2002-379 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5902 (518)161,8201
Community Development-Building&Codes (518)761.8256
ur,RTIFIC.,ATE
Penmit Number. p20020379 Date Issued: Tuesday,August 07, 2007
This is to cerrtil that work requested to be done as shown by Permit Number P20020379
has been completed.
Location. 52 VERANDA Ln
Tax Map Number. 523400-295-000.0001-001-021-0000
Owner. RICHARD&KELLY IRVINE
Applicant RICHARD&KELLY IRVINE
This structure maybe occupied as a:
Fireplace By Order of Town Board
Garage-3 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,
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals, w
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number:' P20020379 Application Number: A20020379
Tax Map No: 523400-295-000-0001-001-021-0000
Permission is Hereby granted to: R1CT4ARD..&KRTJYTRVTN_F
For property located at: 52 VERANDA Ln
in the Town of Queensbury,to construct or place,
at the ab6ve 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: RICHARD&KELLY IRVINE Fireplace
52 VERANDA Ln Garage-3 Cars Attached
QUEENSBURY, NY 12804-0000 ' Single Family Divelling $250,000.00
Total Value
$250,000.00
Contractor or Builder's Name Address 1�Electrical Inspection Agency
RAVEN INDI TSTkTES
70 MCCORMACK ROAD
LAKE GEORGE. NY
Plans&Specifications
2002-379 Lot 9 Veranda Lane, The Vistas
3,108 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT
PLAN SPECIFICATIONS
Lot 9, The Vistas
$452.16 , PERMIT, FEE PAID-THIS PERMIT EXPIRES: aturday, May 20, 2006
t��t
(If a longer period is required,an application for an extension must be made to thecode E cement Officer L
of the Town of Queensbury before the expiration date.)
Dated a n of r , day, May 20, 2002
yt
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement:
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020379 Application Number: A20020379
Tax Map No: 523400-295-000-0001-001-002-0000
Permission is,hereby granted to: RICHARD &KELLY IRVINF
For property located at: VERANDA Ln
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: RICHARD&KELLY IRVINE
3 LINCOLN Ave Fireplace
GLENS FALLS,NY 12801-0000 Garage-3 Cars AttachedSingle Family Dwelling $250,000.00
Total Value $250,000.00
Contractor or Builder's Name/Address Electrical inspection Agency
RAVFN INDIJSTRTES
70 MCCORMACK ROAD
LAKF GEORGE.NY
Plans&Specifications
2002-379 Lot 9 Veranda Lane,The Vistas
3,108 SQ FT;SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT
PLAN SPECIFICATIONS
Lot 9, The Vistas
$452.16 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 20,2004
(if a longer period is required,an application for an extension must be made to the code E'fo n"tent Officer
of the Town of Queensbury before the expiration date.)
Dated at the ueensb
Monday,May 20,2002
SIGNED BY for the Town of Queensbury.
y Director of Building Code forcernent
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)-761-8256
BUILDING PERMIT
Permit Number:' P20020379 Application Number: A20020379
Tax Map No: 523400-295-000-0001-001-002-0000
Permission is hereby granted to: HAROLD RAVFN
For property located at: WEST MT. Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. , T"e of Construction Value
Owner Address: HAROLD RAVEN Fireplace
70 MC CORMACK Rd Garage-3 Cars Attached
LAKE GEORGE,NY 12845-0000 Single Family Dwelling 250,000.00
Total Value 250,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
RAVF,N iNDIJSTRIF,S
70 MCCORMACK ROAD
LAKE GF,ORCrF,.NY
Plans&Specifications
2002-379 3108 SQ FT SINGLE FAMILY
DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS
Lot 9,The Vistas
$452.16 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,May 20,2003
(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 T wn of ee ry o a May 20,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Pcr-��>tit 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 No.c��
i
No inspection will be made until applicant has received a $=j5 j�. /
valid building permit. All applicants' spaces on this `��i ee P $1J �{"
application must be completed and must appear on the ✓ �
application form. / r 1
Applicant: f/`I/L . �• Owner' is- l :.�1 0�
11
Address: Address: sisrt� -.
Phone#( Phone
Property Location: Lot Number:` / House Number /
Subdivision Name: 7,%, . li%s, -f Tax Map Number:
N-WBuilding: reside commercial Estimated Market Value of Construction: $"'_ -s�'
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'l
❑ Other work(describe )
Check OceupancyInformation I"Floor 2" Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet I J,
Single family dwelling I tJ
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units -
❑ Office
❑ Mercantile I F=rl
❑ Manufacturing 0 49
❑ 1 car detached garage
❑ 2 car detached garage 2002
❑ 3 car detached garage rowN nIcni ION/
❑ 1 car attached garage C{_l?_"_l_�
❑ 2 car attached garage �
3 car attached garage
❑ Storage building- "
commercial
❑ Storage building-
residential
❑ Other
I
What is the proposed height of the structure feet inches i
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil ood /forced hot air aseb other:
I
Number of F'irenlaces to be installed Number of Woodstaves to be installed
List below,the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder �'�%2 7 r-��" - / %�2—
Plumber
Mason
Electric
Declaration: please sign below after you have carefully read-*-Q.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 of 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 Uwe 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 a 'tru '
Signature: - _owner,gwner's agent,architect,contractor
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
L OWNER INFORMATION:
Office Use
Location of installation.
;. File Permit
Tax Map No.
Fee Paid
Owner s Name: ....�.......:...............__ -=-
Address:
2. INSTALLER'&NAME //J �-% -�'`� PHONENO. 9�
3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#"bedroam(s)and multiply#of
bedrooms with applicable gallons per bedroom to equal total dailyflow)
oms x Com utation = Total Dail Flow .
Year of House• No. •f Bedro l3
1980 or'older x 150-gal/bdnn- = .�.
1980—1991 x 130 gal/bdrm k - E #V6
1991—present ' x 110 galfbdrm
Garbage Grinder Installed yes / no MAY ; 2002 F
TOWN OF
Spa or Whirlpool Installed yes_ / no OlfFE1VS8td�y
qq
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
To o h Soil re Ground Water Bedrock or ervious Material Dome
stic Water S I
Zat_ sa at what depth at what depth m cipal
Rolling. oam "feet feet z+' "
Steep slope clay . - /L p if well;water supply
=/o slope other from"any septic-system
depth: absorption is% .
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 U,censed
professional engineer orarciutect(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: �?/ggallon(min. size 1,000 gal.)
Tile Field: each trench Total System Length-
Seepage Pit(s): number of size of each: _^ft by
Size of Stone to be used: # / depth or"thickness feet
Bed.System;Size: x
Alterative System- length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number'"of tanks: / Size of each: gallons /TOTAL Capacity: gallons
Notes 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 bythese and all
requirements ofthe Town of Queensbury Sanitary Sewage Disposal Ordinance.
S n re of responsible person Date
c>
ENERGY CODE COMPLIANCE APPLICATION
ITOWN OF QUEENsauRy, WARREN COUNTY
';EAT-� NC- DEGREE DAYS
COM011an-ce Methods: PART 5 Pr---C-tice Method
1&2 Family (Ln -P��qmly,)
PART 6 'Thermal Rating
i i� 7/P141-4[i
Ra Lng -'�'damoo
1&2 Family Dwe . nQLtrade Offs.
Dwell-ings (3 s Jbinis.; Multi-Family
i Oq%jess)
PART 4 Design -by C'p8i ,)jonent Performance
Commercial B�ql;luings:Z H'
.8 se Residential
*Requires submission of wotksh Vt*
APPLICANT' S NAME: PROPERTY LOCATION:
PART 5 METHOD OF CO?-1PLIANCZ By ACCEPTABLE PRACTICE:
C-=Oss Floor Area scuare feet
2 . Tvae of Heat - Electric 0; 1 rG-as- Other
3 . Ts building mechanically cooled? -es No
4 . Percentage o-"2 area of
wj-ncLa-,qs and doors Over 17%- -_Z�n<de'r 17=
5 . FI-VALUES FOR INSULATION G--, -VZEj\T M'ELO-,-T %LrJST CORRESPOND TO R-VALUES AS
SHOWN ON PLAINS SUBL%1ITTED:
a . -Roof R
b - Exterior walls R
Lg
c - Glazed areas R
d- Exterior doors R 1Z
e . Floors over unheated spaces R
f. Edge of slab on grade (heated building) 'R,
9- Basement/cellar walls ( above grade) R
h- Basement/cellar walls (below cr.-,-ade) R
Heating/cooling-ducts-piping In unheated space R
6 . Service (domestic) hot 'water heating device
Conforms to minimum efficiency per code es. .- No
TEMPERATURE CONTROL MAXIMUM SETT12TG 1400 = WILL NOT BE EXCEEDED
App 1 i c:an S* nature
Date Phone Numb>er
INSPECTOR'S REMARKS:
V m e ,
BLDG. PERMIT NO. '0' 9?'
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
`A TEMPORARY CERTIFICATE OF OCCUPANCY is'heteby re9pested for the property
located'at . ' f
for the following usns:c_
DATE 'SIGNATURE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY- ,
The TEMPORARY CERTIFICATE OF OCCUPANCY:is hereby t PPR0VED
( )DIS PPROVED
with the ,following conditions. "f. ? .. / F A,
4
G� .
.. �^ 5 C9
TEMP ARY' CERTIFI ATE OF, OCCUPAN FEE 00 D POSIT• FO:p.00
received on 4�'
�;ca�� t1
`Date pf Issuanc Director of-.Bldg. & Code r ent
THIS TEMPORARY CERTIFIC'ATE,.OF OCC'UP-ANCY-EXPIRES / DAYS
. . FROM THE DATE OF ISSUANCE-.
NOTE. This, Certificate 'is NOT VALID unless signed by the Director of Bldg:,& Code
Enforcement or his designee. r
Queensbury Building & Code Enforcement - Residential Fi al Inspection
v w Office No.(518)761-8256 Arrive: - e � m
Date Inspection request received: Inspector's I s: —
NAME: r/ P IT M. �.C../ "" ` 6`
LOCATION: ATE. � ��/
TYPE OF STRUCTURE:
Comments
Yes No N/A ,
BuildingNumber,/Address visible from road • C/ . e kp I'�L'
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell'at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%s"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
ara a fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed,or Glass Enclosure
Final Electrical z o
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required '
Flood Plain Certification,if required
*2kay to issue C/C or C/C} Temporary/Permanent
L:\Building&Codes FormslBuilding&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
4
Framing /Firestopping Ifispection Report
Office No.(518)761-8256, Date Inspection req cei
Queensbury Building&Code Enforcement Arrive: epart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initial
NAME: 1C., tPERMIT#: C)7L_
LOCATION: _L=NjV—_ INSPECT ON: 7,
TYPE OF STRUCTURE:
Q Y 7,N N/A COMMENTS
Framing '�
Attic Access 22"x 30"mini tun
Jack Studs Headers
Bracing I Bridging
Joist hangers i
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
I V2(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
Firestoppinj
Penetration sealed
16 inch insulation inicavity min.
Garage Fire Separation
.House side V2inch 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 gra e
Rick Irvine f•._ :-: . .... .._ ._. ;_,; 4 .
52 Veranda Lane r - - -
Queensbury, NY
9'x 12' Deck over front porch
Railing 42"high
Post Am Post
Railing ,
Railing
Railing DECK
5/4 x 6 composite
2 x 8 x 9' treated 16"on center
House
wall bracket
�p
�t
_
a �
a
h1�
. ' A fit -000 0
Queensbury Building & Code Enforcement - Re ' e ti F'nal Inspec 'on 7-oA
Office No.(51$)761-8256 Arrive: a
r egart:
Date Inspection request received: Inspector's Initi
NAME: V 1 Yle RMIT#: no?
LOCATION: ATE:
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height PS"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
-Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battey backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .1-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
I
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Tern 110
Enclosed Stairs Sheeirock Underside minimum l:"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
® 7 �- -
Final Survey Plot Plan _
As Built Septic System/Sewer Dept,Inspection Sticker
Site Plan /Variance required `� ,,►
Flood Plain Certification,if required
Oka to issue C/C or C/O Tem or /Permanent
L:\Building&Codes Forms)Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
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Framing / Firestopping Inspection Report C)—
Office No. (518)761-8256 Date Inspection re ues r e* ed: C3 //3 /-0 J ,
Queensbury Building&Code Enforcement Arrive: p epart: UW -a
742 Bay Road, Queensbury,NY 12804 Inspector's Initi Is:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUC
Y N N/A COMANT
Framing,)
Attic Access 22"x 30"minimum
Jack Studs Headers
Bracing Bridging 'becw 0V-\ '
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
I V2(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
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side V2 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
1�Que Building & Code Enforcement - Residentia nal Inspection
Office No.(518)761-8256 Arrive: m/pm art:
Date Inspection request received: 1,�.J 10J Inspector's Initia -
NAME; ----dVlvL , f E IT#: Q
LOCATION: � 1 a�L J DATE:
TYPE OF STRUCTURE:
Comment
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 tti
Guard 30 in.or more 2,stairs,decks,patios
Guard at stairwell at 34 in. or more _
Guard at deck, arches 36 in.or more RLL b , ,
Exterior Finish Complete ; R R 1 tz)NZ- 1 y PtL
Interior/Exterior Railin s 34 in.to 38 in.
Platform at all exterior doors t5b ?
Interior Handrails stairs 2 or more risers .U"`t�1 pCr �"C 115 �!p 10J
Enclosed Stairs Sheetrock Underside minimum %z"
Gypsum J
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill late
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 -!l��t—fl��t✓ � ���
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 ors: J
Every level:- / Every Bedroom: ,J
Outside every bedroom tea; ✓
Inter Connected: � 1 Battery backup
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency a ress below grade V_C�k_� -
Basement stairs closed rise>4 inches
Garage Floor Pitched 1J i3i� _
Garage fireproofing/1/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure C
Attic access 30 in.x 22 in,x 30 in.(ht.)In accessible area IL
Crawl Spaces 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 Certification
Oka to issue C I C efC/Orepporary lernianent
L:IPamW\Building&Codes\Insvection Forms\Res. Final Insu.form 2.docLast Printed 2/12/04
Queensbury Building & Code Enfo�rc_een Ilk-
_mt - Res' en ial IE/,Al Inspection
Office No.(518)761-8256 Arrive: am/pm D t:
Date Inspection request received: - Inspector's Initi -
NAME: P ti �� IT#: f 0,� l l
LOCATION: G ^cam OA E: --
TYPE OF STRUCTURE: V ? ,
_ ,*' Comments
Y N N/A "�
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" 7 9 o3s
Roof Complete/Exterior Finish Complete t�to�C
Guard 30 in,or more @ stairs,decks,pathos /
Guard at stairwell at 34 ihh. 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 '/2" 1
Gypsum f z/
Grade away from foundation 6 in.with 10 ft. ;' -�- ate /
Handrail Termination at Newell Post or Wall r.
r
6 inch clearance to sill plate /
Gas Valve shut-off exposed/regulator 18"abovegrade'
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnacglot W er Heater a eratin /
Low water shut-off boiler r
Relief Valves installed/Heat Trap/Water Tem' 1,.10
Interior privacy/trim/doors/main entrance 36 in:'
Bathroom/Kitchen watertight !` - _
Safety
glazingt Window in stairwells safety jlaiing
Interior Smoke.Defectors: !
Every level: »/ I Every Beaoom: ,1 >
Outside every bedroom aka: ,//
Inter Connected: ✓ 1 Battery backu':
Carbon Monoxide Detector %
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation % �� �
Floor truss,draft stopping finished Uasement 1,000 sf ��
Emergency egress belowgrade' /
Basement stairs closed rise>,4 inches
Garage Floor Pitched ,
Garage fireproofing/'/<hour fire door/door closer �-�`
Duct work Sealed ro erl .," V
Gas Logs in Sealed or,Glass Enclosure �� b`
Attic access 30 in.x 22in.,x 30 in.(ht.)In accessible area 1 `-�-�—
Crawl Spaces 18"x/24"access, I s . ft.-150 s . ft. vents � ��� �"v�— �\�V�
Building No./Address visible from roadj� �
Final Electrical/
Site Plan /Var`ia&e required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
= l 1
Flood Plain Certification, if required
Okay to issue C/C or C/a Temporary/Permanent --�
L:tPamWlBuildinR&CodeslInspection Forms\Res. Final Inso.form 2.docLast printed 2/12/04
Town of aQueensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
Factory Built Wood BurningFire_place/Stove Inspection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
J instructions or specifications is allowed.
Permit �� Schedule Inspection f� l5`�"C Time
� am g anytime Inspector �
Name ✓�� 1� Address V L tvl lti hough In �Final
Appliance Manufacturer �Q,�t} i� -�-�� � Model# �1� �W O n .e ' 2C,
Masonry Chimney FactW_Built Ch' a Flue Size ]Double Wall. Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Safety Strip Installation (fireplaces only) � ���V� _'_U �4 h►�
Firrestop(s) 'Vertical chase__: '
Wall Penetration
Chimney Clearances to Combustibles �c Qv) �� \� �` r,
Chimney Termination
3 feet above roof penetration;2 feet above
any combustible construction within 10 feet '
f
Combustion Air
Hearth Extension R ����`L✓
Mantel(height above Vp opening)
Fireplace Boors/Screen (required)
White—Building Dept. Yellow—cust Imer Pink—Iyre Marshal
Rough Plumbing Insulation Inspection Report
Office No. (5 18) 761-8256 Date Inspection request re . e
Queensbury Building& Code Enforcement Arrive: R-, 0e m
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:!'..-'
NAME: F- PERMIT #: 7 or);7
LOCATION: cl INSPECTON:
\�
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing I Nail Plates
1 % inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper, CPVC,Pex One and Two-Family
Insulation/Residential Check/Commercial ChecC&m
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:\SueHemingway\Building.Codes.luspection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003
Rough Plumbing / Insulation Inspection Report «--- k
Office No. (518) 761-8256 Date Inspection request ve
Queensbury Building&Code Enforcement Arrive: p art: a m
742 Bay Road, Queensbury,NY 12804 Inspector's Init' s-
�7? �
(� 2
NAME: `�` ,r-� 1 tf l n PERMIT #: J
LOCATION: �l' t r c` ,,,,,� _ INSPECT ON: ` --a y
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/chan a of direction
Water Supply Piping
Cooper Commercial
Cooer,CPVC,Pex One and Two-FamilyG
,wfn&-ulation/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 tapi
L-\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November l7,2d03
Rough Plumbing / Insulation Inspection Report
r
Office No. (518) 761-8256 Date Inspection request Zed,
Queensbury Building&Code Enforcement Arrive: P e rt:
742 Bay Road, Queensbury,NY 12804 Inspector's 11nit—)ia . -,
NAME: PERMIT #:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
I % inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper, CPVC,Pex One and Two-Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent LA)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed propLrly/No duct tape
CONEMNTS:
L-\SucHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003
r -
Rough Plumbing / Insulation Inspection Report. .. On
Office No. (518)761'8256 Date Inspection re, re ei ed
Queensbury Building&Code Enforcement Arrive: t- epart: aznl
742 Bay Road,Queensbury,NY 12804 Inspector's Initi. s: �
NAME: T �4L „ -PERMIT #: 0 +.
LOCATION: INSPECT ON: -O
TYPE OF STRUCT -
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
Plu in Vent/Vents in Place
ough Plumbing/Nail Plates
1 % ,inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/chan a of direction
Water Supply Piping
Cooper Commercial
o er,CPVC,,Pex One and Two-Family
nsulation/Residential Check/Commercial Check
Proper Vent,Attic Vent fs
Duct/Hot Water Piping Insulation Z ,
If re wired unheated spaces
Combustion Air Su 1 for Furnace
Duct work sealed properly/No duct toe G --�
COMMENTS:
L\SueHemingway\Buiiding.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003.
Framing /Firestopping Inspection Report 1\�
Office No. (518)761-8256 Date Inspection r ues r ceiv
Queensbury Building&Code Enforcement Arrive: m/p
742 Bay Road, Queensbury, NY 1.2804 Inspector's Initi
NAME: Lf A PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N lA COMMENTS
Ffaming -6
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
I V2(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
/Fire wall,2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side Vz 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:\SueHemitigway\Building.Codes,lnspection.FORMS\FraTningFirestopping Inspection Report.doc January 28,2003
Roue Plumbing / Insulation Inspection Deport
Office No. (518) 761-8256 Date Inspection request Von
Queensbury Building&Code Enforcement Arrive: 11
pm art: a rly--
742 Bay Road, Queensbury,NY 12804 Inspector's Ini 'als-
NAME: ,r PERMIT #:
LOCATION: INSPECT ON: �
TYPE OF STRUCTURE: I
Y N N/A
PV R-15 R-29 R-3,R-4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
PI in Vent/Vents in Place
au h Plumbing/Nail Plates
1 % inch min.Drain Size
Washing Machine Drain 2 inch min.
Bead or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
eanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper,CPV ex O a o-Famil
Insulation/Residers a eck/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:ISueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing insulation Report.doe November 17,2003
Framing / Firestopping Inspection Report <
Office No. (518) 761-8256 Date Inspection reques receiv
Queensbury Building&Code Enforcement Arrive: am/ D arf
742 Bay Road, Queensbury,NY 1.2804 Inspector's Initial .
NAME: � G -I— PERMIT#: 37
LOCATION: e/" INSPECT ON: —
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Fra �"'
Jack Studs I Headers
Bracing/Bridging
Joist hangers
Jack Posts I Main Beams
1�1� Exterior sheeting nailed properly Z, fib
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or morej�t
Headroom 6 ft. 8 in. -.�
J - Tv�>7
Notches/Holes/Bearing Walls
Metal Strapping for Notches To Plate _
1 I2(w) 16 gauge(8) 16D nail e hide �� >k�eV et�6A cv:,
Draft stopping 1,000 sq. ft. a sses
Anchor Bolts 6 ft, or es e ter
Ice and snow shield Yi±es fro �� � `
Fire separation 1, 2,3 h ur
/
Fire wall 2, 3,4 hourcQ
Firestopping �
s
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 11-A- '
Ceiling/wall
Windows Habitable Space/ e ro �,� ` � �
( ) � vZO
5.7 sf above below grade � UI� viz) L
5.0 sf grade
:1SueHe ingwaylBuilding.Codes.nspection` ra pping nspeeho Report. c January 2$,2003
b 5 Ott.
� ti� W 01A
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Bate Inspection r uest cc
Queensbury Building 8r- Code Enforcement TnIp rt: To`'� a�o�
742 Bay Road, Quee-nsbury, Nam'"Nam'" 12804 Inspector's Ini al
PERMIT
T-OC-A.-r1O-N: IT,.TSPF-Cr ON: % X-k
TYPE OF S-raTjCrUP-E:
Pq pqhk
Framing
Jack Studs /Headers
Bracing / Bridging
Joist hangers
Jack Posts /Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in. C>
Stair-wells 36 in. or more -F"-
Headroom 6 ft. 8 in.
Notches /Holes/Bearing Walls (9—�' -7NZ%5
Metal Strapping for Notches Top Plate r
I V2 (w) 16 gauge (8) 1613 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
are wall 2, 3, 4 hour
11F —
/`� Firestopping
Penetration scaled
16 inch insulation in cavity min.
Garage Fire Separation v:> ;z—t coil—
I-louse side Y:z inch or 5/8 inch Type X V!��
Garage side 518 inch Type X
Ceiling/wall
Windows Habitable Space /Bedrooms
24 in. (H) 1C -�X�e
5.7 sf above /below grade
5.0 sf grade
Y-:\SueFler-ning\vay\]3uilding.Codes.Inspection.FORMS\FrarningFirestoppiiig Inspection Report.doc January 28,2003
CAA IE���
A
Office Use
GENERAL INSPECTION REPORT 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 ARRIVE am/pm: DEPAR r am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT# Q--oo
LOCATION:
INSPECT ON(date):
TYPE OF STRUCTURE:
R RECHE
E
N/A YES COMMENTS
in
F Zbtings/Piers
onolithtc 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/Wallpour
Reinforcement in Place
Foundation/Dampproofmg
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough 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-
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:\SueHemingway\Building.Codes.Inspection.FORNIS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time:
Dept. of Community Development Request received: ._ T— T1--��- Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbur , NY 12804 ARRIVE am/ E n otes:
(518) 761-8256 Inspector's Initial
:t
NAME: �1��"� H `'' PERMIT#
LOCATION: r y)S j r-\5 CV— W4V1 INSPECT ON(date): C/z -
TYPE OF STRUCTURE:
RECHECK
NIA 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/Wallpour
Reinforcement in Place
FoundationlD amppro o ring
, ackfill Approval
lumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing _
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors
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:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
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MAP REFERENCES:
SECTION ONE
BERKLEY DEVELOPMENT
DATED DECEMBER 6, 1978
LAST REVISED SEPTEMBER 5, 1979
BY JOHN B. VAN DUSEN
LAND SURVEYORS
MAP OF A SUBDIVISION
KNOWN AS
THE VISTAS ON WEST MOUNTAIN
DATED SEPTEMBER 1992
LAST REVISED DECEMBER 4, 1992
BY VAN DUSEN & STEVES
LAND SURVEYORS
PROPOSED MODIFICATION TO A
SUBDIVISION KNOWN AS
THE VISTAS ON WEST MOUNTAIN
DATED AUGUST 25, 1993
BY VAN DUSEN & STEVES
LAND SURVEYORS
MAP OF A SUBDIVISION
KNOWN AS
THE VISTAS ON WEST MOUNTAIN
DATED AUGUST 24, 2001
LAST REVISED DECEMBER 31, 2001
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC
SS 00
• �tS, �� oo �s A
o�
/74WELL
/
LOT 9Ajr,,��°_ I
\ 71,535 sq.ft. o0 a 0 0
1.64 acres 3° zoo I
�o
OTHER LANDS
OF RAVEN / \
Ro.
r�V \
/ 1_OT 98 lk
/ 62,398 sq.ft. �.�°� 5•
/ 1.43 acres R
�vng5 18 �CMP
tk O
A4,T \
Ag3;�
an D u s e
Steve s
Land Surveyors
169 Haviland Road, Queensbury, New York 128
(518) 792-8474 New York Lie. No. 50135
*UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7201L SUB -DIVISION 2. OF THE
NEW YO,K STATE EOUCA71001 LAW.'
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED ,BIN AN ORDINAL OF THE LAID SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID .TRUE OOPIES.'
'CERTIFICATIONS XWA7ED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED N ACCORDANCE IBTH THE
10057NG CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YOMC STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS. SAID CER7ETCA710NS SHALL RUN ONLY
TO THE PERSON FOR LMHOM THE SURVEY IS PREPARED. AND
ON HIS BEHALF TO THE TITLE CgpANY. GOVERNMENTAL
AGENCY AND LENDING HSTITUIT10N LISTED HEREON. AND
TO THE ASSIGNEES OF THE LENDING NS717UTION.•
Map of a Survey made for
Raven Industries
Town of Queensbury, Warren County, New York
LOT 4
'53'21"W
o-
w a
VER
RA AN
LOT 7
NO. I DATE
DESCRIPTION
ale 1 "=50'
S-1
SHEET 1 OF 1
RAVEN C-920
DWG. NO. 92079-9-RAVEN