2002-687 TOWN OF QUEENSBURY
742 Bay Road,Queen&7,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CE A I
."IFIC111TE OF OCCUPANCY
Permit Number: P20020687 Date Issued: 'Thursday,March 06,2003
This is to certify that work requested to be done as shown by Permit Number P20020687
has been completed,
Tax Map Number: 523400-307-000-0001-009-000-0000
Location: TUTHILL Rd
Owner: THOMAS&KELLY REUKAUF
Applicant: THOMAS&KELLY REUKAUF
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage-2 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: P20020687 Application Number: A20020687
Tax Map No: 523400-307-000-0001-009-000-0000
Permission is hereby granted to: THOMAS & KFTI,YRFIJKAIJF
For property located at: TUTHILL 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. Tue of Construction Value
Owner Address: THOMAS &KELLY REUKAUF Fireplace
15B SHERMAN Ave Garage-2 Cars Attached
GLENS FALLS,'NY 12801-0000 Single Family Dwelling 150,000.00
Total Value 150,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
TOM MASON& SON
PO BOX 361
HADLEY-NY 12804-0000
Plans&Specifications
2002-687 911 Address: 33 Tuthill Road
Construction of 2021 sq ft SFD with 728 sq ft attached two-car garage and one fireplace.
$315.32 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 29,2003
(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 Town of Queen.16ury; Thursday,August 29,2002
SIGNED BY for the Town of Queensb
V
- hector of Building Co nforcement
Building Permit Application
Town of Queensbury—Dept of Coziununity Development,742 Bay Road, Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No.
No inspection will be made until applicant has received a Fee Paid $ ,2-
valid building permit. All applicants' spaces on this Rec. Fee Paid
application must be completed and must appear on the Reviewed By 'O _
application formV^��"'`''��
i'hlaef 5d" �ddress:
Wner AUG 1 72 3;?Address: Ro.Box a2-77 //ad/eI✓j/j✓. /SS S'h ermar1 Rue
/piers GLueensbor) N;-k' 4 lurl_l rnt
Phone#(ilfr ) 6Y6 - ?3 Phone# (s/g- ) ZVS-- D.39D ..... • -_O f�D
Email Address:/WaSd,,?J hrcrecl, ur�ron .net �� Email Address:
Pro e Lot Number: / H use 101.- er
ubdivision Name• Tax - ap' 3
11W New Building: Qesidence commercial Estimated Market Value of Construction: $ /$Olt '
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'1
❑ Other work(describe )
Check Qccupancyinformation I't Floor 2n Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling p X
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units
❑ Office
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
J9. 2 car attached garage Z&g- Z �/
❑ 3 car attached garage d
❑ Storage building-
commercial
❑ Storage building-
residential
❑ Other
What is the proposed height of the structure 'Sy feet 5— inches
Will any second-hand or ungraded Iumber be used? If so, for what? NO
Type of Heating System: electric/(5) gas/wood /forced hot air/ baseboard 1 other:
Number of Fireplaces to be installed l_ Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder 2am 1wa se f'-�x 6! le 6 7,6 -..?-7W
Plumber i i t e t
Mason
Electrician 1174— (v ,
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
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 construction.
Signature:�� / �o� _ owner,owner's agent,architect,contractor
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION: J ..............................................................................................._............................
........;
Office Use
Location of installation: '-rvAA,*1/ fl d
File Permit No. V
Tax Map No. /d3 I / 1 y2_3
JJ �p
�`°�
Owner's Name: 7'n,v, r ICe!/v l2e e�kceycF ` 't / aid
:....................................................................._.............._._..._.................
......................:
Address: /5- $-h er,vtas" /:Iwe p�q'y�f�g$pAUG 1�yy2 2002py +{
p O{{ N OF QU �i-4 SBUR 6
2. INSTALLER'S NAME BU1L-D1('E( E NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate #bedroom(s) and multiply# of
bedrooms with applicable gallons per bedroom to equal total daily.flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrm =
1980—1991 x 130 gallbdrm =
1991 —present 3 x 110 gallbdrm = 3 3D
Garbage Grinder Installed yes_ I no ?c
Spa or Whirlpool Installed yes_ I no _.^
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography Ground Water Bedrock or Impervious Material Domestic Water SuRply
sand at what depth at what depth unicipal
Rolli oam feet feet well
Steep slope clay if well;water supply
%slope other �L1 .. from any septic-system
depth: absorption is O ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inc
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: fjjW gallon (min. size 1,000 gal.)
Tile Field: each trench ft. Total System Length: f fF6 ft.
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 andlor size
6. HOLDING TANK SYSTEM: (if required)
Number oftanks: 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 Town of Queensbury Sanitary Sewage Disposal Ordinance.
� 7-a fr-d L
tgnature of responsible person Date
' '1'<�«%n of t�tscci►attui-y
Sewers A1111 sewalte Disposal Cipipfer
Alllwtttlix C
AI3ti0Iti"I'10N. PI FAAJ
� S rftN r.M
Pont)•
L _
i^!I+I.l._ tN jI/ITF.-R- Wr1 LS'n•!
. i �. :�'.`�� /�' tom►sr-..
7. SIGNATURE &INFORMATION FOR KhSFUfvutni.r-r-r—w— wavoo.
Fire Marshal's Office Town of Queensbury,742.Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
r-Z—
Date 20 Permit No.
App�cation is hereby made to the Building& Codes Office for the issuance of a Building and Use
Pertnitpursua'nt-io the New York State fire Prevention and Building Cod(,'. 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_
NOTEto applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Stove: wood coal pellet gas
x
Name: "y
Fireplace insert
Address: X Fireplace, factory built: gas
Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone:
Y"
If non-masonary applicance,please provide
O Manufacturer Name:
wner: (mil V
Address:
Model Number:
D A
Chimney Information
Phone: (circle appropriate words)
Masonry block-Z brick stone
Flue the /I st el size: inches
Exact Address:
I %
of construction or insiallatiou Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction lInstd1lation must
conforin to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections, Double wall / Triple wall it Insulated Direct venting
Chimney Liner
Fire Marshal Code# $Collected $Re ended Receive(61'17Z (refwlded to):
address:
A 173 3389 (190) Public Safety '4
A 233 2655 (230) inor Sales
DA TE:
White(Applicant) Green(Fire Marshal) Yellow(Bldg.Dept.) 1 Pink&Goldenrod(Cashier's Dept.)
i
x
z H
w U 0
�OAn z W
H Mao
wwa zi
aw �z
a u o W H "� z W
O Na U W 14U H L�
v t A °,�' I tz W H
z hm � I a Vi
30 0 �
off al w x v,
2 W U
A w 1� A rUi 0 a w z tx a U
N w H H �" w N 0 Q a
A w w w w A N a a N cn UJ H U ' H 0
q x F H w a rn 4 0 w 4 a 0 w x � 4 z 0
E A N O a H Q H H U H 4 a 0
0 , d w w W r4 a 4 M 0 A 4 4 U 4 H H a
F z z z W H z 0 W U 4 W q 9 � U
U = w H > F w w t� x rn a p A A > w w
w f + lz q > � 0 z N 0 w H 0 w w w W w U� > n
a 0 q 9' 0 H N N a H a s w z [G N
N z WH Y H 0 0 a s A N
44 z 0 �. 0 H >+ z 0 Ol 0 H 0 0 w 0 0 0 E 9 4 w0 w H
w H ' H 0 z9 w H Z H z �4 d H A A z A A N 0 U U U G+
> H Ha z LQ H w a A x x H W H H H a 0
H w w ca w E q W w H H 0 z w U w w a w H :� H A A A w 4 E�
c� H z U H 0w H A 0 H g O A E 0 H H H 4 z z z Z x
' A z A M U N a w x x, 0 W 14 � c4 w wl N x N 0 "
IPF
MAP REFERENCES:
MAP MADE FOR
DONALD L. & ANNE L. BETTERS
DATED FEBRUARY 14, 1983
BY VAN DUSEN & STEVES
MAP MADE FOR
ROBERT & ERICA PRITCHARD
DATED NOVEMBER 28, 1990
BY VAN DUSEN & STEVES
Rl
•
•
LANDS N/F OF
/
SEYMOR
1481°40 50'E
�j
/
N
1008.261
0
LANDS N/F OF
SMITH
AREA
.._�,
2 STORY
4r
217,949 sq.ft.
WOOD FRAME
o
5.00 acres
HOUSE
g1REaj�
��ERttEN�
1157.96'
S87022'00'W
LANDS N/F OF
EGGLESTON
IPF
. ;t� Of NEW;.:.
Iq
a� Dusel
^
/]V[`/`A/
S t e ve S
Land SurveTO
yors , LLC
169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lie. No. 50135
E0 ALTERATION S RVEYADDITION .S A SURVEY
MAP
NM BEARING S LICENSED 72 ll1ND SURVEYORS SEAL IS A
NO1A710N OF SECTION 740Y, 4�-pNSION 2. OF fl#
NEW YM STATE EDUCATION LAW.'
'MY COrIH rRCM THE ORIGINAL Or""MY
MA. NT11N AN ORIGINAL Cr TIN: LAW MXV&M
�SHALL BECDN�ED�BEYA�TRUE `GP�
d7NlNlCA1NNK NNOCATED HEREON SkMFY THAT
TINS SURVEY WAS PREPARED H ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
LA THE NEW YORORS. AO C A�'"n� � PROFESSIONAL
LAND SURVEYORS. SAq CERTIFICATIONS SHALL RUN ONLY
THE PERSON FOR 040M THE SURVEY IS PREPARED. AND
ON HIS BEHALF THE COMPANY. GOVERNMENTAL
AGENCY AM LEN M NNSTnuTION LISTED SON, AND
MimAMONMCrTMEL&MMOaTlnnaN.'
Map of a Survey made for
THOMAS M. & KELLY L. REUKAUF
Town of Queensbury, Warren County, New York
ate A Y , 1002
Scale 1'=100'
S-1
/�
SHEET OP 1
REUKAUF C-618
DWG. NO. 0128G
NO.
DATE
DESCRIPTION
CV
I
N
123-1-42.3/307-1-9
At �1A
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept,of Community Development Arrive�L am/ epart I ai pm
Town of Queensbury ector's Initia
742 Bay Road
Queensbury,New York 12804
NAME P # `�L�—�oj�
LOCATION DATE 3--3 —rp,3�_
TYPE OF STRUCTURE
N/A YES NO COACOENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,lauding 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shutoff at entrance to furnace area-
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doorstmain entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
1 Bathroom fans
Plumbing fixtures _t
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
roan Electrical
Site PlainlVanance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)__,
Okay to issue permanent C/O(Certif.of Occupancy)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INCi
fain Office 176 Doe Run Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE P. ELECTRICAL APPROVAL
Crut-iad
ert1 No.Permit
Not ,H#+ff,Iif,,,,,,i#Niuf„##,ialiilii �j
lf,lilIli.ifplliiiiffrf.Igiififrlflll,Mflfl}iq„1NIYiffi fffliilN,1/1#„!„Mini1lfflNU
79517
1. ffll*"# ', i� 1IM#fi! iiiifff.i,Hr„1#i/i
owner$406010141--40010
� 5 � ,it,uli11M1ei/fillpu,ilgrffalllu!lr,11,,.,l.f#Ifffff#f.sf IH„fl11/Ifui//r#
a ILI
Locationi,iii##„r,i#i#ff.ff.Iili,..rf#gp,f„ ii#ti,ii##„ffpf#H,fff. I,r.,,If„
J(! 1
I {r
f ifrl +flirffl/IffrNlNur1111la/�iuffl•Ifff.fillllNfl.gll
Installation onating of f..If/II,Iffi,.Nlifr,fil,fiilffl.lii�if ff/ 11/ �
0�00
i1N.0 II.ffN1#i11lf.1/I Iifflwtaoof
ffllfl,i,/lllfl.If,uflf/fpff,l.il.,1
�! 111il1i fi/1.1lii1flill
l,.1ifflifolloole f/!# f/fu/iHfi!/ll.ilil11i1fi 1/Nl.i HN f
*„*too al„I , ,il,M#Itaflff.lth ells,f.If/fffrll.Mi.i##Of off►/fffll�fff,.ilfffff/11.fl.11floose Nlf,f,.111{
serf.Ill,ial, l#,iifl,l,#ffuiffi, raariii #
,/� Ntf�'f 111 ili if l.f#fllffrrlf Ulf i,ffl,i.l,iHIp1Y.N.ff.,Lice •1 V# f.,#i!f}!#IiifNiif,if.IfiN,rl1##f,}„f iiifff ifi.
Installed Byloolool.ot'felf
f governed the issuance of this certificate, and any certificate previously issued is
The conditions following
cancelled: -
lectricalequipment and installation conditions as of date, Upon tht
This certificate only covers the e
' additional equipment or alterations, application shall be promptly made for inspection.
introduction of addpp
' hall have the rivile a of rria ' inspections at any time, and if it
Inspectors of this Company s p g
rules are violated the Company shall have the right r oke rtificate.
py
i - i
Datel�Iflrlf,111NlIp ifffif„f!fl.,fi#.#ifHffflllN INSPECTOR iil ff4!lflff,•1.1 'f feelffli#iIIl,!lIIllffqlNlff„f,11lff.11„,f/#!f!f/fiYiff.ff„/Nlf.l
Member N E.P.Ai, IIA.E/I/
Town of Queensbury
£- Fire Marshal's Office
742 Ray Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518)745-4437
Fire Marshal's Inspection Report �
Request SCHEDULE
Received: Permit# 20C)Z.—(dS7 INSPECTION ON: 7, Z —UU22
Name: 9,1= -'�O AM M ANYTIME
Location: T1�T 1�1 L fl
APPROVED
N fA YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGHIN
FINAL
FIREPLACE
MASONRY ROUGHIN OK THIS E K C NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGHIN
INS C ED
FINAL
COMDEVICHRISJ/WORDILETTERS20011FIREMARS LINSPECTIONREPORT11 001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive epart
Town of Queensbury ector's Ini .,r.
742 Bay Road
Queensbury,New York 12804
. t
NAME # �7
LOCATION t �'� t DATE 7— ""7
TYPE OF STRUCTURE ? �F=
N/A YES NO COMIVIE'NTS
Chimney HeightP lY'Vent/Direct Vent Location VA
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to fumace area
FurnacelHot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathraom/Mtchen watertight
Interior across ils ow inistairw stairwells
1$in.or more ` 1�
Railing across window in stairwells `�—
Smoke Detectors:
every level
every bedroom �� /fie
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures VtJ
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variarice required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)____,
Okay to issue permanent C/O(Certif.of Occupancy)
0 oc�
RESIDENTIAL FINAL INSPECTION REPORT � TAJ
Office No.(518)761-8256 Date inspection request receivedOK4y
r`. Building&Code Enforcement F
Dept.of Community Development Arrive m/pm De'a
Town of Queensbury Inspector'sIniti
742 Bay Road
Queensbury,New York'12804 /
NAME PF1LVa L# _ t
LOCATION K'�a T OM411 L. Rnp D DATE — /- O
TYPE OF STRUCTUIM
N/A YES NO CO NTS
Chimney HeightrU'Vent/Direct Vent Location it
Fresh Air Intake -
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36" '\M "� dL`�F\ tJ l`�EiJ
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers Gin
Grade 2%away from foundation `
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade I
Gas Furnace shut-off within 30 feet or within line of site 76 t� 1
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in. �1
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36" ��\�c� � •�\�
Floor Finish
BathroomMtchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors. 5� �
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures _--
Foundation insulation (� �-
3/4 hour fire door/door closer
Garage fireproofin
Garage penetrations sealed p
Furnace in separate room protected(in garage)
Light ventilation per room ,
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required J �
Final Survey Plot Plan `-
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance) Q
Okay to issue temp.C/O(Certif,of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
b
TOWN OF QUEENSBURY
FINAL INSPECTION CERTIFICATE PROPERTY TAX MAP NO.
Bob Hayes Excavating
PO Box M6 D-Box 105'from Well
Lake Luzerne, NY 12846 Well Septic Tank 64'from Well
(518)696-7176
Main Structure
18'6' 21«6«r
Porch 1000 Ga
5116" 47'6t'
4 X 50'Runs
Permit No.P20020687
Thomas&Kelly Reukauf
Tuthill Road
Queensbury, NY
The above sketch shows the locations of the units comprising your sewage disposal
System for future reference in case of difficulty. It shows measured distances from
Buildings,trees,garage,fence posts,etc., to the components of your sewage disposal
System.
Constructed by: Bob Hayes Excavating Date Installed:February 25,2003
1
Design Basis
1. Number of Bedrooms 5. Septic Tank Type: 1000 Gal.
2. Daily flow: - GPD 6. Size of Leaching Device:
4 X 50' Leach Lines
'3. Undisturbed soil depths: 7. Type of System: (Conventional,
A. To Groundwater: fill,etc:
B. To Impervious Lens:
4. Percolation Rate: MINAN
Approved By: Date:
1
0 (D 0 0 0-0 -r- a W .a. a+(D 0 CC 0 0 a 0 a
n :io c c n (D lA :3 A. O a N N 'S :5
a ar 4 'S >-h a 5 :5 )1 :3 r} r(a IM z (D `o(D c+(3 Q rn c r (D a (D
�► T
' jct0 �0 1 0.a (D > :rrfi ;S a 0 �
M 0) a A) N 0 0 0 zoo 0v rh J' � C
11
rr rF C+ V
0� 0 r� VI. m`h 0.,,t, � Ut 0 w
t� ,l %J ;o0 0 0 0 %ill x 0 N Vt o o m I Q �
ra t' 0 �+ C+ To 0 rho � oz m � �� � �
all � � I �, � � Q
(D a -h z (D rr 0 a in -1
roc
a� 0 a (D as ' 0
n m o
,+
(+
V) -h - -, I 1<
00 a m (D (D m �'
m 0 rt (+ �F a
lF'IF:Za M^F:;Zc3"^L-
-r4CDWN OF ClUIHElNSE3UF;Z"lr
-(:;lUE-=aN5SE3Uf::;."lr, N)r 1280
(518) 761-820C 5
FIRE MARSHAL INSPECTION R
REQUEST RECEIVED
NAME
LOCATION 715-2-5, PERMIT #
SCHEDULE INSPECTION ON —
F 2�2 c:>4 M
APPRO(%*E�
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAOE
CHIMNEY
WOOD STOVE
FIREPLA��; [—I MASONRY V?l'FACTORY BLT.
ROUGH-IN
FINAL
REMARKS: 0 C:)K TO THIS DATE
Jr
77 tl �44
INSPSLIP.PUB INSPECTOR
Septic Inspection Report
100)
Office No. (518)761-8256 Date Inspection request re ed-
Queensbury Building&Code Enforcement Arrive: JfDb a a
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: RMIT NO.:
LOCATION- 3 INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Typq:'—Sand
= am/Clay ,
Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distance W7 ft. Comments and/or diagram
6
Other wells:
Absorption Field: Total length
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 �All AC-IA-1A0
Tank to Distribution Box LA 1% 9�C
Distribution Box!%Field Pit !Awl NN C-
Opening Sealed:C)V-N7 Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption. ft.
Separation of Pits &
Conforms as per Plot Plan Y VN
Location of System on Property:
(Gj�Rear ( eft Side Right Side
Middle Front Middle Rear
System Use Status:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone(518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request `7 SCHEDULE
Received: Permit l INSPECTION ON: c�� ��
Name: Alit! P /ANYTIME
Location:
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL _
CHIMNEY
FACTORY BUILT ROUGHIN
FINAL Z 7 �'C��J�1 C� I
WOOD STOVE G-
ROUGHIN
VENTED GAS FINAL
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS D OR CO NOT OK
FINAL
FIREPLACE Locov A .
FACTORY BUILT ROUGHIN INSPECTED
/13
FINAL
COMDEV/CHRISJ/WORD/LETTERS2004/FIREMARS ALINSPECTIONREPORT1102 1
WHITE-BUILDING DEPARTMENT COPY YEL OW-OCCUPANT COPY
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 Notes-,
Queensburj; AY 12804 ARRIVE am/pm: DEPART amlpm
(518) 761-8256 Inspector's Initials
NAME: e�)k rA PERMIT
WCA INSPECT ON(date):
TQ.
LA
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
FootingsMiers
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
-FoundationfWallpour
Reinforcement in Place
Foundation/Dunpproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
Heati Rough-in
I at ion
IV- Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls It- 1c, F j. 1,-A- 1234, 0�:-
Ceiling R- 30 C,14,1,1
Duct work or piping in
I, unheated spaces R- &lie-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/BridgingJoist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
L:\SueHemitigway\Building.Codes.Inspecdon.FORMSkGENERAL INSPECTION REPORT-doc
GENERAL INSPECTION REPORT
(-518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 31,t)am/pm Depart am/pm
k"A
Inspector"s Initials
NAME: L, PERMIT# 6
LOCATION: 33 TaX,7142c DATE
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
Reinforcement in Place
Foundation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing VentlVents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R- f
Foundation Walls Exterior R-
Floors R
Walls R- A
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framin
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
Office Use
GENERAL INSPECTION REPORT Inspector: 7;1�0
Town of Queensbuty Ready attime: Ck'-c—'-0
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road Notes:
Queensbury, AT 12804 ARRIVEa I I I'Na DEP iti
(518) 761-8256 Inspector's 11niti
MIT;V —7 -Q r-,7
NAME: PERMIT# 7—Q C, (n
LOCATION: MMM VA— gM A� INSPECT ON(date): �7-:—\S-67-
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
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab—
V tmP bing Vent/Vents in Place
ulzgh Plumbing t-\
Heating Rough-In
Insulation
Foundation Walls Interior R-
C'
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent --Vol
gaming
' ",
Jack Studs/kea—derl
Bracing/Bridging
Joist Hangers
2'n Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
rnre Wall 2,3,4 hour
V/Firestoppin Eli V
L-.\SueHemingway\]3uilding.Codes.Inspection.FORrvfS\GENERAL INSPECTION REPORT.doc
-_7� ��� Office Use
GENERAL PE TI %P T // Inspector:
Town of Queensbury
Ready at time: 2:
Dept. of Community Development Request received. Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE?, a pr . E A am6!_n otes:
(518) 761-8256 Inspector's Initi ►s
NAME: PERMIT#_:ZbD 7 -.�
LOCATION: �< �. INSPECT ON(date): j t-7js7p
TYPE OF STRUCTURE: EQ _kN f 2— 0—CA R 2,f R
RECHECK I
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
Reinforcement in Place
Foundation/D ampproofmg
Backfill Approval
lumbing Under Slab
lumbing VentlVents in Place
✓RoughPlumbing �
Heating Rough-In
Insulation F�J
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
roper Vent Attic Vent
Framing_
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack PostslMain Beam
Air Infiltration Barrier
ire Separation 1,2,3,hour
Vt Penetration Sealed
/Fire Wall 2,3,4 hour
V Firestoppin ao Tlp
L:ISueHemingway�Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at ' e
Dept. of Community Development Request received: b 16,�— Meet:
Building& Code Enforcement / At time:
742 Bay Road`
Queensbury,NY 12804 ARRIVE am/pm: DEPAR am/pm Notes:
(518) 761-8256 nn Inspector's Iaait'als
NAME: �rtS� r PERMIT4 �- �
r
LOCATION: �J.Xah INSPECT ON(date):40
TYPE OF STRUCTURE: --�
RECHECK
N/A YE O COMMENTS
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible lor
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Walipour
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:ISueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doe
✓~ Office Use
G� ob GENERAL INSPE ON 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(, ID am/p D AR �: a Notes:
(518) 761-8256 Inspector's Initi
NAME: _ ��I 1Y,PsI y PERMIT#_oa7
LOCATION: I i.A_ RhEND INSPECT ON(date): Z�=_OZ—
TYPE OF STRUCTURE:
RECHECK
N/A YEV,NO COMMENTS
Footings 'ers Z X i l _
ithic 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
enforcement in Place
oundation/Dampproofing
Backfill Approval
Plumbing Under Slab
lambing Vent/Vents in Place
ough Plumbing
' �rleating Rough-In {�
Insulation a'
Foundation Walls Interior R- ,
Foundation Walls Exterior R-
Floors $tbFtA�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:1.SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc
Office Use
GENERAL MSPECTION REPORT Inspector:-�E
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIV Notes:
E(518) 761-8256 Inspector's In ia
NAME: PERMIT#
LOCATION: I AN U— RD-RD INSPECT ON(date):
TYPE OF STRUCTURE: c6 n
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 K
Reinforcement in Place
Foundation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing C>t3
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping mi
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 Scaled
Fire Wall 2,3,4 hour
Firestopping_
L.\SueHemingway\Building.Codes.Inspeefion.FORMS\GENERAL INSPECTION REPORT.doe
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: 2— Meet:
Building& Code Enforcement At time:
742 Bay Road Z
Queensburj; AT 12804 ARRIVE am/pm: .DEPART am/pm Notes:
(518) 761-8256 Inspector's Initial Ay-
NAME: PERMIT# G' I
LOCATION: 1 v! ��� U'`-�I INSPECT ON(date): ?A6 67-
TYPE OF STRUCTURE:
RECHECK
MAI YE NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place J
The contractor is responsible for
providing protection from freezing / r
for 48 hours following the placement V
of the concrete.
Materials for this purpose on site
Foundation/Wallpour _
Reinforcement in Place _
Foundation/Dampproofrng
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.FORMStGENERAL INSPECTION REPORT.doe
"S 0 Q 0 fD 0 0 O"o �+, a N(+ M N
a sit N� "S+ C C C�(D CL wO 0 N N -0 to : � c} N
"4.a o Z(D (D > :r f+ r' ID a
(� rt � � I m o so 0,0
rf r. 0 C+ �M
�r � 11 N Q Q .ar "f1 0 tom#
�./ T 0) 0 C�' Z 04 (D Ql Cr �
.o
Y
0rM �7 ID c� 0
ro IU rF I� Spa � 1 0 � '� � I�;1
r c (D C M N C
I tD c+ to I
ct 0
t a rorom e+
0 Z O (D (D -J.
0 (+
f �