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2011-505 TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 ��� Q rY, Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20110505 Date Issued: Friday, November 23, 2012 This is to certify that work requested to be done as shown by Permit Number P20110505 has been completed. Location: 637 SHERMAN Ave Tax Map Number: 523400-301-019-0001-027-001-0000 Owner: DAVID A. & DIANNE M. HOWARD CONSTRUCT: Applicant: DAVID A HOWARD This structure may be occupied as a: Garage Attached By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property 41/ owner of the responsibility for compliance with Site Plan, Variance, or p tY P other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals. 1 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 VW Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110505 Application Number: A20110505 Tax Map No: 523400-301-019-0001-027-001-0000 Permission is hereby granted to: DAVID A HOWARD For property located at: 637 SHERMAN Ave 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 A. &DIANNE M. HOWARE Garage Attached 470 WEST MOUNTAIN Rd Single Family Dwelling $70,000.00 QUEENSBURY NY 12804-0000 Total Value $70,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-505 1597 sq ft single family dwelling&441 sq ft garage $385.55 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 07,2012 (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 the Town of Queensb ; 1)'IonOay,November 07,2011 SIGNED BY (-- �°°1 / '' for the Town of Queensbury. Director of Building& ode Enforcement /"/1—J_2 7 [! i OFFICE USE ONLY 1; I, -1 4 �os : aw � TAX MAP NO. PERMIT NO. 8.--- e FEES: PERMIT 3ff- RECREATION :i ENGINEERING (If applicable) ,4 �- _____ 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: �7,! syn _ _ l!d ,WNER: ...4 /J ice! /l ADDRESS: I ` ADDRESS: fjf7`,L e27 (s PHONE NOS. , Alior ,� PHONE NOS. /Gc.�mr_g_____ CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: Pit„c 44•b..6,- PHONE:__ ���,,,, LOCATION OF PROPERTY: HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 6d YES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z 0 x 0 Cl PROJECT 0 ¢ O 0 • cn w o W � � � � w ¢ aco cn = 2 z Q ¢ ;- a ?� d O � OH xwZ SINGLE FAMILY ,/ v y 0— TWO-FAMILY I MULTI-FAMILY --1 (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- i MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GA RAGE(1©3) , / 1/Y/ /. / i OTHER IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: `�""70/ (‘ 0 FUEL TYPE: 4/Jt A./ 6145 S B 3-LGL 11-05 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 an gree t9- e above. Signed �rLjv 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) r 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: 4140/ B e & CODES A'- •VAL _ ZONING APPROVAL DATE DATE QUESTIONS? CALL 761-8256 OR EMAIL codes(cr�queensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION OFFICE USE ONLY TAX MAP NO. PERMIT NO. PERMIT FEE APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. n(� /� OWNER: DMv,��_ 14....„11?il1h t /Jf./ d4, JSTALLER: +'U✓�� �virAGE ADDRESS: di , ., . A I .. ADDRESS: y-72 G.ts/ "in l_eig PHONE NOS. .570%-/0" 7/11 7 PHONE NOS._________:tel_ LOCATION OF INSTALLATION: 6' unif RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW BEDROOMS GARBAGE GRINDER 1980 or older X 150 gallon per bedroom = INSTALLED? 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB 1992-present ,3 X 110 gallon per bedroom = 3 INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling ✓ Steep slope %Slope ✓ SOIL NATURE: Sand t,,/****°— Loam Clay Other ✓ GROUNDWATER: At what depth? 62 " ✓ BEDROCK/IMPERVIOUS MATERIAL: At what th? ✓ DOMESTIC WATER SUPLY: Municipal Well (If well: Water supply from any septic system absorption is ft.) ✓ PERCOLATION TEST: Rate is 1-5- minutes per inch [MPI] (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). TANK SIZE: j 000 GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for • each garbage grinder, spa or whirlpool tub. SYST TYPE: t fv\\ 'E v\ ABSORPTION FIELD (WITH NO. 2 STONE) Total length )a® ft. Each trench 7 X ❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? ❑ ALTERNATIVE SYSTEM Bed or other type? ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. Town of Orreensbrrr_l - Michael F. Travis Highway highway Superintendent Home: (518) 798-0413 Department 742 Bay Road Queensbury. NY 12804 Thomas R. Vanness Deputy Superintendent Office Phone: (518) 761-8211 Home (5 18) 745-0929 Fax: (518) 745-4466 DRIVEWAY PERMIT www.queensbury.net DATE: /0//5 APPLICANT NAME: 1'-s.e-o•Q TELEPHONE NO.: j/ -3(/-4,-7/V/32 y ADDRESS TO BE INSPECTED: _/(3 7 Up/�tr 04,-,770.404,-,770.4 RETURN ADDRESS: £1 / /� /0, Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP 1: ( ) Preliminary Approval NEED: ( ) Slight swale ( ) 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 Queensbury Building & Code Enforcement - Residential Final InsOction Office No. (518)761-8256 Arrive: am/pm Depart:4-—Tr—am/pm Date Inspection request received: Inspector's Initials: NAME: 00 CO ( 1—c:1 PERMIT#: / /-50,5 LOCATION: La.3 ') Q (- a r Mat , DATE: / I /to --/a TYPE OF STRUCTURE: .S .F C) Comments: No NIA � 4" Building Number Address visible from road / C fL/ (C / Chimney Height/"B"Vent/Direct Vent Location V Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Completee7 Platform at all exterior doors / Handrail 4 or more risers V /' Guards at stairs,decks,patios more than 30 inches above grade j ,/ Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall /7 ,t/ Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant _ 1( Y 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 Z � A-- Interior privacy/trim/doors I main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Win•. in stairwells safety gI: ' g .7 Interior Smoke De -.' •rs/Carbonnoxide etectors ` Every level: Eve Bed m: / Outside every bedroom ea: Inter Connected: Battery backup: 7 /' Attic access 30 inches x 22 inches x 30 inches(height)in accessible area t/ Crawl Spaces 18 inch x 24 inch access,1 sq.ft.-150 sq.ft.vents ,/ Bathroom Fans,if no window / Plumbing fixtures ..1z Foundation insulation to floor/Sticker on Panel Duct work sealed properly/Blower Door Test Certification 47 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 tr Furnace/Hot Water Heater operating Low water shut-off boiler / .. Relief Valve(s)installed/Heat Trap/Water Temp 110 ,/ Enclosed Stairs Sheetrock Underside minimum W G 'sum 6/ Basement stairs closed rise>4 inches Garage Floor Pitched - / Garage fireproofing/'/hour fire door/door closer r// Gas Logs in Sealed or Glass Enclosure f Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding 6'‘1 i :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] L:1Building&Codes Forms1Building&Codesllnspection Forms1Residential Final Inspection Form revised_I00405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: 1 ( t Z NAME: t LOCATION: C/3-1. PERMIT#: 2c[ 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 be : Crai own,Zoning Administrator Notes: L:\SueHemingway\Building.Codes.lnspection.FORMS\Final Survey Zoning Administrator.doc -So L . t I - �" a� . 02642 CA) (t?d- /0-/ Queensbury Building & Code Enforcement - Residential Final Insp !or: m12. Office No. (518)761-8256 Arrive: am/p art: - i' m/pm Date Inspection request received: Inspector's Initials: NAME: b Po C d PERMIT*: / i—504 LOCATION: Ia 3 7 !/ rc•c�(- iv. DATE: / /----/ -1.) TYPE OF STRUCTURE: _9 F= Comments: , Y om; No N/A (fir`' 4" Building Number Address visible from road V (1 . ( / a 4, i Chimney Height/'B"Vent/Direct Vent Location ► ) Fresh Air Intake 30 Fe '7// 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 r ,e''Guard at stairwell at 34 inches or more - / ��� Guard dees 36 inches or more ... ndrail Terminack, U at Newell Post or Wall „ i� Interior enorilin a gs 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/Wi •• in stairwells safety gl ng (TL>1 J t Interior Smoke I- M•rs/Carbof noxideeetectors Every level: , Ev�er►''yY Bed : ✓✓✓✓✓ / E ��� --�` �N ,i1/4-40,.., Outside every bedroorryarea: / 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.R:150 sq.ft.vents _ 24_7 Plumb ng►Fans,if no window 4 n Plumbing fixtures �' "") \N-2.44-1— Foundation insulation to floor/Sticker on Panel •,- Duct ,Duct work sealed properly/Blower Door Test Certification / \."-L �Lt �.t. Floor truss,draft stopping finished basement 1,000 sq.ft. V 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 -. 4 A „� ` � .. � Furnace/Hot Water Heater operating C►/' Low water shut-off boiler r0 Relief Valve(s)installed/Heat Trap/Water Temp 110 f �"�i r'� " Enclosed Stairs Sheetrock Underside minimum W Gypsum - .�.i-I � Basement stairs closed rise>4 inches �t�' ms'Y"r" Garage Floor Pitched Garage fireproofing/%hour fire door/door closer i?c 2_ vs—C— t4 ‹S Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% Lk_., --"-- Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles C. i. 12--{Zr Flex Gas Pipe Bonding As Buitt Septic System/Sewer Dept. Inspection Sticker /' f4, - N- Site Plan /Variance required _ �/� Flood Plain Certification,if required Okay to issue C/C or C/O[Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Fonns Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: .am/pm De•.rt�r� %� cam/pm Date Inspection request received: Inspector's Initials: . NAME: ,.. ..R. -L-1/4.1-41/4-4 PERMIT#: 0V V^5—(D#1 LOCATION: -t3-1 efZJ1-lh4---N i4-tp-j= DATE: i tte& t VZ TYPE OF STRUCTURE: .zs35 Comments: Yes No N/A 4" Building Number Address visible from road W/ V Chimney Height/"B"Vent/Direct Vent Location Wz Fresh Air Intake / 3 inch Plumbing Vent through roof minimum 18 inches V` Roof Complete/Exterior Finish Complete Y Platform at all exterior doors v/ 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 J ` CC Interior/Exterior Railings 34 inches to 38 inches / Th--1° Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feetA6 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/Wi +ow in stairwells safety gI ing Interior Smoke D- ectors/Carbon Monoxide/Detectors Every level: EvJ�ry Bedr�om: v Outside every bedroombrea: ✓✓ VInter Connected: d Battery backup: / / Attic access 30 inches x 22 inches x 30 inches(height)in accessible area V Crawl Spaces 18 inch x 24 inch access, 1 sq,ft.-150 sq.ft.vents 1/ Bathroom Fans,if no window 4 Plumbing fixtures /' ) � / `^1a \l Foundation insulation/Insulation Certification/Sticker on Panel � (�,v/� A.-‘--- ' Floor truss,draft stopping finished basement 1,000 sq.ft. '-r Emergency egress below grade / tN �["�� Gas Furnace shut-off within 30 feet or within line of site �/ Oil Furnace shut-off at entrance to furnace area 0 t/ Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 i / Enclosed Stairs Sheetrock Underside minimum'/"Gypsum 1// Basement stairs closed rise>4 inches y/ Garage Floor PitchedVZ7 � Garage fireproofing/' hour fire door/door closer Duct work Sealed properlyZkliLLS 7-4/3j Gas Logs in Sealed or Glass Enclosure V e___ 4 2_4-L'.-g' d ly-n A_ , Final Electrical / lAi J /g , �)(— Final Survey Plot Plan 17 e `� ""C`� Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles V Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker N7 / i Site Plan /Variance requiredFloo �/� Okay Plain Ce C/Coon, if required p �C.� � Okay to issue C/C or C/O[Temporary/Permanent j ,. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08; Revised 12/22/10 1 h u1`ub dietc-3 / -/a Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 4-/-I eat--, Queensbury Building &Code Enforcement Arrive: am/pm Depart: a, ' am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: , te' t PERMIT #: 11-50 5� LOCATION: t"3'7 S INSPECT ON: TYPE OF STRUCTURE: Y N N/A Rough Plumbing/Nail Plates Plumbing Vent I Vents in Place 1 'r4 inch minimum Drain Size Washing 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 hyhest 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 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: it) -4-1" k/4\1:5 Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing l Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: k 74--e) Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials 3401-09/4 NAME: j D i • PERMIT#: _s1),C‘ LOCATION: (g NSPECT ON: IWc4) TYPE OF STRUCTURE: Y N N/A Rough Plumbing/Nail Plates _ Plumbing Vent I Vents in Place 1 14 inch minimum Drain Size Washing 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 6VAAA/\- Pressure Test Water Supply Piping Air/Head r 1side5 minutes Insulati eniaai Check/Commercial Check ‘R -- 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 OK-6_ COMMENTS: ' tN 1A-At O RNT-6c 16 /5409-11-40 Rough Plumbing insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 1\Inspec ?tion r Ca (1—I/ Rough Plumbing / Insulation R e ort Office No. (518) 761-8256 Date Inspection request received: ,..:Wc //a. Queensbury Building &Code Enforcement Arrive: am/pm rt:. am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ertA, NAME: ( A- t c�ci%ci PERMIT#: 1/-- b5 LOCATION: v2 _ ' . .Pao 3 he c- va A0 t, INSPECT ON: /' 2/ / L TYPE OF STRUCTURE: _.g_K __B�s �� Y ,/ N NIA Rough Plumbing /Nail Plates / Plumbing Vent/Vents in Place - 1 %inch minimum Drain Size Washing 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 f Water Supply Piping t Air/Head 50 P.S.I for 15 minutes Insulation/Residential Check/Commercial Check T ek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If r. •uired unheated •aces 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 1 Lte.Sc. a / -3 Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspec do •u !' - •: 3-- 0-/a. _ Queensbury Building &Code Enforcement Arrive: , -' ., art: --c C. 742 BayRoad, Queensbury, NY 12804 Ins = •is In':tom'/�i'' rY P �"'� NAME: PER IT #: If :5'5 LOCATION: (1) 3 h 3 in ,..-1\<\Ot A }. €. INSPECT ON: 3----;.az? - i o, TYPE OF STRUCTURE: S ►, 1ro •'rc, tc I • Y N NIA J ?f-6---cli-lc • Rough Plumbing!Nail Plates Plumbing Vent 1 Vents in Place 1 % inch minimum Drain Size , Washing 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 Water Supply Piping Air/Head 0 P.S.I for 15 minutes _ ‘..3 ) \ `�- Check/Commercial Check/nsulation/Reedential yvek or Similar Exterior Sealant -''-- roper 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 1 No duct tape COMMENTS: Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Septic Inspection Repo - ' clilli:--- 14.-\ Office No. (518)761-8256 Date Inspection request received: IP-es)}o 1 )-- Queec ,--))1sbury Building&Code Enforcement Arrive: � am/ Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's In Is: t. NAME: VA-14+.7 0A-A-() PERMIT NO.: ‘52-45`(--5/0 LOCATION: CO$7 (SG, e/►ti- --- INSPECT ON: pop-Of 3- RECHECK: .r____— 72)iiO CCmmepts-and/or diagram Soil Type: Sand/ Loam/Clay i 107) Type of Water: Municipal/Well Water 'IL-. Waterline separation distance ft. I 1\-- --C17-1-1.141-4 Well separation distance ft. Other wells: ft. ^ fWell C0sing Length 50I +/- Y N NjAD-i3qc `/ �'���[150'to well required if NO] ic- Absorption Field: Total length ft. Length of each trench ft. b', om'T `""� Depth of trenches ft. n-£) Size of Stone Seepage Pits: Number �� 'No 1 -D 7 l / Size: , x Stone Size: , 1kek•- t;::4 c,rX ,--- Piping P "Are � �/ Building to tank Is coy t p ('P Tank to Distribution Box I Distribution Box to Field/ Pit T4litj4. Opening Sealed: Y N End Cap Y N . ?------- Inlet/Outlet Pipes&Baffles Y N Manholes 12"or less below grade _Y_N [provide extension collar if Yes, Y N ' Location/ Separpitlons Foundation trb tank ft. „ Foundation to absorption ft. Separation of Pits ft. 1.....-7-,"1::�•rg._- 2,Conforms as per Plot Plan Y N — Engineer Report. As-Built 1.Y_N , 1;1 S ETU MaintenanceContract Y N ii o 4'.-1L J provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved -Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report_03 29 10.doc CD (v a C-) O 7D (n fi 0 C (D Cf) CD CDCD D tt] O O L1 O A C2- :rt: ?F (n CD C1 L n� co r� Cil fV O O f1J O L Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: 3;41 am/paa,d Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: �� PERMIT NO.: LOCATION: J7 /„r•e—! INSPECT ON: wiz, RECHECK: Comments and/or diagram Soil Type •, Loam/Clay Type of Water: 'urnci••I/Weil Water Waterline separation distance ft. Well separation distance ft. Other wells: I ft. Well Casing Length 50' +/- Y , N/A [150'to well required if NO] Absorption Field: Total length .2J1) ft. Length of each trench S b ft. Depth of trenches Z ft. Size of Stone Seepage Pits: Number Size: Stone Size: Piping Size Type / c,L 7� 44 / Building to tank /�/ �,��6 � �-j - .!� �n Gam* 4 C�� Tank to Distribution Box 44> Distribution Box to Field/ Pit Opening Sealed: �,N • e" ' ' `' C' AA End Cap iY/_N Inlet/Outlet Pipes&Baffles ..± Y_ Manholes 12"or less below grade Y [provide extension collar if Yes] Y�N AZT1 � I l (Lk "U/wni�y / 'i" Location/Separations {/ Foundation to tank ft. /l/Pee, " �.,tom �C•- � Foundation to absorption ) ft. CJ Separation of Pits ft. Conforms as per Plot Plan Y �0 N Engineer Report and As-Built _Y N ETU Maintenance Contract _Y N radter provided Location of System on Property: Front Rear (1.--eft Si Right Side Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved l:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septk Inspection Repar_03 29 10.doc 7/IeA . Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: L ,_ Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: I°L, C NAME: bk-tA C ) ,t L !/- S S� PERMIT#: LOCATION: (x'3.7 INSPECT ON: sZi TYPE OF STRUCTURE: Comments Y 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 wmd on amP1��8 , ---Foundation Waterproofing fI Footing Drain Daylight or mp Ni• Footing Drain Stone: 12 inch width 6 inches above footing o t areas under slab NI 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 Fom s\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date , • •: // // Queensbury Building&Code Enforcement Arrive: =,cl : Depart: W.MI• 742 Bay Rd.,Queensbury,NY 12804 Inspector'. .. . .�s. NAME: 'ii16f/ PERMIT#: -1/-56) S LOCATION: 3 7 Sh el —— 1 _4NSPECT ON: ///0101/d-,e1/ TYPE OF STRUCTURE: Commentit Y /N N/A Footin>' NTS 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