2010-038 MokTOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100038 Date Issued: Friday, February 10, 2012
This is to certify that work requested to be done as shown by Permit Number P20100038
has been completed.
Location: DIXON Rd
Tax Map Number: 523400-302-014-0001-079-002-0000
Owner: HAYES & HAYES LLC
Applicant: HAYES & HAYES LLC
This structure may be occupied as a:
Duplex By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property 449
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director o Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
e_141 11%
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
101
Community Development-Building&Codes (518) 761-8256
BUILDING PE ' IT
Permit Number: P20100038 Application umber: A20100038
{
Tax Map No: 523400-302-014-0001-079-002-0000
Permission is hereby granted to: HAYES &HAYES LLC
For property located at: DIXON Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot . s and ler info . .on h- eto filed
and approved and in compliance with the NYS Uniform Building Co a\\ • Queensbury o
Ordinance. Type of k onstruction/ Value
Owner Address: HAYES &HAYES LLC Duplex $140,000.00
395 BIG BAY Rd iota aloe
QUEENSBURY,NY 12804 Ili t $140,000.00
Contractor • Builder's N. • e/Addres, lectrical Ins iecti. Agency
�3
Plans&Spe ' ca: s
2010-038
Building 5 - 1984 sq ft d . ex
$277.76 PERMIT FEE PAID-THIS °ERMIT EXPIRES: Thursday,March 15, 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 T Queen ury; lylogday,March 15,2010
SIGNED BY !' • 41 for the Town of Queensbury.
Director of Building Codnforcement
TOWN OF QUEENSBURY
wirors 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100038 Application Number: A20100038
Tax Map No: 523400-302-014-0001-079-002-0000
Permission is hereby granted to: HAYES &HAYES LLC
For property located at: DIXON 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: HAYES &HAYES LLC
P.O. BOX 109 Duplex $140,000.00
GLENS FALLS,NY 12801-0000 Total Value $140,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2010-038
Building 5 - 1984 sq ft duplex
$277,76 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,March 15,2011
(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 Town of Queensbury; Monday, March 15, 2010
SIGNED BY 'eh 1 f for the Town of Queensbury.
prr
tirectorofBurls' $' ..r.,Enforcement
3'2. ' - /._ 77 OFFICE USE ONLY - --�-�- V-
TAX MAP NO. --7
PERMIT NO. .. — a 11 FEB 0 9 2010
FEES: PERMIT
ECREATION ENGINEERING
#27776F- (If applicable) 'OWN OF QUEENSBUF
13UtLDiNG-&-GODE-S
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: //-Zt/ �/1-v OWNER: Alf !J;'1,
ADDRESS: 3 / di/ 4 "(17-
/ ADDRESS: g 1' 4 ,4e,
PHONE NOS. 1' i PHONE NOS. 71.14- 9/gi,Z-
CONTACT PERSON FO DES COMPLIANCE:Alit %-i'4e/l PHONE: 7P2 —*/)-.
LOCATION OF PROPE Or44-et ", 34 )6/51
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES L'] 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 tY Ci d 0 I-
PROJECT 0 < 0 O w
WQ W -JLLLL U- W Q d = =
Z < < - c V OLLi O !- � WZ
I- LL a = ots
SINGLE FAMILY
TWO-FAMILY
7 f9 992' IV
L-) ? (• '171/
rt/
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: /r "
ESTIMATED CONSTRUCTION COST• 000 /r 4 /— A FUEL TYPE: f
.‹,,,A. c
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? �v
ARE THERE EASEMENTS ON PROPERTY? A/ v
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 to the above.
Signed ( 2 /
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:
/
1/ Aldi 1
BUIL. ' & COD' S: A ROVAL ZONING APPROVAL
; 7
DAT:
DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesAqueensbury.net
Office Use Only
VISIT OUR WEBSITE FOR MORE INFORM 1inti
IT:71E-i
OFFICE USE ONLY -
36V.Z2/-/-- 77 /0'
�� ; n. Sf'JTAX M NPERMIT NO. PERMIT FEE
APPROVALS: ZONING TOWN CLERK N ' > ' ). a
'TOW O & BURY.Q
Cuun-
APPLICATION
FOR SEPTIC DISPOSAL SYSTEM P 4V :
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT T REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.
OWNER: G7 t i £ ' ',a INSTALLER: 410 /refv
1J
/f
ADDRESS: D Tr des 17 ,A ADDRESS: / 51'f/✓1 c f/� /e,..-
PHONE NOS. 7 52 - 9/V v' PHONE NOS. /Y2- 9 P/2—
LOCATION
t/2—
LOCATION OF INSTALLATION: c 1 Yv.--x "-'4/ or
RESIDENCE INFORMATION:
NO.OF
YEAR BUILT X COMPUTATION= = TOTAL DAILY FLOW
BEDROOMS GARBAGE GRINDER
1980 or older X 150 gallon per bedroom = INSTALLED? 01.P4'
1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB
1992-present X 110 gallon per bedroom = 2(2.0 ) INSTALLED? AP,
(Pt'PARCEL INFORMATION: fy� /
✓ TOPOGRAPHY: Flat rolling ✓ Steep slope %Slope_
✓ SOIL NATURE: Sand Loam Clay Other
✓ GROUNDWATER: At what depth?
✓ BEDROCK/IMPERVIOUS MATERIAL: At wh epth?
DOMESTIC WATER SUPLY: Municipal Well (If well: Water supply from any septic
system absorption is ft.)
.els 4-1.'o4-, i"1.1 44-C- k — 594,Li ae
r i
✓ PERCOLATION TEST: Rate is minutes per [MPI] 7 o ,S �,,„,.. J
(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: /66 0 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..
SYSTE PE:
ABSORPTION FIELD.(WITH NO. 2 STONE) Total length /e7 ft. Each trench 96 X 3
❑ 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?
I NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
I APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
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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.
It ice._ ,
Queensbury Building & Code E for menf- , ential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart:,--)� m/pm
Date Inspection req received: Inspector's Initials: CJ({'' t)
NAME: QPERMIT#: /0- -�
LOCATION: y , DATE: 2-/•. . - /2
TYPE OF STRUCTURE: tk-)C7-1:11C
0— ' -
Comments:
Yes%t N/A
4" Building Number Address visible from road l/z
Chimney Height/"B"Vent/Direct Vent Location ✓
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches triz
Roof Complete/Exterior Finish Complete 47/
Platform at all exterior doors
Handrail 4 or more risers V
Guards at stairs,decks,patios more than 30 inches above grade
I
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 N\
Deck Bracing/Handicapped Ramp Compliant %'
Grade away from foundation 6 inches with 10 feet ✓ 1,
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 ti// /
Safety glazing/W in stairwells ng ✓ /
Interior Smoke ectors/Carbon noxid Detectors
Every level: Eve99i Bed
Outside every bedroom a/ba. /
Inter Connected: ��// Battery backup: J
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area f/
Crawl Spaces 18 inch x 24 inch access,1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window !‘/:.
Plumbing fixtures .1.
Foundation insulation to floor/Sticker on Panel
Duct work sealed property/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft. il
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace areae
Fumace/Hot Water Heater operating ✓�
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 / /
Enclosed Stairs Sheetrodk Underside minimum W Gypsum / �//
Basement stairs closed rise>4 inches / ../
Garage Floor Pitched p/ ,,
Garage fireproofing/%hour fire door/door doser f,
Gas Logs in Sealed or Glass Enclosure I
s/
4 Final Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker A/ k
Site Plan /Variance required -
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codes\Inspection Forms1Residential 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 Depart: l Lm/pm
Date Inspection request received: Inspector's Initials:
7 PERMIT#: / - S?--
NAME:
LOCATION: v— -g4
TYPE OF STRUCTURE: >&,P .47—
Comments:
y? lig N/A
4" Building Number Address visible from/"B" road '�
Chimney Height Vent/Direct Vent Location
Fresh Air Intake V
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
iz
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more V 1 '
Guard at deck,porches 36 inches or more i L
Handrail Termination at Newell Post or Wall �j t ! "
Interior/Exterior Railings 34 inches to 38 inches �i/
Deck Bracing/Handicapped Ramp Compliant
7 /
Grade away from foundation 6 inches with 10 feet ►](
6 inch clearance to sill plate %/, V 1`.
Gas Valve shut-off exposed/regulator 18 inches above grade 1� 1
Interior privacy/trim/doors/main entrance 36 inches ✓ \_-�t/o
Bathroom/Kitchen watertight
Safety glazing/Wi in stairwells safety glazing
Interior Smoke ors!Carbonnoxide-Detectors
Every level: Every Bed rogln•
Outside every bedroom a: // J
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 0111.1yPtgrt–,
Foundation insulation to floor/Sticker on Panel f
Duct work sealed property/Blower Door Test Certification 7
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 �/ / /] F -
, n\ C
Oil Furnace shut-off at entrance to furnace area ✓ 1 [N Vim- `l NiS
Fumace/Hot Water Heater operatingC ?-1 JV
Low water shut-off boiler i V /
Relief Valve(s)installed/Heat Trap/Water Temp 110
/11/
/
Encsed Stairs Sheetrock Underside minimum h"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
At -
Garage fireproofing/%hour fire door/door closer /�.�w w�!^'
Gas Logs in Sealed or Glass Enclosure V
Final Electrical;Energy Saving Light Bulbs 50% //V (a
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles 4.-
V
Flex Gas Pipe Bonding /
As 'v, ��C, �1�'
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]
IP
L:1Building&Codes Forms\Building&Codes\Inspection FormslResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11
l '--> 1,-..,—
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 qp
Arrive: am/pm Depart: f, AL-yam/pm
Date Inspection request received: v Inspector's Initials: /NAME: /` t° S / L'S PERMIT#: — 0-5
LOCATION: 0 / V Li.. IC-1_ O DATE:
TYPE OF STRUCTURE:
v'1, f,;(c 'J Comments:
Yes/`No N/A
4" Building Number Address visible from road V ;
Chimney Height/"B"Vent/Direct Vent Location • 17/
Fresh Air Intake / I, IV Al k. VI r 6
3 inch Plumbing Vent through roof minimum 18 inches t///
Roof Complete/Exterior Finish Complete y/
Platform at all exterior doors t-'/. f
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade V c c.,7*'-yL1i.. k
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more / V, -L. t
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 v' !/
Gas Valve shut-off exposed/regulator 18 inches above grade l r
Interior privacy/trim/doors/main entrance 36 inches •a6r
Bathroom/Kitchen watertight V
Safety glazing/Window in stairwells safety glazing /Interior Smoke Defectors/Carbon Monoxide Detectors
Every level: _,L Every Bedrogfn: -1 , i .-, C� . --1.....t..,--/;-7-2_Outside every bedroom atea: i ,:, /
/
Inter Connected: ,J Battery backup: '
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area -V _ 7
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents ;°
Bathroom Fans,if no window / '� I t L + l� r`t ���
\ V �.
Plumbing fixtures V-11-0 Yz
Foundation insulation/Insulatio i Certification/Sticker on Panel --f
Floor truss,draft stopping finished basement 1,000 sq.ft. 1/,-// f i-lt i-,.:- 4- L-
Emergency egress below grade .`� i
Gas Furnace shut-off within 30 feet or within line of site V
Oil Furnace shut-off at entrance to furnace area / ti% t.-- { 1"
Furnace/Hot Water Heater operating V ' . ---------
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 / i'
Enclosed Stairs Sheetrock Underside minimum 1/"Gypsum %/./ /
Basement stairs closed rise>4 inches ai
Garage Floor Pitched
/
✓/
Garage fireproofing 1%hour fire door/door closer / x'' ,
Duct work Sealed properly v
Gas Logs in Sealed or Glass Enclosure rf b
Final Electrical \/i
Final Survey Plot Plan V./
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles V
Flex Gas Pipe Bonding /'(
As Built Septic System/Sewer Dept. Inspection Sticker 1 !'
Site Plan /Variance required V
Flood Plain Certification, if required
Okay to issue C/C or C I 0[Temporary/Permanent] L /
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
=E0 CaL
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received: i ; ._
Queensbury Building&Code Enforcement Arrive: am/pm Depart: , am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: _cai;9
-
NAME: 1f � PERMITNO.: ec 11- O 3S.
LOCATION: l Y� `/ _. INSPECT ON: /Lfeh. Di,- �1 e/a-
RECHECK:
6+2
liviut.ii ® CC
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 NOl
Absorption Field: Total Ien_gth ft.
Length of each trench l \ ft.
Depth of trenches ____\.ft.
Size of Stolle
Seepage Pits: Number
Size: x_-
Stone Size: d - et) -C"'L
_ 1
Piping Size Type /
Building tank i - ����(5
Tank to Distribution
n Box
Distribution Box to Field/ Pit
Opening Sealed: Y . N
End Cap ' N
Inlet/Outlet Pipes&Baffles V N 2_4(
5 � 6 C�
Manholes 12"or less below grade , N '1LL 1�`� �
[provide extension collar if Yes] Y N , , ` W .
I .
Location/ Separations
Foundation to tank ft. �)-.- ;' ''
Foundation to absorption ft.
�5
Separation of Pits ft. \ �'
Conforms as per Plot Plan Y N
Engineer Report and As-Built Y—N
ETU Maintenance Contract Y N
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\Buiiding Codes Farms\Inspectlon Fomes\Septk Inspection Report_03 2910.doc
F--it h,Jd'he (e-
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received: .� 1�
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspecto's Initials: / ivJ
NAME: t, PERMIT N01.: -6 3
LOCATION: N` S- /. ;)(zA-TINSPECT ON: - AOl
RECHECK:
4 Comments and/or diagram
Soil T •-• -.nd Loam/Clay
Type of Water: iii Well Water
Waterline --•.ration distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' +/- Y N N/A
[150'to well required if NO]
��� Yf
Absorption Field: Total length 1 t7'(� _ft. '� U/41/4 .S ,1
Length of each trench c) ft.
Depth of trenches t w-?Ju i,. �,'`IVAA 1--- A5 Imoo
Size of Stone -2.,
Seepage Pits: Number
Size:
Stone Size:
Piping Size Type
Building to tankL� 5I JD2 1 tb
Tank to Distribution Box _ ��' ��
Distribution Box to Field/ Pit
Opening Sealed: Y q
End Cap _Y
Inlet/Outlet Pipes&Baffles Y ~L,.N )Q 1'Jg- Ztc I'INt
Manholes 12"or less below grade Y
[provide extension collar if Yes] Y VN �� � , � ��
Location/Separations ?1` L C�egs.t) .)' kzi-Z. 46-i .....31431-
Foundation to tank II. ft. ��� �� � ���,
Foundation to absorption k ft.
Separation of Pits ., , tiO6 -- c, c>
Conforms as per Plot Plan Y )t
•
Engineer Report and As-Built Y N C C i j `L
ETU Maintenance Contract Y N
provided
Location of System on Property:
Front CP Left Side Right Side Middle Front Middle Rear
System U ii
pproved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
IOW Disapproved
L:\Pam Whiting\2010\Bu lding Codes Forms\Inspecdon Forms\Septic Inspection ReporL03 29 10.doc
2 -7f7/ i / -
Foundation
Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: �l am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: g.AL-7
NAME: /r� f - ,. PERMIT#: /6— C
LOCATION: 5 INSPECT ON:
TYPE OF 1-)11:-lart
Comments
y
N NLA
Footings /1
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
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:zstcy arn/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: /L' �- _S
LOCATION: fr. INSPECT ON: A., -2 , -jr,'
TYPE OF STRUCTURE: <}J,
Comment
N NJA
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/Wailpour
Reinforcement in Place
F ' Keyway in place
f
Foundation Dampprbofmg f
Foy da fing
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.
LABullding&Codes Forms\Buiding&Codes\Inspection Forns\Foundatlon Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Departr!3_ am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: �t AAS
NAME: 1? � PERMIT NO`.?: 0 0
LOCATION: Ls INSPECT ON: MIN
RECHECK:
Comments and/or diagram
Soil Type: t" Loam/Clay
Type of Water: 4lu «a . /Well Water
Waterline separation distance ft.
Well separation distance .
Other wells:
Well Casing Length 50'+/- Y N 410
[150'to well required If NO]
Absorption Field: Total length ')c V ft. ----L, .. tea— -I d`.,4`'c�
Length of each trench ft. c6 c
Depth of trenches ._ft.
Size of Stone d -2" ,t_ . f,
Seepage Pits: Number N "x
Size: 7-4 �r�,
Stone Size: _:__
Piping Size , Type
Building to tank 4`L4
Tank to Distribution Box `-'` _va,-k--3,(-
Distribution Box to Field/ Pit
Opening Sealed: _N
End Cap .._._,N ¶7RvisI 7;1( -
Inlet/Outlet Pipes&Baffles N
Manholes 12"or less below grade Y— �ty
[provide extension collar if Yes] Y '(y Mk
Location/ Separations
Foundation to tank to-4- ft.
Foundation to absorption , w, ft.
Separation of Pits . ft.
Conforms as per Plot Plan
Engineer Report and As-Built Y
ETU Maintenance Contract Y_N
provided
Location of System on Property:
Front ear Left Side Right Side Middle Front Middle Rear
System Use Status:
/ Approved
V Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Sepdc Inspection Report_03 29 10.doc
Rough Plumbing I Insulation Inspeon Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: \ cam/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
644? 2
NAME: .e PERMIT#:
LOCATION: � , INSPECT ON: '�D
TYPE OF STRUCTURE: 04A-. - .
Y N N/A
Rough Plumbing/Nail Plates
Plumbing Vent I 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 h'•hest connection tion for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
•r 15 minutes
= esidential Check/Commercial Check
u - imilar Exterior Sealant G;�!,
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: R' \et
Rough Plumbing Insulation Reportrevised Nov 17 2003,revised February 15,2005, revised January 7,2008
Rough Plumbing / Insulation-UM-OW-On Re Ort few
Office No. (518) 761-8256 Date Inspection request received: 5
Queensbury Building &Code Enforcement Arrive: am/pm Depart: !A. =m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: :16,,
`�
NAME: 1-6-f e S + E1 11 ‘S PERMIT#: 10 - 63g
LOCATION: > r xGv. ►3 3 & INSPECT ON: "1//( / /(
TYPE OF STRUCTURE: )C?'C)
Y N NIA
-*Jtough Plumbing I Nail Plates V
Plumbinsi Vent/Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction t.H.
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
Insulation/Residential Check/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
a
Vt
COMMENTS: l 04 )Q,4 )
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
ir4tr. 1_5r
Rough Plumbing / 1su a a n Inspection ort
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/I: Depart:t am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ___A,,
NAME: /k6'r PERMIT#:
LOCATION: /- /7
�� ,5"---- ,6; ,.-- j I SPECT ON: /0/1,3?-
f/.
TYPE OF STRUCTURE: 1v l
Y N N/A `71 5---,4
Rough Plumbing/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
0 P.S.I fo 15 minutes
Insulation/ ;esidential Check/Commercial Check
• ;k •, :'miler Exterior Sealant
Proper Vent, Attic Vent _If /
Window Door/ Sealed (No Insulation) V
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
Framing / Firetto P`P ng Ins
Pewon Re
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm 31.,70am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: S-7c-› PERMIT#:LOCATION: L . a n y;,,., INSPECT ON: l f
TYPE OF STRUCTURE:
Framing Y N COMMENTS:
22'x30"minimum f
Jack Studs/Headers V/
Bracing I Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"0.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in. •
Notch/Hobs/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge(8) 16D naris each arae
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1BuRding&Codes Forms-OLDSuNdino&Codeslinspedion Foan*Vraming FN ata pi g inspection Report doc Rimed January 7,2006
Rough PlumbingI Insulation 1 s e` `n Report
9 p
Office No. (51 8)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: !C-
NAME: 77/CD 'eS lel )Wg) PERMIT#: 404. ,
LOCATION: 13 _ ;S INSPECT ON:
TYPE OF STRUCTURE: --- \sN - ''
Y N N/A
Rough Plumbing/ it Plates
encs in Place \I( mac'
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet t 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
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:
Rough Plumbing Insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008
te.EW/Aelect
Framing / Firestopping Inion Report .
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: H5 PERMIT#: I 03
LOCATION: /3 f fir" ), ,,._ INSPECT ON: MP"-
TYPE OF STRUCTURE:
Framing Y & MA COMMENTS:
A ••== 22" x 30" minimum k4/
Jack Studs/Headers a/
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
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%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
5.0sfgrade
L:16uilding&Codes Forms-OLfYBuiiding&Codesli sipection Fomi&Framing FireidOpp ng inspection Report.doc Revised January 7,2008
. :-
Framing / Firestopping Inspection Report '
.)ifice 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 InitialskA.9
NAME: :_'-f _ ' % PERMIT#: j`; t` -
LOCATION: ), 1 .4' INSPECT ON: /• '
TYPE OF STRUCTURE:, , [A:lfMa-
Y N NIA
Framing COMMENTS:
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 i
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 1A(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
her Olts$ .or less on center
Ice and water shield 24 inches from wall (.7)
titton 1, 2, 3 hour
Fire 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:\Buiiding&Codes Forms-01-083uNding&Codes1nepection Forms\Framirg Firestopping inspection Reportdoc Revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectiof request received:
Queensbury Building&Code Enforcement Arrive: g fpu am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: -S¢-
NAME: 1140 PERMIT#: /0 03b
LOCATION: D(16441 (? . INSPECT ON: q I ill iz,
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
r
einforcement 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 print 12/20/2005 9:24:00 AM
(! ter1r ) /--� fV/ iokt
Foundation Inspection Report P� �
Office No.(518)761-8256 Date Inspectiap request received:
Queensbury Building&Code Enforcement Arrive: .•, am/ Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:`' --��
NAME: PERMIT#: /0
-0
LOCATION: I )1; rg /�� j INSPECT ON:
TYPE OF STRUCTURE:
Comments
Yt N N/A
Footings ex.„,
Monolithic Slab
Reinforcement in Place Vj —
The contractor is respKnsible fdr
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site. _
Foundation/Wailpour
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\Bufding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
( I - 1
Office No.(518)761-8256 Date Inspection request received: r((l( (d 0
Queensbury Building&Code Enforcement Arrive: am/pm , Dppart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: eL-L�
NAME: Z'e PERMIT#: I T ��
LOCATION: ya RL INSPECT ON: Ira
TYPE OF STRUCTURE: `>~
PlIt Comment
Y N/A 6
Footings
iers�(/AKM/G
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:\Buiiding&Codes Forms\Building&Codes\lnspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM