2010-340 .�` 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: P20100340 Date Issued: Tuesday, March 08, 2011
This is to certify that work requested to be done as shown by Permit Number P20100340
has been completed.
Location: 8 EISENHOWER Ave
Tax Map Number: 523400-301-020-0001-016-000-0000
Owner: DAVID BABINEAU
Applicant: DAVID BABINEAU
This structure may be occupied as a:
Certificate of Occupancy (RES) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the � rzer
/ J-
propertyowner of the responsibility for compliance with Site Plan, . ('
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
hTOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100340 Application Number. A20100340
Tax Map No: 523400-301-020-0001-016-000-0000
Permission is hereby granted to: DAVID BABINEAU
For property located at: 8 EISENHOWER 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 BABINEAU Certificate of Occupancy(RES) $18,929.00
8 EISENHOWER Ave Total Value $18,929.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/ Address Electrical Inspection Agency
HOME IMPROVEMENT GALLERY, IN
10 SARATOGA AVENUE
SO GLENS FALLS,NY
Plans &Specifications
2010-340
residential rehab -HUD
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,July 21, 2011
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To eensb r , 4 d F • . ,July 21,2010
SIGNED BY c V 19 i for the Town of Queensbury.
Director of Building&Code Enforcement
3o/ 20- `--`` OFFICE USE ONLY /0
TAX MAP Na ` / (D " 340
PERMIT NO.
FEES: PERMIT RECREATION
ENGINEERING
(If applicable)
PRINCIPAL STRUCTURE: 15 "°' '
APPLICATION FOR ZONING APPROVAL & BUILDIN ERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: f 74,•/J .«11K14 46,OWNER: ic-1'n
(7-ilea v
ADDRESS: A S�SI/� y 1 /¢vi ..5;; r G/ s r7 ADDRESS: a9/6,-ein Q4, /4c,Ci ,
PHONE NOS.t 57�� 7V-_3- �V r ze'f /72v1e6^44
PHONE NOS. (CO 7V.3 - F307
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:/34-L ;741red PHONE:S/1)79' °S
LOCATION OF PROPERTY: 71=fes, ���r4� 174 7�S s�S7
i r�l,PPu S�v.Y Ace /4e70
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES Gd' 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 Cl o
PROJECT O ¢ O w
I- U
LL
z < < � � Nd O � OI- Q. Z
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: "2
/
ESTIMATED CONSTRUCTION COST: a, l.2 9. ov FUEL TYPE:
B 3-LGL 11-05
t
k PR,
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /VU
ARE THERE EASEMENTS ON PROPERTY? /00
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 ag e to the above.
Signed
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)
P•
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
codest queensburv.net
Office Use Only
VISIT OUR WEBSITE FOR MORE INFORMATION
f
Queensbury Building & Code Enforcement - Residential • al -.pection
Office No. (518) 761-8256 Arrive: o a 1 .,...rt: .7,�.
Date inspection request received: Inspector's Initials: Amu
NAME: Q \C) trpl �A .,� P RMIT#: tD -( -\
tgaii
LOCATION: r _ �'�E TE: —
TYPE OF STRUCTURE. 1.
Comments:
xe Ns. r'!A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
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/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 sq.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
s Furnace shut-off within 30 feet or within line of site
vilat
it Furnace shut-off at entrance to furnace area
Furnace/Hat Water Heater operating i'=niti Rc G ! L3.INC
Low water shut-off boiler
Relief Valves)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'/:"Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Nigas 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
lood Plain Certification,if required
Okay to issue C/C or C/0 j Temporary/Permanent]
L:\Building&Codes Forms\Buiiding&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
A
Inspector's No ,z
Date 20
COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC.
(Consulting and Fire Inspection Services)
(Incorporated in the states of Maryland,New York,Pennsylvania.Delaware and West Virginia)
Desiring Certification of Approval, application is made for inspection of electrical installation in the premises
described below.On demand,applicant agrees to pay for inspection service in accord with schedule of charges.
PLEASE PRINT
Owner Type Bldg. a DWG 0 Other
Occupant Building Permit No.
Job Location City State
County Twp. M/C# Swimming Pool—New 0 Old 0
Directions to Job Site
Application For Rough Wiring 0 Fixtures 0 Service 0 or
Work—New 0 Additional❑ Bldg.—New 0 Old 0 Ready for Inspection - -
APPLICANTS _
SIGNATURE - LICENSE• PERMIT I
PLEASE
PRINT NAME PHONE I
ADDRESS rS UTIUNAMTY F
OFFICE TO
CITY - STATE ZIP CODE BE NOTIFIED
ROUGH WIRING SPACE BELOW FOR USE OF INSPECTORS ONLY
OUTLETS AMP SERVICE PUMP
EQUIPMENT
SWITCHES HEAT OVEN
PUMP
RECEPTACLES SURFACE GARBAGE
UNIT DISPOSAL UNIT
MEDIUM BASE RANGE DISHWASHER
FIXTURES
MOGUL BASE WATER DRYER
FIXTURES HEATER
FLUORESCENT AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER FRAC.H.P.
QUARTZ FIXTURES VENT FANS
MOTORS:H.P. 1120 1/12 1110 1/8 1/6 1/4 1/3 1/2 3/4 1 1-1/2 2 3 5 7-1/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
Inspector's Comments:
..a,
Installed by(if other than applicant):
OFFICE USE ONLY-WORK INSPECTED NOTIFIED RPOR- 9 FEE PAID
U 0
SERVICE DATE CON- TOTAL $
Date ReCelVed: R.W.DATE- • - O enOR
CHECK NO.
FINAL DATE OCCUPANT CHARGE
Certificate No.:
CERTIFICATE NEEDED AGENT CASH
Date Sent: OYES ODUP EUEc.
LT.CO.
INSPECTOR
Progress 0
��. .....,.,........,...,..,. .,...,..... .....�..:..... U*11C A I T QCT.C WAWA DI C TA!'Ti I C Mr'
Gf7 V IVG L1,U I ld 1 T. rMN I a L L.r1Ir I IVIV UI Ii I rnit,m HIVwLf'i P. '„F;',,,''"
OIL HEATING ' •.
❑CLEANED BURNER # 1'4'2 ) �'0,;,,
DATE
O CLEANED UNIT , , ne i' r ., ii p Aof
❑CLEANED CHIMNEY BASE
❑CLEANED SMOKE PIPE '0;,.P +'010:4A404 ,, '°" '. _ .'l i. •t" DATE ORDERED
❑CHECKED CONTROLS
❑OILED MOTORS
❑OILED CIRCULATOR NAME ACCT NO DATESCHEDULED
❑OILED BLOWER
❑REPAIRED OIL LEAKS
❑CHECKED DRAFT STREET PHONE
❑ADJUSTED FLAME
❑REPLACED NOZZLE CITY STATE ZIP
❑REPLACED FILTER ❑WARRANTY
❑SERVICE CONTRACT
❑REPLACED STRAINER
❑INSTL.CONTRACT
❑EFFICIENCY TEST MAKE MODEL SERIAL NUMBER'
❑SPEC.CONTRACT
❑CHECKED TRANSFORMER
❑CHECKED OPERATION D RES. Li COMM.
ANO CONTRACT
❑CHECKED PRESSURE
❑ WORK DESCRIPTION AND/OR MATERIAL USED AMOUNT
THERMOSTAT
O O K. ❑REPLACED a '
❑RELOCATED
AIR FILTERS
U- LEANED ❑REPLACED
GAS HEATING - v'
u1`BURNER&HEAT EXCHANGER ..
O FUEL SUPPLY AND PRESSURE I
❑PILOT ASSEMBLY ' .
PFLAMEADJUSTMENT
0 PRIMARY RELAY&FLUE
CI FAN&LIMIT SWITCH OPER - f
U BLOWER ASSEMBLY
❑RV VALVE
-
❑STRIP HEAT „, ,. f,.
❑DEFROST CYCLE
❑ TOTAL PARTS
COOLING HRS. LABOR RATE AMOUNT
❑ADDED FREON
❑CLEARED CONDENSATE LINES �! q. ?
❑CHANGED AIR FILTERS ��
❑CHECKED TEMP.SPLITS
❑PERFORMED DIAGNOS.TESTS ' i
MECHANIC'S COMPLETION DATE
O SERVICED CONDENSER UNIT SUB-TOTAL
❑SERVICED AIR HANDLER UNIT SIGNATURE ” "A""'�° "
❑REPAIRED WATER LEAK TOTAL LABOR LIMITED WARRANTY:All materials,parts andequip-
. TOTAL PARTS
❑MADE ELECTRICAL REPAIRS ment are warranteed b;the manufacturers'or suppliers'
❑RESET THERMOSTAT ADDITIONAL REPAIRS RECOMMENDED written warranty only. All labor performed by the
❑LUBRICATED BEARINGS . above named company is warranted for 30 days or as TOTAL LABOR
❑CHECKED FREON PRESSURES . • otherwise indicated in writing. The above named
...0 CLEANED CONDENSER COIL company makes no other warranties, express or
❑REPAIRED FREON LEAKimplied, and its agents or technicians are not author- MISC. MATERIAL
❑SERVICED WATER TOWER ° ized to make any such warranties on behalf of above
❑ADJUSTED FAN BELTS named company.
.U ADJUSTED CONTROLS
.0 CLEANED EVAPORATOR COIL CUSTOMER'S •
❑ADJUSTED WATER FEED SIGNATURE X PAY THIS
. O EVACUATED REFRIG.SYSTEM - AMOUNT
SI INSULATED REFRIG LINE SIGNATURE ABOVE CONSTITUTES ACCEPTANCE OF SERVICE PERFORMED AS BEING SATISFACTORY.
U e TIME TIME TOTAL
\° ___ ARRIVED DEPARTED TIME THANK YOU. WE APPRECIATE YOUR BUSINESS! J
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° v`. yaELECTRICAL CERTIFICATE "` '£``.'k'=ai, - _ :
A' COMMONWEALTH ELECTRICAL � - Y `
_ -- s• y!
- INSPECTION SERVICE INC. ° a
176 DOE RUN ROAD, MANHEIM, PA 17545
•4 = TELEPHONE: (717) 664-2347 `�eaeg,,'
New York Office: (585) 624-2380 , =4.k`
l'i;F ate t• s
/` -z =67= Insp. Date: 1/29/2011 ,
7E APPI#: W10141 1r • q
{,'3«'-, : Premises ot`. DAVID BABINEAU as DWELLING `°'
'` _; '� "
Address: 8"EISENHOWER AVENIJE,QUEBNSBURY NY
r;; •
:▪ "
" N County of WARREN Permit iI: "'°
.>=� .,
.4w Installed by: ADDISON'S CONTRACTING&REPAIR
} Apparatus: 2-SWITCHES, 14-RECEPTACLES,3-MEDIUM BASE FIXTURES '-''.Z.,
=2`_ 'if Inspected by: DANA WINCHELL -
:
st a,
_____= The conditions following governed issuance of this certificate, and any certificate previously
"''' :', ;; issued is cancelled. Failure to have the property reinspected when additional equipment or wiring is
•
>ow added;or within one year from the date of the certificate shall void the certificate in its entirely and the
,-;',,6.5-'7.,:,-";1„ .;,- company shall not be liable for any damages whatsoever;
ii e m9^
'.y%.� This certificate does not guarantee efficiency, wearing qualities,maintenance or repair and the
• ,a<z_ company shall not be liable for any damages resulting from any defect or fault in the plans or specifica-
`;�---"-- tions,includingrepair,reconstruction,personal injury or for the death of anyperson;and
'''= == This certificate only covers visual inspection of wiring and does not cover manufacture or use
.of wiring. ,
Inspectors of this Company shall have the privilege of making inspections at any time,and if
its rules are violated,the"Company shall have the right to revoke the certificate. _--- "
. 4' ' .'i.
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Queensbury Building & Code Enforcement - Residential F' al spection
Office No. (518) 761-8256 Arrive: `i:A6 a ,4, �j,: 173 am/pm
Date Inspection request received: — Inspector's Initials: r11,101.47
NAME: BR 3 1 L PER ' #: I Ci —? L\G
LOCATION: y�� ��tC�� u. F Vj= DAT Z 71-1
TYPE OF STRUCTURE:
Comments:
yila Ls NA
4" Building Number Address visible from road — i+t u.)ft L
Chimney Height/"8"Vent/Direct Vent Location
Fresh Air IntakeJ�{ L
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers �l
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more F0 13&(--E
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall � Cj \ � '
Interior/Exterior Railings 34 inches to 38 inches \7 L-lJ
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/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Bette backu.:
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/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 I Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum IN Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
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,if required
Okay to issue C I C or C I 0[Temporary/Permanent]
L:\Building&Codes Forms'Building&Codesunspection Forms\Residential Final Inspection Form_revised 100405.doc;Revised
January 7,2008;Revised 6/26/08
a
t r
'OW..., TOWN OF QUEENSBURY
7.411__ _ 742 Bay Road, Queensbury, NY. 12804-5902
Wilir"i� � COMMUNITY DEVELOPMENT OFFICE
dab.
FAX FROM THE DESK OF:
Gary Stillman(761-8205)
Craig Brown(761-8218) David Hatin(761-8253) Michael Palmer(761-8206)
Stuart Baker(761-8222) X John O'Brien(761-8255) Eric Buonviaggio(761-8202)
George Hilton(761-8217) Joel Clugstone(761-8254) Maria Gagliardi(761-8219)
Pam Whiting(761-8220) Jennifer Henderson(761-8256) Bruce Frank(761-8226)
Barb Edmunds(761-8221) Sue Hemingway(761-8238) Charles Dyer(761-8207)
DATE: 2/3/11 #OF PAGES: (not inc.cover 1
TO: SHELTER PLANNING(MARILYN RYBA) FAX#: 518 798-6681
CC: FAX#:
SUBJECT: BABINEAU FINAL INSPECTION
X Urgent X For Review x Please Comment X Please Reply
COMMUNITY DEVELOPMENT OFFICE
FAX 518-745-4437
*Animal Control 518.761.8202 •Building&Codes 518.761.8256 •Executive Director 518.761.8221
•Fire Marshal 518.761.8206 •Planning 518.761.8220 •Zoning 518.761.8238
Queensbury Building & Code Enforcement - Residential Final In a—, ion
Office No. (518)761-8256 Arrive: 7:30 aeil,119, - a : '' am/Date Inspection request received: Inspector's Initials .
NAME: Ir# a tj I Yv F e A P EMIT#: ID--21-3D
LOCATION: - .. ..i, -' :- - MATE: _ L.:7-- -1 I
TYPE OF STRUCTURE:
Comments:
in tis. NjA
4" Building Number Address visible from road — 1 ,1 `3T fL CF ___._
Chimney Height/°B°Vent/Direct Vent Location
Fresh Air Intake j L) G b A S P i;
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Com ete C_.-1 .03-\--V___ T
Platform at all exterior doors _ / ���� ��
_
Handrail 4 or more risers J
V PC
Guards at stairs,decks,patios more than 30 inches above grade ` C * CV\00 3 )
Guard at stairwell at 34 inches or more co
J C v E
Guard at deck,porches 36 inches or more tAi b \ 0G
R
Handrail Termination at Newell Post or Wall lav E� 3,- 'Rb \ 'i• �
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant 'I'kANN,,/,, E-
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate ROOF 0 V \t\F
Gas Valve shut-off exposed/regulator 18 inches above grade ,\
Interior privacy/trim/doors/main entrance 36 inches ��C�� CSL 1`vI
Bathroom/Kitchen watertight 4
Safety glazing I Window in stairwells safety gl-. ing _ Z►_i_D Fk___c t;j R \--4*
Interior Smoke Dedctors/Carbon Monoxid= !Detectors V--e<,` \--ID €E_c Tc)
Every level: t/ Every Bed
Outside every bedroom ear: 1 \� '' `2��' � �
Inter Connected: ./ Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height).in accessible area
Crawl S•aces 18 inch x 24 inch access 1 -a.ft.-150 :•.ft.vents 5 PaR \ �E�l j
Bathroom Fans,if no window - �•,�\ R�F e t�\V
Plumbing fixtures
Foundation insulation I Insulation Certification elu1/4__
Floor truss,draft stopping finished basement 1,000 sq.ft. L-2, kc c)\fl 0 c
Emergency egress below grade — AC--C-1 j OO .b NI
Gas Furnace shut-off within 30 feet or within line of site L �C �D �p
Oil Furnace shut-off at entrance to furnace area / J `
Fumace/Hot Water Heater operating GE CSF SEC U�.� \ 1Z\
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 h\-C �VoC `\-"b CIZ:312
Enclosed Stairs Sheetrock Underside minimum W Gypsum �p�� �` 1®'\
Basement stairs dosed rise>4 inches F-�
Garage Floor Pitched — �� E � O
Garage fireproofing/'A hour fire door/door closer
Duct work Sealed property / iiY \ Jo-vflu_EP @
Gas Logs in Sealed or Glass Enclosure
Final Electrical Zt- 0 Fk-_ c.)V_-- B .t
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms -- �,� \
Flex Gas Pipe Bonding tU
69
As Built Septic System/Sewer Dept. Inspection Sticker \V_-S 06 i'i1
Site Plan /Variance required
Flood Plain Certification,if required C--c"-=---A-6 \13-Vc t x)f
Okay to issue C I C or C 1 O[Tempora'Y/Permanent]
-- 1 tJ ST L t - c,(N) 1-- RELoE_F- \ALF Cf2- PCLAA 5 .
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L:\Building&Codes Forms\Building&Codes\Inspectlon Forrns\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
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Rough Plumbing 1 I su ation14ectio I Report
Office No. (518) 761-8256 Date Ins• = «'on -- •:
Queensbury Building &Code Enforcement Arrive: '', ' 6 • • LP - •art: n
742 Bay Road, Queensbury, NY 12804 Inspector's Initia 4!.
NAME: irh1re4 'J PER #: /��'
LOCATION: C•?' / � �e-'� �<<.�' INSPECT ON: `Z —2s)
TYPE OF STRUCTURE:
Y N NIA J
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
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
• lation/Residential Check I Commercial Check
Tyvek or Similar 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:
Rough Plumbing insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008