2006-653 TOWN OFQ UEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 1
Qu ry, (5 8) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20060653 Date Issued: Tuesday, January 09, 2007
This is to certify that work requested to be done as shown by Permit Number P20060653
has been completed.
Tax Map Number: 523400-308-019-0002-010-000-0000
Location: 35 ESSEX Ct
Owner: MICHAELS GROUP LLC, THE
Applicant: ROBIN BREWER
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
Issuance of this Certificate of Occupancy DOES NOT relieve the 41
property owner of the responsibility for compliance with Site Plan, (:DJ
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
AO` TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
F
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060653 Application Number. A20060653
Tax Map No: 523400-308-019-0002-010-000-0000
Permission is hereby granted to: ROBIN BREWER
For property located at: 35 ESSEX Ct
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: MICHAELS GROUP LLC, THE
10 BLACKSMITH Dr Suite 1 Fireplace
MALTA, NY 12020-0000 Garage-2 Cars Attached
Single Family Dwelling $188,000.00
Total Value $188,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2006-653
2014 SQ FT SINGLE FAMILY DWELLING WITH ATTACHED 561 SQ FT 2 CAR GARAGE
$297.78 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, October 04, 2007
(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 nsb , yri . • October 04, 2006
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY , ;
TAX MAP NO. PERMIT
N0, c3
_PERMIT FEE
•
APPROVALS: ZONING
TOWN CLERK ECEIv
, E
APPLICATION FOR SEPTIC DISPOSAL SYSTEM Pr /•
it •
• •
QUE S
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BE v 11Td CUEENBURD
PERMIT. Q! $�i4l�O$`� ID
OWNER: —THE MICS-LtkeLr ,'
INSTALLER;
ADDRESS: IC) 1L�JJ11}�{ �Q �b1\1 ADDRESS:
PHONE NOS. 519% -(0.5)1
PHONE NOS.
LOCATION OF INSTALLATION: J � � C X T - cE
YEAR BUILT NO.OF
BEDROOMS X COMPUTATION= i RESIDENCE INFORMATION:
_ TOTAL DAILY FLOW
1980 or older X 150 gallon per bedroom I = I GARBAGE GRIND
1981 1991 INSTALLED? ��,
X 130 gallon per bedroom =
1992-present J I X 110 gallon per bedroom j Z Z SPA OR HOT TUB ��
= INSTALLED?1.
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE
%SLOPE
✓ SOIL NATURE: SAND LOAM
CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH?
WHAT DEPTH? BEDROCKlIMPERVIOUS MATERIAL: AT
✓ DOMESTIC WATER SUPLY: MUNICIPAL_ WELL
(IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS
FT )
V PERCOLATION TEST: RATE IS PER MIINUTE PER INCH (TEST TO BE
COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT)
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: GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH
✓ TOTAL SYSTEM LENGTH: ! O FT, SEEPAGE PIT(S): HOW MANY?
✓ SIZE OF EACH FT. X FT.
✓ SIZE OF STONE TO BE USED: # 2— /DEPTH OR THICKNESS FT.
f
✓ BED SYSTEM SIZE: ,l///.} �_
✓ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE
✓ HOLDING TANK SYSTEM: (If required) NO. OF TANKS: ±"1t_/SIZE OF EACH
✓ GALLONS./TOTAL CAPACITY:--IL/ GAL.
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
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 QUESTIONS? CALL 761-8256 OR EMAIL
Queensbury Sanitary Se age Disposal Ordinance. codesequeensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION
"/„Z.V0 www.queensburv.net
Signatufe o •erson Responsible D
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
Rot)(t , - (r)s _3
•TOWN OF.QUEENSBURY
HILI-HWAY Richard A. Missita
Highway Superintendent
Home(518)798-5127
DEPARTMENT
742 Bay Road * Queensbury,NY. 12804 Michael F. Travis
Deputy Highway Superintendent
Office Phone:(518) 761-8211 (518)798-0413
Fax:(518) 745-4466
DRIVEWAY PERMIT
DATE: 9\13\0l2
APPLICANT NAME: M 1CNAEt-S Cfrci i'
TELEPHONE NO.: 'tc1
ADDRESS TO BE INSPECTED:
RETURN ADDRESS: 10 1: k...Iscc-C..SAAITIA 1 N11° I ZUZp
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:
STEP 1: ( ) Preliminary Approval
NEED: ( ) Slight swale
( ) Level with the road
( ) Deep swale
Size pipe to be used (if necessary)
( )12" ( )15„ ( )18" ( )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
E-mail:highway@queensbury.net
30iy /f c/ -2-16)OFFICE USE ONLY '",),62)(40 / f 8 �Zb TAX MAP NO. PERM NO. , 4-tn (}/
Sfp
FEES: PERMIT RECREA R'' 4j g NGINEERING
-i� 2,:;544A. .-cam I j4 (If applicable) V}G/N 7)t ar 1,it
Buitplivat
PRINCIPAL STRUCTURE: gaE. Y
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER:TT- IC ‘i1��S 1 ? OWNER: SIE.
ADDRESS: 1 b 1:::�-Ad.V.s?.k11-1-, \LR 1 HANL-risfK( ADDRESS: jA4 E
PHONE NOS. ci3c1q - (.0-. )1 PHONE NOS. ii i.
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: IC .'( LOCAS -b PHONE: ?5-7-3144
LOCATION OF PROPERTY: - S aZEX Cu
SUBDIVISION NAME: ` .)YTCp1v .
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z 0 p
PROJECT O 00 corn a co
H
rx
w
a u - � w ¢ a = =
IA Q Q � � Na oU ° � Q. IZ
_ a = its
SINGLE FAMILY X
201 4 2.014 4 2,2-o'}
TWO-FAMILY
MULTI-FAMILY it 64
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL ,/
ATTACHED 2 Cl -,� V
7/
GARAGE(1,2,3) AS 56) '�VJ
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME Cr BUSINESS: ( `w
41�
ESTIMATED CONSTRUCTION COST: 1(653 tom'( FUEL TYPE: Gtr - PHA"
r
HEAT TYPE: WHA *HOW MANY FIREPLACE(S): 1 AND/OR WOODSTOVES(S): 0
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? 1v0
IS THIS A HISTORIC SITE? ''
PROPOSED USE OF BUILDING OR ADDITION: 511t*- -11L`P i-ES1A�x' -
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
B 3-LGL 11-05
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree t e a ove.
Z______
Signed -
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
,i ��,��
BUILING &CODES APPROVAL ZONING APPROVAL
DAT DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesaqueensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensbury.net
`VS Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
C-- ODC-01
/ :: Community Development Office RECEIVED
Town of Queensbury • 742 Bay Road • Queensbury, New York •12804
tamp
Marilyn Ryba, Executive Director• David Hatin, Director of Building&Codes 2006
Craig Brown, Zoning Administrator•Michael J. Palmer, Fire Marshal TPWN OF QUEEN
p. f3lfVGAJb Q D Y'-
APPLICATION FOR FUEL BURNING APPLIANCE & CHIMN S
Application is hereby made to the Building &Codes Office for the issuance of a Building & Use Permit
pursuant to the New York State Fire Prevention & Building Code. The applicant or owner agrees to comply
with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and
also will allow all inspectors to enter premises to perform required inspections.
IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED.
NO
OWNER: �! "�G. /C1t,y-t,/S C 'kri INSTALLER/BUILDER: sr4r 't
ADDRESS: l D g/ (,(S r 'Qrs_ ADDRESS:
PHONE NOS. 17— 60 3 / t PHONE NOS.
LOCATION OF PROPERTY: 3 5- C>S c IL a- SUBDIVISION NAME: .5'-' -L (f .
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: / O
// dL
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: y o L. 1 c-IO PHONE: 6 3-7- 311-4-
,( FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL
INFORMATION
STOVE
FIREPLACE INSERT
FIREPLACE,FACTORY BUILT*
FIREPLACE, MASONRY
FURNACE(GARAGE ONLY) /
*IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: tit<,c'F'(G MODEL NO. U v 36,
LISTED BY: NUMBER:
QUESTIONS?
CALL 761-8205 or 761-8206
CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL:
firemarshal(a.queensbury.net
MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE
TILE STEEL SIZE IN FOR MORE INFORMATION
INCHES www.queensbury.net
FLUE CHECK ONE ✓
DOUBLE CHIMNEY
TRIPLE WALL INSULATED DIRECT VENT
WALL LINER
CHIMNEY MATERIAL CHECK ONE ✓
**IF NON-MASONRY, PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO.
ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION & BUILDING CODE AND/OR
MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED
INSPECTIONS.
Septic Inspection Report
Office No. (518) 761-8256 Date Ins io equest received:
Queensbury Building &Code Enforcement Arrive: f; Wamp�r'ice epart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME:
lM L Cttir}�--(_.`2 6AP PERMIT NO.: f S'5
LOCATION: 31- - INSPECT ON: l i Q (o7
RECHECK:
Comments and/or diagram
Soil Type: Sand/ Loam/Clay
Type of Water: Municipal/ Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total 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
Tank to Distribution Box
Distribution Box to Field/ Pit
Opening Sealed: Y/ N/ Partial
End Cap
Inlet/Outlet Pipes&Baffles Y N
Location / Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft• c-,06 �gp�RD� i d�
Conforms as per Plot Plan N ,5 --&t L
Engineer Report and As-Built Y_.-...N KG
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
em - •t .
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury,NY 12804
Phone-518-745-4400 Fax -518-792-8511
p ECEIVED January 3, 2007
1� Job# 46216
New York State Dept. of Health
77 Mohican Street
Glens Falls,NY 12801 TOWN OF QUEENSBURY
BUILDING AND CODE
RE: Sutton Place Subdivision - Queensbury(T)
35 Essex Court (Lot# 10) Septic System
Dear Sir/Ma'am:
This letter is to inform you that we inspected the completed septic system for the house at 35
Essex Court (Lot#10) in the Sutton Place Subdivision on December 12, 2006.
The septic system as installed was for a three bedroom house and consisted of a 1,000 gallon
septic tank and 150 lineal feet of absorption trench constructed with stone and perforated pipe.
The system conforms to the requirements of the approved subdivision design drawings.
Please call me if you have any questions or concerns.
Sincerely,
/(67/7 /-
Thomas R. Center Jr., PE
cc: Dave Hatin, Town of Queensbury
Eric Wilson, The Michaels Group
F
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: r_dt�
NAME: //1Cf4r / 6r,o.
LOCATION:
PERMIT#: ZOOG—
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community (/
Development.
Upon review ti-
survey has een:
Craik ' , Zoning Administrator
Notes:
L\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
SUTTON PLACE SUBDIVISION
DATED SEPTEMBER4 23, 3003
LAST REVISED MARCH 20, 2006
BY VAN DUSEN & STEVES
LAND SURVEYORS
� azz D u s eh
Steves
QQ
CP
\ o
a
Laiid SurVe37ors
169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lie. No. 50135
LOT 11
�o
Qom
s� o i
3�
y°
:0
`UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A UCENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7208, SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.'
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES.'
'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
IXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LENDING INSTITUITION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION.'
N
N 257.00,,..,
07 W
LOT 9
LOT 10
44,271 sq, ft,
1,02 acres
/3/.
3 72,
Map of a Survey made for
UIt
I,
Town of Queensbury, Warren County, New York
``�:.0
/ 0
/iN Ov
NO. I DA TE
UAGNETIC AS` 'YAP REF.
"3S7 e5 -5 s —x
DESCRIPTION
Dater December 22, 20(
Scale 1W=30'
S-1
SHEET 1 OF 1
MIGHAELS
DWG. NO- 05197 -LOT 10
z „L.(
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 G Arrive: am/pm Depart `( am/pm
Date Inspection request received: 1. ( fiiiii_ Inspector's Initials: -v
NAME: PERMIT C Co3
5
LOCATION: S (- SS C'0, ,4 DATE: f ICS Q�
TYPE OF STRUCTUREr f
Comments
Y ,E No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location V
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
\./7/,
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
7_,
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall 1/%7;
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate —1. ----->f
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety dazing/Window in stairwells safety glazing 647.'47
Interior Smoke Det ors: /
Every level: Every Bedr m: '/ ./ .
Outside every bedroom ea: / �_�� li } 'i-
Inter Connected: Battery backup: �/
Carbon Monoxide Detector ✓ L] "
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area .�
Crawl Spaces 18 inch x 24 inch access, 1 sq. ft.-I50 sq. ft.vents / 7'
�. '
Bathroom Fans,if no window 1.7
v C—
Plumbing fixtures
Foundation insulation12Yzs 'tt-
Floor truss,draft stopping finished basement 1,000 sq. ft.
//)
Emergency egress below grade k/
Gas Furnace shut-off within 30 feet or within line of site
7
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating t
7
Low water shut-off boiler 7
Relief Valve(s) installed/Heat Trap/Water Temp 110 V/
Enclosed Stairs Sheetrock Underside minimum Y2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
_Gas Logs in Sealed or Glass Enclosure
Final Electrical X '2„
Final Survey Plot Plan ``
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required r
%f.
Okay to issue C/C or C/0 [Temporary/Permanent] �//
L:\Building&Codes Forms\13uilding&Codes\Inspection Forms\Residen ia Final Inspection Form_revised_100405.doc
(/Jamie . /2/
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection re uest received:
Queensbury Building & Code Enforcement Arrive: i. am/P�, Depart: am/pm
742 BayRoad, Queensbury, NY 12804 Inspector's Initials: -1
NAME: TCk-e I S PERMIT #: �(� f�S , .
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing //Vail Plates
\Plumbir Ver1f/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
I Pressure Test
JDrain / Vent
r� `
Air / Head (7 • g (
5 P.S.I. or 10 ft. above highest connection for 15 minutes
/Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
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 / No duct tape
COMMENTS:
L:\Pam Whiting\Building&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
I--/ tjeeiNff- /2//3/C 2 .
Septic Inspection Report
Office No. (518) 761-8256 Date InspAction r- I a -- - -•
Queensbury Building &Code Enforcement Arrive: 1 ^t h E�.�i'•••-i•�, 0-mart: -; 7J�
742 Bay Rd., Queensbury, NY 12804 / Inspector's Initials:
NAME: I y�'1 t -� L P-•MIT NO.: /�
LOCATIONS
�` jp f- NSPECT ON: - �',-a •
RECHECK:
Comments and/or diagram
Soil Ty Sand Loam_kClay
Type of Wa er Municipal-/ Well Water
Waterline separation distance 0 V.__ ft. \CJF--c>4 1.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length G ft.
Length of each trench „G-7tft•
Depth of trenches Z-3 ft.
Size of Stone #Z-
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank I-1" 5 kio
Tank to Distribution Box J- ` ` MIC.-
Distribution
dLDistribution Box�• Id/ Pit ht" Fra-i---
Opening
riOpening Seal-6,: -., 'artiai
End Cap "1F_�
Inlet/Outlet Pipes&Baffles VY . N
Location / Separations , 1
Foundation to tank 17r: . ft. 7 OF---- -IP
Foundation to absorption .y ft. ��T
Separation of Pits l
��
Conforms as per Plot Plan
Engineer Report and As-Built ___ N
L
Location of System on Property:
Front Rear Left Side Right Side
Middle Fro Middle Rear V- 7-0 Q A Fi LL
em Use to s:
j.proved
rtiai A•• • and needs to be re-inspected, please call the Building &Codes Office
ire
sapproved
Last revised 021006
Last revised 1/6/05
10 -11 rbf ,1/4 i// /06, .Rough Plumbing / Instion Inspection Report
Office No. (518) 761-8256 Date Inspe 'on;re est received:
Queensbury Building & Code Enforcement Arrive' Di/am/pm a art: am/pm
742 Bay Road, Queensbury, NY 12804 Insp ctor`s Initials: V
NAME:
rU'O PERMIT #: �� " S-
LOCATION: :35- eS7S-7 INSPECT ON:
TYPE OF STRUCTURE:
•
_ Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent / Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet / change of direction (_—/(� i<38
Pressure Test
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air - --•
J,•': =. , fo 5 minutes 4
nsulation . -sidential Check / Commercial Check _
• - ent, Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces /
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
/AJ tiamk�7'C
COMMENTS:
&)-1- 1&)br---
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Reportrevised Nov 17 2003.doc Revised February 15,2005
01/1*k Town of Queensbury Fire Marshal
742 BayRoad
110 .
o � Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifi do s is allowed.
Permit# 6 / Schedule Inspection T°�
11 �7 • am pm anytime Inspector;�J
Name MIC..-41-1---G 5 61?f 3 ddress t� 5 }� C�� Rough In al_
Appliance Manufacturer.. Model#
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase •
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
White-Building Dept. ---------- Yellow-Customer Pink-Fire Marshal
. Town of Queensbury Fire Marshal
g----742 Bay Road •
/O
Ve.. � Queensbury,NY 12804
761-8205, 761-8206
fax 74:5-4437
Factory Built Gas Fireplace/Stove Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
// instructions or specifications is allowed.
Permit# D6-6 3 J Schedule Inspection r')//J7/6Time am pm anytime Inspector C/72"
Name V"��G C' v�V- Address_ j TRough In a�nal�
Appliance Manufacturer jn,' \r C- ftc_ 17 4/,r-Sr\ r—'-` Model# A-6 C G 4- 1 (12) i (../b
Direct Vent Factory Built Chimney 1/Flue Size Double Wall Triple Wall Insulated
Yes No N/A 1, Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase_ /
Wall Penetration .%
1
Vent Clearances to Combustibles
Vent/Chimney Termination (6,-z,,,_ ,i)(, (-1-1 • -- V 6-(u f ( l'-(1 - (j
Chimney height must be 3 feet above roof ./
penetration;2 feet above any combustible ROOF
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement (if LP)
White—Building Dept. --- Yellow—Costumer Pink—Fire Marshal
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Insp tion request received:
Queensbury Building&Code Enforcement Arrive: ` `-1 am/pn� )ep am/pm
742 Bay Road, Queensbury, NY 12804 Inspectors Initials: rU
NAME: ( ) 61(W)
PERMIT #:
�ll
LOCATION: 3�7C J� _ - INSPECT ON: LW
TYPE OF STRUCTURE:
Y �T N/A COMMENTS
naming C C.� (l� /
V
Attic Access 22"x 30" minimum
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 '/z(w) 16 gauge(8) I6D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %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
17- /pr'---
Framing / Firestopping Inspection Report
Office No.(518) 761-8256 Date Ins ectig1 request received: f/ /' 4 L'
Queensbury Building&Code Enforcement Arrive: IIVJ am/p part: .m/pm I )
742 Bay Road,Queensbury,NY 12804 Inspect r s Initials: l I
L/Jk
NAME: ( PERMIT#: --
LOCATION:
LOCATION: Ste' INSPECT ON: j DN. ; 6
TYPE OF STRUCTURE:
-5/1-)
Y N/A
6ramin
COMMENTS
Attic Access 22"x 30"minimum 1C /I U S S
Jack Studs/Headers I /' gfC /ntlCc3
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 '/z(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2, 3 hour
Fire 3,4 hour
Firestoppi
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
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 4, c.) C.
Queensbury Building & Code Enforcement Arrive: am/pr9 epart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: r
NAME: l S PERMIT #: OCA �5�3
LOCATION: INSPECT ON: 4L / ' JIO
TYPE OF STRUCTURE: V LI-S,
Y,/
/ N/A
Nail Plates
(kop==
Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet / change of direction
Pressure Test
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air / Head
50 P.S.I for 15 minutes
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 / No duct tape
1 1/f/ /1/47-- c''?"13 (C)
r=ie6-r6 A /4)
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
1 - 3
Rough Plumbing / Insulation Inspection Report
9 p
Office No. (518) 761-8256 Date Inspection rest received: / U
Queensbury Building & Code Enforcement Arrive: ' am/1 Depart: am!
742 Bay Road, Queensbury, NY 12804 Inspect rd s Initials-
fen
NAME: r \ ct�f) �LS Gr-ok.P P PERMIT #: • , ._ C ' 713
LOCATION: '5 I�w---k Cc uc T INSPECT ON: Ar/U.6
TYPE OF STRUCTURE:
44.k Y N /N/A /e6-'9V
ough Plumbing / Nail Plates s/ /" ��
Plumbing Vent / Vents in Place
11/ inch minimum Drain Size
shing Machine Drain 2 inch minimum
snout every 100 feet / change of direction
sure Test
in / Vent )/
it / Head
• .S.I. or 10 ft. above highest connection for 15 minutes
i Pressure Test , /
J ter Supply Piping V
it Head
.S.I for 15 minutes
Insulation / Residential Check / Commercial Check _
Proper Vent, Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
1 Duct work sealed properly / No duct tape
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing insulation Report.revised Nov 17 2003.doc Revised February 15,2005
1+er5` 1.)--
Framing/ Firestopping Inspection Report
Office No.(518) 761-8256 Date Inspection equest received:
Queensbury Building&Code Enforcement Arrive: ` .5 am/pm pepart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspect r"s Initials:
—
NAME: cejS 6--- PERMIT#:
LOCATION: CSS�X � INSPECT ON:
TYPE OF STRUCTURE: `
Y N 1 N/A
_ COMMENTS
Framing
Attic Access 22"x 30"minimum
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 'A(w) 16 gauge(8) 16D nails each side 7
Draft stopping 1,000 sq. ft. floor trusses /
Anc less on center
Ice and water shiel 4 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
2._ [� Mau
Foundation Inspection Report
Office No. (518) 761-8256 Date Inc ' request received:
Queensbury Building&Code Enforcement Arriv -4 arnipmi ALL,Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMITII: if i - AyLOCATION: /h4 .ae(3 .
5 e:-.5. 0 INSPECT ON: D /, Y
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.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofin)
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
zrtit �y for wet areas under slab
kfill Approval /7/
' mbing Under Slab
PVC Cast/Copper h
oundation Insulation Interior/ terior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\ dation Inspection Report.doc
st printed 12/20/2005 9:24:00 AM
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( 0,0p 5L-49
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Foundation Inspection Report
Office No. (518) 761-8256 Date Ins ction\request received:
Queensbury Building&Code Enforcement Arrive: Liam/pm De art: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspec s Initials:
NAME: IWICI&CveI5 (rp . PERMIT#: r6 - ^ J •LOCATION: ,__TS--- .SSC)G . _ INSPECT ON: v d D
TYPE OF STRUCTURE:
Comments
~ Y N NIA
Footings
lc
FS
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
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation 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.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No. (518)761-8256 Date Impecti Mequest received:
Queensbury Building&Code Enforcement Arrive:4', am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: '\J
NAME: AIL K &$ 6gr PERMIT#: ' 25
LOCATION: 3 Cr _ INSPECT ON: ie/it/dc'
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 hours following the placement
the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinfo e t i Place
Foot" Dowe or Keyway in place
Found io ampproofnng
Foundation 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.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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