A COMMENTS
�Ff imngr f -
Jack ds/Headers
racing/Bridging '9 Z
"
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
11 j
12"O.C. fiuSTi� 1a5T/V Z r� l./tNbCs
Headroom 6 ft. 8 in.
Stairwells 36 in.or more ,,pp
Headroom 6 ft. 8 in. lrVS�i¢LGc 1� f}La
llotches/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 snow shield 24 inches from wall
Fire separation 1,2,3 hour
F' e wall 2, 3,4 hour
-.FipPing— ,���� /v�'C'1�C`'1,}
a Penetration sealed 61376
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
Ceilin 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 C�, � m
Office No. (518)761-8256 Date Inspection nrre ues eceiv d-.
Queensbury Building&Code Enforcement Arrive: D9Q.
742 Bay Road, Queensbury,NY 12804 Inspector's Initia
3(0-) 1 1
NAME`. } / PERMIT#: 0 ��
LOCATION: .S INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA CU11MENTS
Framing
Jack Studs/Headers
Bracing/Bridging CT V--Ii!— t �
Joist hangers
Jack Posts/Main Beams C-C)� �
Exterior sheeting nailed properly
121,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 'ls(w) 16 gauge 8) 16D nails each side 1"
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
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %z 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
Office Use
tWe
GENERAL INSPECTION REPORT v Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
ores:
Queensbui3; NY 12804 ARRIVE J!4�0 am,,1;7. ARP am/pm
11� -1 0
.rA
'61Y ,
(518) 761-8256 Inspector's lnitia65 '
NAME: o PERMIT# zc)(-)Z—
LOCATION: A) INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers rib i�, ,=- ," S
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placeme
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Z-
Reinforcement in Place
Foundation/Dampproofin
Z
V)\
Plumbing Under Slab \
Backfill Approval
lumbing Vent/Vents in Place e
Rough Plumbing G i0l A�7
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in UA > C,
unheated spaces R-
Yroper Vent,Attic Vent
raming
Jack Studs/Headers US
Bracing girig
rac �ri L,e
Joist Hange,
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
V`Fire Wall 2,3,4 hour
irestopping
A-tv-
L-.�SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT-doe'
-irowm OF quEENs BURY
BUIEDING- A -CODE ENFORCEMEN-F
NY XZS04
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Loca-t! on
D a-t P a rm,7 -t
Soxt- ay-
P,t--sults of Pc-- r-colatlon Te-s -t-
( i -F applicable ) Pa -t4----MInu-te-/Inch
TYPE OF SYS-FEM=
ABSORPTION FIEED : Total Length
Length o-F each ty-ench
Depth of tr-onchos
Size O-F Stone
SEEPAGE Pr7rS : N um b ta- rl-
size X
Stone size
PIPING: Size TY'p e
BIdg - to Tank- t i ALP cam 1--N-C:>
Tank. to Dist - Box C==A -a -if AC:�?_,
Dist - Box to Fie-ld/pl ;;z!h C -
4<�penlngs ---N o P a ?-*t i al
Foundation -to Tank feet
N, Foundation to Absorption Toat.
Separation o-F Pits -Feet
Con-Forms as per Plot Plan ye-S
I-OCA-rX0M OF Sys-rEM ON PROPERTY :
( cl r-cl e- one )
Front - Pear- - Le-Ft Side - Right. S 1 d e-
Middle Front - Middle Rear
CONH4ENTS z
SYSTEM USE APPROVED= YES NO
A r-r--f
D 6--P
-FOWN OF QUEENSBURY
BUIEDING A.-CODE ENFORCEMEWT
742 Bay R",mO
Qu4et--psbr�KA 2K MY 12SO4
C53-8> -761-825,6
SEPTIC DISPOSAU SYS-UEM INSPECTION
N am e-
Loc a -ti on
Date I C A6 2" Perm1 -t
SOII- -I-YPE: Sand- Loam-Cl ay-
Resul -ts O-F Pe -colaticarp Test-
( 11' applicable ) Rate-Mjnu t �Inc h
TYPE OF SYSTEM,:
FIEUD : To-tal engt-h Length of" each -trench
Dep -th oV trenches
S -fzc-- a-f s-tone
SEEPAGE PITS : Numb
Size - -Ft -F-t -
Stone size
P I P I IN G: Si Z f-- T_yp e-
BI dg . to Tank
Tank- -to Dis-t - B x
D4s-t- - Box to F - eld/Pi -t
openings se-al -?, y t---s No Pa -c-tial
I-OCA-F-TOM,/SEP -FI Off S
Found a-t-i on Tank feet
Founda-tion o Absorp -tion e-e-t
S e-p a v a I--i on o-F P 1 is -Feet
Con-Forms s per Plo-t Plan Yes No
LOCH-r1OH F SYS-TEM ON PROPERTY
( cl r-cl f--- ne )
Fy-on t Rear- - Le-Ft Side - Right Side
mi ddl e- r-c:)n -t - Middle Rea i-
COMMEN
SYSTEM USE APPROVED = YES
QM-11
A r-r-1
�T A �T�+ +��T �T Office Use
GENERAL R ►_ PEE 1 IO REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
.Building cat Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE ` ° a D T 4 am m Notes:
(518) 761-8256 .Inspector's Initia s
NAME: _ q 0 --, PERMIT#
LOCATION: C � ' i nj,. 1 INSPECT ON(date): 3_
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers _
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/W ailpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
bing Vent/Vents in Place
.i gh Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
o
per Vent,Attic Vent
ming
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam 01
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
/fe Wall 2,3,4 hour
estopping
L:tiSueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept,of Community Development Date inspection request received: 7 � �—
Building& Code Enforcement
742 Bay Road AV
Queensbury,NY 12804 Arrive aml Deppmspector's INAME: 1` ��'`— e' PERMIT# o 4P�
LOCATION: OS DATE:
TYPE OF STRUCTURE: S21 -7
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place y>
The contractor is respo b e for,
providing protection from eezin
for 48 hours following the p ceme t
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place `
Foundation/Dampproofing___N
Backfill Approval
Plumbing Under Slab �� �-
/Plumbing VentlVents in Place
on Plumbing
Heating-Rough-In
nsu a Eti
0 n Walls Interior R- C
Foundation Walls Exterior R-
Floors R-
Walls (����� J R-
Ceiling`I R-
Duct work or piping in
unheated spaces R-
Pro r Vent,Attic Vent
ra a n Studs/Headers
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
TOWN O F Q U E E N S S U R Y
BUILDING & CODE ENFORCE MEN T
4&a� 742 SAY fZOAD
QUEENSSURY NY 121304
(518) 761-8256
]�'x tvr�z.. x 7b7,'S�^�C'�C"x C�Y�T RE�'t7►�7t�
(tzc�tel, r-nc>u--I,. apt_ +ccvrrnpiax)
"ATE Z N S P E CT 2 C7N REQUEST RECEIVED s
N A.M E
LOCAT S ON
TYPE OF STRUCTURE
FOOT2�7GS SACKFILL IrrznmING PLUMBING
INSLFLATION
YYfA YES EgUo
CFI IMNEYl •' B " VENTFIE IGII
PLUMBING VENT FIXTURES
ROOFING
EXI" RIOR FINISI4
HEATING HOT tnTATER
RE LIEF VALVE S
FLOORS
F O U N DAT I QN I N S U LAT I O N
INTERIOFL STASFZS RAILING
STOCKROOM E N CLO S U R E
F-I RE DEMISE WALLS P E N E T T I O N
FIRE DAM F E R S
CEZZ.,ING F=RE S'T.'OPE-""ZNG
FIRE DOO RS L C LO S E R S
EXIT.' DOOFL llnftQWARE
EXIT STAIRS R.A.ZLS
PLATFORM ELEVATOR '
HANDICAPPED A CC E S S
HANDICAPPED B1�THS
HAND=CAPPED PARKIN G
F I NA L E LE C�'R I CAL
SITE AN VAR 1 AN C E E
NAL SURVEY PLOT PLAN I F R E
OK TO ISSUE C O C7QR C C
..:r : Office Use
ENERA.L INSPECTII
-' N -REPORT}T Inspector:
Town of Queensbury
Ready at time:
Dept. of Community Development Request received: Meet:
Building&Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE71niti .,
R ` �' m Notes:
(518) 761-8256, Inspector's
NAME: PERMIT# C
LOCATION: \ -INSPECT ON(date,
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respo ible r
providing protection fro free ' g
for 48 hours following the lace ent
of the concrete.
Materials for this purpose on si e
Foundation/Wallpou
Reinforcement in Plac
Fo hon/Dampproof'n
ckfill Approval
Plumbing Under SlabQi -`� 1 bU
PIumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation P* EDAM I '. .. }r!
Foundation Walls Interior R- µ
Foundation Walls'Exteri-or R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:LSueHemingway\Building.Codes.Inspection.I~ORMSiGENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT 4,�,7ijj Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVEa RTZ�b a Notes:
(518) 761-8256 Inspec r's Init
NAME: tyU cvy PERMIT# 0(03
LOCATION: S eu—) INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
Footings/Piers N/A COMMENTS NO
Monolithic Pour Form
Reinforcement in Place
The contractor is respongiblf for
providing protectioirl from
ezin
for 48 hours following the p aceme t
of the concrete.
Materials for this purpose on si e
Foundation/WallpouT
Reinforcement in Pla e
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slat)
Plumbing Vent/Vents in Place____
RoughPlumbing_
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers-
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
L:1SueHemingway\]3uilding.Codes.Inspection.FORMSkGENERAL INSPECTION REPORT.doc
-TOWN OF QUEEKSBURY
BUILDING &_-CODE ENFORCEMEN-F
742 say R"gact
QuCL'C--!j_! 12004
SEPTIC DISPOSAL SYSTEM INSPECTION
N am e- V,
D a-t C�e P t-- rm 1 t
SOIL -FYPE: Sand- Loam-CZ a_v-
Rt-- sul -ts of Porcola-tion Test-
( I -F applicable ) Ra1t,,e_-,M1nu-taZ1nch
-TYPE OF SYS-rEM=
ABSORPTION FIELD : T -tal Lang-t-h
Length o-f each trenc,
Depth of trenches
SIZE! of Stone- _
SEEPAGE PTTS : Numbie�rwm
Size -f7t X
Stone size
PIPXNG : Size Typ t---
Bldg - -to Yank
Tank- to Dist _ Box
Dist _ Box to Fica-ld/Pi -t
Openings Seal Ed ? - Yes N c> T5-a- r--t 1 a I
L-OCA_VXON,/SEPARA-U1[:0f1S :
Founda-tion to Tank
Founda -tion to Absorp -tion e- -t
Separation o-F Pits feet
Con-Forms as per PI of Plan Yes No
LOCATION OF SYS-rEM ON PROP R-ry:
n.1- —
( ci rcl e one ) P R�y I �
Front- - Rear - Left Side - Righ-t Side
5t
Middle Fron -t - Middle Rea
COPWIMEN-IrS
VA
SYS-YEM USE APPROVED YES
Dta-par-it
Inspector'§No
Date 20
COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC.
(Consulting and Fire Inspection Services)
(incorporated in the states of Maryland,New York,Pennsylvania,Delaware and West Virginia)
Desiring Certification of,Approval, application is made for inspection of electrical installation in the premises
described below. On demand,applicant agrees to pay for inspection service in accord with schedule of charges.
PLEASE PRINT
Owner........--......:....... .............
.......... ............. ...... ............. ......................... Type Bldg. El DWG El Other...............:.:...:.
.-,
Occupant ............................ ......... .............. ...... ......................................... ........... Building Permit No
......... . ................
........ ........... ....... ............... State ........
Job Location ... ................. ............City'--!.
County,_. ......................Twp................................... M/C#...... ............................... Swimming,Pool—New 0 Old E3
Directionsto Job Site ......... .......... ........ ............. .................. .......... ...... ......;i....... ..........
........... ........ ...... ........... ............. ....... ....... ..................................................................
.............. ........... ................................ ................... ............ ...................................... .........................................
Application For Rough Wiring 0 Fixtures El Service 1-1 or ...................................................................................................
Work—New 0"' Additional 1:1 Bldg.—New 0 Old 0 Ready for Inspection ............................ ....... ..........
APPLICANTS PERMIT
SIGNATURE
LICENSE
PLEASE
PRINT NAME PHONE k
APPLICANT'S, NAME OF
ADDRESS UTILITY
OFFICE TO
CITY STATE ZIP CODE BE NOTIFIED
SPACE BELOW FOR USE OF INSPECTORS ONLY
ROUGH WIRING AMP SERVICE
OUTLETS EQUIPMENT PUMP
SWITCHES HEAT OVEN
PUMP
SURFACE GARBAGE
RECEPTACLES UNIT DISPOSAL UNIT
MEDIUM BASE RANGE DISHWASHER
FIXTURES
MOGULBASE WATER DRYER
FIXTURES HEATER
FLUORESCENT AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR FRAC.H.P.
FIXTURES WIRING&CONTROLS FOR BURNER VENT FANS --
MOTORS:H.P 1/20 1 1/12 1/10 1 11-1/21 2 1 3 1 5 17-1/21 10 1 15 1 20 1 25 1 30 1 40 1 50 1 75 1 1007
MARK NUMBER
OF EACH SIZE I I
Inspector's Comments:
OFFICE USE ONLY WORK INSPECTED NOTIFIED REPOR-
FEE PAID
SERVICE DATE CON- TED 0 TOTAL $
Date Received: TRACTOR
R.W.DATE OWNER CHECK NO.
FINAL DATE OCCUPANT CHARGE
Certificate No.: CERTIFICATE NEEDED AGENT CASH
Date Sent: DYES EIDUP ELEC.
LT.CO.
INSPECTOR
Progress 13
THIS APPLICATION EXPIRES ONE YEAR FROM DATE MAKE ALL FEES'PAYABLE TO C.E.I.S.INC.
WHITE/OFFICE PINK/INSPECTOR YELLOW/OFFICER GOLD/CUSTOMER
Steven Smith-Fwd:Interpretation-chimney clearances-#2 Page 1
From: "James Harding"<JHarding@dos.state.ny.us>
To: <Steven$@queensbury.net>
Date: 1/14/03 2:23PM
Subject: Fwd: Interpretation-chimney clearances 42
As per our discussion of this date, I have reviewed,the sketch you
sent showing the location of a laminated beam with respect to a chimney
(flue with clay liner). it is my belief that the laminated beam exceeds
the clearance requirements given in BCNYS section 2113:19.
James L.Harding,P.E.
Sr. Building Construction Engineer
NYSDOS-Codes Division
>>>James Harding 01/13/03 01:67PM>>>
The drawing that is mentioned in you email was not attached but it
may not be necessary to answer your.question. If you are referring to
section 2113.19 of the BCNY$,does exception#2 fit the situation of the
plans you are reviewing?
James L.Harding,P.E.
Sr. Building Construction Engineer
NYSDOS Codes Division
41 State Street; 11th Floor
Albany ,NY 12231
(518)474-4073
Fax (518)486-4487
JHarding@dos.state.ny.us
From: "Steven Smith"<StevenS@queensbury.net>
To: <codesQdos.state.ny.us>
Date: 1/9/03 9:35AM
Subject: Interpretation
r
Good Morning. I am the Fire Marshal In the Town of Queensbury. I have
a
situation?that requires an interpretation of Table 2111.1 of the
Building Code of NYS.
Table 2111.1 states that the clearances from a chimney are 2"
interior,
1"exterior, or 12"from lining.
I have a customerwho is building a masonry fireplace and chimney in
his new home. He plans on constructing a solid masonry wing wall off
the
right side;of the fireplace, attached to the fireplace/chimney from
floor to ceiling, and this wall will extend at least three feet to the
side of the liner. ,
When completed as designed,this wall will form part of the support
for
a combustible, laminated structural support beam. (see the attached
drawing)
Steven Smith-masonry fireplace drawing.dac Page 1
k
Flue with clay liner solid masonry wing wall-a structural support(LIL
�pprSd 2�ba,� i
floor to ceiling
3 feet of solid masonry
between flue and
combustible structural
support.
Y
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4'
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6
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