2006-875 TOWN OFQ UEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
Q rY,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20060875 Date Issued: Tuesday, June 12, 2007
This is to certify that work requested to be done as shown by Permit Number P20060875
has been completed.
Tax Map Number: 523400-308-019-0001-044-000-0000
Location: 37 PINELLO Rd
Owner: DAVID PARKER
Applicant: DAVID PARKER
This structure may be occupied as a:
Single Family Dwelling By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
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.
BLDG. PERMIT NO. 20% r8 s
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPAN Y is hereby requested for the property
located at; pheib
3�
for the following uses:
,,to f , l Vii) 9 d
DATE SIGNATURE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ►4,09 9 PROVED
( )DISAPPROVED
with the following conditions: I ) S/OJ kcf (e)
Sribti
TEMPORARY CERTIF CA E F OCCUPANCY FE 10.00 EPOSIT: ► 4100.00
received on L5.11-21 07. eivAV
Date of Issuance Director of Bldg. & Code 'nfor'ment
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 128045902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060875 Application Number. A20060875
Tax Map No: 523400-308-019-0001-044-000-0000
Permission is hereby granted to: DAVID PARKER
For property located at: 37 PINELLO Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: DAVID PARKER
RACHAEL ALCORACE Single Family Dwelling $132,000.00
37 PINELLO Rd Total Value $132,000.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
SHOWCASE HOMES
2712 ROUTE 9
MALTA,NY
Plans&Specifications
2006-875
1456 SQ FT MODULAR HOME
$174.72 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,December 18,2007
(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 ensb , ' if December 18,2006
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
_30&. 0 -/ - [TT,'OFFICE USE ONLY R �1 ,c
TAX MAP NO. ERMIT NO. ,_5'75 % V C�
/�
utc H8 '
FEES: PERMI1 /' `106.
ATION ENGINEERING TOWt4 ;% ' '' .. x
.r% (If app IicalDISDILDINLZ '`LNSD GQj��Lifty ; '
r�I
PRINCIPAL STRLICTLIRE:
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: iy0 OWNER: A A. A/ A • rat c
ADDRESS: -f f-e \ ' `1 Ccd-}a_ '/ ADDRESS: id n -I r ,
6 u o • ' le 04
PHONE NOS.31 8. 5�s1 ( PHONE NOS.n1 --P-1- 1lo1O
CONTACT PERSON FOR BUILDING &CODES COMPLIANCER(,{ ' L ' J OUNONE: 32-j "- z°7 9
LOCATION OF PROPERTY: 37 v ij 10 d 61e.ensiatiei,iIZJ
q
SUBDIVISION NAME:N i
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z 0 tx Et C3 E
PROJECT o OF co � �w
0 w � � ,i u_ w Q a = 2
U
W J CEJ NSU' 1- I__: O CL' Wz
Z < < .— co I— W 2 otS
SINGLE FAMILY )( I' 1�[5(.9 ------ 1 f'^i (pi
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE -`
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL I.
Fes,,
ATTACHED -- ,
GARAGE(1,2,3) /
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: N)
ESTIMATED CONSTRUCTION COST: 132-K 111 FUEL TYPE: a)pane_
HEAT TYPE: *HOW MANY FIREPLACE(S): C� AND/OR WOODSTOVES(S):
ZONING CATEGORY )1 7X ARE THERE WETLANDS ON THIS SITE? /JO
IS THIS A HISTORIC SITE?.00
PROPOSED USE OF BUILDING OR ADDITION: ': Slre L .Q a
*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
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?49.tri
ARE THERE EASEMENTS ON PROPERTY? 1A O
.,
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials area 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 above.
Signe. a/ .1.t_ L QJ ' 0 .
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)
0 , ,
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
, , ,
, , ,
, , ,
BUILDING&CODES APPROVAL , ,
ZONING APPROVAL
• , ,
, •
•,
, ,
•
iDATE � ,
DATE •
, ,
QUESTIONS? CALL 7614256 OR EMAIL
codesea uee ns b u ry.n et
VISIT OUR WEBSITE FOR MORE INFORMATION
www.aueensburv.net
Town of Queensbury• Community Development Office • 742 Bay,� Road, Queensbury, NY 12804
OFFICE USE ONLY , I
� �15 � �
TAX MAP NO. PERMIT NO. (..7T PERMIT FEE ' '
APPROVALS: ZONING ' '
TOWN CLERK % RECEIVED
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERIV ;G 8 ZUO6
TA PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFOWIV U,-',-`k"C1VbURY
PERMIT. / I�� Q
OWNER: di .A.. !1 II .a . A
: S� M t ct& (v cBr- lSTALLER-
ADDRESS:37 ie1L6 P, )sbY ADDRESS:
rr �
PHONENOS.✓I ~-745-U070 PHONENOS.51 '- L5&1 — le-1 0C
LOCATION OF INSTALLATION:3-1 Y1( i d R ) G rU
y -----N .,
YEAR BUILT j N0.OF I X ! COMPUTATION= I RESIDENCE INFORMATION:
BEDROOMS = 1 TOTAL DAILY FLOW
1980 or older 1 GARBAGE GR ER..
X 150 gallon per bedroom I = 1 I INSTALLED? ��U
1981 -1991 I X 130 gallon per bedroom I = I
1992apresent I I SPA OR HOT I,Lj
E gallon per bedroom I = I I INSTALLED? 1V I
X 1 110
• 1
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLATJ
ROLLING STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH?
WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT
/
DOMESTIC WATER SUPLY: MUNICIPAL ( 'WELL
r
(IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM;ABSORPTION IS
FT. ) ,'
✓ PERCOLATION TEST: RATE IS ` j
COMPLETED BY A LICENSED PROFESSIONAL ENGINEERIOR ARCHITECT)E PER INCH 7EST TO BE
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: OW GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT.
✓ TOTAL SYSTEM LENGTH: FT. SEEPAGE PIT(S): HOW MANY?
✓ SIZE OF EACH FT. X FT.
✓ SIZE OF STONE TO BE USED: # /DEPTH OR THICKNESS FT.
✓ BED SYSTEM SIZE: X f
l
✓ 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. `I
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 7614256 OR EMAIL
Queensbury Sanitary Sewage Disposal Ordinance. codes@aueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
cl
�-�t C www.queensburv.net
Signature of Person Responsible Date
pt^,' Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
b V zFr -,
Queensbury Building & Code Enforcement - Residential Final Inspection /
Office No.(518)761-8256 Arrive: am/pm Depart:ti� \ apm
Date Inspection request received: Inspector's Initials:
NAME: 191eortePERMIT#: 06
LOCATION: .3 ' Pi ne.1/O Rd. DATE: & -'/ --e)^y
TYPE OF STRUCTURE:
Comments a AM
Yes No N/A
Building Number/Address visible from road
/ —
, R
Chimney Height/"B"Vent/Direct Vent Location DI..._ ( e�'j�
Fresh Air Intake
t
3 inch Plumbing Vent through roof minimum 6 inches —Piton n3 —
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade 4/
Guard at stairwell at 34 inches or more /
'
Guard at deck,porches 36 inches or more V
Handrail Termination at Newell Post or Wall
144-1 —'R ‘_�05/4)
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers ti\ICt
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate Xiiii
Gas Valve shut-off exposed/regulator 18 inches above gradek
, ‘xxV7(
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/W' ow in stairwells safety glazing (//
77
Interior Smoke De ctors: /
Every level: Eve Bedr m: d
Outside every bedroom ea:
Inter Connected: Battery backup:
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 V
Bathroom Fans,if no window
Plumbing fixtures (7/
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft. 17
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site V
7
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/2"Gypsum 7stk ‘5-9L-3
Basement stairs closed rise>4 inches '
Garage Floor Pitched
‘‘\/ l(Cr) ‘—j.'
Garage fireproofing/3/a hour fire door/door closer
g P /`
Duct work Sealed properly . J�/
Gas Logs in Sealed or Glass Enclosurek/
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required `
. /
Flood Plain Certificati• ak, . ed
Okay to issue C/C • emporary/Permanent J
L:\Building&Codes Forms\Building&CodeslInspection 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: \A
NAME:
LOCATION: 3( ?t `-' �
reA)f
PERMIT#: ' [ 1
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has .-e :
L
Craig i rown, Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
w
4
W
2
LEGEND.-
*
EGEND:
• FOUND IRON MARKER
o SET IRON ROD WITH CAP
O POINT
—E POWER LINE
,�— STONE WALL
-x-X-FENCE
ONLY COPIES FROM HE ORIGINAL OF HIS SURVEY
MARKED W7774 AN ORIGINAL OF HE LAND SURVEYOR'S
EMBOSSED SEAL OR INKED STAMP SHALL BE
CONSIDERED TO BE VALID TRUE COPIES.
Unauthorized Alteration to this map is a
violation of Section 7209, Subdivision 2
of the New York State Education Low.
L�
- I
I I
I I
I
i LANDS OF
RICHARD PASHBY t
L. 664 P. 140
I —
,i' I FOUND ANGLE IRON
• BL OCK _ LANDS OF 1
— �-- _ 2 1 101 ROBE? T B. & KA THLEEN M.
S=' E CHANDLER
pp L. 1364 P. 221
e ...
1 h FENCEWOOD — �� 400. 00, i
U77LI TY POLE PARCEL 2
0.459 f` Ac.
/ _
� TRACK ROAD )
4i 45.9'
200-27'
Z%'AS PER MAP REF. /Vp 2 `o N O
51
O TWREl•� CE 8 � 1.4
• �" _ a ! 11 BL OCK 199.98' _ �N A��F k CO)
I ::: - - - .:_:_____-_ PARCEL 1 3 � 1 �
0 p 45.8 o i _ _-_ — 0.473 f Ac.
LOT NO. AS PER r \LOT NO. AS PER
' 82' EMAP REF. NO. 2 r
' .} 13 3: - p ,-1 MAP REF_ NO. 2 I
GRA VELC
%2� CO) CONCRETE WIRE FENCE LANDS OF
r 2 THOMAS M. do JOAN
•��� x x WIRE FENCE KI CH
N 8.376 l
O9 - W .x �x x �J L. 710 P. 240
I FOUND IRON RDD AT 2
CONC. MONUMENT v WOOD o'
I 1 FENCE
1
MAP REFERENCES.-
1 1. MAP OF SURVEY OF LANDS OF THOMAS M. & JOAN M. WELCH, BY W_J, ROURKE
_ LANDS OF (�3� BL��^K I ASSOCIAIFS L.LS, DATED SEPTEMBER 22 1988.
_ JAMES WEBBY JT. 2. MAP EN777LED " HARTMAN DEVELOPMENT B. L. & M. PROJECT 1 & PROJECT
I AND 2, BY J. D. SEARLES L.S., DA7FD OCTOBER, 1950.
r I CATHERINE WEBB J. WARREN COUNTY, TOWN OF QUEENSBURY, TAX MAP NO, 308.19, BLOCK 1,
L. 499 P 542 PARCEL NO. 43 AND 44, L. 1297 P. 115, L. 1270 P. 134.
U77LITY POLE
I
CER77FICA T70N
'
I yEREBY CERTIFY TO RACHAEL ALCORACE &DAVID PARKER, MAP OF SURVEY
HOMESTEAD FUNDING CORP. DBA FIRST NIAGARA MORTGAGE, ITS
SUCCESSOGNS, CHICAGO 777LE INSURANCE
COMPANY- THAT DTVS MAP I HAS BEEN PREPARED IN ACCORDANCE OF LANDS OF
WIH HE EXISTING CODE OF PRAC77CE FOR LAND SURVEYORS
ADOPTED HE NEW YORK STATE ASSOC. OF PROFESSIONAL RA CHAEL AL- CORA CE
LAND SURVEYORS, AS LAST REVISED.
I FOUND IRON PIPE
4 - AND
� 2115/07 WILLIAM J. ROURKE LS 49098
F��No DAVID PARKER
-----__ _ _ X904, of NE jy
i
J.Q��0 TOWN OF QUEENSBURY, WARREN COUNTY, NEW YORK
� M i co * SCALE.- 1 30DATE.• SEPTEMBER 1, 2006
UPDATED OCTOBER 20, 2006 TO SHOW 2 PARCELS
n� O� UPDATED FEBRUARY 5, 2007 TO SHOW CONCRETE
FOUNDATION, REMOVE OLD BUILDINGS & CERTIFY.
W J RWAK& ASSMAW
Lk woad Land Surve)wv
fo264 saratoga Road P.O. Box 134 06-148
WILLIAM J. ROURKE, LICENSED LAND SURVEYOR NO. 49098
South um"a rcwla, N.Y. 12803
JOB NO.
W
h
.i
\ F5
Queensbury Building & Code Enforcement•- Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart:3amipm
Date Inspection request received: Inspector's Initials: k
,_
......
NAME: 1 €- PERMIT#: Co '- -1( cci LOCATION: "'t �tD'�?�..i ‹ DATE: t '�
TYPE OF STRUCTURE: )..M.i.z._,
Comments
_
1. 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 V(
Guard at stairwell at 34 inches or more V./-
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 /17
Grade away from foundation 6 inches with 10 feet V;
�6 inch clearance to sill plate fPRe..)-- Ixr.-- —
Gas Valve shut-off exposed/regulator 18 inches above grade V
KikKirt- * --14.1-42..S ,
Interior privacy/trim/doors/main entrance 36 inches ✓
Bathroom/Kitchen watertight NI
Safety glazing/Wind in stairwells safety gl ingA, 4
- P___14,45-
Interior Smoke Det tors:
Every level: Every Be om: ��
Outside every bedroom ar : C3 c- :).c
Inter Connected: Battery backup:
Carbon Monoxide Detector 4W-1"a" C=-
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area �.n
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents ,
Bathroom Fans,if no windowL� 'T".Plumbing fixtures
(7 e..,L1,...."- -Foundation insulation (N -C,°eeaf,- aZF'-.
Floor truss,draft stopping finished basement 1,000 sq.ft. /
Emergencyegress below grade 1✓
Gas Furnace shut-off within 30 feet or within line of site /
Oil Furnace shut-off at entrance to furnace area Y
P C)
kW 4k--
Furnace/Hot Water Heater operating
/
Low water shut-off boiler - / 1/
RAN-5.e.-7 .
Relief Valve(s)installed/Heat Trap/Water Temp 110 S/
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
/7 Lt7e.,Qe--e-.1) *-
Basement stairs closed rise>4 inchesZ; �'
l
8
Gara e Floor Pitched
�`r -
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical iktka-1
k/f--
Final Survey Plot Plan2d, Vvr,
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if re uir
Okay to issue C/C or C emporary/P rmanent a
L:\Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form revised 100405.doc
/1 ::_ex-0
Queensbury Building & Code Enforcement - esidential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart: 1131 'pm
Date Inspection request received: — Inspector's Initials:
NAME: — ! ' PERMIT#: A.
, 8-7 c
LOCATION: �7 `1l DATE: 41 /=
TYPE OF STRUC '•l
Com ents
_ Yes r....LA.
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location f �
Fresh Air Intake
'S5iFI5
3 inch Plumbing Vent through roof minimum 6 inches *,
1 C. t..71N-CMiSA4-2-464-7—
Roof Complete/Exterior Finish Complete U�
Platform at all exterior doors f
Guards at stairs,decks,patios more than 30 inches above grade VICD
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more f or
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches ��� �`
Interior Handrails @ stairs 2 or more risers � "�3�
Grade away from foundation 6 inches with 10 feet ./ �-
6 inch clearance to sill plate V C*,
Gas Valve shut-off exposed/regulator 18 inches above grade ‘ T
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight ;
Safety glazing/Win win stairwells safety gl ingl
Interior Smoke De ctors: /(5t
Every level: , Bem:
Outside every bedroom .
:10 da.12,)A1-\--)t ''`Ito-- —
Inter Connected: droBattery backup:
Carbon Monoxide Detector ....//
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area V V ettr 5&—
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window �' R/ A-a&fik5
Plumbing fixtures
Foundation insulation ��
Floor truss,draft stopping finished basement 1,000 sq.ft. 5
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site V:iig/ CIO'
Oil Furnace shut-off at entrance to furnace area Vit'
y,a ,10c3z43
Furnace/Hot Water Heater operating w�-�7 �` %
C� .�
Low water shut-off boiler V- /
Relief Valve(s)installed/Heat Trap/Water Temp 110 ///
Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum //,Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/a hour fire door/door closer
Duct work Sealed properly
_Gas Logs in Sealed or Glass Enclosure t
Final Electrical `-
Final Survey Plot Plan
71(/,.//
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required ,
Flood Plain Certification,if required
Okay to issue C/C or C I 0[Temporary/Permanent 1
L:1Building&Codes Forms\Building&CodeslInspection Forms\Residential Final Inspection Form revised 100405.doc
Framing/ Firestopping Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:i t`. bam/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials• ` •
NAME: PERMIT#:
LOCATION: 0 INSPECT ON: =111
TYPE OF STRUC 4&41/41.1:Li-kdrY /A COMMENTS
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging C.AI `re3—t
Joist hangers
Jack Posts/Main Beams �� %*� "a '�? � � Z,�-- iZ-�`��
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in. 17?-t—A-NTS
Stairwells 36 in.or more 1
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate lid ( •—
1 '/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft. floor trusses
Anchor Bolts 6 ft.or less on center
Ice and 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 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
AO 3//z .
Foundation Ins tion keport
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pn} Depart: 2-in/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME:. _ -- • PERMIT#: ii5
-
LOCATION: f'iii e- 1/ - INSPECT ON: in m -
TYPE OF STRUCTURE:
•
Comment
Y N NIA
Footings
Piers
Monolithic Slab
\C//'
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
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6• _
. nul .• '•r wet arias un. : slab
B: 7• Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LABuilding&Codes Forms\Building&CodessInspection Forms\Foundaaon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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Foundation Inspecti n Report
Office No. (518)761-8256 Date Inspectiorreq st r= - e:
Queensbury Building&Code Enforcement Arrive: 3- h : , .j Depart: 7-a)aml�
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial's- ,�j '
/
NAME: /C- ra - . PERMIT#: a--ey75.--
LOCATION: 3 //�,u/ ) INSPECT ON: \ —� 2 —o7
TYPE OF STRUCTURE:
_ 1 �� CC—\0132-- 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
(.1,,,,) \7 .._.c.: ndation Dam roofin
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
Arellesove
ch width
/ 1, footing
6 mil poly r wet areas under slab
Backfill Appro al
Piumbing 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
/O /
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 01/
NAME:
Petr4r rrr-e PERMIT#: S I
LOCATION: i � INSPECT ON: MR -
TYPE OF STRUCTURE: f44j)t.
Comments
Y N NIA
Footings
41141111
ent in Placa
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
z t th
Foundation/Wallpour /17
Reinforcement in Place - . o1�
Footing Dowels or Keyway in place t7-
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 FormsWoundatfon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
6-/o • low
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart:10 MO am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ( M1){
NAME: f . ��`` PERMIT#: •
LOCATION: _ <h�f/b ,/)!? _ INSPECT ON: .r
TYPE OF STRUCTURE:
Comments
I
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 -- � eou
C- -
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.
LAButiding&Codes Forms\Bullding&Codes\Inspection FormsWoundatlon Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
C1? ,AC 11 Q.hL..
-.Jown of Queen.iturf/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME ld V mote bte, i 6-ufe U
LOCATION .8,, 3'7.q PI fti ed
DATE ze 11/qI PERMIT NO. qi-51,16;
i�
SOIL TYPE4,- Loam - Clay - ,:f�
Percolation est Required? YES - NO /
Percolation rate - Min/Inch /
TYPE of SYSTEM: I i
Absorption field, total length /39
Length of each trench 6'6 '
Depth of trenches ' /
Size of gravel #02
SEEPAGE PITS4Number of) ' ii
Size- ft. X - ft. ;/
Gravel size
PIPING: Size ',Type
Bldg. to tank C) i'
Tank to dist. box C/" / / /C
Dist. box to field/pit i + u
Openings sealed? 40N/
.r artial
LOCATION/SEPARATIONS:
Foundation to tank ifKi;
4
.
Foundation to absorption/
Absorption to lot line r , f. .
Separation of pits -- f'.
LOCATIO ,...:.,, SYSTEM ON ROPERTY(•ircle one)
s--
Front - Left s' e - Righ side -
CCIMMENTS:
v_i
1
SYSTEM USE APPROVED NO
IILf
.4
Building Inspector
01/86 and vl
A •
TOWN OF QUEENSBURY
RECEIVED
MAY301991
BLDG. & C DE DEPT.
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