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2006-801 ��` TOWN OF UE ENSBURY 4tglir, 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20060801 Date Issued: Monday, November 26, 2007 This is to certify that work requested to be done as shown by Permit Number P20060801 has been completed. Location: BAY Rd Tax Map Number. 523400-289-016-0001-001-002-0000 Owner S. KEITH & KATHLEEN PFEIFFER Applicant: KEITH & KATHLEEN PFEIFFER This structure may be occupied as a: Fireplace By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling ,r �, / Issuance of this Certificate of Occupancy DOES NOT relieve the ` property owner of the responsibility for compliance with Site Plan, V X` 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. TOWN OF QUEENSBURY eiLikk 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 ;00 Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060801 Application Number. a20060801 Tax Map No: 523400-289-012-0001-012-001-0000 Permission is hereby granted to: KEITH & KATHLEEN PFIEFFER For property located at: 24 PFEIFFERS Way 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: KEITH &KATHLEEN PFIEFFER 840 BAY Rd Fireplace QUEENSBURY,NY 12804-0000 Garage-2 Cars Attached Single Family Dwelling $160,000.00 Total Value $160,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2006-801 1242 sq ft single family dwelling and 360 sq ft garage and 1 fireplace $185.04 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,November 24, 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 To6 of eens ;(1 i 1 1.1, .i •vember 24, 2006 SIGNED BY • for the Town of Queensbury. Director of Building&Code Enforcement OFFICE USE ONLY/. TAX MAP NO. PERMIT NO. d— 0 PERMIT FEE APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT; A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. /f /� 4-ifY-0--"( OWNER: / te /-i(li f INSTALLER: ADDRESS: [ v / 7 //. ADDRESS: ,, fir✓ PHONE NOS. c2-y_ C/11 ( ? PHONE NOS. 37 - /G s76 LOCATION OF INSTALLATION: 2 V /<1" /Vi-0- ( / RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW BEDROOMS GARBAGE GRINDE�t �c 1980 or older I X ' 150 gallon per bedroom = INSTALLED? �C 1981 -1991 X 130 gallon per bedroom = SPA OR HOT T 1992-present i k�� X i 110 gallon per bedroom = 11 INSTALLED? PARCEL INFORMATION: �( ✓ TOPOGRAPHY: FLAT ROLLING / STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND / LOAM \<. CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. ) ✓ 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). A:. 250 gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub. -- ✓ SEPTIC TANK: lbv� GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENC T. ✓ TOTAL SYSTEM LENGTH: FT. SEEPA PIT(S): HOW MANY? ✓ SIZE OF EACH FT. X 11P; FT. ✓ SIZE OF STONE TO BE USED: # /DEPTH OR THICKNESS FT. ✓ BED SYSTEM SIZE: X ✓ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE ✓ HOLDING TANK SYSTEM: (If required) NO. OF TANKS: /SIZE OF EACH ✓ GALLONS. /TOTAL CAPACITY: 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 Sewage Di osal Ordinance. codes@queensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION (Xd - / z www.queensbury.net Signature of Person esponsible Dat C� 4�k Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 OFFICE USE ONLY TAX MAP NO. 41 PERMIT NO. 06 g(:)/FEES: PERMIT rJ RECREATION ENGINEERING -""' (If applicable) PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF//A//VALID P RMI OR CONSTRUCTION. APPLICANT/BUILDER: /,((,/q��C (1 t ��OWNER: ( j�(/ 'i �' ADDRESS: i YY g,y t ' ADDRESS: 50) Al PHONE NOS. , .5-24i-61 2('S*-------- PHONE NOS. > Zy-ew s CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: / / fj�r,/LHONE: 5Z,VeZ/� (� t // LOCATION OF PROPERTY: / ( � {/ l t!�' G- SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z O d Ww u- PROJECT 00 O co .j CO 1- _ o i a � v Z CC LU _ Z Q Q :- � NU) 0U.- � � d2Go SINGLE FAMILY / /r2-6 " TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED7 GARAGE(1,2,3) � /�J V N i -A- OTHER �Y IF COMMERCIAL OR INDUSTRIAL-NAME �OF BUSINESS: , ESTIMATED CONSTRUCTION COST: //(2/;e. O72 FUEL TYPE: ,/1 C `6____- Lc HEAT TYPE: /4 ' NSU/l'Lt, 42;0/ HOW MANY FIREPLACE(S): / AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE /Y C WETLANDS ON THIS SITE? r2 IS THIS A HISTORIC SITE? 14/(6 /f 7 / PROPOSED USE OF BUILDING OR ADDITION: 7(e g//[ E',i-t( *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL 11-05 I, Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? fr/Z) ARE THERE EASEMENTS ON PROPERTY? 1C/ 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 to the bove. // __ f Signed _c 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: %4 tA-)a-M.---- ___,,-------- LDING & CODES APPR VAL ZONING APPROVAL l t DATE DATE QUESTIONS? CALL 761-8256 OR EMAIL codesaqueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION www.queensburv.net 0 Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 o -goi • Community Development Office Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 � 2-4YiIA-�..� I Marilyn Ryba, Executive Director• David Hatin, Director of Building&Codes Craig Brown,Zoning Administrator•Michael J. Palmer, Fire Marshal APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS 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 APP INV 'PANT' 'OUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. j OWNER: L.// ._` INSTALLER/BUILDER:f. e/r/ / ADDRESS: 4I 9 ADDRESS: 1 PHONE NOS. / - O '7 PHONE NOS. 2- -/" LOCATION OF PROPERTY: /�d���.ASUBDIVISIO NA E: 'VP! PW LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: Zt"� '.r5 "Rei CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: /('/Com` ( PHONE: .52-V-0 z--41 ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT k FIREPLACE, FACTORY BUILT* / ` FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. LISTED BY: NUMBER: QUESTIONS? CALL 761-8205 or 761-8206 CHIMNEY INFORMATION'_ BLOCK BRICK STONE OR EMAIL: firemarshalAqueensbury.net MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE TILE STEEL SIZE,IN FOR MORE INFORMATION INCHES www.queensbury.net FLUE CHECK ONE V. DOUBLE CHIMNEY WALL TRIPLE WALL INSULATED DIRECT VENT 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. Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 — Arrive:Qam/ppart: am/pm Date Inspection request received: - Inspector t ' t s: _ NAME: C fl !�,." PERMIT#: (�� saY LOCATION: /c'=//��C'�/`' 'j ' "e/4"-/ DATE: //�P TYPE OF STRUCTURE: Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs, decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate _ Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Lot vrtmls Outside every bedroom area: ���. Inter Connected: Battery backup: `� V Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height) in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq. ft. vents Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq. ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum %:"Gypsum Basement stairs closed rise>4 inches J3arage Floor Pitched V Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification, if required Okay to issue C/C or C/0 [Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: NAME: g-6::-/ '—"C LOCATION: /`rey,c/ f25. 4 ',i- PERMIT#: 06 go / Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of / Community (/ Development.IUpon review t survey has be, 0 1 , Zoning Administrator Notes: LASueHemingway\Building.Codes.Inspection.FORMSTinal Survey Zoning Administrator.doc 0, 3 N F- 0 J O CC V I o, L 0 3 T CD L a., Y 0 Q ro L 0 L AN PROPOSED or formerly of Shawn M. Bashant GRAPHIC SCALE 50 25 0 50 100 150 N 51'-59'-10" E 40.00' or formerly of Shawn M. Basham iron pipe found !� iron pipe found or formerly Toomey iron pipe found iron pin found formerly of Queensbury DAVID F. BARRASS L.S. /j 49363 SURVEYED BY DAVID F. BARR.A SS LAND SURVEYOR 5 MAPLE STREET CORINTH, NEW YORK NOTES UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S EMBOSSED SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF TITLE OR TITLE REPORT AND IS, THEREFORE, SUBJECT TO ANY EASEMENTS, COVENANTS, OR RESTRICTIONS OF RECORD OR ANY STATEMENT OF FACTS SUCH DOCUMENTS WOULD DISCLOSE. DEED REFERENCES ESTHER M. TITUS TO S. KEITH PFEIFFER AND KATHLEEN M. PFEIFFER DATED MAY 31, 1991 AND RECORDED IN THE WARREN COUNTY CLERK'S OFFICE ON JULY 1, 1991 IN LIBER 827 OF DEEDS AT PAGE 9. ESTHER M. TITUS TO S. KEITH PFEIFFER DATED MAY 31, 1991 AND RECORDED IN THE WARREN COUNTY CLERK'S OFFICE ON JULY 1, 1991 IN LIBER 827 OF DEEDS AT PAGE 7. S. KEITH PFEIFFER TO S. KEITH PFEIFFER AND KATHLEEN M. PFEIFFER DATED MAY 26, 1995 AND RECORDED IN THE WARREN COUNTY CLERK'S OFFICE ON MAY 30, 1995 IN LIBER 948 OF DEEDS AT PAGE 122. MAP REFERENCES "MAP OF A SURVEY MADE FOR BETTINA L. COON" BY VanDUSEN & STEVES LAND SURVEYORS, DATED AUGUST 20, 1982 "MAP OF A PROPOSED SUBDIVISION MADE FOR S. KEITH & KATHLEEN M. PFEIFFER" BY VanDUSEN & STEVES LAND SURVEYORS, DATED JANUARY 25, 1991 & REVISED MARCH 1, 1991 "MAP SHOWING BOUNDARY LINE ADJUSTMENT BETWEEN LANDS OF S. KEITH & KATHLEEN M. PFEIFFER AND LANDS OF ANDREA GRAY" BY DAVID F. BARRASS, LAND SURVEYOR, DATED MARCH 24, 1994. "MAP OF SUBDIVISION OF LANDS OF ANDREA GRAY" BY DAVID F. BARRASS, LAND SURVEYOR, DATED MARCH 28, 1994. SUBDIVISION OF LANDS OF S. KEITH AND KATHLEEN M. PFEIFFER DATED 8 MAY 2000 LAST REVISED 4 JANUARY 2001 PREPARED BY DAVID F. BARRASS, LAND SURVEYOR. TAX MAP REFERENCE TOWN OF QUEENSBURY: 289.12-1-36 NOV 0 21007 Tp WN GF QUr,�, —... BUILDING a C"0 URY t O� "- (!s 6 / IAP OF LOT 2 HOUSE LOCATION SUBDIVISION OF LANDS OF S. KEITH AND KATHLEEN M. PFEIFFER TOWN OF QUEENSBURY, WARREN COUNTY NEW YORK 1 " = 50' FIELD SURVEY COMPLETION: 09/17/07 MAP C— O"�'LEflON 10907 FRUJLCT NO. 94-460 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm_V/r, p . am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: C /Gi'� L� G PERMIT NO.: f � � i LOCATION: !-'c',.%%- 1 6 4/4" INSPECT ON: ..� RECHECK: Comments and/or diagram Soil Type: Sand Loam CIa 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. Conforms as per Plot Plan N Engineer Report and As-Built _ d Y T N Location of System oh Property: Front Rear Left Side Right Side Middle Fron Middle Rear -mU - • . Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 OCT-30-2007 13:57 From: To:518 964 6764 P.1/1 VISION ENGINEERING, [IC 4 Glens Falls Technical Pork,80.#.3 Glens Falls,NY 12801 Phone (518)792-924 . 1111 •100 ' Fox:(518)792-9282 Septic System Inspection Form 6--g°1 Project: Keith Pfeiffer Date: October 2007 Time: P.M. Weather: Sunny Temperature: 60° Inspected By: Daniel W. Ryan, P.E. Inspection Data: System Type: Standard Absorption Trench Installation Complete: 21 Yes 0 No Explain: Soil Properties: 0 Clean gravel (little fines) u Gravel with fines 0 Other ® Clean sand (lithe fines) 0 Sand with fines Silt and/or clay ❑ Gravel/Sand Mixture Water Supply: 0 Municipal El Well/Private Separation Distances: Absorption Field: 125 t ft. Septic Tank: 85 ± ft. D-Box: 135 t ft, Septic Tank Size: 1000 gal. Distance to Dwelling: 12 ± ft. (10 ft. min.) D-Box Size: 8-hole Distance to Dwelling: 40 t ft. (20 ft. min.) Absorption Field: No. Trenches: 5 Trench Length: 42 t ft. each Total: 210 f ft. Distance to Dwelling: 30 ± ft. (20 ft. min.) Aggregate Size (3/4" - 1 1/2"): ® Acceptable 0 No Good Explain Aggregate Cover Type: S Geotextile Fabric 0 Other Aggregate Depth: 12-14" ± ft. (not to exceed 12 inches of earth cover) Pipe Size: Dwelling to Tank: 4" diam. Tank to D-Box: 4" diam. D-Box to Field: 4" diam. '- c\co- ( o End Caps Installed: : m Yes 0 No j . .* x, ® Based on visual observation the above referenced septic �r7 • T 11 system does appear to be in conformance with applicable codes ;fx (. _?1/1 and regulations required by the state and local jurisdiction. LI Based ` " . Based on visual observation the above referenced septic `oAlir U(�Urro (Li system does not appear to be in conformance with applicable codes and regulations required by the state and local jurisdiction. --- Professional Seal NCW T UKR J I A I C UCrMK I MtN I or vIKUNMtN IAL UNJCRVH I IVPI 06 ^�v / „:..c.i ,,I)COUNTY JO 1, ak - j • �; (3)DEC Well Number (2)TOWN l � GAt (a1/41.,yktca' LYj(l� � �� .� WATER WELL COMPLETION REPORT (4)OWNER ..--- • i ,� 'e y, (43) LOG (5)ADDRESS ` r > • �) Surface EL.---I)'.above sea level Y (6)LOCATION OF WELL(See Instructions On Reverse) Show Lavlong a available • Top Of Casing is located Q. and method used: t c L �/ C)�% ° --,70_,.� l �"'� ft.aboveet'below(-)ground surface 3PS 0 Map Interpolation /� (7) NWELL BELOW ` r''"+ (8) DEPTH TO BELOW LAND SURFWATER ACE CE(f et) DATE MEASURED T P L LAANDD SURFACE(feet) / / lyJ� CASINGS j (9)DIAMETER \ .I in.I ' '\ In in. Iin. 1.� (10)LENGTH (, • { 1/ ft. 1 f'• I ft.I ir1, t k� (11)GROM PE/SEIALING I (12)GROUT/SEALING INTERVAL (feel) FROM TO \ -4- .... . ._.SCREENS....___-:•-: :... (13)MAKE&MATERIAL - (14)OPENINGS Otte r PMj I J (15)DIAMETER in. I in.I in.Iin. iT-- (16)LENGTH ft. I ftI ft.I in. (17)DEPTH TO TOP OF SCREEN,FROM TOP OF CASING , N. (Feel) II,' YIELD.TEST: , C'• %_ (1 B)DATE (19)DURATION OF TEST/ 1 • C (20)LIFT METHOD (21)STABILIZED DISCHARGE(GPM) ,1 ..,:;.,J 0 Pump cl.ir Lift 0 Bail C7 `i, js - 1 (22)STATIC LEVEL PRIOR TO TEST (23)MAXIMUM DRAWDOWN(Stabilized) r •., (feet/inches below top of casing) (feet/inches below lop of casing) (24)RECOVERY(Time in hours/mnutes) (25)Was the water produced during the lest discharged away from immediate area? Yes_ No • PUMP INSTALLATION (26)PUMP INSTALLED' ►y : � (27) ]ATE ;2B)PUMP IN TALLER YES_ NC/n:r_ 0 a (6-) J1CV ( )D�.Q�>`f� ;i, z' (29)TYPE (30)MAKE V I !31)MODEL rr (32)MAXIMUM CAPACITY(GPM) (33)PUMP INSTALLATION LEVEL FROM TOP OF CASING(Feet) 1 ns J t (34)METHOD OF DRILLING (35)USE OF WATER .----. Rr otary 0 Cable Tool 0 Other (See instructions for choices) ) A -y1r( y (36)DATE DRILLIN ORK STARTED (37)DATE DRILLINGW COMPLETED / (38)DATE RE RT FILED (39)REGISTERED COMPANY • (40)DEC REGISTRATION NO, ROSICK WELL DRILLING i �. 6/ l 1175 PARLEY ROAD NYRD `' J y HUDSON FALLS, NY 12839 (41) ERTIFIED DRILLER(Pttnt.,eame) (42)C71TIFIED DRIL ER SIGNATURE -j--- ) // BOTTOM OF HOLE * By signing this document I hereby affirm that: (1)I ertifi to supervise water weli drilling activities as defined by Environmental Conservation Law§15-1502; (2)this water well was constructed in accordance with water well standards promulgated by the New Ycrk State Department of Health; (3)under the penalty of ,,- perjury the information provided in this Well Completion Report is true,accurate and complete,and I under- 0 T - •E _.__.,.-._._....c..i,.,.�.•......,....♦...,.+..ti�.oin i.nnnichnhln ac a rlacc a Micripmpannr i inner PPnnl I aw 6710.45. Queensbury2 e---1/ 6.--;2(-66 Buil Building & CodeEnforcement - ResidentialFinal Inspection • Office No. (518)761-8256 �62- l Arrive:tm/pmart: am/pm Date Inspection request received: Inspector's Initials: j�- NAME: 7 ]� t PERMIT#: 6, • / LOCATION: ��-! S' 1.....47DATE: ;/—2—d TYPE OF STRUCTURE: Comments Ye No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location ,�/ Fresh Air Intake �j 3 inch Plumbing Vent through roof minimum 6 inches ✓/ Roof Complete/Exterior Finish Complete VI Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade V / Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall NI:( Interior/Exterior Railings 34 inches to 38 inches 1f Interior Handrails @ stairs 2 or more risers �/ Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight tj Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: / Outside every bedroom area: \/ Inter Connected: Battery backup: 1 Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area / Crawl Spaces 18 inch x 24 inch access, 1 sq. ft.-150 sq.ft.vents ✓ Bathroom Fans,if no window 4 Vf Plumbing fixtures Foundation insulation ✓ si ,(/'o( r p, —1,C--il/ Floor truss,draft stopping finished basement 1,000 sq. ft. / ✓ �6Ltllnn >t)`7 Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site ✓ Oil Furnace shut-off at entrance to furnace area / Furnace/Hot Water Heater operating d/ VV1 Low water shut-off boiler V/ Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'h"Gypsum -0' Basement stairs closed rise>4 inches e ijpt R prC. k6-(..vi., Garage Floor Pitched ✓ / ��% / �,�/ (Ate-- D� Garage fireproofing/3/4 hour fire door/door closer I L I Al(i f Duct work Sealed properly L DIAw�- Gas Logs in Sealed or Gasenclosure Final Electrical 10 1 a 1 "�l P / Final Survey Plot Plan t/ AJC''' y 4114))2.0 Oft-- , As Built Septic System/Sewer Dept.Inspection Sticker ait/j.AP/ZD. Site Plan /Variance required ` Flood Plain Certification,if required Okay to issue C/C or C/0 [Temporary/Permanent] L:\Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc Septic Inspection Report Office No. (518) 761-8256 Date Ins jgirequest received: Queensbury Building &Code Enforcement Arrive: = - am/pepart• am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: -�� NAME: flet r',«r PERMIT NO.: 06 –.8 LOCATION: /E3 ‘ 1 I— ( e,./.4-,-7INSPECT ON: /0//5-4 7 RECHECK: Comments and/or diagram Soil Type: Sand / Loam/ Clay IAC��{lC 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 trenchft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: --------x Stone Size: n Piping Size Type l <-p Pi/- --S. Building to tank Tank to Distribution Box /4 rim-cCti C-cC 5 Distribution Box to Field/ Pit Opening Sealed: Y/ N/ Partial End V(Inlet/Outlet Pipes&Baffles —Y—N Location/ Separations Foundation to tank ft. Foundation to absorption ft. paration of Pits ft. Se Conforms as per Plot Plan Y_,p1 >��ttG� ®��� Engineer Report and As-Built Y N ' CNG ' Y Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved rtial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved 4- Last revised 021006 4/4'r Last revised 1/6/05 , / .--3 6.062y. Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: j`` am/pm Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:c'1tai NAME: f ;Cif' r�� ! 1 PERMIT NO.: °L.- �V 1 LOCATION: � Pr r t5 (A/ 7 INSPECT ON: /a—1,—� RECHECK: csa,....;? Comments and/or diagram Soil Type: Santer: MuI dir 5 L -©l z Type of Water: Municipal 7 Waterline separation distan.- ft. Well separation distance ft. Other wells: L {--ft. Absorption Field: Total length _7..-/,- ft. Length of each trench ft. Depth of trenches _-ft. -C Size of Stone #�v �t!� �i �S ��K L-� Seepage Pits: Number Size: - x --. G Stone Size: - Piping S i ^ , Type Building to tank f `7t4 ,t� 6-'6'6J igc�/7 ei�� / j 9e, Tank to Distributio Box 4 Il Distribution Box t ield / Pit R of 2-4, Opening Sealed: Y N/ Partial End Cap Inlet/Outlet Pipes&Baffles __ Y /+vy r/4.4c_ 7p,./,/J 5���'(# Ai (-C--1---41 C taj(_ E-r Location/ Separations Foundation to tank /' . ft. Foundation to absorption _ � ft. Separation of Pits (2. f"F' Conforms as per Plot Plan 42-e 4 i - its/L A-�� Engineer Report and As-Built —Y�✓N � V1/Pe 6-'4)6 _ fief Iic4L— Location of Syst on Property: Front R Left Side Right Side Middle Front Middle Rear System Use Status: {proved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 DIG SAFELYBENEW YORK — CALL FORE YOU DIG ALL FEDERAL, STATE, AND LOCAL CODES AND IT IS A VIOLATION OF SECTION 7209 SUBDIVISION — WAIT THE REQUIRED TIME REGULATIONS SHALL BE CONSIDERED TO BE PART 2 OF THE NEW YORK STATE EDUCATION LAW — CONFIRM UTILITY RESPONSE OF THE BUILDING DETAILS AND SPECIFICATIONS FOR ANY PERSON, UNLESS ACTING UNDER THE — RESPECT THE MARKERS HEREIN. IF DISCREPANCIES BETWEEN THE CODES DIRECTION OF A LICENSED PROFESSIONAL — DIG WITH CARE AND REGULATIONS AND THE INFORMATION ENGINEER, TO ALTER THIS DOCUMENT IN ANY E CONTAINED ON THESE PLANS EXIST, THE MORE WAY. IF AN ITEM BEARING THE SEAL OF AN SAFE DIGGING IS EVERYONES RESPONSIBILITY! STRINGENT SHALL APPLY UNLESS THEINFORMATION SHOWN, DESCRIBED, OR IMPLIED ISA VIOLATION ENGINEER IS ALTERED, THE ALTERING ENGINEER SHALL AFFIX TO THE ITEM HIS SEAL AND THE PLEASE CALL 1-800-962-7962 BEFORE YOU DIG. VISIT gsafelynewyork.com FOR ADDITIONAL OF THE CODE, IN WHICH CASE THE CODE OR NOTATION ALTERED BY" FOLLOWED BY HIS INFORMATION. REGULATION SHALL TAKE PREFERENCE OVER PLANS SIGNATURE, THE DATE OF SUCH ALTERATION, AND A SPECIFIC DESCRIPTION OF THE ALTERATION. _ NOT EXGEEP OF SEPTIC FIELD L AS RB 'P :ENC,HES V THESE PLANS SHALL NOT BE COPIED OR REPRODUCED WDHOUT WRITTEN CONSENT BY VISION ENGINEERING, LLC COPYRIGHT ©2007 by VISION Engineering, LLC, ALL RIGHTS RESERVED ENGINEERS STAMP: IF TH TAMP SBNAT RE IS DRAWING�i INK, TISS*S OF CONS WOE IS MAY BE F COPY I-" IFIED DU U ,. NAL PLANS. NOT °(�INWNI AN OR IN S , D((9iAATURE SHO o �O 07, 0� SSIONP� SCALE: AS NOTED DATE: 2007 DRAWN BY: VISION PROJECT: KEITH PFEIFFER QUEENSBURY, N.Y. DRAWING TITLE REVISED SEPTIC I Ia/U/or RViMW enc LaAnaaMYcur DRAWING NO. DWG 1 OF 1 0 E c ■ �+ W z � U w enc 92w cmcm .. ■ C"' a� aMOW� o W a `v cd H � In 0 w v ENGINEERS STAMP: IF TH TAMP SBNAT RE IS DRAWING�i INK, TISS*S OF CONS WOE IS MAY BE F COPY I-" IFIED DU U ,. NAL PLANS. NOT °(�INWNI AN OR IN S , D((9iAATURE SHO o �O 07, 0� SSIONP� SCALE: AS NOTED DATE: 2007 DRAWN BY: VISION PROJECT: KEITH PFEIFFER QUEENSBURY, N.Y. DRAWING TITLE REVISED SEPTIC I Ia/U/or RViMW enc LaAnaaMYcur DRAWING NO. DWG 1 OF 1 ,-,--,---i—m f_____,3o . \ Septic Inspection Report 8 761-8256 Date Inspection request received: I — Office No. (51 ) Queensbury Building &Code Enforcement Arrive: I . am/pm __ _Dei�rt: am/pm 742 Bay Rd., Queensbury, NY 1 804 Inspector's Initials: QNAME: P'- ! PERMIT NO.: dpi& i'Vj.... 41) —80/ LOCATION: 24 -Pa-7(7 07INSPECT ON: MMP, RECHECK: Comments and/or diagram Soil Type: Sand / Loam / Clay /7 AUL 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: Numberb--- 23"T 1,C—VC-L - -- c ` Size: x � r�L Stone Size: _ ._ . .. Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y/ N/ Partial End Cap lInlet/Outlet Pipes&Baffles Y N Location/ Separations /9/re-:- ,‘-/O/er----- /.. Foundation to tank ft. Foundation to absorption ft. Separation of Pits ._ ft• Conforms as per Plot Plan Y Engineer Report and As-Built .—Y N (je c O ! ' - c e..% . A t 'oV49-L_ Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: pproved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 Town of Queensbury Fire Marshal ���► 742 Bay Road `4.*� Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood BurningFili eplace/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. jj 11 Permit# c) '6 c I Schedule Inspection IR )9J Time i v m anytime Inspector 1/ 1, Name 14 i r t�1-- Address "?f'( -F - h �) Uji Rough In Final Appliance Manufacturer \P-3" 51-IC. Model# L\J IL 3 Masonry Chimney Factory Built Chimney Flue Size Double Wall Triple Wall Insulated__ Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Safety Strip Installation (fireplaces only) X NhQ Firestop(s) Vertical Chase Wall Penetration • COV\I X Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration; 2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension Mantelf/ o hei ht above ( g P opening) g)- Fireplace,Doors /Screen (required) ) White—Building Dept. Ydloe—Customer Pink—Fire Marshal ( sissibK — /0 Rough Plumbing / Insulaticin Inspection Report Office No. (518) 761-8256 Date Inspection r ues`t received: 9/yr7 Queensbury Building & Code Enforcement Arrive: • am/ m Depart: am/ 742 Bay Road, Queensbury, NY 12804 Ins ects Initials: NAME: CECI PERMIT #: 0 . 'CC) I LOCATION: 2- (I PFe',fF-Vs u-A4/ INSPECT ON: • /0 Apr 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 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 minutesr t1/1/144) CrC� iG C9- ,Xnsulation / Residential Check / Commercial Check g7-3Proper Vent, Attic Vent `I Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: L:1Pam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Town of Queensbury Fire Marshal 01k 742 Bay Road • 'W � Queensbury,NY 12804 761-820514205//761-8206 ,.. fax 745-4437 Factory Built Wood Burning 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#--1)b—,60Schedule Inspection Time 131-) am pm anytime inspector M 1)/6.$ Name Address Rough Itr Final Appliance Manufacturer 777411E2 -4--rModel# C/.1 Masonry Chimney Factory Built Chimney Flue Size Double Wall Triple Wall Insulated__ Yes No N/A Comments Floor Protection c tL 2 FO RO -1--1077.06 ) l Clearances to Combustibles (all sides) • Safety Strip Installation (fireplaces only) /A/ IZe4-)1141- -10 ye/14 p Firestop(s) Vertical Chased Wall PenetrationfAir Chimney Clearances to Combustibles X Chimney Termination " 3 feet above roof penetration; 2 feet above �( any combustible construction within 10 feet Combustion Air Hearth Extension X / 12alb see, 1 13 Mantel (height above f/p opening) Fireplace,Doors /Screen (required) q White—Building Dept. YWIlow—Customer Pink—Fire Marshal Ociftr- is Lc-4)V . Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm epart:e) am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: '' c-� NAME: 7-�F ` `T�► � PERMIT #: a- go/ LOCATION: 24 ,'6 (IINSPECT ON: •--/3---Or- TYPE /�3- �7 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 Pressure Test Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping _s 50 P.S. fo 15 minutes Insulation / esidential Check / Commercial Check .- • - t, Attic Vent .\/ Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: c-L - ? _ \ L:\Pam Whiting\Building&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Framing / Firestopping Inspection Report Office No.(518) 761-8256 Date Inst-qt's, request received: Queensbury Building&Code Enforcement Arrive: - .m/prr/ ��eePPart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's I f teals: 'I`L�i NAME: fifid� /e4 PERMIT#: Co r LOCATION: /L—/fit' t J'3'v INSPECT ON: g fd 4 7 TYPE OF STRUCTURE: Y N 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 V2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1,2, 3 hour F. awall 2,3,4hour FirestoppingC4 (� ,Uwe �� - ) �-�(� P 1 DKA-r,z Penetration sealed 16 inch insulation in cavity min. U �� U l) Garage Fire Separation House side I/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms c'C/' / L. 24 in. (H) /,t) � 20 in. (W) 5.7 sf above/below grade 5.0 sf grade .2 --q u , 1 � ` Rough Plumbing / Insulation Inspect on Repo Office No. (518) 761-8256 Date Inspection request received: I Queensbury Building & Code Enforcement Arrive: a pm��part: /pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials 1j NAME: Pief\--(i-CLPERMIT #: Oe--gr)/ , , i LOCATION: 21/ 1-"l-e/ i — ,S Atm` INSPECT ON: F--1 O7 TYPE OF STRUCTURE: _ 1 /A ' PlumbinVN Rough Plumbing Nail Plates v . -• Vents in Place V ,� 2 Inc minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure Test rain / Vent )75 ir / Head P.S.I. or 10 ft. above highest connection for 15 minutes 7 re Ai ure Test Ver Supply Piping / Head 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 I No duct tape COMMENTS: L:1Pam Whiting\Building&Codes\Inspection Forms\Rough Numbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 -7k o Framing / Firestopping Inspection Repo Office No. (518) 761-8256 Date Inspectionequest received: Queensbury Building&Code Enforcement Arrive: 77 c am/pm Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials:cP NAME: yir PERMIT#: A -go/ Q/ LOCATION: 4211111,dINSPECT ON: Z�`���! TYPE OF STRUCTURE: 7 N N/A COMMENTS Framing Attic ess 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) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1,2, 3 hour Fire wall 2,3,4 hour Firestopping ✓ !igee-C"I Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade F.-- /0 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm���Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's InitialsL NAME: I �� PERMIT #: /96 —00/ LOCATION: ,' r S 447 INSPECT ON: ?- 2 -07 TYPE OF STRUCTURE: Y _ N N/A Rough Plumbi ail Plates • • -i ent/ Vents in Place c` — ,,II 1 /2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction P sure Test 'n / Vent Air / Head P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test ter Supply Piping Aid ee_e-# S/ Head 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\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Framing / Firestopping Inspection Report Office No.(518)761-8256 Date Ins ti request received: Queensbury Building&Code Enforcement Arrive: ") am/v ee . am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: I �✓ NAME: Pryi ' PERMIT#: LOCATION: . 2 4 S Lit-INSPECT ON: a.-2 —0 7 TYPE OF STRUCTURE: // Y VN/A COMMENTS Framing cess 22"x 30"minimum (j�o tJi p e- A-cze.-4E7 Jack Studs/Headers11 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 /APA-Gi 01- 1 .4(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2, 3,4 hour �/ Firestopping L�fir. ,6'/9"PO J Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side V2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade 1g Prtb14"--: ce\o-p Septic Inspection Rep. Office No. (518) 761-8256 Date Inspection req'est _ - -d: -7 1 7 U Queensbury Building & Code Enforcement Arrive: v,1;6 a p # i-part: am/e 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials NAME: {'�� KoA_.avi PE' ► NO.: ° e ._'o( LOCATION: �� p-� ; � Li ' I •r CT ON: 1(h/o7 RECHECK: Comments and/or diagram Soil Type: Sand / Loam / Clay Type of Water: Municipal/ Well Water Waterline separation distance ft. . E�T D �; C� L Well separation distance ft. Other wells: ft. \) .tAi? P Well Casing Length 50' + / - Y N N/A • Absorption Field: Total length ft. ' " Length of each trench ft. !_6\-\ \.1.1co Depth of trenches ft. �� Size of Stone \\--\\.6 E P Seepage Pits: NumberSize: Stone Size: x DIk101 C--VVAO , cX � Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field / Pit Opening Sealed: Y N End Cap _Y_N Inlet/Outlet Pipes &Baffles _Y— N Location/ Separations Foundation to tank ft. Foundation to absorption _ft. Separation of Pits ft. Conforms as per Plot Plan _Y N Engineer Report and As-Built 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 Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PFFA FFR.- PERMIT#: p(q—S101 LOCATION: 7 LA ift t F i.?._ u l FV-i INSPECT ON: (_ — 7j7-67 TYPE OF STRUCTURE: Y N N/A Framing COMMENTS 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 I Metal Strapping for Notches Top Plate 1 %i(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses h. chord Bolts 6 shield ft. or less24 loninches center wall anwater Ice 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 Y2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 M. (H) � 20 in. (W) 5.7 sf above/below grade 5.0 sf grade /no G /i /oF . • Foundation Ins. -ction Report Office No.(518)761-8256 Date Ins tion r quest received: Queensbury Building&Code Enforcement Arrive: *Am/pm v Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect° s Initials: NAME: PERMIT#: LOCATION: J ( v� r.s 1J-7 INSPECT ON: lg/ TYPE OF STRUCTURE: Comments / N N(A Footings 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 Septic Inspection Report Office No. (518) 761-8256 Date Ins ion uest received: 4//S-- Queensbury Building &Code Enforcement Arrive: 15 am/p Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspect° Initials: NAME: ( 24 �•AL 4)t J % PERMIT NO.: 02006 80/ LOCATION: c9P1f'r INSPECT ON: foil RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/ Clay Type of Water: Municipal/ Well Water /0 / 2 ,2 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 t4W/61-taet 77 0( Seepage Pits: Number . y� 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 _T Y N Location/ Separations Foundation to tank ft. Foundation to absorption _ _ ft. Separation of Pits ft. Conforms as per Plot Plan Y T N Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: proved voA6 artial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 Foundation Inspection Report Office No. (518)761-8256 Date Inspectio quest received: Queensbury Building&Code Enforcement Arrive: /(. pill I Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NI NAME: C -(P/ '2 PERMIT#: Oa, 3 LOCATION: _ o.. k9/-2- , INSPECT ON: 5'"/2.5/07 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 Dampproofing F7 dation Waterproofing Doting Drain Daylight or Sump Footing Drain Stone: 7-----'-'---, ? 1 inch width inches above footing 6 mil poly for wet areas under slail e7) . 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 g-10 i/jVr_S\ Foundation Inspection Report Office No. (518)761-8256 Date lns'+,,i• request received: Queensbury Building&Code Enforcement Arrive: / am/pm pc_ Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspecto`s •itials: `J NAME: /97-e-\/:1 "f / PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings 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 • - above footing 6 mil pol for wet areas under slab Backfill A•a oval ' .1 bing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Bullding&Codes Forms\Bullding&Codes\Inspection Forms\Foundat on Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (518)761-8256 Date Inspection res est r-•- - . Z' Queensbury Building&Code Enforcement Arrive: a i •Depart: I =0am/�nn� 742 Bay Rd.,Queensbury,NY 12804 Inspector's Inti �/ NAME: (SFE FFEFZ j ✓PERMIT#: O _ j�Q214LOCATION: 2FEI F.E W 'A`1 INSPECT ON: ` -S—t7l TYPE OF STRUCTURE: h T ) 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 Dampproofmg Foundation Waterproofing R- --t.6.- 1-W1 .- —\-- ) Footing Drain Daylight or Sump �P Footing Drain Stone: i` i- 12 inch width 6 inches above footing 6 milpoly for wet areas under slab ackfill Approval Plumbing Under Slab {7- 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 rho . mss b V . Sys"/o Foundation Inspection Report � P Office No. (518)761-8256 Date Ins i: tion equest received: Queensbury Building&Code Enforcement Arrive: : pm� 9 Depart: am/pm 4 742 Bay Rd.,Queensbury,NY 12804 Inspecto Initials: t- - NA : �i�� PERMIT#: eo/ LOCATION: 2 4! J �f 7 ,,---1PELT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the conc - M: rial for this purpo. - e n site. Foun : ion/Wallpour Reinforcemen ' :M ✓ Footing Dowels or Keyway in place Foundation Dampproofmg 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:\Bullding&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 In t' request received: Queensbury Building&Code Enforcement Arrive: / am/pmfe. Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect r/ trials: �J L� NAME: 1e (F /� PERMIT#: oC2 --- I LOCATION: Pc&/"7-i4t2 INSPECT ON: $1/5/Or7 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. aterials for this purpose on site. Foundation/WallpourCV//i/ 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 ;2- it LS' -A/C) . Foundation Inspecti n Report Office No. (518)761-8256 Date Inspecti.r:' - r5 ei d: Queensbury Building&Code Enforcement Arrive: . •mity epart: 7i ?[,� . spin : 742 Bay Rd.,Queensbury,NY 12804 Inspector's i ials NAME: Fl/• � / P RMIT#: —+F-0/LOCATION: / f 17(e;,--:5 /�/ t SPECT ON: 5-‘.\–61 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 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 I Foundation Insulafii•.n Int or 0 .Z ' \/ - Rough Gra,e 6 inch a op within 1 f ft. L:\Building&Codes Forms\Sultding&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM to 4)-fn- Foundation Inspection Report Office No.(518)761-8256 Date Ins=• tion r- . ii,. ei -d. 6 6 Queensbury Building&Code Enforcement Arrive: t /r'�,� Depart: �`.1�?►i 742 Bay Rd.,Queensbury,NY 12804 Inspector's + .,.� ��� NAME��� l c'Ci '� •ERMIT#: ^t R-c)/ ti LOCATION: ole tsQ-= 1g LikyINSPECT ON: 1W i 7 TYPE OF STRUCTURE: (6) I 69-U f Ul`C� "v/�)�1 < 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. A. UMaterials for this urpose on site. 62...,mdatioril Wall ur /, Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing /0t: t areas under slab/7 Backfill Approval - a. PVC/Cast/Copper Foundation Insula on Interio erior / �� V---- \ Rough Grade 6 inch drop within 10 ft. b L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 2 — Ii4o . Foundation Inspection Report Office No.(518)761-8256 Date Instionr, uest received: Queensbury Building&Code Enforcement Arrive: - /(�in/prit Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: ri P L`��_ PERMIT#: (2CJ — ) LOCATION: Z y � l-- , INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings 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 40 D0' E"'I ED tJUV 0 1 2006 70","N Or QUEENSBURY ILDI 1C AND CODE ersunal/ .,,,, oa�ca v wel/s t,� 'v ,t,;:' uta Y r°asur nt, also s en' -•6, mss, dist, 'Pre of tr at ha for l t thunthe`V X0,90' 1 N 4111-061-23 11 � Lands now or former) q of Andrea Grab .\ itq pole C t�p exl5tlnq driveway} well casing 0 1 � Q \ \ a \\ Woods ,S V, \ cp, \ �O \ s existinq gravel drive \ l LOf5 MAY 13� 5UBJ�Cf TO A I!�' WIPE 061 -If Or WAY A5 Gf?ANtP IN LIB�P 57 Or NOTICE 121��P5 AT PACZ 281: (�XACf LOCATION UNKNOWN) FOAM INSULATION MUST BE COVERED BY A 15 MINUTE THERMAL BARRIER 7nK IIA I/� IN Irr)Oh n n-rinn i NOTICE R INSULATION MUST BE �N-COMBUSTIBLE BARRIER 5r f? I A ZONI MIN LOT 51 Z� I ACP rPONf 51 1f BACK 30 FSI f 51P� 51�f BACK 20 rC�T f?EAP 51 1f BACK 20 rl��r proposed dr ivewal TOWN OF QUEENSBURY BUILDING & CODES DEPT. REVIEWS BY DATE lands now or formerly{ of \ i Howard and Barbara Toornetl ex�sii�lq � / residence Oreputed septic iron pipe found TOWN OF QUEENSBURY BUILDING DEPARTMENT Based on our limited examination, buildi I compliance with our comments shall not be construed as indicating the plans and specifications are in full compliance with the wilding Codes of OS , New York State, begins yc�, \ \ / 2 IV X\ / // / �� // / iron bar found OTICE SMOKE DMTCTo RE REQUIRM IN BEDROOMS, / OMS / , / / / ADJACENT TO BED , AND EACH FLOOR LEVEL / INCLUDING C L B MENT, ALL SMOKE propane / \ / / / / DETECTOR �H BE IN NNECTED ON ALL exis in dank / / , \ ALL SLEVELS. house q q / � Y / \ / / / / / / / C ONOX DEORETECT T BE BATTERY BACKUP. well casin / / p OR REQUIRED OUTSIDE C / y / / / / _ J / LOW T SLEEPING LEVEL. / /` \ / / / .4R-011 \, "0 011 VI"V/ CC0py pump hou e / 'o lands now or formerly{ of spring Pobert Clark Limbert S iron boli found S, &5� PLAN Steven Tupper Limbert 5CA,� 20'-0''testp it �-i z � s � � � v W(4- U) �-