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2010-221 TOWN OFQ UEENSBURY cow742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20100221 Date Issued: Wednesday, July 28, 2010 This is to certify that work requested to be done as shown by Permit Number P20100221 has been completed. Location: 5 OHIO Ave Tax Map Number. 523400-309-013-0001-062-000-0000 Owner: THOMAS VAN NESS Applicant: THOMAS VAN NESS This structure may be occupied as a: Single Family Dwelling By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the �, property owner of the responsibility for compliance with Site Plan, f Variance, or other issues and conditions as a result of approvals by the `/ i r PlanningBoard or ZoningBoard of Appeals. Di ro wilding& e E�rcement PP AftTOWN OF QUEENSBURY Fors 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100221 Application Number. A20100221 Tax Map No: 523400-309-013-0001-062-000-0000 Permission is hereby granted to: THOMAS VAN NESS For property located at: 5 OHIO 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: THOMAS VAN NESS 5 OHIO Ave Single Family Dwelling $155,320.00 QUEENSBURY,NY 12804-0000 Total Value $155,320.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-221 1476 sq ft single family dwelling $177.12 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, May 12, 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 f Que bt /•dnesday, May 12, 2010 SIGNED BY / ''�., for the Town of Queensbury. Director of Building Co.e Enforcement J } r A �IGI P , /_ePFZ:USE ONLY T A NO. / PERMIT NO. /&—Z2/ FEES PERMIT it 77 RECREATION ENGINEERING _ 4167 1-2/610 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. APPLICANTBUILDER:ThOmas VanNeSS OWNER: SAME ADDRESS: 5 Ohio Avenue ADDRESS: PHONE NOS, 745-0929 PHONE NOS. CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE: LOCATION OF PROPERTY: 5 Ohio Avenue SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT APPLY TO YOUR O x 6 I PROJECT p d p o 'n I vai N LL w ~ Cq w oLL• w ¢ Q.XV W 0LL G! ~I-- O I- Cr O Q Q �s 1.4 g O W F-tL 0- SINGLE FAMILY X 1 4 7 6 I 1476 19 � TWO-FAMILY MULTI-FAMILY i I TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) 1! OTHER IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST:$1 5 5, 3 2 0. 0 0 FUEL TYPE: Natural Gas HEAT TYPE? *HOW MANY FIREPLACE(S)N/A AND 1 OR WOODSTOVES(S):N/A ZONING CATEGORY: MR 5 ARE THERE WETLANDS ON THIS SITE? No IS THIS A HISTORIC SITE? No PROPOSED USE OF BUILDING OR ADDITION: Single family dwc 11 i ng Town of Queensbury-Community Development Office•742 Bay Road, Queensbury,NY 12804 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? NO ARE THERE EASEMENTS ON PROPERTY? NO *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office 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 Builidng 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: Director of Building&Codes: 761-8256(for questions QUESTIONS? CALL 7614256 OR EMAIL regarding Building Permits, construction codes or septic codes(r queensbury.net systems) VISIT OUR WEBSITE FOR MORE INFORMATION Zoning Administrator: 761-8218(for questions regarding www•queensburv.net required permits,the permit process,application requirements or to schedule an appointment) Permission is hereby granted to the above This application/proposed action described herein is Applicant to erect or alter the building described found to be in accordance with the zoning Laws of herein in accordance with said Application: the Town of Queensbury BUILDING&CODES APPROVAL ZONING APPROVAL DATE DATE Office Use Only Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy limit: Special Conditions: Revised 9/22/09 Town of Queensbury•Community Development Office• 742 Bay Road, Queensbury.NY 12804 For an EPA homeowner's guide: http://www.epa.uov/'npdes/pugs;nemeowner guide lona customize.pdf OFFICE USE ONLY TAX MAP NO. PERMIT NOc)—(:`16`A�, ERMIT 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. OWNER: Thomas R. VanNess INSTALLER: TBD ADDRESS: 5 Ohio Avenue ADDRESS: PHONE NOS. 518-745-0929 PHONE NOS. LOCATION OF INSTALLATION: 5 Ohio Avenue, Queensbury, NY NO. RESIDENCE YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW INFORMATION: 1980 or older X 150 gallon per bedroom = 0 GARBAGE GRINDER INSTALLED? 1981 -1991 X 130 gallon per bedroom = 0 1992-present 3 X 110 gallon per bedroom = 330 SPA OR HOT TUB INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING ✓ STEEP SLOPE SLOPE °r6 ✓ SOIL NATURE: SAND I 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 PER MIINUTE PER INCH(TEST TO BE COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE: 1000 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: 0 ABSORPTION FIELD(WITH NO. 2 STONE) Total length ft. Each trench X ❑SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? m ALTERNATIVE SYSTEM Bed or other type? Eli en "GSF" System - SEE PLANS ❑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. I have read the regulations with respect to this application and agree QUESTIONS? CALL 761-8258 OR EMAIL to abide by these and all requirements of the Town of Queensbury codes(Ebqueensburv.net Sanitary Sewage Disposal Ordinance. VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net Signature of Person Responsible Date Town of Queensbury • Community Development Office • 742 Brno Road. cueerrsbiiii, :^4'l 12804 I 4 RESOLUTION APPROVING THOMAS VANNESS' APPLICATION FOR SANITARY SEWAGE DISPOSAL VARIANCE RESOLUTION NO.: BOH 11,2010 INTRODUCED BY: Mr.Anthony Metivier WHO MOVED ITS ADOPTION SECONDED BY: Mr. Tim Brewer WHEREAS, Thomas VanNess filed an application for a variance from a provision of the Town of Queensbury On-Site Sewage Disposal Ordinance, Chapter 136 to install a leaching system 1'6" from the property line in lieu of the required 10' setback on property located at 5 Ohio Avenue in the Town of Queensbury, and WHEREAS, the Town Clerk's Office published the Notice of Public Hearing in the Town's official newspaper and the Local Board of Health conducted a public hearing concerning the variance request on Monday, May 3rd,2010, and WHEREAS, the Town Clerk's Office has advised that it duly notified all property owners within 500 feet of the subject property, NOW, THEREFORE, BE IT RESOLVED,that 1. due to the nature of the variance, the Local Board of Health determines that the variance would not be materially detrimental to the purposes and objectives of this Ordinance or other adjoining properties nor otherwise conflict with the purpose and objectives of any Town plan or policy; and 2. the Local Board of Health finds that the granting of the variance is necessary for the reasonable use of the land and is the minimum variance which would alleviate the specific unnecessary hardship found by the Local Board of Health to affect the applicant; and BE IT FURTHER, RESOLVED, that the Local Board of Health hereby approves Thomas VanNess' application for a variance from the Sewage Disposal Ordinance to install a leaching system 1'6" from the property line in lieu of the required 10' setback on property located at 5 Ohio Avenue in the Town of Queensbury and bearing Tax Map No.: 309.13-1-62. Duly adopted this 3rd day of May, 2010,by the following vote: AYES: Mr. Montesi,Mr. Strough,Mr. Brewer,Mr. Stec,Mr. Metivier NOES: None ABSENT: None I,R.Rose Mellon,Deputy Town Clerk of the Town of Queensbury,Warren County, New York,do hereby certify that I have compared the foregoing with the Ofrigtheminajovire:n ut on IflistjirTotife‘oaci°116Queenieb, at a 2�9v '( meting BoarOury ttald the 3 dayof atwhich a gtbttnn w�i�M and that the tame lesessetlisoulptlhereftomendcd the whole original thereof lo Town WITNESIIEREO 11IIra WIN darpdflM881M.pt said I 20k at01 ti firNMI Mai ► wort 2 7r!'.,110:To rwmT st )trfl rwor itrtlyq91,prIPIM s1 raw SIJq- 5V1 ob pi:cy w14 11.6 betoote;Trods bsIail 25 noiItiloeei!srT,70 tc.. !IRO We rodenesuO to nal'wtt to Omit nvior 10 er iz brie?neellq esw runup s daitiw 21, OS tasted?Esnigho stony/it to bat wand*MI farm emu Ateb d nwoT by nit MI INN vli deollallisUlleg UMW OS, 0 61,grailmsiuD Noll A On awl'*we linlioned bale For an EPA homeowner's guide: -r.) r/,,,v;v.eo:1.clov°n: 4 .�. . ._.nom®u r`ui OFFlCEL9SEONLY TAX MAP NO. PERMIT NO. 1G-c}4ERM r FEE s a v APPROVALS ZONING TOWN CLERK f , • o s s a sa.s as r y a asasrs ssa�a w,.s r .«. s arm :..s .a a,a.s.sa rs a s« « a s s mss.a rrssf Purr...P,.a o a a s. s s as.rrs 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. OWNER: Thomas R. VanNess INSTALLER: TBD ADDRESS: 5 Ohio Avenue ADDRESS: PHONE NOS. 518-745-0929 PHONE NOS. LOCATION OF INSTALLATION: 5 Ohio Avenue, Queensbury, NY RESIDENCE YEAR BUILT NO. X COMPUTATION= = TOTAL DAILY FLOW . INFORMATION: BEDROOMS 1980 or older X 150 gallon per bedroom = 0 GARBAGE GRINDER INSTALLED? 1981 -1991 X 130 gallon per bedroom = 0 1992-present INK= X 110 gallon per bedroom = 330 SPA OR HOT TUB INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING ✓ 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 PER MIINUTE PER INCH(TEST TO BE COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE: 1000 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 ft. Each trench X ❑SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size? m ALTERNATIVE SYSTEM Bed or other type? Ten "GST" System - SEE PLANS ❑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. I have read the regulations with respect to this application and agree QUESTIONS? CALL 7614256 OR EMAIL`` to abide by these and all requirements of the Town of Queensbury codesanueer sburv.net Sanitary Sewage Disposal Ordinance. VISIT OUR WEBSITE FOR MORE INFORMATION www.aueensburv.net�-f Signature of Person Responsible Date 4't iorenot 6J'1k''Istilti Community levelO"t tts'!f< '.Jtict 742 Bay Road, Queensbury, i's\ 12804 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: ?'2?-/O NAME: r Avc LOCATION: K Mss PERMIT#: /O - 2Z ! Final Survey Plot Plan Approved Denied The attached fmal survey has been received by the Dept. of Community Development. Upon review the survey . . been: Craig Brown,Zoning Administrator Notes: 44 - L:\.SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc Q Z Z -f— TO VILLAGE OF CORINTH DEED REFERENCE MARY E. VAN NESS TO THOMAS R. VAN NESS DTD. APRIL 6, 2004 RCD. APRIL 7, 2004 LIBER 1377, PAGE 9 644 NOW OR FORMERLY LANDS OF SAMUEL J. WAHNON, II s45 LIBER 1419, PAGE 196 TAX MAP: 309.13-1-71 — 646 648 IRON ROD FOUND 0.45' NORTH - y _OF CORNER,,,.,, I CAPPED IRON ROD SET 649 .I 542 NOW OR FORMERLY LANDS OF JOHN A. & LINDA E. WINSLOW 650 LIBER 648, PAGE 854 TAX MAP: 309.13-1-72 NOW OR FORMERLY LANDS OF WILLIAM & CONNIE VAN NESS LIBER 3680, PAGE 255 TAX MAP: 309.13-1-64 544 NOW OR FORMERLY LANDS OF GEORGE A. & KATHY A. FORDRUNG LIBER 3185, PAGE 238 TAX MAP: 309.13-1-63 f ANGLE 00 IRON K FOUND w z J 0 IRON O ROD FOUND I I W 1 UTILITY D POLE Z U W U CAPPED IRON METAL ROD SET POST 0 _FOUND ' c STOCKAD4*2' NCE ELEC. ,6 OVERHEAD UTILITY WIRES U ' METERI U U C� .6' MAILBOX T\ GARAGE S 83°10'30" E STOCKA E & CHAIN LINK FENCE * I 100.00,. 1 STORY WOOD DECK WOOD FRAME & STEPS HOUSE (ON CONCRETE FOUNDATION) (7/19/2010) Z i SHED 041 CAPPED IRON ROD SET I a ONLY COPIES MADE FROM THE ORIGINAL OF THIS SURVEY MAP WNICH ARE MARKED WTH AN ORIGINAL OF THE LAND SURVEYORS SEAL AND BEARING THE SURVEYOR'S ORIGINAL STGNA7UR£ IN RED INK. SHALL BE CONSIDERED TO BE VALID AND TRUE COPIES UNAUTHORIZED ALTERA170V OR ADD177ON 70 A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A WOLA77ON OF SEC770N 7109 SUBDIVISION 2, OF THE NEW YORK STATE EDUCA77ON LAW. FIRE 'Q HYDRANT NOTES: CORINTH 1) FIELD SURVEY PERFORMED IN FEBRUARY OF 2010, UPDATED ON JULY 19, 2010. 2) SUBJECT TO ANY AND ALL RIGHTS THE U77UTY COMPANIES MAY HAVE IN AND TO THE SUBJECT PARCEL MAPPED HEREON. 3) SUBJECT TO RIGHTS OF THE PUBLIC IN AND TO THE BOUNDS OF OHIO AVENUE. 4) REFER TO MAP REFERENCE FOR CIRCLED LOT NUMBERS 5) AREA OF SUBJECT PARCEL = ±6,000 SQ. FT. MAP REFERENCES AREA: EXISTING ±6,000 SGT. FT. SEPTIC _ —APPROXIMATE LEACH BED LOCATION .. CD w W c PAVED DRIVEWAY WOOD STEPS �I i f° o I= d CATCH r 1 oQR BASIN 1 I3 v N o < Iz I� s OLu �o I X 0 � I F N I I;k v I I� I I i ,TER LVE UTILITY POLE TO CITY OF GLENS FALLS �—; offiIIIIIIIIIIIIN SHED 2t,.D N 83°10'3O" W STOCKADE FENCE 100.0 *3.5' GARAGE CAPPED IRO ROD SET 540 NOW OR FORMERLY LANDS OF SHELLEY S. STEPAN LIBER 1047, PAGE 247 TAX MAP: 309.13-1-61 MAP EN777LED: "WESTERN PARK, TOWN OF QUEENSBURY, WARREN CO., N. Y., SUBURB OF GLENS FALLS, CORLISS REALTY INC., ST. ALBANS VT.", MADE BY E.H. WELLES, C.E. AND L.S., DATED JULY, 1927, FILED IN THE WARREN COUNTY CLERK'S OFFICE ON AUGUST 11, 1927 IN TOWN OF QUEENSBURY MAP BOOK 2, PAGE 58, PLATE NO. J. MAP EN777LED. "MAP OF A SURVEY SHOWING EXIS77NG CONDITIONS AND SHOWING A PROPOSED HOUSE LOCA77ON PREPARED FOR 7HOMAS R. VAN NESS, BEING LOT 541 & LOT 542 - WESTERN PARK SUBDIVISION" MADE BY DLP SURVEYING, LLC, DATED FEBRUARY 17, 2010. TAX MAP REFERENCE TAX MAP. SECTION 309.13, BLOCK 1, PARCEL 62 SURVEY & MAP BY DLP SURVEYING, LLC DONALD L. PIDGEON, Jr. PROFESSIONAL LAND SURVEYOR M Y.S LICENSE NO. 50372 16 MICHAEL ROAD FORT EDWARD, NEW YORK 12828 (518) 792-4146 I HEREBY CERTIFY TO: THOMAS R. VANNESS and TRACY L. VANNESS, HOMESTEAD FUNDING CORP. DBA FIRST NIAGARA MORTGAGE, IT'S SUCCESSORS AND/OR ASSIGNS, AS THEIR INTERESTS MAY APPEAR, AND CHICAGO TITLE INSURANCE COMPANY, THAT THIS MAP WAS PREPARED FROM AN ACTUAL SURVEY PERFORMED ON THE SUBJECT PREMISES. JULY 19, 2010 DATE DONALD L. PIDG Jr. N.Y.S. LIC. NO. 5037 VEY NG MAPEKISTINGOF A RSITE IMPROVEMENTS PREPARED FOR THOMAS R. & TRACY L. VANNESS BEING LOT 541 & LOT 542 - WESTERN PARK SUBDIVISION SITUATED IN TOWN OF QUEENSBURY, WARREN COUNTY, NEW YORK SCALE- I" = 20' 1 1 JULY 19, 2010 0-196-2 Queensbury Building & Code Enforcement-- Manufactured / , • lar al Inspection Office No.(518)761-8256 Arrive: c3 2C r(pm I part a em Date Inspection request received: Inspector's Initia i NAME: '\ l Ex6 PERMIT*. d LOCATION: 5 0 Vk 'Cv E. DATE: 7 -216-VC Manufactured Home Modular Home, Footings ✓ Foundation Backfill_ Framing Comments: Yes No WA Foundation support,pier spacing, Per manufacturer c V., PfNAItt.4 Anchoring per manufacturer 2'from ends 1 Water line shut off / Sewer line support©4 feet / Heating Crossover[doublewide}off grd. Dryer vented outside Skirting ventilated 1 so.ft.per 1,500 So.ft. Hot water relief valve piping outside \,//://// . Deck,porches,steps,railing Fumace/hot water operating Garage Fire proofing Fire Door/Door losers Plumbing Fixture/3"Vent through roof[Modular] Foundation insulation[if applicable] Smoke/Carbon Monoxide Detectors/Interconnected T Final Electrical Variance required Data Plate okay Manufactured HUD seal okay Warranty Seal after January 1,2006 Installers Warranty Seal 18"x 24"access or 22'x 30'attic access /(/ Vapor retarder under home 6 mil poly or other 911 Street number Okay to issue CIC or CIO[Temp./Penn.] Model# Serial# Manufacturer Date of Manufacturer L:1Pam Whiting\20101Building Codes FomulManufactured Modular Anal Inspection 03 04 10.doc Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pm Depart am/pm Date Inspection req//est receiv : Inspector's Initials: U f/� NAME: /i\ es.5 PERMIT#: L -2 Z I LOCATION: 5"-' O4 , /4,)--e DATE: TYPE OF STRUCTURE: Comments: in Ns 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 8 inch dearance to sill plate .— Gas Valve shut-off exposed I regulator 18 inches above grade IInterior 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 badku•: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl S•aces 18 inch x 24 inch access, 1 -•.ft.-150 =•.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/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/'Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing 1%hour fire door/door doser 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 �steaa LSewer Dept. Inspection Sticker '�l �� Site Plan /Variance require. ✓ �� ,.. sin e , .: '. ' -...' _, �\ Okay to issue C I C or C I 0[Temporary/Permanent I L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc;Revised January 7,2008;Revised 8/26/08 1c 2 -4/- Queensbury Building & Code Enforcement - eside is ; i - nspection Office No. (518)761-8256 Arrive: =G17 a' ", `-part: /pm Date Inspection requesyreceived: Inspector's Initial- ;r/ NAME: i,�a to 55 b� Pr MIT#: /O2a/ LOCATION: (44,* t� /#4-V _ "ATE: 7-,27-Az? TYPE OF STRUCTURE: Comments: 1f� NQ NIA 4" Building Number Address visible from road CC `S Chimney Height/"B"Vent/Direct Vent Location 5 oro Fresh Air Intake ,moi �( ��� 3 inch Plumbing Vent through roof minimum 6 inches W L'�I ►'� )1 Roof Complete/Exterior Finish Complete Platform at all exterior doors /Cker / Handrail 4 or more risers i Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more &/e . 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 /it Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate �. Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors I Carbon Monoxide Detectors Every level: Every Bedroom: 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 Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating , Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum 1,4k Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door doser Duct work Seated properly Gas Logs in Sealed or Glass Endosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms `� 1 Flex Gas Pipe Bonding F A'._ 43-c T As Built Septic System I Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Oka to issue C I C or C/0 Tem•ora I Permanent ""43 L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 0: 0O Queensbury Building & Code Enforcement - Re ential Final Inspection Office No. (518)761-8256 Arrive: am/pm e -4.„,, (2� am/pm Date Inspection request received: Inspector's Initials: =...;r NAME: 4PERMIT#: /t9- 7 / LOCATION: 3-" r i) / DATE: /CS TYPE OF STRUCTURE: Comments: yft Ns/A 4° Building Number Address visible from road /� 't�/ Chimney Height/V Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches / Roof Complete/Exterior Finish Complete / ep .'sf,Z,,AVI>4 Platform at all exterior doors _ ii,Handrail 4 or more risersGuards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more 11/4 , Guard at deck,porches 36 inches or more v Handrail Termination at Newell Post or Wall t'— A , ,i Interior/Exterior Railings 34 inches to 38 inches /\C2 �a - .Iwt..v Deck Bracing I Handicapped Ramp Compliant �/ ..r1 Grade away from foundation 6 inches with 10 feet • /' \/ tirgth7 • qty lirfra 6 inch clearance to sill plate �/ ei. Gas Valve shut-off exposed/re!ulator 18 inches above r rade Interior privacy/trim/doors/main entrance 36 inches / •• P11-te— g5+" -- Bathroom/Kitchen waterti ht tom.. Safety glazing/Wi in stairwells safety gl- 'ngiCP Interior Smoke ectors/Carbon M noxid- 'etectors / etEvery level: E Bedro9 . /--- Outside every bedroo area: Inter Connected: . Battery backup: ,..._./ Attic access 30 inched x 22 inches x 30 inches(height)in accessible area, Crawl S'aces 18 inch x 24 inch access 1 •.ft.-150 s•.ft.vents Bathroom Fans,if no window Plumbing fixtures /� Foundation insulation/Insulation Certification Y / Floor truss,draft stopping finished basement 1,000 sq.ft. �/ Emergency egress below grade / V 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 �/ , telief Valve(s)installed/Heat Trap/Water Temp 110 .4 Enclosed Stairs Sheetrock Underside minimum 1A"Gypsum 7 ✓ Basement stairs closed rise>4 inches / Garage Floor Pitched ✓ Garage fireproofing 1%hour fire door/door closer Duct work Sealed properly 41/ Gas Logs in Sealed or Glass Enclosure ...i€Final Electrical J' A Final Survey Plot Plan . // V Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding vV7 As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/0[Temporary I Permanent] . i(043/4 L:1Building&Codes Forms\Building&Codes\Inspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 r k ilk „)._._ Y:00/4-._ Septic Inspection Report tiiiT 741) Office No. (518) 761-8256 Date Inspection request received: - , I 0 Queensbury Building &Code Enforcement Arrive: am/ m Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: ( © or 'O NeiS ----1—' j PERMIT NO.: 0 I d-off-c-"1 LOCATION: 4c O Imo`u ,PCV-& INSPECT ON: / _ 0 . 0 ) RECHECK: ''' Comments and/or diagram Soil Type: / Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/ - Y N _ N/A [150'to well required if NO] _ Absorption Field: Total length til) . ft. Length of each trench A ft. j, Depth of trenches ft. a-qp -g-P‘J �", Size of Stone Seepage Pits: Number G Stone Size: Piping ize Type Building to tank �t Tank to Distribution Box J ° Zi — - Distribution Box to Field/ Pit k0 rTlf- Opening Sealed: tre____N End Cap _N Inlet/Outlet Pipes&Baffles Y /N Manholes 12"or less below grade _Y 1/4 [provide extension collar if Yes] Y il V N Location/ Separations 4e 2 Foundation to tank 1 1 ft. Foundation to absorption 42.t> ft. Separation of Pits Conforms as per Plot Plan Y iN Engineer Report and As-Built Y_N ETU Maintenance Contract _Y_ N provided Location of System on Property: Front R Rear iiiie Right Side Middle Front Middle Rear System Uses: SV 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 do t.133Ms �U#CUd OLOHOUM (m)wj IMI I:N'-- NHOAM3N'Aun9SN33no -Aq 1Btg):SNOH z MULS NIVV4 —8 GINId N--ON I" NV Id ),iH@dObd SS3N NVA 0NI&33NION3 7VN0ISS3908d 311S NOI138 NVId 3115 0rid 'HaaNIONZ NILNVW V X HHS j UJ z w U. 0 oll� ,T7 -11 ZMT7. --––––––––– LU 12 Ra, c1li-- YeT-- -4 — --------- 0 I C� i 011111,1,y LL -Ef m — ----------- Z a It] 6i t2 CO LU > D LIJ Q >< 'Man QV3HNMC) S3 ---------------- n afIA1aAIV 2grflX3AV 1. 01H0 0111(01110 ma � p ---- 22Z ---- ---------- T-M Z z 0 0 0 E Z Is s 1 1 6� �i 1 1 i 0 0� I 1 0 z NI 0 0- V, v, 614 Hl Na vil I of Nan e n Mi R Om R -Z7 9—--A IOCOOI 100 /-- 7A---furs Foundation Inspection Report Office No.(518)761-8256 Date Inspectio request received: Queensbury Building&Code Enforcement Arrive: • am/p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: U`C/ NAME: PERMIT#: l D —2 21 LOCATION: OR,. o /4--tie INSPECT ON: C-77/0 TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 in footing mil poly for wet ai under slab B royal Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Fors\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. /' pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: 1%ii 5 PERMIT#: LOCATION: S" f.. ifes_ INSPECT ON: 2 Z - c TYPE OF STRUCTURE: Comments Y N N/A ( jIII) ngs o rc(, 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 _ 2� A5 W- L. <�a �, 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:\Buliding&Codes Forms\BulIding&Codes\Inspectlon forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 10 �v�s Foundation Inspection Report Office No.(518)761-8256 Date Inspectio request received: Queensbury Building&Code Enforcement Arrive: 'Al 0 5 am/p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: __5___/ NAME: ��tti 0.55 PERMIT#: /0 LOCATION: S—d�j o title _ INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowe place Foundation pproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width .-du►• es above footing 6 mi •ly for wet areas under slab Backfill • ' . •val ' .13* 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 , 0 Office No.(518)7614256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive:to‘ 0 4 am/pm C/ art: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspectd's Initials: NAME: _11/0 -es5 PERMIT#: //.7V 2 7 LOCATION: ar 0 Aue INSPECT ON: (7).—/6) TYPE OF STRUCTURE: Comment Y N N/A Footings Piers Monolithic Slab (fif (0 Reinforcement in Place The contractor is responsible for 11 providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Fo • allpour 1 - Reinforcement' Place •"• : :•wels 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 printed 12/20/2005 9:24:00 AM ro /1/101kot • Foundation Inspec n Report Office No.(518)761-8256 Date Ins tion uest received: Queensbury Building&Code Enforcement Arrive: -4 am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector s Initials: NAME: Vet tA S PERMIT#: /672 21 LOCATION: S Of j,'c Au.e , INSPECT ON: 6- 7-/r- TYPE - 7-/('-TYPE OF STRUCTURE: Comments Y N/A — 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 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\Foundatlon Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM ///o, Foundation Inspection Report Office No.(518)761-8256 Date In ti request received: Queensbury Building&Code Enforcement Arrive: /'rye) am/ Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: � w NAME: V(1(, /Ye 5 PERMIT#: 22— LOCATION: 2LOCATION: S"— (IM, o 14/Q INSPECT ON: C— 9-70 TYPE OF STRUCTURE: Comments Y A Footings , �� ,q-r- 1i�/ Monolithic Slab ` ��S P6-ie i k") Reinforcement in Place The contractor is responsible for C� 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\Foundatioon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM