2002-662 // TOWN OF QUEENSBURY .
742 Bay Road,Quemsbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20020662 Date Issued: Monday, October 27,2003
This is-to certify-that work requested,to be done as shown by Permit Number P20020662
has been completed:
Tax Map Number: ' 523400.300.000-0001-002-005-0000
Location: 228 CLENDON BROOK Rd
Owner; WILLIAM&LISA GEREAU
Applicant: WILLIAM&LISA GEREAU
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURX
Garage-3 Cars Attached
Single Family Dwelling
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: P20020662 Application Number: A20020662
Tax Map No: 523400-300-000-0001-002-005-0000
Permission is hereby granted to: WTT.T.IAM&LISA CTFRFAIJ
For property located at: 228 CLENDON BROOK Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: WILLIAM &LISA GEREAU Fireplace ,
32 MT. VIEW Ln Garage-3 Cars Attached
QUEENSBURY,NY 12804 Single Family Dwelling 250,000.00
Total Value 250,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2002-662 Lot 5 House No. 228 Clendori Brook Road
Gereau Subdivision (See Sub.No. 2-1998)
2838 sq. ft. single family dwelling with 3 car attached garage (860 sq. ft.), with one fireplace, per plot plan
and specifications.
$426.56 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,August 21,2003
(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 To of
54 August 21,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensberry--Dept of Community Development, 742 Bay Road,Queensbury,NY REC
FW D
(518)761-8256 -
AUG 0 3 2002
A pgiznit must be obtained before beginning construction.- Permit File No.C����'�'�
No inspection will be made until applicant has received a_ Fee Paid $- TO ivu OF QuL:. hluBfl)Ry
valid building permit. All applicants' spaces on this Ree.Fee Paid $ .�ZF23 �! E? Inks ,AND(:t'�sE
application must be completed and must appear on the
Reviewed By:
application form.
Applicant: l t{1`cl vlri +-L.i%Sa Owner: t jlld`✓t �` �2r-e�ce Gt
Address: .3:R Mbp0: fr)Vti.ec.J Cv, - _ �/ Address: bv.vl' rl� /'I:�' )
�UL-L✓l Ica 1-4 L3 id uo7 CQl.X20-V 6 to,c rz l N y.0d3o
Phone#( r{ )_Z - Phone#(;21k) ?G3 rid
Email Address: �tp(�cc_ CIGQ�I�I�tGI�{ � Email Address: If2'Gt_14iict.n
Property Location: Lot Number;q'jj / rouse Number-DaF / — I 317-o , 6C6,ec�
Subdivision Name: / vZOt`5 Tax Map Number: ;� c>�
j C1 �� YlldeaG ` L a7t'oi.
VZ New Building:. "] rdence /commercial Estimated Market Value of Construction: $ J Cal 6 �6
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence I com'1
❑ Other work(describe )-' ,
Check Occupancylnformation 1"Floor 2nd Floor Other floor Total
Below sq:ft. . sq.ft. sq.ft. Square Feet �p
Single family dwelling O
❑ Two family dwelling
❑ Townhouse .
❑ Multifamily dwelling
#of units
❑ Office -
❑ Mercantile
❑ Manufacturing -
0 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
o 2 car attached garage
3 car attached garage pa
❑ Storage building-
commercial
❑ Storage building- fl
residential
❑ Other
00
What is the proposed height of the structure feet 0 inches
_ G
Will any second-hand or.ungraded lumber be used? If so, for what? n 0 � fq
Type of Heating System: electric/ oil / gas wood /<2E3>6N44Pother:--lttt9 k7%9
Number of Fireplaces to be installed Numbe o. Woodstoves to be installed _
List below the person(s)responsible for sup rvision f work as regards to building codes:
Name Address_ Phone Number
Builder M4-0,'e 20 4+340 .
Plumber _S�ti ern !3 /�e.�„<' �� L�ti I-�tl-�/�r
Mason &)-7 1,V1 6 . z 3 wtf-t/i 4"t `77
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 of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
a Certificate of Occupancy or'Certificate of Compliance being issued,as requested by the Zoning
trectbr of Building and Codes,an As Bttilt Survev by a licensed surveyor;drawn to scale,showing actual
�t n§ a ction.
owner,owner's agent,architect,contractor
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-825
ED
1. OWNER INFORMATION: �� �
Location of installation:d�t) r1F.�UI�, 125Z� lea aff &s . 'U
File Permit N
Tax Map No, DD I a.,5--
Owner's Name: _[D� Nam -►-L.� �eatk_
Fee Paid
.................I-—.................. ......................................._._..................._.....--...............
..
Address: ?A Moorr6io l//Etn.)Lai-J Oooms&rtJ�/ ��4_2�0�
2. INSTALLER'S NAME : (,r, I •'�vv, �7e v e a y PHONE NO.' �,—C
3
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 1921 x 130 gal/bdrm = _
1991 —present---) x 110 gal/bdrm = h
Garbage Grinder Installed yes ✓ / no
Spa or Whirlpool Installed yes / now
4. PARCEL INFORMATION: (circle applicable information &indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supniv
Flat at what depth at what depth m icipal _
Rolling loam feet feet wet
Steep slope clay ifwell; water supply
slope other from any septic-system
depth: absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: ( minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: galls min. size 1,000 gal.) // 1
Tile Field: each trench ft. Total System Length:
Seepage Pit(s): number of size ofeach: ft. by ft.
Size of Stone to be used: # / depth or thickness feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: I Size of each: gallons I TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the To of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person Date
'110tvtt of Qlsee7inimVy
' S(!%Vc7-s; -Ind `iew.i!►,c Disposal ('17:1pler
.11pptind.ix C
t
A l IS010"I'M N. Ii'l liN A-)
SPA'A RATION ItFAII_J RIVNIJONTS
rzo1rl�u_ 1/T 1/ATF.'R- r_t ts'n••►
7 f,.T IV., ( I
�1
7"
.niY.rtKtt�t't<l i
------------
7. SIGNATURE &INFORMATION FOR RESYvr bitsL r-rn—.-vi
Vire Marshal's Office Town ofQueensbury,742 Bay.Road,Queensbury,NY
(518)761-8205
Application for Fuel 'Burning Appliances & Chimneys
applicable to solid fuel &vented gas appliances
Date ' 'a'� , 20 � Permit No,
Application is hereby made to the Building&Codes Office,far the issuance of a Building and Use
l-'ennit pursuant to the New York State h'ire.Prevention and Building Code. 711e applicant or owner
agrees to comply with all applicable laws, ordinances, ,regulations, and all conditiond 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 Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: ,;�' ; wx f; ;o v-e ei t-g Stove: wood coal , pellet
Fireplace insert
Address "y l'tE2 »= ,, Fireplace,factory-built: wood :gas")
lRV Fireplace, masonry:, wood, gas
Furnace': wood gas oil
Phone: � �l '1
If.non-masonary applicance, please provide
Manufacturer Name:.
Owner: . _
k
} Model
Address: _ �..
Chimney Information
Phone: (circle appropriate words)'
Masonry Y block` brick stone
Flue tile steep size: inches
Exact A.dd�ress: Z2 C� e i4 `;
of construction or installathson Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction llnstallation trust
core Orin to NYS Fite.Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections.- Doubleiarall ! Triple walll 1 'Insulated Divo ,verrtit�g
..
Chimney Liner- .
C`aa��h.�' ',er;.;��►+��nr�,r� �.�act--�"'Ica ..�nr.�'�]►�c+e�.ar��,�r�r��, 21�i'"� -�c+�r-.fir:
K
Fire Marshal Code#i $Collected S Re
/unded Received f om (refunded tv).'
6 � z address: ,
A 1`73 3389 (190) Public-Sufety
A 233 2655 (230)Minors Sh jt)s
DATE
P ,� ��
White A_ 17"ca
P it) / Green Fire Marshal) / Yellow(Bldg.Dept.). / Pidl,&Goldenrod(Cashier's Dept.)
ENERGY CODE COMPLIANCE APPLICATIO
TOWN OF QUEENSBURY, WARREN COUNTY
9000 BEATING DEGREE DAYS A UG 0
U
Compliance Methods:Part 5 -Acceptable Practice Method- 1&2 Family Dwellings (on1yjijW11V0'�'.QU'
Part 6*-Thermal Rating-Component trade Offs 1&2 Family DA(�W 4 iv
Multi-Family Dwellings (3 Stories or less)
Part 4*-Design by Component Performance, Commercial Buildings-Hi
Rise Residential
*Requires submission of worksheets
APPLICANT'J� n
PR LOCA.1`10N.;
a(A- () :tyQL) - 'a
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
I. Gross Floor Area- CM9 square feet
2. Type of heat- Electric Oil X_PGas Other
3. Is building mechanically cooled?_-Z--yes No
4. Percentage of area of windows and doors Over 17% Under 17%
5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 4P qD-
b. Exterior walls R I
C. Glazed areas R
d. Exterior doors R
e. Floors over unheated spaces R 3 c,
f. Edge of slab on grade (heated building) R —
9. Basement/cellar walls (above grade) R sg,9
h. Basement/cellar walls (below grade) R
i. Heating/cooling-ducts-piping in unheated space R
6. Service (domestic)hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140-WILL NOT BE EXEEDED
�li� Signat Date Phone Number
7'7-3-(,' :5
INSPECTOR'S REMARKS:
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N/F LANDS OF
MICHAEL PALL
WETLANDS
1 v
/ UPLAND
IPF \
SHED
03I_
QD
Ei
Lql
S03°22'42FW
45.71 '
22.45'
S07°08'32RW
FOR REMAINING LANDS OF
GEREAU (LOT 5A & 5D)
SEE SUBDIVISION MAP
467• 1 3•
415.001
S06°09-12RW
N/F LANDS OF
DAVID & CHRISTINE
STEWART
LOT 5—A
OTHER LANDS OF
GEREAU \
WETLANDS
CLENDON BROOK ROAD
Dus
i 2
•UNAUIHORIZED ALTERATION OR ADDITION TO A "VEY
NAP BEARINO A LICENSED LAID SURVEYORS SEAL IS A
VIOLATION OF SEC110N 7201, SUB-DINSON 2. OF THE
NEW YORN STATE EDUCATION LAW
�YMtOM �OLaTIR„�
S
Land
169 Haviland Road
t e v e S
Surveyors
Queensbury, New York 12804
IAARAm WRM AN ORIfrMAI OF TM LANDSUIMri7b
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.•
•CER101CAMONS RIDICAIEO NIXON SIONIFY INAT
IMS SURVEY WAS PREPARED IN A�ANCE WTH THE
ADOPIFED
BDTI NECODW OF PRACTICE FOR LAD OF SURVEYORS 0NAL
BY 7lIE NEW YORK STATE ASSOCIATION OF PROFESSDIIIAL
LAID SURVEYORS. SAID CERTMA71ONS SHALL RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND
ON HIS BEHALF 10 THE TITLE COMPANY, GOVERNMENTAL
Ate' AtD `°"_ FLEMINN°"' Tft1f HEREON AHD
ro m ASBIGNGS ar TI1E LENDMG RISRIUIION.•
'518) 792-8474
New York Lie. No. 50135
m
YA
MAP REFERENCE:
A MODIFICATION TO AN APPROVED SUBDIVISION
MAP OF A SURVEY MADE FOR
WILLIAM K. & LISA C. GEREAU
DATED: APRIL 21, 1998
LAST REVISED: MARCH 21, 2002
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
LEGEND:
O IPF = IRON PIPE FOUND
o000 = STONE WALL
(� cu. = UTILITY POLE
® = WELL
WETLANDS ` I
0
�3 "r r f /
• 8
hh�O
I
ti� I
Imo` °
.0
S07� 42BW
Map of a Survey made for
°.�1 '
h3 0 � hob
��• ti I GC i 20D3
� . I
416 I
C
.mow
WILLIAM K. & LISA C. GEREAU
Town of Queensbury, Warren County, New York
123-1-21.5/300.00-1-2.5
NO. I DATE
uate: uc; i utstK i
Scale 1 "=60'
S-1
SHEET 1 OF 1
GEREAU
DESCRIPTION DWG. No. gGOIO-5B
C1090
Residential Final Inspection - 0-- �
office No, (518)761-8256 Date Inspection request received: 0 xzs/o 3
Queensbury Building&Code Enforcement Arrive: anvr JJepart: pm
742 Bay Rd., Queensb_uryy,,NY 12804 Inspector's Initials: (�Jt� -F
NAME: CatI�" (- -''��LC.. PERMIT#: fCJU U/
LOCATION: � ..DATE: 4114
TYPE OF STRUCTURE:
Re Comments
Y AN N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 iu.or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railiri s 34 in.to 38 in..
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 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 .
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing'
Window in stairwells safet lain
Interior Smoke Detectors:
Every level: 1 Every Bedroom:
Outside every bedroom area:
Inter Connected: / Batter backu
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
K hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s .ft.-150 s .ft,vents
Building No./Addres visib from road
Final Electrical . U Q r'
Site Plan /Variance fequiitd or
Final Survey Plot PlanU1�3
As Built Septic S stem/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C Cert.Of Compliance)
Okay to issue Temporary C/O Cert.Of Occu anc �pA
Okay to issue Permanent C/O Cert. Of Occu anc I it I
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,
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Mahone
?O.BOX767 GLENS FALLS,NEW Y014K 12501 Notify-Plus Thc■ GM93-7788 FAX:518I703-0602
October 23, 2003
Mr. & Mrs. William Gereau
32 Mountain View Lane
Queensbury, NY 12804
Re: Clendon Brook Road
To whom it may concern,
This letter will confirm testing of the fire alarm system at the above referenced property.
At the time of the testing all devices were operating properly.
Should you have any question, please do not hesitate to contact our office.
Sincerely,
Benjamin P. Chapman
Operations Manager
Mold deZ:ZO e0/83/0'C Z090eszals # M J!4.CN MauoyeW
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
Main Office 357 Elwyn Temee — Manhelm, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
t 'd M �
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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 elate, Cron
the introduction of additional equipment or alterations, application shall be promptly made for
inspection,
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated, the Company shall have the right to revoke this certificate,
Date .....�.Qd,,,�, ,a ,;, I r aiu.!!.!f INSPECTOR.,,.,.,,,,! I }IUM.la1\aft\i..ai 1aUs, }oltjail.tea.1.11.#a,}41I tI
Member N.F.P,A,, I.A.E.I.
Septic Inspection Report `
Office No. (518)761-8256 Date Inspection request received: < a"a` �3
Queensbury Building&Code Enforcement Arrive: am/ m Depart: am/pm
742 Bay Rd.,Queensbt4y,NY Inspector's Initials:
NAME: ' d"�'�`4- PERMIT NO.:
LOCATION: INSPECT ON: �
RECHECK:
Comments
.and/or diQrani
Soil T-�yp oam
Type of Water: Municipal kWell Water
Waterline separation distance ft. f rf
Well separation distance
f 1
Other.wells:
Absorption Field: Total length ft.
Length of each trench ft. .+''1
Depth of trenches
Size of Stone ?i --_-_..
Seepage Pits: Number
Size: . x
Stone Size:
Piping Size T e
Building to tank
Tank to Distribution Box
Distribution Box to Field/Pit
Opening Sealed: Y 1 Ni Partial
Location/Se arations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Location of Sy on operty:
Front e oLe� Side Right Side
MidVFronMiddle Rear
S stem Useproved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:1SueRemingway\13uilding.Codes.Inspection.FORMSISeptic Inspection Report.doc January 28,2003
FILL MATERIAL SHALL BE OF 5APE
PERNEABLITY AS EXISTING
UNIM RLYNG SOL.
DRAINAGE SWALE
ON UPfiLI SDE
OF SLOPED SRE =\� O J0
1W MAX
2' MN.
ABSORPTION TRENCH
�C5EL STANDARD ABSORPTION TRENGt3
6N.'
MI
E TO DRAM/ .� AND SLOPES
SEED VtOWN
24' MIN. TO HIGH GROUNDWATEIL
ROCK OR FPER�
REMOVE LEAVES, ROOTS. PLANTS AND
ORGANIC, DE8R15. PLOW SURFACE PRIOR
TO SPREADING FILL MATERIAL.
USE WHERE SEPARATION BETWEEN EXISTING GROUND AND
SEASONAL HIGH GROUNDWATER, BEDROCK OR !PERVIOUS
SOIL IS LESS THAN 4' BUT GREATER THAN 2'. PERCOLATION
RATE OF EXISTING SOIL MUST BE FASTER THAN GO MINUTES.
5HALLOW AB50RPTION
TRENCH 5Y5TEM
NOT TO SCALE
BARKER MATERIAL
SLOPE C
50?0 \- 4' PERFORATED PVC LATERAL.
SLOPE IAA-1/32' PER FT.
1.1. END OF ALL DISTROACIR PPES MUST BE
PLUGGED UNLESS MERGONfEGTED.
2- ALL LATERALS TO BE OF EQUAL LENGTH.
5TANDARD AB50RPTION TRENCH PROFILE
NOT TO SCALE
GARAGE
HOUSE
SEPTIC TANK AT LEAST 10'-0"
50' FROM WELL AND 10' MIN.
FROM HOUSE
20'-0" FROM BASEMENT WALL
MIN.
TIGHT JOINT 4' PIPE SEE NOTE 5
ON SLOPE OF 1/8" /FT.
TILE FIELD
DISTRIBUTION BOX GRADE 1/8" /FT
(SEE NOTE 4)
10' MIN. DISTRIBUTION PIPE
PROPERTY
SEE NOTE 5 10' MIN. UNE
SEE NOTE 5
5EWAGE DISPOSAL LAYOUT
NOT TO SCALE
NOTES:
1. TILE FIELD TO BE 100' OR MORE FROM ANY
LAKE, SWAMP, DITCH OR WATERCOURSE AND 10'
OR MORE FROM ANY WATER LINE UNDER PRESSURE.
2. FOR SEWAGE PIPE BETWEEN HOUSE AND DISTRIBUTION BOX
USE DUCTILE OR CAST IRON PIPE, OR SCHEDULE 40
PVC WITH CEMENTED JOINTS.
3. DISCHARGE FOOTING, ROOF AND CELLAR DRAINAGE
AWAY FROM SEWERAGE SYSTEM.
4. DISPOSAL FIELD SHALL BE CONSTRUCTED PARALLEL
WITH CONTOUR LINES.
5. FOR RAISED ABSORPTION TRENCH SYSTEMS HORIZONTAL SEPARATION
DISTANCES SHALL BE MEASURED FROM THE EDGE OF THE FILL.
SLOPE
OPE
1/4' PER FOOT
5L0'M TANK
BY FORT MILLER OR
EQUAL
APPROXIMATE
FISH GRADE
INLET + OUTLET
BAFFLES
- MltA1 2X WIDTH
MAXIMUM 4X WIDTH
0U p000
PROVIDE 3' SAND OR -� OOGP
PEA GRAVEL UNDER TANK r-C C71/` T A k1be
SEPTIC TANK5
RECOMMEND ALL ACCESS
+ UEM40UT OP M4G5
BE RAISED TO G' BELOW
FNE*i GRADE.
NOT TO SCALE
1. ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW YORK
STATE DEPARTMENT OF HEALTH AND SHALL BE PRECAST CONCRETE
AS MANUFACTURED BY FORT MILLER OR EQUIVALENT.
2. ALL STRUCTURES TO BE PLACED ON FIRM, COMPACT SAND OR
GRAVEL FOUNDATION. WHEREVER EXISTING FOUNDATION CONDITIONS
ARE UNSUITABLE, CRUSHED STONE SHALL BE PLACED AS
NECESSARY TO ACHIEVE A STABLE FOUNDATION.
3. SEPTIC TANKS INSTALLED IN TRAFFIC AREAS SHALL BE EXTRA HEAVY
CONSTRUCTION DESIGNED FOR H-20 WHEEL LOADING.
INLET BAFFLE
MIN. SLOM
1/8' PER FOOT
CONCRETE OR STONE
MARKER ABOVE ALL
BURRED COVERS
RECOMMENDED.
12, MN. COVER OVER
ALL STRUCTURES
*1 DISTRDUTION BOX
BY FORT MILLER OR
EQUAL
° � ALL OUTLET INVERTS
o°o�-PEA TO BE SET AT
EXACTLY nX
GRAVEL ELEVATION. SAME
DISTRIBUTION BOX OJSE OF SPEED LEVELERS
HOT TO SCALE ENCOURAGED.)
IN5TALLATION OF DISP05AL FIELD5
1. CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING,
AND SHALL BE IN ACCORDANCE WITH THE N.Y.S.
DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS, AND
ASTM F481-76 INSTALLATION OF THERMOPLASTIC PIPE AND
CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS.
2. NO HEAVY EQUIPMENT SHALL BE ALLOWED WITHIN THE LIMITS
OF THE DISPOSAL FIELDS AFTER PIPE INSTALLATION HAS BEGUN.
3. AFTER EXCAVATION 2' WIDE TRENCH TO THE DEPTHS REQUIRED,
THE WALLS AND FLOOR OF EACH TRENCH SHOULD BE CLEANED
AND RAKED TO ACHIEVE AN EVEN SURFACE AND TO LOOSEN
SMEARED SECTIONS OF TRENCH.
4. PLACEMENT OF CRUSHED STONE, PERFORATED PIPE AND UNTREATED BUILDING
PAPER OR STRAW SHALL BE AS SHOWN AND CARE SHALL BE
EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND
OTHER WASTE MATERIAL IN THE STONE AND PIPE.
5. THE PIPE SHOULD BE LAD AT THE GRADES AND TO THE
RELATIONSHIPS SHOWN ON THIS DRAWING, MAINTAINING STRAIGHT
CONTINUOUS GRADES WITHOUT SAGS, HUMPS SEPARATED JOINTS
OR OTHER UNSUITABLE CONDITIONS. THE PIPS SHALL BE LAID
WITH THE HOLES DOWN IN ALL CASES.
6. ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL
AND TO DIVERT SURFACE RUNOFF FROM ADJACENT AREAS AWAY
FROM THE DISPOSAL FIELD.
7. REMOVE LEAVES, ROOTS, PLANTS AND ORGANIC DEBRIS. PLOW SURFACE PRIOR
TO SPREADING FILL MATERIAL
& DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION FIELD AREA.
9. PLACE FILL AND ALLOW TO STABILIZE IN ACCORDANCE WITH NEW YORK STATE
DEPARTMENT OF HEALTH STANDARDS.
2'-0" 4'-0" 2'-0"
15X MAXIM
GROSS SLOPE
TO ALLOW OVERFILL ON SLOPED SITES
FOR SETTgLme T
�m UNTREATED BUILDING PAPER.
� OR GCOTEXTLL.
2. MN. 4' PERFORATED
LATERAL
�0
�nODD ODD
O o 3/4' TO 1 1/2'
C 01ED STONE
:a•
N
MAXIMUM SEASONAL HIGH J —
GROUNDWATER ELEVATION
5TANDAR D AB50RPTION TRENCH SECTION
NOT TO SGALZ
#
BEDROOMS
(SEE NOTE 1)
WASTE
FLOW
G.P.D.
SEPTIC TANK
(MIN. CAPACITY
GAL.)
(SEE NOTE 3 do 4)
SEPTIC TANK
MNIMUM LIQUID
SUFI=ACE AREA(S.F.)
DISPOSAL FIELD
TRENCH LENGTH
PERCOLATION RATE (MINUTES)
1-5 6-7 8-10 11-15 16-20 21-30
2
260
1000
27
108
130
145
162
186
217
3
390
1000
27
162
195
217
244
279
325
4
520
1250
34
216
260
290
325
372
433
5
650
1500
40
270
325
360
405
464
542
6
780
1750
47
325
390
1 433
1 4M
557
1 650
SEWAGE DISPOSAL SYSTEM SIZING
NOTES:
1. EXPANSION ATTICS, ETC. ARE COUNTED AS BEDROOMS.
Z ASSUMES USE OF CODE CONFORMING PLUMBING DEVICES
WITH 3.5 G.P.F. TOILETS AND 10 G.P.M. FAUCETS AND
SHOWER HEADS.
& TANK SIZE REGLOND1EM1'S FOR MORE THAN 6 BEDROOMS SHALL BE
CALCULATED BY ADDING 250 GALLONS OF CAPACITY AND
SEVEN SQUARE FEET OF SURFACE AREA FOR EACH AD017MAL BEDROOM.
GARBAGE GANDERS ARE TO BE CONSIDERED EQUIVALENT TO ONE
ADDITIONAL BEDROOL
4. DOSING IS REQULM FOR SYSIEYS VATH A TOTAL TRENCH LENGTH GREATER
THAN 500 FEET.
123-1-21
I ft. MN. MRE55 AA1P10L
5 ft. MK
TO NYDR � - TIC T
2-1/V 011waa [ rK
a" WELL CAM
2-LY" ORd' fI'[
G" OF&= WELL
Y 1/r DeCK VALVE
ONE LENGTH OF DISCHAIME
we DCTWEEN MAIr AND CHM VALVE
P-vr X 2" REDLOW
4" 9LLEVN�IE�RSELE MJW
CAPACITY
tNt ft TOTAL OYNMMIG NEAR
B WELL
NOT TO SCALE
Ra . Se%48 r�a4e ��t.
Oueensbury, NY 12804
(518) 793-9376
April 22,1998
Van Dusen & Steves
37 Chester Street
Glens Falls, NY 12801
Re: William K. & Lisa C. Gereau Property, Town of Queensbury,
Warren County, New York.
On April 22, 1998 I examined 4 soil test pits on the above
property. Listed below are my observations:
TP§ 1 a'U!
0 - 9 Inches, topsoil C1
* 9 -26 Inches, loamy fine sand C)
26-73 Inches, loamy sand, becomes firm at 29 inches
TP# 2 '
0 - 7 Inches, topsoil Zz
7 -25 Inches, loamy fine sand
25-74 Inches, loamy sand, firm at 29 inches t`
TP# 3
0 - 7 Inches, topsoil
7 -18 Inches, fine sandy loam
18-29 Inches, loamy fine sand
29-68 Inches, loamy sand, becomes firm and mottling starts
at 29 inches
TP# 4
0 - 6 Inches, topsoil
6 -17 Inches, fine sandy load
17-26 Inches, loamy fine sand
26-69 Inches, loamy sand, becomes slightly firm at 29
inches, mottling at 55 inches.
These soils were developed in deep, stony and bouldery glacial
till. Depth to seasonal high ground water is noted by the depth
to mottling when it occurs in the test pit descriptions.
If you have any questions about he above soil information,
please: eel free to conract
Charles H. Maine
Soil Scientist CRW 1. ('0 &
4fW0000,
0
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Date APRIL 2t =8
Scab AS NOTED
D-1
SFEET 2 OF 2
GEREAU
DWG.
NO. 96010B
Residential Final Inspection
4
Office No. (518) 761-8256 Date Inspection request received: 6 a
Queensbury Building&Code Enforcement Arrive: am/p epart: m/pm
742 Bay Rd., Queeiisbury,NY 12804 Inspector's Initials: ' ..
NAME: PERMIT#:
LOCATION: DATE: Q ,A-- lJ
TYPE OF STRUCTURE: _
Comments
Y N N/A
Chime Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in. or more @ stairs,decks,patios
Guard at stairwell at•34 in.or more _ f/
Guard at deck,por8hes 36 in.or more c/
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 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
Interior rivac /trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazjEg
Interior Smoke Detectors: _
Every level: / Every Bedroom: ¢L ! -�"'~46 a,, 1"s
Outside every bedroom area:
Inter Connected: 1 Battery backup,.
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures - ���,-�-«
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade xk-Kj 12
Basement stairs closed rise>4 inches //
%hour fire door/door closer
Garage fireproofing
Duct work Sealed •ro erl y0(���� 4K7-- WK.
Attic access 30 in.x 24 in,x 30 in.(hc)In accessible area
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,if required
Okay to issue C/C Cert.Of Compliance)
Okay to issue Temporary C/O(Cert. Of Occupancy)
Okay to issue Permanent C/O(Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.Inspeetion.FORMS\Res.Final Insp.form 2.doe edited January 28,2003
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT NO.:
LOCATION: INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft. ox)
Well separation distance
Other wells:
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank e-10
Tank to Distribution Box
Distribution Box, ield -Pit-
Opening Sealed:LY YNI Partial
Location/Separations
Foundation to tank
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan N
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use kgt—ls -
A proved
----VPartial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
Framing/Firestopping Inspection Report
T
Office No. (518)761-8256 Date Inspection request received-
Queensbury Building&Code Enforcement Arrive: am/p epart:�L�Z-nmW
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials:
NAME: G PERMrPERMIT'#:l�
LOCATION:
INSPECT ON:
TYPE OF STRUj I 49—C7 P0 URE:
Y N/A COMMENTS
IV/'Praming
Jack Studs/Ifeaders,
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C. -
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 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 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 grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\FramingFirestoppilig Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection requ t c iv
Queensbury Building&Code Enforcement Arrive: a P Depart:
742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initi
it,
NAME: RMIT#: ON
LOCATION: SPELT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
outings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Danipproofing/Waterproofing
Footing Drain Daylight or Sump_
Footing Drain Stone:
1.2 inch width
6 inches above footing
6 mil of for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SucHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/An Depart: i am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: 6ene4 — PERMIT#: 0� � -
LOCATION: ,,? ry. INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A Framing COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
irestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Rough Plumbing/Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received: 3
Queensbury Building&Code Enforcement Arrive: amlp D a pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: R Ak- INSPECT ON: G f 3
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast iron,Copper Drain/Vent/Comm.
Plumbin Vent 1 Vents in Place
ough Plumbing 1 Na'1 Plates
Head or Air Supply Test
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
Copper,CPVC,Pex One &Two Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces r
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
-L:4Sueklemingway\Building.Codes.Inspection.FORMS\ ough Plumbing Insulation Report.doc January 28,2003
C
Rough Plumbing/ Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received: .7
pm y)
Queensbury Building&Code Enforcement Arrive: m/ k De art: am/pra
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
PERMIT#
NAME:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
N N/A
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iron,Copper Drain/Vent Comm.
Plumbing Vent Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Dfain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
Copper,C,PVQ-gPe�One&Two Family
MdeTti /k �Go al Check ck
INEMENNERF� �1 a ftma4a
FProper Vent,Attic Vent
Duct/Hot Water Piping insulation
If required unheated spaces
Combustion Air Supply for Furnace
/buct Work Sealed Properly___==,,,, 7-1
L Y/i
COMMENTS:
Pc-> A)c--r
Svc
-L:\SiieHemingway\Building.Codes.Inspeciion.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Rough Plumbing I Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: amlpmD part: �• a inj
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: �J�'
�' PERMIT#: ll� t
NAME:
LOCATION: INSPECT O
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
Co per, CPVC,Pex One&T__o Family
Insula ` Resi �7701T '% mmercial Check
is ra•er ent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly AV
C MMENTS: N5 —
f—L
t
,Lt\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 2g,2003
Rough Plumbi g / Insulation nspection eport
Office No. (518)761-8256 Date.ln7ne ceiv
Queensbury Building&Code Enforcement Arrive: D pa an-dpm
742 Bay Road, Queensbury,NY 12804 Inspect
NAME: Y IT#.. l�Q Gam+
LOCATION: CT ON: � ^
TYPE OF STRUCTURE: -
y N N Oa�
PVC: R-1,R-2,R.-3,R-4 Drain/Ve is b Pi' t'�tj
Cast Iron, Copper Drain/Vent/COMINI
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test —7-1
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
Vopper,CPVC,Pex One &Two Family l c \L1 1•�t3�`�
�� sulation/Residential Check/Commercial Check t`��T Tti� To PL4�t
Proper Vent,Attic Vent SF fl1- +Ftt.�- (>INI?5
Duct/Hot Water Piping Insulation ��� Ta `'�1 �° vz�
If required unheated spaces
Combustion Air Supply for Furnace tiC\s'v� tJ MS� 7-0 �
Duct Work Sealed Properly
QMIV.IENTS: Wit`' = Sa 'Gll �
F'-c
L:\Sueliemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
C-� 7
t� Framing / Firestopping In ection Report -�-
Office No. (518) 761-8256 Dk� ection request eceived:
Queensbury Building&Code Enforce nt D a ep rt:�,'00 a
Dect
742 Bay Road, Queensbury,NY 1280 � or's Initials:
NAME: ---`C'-Y l� PERMIT#: 0
LOCATION: c,�aK- Oh yf-10 >Nr� INSPECT ON:
TYPE OF STRUCTURE:
d�f+
Y N I N/A COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C. �J
Headroom 6 ft. $ in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 12{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
irestopping �U— R `
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 t
Windows Habitable Space/Bedrooms
24 in. (H) �
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Sueiiemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
t
74 I
� � .-
Framing I Firestopping nspectioneport
Office No. (518)-761-8256 - D reate-Inspection est recer, O �
Queensbury Building 8c Code Enforcement Arrive: pa _ pm
742 Bay Road, Queensbury, NY 12804 InspectoIA Initia
PERMIT
LOCATION: INSPECT ON: �2
TYPE OF STRUCTURE:
14 NIA OMMENTS
Framing �t n`
Jack Studs I Headers
Bracing I Bridging -
Joist hangers
Jack Posts /Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in. per,
Stairwells 36 in. or more _
Headroom 6 ft. 8 in_
_ Notches I Holes I Bearing Walls '4�•e�t-"'> C� v'�u�-��
Metal Strapping for Notches Top Plate _ Q.._-
1 1/2 (w) 16 gauge (8) 161E7 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 � S
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
Ceilin Iwall l�
_Windows Habitable Space I Bedrooms
24 in_ (H)
20 in_ (W)
5.7 sf above%below-grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January28,2003
Z-
, :C�
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection re re ive
Queensbury Building&Code Enforcement Arrive: pm -- Depart: a�pm j.
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initia
NAME: RMIT M nents
LOCATION: Z� CL - f3� INSPECT ON:TYPE OF STRUCTURE:
Co
Y N N/A
Footings LL Q E
Piers ' ems` \1FvDi JC#1L.
Mo'h`olithi`Slab C�jC�Q CAL\ E C£�t 1q
Reinforcement in Place
The contractor is responsible for 1,�h'11-L. t f3E
providing protection from freezing l C--O t)U--G-E �--Lt 0 oMb)
for 48 hours:fallowing the placement l
of the concrete. .
(� Materials for this purpose,on site.
`l ;Foundation/Wallpour.
Reinforcement in Place
Foundation Dampproofmg
Foundation/Waterproofing
Type of Dampproofmg/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
Foundation Inspection Report
Office No. (51'8)761-8256 Date Inspection req t receiv _
Queensbuly Building&Code Enforcement Arrive: a Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initia
NAME: C3 ERMIT#: � I
LOCATION: Q QC SPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor.is responsible for
-• -providing--protection-from-freezing.— - - - -- - -
for 48 hours following the placement
of the concrete.
;=.__:Materials for this purpose on site.
Foiiridation./Wallpour
Reinforcement in Place
Faundation;Dampproofing
Foundation/.-Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inc es above footing
11 poly for wet areas under slab
acicf111 Approval I
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes,Inspection.FORMS1Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (5 1'8)761-825 6 Date Inspection requ c Ned:
Queensbury Building&Code Enforcement Arrive: a pm Depart: �4 a
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi s:
NAME: RMIT#:
LOCATION:
SPECT ON:
TYPE OF STRUCTURE:
Comments
N N/A
Footings �n
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Pla'd'-!-�-'
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or S
LIMP
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil of for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Glade 6 inch drop within 10 ft.
L:\SueHemingway\Building,Codes,lnspection.FORMS\Foundation Inspection Report.doc January 28,2003
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: D EPA R j-'Damlpm Notes:
(518) 761-8256 Inspector's Initials,-�o �
NAME: eA cj PERMIT It &2--t.P�
LOCATION. ''^� D f ��� >_._. INSPECT ON(date): ! '2—
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/Wallpour
Re' orcement in Place
oundation/D amppro ofmg
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:ISueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc
Office Use
.GENERAL WSPECTION REPORT Inspector:
Town of Queensbuty Ready at time:
Dept. of Community Development Request received.- , (fl Meet:
Building& Code Enforcement At time:
742 Bay Road Notes:
Queensbury, NY 12804 ARRIVE-am/pm: DEPART 16 12 m/Pm
(518) 761-8256 Inspector's Initials
NAME: PERMIT,#-.,;.IZ6
LOCATION; INSPECT ON(date):
TYPE OF STRUCTURE: S"ic-'D
RECHECK
N/A i 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
-y*Foundation/ljampproofing_ Gt7
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 It-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing_
Jack Studs/Headers
Bracing/Bridging
Joist Hangers------ I
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping___
L-.\SucHerniiigway�Buildiiig.Codes.ttisper.tion.FOP,MS\Cjr-,NEP,AL INSPECTION REPORT.doc
Office Use
.GENERAL INSPECTION REPORT Inspector:
3'
Town of Queensbury Ready at timc.'*.�' '
Dept of Community Development Request received.- Meet:
Building& Code Enforcement At time:
742 Bay Road
T I Z-01 Notes:
Queensbury, NY 12804 ARRIVE a
9
ARRIVE r
P-
(518) 761-8256 Inspector's Initial P HT#
PERMIT 9 NAME,
LOCATION: INSPECT ONT(date): AI
TYPE OF STRUCTURE:
RECHECK X, !� n -�- ( ' � `$
FootingsFp—iers N/A O'NO O*e COMMENTS 6) r.
�Z
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 3 6J - �-VLI Z
Reinforcement in Place 3 61 - ZL(/ 7
Foundation/Dampproofing_
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-
Ceihng R-
Duct work or piping in
. unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgmig—
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\Buildiiig.Codes.Enspection.FORMS\GENERAL INSPECTION REPORT-doc
0 1 Se
!ffio-lv ,
GENERAL INSPECTION REPORT Inspector:
00
T T 0, Ready a time:
omin of Queensbury 0,
Dept. of Community Development Request receive& Meet:
Building& Code Enforcement At time:
742 Bay Road O Notes:
Queensbury, NY 12804 ARRIVE—am/pm: DEPART a m/pm
(518) 761-8256 Inspector's Initials 13 Wl- MM
0 - kljo
NAME: L 8"ec.-t-- c-e U )q 17 PERMIT#
LOCATION: o2d� &z L INSPECT ON(date): /Vo-
TYPE OF STRUCTURE:
OLT
RECHECK
N/A YES N COMMENTS
5� (2_> 6-�
ooting—stPi6i's 7—' 14;;Ie A
o"n" ior'Cno=ic—Pour Form
Reinforcement in Place " 76—:�,U 11&-13,,�� 14-3
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement A
of the concrete.
Materials for this purpose on.site
FoundationfWallpour
Reinforcement in Place
Foundation/Dampproofing_
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 Scaled
Fire Wall 2,3,4 hour
Firestopping_
L:\SueHemingway\Building.Codes.Inspection.FORfvfS\GENERAL INSPECTION REPORT.doc
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SMITH THE WEST GLENS FALLS
FIRE PROTECTION DISTRICT
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ANDS 1,108,547 9q. ft.
25.45 acres 0 `\N,\\ ,
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742,87
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