2009-014 TOWN OFQ UEENSBURY
^w 742 Ba Road Queensbury,NY 12804-5902 (518) 761-8201
Y Road,
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20090014 Date Issued: Thursday, October 15, 2009
This is to certify that work requested to be done as shown by Permit Number P20090014
has been completed.
Location: 11 FARMINGTON PI
Tax Map Number. 523400-289-012-0001-029-000-0000
Owner. T & B ASSOCIATES LLC
Applicant T & B ASSOCIATES LLC
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEENSBURY
Single Family Dwelling
Issuance of this Certificate of Occupancy DOES NOT relieve the
040 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&Co.a Enfo ement
Planning Board or Zoning Board of Appeals.
`^ OFFICE USE ONLY
-.2. y7 %z -J .�� � C
TAX MAP NO. .RIT MNO. 1`-0 14 ,J, , 0 , }
0,J
FEES: PERMIT 31172. RECREATION 67r ENGINEERING
4- 7. "e (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 PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER:T+8...,QSS Jt , OWNER:
ADDRESS: [077 1_ cl.,, Sevoo1e . wADDRESS:
PHONE NOS. 865-2984 /1558-051-0 PHONE NOS.
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: 69.4d &ed w/t PHONE: $51?-655L,J(7
LOCATION OF PROPERTY: 4 I) ra.Erni.noitr Place
SUBDIVISION NAME: r'Q1n kjn 2_/)1(e.
PLEASE
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z 0 d ci o
PROJECT O Ce 0 co co O l- _
L- IL O 11. LL = I-
0
- O _ Z
Z Q ¢ :- d N � OU- O- LL 0- 105
SINGLE FAMILY / 1553 , -�
r= IQ(,� �°�� aa�i 22
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED / 7�
GARAGE(1p) V
OTHER /560 Q-Q�_,
(S 17.4e
1g`�
IF COMMERCIAL OR INDUSTRIAL-N,�4ME OF BUSINESS:
CS
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 above.
Signed f
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 a ordance with said zoning Laws of the Town of Queensbury.
Application:
i/ If_ Alil,/
4/ /
rL P N e & COQ : ' "RO AL
ZONING APPROVAL
e1 ' i
DAT: DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesaqueensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
ww.queensbury.net
(lnaratinn Pcrmi+ Ic ....,.I• v__ ..
Fire Marshal's Office
Town i'f L luc'enskfir/ • 742 Bay Road E `ir`i,'nsb,ir lt, i'ie i,` York •12804
licha-i` j. P'alttrcr, Flre Marshal• L,ar y 5tiliniarr, f)o;fiit;(Iirc Alar4uzl
}
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` 6
�� NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED.
OWNER: /* ,ISSQG tS INSTALLER/BUILDER:
ADDRESS: L 7 ..t A Ciirivl4 -1 ADDRESS:
PHONE NOS. (8S- 18 ! `
'* PHONE NOS.
LOCATION OF PROPERTY: 1) 4eryilPace__ SUBDIVISION NAME: P1JtLAIP5Y1 ( 2O
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: �^� '. QQ� 4Q
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: O j fly PHONE: (JSP/ -2 /CJI]
✓ 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: MODEL NO.
LISTED BY: NUMBER:
QUESTIONS?
CALL 761-8205 or 761-8206
CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL:
firemarshalgq ueens bury.net
MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE
TILE STEEL SIZE IN FOR MORE INFORMATION
INCHES wwvv.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 E.BUILDING CODE AND/OR
MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED
INSPECTIONS.
OFFICE USE ONLY
TAX MAP NO. PERMIT NO.
ERMIT 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. —�—
OWNER: /� .45 M s
INSTALLER:
ADDRESS: Lg77__ 4 ,v, ,I g_e 'O 4 kW
ADDRESS:
PHONE NOS.-$B$- _, PHONE
PNOS.
LOCATION OF INSTALLATION: 1 // ' iii• cr a AVS
YEAR BUILT NO.OF } RESIDENCE INFORMATION:
BEDROOMS X I COMPUTATION= ! = TOTAL DAILY FLOW
1980 or older , X 1 150 gallon per bedroom I =
h GARBAGE GRINDEg
X � INSTALLED? J�JQ
1981 -1991
a 130 gallon per bedroom =
1992•present �l' SPA OR HOT TU
.......__9 X 44I
110 gallon per bedroom j = ,' INSTALLED? C
PARCEL INFORMATION: tJ
✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND g,. LOAM32' o, CLAY OTHER
✓ GROUNDWATER AT WHAT DEPTH? Il//14 . BEDROCK/IMPERVIOUS MATERIAL: AT
WHAT DEPTH? 1/h�-
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL 17
(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). Add 250
gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub.
✓ SEPTIC TANK: 1.956 GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH SO FT.
✓
r
TOTAL SYSTEM LENGTH: c� Z FT. SEEPAGE PIT(S): HOW MANY? 5
✓ SIZE OF EACH FT. X F1-.
✓ SIZE OF STONE TO BE USED: # � /DEPTH OR THICKNESS aDV#ll 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
• APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. BY A TOWN
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensburv. any
permit or annroval rtrar,+cri _._ . . .
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: `/'30"Y.) /
NAME:
77 B
LOCATION: / iL../ I -: PD
PERMIT#: • r S
• Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept.of
Community
Development.
Upon review the
survey has been:
r1//0‘ •
C own, ioning Administrator
Notes:
LASueHemingway\Building•Codes.Inspection•FORMSTinal Survey
Zoning Administrator.doc
Queensbury Building & Code Enforcement - Residential Final -spection
Office No. (518) 761-8256 1 Ur Arrive: \TIM a ► !:1%.rt ��V7-17P,
Date Inspection request received: J( 5 /U / Inspector's Initials 1,
NAME: 1 - l ) ! -I ' C Ct \ Tt PE- IT#: 0 ( _ U�
LOCATION: ( j !—.'a R wA i �J j- c"/ (° - DA E: q/Avi r
TYPE OF STRUCTURE: _
CComments:
x0 LIQ
4" Building Number Address visible from road
Chimney Height/"E'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
Handrail 4 or more risers
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
Deck Bracing/Handicapped Ramp Compliant
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 I Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 M.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing I%hour fire door/door doser
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan ✓
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
_
Flood Plain Certification ' -= _'red ,.
Okay to issue C I C • I I . .. • I Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms'Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
lZ' T--. `/j%%esct
Qt,ieensbury Building & Code Enforcement - Residential Final Ipection
O No. (518) 761-8256 Arrive: am/pm Depart:I , 3amipm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#: Ai
As !—/
LOCATION: DATE: — r-L:
TYPE OF STRUCTUR r—�
`� Comments:
in/ Ns WA
4° Building Number Address visible from road '‘,/
Chimney Height/"B"Vent/Direct Vent Location lie Fresh Air Intake _
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers i_
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more f
Guard at deck,porches 36 inches or more V,
Handrail Termination at Newell Post or Wall VVje
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant / /
Grade away from foundation 6 inches with 10 feet y//
6 inch clearance to sill plate �fj
Gas Valve shut-off exposed/regulator 18 inches above grade V/
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight /r
Safety glazing/W' cow in stairwells safety g = ing '��//
Interior Smoketeectors/Carbon onoxid Detectors
Every level: ������////// Ev Bed om:
Outside every bedroom rea.
Inter Connected: Battery backup: /
Attic access 30 inches x 22 inches x 30 inches(height in accessible area J
Crawl S.aces 18 inch x 24 inch access 1 •.ft.-150 s,.ft.vents
Bathroom Fans,if no window
Plumbing fixtures Z.
Foundation insulation/Insulation Certification \/
Floor truss,draft stopping finished basement 1,000 sq.ft. V�
Emergency egress below grade (I)
Gas Furnace shut-off within 30 feet or within tine of site /
Oil Furnace shut-off at entrance to furnace area V/ �JI'A
w
Fumace/Hot Water Heater operating .�
Low water shut-off boiler vz_.--/
Relief Valve(s)installed I Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum' "Gypsum /
Basement stairs closed rise>4 inches Vz
Garage Floor Pitched I V/ ¢ft4—)A-L, ,�� �
Garage fireproofing/'/.hour fire door/door doser ��///�
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure �/
Final Electrical
Final Survey Plot Plan 0 ��
Arc Fault Breaker in Bedrooms V/ ,L _ y�
Flex Gas Pipe Bonding V/ �-^�`
As Built Septic System/Sewer Dept. Inspection Sticker 1., / Q ._
Site Plan /Variance required Y/ k �V�+
Flood Plain Certification,if required # ,1/ .e...........---
Oka
e'"'Oka to issue C/C or C I® Tem•ora I Permanent _
6 44(1.L 1 47
L:\Building&Codes Forms\Buitding&Codes\lnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
26'
11 FARMINGTON PLACE 34'
1250 GAL
79'
V
26'
11 FARMINGTON PLACE 34'
79'
5@50'
•
•
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: ‘‘-2 -07
NAME:
LOCATION:
PERMIT#: 07---014
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept.of •
Community ,�--
Development.
Upon review the
survey has been:
Craig Brown,Zoning Administrator
. Notes:
1
L:\SueHenringway\Building.Codes.lnspection.FORMS\Final Survey
Zoning Administrator.doc
MAP REFERENCE:
MAP OF A 5UBDIV15ION
MADE FOR
RICHARD P. 5CHERMERHORN
DATED NOVEMBER 5. 2002
LAST REVI5ED JUNE 23. 2003
BY VAN DU5EN + 5TEVE5
LAND 5URVEYOR5
LOT 4
LOT 5
FA
4.&RAHNGTON LAP CE
y "o
N ^
o LOT 7
28, 667 sq. ft.
0 of 0.66 acres
2 ay
PROPANE JK
LOT 6 r�K \
2
Wp00 TpRY
N��;f
24.53'
apR�h
MAGNETIC AS
0 30 45,L118.
LOT 8
e�
JUN
2 4 ?�09
` �O NE1y' • 8uILDINQsBv
• �'S, ya . CODESRY
/1a�1..1 N •
ft-l-ftz'"W'No mus
w_
Du ez�
(1
/`]j`J/`A-/
S
Land Surveyors
169 Haviland Road Queensbury, New York 12804
.UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
IIAP BEAPoNG A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION T2GY. SIB -DIVISION 2. OF THE
NEVI YORK STATE EDUCATION LAW.'
"OILY COPIES FROM THE ORIGIN& OF TNS SURVEY
MARKED LL AN NSI ER T THE LAND SURVEYORS
SEAL SNAIL CONSIDERED TO BE VALID TRUE COPIES-
'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE MTH TNi
EASTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION SHALL PROFESSIONAL
LAND SURVEYORS SAID 0M TIFE SUR E SPRUN ONLY
TO 111E PERSON FOR WHOA THE SURVEY R PREPARED, AND
ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL
AGENCY AND LENDING INSTITUTION LISTED HEREON, AND
TO THE Ass%us OF THE LENDING INSTITUTION.'
Map of a Survey made for
T & B ASSOCIATES
Town of ueenebur Warren Count New York
Q Y• y�
Date, June 19,
-
S C a t e 1 '— 4O
��
/��
�� 1 VI- 1
T � B
DWG. NO. 02384-7
(518) 792-8474 New York Lie. No. 50135
NO.
DATE
DESCRIPTION
Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
24(2- 2_
Queensbury Building & Code Enforcement Arrive: am/pm Depart: ^ m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: I '`
NAME: 774,6) s sac , t- �� PERMIT #: C 1 K
LOCATION: ,' - 1 tic '- INSPECT ON: VAri
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing I Nail Plates
Plumbing Vent/Vents in Place
1 % 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
nsulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent \/ •
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
R u -S v
COMMENTS;
�Z cLAT � � mit
R- A ' IN) Aru- 42 f
v -7-k`a--17 ! " rK
-A L FDt _
Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
/- acz-g_
Framing / Firest piling Inspection Repo
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depart:ta_trin/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 7?/� PERMIT#:
LOCATION: r m `f r c-� P/ c? INSPECT ON: �) -
TYPE OF STRUCTURE: ("-\1
/ ~ Y N N/A COMMENTS:
Fra•ming v
ss 22" x 30° minimum
Jack Studs/Headers �I
Bracing/Bridging V
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12°O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(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
re , - 4 hour
Firestopping N77
_ - -aled
16 inch insulation in cavity min.
Garage Fire Separation
House side%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
LABuiiding&Codes Fors-OLD\Building&Codes$nspedion Fams\Framing Faestopping Inspection Reportdoc Revised January 7,2008
--/ 2 /r/b'4 .ry
Rough Plumbing / Insulation Inspeqtion Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart:c' -2.c-cam/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 1
NAME: --;r? , , PERMIT #:
LOCATION: / fA,--pvt ; `� y, � INSPECT ON: ,4
TYPE OF STRUCTURE: 4Th ‘1
Y N N/A
Rough Plumbin /Nail Plates tiV
Plumbing V /Vents in Place
' ' inimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test I
Drain /Vent U�
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 !'
Tyvek or Similar Exterior Sealant '47_0? '1" --tib V/
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
v_
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depa:rT/1 _Ey am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:/_1J4) ,
C�
•
NAME: PERMIT#:
LOCATION: INSPECT ON: (./ 7-(
TYPE OF STRUCTURE:r rn i �l — / ?
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
Wijtsnar
Footing Drain Daylight or Sump ✓ Vg?‘14\ --6117..
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
CIL&*0 \rv)
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Dep : am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:i ikir
9
NAME: PERMIT#: - 6� v
LOCATION: l t `t'a ' P INSPECT ON: `I ve,- ,)1?1•11 /
TYPE OF STRUCTURE: `I S�Fi2
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
f l.J
Foundatio I
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 Insequest received:
Queensbury Building&Code Enforcement Arrive/ am/RI Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 InspeclorA Initials:
NAME: '1 iv 2 PERMIT#: t — `I
U
LOCATION: F,u /•v u 1.AJ , . INSPECT ON: 7_//f 0ci
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.
Fo dation/Wallpolur
%einforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofmg
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 il/, ,
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Fonms\Building&Codes\Inspection Fonms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(S 18)761-8256Date Ins tion)request received:
//?
Queensbury Building&Code Enforcement Arrive: • 'r.,& Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect° 's Initials: !!u
NAME: { t. A S S o C t+n S` PERMIT#: t?
LOCATION: ( ,�.� '� -‘7„.
r �/
�' -}w� L INSPECT ON: J <,� j
TYPE OF STRUCTURE:
Comments _
YF N N/A
Footings t?
Piers
Monolithic Slab
Reinforcement in Place / •
The contractor is responsible fo
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 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
A r\ift i V\z‘
`...- Septic Inspection Report f YO
Office No. 518 761-8256 Date Inspe#io uest received: �t��
Queensbury Building&Code Enforcement Arrive: rt , L`lm/ Depart: am/pm
742 Bay Rd.,Queensbury, NY 12804 Inspecto s Initials: ` �
NAME: -Ti- /5I) S SUC'Pii-ej PERMIT NO.: L c7—0/q
Ye),90/ -1
LOCATION: 11 'A,• ; ^c/ >J P N , INSPECT ON: / Z
RECHECK:
? Comments and/or diagram
Soil Type: Sand b-- lay
Type of Water: unici. / Well WaterI 0� 1,1X-- ��`'" ' i,-)C-,Waterline sepa •do =' •nce ft. / F.
Well separation distance ft'
Other wells: ft.
Absorption Field: Total length TR, ft.
Length of each trench ' • ft.
Depth of trenches `P ft.
Size of Stone Ili 7.7
Seepage Pits: Number
Size: x
Stone Size:
Piping Siz �, Type
Building to tank i6!) c
0,
Tank
to Distribution Box 14 tt
Distribution Box 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 Y____N
Engineer Report and As-Built Y—,N
Location of System on Property:
Front Rear Left SideRight Side 0k g C o L,1 G/CL
\ .
Middle Front Middle Rear \---
r
•
System Use Status:
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
Framing / Firestopping Inspection :? •I t
Office No. (518) 761-8256 Date Ins•=Pi.•n,west received:
Queensbury Building&Code Enforcement Arrive: 1 gym/ am/pm
742 Bay Road, Queensbury, NY 12804 Inspect is I ials: l -�✓
NAME: T PERMIT#:
LOCATION: r .,. Re INSPECT ON: -)�
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
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
•; . •• less on center
Ice and water shiel• 4 inches from wall
Fire on 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side's 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
L:\Building&Codes Fortes-OLDDBuildinp&Codeslinspection Forrn&framing Firestopping Inspection Report.doc Revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: 3 id-7 0 6)
Queensbury Building&Code Enforcement Arrive: am/pm t Urt. am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
�
'L - 4
NAME: t r � `� PERMIT#: ��
LOCATION: �`�.�e�.i Y 1 SPECT ON: e/i• /v /? c46.21
TYPE OF STRUCTURE:
Comments
4,2 Y N N/A
Footings
Piers �J
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/Walipour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofmg
Footing Drain Daylight or Sump
Footing Drain Stone: 1
1 inch width /
1
inches above footing
1 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