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2010-433 Albkkto_riow , TOWN OFQ UEENSBURY 4 0,0 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 E Community Development- Building &Codes (518) 761-8256 CE RT I F I CAT E OF OCCUPANCY Permit Number. P20100433 Date Issued: Friday, October 15, 2010 This is to certi that work requested to be done as shown by Permit Number P20100433 has been comp eted. Location: 46 HOWARD St Tax Map Nu ber. 523400-301-020-0001-035-001-0000 Owner: ROBERT & KAREN GREEN Applicant: I ROBERT & KAREN GREEN This structure may be occupied as a: Garage Attached By Onder of Town Board Single Family Dwelling TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the /Q property owner of the responsibility for compliance with Site Plan, y� ' 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. ��` TOWN OF QUEENSBURY �s F.! Y Road,742 Ba NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100433 Application Number. A20100433 Tax Map No: 523400-301-020-0001-035-001-0000 Permission is hereby granted to: ROBERT&KAREN GREEN For property located at: HOWARD St 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: ROBERT&KAREN GREEN 42 HOWARD St Garage Attached QUEENSBURY,NY 12804 Single Family Dwelling $125,000.00 Total Value $125,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-433 1300 sq ft single family dwelling with 320 sq ft garage $188.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, September 03,2011 (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 th, f Qupsbr 9'ida September 03, 2010 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement : J _/ —� 5O7ICE USE ONLY TAX MAP NO. / PERMIT NO. f L .- /--33 FEES: PERMIT 1/NIS---���RECREATION 4 ENGINEERING (If applicable) PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: C1JV c,,- er �e J OWNER: (Jk (9 cee v.N. ADDRESS: Co dL&e,-. e (Za ty ADDRESS: PHONE NOS. -71=/ ! 7. -"7-7 PHONE NOS. CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: PHONE: * (pl .Zg�. LOCATION OF PROPERTY: `,oc 4. S‘t• 301- o- + - S. ) HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 1&4ES 0 NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z p p PROJECT O O O cn C'1 w w co I- � � -1I- Q' J co1- o w U- U- w ¢ a = v Z < - '- Cl)nNO O � OI- xwZ }- w a I ors SINGLE FAMILY TWO-FAMILY 4v t MULTI-FAMILY f L, (NO. of UNITS ) , .....)(._ TOWNHOUSE BUSINESS OFFICE RETAIL- V\ , MERCANTILE FACTORY OR INDUSTRIAL ATTACHED 0r GARAG- s,%) c r >e -L .. c:3 3.D-0c p I / OTHER J I IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: 12-S- Coo FUEL TYPE: 'C B 3-LGL 11-05 a1.7 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? VD 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 pro - .s-built survey by a licensed land surveyor of all newly constructed facilities p '• to issuan•e of . certificate of occupancy. I have read an. :gree to the . .i•le Signed .J.,�`/ 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: BUILDING & CODES APPROVAL ZONING APPROVAL DATE DATE QUESTIONS? CALL 761-8256 OR EMAIL codesCa queensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION c OFFICE USE ONLY TAX MAP NO. PERMIT NO. 0 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. 11 OWNER: C\3 l <-'yree INSTALLER: ADDRESS: ADDRESS: " ``"�Q� ' f' je c, PHONE NOS. PHONE NOS. l I J -7377 LOCATION OF INSTALLATION: Lao. L ( or4 L RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW BEDROOMS GARBAGE GRIN_DE�t 1980 or older X 150 gallon per bedroom = INSTALLED? l��u 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TA., 1992-present 3 X 110 gallon per bedroom = 33 0 INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling >e Steep slope %Slope ✓ SOIL NATURE: Sand Loam Clay Other ✓ GROUNDWATER: At what depth? ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? ✓ DOMESTIC WATER SUPLY: Municipal Well (If well: Water supply from any septic system absorption is ft.) • ✓ PERCOLATION TEST: Rate is 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: \coo 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. SYSTEM TYPE: ABSORPTION FIELD (WITH NO. 2 STONE) Total length (5o ft. Each trench - X 50 ❑ 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. Ape Foundation Inspection Report Office No.(518)761-8256 Date In- %tion uest '► : /o Queensbury Building&Code Enforcement Arrive: �' - a ' - 'part: 'iJ?i am/ 742 Bay Rd.,Queensbury,NY 12804 Inspector's Inti: r .. NAME: -dYJC f PERMIT#: 6 -4-3 LOCATION: 1R4e C % k.6-v&c_ic INSPECT ON: s _ TYPE OF STRUCTURE: ! 6111,7 A. Comments Y N NL 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 .•se 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 .31 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\Inspectlon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Queensbury Building & Code Enforcement Residential Final Inspection /� Office No. (518) 761-8256 Arrive: am/pm Depart \ am/pm Date Inspection request received: i''/S/�0 Inspector's Initials: 6W----) NAME: C r €- 'i--' PERMIT#: / 0 _ `f -5 LOCATION: L _ ♦ DATE: ____L.91.4-Z- v TYPE OF STRUCTURE: -Vi) Comments: ymAira Nit_ 4" Building Number Address visible from road � Chimney Height/"B"Vent/Direct Vent Location ‘,/, Fresh Air Intake 1// 3 inch Plumbing Vent through roof minimum 6 inches ✓/ Roof Complete/Exterior Finish Complete Platform at all exterior doors .--t-"T� :ie--A.1) 41--- Handrail 4 or more risers << A4�` Guards at stairs,decks,patios more than 30 inches above rade 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 V / Deck Bracing/Handicapped Ramp Compliant / �/ Grade away from foundation 6 inches with 10 feet V 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 ✓- VSa .-- .lazin• /Wi •• in stairwells safe •I •in Interior Smoke •>ectors/Carbon oxid: Detectors c , ,,,� Every level: pry Bed .1 (1C%. L-1�✓`� Outside every bedroeFa: 7 Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area , , v". e-../1 Crawl S•aces 18 inch x 24 inch acCess, 1 -•.ft.-150 s•.ft.vents Bathroom Fans,if no window f:' Plumbing fixtures V. 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 7 Fumace/Hot Water Heater operating Low water shut-off boiler , V Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum 1,4w Gypsum , t/ Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing 1%hour fire door/door doser Al e Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure A .+ Final Electrical tel 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/C or CIO[Temporary I Permanent] LABuilding&Codes Forms\Building&Codes\Inspection Forms%Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 ltImoRough PlumbingI Insulation nsp tion Report IIIIIIIIP Office No. (518) 761-8256 Date Inspection , _ Queensbury Building &Code Enforcement Arrive: =� ► f p �1- • - - . ` a 742 Bay Road, Queensbury, NY 12804 Inspector's Mniti, lif NAME: !' c 4 i I(vS PE'. IT#: /0-4/3� . LOCATION: 7 , S 1 a t) 1 . INSPECT ON: / -/7--/-0 TYPE OF STRUCTURE: .......-- —ium..... , ,?-----"----\\I .\__ Y N/A ough Pkunbi ! :11 Plates V'L_,. i,�;�, !: Y, .•• . /Vents in Place 4 L iNT\��--c) 1 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum CA\\ � � Cleanout eve 100 feet I cha e of direction -,VE P == = re Test NV- "i7 Ir- tAVei / 7i"iceI • 10 ft. above h' hest connection for 15 minutes Pressure est 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 COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 IpeRou h PlumbingI InsulationnsPsi 'n Report Office No. (518) 761-8256 Date Inspection ►= • • -- ce ,r Queensbury Building &Code Enforcement Arrive: ; ,,'� i� rt: k 7 a.its p 742 Bay Road, Queensbury, NY 12804 Inspector's In " - -: NAME: CuWoer .ryn PE; IT#: IONKt-, LOCAT : 1 � �S - f_ ' INSPECT ON: A-12 %C) TYPE OF STRUCTUR •�� , 41111=11111111W i NIA ough Plumbing/ =11 Plates • umbine • Vents in Place 1 1ncmintinum Drain Size ✓ Washing Machine Drain 2 inch minimum leanout eve 100 feet/chane a of direction r P. ,. •r 10 ft. above highest connection for mini7s) • = ure Test Water Supply Piping Air/Head 50 P.S.1 for 15 minutes Insulation/Residential Check I Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door I 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 4 700 Final Survey Inspection Dept. of Community Development Town of Queensbury ' 742 Bay Road Queensbury,NY 12804 Date received: /12- /2 /0 NAME: 6 (---- -) LOCATION: 1/6- Awlre(S . PERMIT#: //� " Q33 lV Final Survey Plot Plan . Approved Denied The attached fmal survey has been received by the Dept.of Community Development. Upon review the survey has I-•+ : 10 . Craig :rown, Zoning Administrator 1 Notes: iik...4e, -- I�*`-- . ��(. 7Vurt1 *rce(-' Ai 39.0r0 41ir L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc MAP REFERENCES MAP OF A SURVEY MADE FOR LARRY CLUTE BY.VAN DUSEN & STEVES DATED: JANUARY 2004 LAST REVISED. SEPTEMBER 11, 2007 LANDS N/F OF CLUTE MAP OF A SURVEY MADE FOR CLUTE ENTERPRISES BY. VAN DUSEN & STEVES DATED: JULY 8, 2008 W W Land 81029'45"E 182.19' CRUSHED 'CEIIT67CATIONS RICICA7m HEREON SKMIFY THAT 7W SURVEY WAS PREPARED N ACCORDANCE " nE BY iNE NEW YORK STALE ASSOCIA7lON OF PROFESSIONAL "DW " OPRA SLAM IF PRODS ON& LAND "%&WM SAD CL WWAMIS SHALL RIM OKY TO 71E PERSON FOR 0OM 111E SURVEY IS PREPARED, AND ON MS BEHALF ro 1W 7171E WMPAW. 0 MMMMENTAL 169 Haviland Road Queensbury, New York 12804 SSIAND LEAS O NSMUInON WST1SIM HEREON' AND ro T!K ASSIGNEES of IM tENONG NSn7U110N.' TO THE STONE x DRIVE New York Lic. No. 50135 LANDS N/F OF MEADE W--1..4. �- AREA „o Q 0 3 WOODSFRAMED TORY 13,588.50 sq. ft. _ .. ^ HOUSE 0.31 acres to O1 0 2 1 b 0 1 ^ N OO y �j 121.3' PROPANE 1^• '„ � TANK Du s �, S P �. / �C ! 'UNAUTMCRIZED ALUMA71ON OR ADDIMM TO A SURVEY MAP BLICENSED LAND SURAY RS SEK IS A EARWf A NOLVIM OF SECIMM 7M. SUB -DIVISION 2 OF nE NEW YORK STALE EDUCATION LAW.' ONLY COPIES FROM 711E CW 1K OF 71" SURVEY MAN= wn1 AN ORDNAL a 1HE LAND SURVEYORS SEK SMALL BE WWSOMM ro BE V" WK COPES' Land Surveyors 'CEIIT67CATIONS RICICA7m HEREON SKMIFY THAT 7W SURVEY WAS PREPARED N ACCORDANCE " nE BY iNE NEW YORK STALE ASSOCIA7lON OF PROFESSIONAL "DW " OPRA SLAM IF PRODS ON& LAND "%&WM SAD CL WWAMIS SHALL RIM OKY TO 71E PERSON FOR 0OM 111E SURVEY IS PREPARED, AND ON MS BEHALF ro 1W 7171E WMPAW. 0 MMMMENTAL 169 Haviland Road Queensbury, New York 12804 SSIAND LEAS O NSMUInON WST1SIM HEREON' AND ro T!K ASSIGNEES of IM tENONG NSn7U110N.' TO THE (518) 792-8474 New York Lic. No. 50135 LANDS N/F OF GREEN Map of a Survey made for Jeffrey E. Holcomb Town of Queensbury, Warren County, New York ILbtro'G & CODES N0. I DATE 1,o )o 3-5 C K t #1q0i jO an DESCRIPTION e1 uc-tooer i, euiu le 1'=20' S-1 SHEET 1 OF 1 Holcomb 02489 DWG. NO. 10006 Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: C�`Z am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 0.49I NAME: PERMIT #: LOCATION: �'L. 4-0 >A� INSPECT ON: 11 �► 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 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/ . =- • -`'.S.I for 5 minutes I • o esidential Check/Commercial Check T 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 (0— Framing / Firestopping Inspection Re Office No. (518)761-8256 Date Inspection request received: g ; G Queensbury Building &Code Enforcement Arrive: am/pm Depart: =m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: t,'� NAME: `�` 6 PERMIT#. de/6- 3 3 LOCATION: INSPECT ON: _ c .4- TYPE OF STRUCTURE: 7.-bked.76= 6 Y N It nk COMMENTS: ra Attic Access 22"x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangersV:// 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 •iliiiiir`t%1'�`' Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 6 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 1Se ` i + ' 5.0 sf grade LABuilding&Codes Forms-OLD'Building&CodesUnspection FonnsTram ng Firestopping Inspection Report.doc Revised January 7,2008 --/-t,e1J IC_/ - Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 7RY)-0. Queensbury Building &Code Enforcement Arrive: am/pm Depart: ti Wpm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 44) NAME: eit,(47 PERMIT #: i G- 4 33 LOCATION: •r " . ,j INSPECT ON: ! U TYPE OF STRUCTURE: ',e '1?),/ Y N/A Plumbing Vent/Vents in Place 4 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 hi•hest 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 Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 (J 't(r- Wfer ) Framing !Firestopping Inspectio Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart 111 m/pm 742 Bay Road, Queensbury, NY 12804 inspector's Initials: e _ NAME: �� PERMIT#: LOCATION: �. �Sf _ INSPECT ON: - .--./p TYPE OF STRUCTURE: I --- Framing r - t& 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 Exterior Deck Bracing Headroom 6 ft. 8 in. • Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 16(w) 16 gauge (8) 16D nails each aide Draft 1,000 sq. ft.floor trusses « .'Bolts 6 . or less on center Ice and water - - • 24 inches from wall T Eire 1, 2, 3 hour Fire waN 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. (VV) 5.7 sf above/below grade 5.0 sf grade L:U3uitdin0&Codes Forms-OLD BuUding&CodesJnspectlon FortosVFmming Firestopping Inspection Reportdoc Revised January 7,2008 Z -4/ ? r-;"e/6 f' * Septic Inspection Report Office No. (518)761-8256 Date Ins'-«i•n request received: Queensbury Building&Code Enforcement Arrive: " --- i 1 am/pm _ Depart: am/pm 742 Bay Rd., Queensbi91NY 12804 Inspector's Initials: NAME: VZ._ PERMIT NO.: )_ .—c---- LOCATION: rDi&a INSPECT ON: -- O RECHECK: Comments and/or diagram Soil Type: • L• oam/Clay Type of Water: unici•. Well Water _ Waterlr - --paration 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 ft. Length of each trench ft. Depth of trenches ___2— ft. Size of Stone rii g--- Seepage /Seepage Pits: Number Size: x Stone Size: Piping Siz T Building to tank d �C€1 Tank to Distribution Box :1 5�� �' Distribution Box to Field/ Pit Opening Sealed: N End Cap rt _N Inlet/Outlet Pipes&Baffles t�Y_N Manholes 12"or less below grade _Y_.,_N [provide extension collar if Yes] Y ,/lel Location/ Separations ,, Foundation to tank / eft. Foundation to absorption . Separation of Pits ft. /J Conforms as per Plot Plan Y N �G� 1}' 6 z)1 c---r— / �-4 Engineer Report and As-Built Y—N ETU Maintenance Contract Y N provided Location of System • Property: Front ./ Left Side Right Side Middle Front Middle Rear tem . w. r Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L•\Pam Whiting\2010\Buiiding Codes Forms\Inspectlon Forms\Septic Inspection Report_03 29 10.doc ,. g . . 162. 19' orl , , . 31,4' * ,i.e.e.e.e.4chtekezze.0 , — ,G r AREA .. g ite, 4 .1.411.4aelq 0 . 4Z) P 0 3:( 'I PROPOSED to N. '', : a) g "., 13,508.83.150acsrqe.s I MOUSE N ft. ..... \)61 i . r" %.,',•2 V4 '' 0 s 1 .4 , :-, i---- .- (.....:5- ,:-b .. ........._____. r - - ________ ) . ko ... - /8 e;.46' , • . • 1 .. , -,,,,,....... 3as, wc:,,. - ----- , ,;,.......1,:,.. . .....Y) . „... . . _ (Axd-- , i4. „Foundation Inspection Report �. /z- „.....---- Office --Office No.(518)761-8256 Date Ins► 'on i :6: �-o i G 011 Queensbury Building&Code Enforcement Arrive: =. /p �i Depart: 1W74. : ,.rpm .- 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial firrAtilr" NAME: ''” (—tet L '1T#: 4 10 — 3 3 LOCATION: / AVM-cc`� Ii PECT ON: 9 1 q i ri TYPE OF STRUC ' : Comments - \li-j*r----- 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 Th Reinforcement in Place 7 I N `noting Do - • Keyway in place .1".. ,t '1: ..a4r6i6•' tti- ely< oundation Waterproo g Footing Drain Daylight or Sump Footing Drain Stone: ,,,:p.,) 12 inch width 6.i nehesrvabotie g Ct - 6 mil poly for wet under slab Rel P timi.oing a r Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Bulding&Codes Fonms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM ( :co ) 2 - -4,/.' ,4',/. Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pnl Depart:' it p am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials�1.� ► NAME: C[L/4 PERMIT#: l� JJ/3 3 I LOCATION: f`c cz rte[ sS+ . INSPECT ON: 9- �fG TYPE OF STRUCTURE: , Comments Y NL Footings 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 A'sFooting 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