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2011-457 �_ TOWN OF QUEENSBURY frisay 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20110457 Date Issued: Thursday, September 20, 2012 This is to certify that work requested to be done as shown by Permit Number P20110457 has been completed. Location: 32 NACY Rd Tax Map Number: 523400-289-006-0001-032-000-0000 Owner: JAMES & LILLIAN CONWAY Applicant: JAMES & LILLIAN CONWAY This structure may be occupied as a: Fireplace By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property ,, ' � 4t— owner of the responsibility for compliance with Site Plan,Variance, or ,off other issues and conditions as a result of approvals by the Planning Board Director of Buildin &Code En otcement or Zoning Board of Appeals. g Temporary Certificate of Occupancy 90 Day Building Permit No. : 2011-457 Property Location : 32 NACY ROAD Property Owner: JAMES AND LILLIAN CONWAY Approved for the following uses: Single Family Dwelling Conditions of approval : 1. As-built septic system 2. Site Plan review conditions,as approved by the Planning Board,to be completed. $100 fee received on: MAY 18, 2012 90 Day Temporary CO expires on: AUGUST 18, 2012 *A final inspection for this project must be scheduled before the expiration of this Temporary Certificate of Occupancy—if your project is not complete within this 90 day period you will be subject to additional fees* Signature of Applicant: /l Director of Building & Codes: 41#5t TOWN OF QUEENSBURY OSI 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20110457 Application Number: A20110457 Tax Map No: 523400-289-006-0001-032-000-0000 Permission is hereby granted to: JAMES &LILLIAN CONWAY For property located at: 32 NACY 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: JAMES &LILLIAN CONWAY Fireplace 32 NACY Rd LAKE GEORGE,NY 12845-0000 Single Family Dwelling $390,000.00 Total Value $390,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-457 1688 sq ft single family dwelling with 1 fireplace $337.58 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, October 18,2012 (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 ttte-MT of Quensbury; Tuesday, October 18,2011 SIGNED BY '. '' • / / ,' _. for the Town of Queensbury. -s 3 Director of Building 8& ode Enforcement OFFICE USE ONLY _ �...................... TAX MAP NO. PERMIT NO.41___ TI7 , , EES .—MIT - , �`. L RECREATION ENGINEERING I""1 fir'. ' ,'� -------71-`1=-. w ! nor" pplicabl - CIPAL STRUCTUi �T APPLICATION FOR ZONING ,�:� I APPROVAL & B ry �.._ A PERMIT MUST BE OBTAINED BEFORE BEGINNING ���& •�r . ; IT CONSTRUCTION. APPLICATION IS TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: OWNER: ,A GS Q , of ►4�]ADDRESS: r • "- 0' _ ADDRESS: K Akiat j ©rtizem PHONE NOS. _3_ �c PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: LOCATION OF PROPERTY: _ PHONE: - /21, HAS THERE BEEN A ITE PLAN REVIE A, VARIANCE OR -BDIVISION APPROVAL IF SO, INDICATE APPLICATION NO. AND DATE OFS NO APPROVAL: :ilk. �-� � f d Sirk P-6°140 // PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT ZO tf /r:'ry ' PROJECTAPPLY 0 YOUR o 0 0 el a o . r �( v) Z LU Q J H 0 ; z 0 H 0 V Q r- c� . 1 � V 0 � I— 11. Q. WZ Q. 2oZ5 SINGLE FAMILY X qG/2. • !74.51 - 726.7 1, 6:98? _.., 27/D, „ TWO-FAMILY �� 0 MULTI-FAMILY i� 411(NO.of UNITS ) 1r 'TOWNHOUSE i` BUSINESS OFFICE ---- _ RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE( ,2,3) p • OTHERS C v"` lS0/ (T) // IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS-: ESTIMATED CONSTRUCTION COST: .19n niwt- ' 41A i) pl IP! TVDC. AP.,-. __ B 3-LGL 11-05 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /V(/ ARE THERE EASEMENTS ON PROPERTY? /(I 0 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 an. .g ee to a above. Signed ��� irir�/ 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: BUILDING & CODES APPROVAL ZONING APPROVAL DATE DATE QUESTIONS? CALL 761-8256 OR EMAIL Office Use Onl Codes cCDgueensbury net VISIT OUR WEBSITE FOR MORE INFORMATION ODeratinn Pcrr„i+ .. Fire Aillashi i e L:-i is !I ) VI 7 rim bUll,DINC & vr�[; '� APPLICATION FOR FUEL BURNING PPLIANC Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the New York State Fire Prevention & Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances,regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. OWNER:t 1fv 4l S 4 II L.UAcJU aiikpifecY INSTALLER/BUILDER: bEAI12 144-00 D ADDRESS: 32 M O( RD. 0OkreAA8012y ADDRESS: 7 I O6 coo i4 5T• LAK 4002E PHONE NOS. PHONE NOS. 668 -- 31.E5 LOCATION OF PROPERTY:3Z. N6LY RD - giveklusevi&I SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: VAINLY RGW, // CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:bFAIJ LAL()D 66 PHONE: ?-3/65' ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION . STOVE FIREPLACE INSERT FIREPLACE, FACTORY BUILT* x FIREPLACE, MASONRY FURNACE (GARAGE ONLY) 04.71-5 77C: *IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURER NAME: NO? KC/,vv AT 7?l/5 TP'MODEL NO. LISTED BY: NUMBER: QUESTIONS? CALL 761-8205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: F,,...»� 'Sha. @evnsb. rLilet MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE SIZE IN FOR MORE INFORMATION TILE STEEL INCHES www.queens b ury.net FLUE CHECK ONE ✓ - DOUBLETRIPLE WALL INSULATED DIRECT VENT CHIMNEY WALL LINER CHIMNEY MATERIAL CHECK ONE ✓ )( **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: /1IJAcJ-7LSP/G. 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.PRESENCE OF CARBON MONOXIDE DETECTION IS REQUIRED UPON INSPECTION. 26; // '7 s �r I' i Town of Vueensbrel l% ' ;' 1 ,5q) fir s� w 2011 , i/i Michael F. Travis Highway j ' ?ligjhwuti•Superintendent If ' •- 1 EN r�. I Home. (518j 796'41-113 Department =" , 742 Bay Road Queensbury, NY 12804 Thomas R. Vanness Office Phone: (518) 761-8211 Deputy Superintendent Fax: (518) 745-4466 DRIVEWAY PERMIT Home (SIBS) 0939 www.queensbury.net DATE: A(,( i5/ ZO I j APPLICANT NAME: J4 AA 1) 6 - IA) TELEPHONE NO.: 46E. ADDRESS TO BE INSPECTED: 3/ IUAC1( RD . q()Eu4 gU / RETURN ADDRESS: 7 EVO15 61-• LA6(e 4e. e_ Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP 1: ( ) Preliminary Approval /V% Fdkl527,tt NEED: ( ) Slight swale YY ( ) Deep swale ( ) Level with the road ( ) Level with the top of the paved wing Size culvert pipe to be used (if necessary) ( )12" ( )15" ( )18" ( )24" ( )36" Preliminary inspection completed by: Date: Approval by Highway Supt: Deputy Supt: Upon completion, please resubmit this approved permit for a final approval. STEP 2: ( ) Final Approval ( ) Rejected Date: Michael F. Travis, Highway Superintendent Thomas R. Van Ness, Deputy Highway Superintendent OFFICE U ""_.._."...-_.___ USE ONLY `r-=== . TAX MAP N0. ' �,� s..'..--..-,2.,....„‹,.........0 j� Ca r PERMIT NO. -' ,b , _.._ ijw; HERMIT FEE_____--_ ; ; i ..I- :1/4,77_V,A_L_S_: ZONING -`"` �� TOWN �� , CLERK % • r•= i _- -- - __ ' , Tom,_._ APPLICATION .............. �E; - ,� FOR SEPTIC DISPOSAL SYSTEM _ ,__ . i ,��� PERMIT: _ �c--� `;� - APERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE A PERM RMIT. BEFORE ISSUANCE OF A VALID POWNER: A.. - .... •' . h. INSTALLER: I ,,,s�� ADDRESS: ' ► I - PHONE NOS, PHONE NOS._ l22 LOCATION OF INSTALLATION; 11)iE.ice/ YEAR BUILT N0.OF BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW RESIDENCE INFORMATION: 1980 or older X 150 gallon per bedroom 1981 -1991 = = GARBAGE GRINDER X 130 gallon per bedroom INSTALLED?-- ;L_ 1992-present 3 X 110 gallon per bedroom - � SPA OR HOT TUB. � � �' INSTALLED?—" = PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling_____ Steep slope %Slope ✓ SOIL NATURE: Sand Loam Clay Other ✓ GROUNDWATER: At what depth?-_' T. ---._ ✓ ______ K/IMPERVIOUS MATERIAL: At what depth?24. g rtAorovel /¢�i!'�A' D�"/ % ✓ DOMESTIC WATER SUPLY: 'it) ,4 Municipal Well (If,well: ► supp y rom any septic ✓ PERCOLATION TEST: Rate is ; yv system absorption is---__.ft.) per minute 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 PlanningBoard TAN-5 Queensbury Building & Code Enforcement - Residenti_ in- I spection Office No. (518) 761-8256 Arrive: 16=y' pm r;..ft I fl ,am/pm Date Inspection request received: Inspector's Initials: NAME: t.L7 PER #: // - /52 LOCATION: .3 (&C Rol DA TYPE OF STRUCTURE: r 9— I cT 1 Comments: Yes No N/A 4" Building Number Address visible from road \e/`(\P C a Chimney Height/'B"Vent/Direct Vent Location f -l g Fresh Air Intake j)t r Lo 3 inch Plumbing Vent through roof minimum 18 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 dearance 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/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: .,3 Inter Connected: Battery backup: C' sulLi 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 to floor/Sticker on Panel Duct work sealed properly/Blower Door Test 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 N�� Basement stairs closed rise>4 inches 'l Garage Floor Pitched L Lj Garage fireproofing/' hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan CD Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding 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:1Building&Codes Forms\Building&Codesllnspection FormslResidential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 Framing / Firestopping Inspection Report (-4)eall esck% 1 b -'13 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: R c k PERMIT#: 1 ` LOCATION: �����!tit Ni1134A CQ,u Qca INSPECT ON: $ -2- TYPE OF STRUCTURE: t.,))r/o Y N WA 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 I Bearing Walls Metal Strapping for Notches Top Plate 1 'r4(w) 16 gauge(8) 16D naus 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 ire wall 2, 3, 4 hour Firestopping Penetration sealed 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 L:1Buiidtig&Codes Forms-OLDrBuilding&CodesYnspedion FomtislFreming Firestopping Inspection Report.doc Revised January 7,2008 W ecatNesc �-1 Queensbury Building & Code Enforcement - Residential Final In "1-1spection Office No. (518)761-8256 Arrive: :��'%Z��.,. "IP '84: Date Inspection request received: 5 /La-I a Ins. . niti 4-. N. NAME: 60 Atip a A P 'IT' #: /I— kI c5LOCATION: aCf 1 ZTYPE OF STRUCTURE: � `� D . Comments: Yes/ No N/A 4" Building Number Address visible from road ✓ Chimney Height/13"Vent/Direct Vent Location Vi Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches1.4 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 ,f Guard at stairwell at 34 inches or more t/ Guard at deck,porches 36 inches or more ,/ Handrail Termination at Newell Post or Wall v 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: / isc\, �`" Outside every bedroom area: ��// 4 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 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation to floor/Sticker on Panel -� ...).'V Ductwork sealed properly�oor Te Certification�j �" Floor truss,draft stopping ed basement 1,000 sq. -�� Emergency egress below grade V ���\.-" 0 s& Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area i• Furnace/Hot Water Heater operating L w-�� Low water shut-off boiler // �0�V`ig:: ' Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum W Gypsum f j Basement stairs closed rise>4 inches ✓ Garage Floor Pitched Garage fireproofing/' hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% .,/,/ c.Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles ✓ Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker / it Pian /Variance required ✓ Flood Plain Certification,if required Okay to issue C/C or C/0[Temporary/Permanent] L:\Building&Codes Forms1Building&Codesllnspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04113/11 eensbury Building & Code Enforcement - Residenti- inn-- spection Arrive: * ► - • , /e art`9fr •m Office No. (518)761-8256 J / p Date Inspection request received: is/ Y" Ins• . • s Initi /i>� NAME: (i."1"\( • (� "�,� Pr MIT#: �/— 4`S 7 LOCATION: 3 !°�� DTE: --, _2. TYPE OF STRUCTURE: is Comments: Yes., No N/A 4" Building Number Address visible from road �( Chimney Height/"B"Vent/Direct Vent Location �/ Fresh Air Intake r 3 inch Plumbing Vent through roof minimum 18 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 I Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch dearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim I doors/main entrance 36 inches ,�j Bathroom/Kitchen watertight �� Safety glazing I Wi •• in stairwells safety glazi g Interior Smoke De -;«ors/Carron Moxide Lectors Every level: Eve Bedr : Outside every bedroom a: ✓✓ 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 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window / / Plumbing fixtures ,/ ✓J Foundation insulation to floor/Sticker on Panel /` > VDC0 .43--k-r$4't;k Lj.6 V Duct work sealed properly I Blower Door Test Certification V Floor truss,draft stopping finished basement 1,000 sq.ft. 11136i3LIci t c43 ` b.\A l Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site / C_ "L �l'tLiv� rJ����0�- Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating " F i v�v Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 (y. s '`_ � Enclosed Stairs Sheetrock Underside minimum W Gypsum ���� ��LFc c�,,� Basement stairs closed rise>4 inches Garage Floor Pitched ✓✓ C' i L, >J� 1>F-- UN i C r Garage fireproofing/9 hour fire door/door closer /1,-----> i Gas Logs in Sealed or Glass Enclosure L Kb_ Vi sLr _ 9-- -- IRRV--5 {�Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan Tb e'JR (--\ ,_ Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles ` Flex Gas Pipe Bonding ✓ //i As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required ,n .\ Flood Plain Certification,if required (2- � ��- Okay to issue C/C or C/O[Temporary/Permanent] 17 L:1Building&Codes Forms\Building&CodeskInspection Forms.Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 Town of Queensbury Fire Marshal i ailli742 Bay Road /" Queensbury,NY 12804 ~` 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. ) �� v /ks. Permit# /�� Schedule Inspection ���jfy Time a i p anytime Inspector V Name C/5,00/5Address 3� MeV' A*4C, Rough In Final V1 Appliance Manufacturer 7‘14Uk' Model# rikl13L- 7 174O Pi)421 k'67 Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection V /44141 -o/75-///ds ',011A414 Clearances to Combustibles (all sides) 6e4,144_,-/ii"/0- P a ie,,j7 Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles1. / Vent/Chimney Termination / Chimney height must be 3 feet above roof ,V/ penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Li/ Combustion Air Hearth Extension (if any) V Mantel 1/ Height above f/p opening Witness Operation Tank Placement(if LP) CO Detection R4 6G• CSST Bonding White—Building Dept. Yellow—Customer Pink—Fire Marshal Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Depart:? am pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: HCl �I NAME: C('-`1 A PERMIT NO.: LOCATION: `24 V A L�( i f� _ INSPECT ON: `/ 72- RECHECK: /� Comments and/or diagram Soil Type: Sand/ Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/- Y N N/A [150'to well required if NO] Absorption Field: Total length Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x ?fA- Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y N ,. End Cap Y N � ��� t � Inlet/Outlet Pipes&Baffles Y N R,ODti F-- t\ 1�_ Manholes 12"or less below grade _Y_N [provide extension collar if Yes] Y N �Z I`fi�C� I l Location/Separations Foundation to tank ft. \-)1 ,4 4.q k` - Foundation to absorption ft. Separation of Pits ft. ��K U�4 Conforms as per Plot Plan Y N Engineer Report and As-Built _Y N p �_��Z�c ETU Maintenance Contract Y N �1�`� provided CKL —t 0 ✓461 ,- Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear -m :.1 . ■r/ Approved KW Partial Approved and needs to be re-inspected, please call the Building &Codes Office r Disapproved L:\Pam Whiting\2010\Building Codes Fo.ms\Inspection Forms\Septic Inspection Report_03 29 10.doc 5111 7 11.\ -i-. 41--- 11 AL1 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: l - ) 1 Queensbury Building&Code Enforcement Arrive: am/pm Depart: / 1-7 caip pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:ii� ! ' ii NAME: GM �1/1 y PERMIT NO.: 1 1 _ 57 LOCATION: 1- /�'V 4 C.�J k Lt / . INSPECT ON: 0I Z_ RECHECK: // Comments and/or diagram Soil Type: Sand/ Loam Clay Type of Water: Municipal , ell Wa Waterline se.• .tion distance ft. Weil - ••ration distance ft. Other wells: ft. f.)-n- �� i, -�, Well Casi • Length 50' +/- Y N N/A [150' is well required if NO] /14 fZ /vtAiNi .pP romo Absorpti•n Field: Total length ft. d..tAvkfACWILTC> -ngth of each trench ft. Depth of trenches ft. Size of Ston �,c�L Pi,-.1-1--C or •••e Pits: Num r ��/ � ze: �j= �M - - S Size: Piping Size Type � �`�- Building to tank A`' .5,64._AO ��Z �,�� Tank to Distribution Box Distribution Box to Field I Pit Opening Sealed: Y_N End Cap Y N Inlet/Outlet Pipes&Baffles _N Manholes 12"or less below grade �_N [provide extension collar if Yes] Y—N Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits Conforms as per Plot Plan Y 40 Engineer Report and As-Built Y ETU Maintenance Contract Y_ provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear stem - S •t Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspection Fomes\Septic Inspection Report_03 29 10.doc p .4illiklbilik,i Town of Queensbury Fire Marshal ' �� c-`°>~ IOW 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 ` . .` �� _ - 45-4\437 Facto Buil Gas Fireplace I 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# ;--)-C'L[`('.,L-1-c7 Schedule Inspection .- I`f ..�6 )) Time % i a pm anytime Inspector/ /D $ Name L`1\L\'L L-' _ _ Address 3, /<—, e'(-4 ;`---? -) Rough In, /Final_ J 'L )7+)_� L 7 yam)LL11LNZ 7 Appliance Manufacturer MA e j'� Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection1/ 'Y{L )O 'P T �i7 Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration X 1/ Vent Clearances to Combustibles / Vent/Chimney Termination v Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air ` Hearth Extension (if any) V V Mantel j �t(' q 6( ivi :,,A V ti i_ kZ-- Height above f/p opening v iii.k-ei 62 -7-4d/( ----- Witness 2 .-ter ?tomWitness Operation (9 veTank Placement(if LP) • CO Detection e v 41 CSST Bonding biyo- White—Building Dept. Yellon—Cust Amer Pink—Fire Marshal : - .,....5- // 1& c, 6 . Rough Plumbing / Insulation lnspectio Report Office No. (518) 761-8258 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: / am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials• / 1 NAME: L Ofk. y PERMIT#: //-167- LOCATION: - AMU, . INSPECT ON: __Z__-_,--41-_-:47_, TYPE OF STRUCTURE: C14 ---) _ Y N , N/AI Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size P _ 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 . " S. 15 minutes Insulation Iidential Check I Commercial Check • - milar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) , Duct I Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: c -ukll•-&, e___, kiL.71(k44--c - -&-y2,\, e_c, --t,j,,, d,;..,--' vt--uL-1) - R- Ao-v Rough Plumbing insulation Report.revrsed Nov 17 2003, revised February 15,2005, revised January 7,2008 1 - r� Rough Plumbing / Insulation Inspection Repo Office No. (518) 761-8256 Date Inspectio ,- •-'► ed: 7i Queensbury Building &Code Enforcement Arrive:1 '11' a p - •art: 7' r� 742 Bay Road, Queensbury, NY 12804 Inspector's lnitir NAME: C ry P. *MIT#: l ©.�� LOCATION: c _ � I► SPECT ON: -z . TYPE OF STRUCTURE: Y N N/A Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet if change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above h!hest connection for 15 minutes Pressure Test Water Supply Piping / `-.. Air/Head C)� � `' 50 P.S.I for 15 minutes ulation/Residential Check/Commercial Check IkLvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) ; V.)0 Duct/Hot Water Piping insulation If required unheated spaces - A Combustion Air Supply for Furnace Duct work sealed properly I No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 ( lU (U f cam+&& . c-7,/ ( Rough Plumbing I Insulation InsC ion Rejort Office No. (518) 761-8256 Date Inspection request received: i / 2 Queensbury Building &Code Enforcement Arrive: am/pm Depart: a pm 742 Bay Road, Queensbury, NY 12804Inspector's Initials:e. NAME: Co wokPERMIT#: LOCATION: 5/_,Zc INSPECT ON: TYPE OF STRUCTURE: N/A '-kl-Ftough Plumbing /Ni�— Plumbing VeraVents 1 % inch minimum Drain Size Washin! Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain/Vent V 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/Comrr,rcial Check jyvek 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 COMMENTS; Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 /- Rough Plumbing I Insulation Ina ion Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: l o E am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: - L NAME: c _ PERMIT#: LOCATIO : INSPECT ON: TYPE OF STRUCTURE: A Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washin• Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test W - •ply Piping 'r/Head 51 P.S.I for 5 minutes Insulation / -esidential Check/Commercial Check I � ek •. imilar 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 COMMENTS: f-s6-/AIV e__ Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Ins 'o Report fil67 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: Trse_ 9 NAME: CO Ill. PERMIT#: /1- ----7 LOCATION: �` 37 .uz 'Poll INSPECT ON: TYPE OF STRUCTURE: )-4212 Framing Liv. 22" x 30" minimum Jack Studs/Headers � - Bracing/Bridgingc42-ekt-0 -- Joist hangers Jack Posts/Main Beams ` -e5-) 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 sue Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft. or lesson 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'A 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:lBuilding&Codes Forms-OLD Buiding&Codesldapection Fom'ialF erring FirestOpping Inspection Rspo tdoc Revised January 7,2000 Foundation Inspection Report 0 Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: 1/;doi am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: -� t'/ L,_ PERMIT#: 1 � LOCATION: 4 INSPECT ON: 1? 2--// TYPE OF STRUCTURE: Conrtmentt Y N NL Footings (44uornolithic Slab m orcement in Place - Ic The contractor is responsible for J`,1`i`n n s providing protection from freezing �ec _I 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 7 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 Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:/pin 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: #: :el_ 7 LOCATION: �, 1 j C r� / ! INSPECT TON: s % TYPE OF STRUCTURE: SPr2 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 Dampproofng 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 BacApprovai-_ _ _ _� Plumbing Under Slab Foundation Insulation Interior/Exterior l� 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 Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: /j t am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials;/ .�. NAME: - PERMIT#: LOCATION: — To VIP JR, INSPECT ON: MEET TYPE OF STRUCTURE: Comment 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 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 -j Foundation Inspection Report ty Office No.(518)7614256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: AIC, p .4 INSPECT 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 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 inc above footingdir 6 „.1 po for wet areas under slab Backfill A. •royal ' :.+g Under Slab PVC/Cast/Coppere.9.A4Ad. 1-2(Y(1— kS Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Buliding&Codes Forms\Building&Codes\Inspection Foam\Foundation Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: --1411—/ Queensbury Building&Code Enforcement Arrive: am/pm Depart:C61m/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:( � � NAME: / PERMIT#: LOCATION: :3 a- � �' c-‘,t INSPECT ON: .63 it TYPE OF STRUCTURE: 41) Commentt Y N NSA 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. • or thus p�'P�Q on site. ` ., ounda�ion/Wa1lpwr�' Reinforcement in Place .AZA Footing Dowels or Keyway in place A 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:\Buliding&Codes Forms\Building&Codes\Inspectlon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM t� LSVV.' 1/(36)(16.1.,,A40 Foundation Inspection Report 4 ' -1 4,114 Office No.(518)761-8256 Date Inspection request received: 0 l 1 f Queensbury Building&Code Enforcement Arrive: am/pm Dep. • pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:644) G\ NAME: PERMIT#: q 97 LOCATION: 3 - i+E7 INSPECT ON: C1III „ TYPE OF STRUCTURE: 2 L t__ Comments Y N T A - / _ `1.3 Footings Piers Monolithic Slab . .L> Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this p on site. foundation//W * Reinforcement in Place V / 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 dmp vvithin 10 ft. L:\Bullding&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Inspection reqw;• ' /1 10 it Queensbury Building&Code Enforcement Arrive: , •, � part: : i i pm '742 Bay Rd.,Queensbury,NY 12804 Inspector's Ini : NAME: C r/1-►. i t/A-' €� PERMIT#: LOCATION: 1'V C'I / ,q--C> INSPECT ON: TYPE OF STRUC / Comment _X Footings Y � _X 1 oodn Piers Monolithic Slab Reinforcement in Place 1 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 I 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 H� � 0.)6j 4' Iron Pipe Found _o Iron Rod Found Gravel Ori ve > 1100, V o / Nail Fo d i / SrEP 42012 RECEIVED JUN 0'5 2012 TOWN OF QUEENSBURY ZONING OFFICE (pav ment) o � GARAGE 46.2 o � Iron Pipe Found Capped Rod 5et �� 20.9'• .: �• Map of a Survey for � ' 'an jaillie'sI. Conway 5itu to in Town of Queen5bury County of Warren 5tate o.: New York Scale: 1 " = 30 feet D te: 29 November 201 1 LAW ®Q�Rli1�'a''�ltDPClrt,.' Sr\�� Survey a Map by Revl5ed : 15 March 2012 1. Off r� . �. ` �Q?, Di ids Add proposed steps. ' As IATES '44Re05ed 21 May 2012 Surveyors Engineers 4= LAKE GEORGE, N YORK 12845 Final a5 -built. Rev15ed: 24 May 2012 QU • 44 I 19 (old) Add retainlncg walls. ) QU: 289.0G 1 32 (new) Rev15ed: 5 June 2012 Add contours on lake 5ectlon. Capped Rod Set Large Rocks Placed to Protect Septic Field 20.0' Foundation' (11/29/11) HORSE pit 1(3/15/12) 74 72 Iron Pipe d found 7 1?,, -%,4 C��4- Capped Rod Set 20.0', 80 Q�\ GG Capped Rod Fol 2 uepressea rlanter (130± SF) \7 2 Shallow Depression 4"0 Red Maple Trees (as per approved plane) a r., Ir=___1 Depressed Planter (80± SF) 5GGo I I' I OW 45.40' Tie Line Only Glen Lake Map Reference 51te Plan James * Lillian Conway By: tlutchin5 Engineering Date: 22 November 2009 Last Revised: 23 March 201 1 lnal Area Table Garage = G73± 5F Drive = 337± SF Walk 433± SF Mouse = 973± SF peek T 200± SF 5tone Steps/Ret. Wall$ = I I G± SF Tot4l lrrrperwou5 Area T 2732.± 5P Percentage of lmperwou.5 Area = 25 Mappinq Notes e i Note: Only title surveys bgarmg the maker's embossed seal should be relied upon since other than embgssed-seal copuos may contain unauthorized and undetectable modifications. deletions, additions, and ahancges. Unauthorized alteration or �ddition to a survey map bearing a licensed land suryeyor's seal is a violatlon Of section 7209, 5ua-division2, of the New York State Education law. Certificatigns on this boundary survey map signify that the map was prepared in accordance with the current exipting Code of Practice for land Surveys adopted by the New York State Association of Professional Surveyors. Ino. The certrficatipn is limited to the persons for yvhom the boundary survey map is prepared, to the title company, to the governmerltai agency, and to the lending institution listed on this boundary suryey map. The certifications hereon are not transferable. The location of underground improvements or encroachments are not always known and often must be estimated. If any underground improvements or encroachments pest or are shown, the improvements or encroachments are not covered by this certificate.