2002-934 TOWN OF QUEENSBURY
. - 742 Bay Road,Queensbary,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CEIRTA IFICA OF
TE OCCUPANCY
Permit Number: P20020934 Date Issued: Wednesday,February 05,2003
This is to certify that work requested to be done as shown by Permit Number P20020934
has been completed,
Tax Map Number: 523400-296-015-0001-008-000.0000
Location:: 61 COUNTRY CLUB Rd
Owner: HAYES&HAYES,L.L.C.
Applicant: MICHAEL HAYES
This structure may be occupied as a:
By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Director of Building&Coe 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: P20020934 Application Number: A20020934
Tax Map No: 523400-296-015-0001-008-000-0000
Permission is hereby granted to: MICHAFT.HAYES
For property located at: COUNTRY CLUB 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 KYS Uniform Building Codes and the Queensbury Zoning
Ordinance. lr�------- Tie of Construction Value
Owner Address: A&&41er�q eles-eWcf:1-1--� Single Family Dwelling 65,000.00
39.5 XJ,
Total Value 65,000.00
Contractor or Builder's Name f Address Electrical Inspection Agency
DAN DEL STCTNORF
NY 12804-0000
Plans&Specifications
2002-934
Construction of a 1,401 sq ft single family dwelling per plot plan and specifications.
$168.12 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, November 18,2003
(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 T777n Aafovember 18,2002
SIGNED BY for the Town of Queensbury.
Director of.Building&Code Enforcement
Building 'Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
r
A permit must be obtained before beginning constructionµ Permit File No. /�Q-]_ 3
No inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Rec. Fee Paid
application must be completed and must appear on the_ Reviewed By.' '
application form. ,
Applicant: /d?l�LeCe� S _ Owner:
Address: I-'r Address:
,sk:�,- .i, ed E E1VED
Phone#(5 I f-)29X-_ t Phone
Email Address: _ Email Address: NOV 0 E�. 20Q2
Property Location: Lot Number: / House Number / (a ,�f`,�,, TOWN OF QUEENSBURY
p i�-- BUILDING AND CODE
Subdivision Name- �� Tax Ma Number, �G—
tzf New Building: re�sidence�commercial Estimated Market Value of Construction: $
❑ Addition: re�e/ commercial
fl Alteration: residence/ commercial If an Addition,what wil use of new addition be?
❑ No change to exterior size: residence!com'l �-
a Other work(describe )
Check OcctutpancyInformation I"Floor 2'd Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling '7 G 4 / ka 8 .j Z
a Two family dwelling -
❑ Townhouse
❑ Multifamily dwelling
#of units
❑ Office
❑ Mercantile
a Manufacturin
Ea 1 car detached garage "—
_ O __ 2_c_ar detached-garage---
a 3 car detached garage
❑ 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage-
❑ Storage building-
commercial
❑ Storage building-
residential
Q Other
t
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumberZbe used? If so,for what?
Type of Heating System: electric/ oil / as wood /forced hot air/ baseboard/othet:
Number of Firentaces to be installed 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 E i . '
Plumber
Mason 4 :
Electrician e
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,area 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. 17urther,it is understood that 1/we shall
submit,prior to a Certificate of Occupancy or Certificate of Coingliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes an As Bui rvev by a licensed surveyor;drawn to scale,showing actual
locati6u:ot'all new co truction.
Signature:� ;/__�owncr,bwner'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:
...............i...............................................................................................
Location of installation: C641-.j1-,7 Office Use
Tax Neap No:
File Permit NO. 0/
-1 -x29fn--C- L C. Fee Paid
Owner's Name:
..................................................................... ...... ....................
Address:
2. INSTALLER'S NAME TZ"C.,V PHONE No.'2
3. RESIDENCE INFORMATION: (circle year of dwelling,indicate 4 bedroom(s) and multiply# of
bedrooms withdpplicable 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 x 110gal/bdrm =
Garbage Grinder Installed yes no ME�CEIVED
Spa or Whirlpool Installed yes no NOV 0 6 2002
TOWN OF QUEENSBURY
4.'- PARCEL INFORMATION: (circle applicable information&indicate measurements) BUILDING AND CODE
Topography Soij-L,,I�Ur e Ground Water Bedrock or Tranervious Material Domestic Water Suiml
Flat d ayn, t d, <z7Egn�ci �
en-�� t ,hq depth t-vvhakkp�h
Steep slope m -4 feet feet well
y If well;water supply
C2�%�Szope %o -yer) from any septic-system
depth: absorption is_ft.
other
Percolation Test: (To be completed by licensed professional engin-eer or architect)
Rate: 5f-c- minute per inch ee 0-'-e
5. PROPOSED SYSTEM: For New fQnstMS42n: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved sub-division). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub,
Septic Tank: 1000 gallon (min. size 1,000 gal)
Tile Field: each trench ft Total System Length: ff
Seepage Pit(s)-. number of size ze ofeach:
by
Size of Stone to be used: 0 depth or thickness feet
Bed System Size: x
Alternative System: length andlor size
6. HOLDING TANK SYSTEM: quire4)
Number of tanks: Size 01 e4c gallons /TOTAL Capacity:_gallons
Note: Alarm System and associated -0 cal work must be inspected-by a-Town approved
electrical inspection 4genc
7, SIGNATURE &INFORMATION FOR 11,ESP. NSIBLE PERSON(please mad)
For your protection,please note that pursuant to Section 13 6-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person Date
`1 omill of (Illevilsbtsi-y _
1:114 silul Sew,il:<. DN l)cstistl (:}:stylit':
S1W RATION 'Iti:tlt,�i iti,[1I ir:N'I`{;
____ __ r._ �-A•.� J.fit POND
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- �..�^'� L/L1.L IN TtpTfS'Ij` ,.: - � ✓�/ t:i ft'rt'd ,
15QV:Sr~ C7 �>= T2ji1'. y�tlOv-sr- G c-
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t�tY3rKtPtr�t i
7. SIGNATURE 8c INFt7RNIATION For,��YViV�uss.n r>:,c.�vs. �.�o�,s• ..•.,.� ;
. HIGHWAY
Rickard A.hlxssita
Highway Superintendent
DEPARTMENT
Home(518)798-5127
742 Bay Road • Queensbury,NY 12804 M&Aael F Travis
Dice Phone: (548) 761-8211 Deputy Highway Superintendent
Fax: (518) 745-4466 (518)798-0413
DRIVEWAY PERMIT RECEIVE®
NOV 0 0 2002
DATE:
1 TOWN OF QUEENSBURY
APPLICANT NAME: A;c4'(& UILD{NG Atop CODE
TELEPHONE NO.: �2— 91 q)-
ADDRESS TO BE INSPECTED: �ti �j ��� � 7f—V A p296. �—
RETURN ADDRESS: 0riy +rt,► I��
Applicant must show exact location and width of driveway(s)to be connected to the highway by
placing stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The
following action has been taken: , I I I I ,
STEP I: { )Preliminary Approval
NEED: { }Slight swale
{ }Level with the road
{ )Deep swale
Size pipe to be used(if necessary)
( }I2" ( )15„ ( )IS" ( )24" ( )36„
Preliminary inspection completed by DATE
Approval by Highway Supt. Deputy Supt
Upon completion,please resubmit this approved permit for a final approval.
STEP 2: ( )Final Approval
( )Rejected
DATE:
Richard A. Missita,Highway Superintendent
btyl)
Project Name:-PidveLs 4w BP#
Address: RE 1EIVED
Building Permit Submission NOV 0 3 2002
S 4&fa n dy dud 4
Tv&fangy du&i g TOWN OF QUEFNSBURY
Checklist BUILDING At-, CODE
All items below must be checked either yes,no or not applicable prior to submission of any building
permit to the Town of QueensburyBuilding Department. If any of the below items are lacking,the permit
will not be accepted until such time as the application is deemed complete for submission.
1. Building Permit Application Completed ... ... ... ... ... ... ... ...I ... ... ...... . s ❑no ❑n/a
2. Energy Form or CheckMate Energy Gc)de Compliance Form; Complete no ❑n/a
3. Energy Code Inspector's Report from Check1date Program.. ... ... ........ EJ no ❑n/a
4. Septic application completely filled out(if applicable)...... ... ... ............ ❑no ❑n/a
5. Solid Fuel Burning or Gas Appliance Form.... ... ... ......... ... ... ...... ... .... yes no 2/h/a
6. Electrical Inspection Form... ... ... ...... ... ...... ... ......... ... ... ...... ...... .. .5ye s 00no [:]n/a
7. Two(2) complete sets of structural drawings... ..... ... ...... ... ... ...... ....... [:]yes [:)no Fln/a
a)floor plan;b)foundation plan;c) cross sections:d)elevations;
e) window and door schedule a I
8. Two(2)site plans showing location of the structure to be built.... ... ...... yes Flno nn/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure... ... ......... ... .............. ��'s E]no E]n/a
10. Setbacks to neighboring wells and septic systems,including onshe well s Flno E]n/a
and septic systems (if applicable)
11. DiivewayPermit... ... ......... ... ... ... ... ... ... ...... ......... ...... ... ... ...... E]no E]n/a
Date:
Staff Initial:
L:\Suel-lemingway\Buik6g.Pennit.FOR.XB\Gencric Checkfist.doc
it Number
it Number
MECcheck Compliance Report , FChjpc�kedBy#64e
r C
Proposed New-York-State Energy Conservation Constri on.Code
NECcheck Software Version 3.3 Release lb.
Data filename:Untitled
TITLE:HAVES GROUP DEVELOPMENT RECEIVED
COUNTY:Warren 140V 0
STATE.New York
ZOOZ
HDD:7635-
CONSTRUCTION TYPE:Detached I or 2 Famil ly TOWN OF QUEENSBURY
11 CODE
HEATING TYPE:Non-Electric BUILDING A N
DATE: 1,1/06/02
DATE OF PLANS: 11-03w02
PROJECT INFORMATION:
COUNTRY CLUB ROAD
COMPANY INFORMATION:
HAYE&gR0UP DEVELOPMENT
.COMPLIANCE:Passes
Maximum UA=428
Your Home=323
24.5%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat.Ceiling or Scissor Truss 794 38.0 0.0 24
Ceiling 2:Cathedral Ceiling(no attic) 54 30ff 0.0 2
Wall 1:Wood Frame, 16"o.c. 1107 19.0 0..0 66
Wall 2:Wood-Frame, 16"o.c. -1125 -19.0 0.0 -68
Basement Wall 1:Wood Frame,;8.0'ht10.0'bg/4.0'insuI 153 19.0 0..0 34
Basement Wall 2:Wood Frame,4.0'ht/0ff bg/4-.0'insul -126 11.0 0.0 .11
Ba,sement.Wall k Wood-Frame,8.0'ht/-7.0'bgtS;W insut- -664 11.10 0.0 27
Window 1:Vinyl Frame,Double-Pane 91— 0;490 45
Door 1:Solid 20 0.070 I
Door Z:Solid 20__ -0.,070 1
Door 4:Glass 40 0.490 20
Door 3:Glass -40 0.490 20
-Floor I-All-Wood Joist/Truss,Over Outside Air -419 3040 0.0 4
Furnace 1:Forced Hot Air,92 AFUE
MECcheck Inspection Checklist
Proposed New York'State Energy.Conservation-Construction Code
MECcheck Software Version.3.3 Release lb
DATE: 11/06/02
TITLE:HAVES-GROUP DEVELOPMENT
Bldg.
fit•
Use
Ceilings:
]. I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R 38.0 cavity.insulation.
Comments:
[ j I 2. . Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity.insulation
I Comments:
Above-Grade Walls:
1. - Wall 1:Wood Frame,16"o.c.,.R-19.0 cavity insulation.
Comments:
[ ] I 2. Wall 2:Wood Frame, 16"o.c.,R 19.0 cavity insulation.
Comments:
Basement Walls:
[ ] I 1. Basement Wall 1:Wood Frame,8.0'ht/0.0'.bg/4.0'insul,.R 19.0.cavity insulation
Comments:
[ ] I 2. Basement Wall 2:Wood Frame,.4.0'ht/0.0'bg/,4.0'insul,R 1.1:0 cavity insulation
Comments:
[ ] I 3. .Basement Wall 3:.Wood Frame,8.0'ht/7.0'bg/8.0'insul,R 11.0 cavity insulation
Comments.•
Windows:
[ ] I 1. Window 1:Vinyl Frame,Double.Pane,U-factor:0.490
For windows without.labeled_U factors,descn'be features:
#Panes Frame Type ThermalBreak?[ ]Yes[ ]-No
Comments:
Doors:
[ ] I 1. Door 1:Solid,U-factor:0.070
Comments:
[ ] I 2. Door 2:Solid,U factor:0.070
I. Comments:
[ ] I 3. Door 4:Glass,U-factor:0.490
#Panes Frame Type Thermal Break?[ ].Yes[ ]No
Comments:
[ ] I 4. Door.3:Glass,U-factor:0.490
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
I Floors:
C ] I 1. Floor 1:All-Wood Joist/Truss,Over Outside Air,R-30.0 cavity insulation
Comments:
-=r
Heating and Cooling Equipment:
L ] I 1. Furnace 1:Forced.Hot Aar,92 AFUE or higher
Make-and Model Number
Air Leakage:
L ] I Joints,penetrations,and all other sudropenings in the building envelope that are,sources of air
leakage mustbesealed.
[ ] I Recessed lights-must-be Type-IC-rated and=installed with-nopenetrations,-or Type-IC-or-non4C
rated installed inside'an appropriate air-tight assembly-with-a 0.5"clearance-from combustible
materials and 3"clearance from insulation: 1`
I �
Vapor Retarder:
[ ] I Required on-the warm-in-winter side of all non vented framed ceilings,walls,and floors.
I
Materials identification:
[ ] I Materials and equipment must beinstaliedin accordance with the manufacturer's installation,
instructions.
[ ] I Materials-and-equipment-must be identified-so-that-compliance-can-be-determined.
[ ] I Manufacturermanuals for all-installed-heating and cooling:equipment and-service water-laeating
equipment must be-provided.
[ ] I Insulation
R values,glazing U=factors,a ffi nd-heating equipment-eciency must be clearlymarked on
thebuildingplans or specifications.
I
Duct Insulationr
[ ] I Supply-ducts-in:-unconditioned attics or outsidethe-buildingmust-be insulated-to R 11.
[ ] i Return ducts-inmnconditioned-attics-or-outsidethe buildingmust be-insulated-to-R 6.
Supply-ducts-in-unconditioned-spaces must be-insulated-to R-11.
L ] I Return-ducts in umconditioned-spaces-(except-basements)-must-beinsulated to x 2.
Insulation is-notrequired on,return ducts in basements.
I '
Duct Construction:
C ] I All joints,seams,and cormections must be securely,fastened with welds,-gaskets,mastics
(adhesives),mastio•plus-embedded4abric,or tapes. Duct tape is not permitted.
Exception:,Continuously welded-and-locking-type longitudinal joints and seams on ducts.
operating at-less than-2-in.w.g.(500`Pa).
[ ] I Ducts shall be supported'every 10 feet or-in-accordance with the manufacturees-instructions.
[ ] I Cooling ducts with exterior insulation-must be covered with a vapor retarder.
L I Air filters-are required in the return air system.
[ ] I TheHVAC system must provide_a means for balancing airand-water systems..
I
Temperature Controls:
L ] I Each-dwelling unit has at lesat one thermostat capable of automatically adjusting,the space
temperature set.point of the largest zone_
I
Electric.Systems:
[ ] I Separate electric-meters are-required'for each-dwelling.unit.
Fireplaces:
[ ] I Fireplaces must be installed:with tight fitting:non-combustible fireplace doors.
I -Fireplaces must be.-provided,with a-source-of combustion air;as required bpi the Fireplace construction
provisions of the Building Code of New York State,the Residential Code of New YorkState or
the New York City Building Code,.as applicable
I
I Service Water:11eating:..
[ ] I Water heaters with vertical pipe-risers must have a heat trap on both the inlet and outlet unless the
ENERGY CODE COMPLIANCE APPLICATION RECEIVED
TOWN OF QUEENSBURY, WARREN COUNTY NOV 0 6 2002
9000 HEATING DEGREE DAYS
TOWN OF QUEENSBURY
Compliance Methods:Part 5 -Acceptable Practice'Method—1&2 Family Dwellings (only) BUILDING AND CODE
Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling;
Multi-Family Dwellings (3 Stories or less)
Part 4*-Design by Component Performance, Commercial Buildings-Hi
Rise Residential
*Requires submission of worksheets
APPLICANT'S NA E: PROPERTY OCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
I Gross Floor Area square feet
2. Type of heat-—Electric Oil_—A—Gas Other
3. Is building mechanically cooled?—yes_XNo
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: U>
a*. Roof R*R
b. Exterior walls
C. Glazed areas
d. Exterior doors
e. Floors over unheated spaces R
f. Edge of slab on grade(heated building) R
9- Basement/cellar walls (above grade)
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
Applicant's Sipture Date Phone Number
bc
INSPECTOR'S REMARKS:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC,
Main Office 176 Doe Run Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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The conditions following governed the issuance of this certificate, and any certificate previously issued il,
cancelled! -
This certificate only covers the electrical equipment and installation conditions as of date, Upon thi
introduction of additional equipment or alterations, application shall he promptly made for inspection.
Inspectors of this Company shall have the privilege of 'ng inspect ions at any time, and if its
rules are violated, the Company shall have the rightp r voke his certifcatef
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RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrivi, !,ja j*?Debart
tor'
Town of Queensbury S * s
742 Bay Road
Queensbury,New York'12804
NANE PERMIT#
LOCATION DATE
TYPE OF STRUCTORt
N/A YES NO COMMENTS
Chimney Heightf'R'Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete 01
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 QV--9=
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 furnace area—
Fumacefflot Water Heater operating_ V/
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs V
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
BathroomMitchen 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
Bathroom fans
Plumbing fixtures I
Foundation insulation
'/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 VA
Final Electrical
Site Plan/Variance 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)__j
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Residential Final Inspection
Office No.(518)761-8256 Date Inspection request r bed:
Queensbury Building&Code Enforcement Arrive: a m D art' "� a� .
742 Bay Rd.,Queens ry,NY I2804//,, Inspector's Initia ,-
NAME: w L /,— P T#: ��' <
LOCATION: ATE: o
TYPE OF STRUCTURE:
Comments
Y N 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 in.or more X
uard 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
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 safety glazing
Interior Smoke De ctors:
Every level: / very$ roam:
Outside every bedroo ia.
Inter Connected: / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures (,,n
Foundation insulation-
Floor truss,draft stopping finished basement 1,000 sf
mergency egress below grade
sement stairs clo >4 inches
/4 hour fire doo door c oser 01
Garage fireproofing - � b, 3
Duct work Sealed ro erly
Attic access 30 in.x 2 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s .ft.vents
uildin 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/0(Cert.Of Occupancy)
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RESIDENTIAL FINAL INSPECTION REPORT
0 ra 1
Office No. 518 761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart�t�'tvtpm�/'
Town of Queensbury Inspector's Initials �JI -
742 Bay Road
Queensbury,New York 12804
q ,
NAME PERMff c ``
LOCATION , DATE
TYPE OF STRUG
N/A YES NO COMMENTS
Chimney HeightP°B"Vent/Direct Vent Location
Fresh Air Intake IA
Plumb Vent through roof
Roof Complete
Exterior Finish Complete ✓ L fL+J j �
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 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/doors/main 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
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing ✓ _
Garage penetrations sealed A v'
Furnace in separate room protected(in garage) ti
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical v
Site Plan/Variance 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)
Rough Plumbinknsulation I ection Report
Office No. (518)761-8256 Date Inspection request received: (1:V114—
Queensbury Building&Code Enforcement Arrive:-am/pm epart: -am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
Lc INSPECT ON
LOCATION:
TYPE OF STRUCTURE: U
Y N N/A
zj
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
CPVC,Pex One&Two Family__
/wxlti Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
-V/1
C -26
COMMENTS: tL�
L:\PamW\Wliiting\Rough Plumbing Insulation Report.doc
Rough Plumbing/ Insulation Inspection Report
i '//C^��
Office No.(518)761-8256 Date Inspection request received: 1
Queensbury Building&Code Enforcement Arrive: am/pj D a am/pm
742 Bay Road,Queensbury,NY .12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: QJQ� INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iron,Copper Drain/Vent Z Comm.
Plumbing Vent/Vents in Place
Aough Plumbing/Nail Plates
A
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
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L:\PamW\Whiting\Rough Plumbing Insulation Report.doc
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request rerceived
Queensbury Building&Code Enforcement Arrive: am/0 epart:
m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials.
NAME: PE #: -
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y i N N/A
Po'otings
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 Dampproofing/Waterproofing
Footing Drain Daylight or Sump
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 Grade 6 inch drop within 10 ft.
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm De art• r am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials
NAME: PERMIT#:
LOCATION: --cw—;4fYi� 6 ?o INSPECT ON: 1
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
opper Commercial
C�opper,CPVC,Pex One&Two Family
V"Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L:\PamW\Whiting\Rough Plumbing Insulation Report.doc
L
Rough Plumbing/ Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:.r, ?—
Queensbury Building&Code Enforcement Arrive: am/ Depart:It, 19 a
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT
LOCATION: INSPECT ON:
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
opper, CP)�Q_Jex One&Two Family
sula u, n V'0 OMEN
Psi,entlal Check Commercial Check �/1�51A"!.o�—'
Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed.Properly
It�--0�097!17-17
61W I 'NTS:
L:\Pamw\whiting\Rough Plumbing Insulation Report.doe
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Framing 1 Firestopping Inspection Report
Office No. (518)761-8256 Date,Inspection request received: I -
Queensbury Building&Code Enforcement Arrive: anVpm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initial§:-
NAME: § PERMIT#: 0
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Jack Studs Headers
Bracing Bridging
Joist hangers
Jack Posts/Mai cams
Exterior sheetin Mai
properly
12"O.C.
Headroom 6 ft. 8 in
Stairwells 36 in.or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing alls
Metal Strapping for Notdhe's Top Plate
I V2(w) 16 gauge(8) 1�D�ails each side
Draft stopping 1,000 s�' ft. 'floor trusses
Anchor Bolts 6 ft.?F,,fess on enter
Ice and snow shield 24 inches from wall
Fire separation 1,2,3 hour
ire wall 2, 3,4 hour
V Firestopping 2)
Penetration seaTe'd
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
Ceiling4all
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above below grade
5.0 sf grade
Septic Inspection Report
Office No. (518)761-8256 Date Inspectio_p- eiv
tio iti c
Queensbury Building&Code Enforcement Arrive: e
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi
NAME: NO.:
LOCATION:. INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distan el� ft.
Other wells: t� ft.
Absorption Field: Tat 1 le h ft.
Length of each trench
Depth of trenches
Size of Stone
Seepage Pits: Nurnberj//
Size:
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field APit
Opening Sealed: Y/NI P"al
Location/Separations
Foundation to tank
Foundation to absorption ft.
Separation of Pits , - Z ft.
Conforms as per Plot Plan V Y N
Location of System,on Property:
Front Rear Left Side Right Side. C>
�iddle-Front fiddle Rear
System Use us:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
t � - -\
Queensbury Building&Code Enforcement Arrive: am/prn Depart: /0 ��pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
PERMIT r NO.: 3�
NAME:
LOCATION: INSPECT ON: 1-:-- / 4-C) 3
RECHECK:
Comments and/or diagram
Soil Type: Sand/I(Ram/Clay
,\eC,�
C_
Type of Water: Mu ipal/Well Water
Waterline separatioA distance
Well separation disiA i n e
Other -1
Absorption Field: T4tAl length ft.
Length of each trend
Depth of trench'bs7-"
Size of Stone
Seepage Pits: Numbet
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to yield Pit
Opening Sealed: Y 1 NI Partial
Location/Separations
Foundation to tank
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Location of System on Property:
Front- Rear Left Side Right Side
Middle Front Middle Rear
System Use Status
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
Framing/ Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received,
Queensbury Building&Code Enforcement Arrive: azn/ Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initial . e, ,
NAME: PERMIT#: - 13 t-
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
AF� gr �'G
Eck Studs/Headers
Bracing/Bridging
Joist hanger
Jack Posts/ a'n Beams
Exterior shee "n nailed properly
12"O.C.
Headroom 6 ft. 8 x .
Stairwells 36 in.o more
Headroom 6 ft. 8 in.
Notches/HolesLB'ea "ng Walls
Metal Strapping for N tches Top Plate
1 '/z(w) 16 gauge(8 6D nails each side
Draft stopping 1,000 sq ft.floor trusses
Anchor Bolts 6 ft.or less on center
Ice and snow shield 24 " ches from wall
Fire separation 1,2,3 ho
Fir all 2; 3, 4-hrour
irestopping '/
Yn
V enetration 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
�-
1. 3
Septic Inspection Report
-Office No.(518)761-8256 Date Inspection r t ce*, ed:Inspection re ed-r(C-
Queensbury Building&Code Enforcement Arrive: In e a_
742 Bay Rd., Queensbury,NY 12804 Inspector's i i
NAME: G9�� 0 "\ PERMIT NO.:
i r --k -0/
LOCATION: !CDA A e,-� INSPECT ON: -
Ql�
RECHECK:
Comments and/or diagram
Soil L3Te:/8aq lay
Type of Wate&:,MbTicip5ktWell Water
Waterline sePfiafioa-dts-tmce —ft.
Well separation distance ft.
Other wells: U.
Absorption Field: Total length
Length of each trench lvltn
Depth of trenches , M 'Ll-
Size of Stone
Seepage Pits: Number
Size:
Stone Size:
Piping Size Type
Building to tank c2L 1: '17,cpa&
Tank to Distribution Box
Distribution Box to Field j-P-it,
Opening Sealed: Y/ (EEa a
Location/Separations
Foundation to tank
Foundation to absorption
Separation of Pits ft.
Conforms as per Plot Plan Y N�A
Location of-System o Property:
Location 0 'ys',em 0 'r Front ear Left Side Right Side
iddle Fron iddle Rear
System at s:
Approved
7partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
Office Use
.GENERAL INSPECTION REPORT 1 Inspector:
�— 10
Town of Queensbury Ready at time:.
Dept. of Community Development Request received. Meet:
Building chi Code Enforcement At time:
742 Bay Road
Queensbzir}; NY 12804 ARRIVE am/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials �b'
NAME: PERMIT#
LOCATION: INSPECT ON(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 fioun freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose an site
"Foundation/Wallpour_
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab_
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Ro -In
V16ulation
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
Jack Posts/Main Beam
Air Infiltration Barrier
Fire.Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4-houur_ M
Firestopping
L:ISueHemingway\Building,Codes.Ilispection,FORMS\GENERAL INSPECTION REPORT.doc
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 amlpm: DEPART %m/pm
(518) 761-8256 Inspector's Initials()AL--�-Z
NAME: ,, PERMIT#
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE: m
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/Dampproofmg _
Backfill Approval_
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbingl
Head ougM ff
IN-
undation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls R-
Ceiling R- _3�
Duct work or piping in
unheated spaces R-
P oper VeSt�,AtiYc JG�nt
1✓ ,arilln (f��(s -ftL
1=97ack Studs/Headers
�(BracingBridging _ �)
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier N-1
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour ,
Firestopping \
v
L:LSueHemingwaylBuilding.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doe
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbuiy Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 AMPE ajnlpg,,. 1PA- Tj,,1,^,-Wam/pm Notes:
(518) 761-8256 Inspector's ITniti-7
NAME: PERMIT# 7—
LOCATION: Cp k �B P_D INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place,)lace
The contractor is respons 'le for
ns
i jrr
providing protection fro freezing
for 48 hours following t Telacement
of the concrete.
0 it
Materials for this purp on ite
Foundation/Wall ,
po
Reinforcement in`Place
Foundation/Dampproofi7in—gg
Backfill Approval—Plumbing Under Slab
Plumbing Vent/Vents in Place.
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior
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/Bridgmig—
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
VKenetration Sealed
XF' c,e Wall 2,3,4 hour
stopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
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
Queensbuq, NY 12804 ARRIVE am/pm- iNA0a;0D a 1/pm
of s:
Read
y e
e
At time:
ot
(518) 761-8256 Inspector's Ini
NAME:4 6 PERMIT
LOCATION: INSPECT ON(date): o,
-----------------
TYPE OF STRUCTURE: V0
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
Foundation/Dainpproofing_
Backfill Approval
Plumbing Under Slab
Plum
n enIlVenl,in Place
Heating Rou _ 1_
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
. unheated spaces R-
P LQper Vent,Attic Vent Y
ramie
Jogc c i slHeaders
\orB.r cing/Bridging
acoistHangers �_f7/7/_L \z
Jack Posts/Main fiearn
Air Infiltration Barrier
Fire Separation 1,2,3,hour
YPe
e1rat*on S all 2�
toppin V ✓
L:\SueHemiiigway\Building.Codes.Iiispection.FORMS\GENERAL INSPECTION REPORTAOC
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: DEPART 2- ' 0�3n/pm
(518) 761-8256 Inspector's Initials
NAME: — W40� PERMIT#
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible �r from
fre(
providing protection f
zi
for 48 hours following the pla em nit
of the concrete.
Materials for this purpose on site
FoundatioDfWallpour
Reinforcement in Place
Foundation/Dampproofn—g
Backfill Approval
Plumbing Under Slab-
P umbin Ypj'e'-tit/Vents in Place
�glr
Plumbing
R.bing__
Pleating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior RLA
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
/ unheated spaces R-
,Yroper Vent,Attic Vent
riming7"
Jack Studs/Headers
BracingfBridging
Joist Hangers A&c, ff,4,,A
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
-F 13�gifig"IW'
ca4
6 Ale)
L:\SueHemingway\Building.Codes.Inspection.FORMS\GFNERAL INSPECTION REPORT.doc
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� NY 12804 -ARR[VE 1;-na A D ART
-
(518) 761-82M Inspector's In' s
NAME'. PERMIT# 93Y.
4
LOCATION, L
INSPECT ON(date): ha I
TYPE OF STRUCTURE: Q
RECHECK
N/A YES i 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
FoundationlWallpour
Reinforcement in Place
koundatiowDampproofing_
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
Firestoppin
L:\SueHomiiigway'Zuilditig.Codes.Inspection.FORMSkOENERAL INSPECTION REPORT.doe
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
Queensburj; AT 12804 ARRIVE am/pm: DEPART I�,3�mlpm Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT#
LOCATION: Pvolg CL�,j e, INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YE NO COMMENTS
Y/Footings/Piers�-- MR o5l'
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/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/Bridgig-
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppin
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORTAOC
— Offke Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbu7 y Ready at time:
.Dept. of Community Development .Request received: Meet: '
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART mlpm Notes:
(518) 761-8256 Inspector's Initials
NAME: G�S PERMIT#�54
LOCATION: C110IRY C,_092 ° INSPECT ON(date):
r
TYPE OF STRUCTURE:
RECHECK
N/A YE NO COMMENTS
1/Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible fo
providing protection from freezing
for 48 hours fallowing the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/D ampproofing
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:\SueHemingwa5e@uilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT-doe
7
NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury,NY 12804
Phone-518-*745-4400 Fax -518-792-8511
ne 11,2001
RECEIVED Ju Job#49071
Mr. Dave Hatin NOV 0 6 2002
Town of Queensbury
742 Bay Road TOWN OF QUEENSBURY
Queensbury,NY 12804 BUILDING AND CODE
RE: Septic System
Hayes, Country Club Road
Dear Dave:
At the request of Mr. Michael Hayes I have performed soil testing(deep test and percolation test)
at the site of the 3 bedroom house he is proposing to construct on Country Club Road in
Queensbury. The tests were performed in the approximate location of the, proposed septic
system.
The results of the testing are as follows:
Deep test 0-12" topsoil
12-17" fine sandy loam
17-29" fine sand w/trace silt
29-38" silty sand
38-60" silty clay
mottling at 28"; water at 50"
Percolation test
Stabilized percolation rate— I"in 2 minutes, 33 seconds
Based upon these tests, I recommend,constructing the proposed septic system as a shallow trench
system with the bottom of the trenches no more than 4 inches below the existing grade. Based
upon a 3 bedroom house and a percolation rate of 1 to 5 minutes, the system will require a total
of 138 lineal feet of 2 foot wide trench.
Please call me if you have any questions.
Sincerely,
Yc
Thomas W.Nace,P.E.
cc: Mickey Hayes
-6F
RECEIVED
Q;� °a�ivav NOV 0 6 2002
TOWN OF QUEENSBURY
BUILDING AND CODE
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1 have seen or observed, or believe I saw evidence of,
i ail objects such as houses, wells, trees, fences, etc., !
shown on this document. I also represent that I have
personally measured the distances set forth on the diagrar-
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