2010-351 .4111% TOWN OFQ UEENSBURY
F4r,*43 I
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100351 Date Issued: Monday, December 13, 2010
This is to certify that work requested to be done as shown by Permit Number P20100351
has been completed.
Location: 21 FAIRWAY Ct
Tax Map Number: 523400-290-017-0001-044-000-0000
Owner: KENNETH & LAURA COLLETTE
Applicant KENNETH & LAURA COLLETTE
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEENSBURY
Single Family Dwelling �4 i ° 1
Issuance of this Certificate of Occupancy DOES NOT relieve they, �S
owner of the responsibility for compliance with Site Plan, '
property P tY P
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.
1�` TOWN OF QUEENSBURY
wo,ro 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100351 Application Number: A20100351
Tax Map No: 523400-290-017-0001-044-000-0000
Permission is hereby granted to: KENNETH &LAURA COLLETTE
For property located at: 21 FAIRWAY Ct
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: KENNETH & LAURA COLLETTE
38 COLLETTE Ln Fireplace
HUDSON FALLS,NY 12839-0000 Garage Attached
Single Family Dwelling $342,000.00
Total Value $342,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
$342.64 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,July 30, 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 Qcree ury; Friday;Juyi 30, 2010
SIGNED BY . - /4/ fivA7 for the Town of Queensbury.
Director of Building&Code nfont
? Lgj OFFICE USE ONLY
TAX MAP NO. L PERMIT NO. /0 —357
. . „
411-FEES: PERMIT ��
RECREATIONENGINEERING
f10Y12�
/fir (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: CJ/etp (eu j -f.kr— OWNER: /QtJ Gf/e tP
ADDRESS: n/ (11,de/j/rp LA)- /I. -- I -311 ADDRESS: 3 c 6 . S# b, 6. pit
PHONE NOS. 7 YC (I)-0 34s- 58..-2 PHONE NOS. £CE.` czic. 34s-es-A.)._
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: 0)f,/ thetf PHONE: 3 ‘S c22--
LOCATION OF PROPERTY: L.OY- (, J ,a/A km, Ct. I/JAW PQk
•
HAS THERE BEEN A SITE PLAN VIEW VARIANC OR SUBDIVISION APPROVAL? CZKES 0 NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: I r: '-i
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z p ix O O u) Cl) w
PROJECT O Q 00 O c�
O w Jw � � w Q a. I
~ �' z
z < < , ° Na o ° � a = oo
SINGLE FAMILY J
a.13? 3/q 2.46-?--- 33'D--
TWO-FAMILY L,ekr-Z,i CQ n
_ -ro 6'e- CO-0Y\f
MULTI-FAMILY
(NO.of UNITS )
A/YN (_,(,%_, /1_,O
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHEDI ,
GARAGE(1,2,3) VL/s- /
OTHER J
IF COMMERCIAL OR INDUSTRIAL– NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: 3 7 oh 1 0-771) FUEL TYPE: /VAitm 16 A
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? A)p
ARE THERE EASEMENTS ON PROPERTY? () t3
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 ereue
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)
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
codesOqueensburv.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
OFFICE USE ONLY
TAX MAP NO. PERMIT NO./O $/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. //^ �y-- / '
OWNER: ( dk!lI° (v 1 / C INSTALLER: KPA) C /Q;!P
ADDRESS: 3 F V. 17 f. i?- 3 ADDRESS: 3 S / ZD4 t St 4-! 1c' I gS
PHONE NOS. ?1/6 1 I 3 A > al a PHONE NOS.4 4 265-
LOCATION OF INSTALLATION: Leg' Ic "A f'L )\,A ! Cf
NO.OF RESIDENCE INFORMATION:
YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW
GARBAGE GRINDER
1980 or older X 150 gallon per bedroom = INSTALLED?
1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB
1992-present (,/ X 110 gallon per bedroom = LII yt) INSTALLED? N 4
PARCEL INFORMATION:
✓ TOPOGRAPHY: Flat rolling ✓ Steep slope %Slope
✓ SOIL NATURE: Sand Loam ✓ Clay Other
V GROUNDWATER: At what depth? 5
✓ 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: i.-c 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 Son ft. Each trench X 5j"j
❑ 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?
............ .. ................. .. .. ........ ... .. ... ... . . .
N
OTE: 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.
•
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Michie; 1 Pgidner: I—,re Afa 1., _„?r ;'?:'it ,,l, ;r1? F ,A,I.; s.%f
APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS
Application is hereby made to the Building&Codes Office for the issuance of a Building & Use Permit
pursuant to the New York State Fire Prevention &Building Code. The applicant or owner agrees to comply
with all applicable laws,ordinances,regulations, and all conditions that are part of these requirements and
also will allow all inspectors to enter premises to perform required inspections.
IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED.{
OWNER: Co//e 77° Cfs iu..ct . / ,V •J INSTALLER/BUILDER: l bf/P fn C-C/ 74. TA/C.
ADDRESS: 3 I- (/1P 1?r� L• P'f ( 39 ADDRESS: S'tAf Y'
PHONE NOS. i CI 0 //� 3 5.- ,,:-J a 2- PHONE NOS.
LOCATION OF PROPERTY: 1# 6 FA I i( way 6• SUBDIVISION NAME: i s;'Pa A kk
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: h C f/rmi.W#;r d. t�
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: KP A/ C.f I e / PHONE: 3 6> S1-2?„
✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL
INFORMATION
STOVE
FIREPLACE INSERT
✓ FIREPLACE,FACTORY BUILT*
FIREPLACE,MASONRY
FURNACE(GARAGE ONLY) 'J
*IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: /. P:C:- 1- 6/0 MODEL NO.OV YO CO
LISTED BY: NUMBER:
QUESTIONS?
CALL 761-8205 or 761-8206
CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL:
T remarsha1 1queensbury.net
MASONRY** - CHECK ONE ✓
VISIT OUR WEBSITE
TILE STEEL SIZE IN FOR MORE INFORMATION
INCHES vv r,queensbury.net
FLUE CHECK ONE ✓
DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY
WALL /
OA LINER
NiCHIMNEY MATERIAL CHECK ONE /
**IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: A f,` 6�0 V MODEL NO.
ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR
MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED
INSPECTIONS.
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: 1,'2- ,\�t
NAME•
a471w
LOCATION: 'L
PERMIT#: — 1
Final Survey Plot Plan
Approved Denied
The attached fmal
survey has been
received by the
Dept.of
Community
Development.
Upon review the
survey ha1been:
cy,3
Craig Brown, Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
Queensbury Building.& Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart 2- ' am/pm
Date Inspection request received: inspector's Initials: �►
NAME: PERMIT#: v
LOCATION: '—L-•_ --AArt A''( DATE:
IP
TYPE OF STRUCTURE:
Comments:
Xis til.A
4" Building Number Address visible from road
Chimney Height/'B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 8 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors _
Handrail 4 or more risers
Guards at stairs decks •= ios 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 Wail
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup: , 4
Attic access 30 inches x 22 inches x 30 irxhes(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 I Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below trade
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 W Gypsum
Basement stairs closed rise>4 inches
Ga = • - Floor Pitched
Garage fireproofing/'/.hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical _
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance =•uired AM
Flood Plain Certification,if required
Okay to issue C/C or C I O[Temporary/Permanent
L:1Building&Codes Forms\Building&Codesunspection Forms%Residential Final Inspection Form revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
l‘t ( 73 =
C Z - zi it e /t _ .=tC`�
Queensbury Building.& Code Enforcement - Residential/nal Inspection
Office No. (518)761-8256 Arrive: am/pm De rt:-T- ' am/pm
Date Inspection reques received; Inspector's Initials:
NAME: G' itPERMIT#: ;) .35 1
LOCATION: —2 f 4:r1OC c DATE:
TYPE OF STRUCTURE:
Comments:
. Yips NA
4" Building Number Address visible from road ii///
Chimney Height/'B'Vent/Direct Vent Location ✓' .
Fresh Air Intake v�
3 inch Plumbing Vent through roof minimum 8 inches V/!
Roof Complete/Exterior Finish Complete N/
Platform at all exterior doors Y
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
7
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 , / y
- Grade away_from foundation 6 inches with 10 feet 1//
8 inch clearance to sill plate t+✓/
Gas Valve shut-off , 4.•. =. / -.ulator 18 inches above t rade v
Interior privacy/trim 1 doors/main entrance 36 inches CA., --1--L> `� ,
Bathroom/Kitchen watertight -
Safety glazing/Windown stairwells safety_g , 4,
Interior Smoke rs/Carbon oxi. • '' .,.ors c3
Every level: E ry Bed , p
Outside every bedroom/Er
A�
Inter Connected: ,. Battery backu _ /
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area V
,. /
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents , V
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation I Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
/de
Emergenegress belowjradecy
Gas Furnace shut-off within 30 feet or within line of site V /
Oil Furnace shut-off at entrance to furnace area �/
Fumace/Hot Water Heater operating
Low water shut-off boiler c/
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'h"Gypsum
Basement stairs closed rise>4 inches \/
Garaje Floor Pitched
Garage fireproofing 1%hour fire door/door doser Vj
Duct work Sealed property ✓/
Gas Logs o Sealed or Glass Enclosure — ✓�
Final Electrical flt
Final Survey Plot Plan ,v.
Arc Fault Breaker in Bedrooms V
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker V _
Site Plan /Variance required
Flood Plain Certifications if required fS /
Okay to issue C I C or C I 01 Temporary/Permanent i �/
L:1Building&Codes FormslBuitding&Codesgnspection Forms\Residential Final Inspection Form revised_100405.doc;Revised
January 7,2008;Revised 8/26/08
(fe,„,4
ming / F restopping Inspection Re rf
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/• Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: Ai
NAME: Co/k7'/ PERMIT#: <D r 35T7
LOCATION: 7 [ �'r js7 INSPECT ON: /I— ? —ZO
TYPE OF STRUCTURE:
Y J COMMENTS:
Framing
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 'A(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
,Fill2, hour
Firestopping
Pe on sealed
16 inch insulation in cavity min.
Ga = e = Fire-Separation
. or ' « Type X
Garage side 5/8 inch Type
«_
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:tBuiiding&Codes FOIMS-OLDSuilding&CodesYnspection FontisiFreming Finistopping Inspection Rsport.doc Revised January 7,2008
51Rou h Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: i U/I
Queensbury Building &Code Enforcement Arrive: am/pm Depart: ja pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: f -)
NAME: PERMIT#: U - 3 S 1
LOCATION: 2 E _ — INSPECT ON:
/0/1 ��/)
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/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
lation/Residential Check/Commercial Check
yvek or Similar Exterior Sealant
Proper Vent, Attic Vent Ve
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
Town of Queensbury Fire Marshal
w
dO742 Bay Road
Queensbury,NY 12804
761-82051761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
Permit# /1-7—3 =-1 Schedule Inspection 1 61 0) ( I 6 Time 1.11C) am pm anytime Inspector Ck‘..')
�� 2` r Rough Jn;/Final___
Name L, // 7L Address r h.3 ��
Appliance Manuf rer Kat.�'I�' �.-. Model# O �` �
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No NIA Comments
Floor Protection
Clearances to Combustibles(all sides)
Firestop(s) Vertical Chase \ f
Wall Penetration
Vent Clearances to Combustibles i
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
ti
Combustion Air A/
Hearth Extension (if any)
Mantel ,'
Height above f/p opening
Witness Operation
/ .
Tank Placement(if LP)
White—Building Dept. Yellow-Cust®ner Pink—Fire Marshal
4.,.C'ct i t 7
Framing I Firestopping Inspection Report
Office 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 Initials:e_thz
NAME: PERMIT#: /12 -�_
LOCATION: 4/fr--4' 'r'Uf (If . INSPECT ON: / '-/.
TYPE OF STRUCTURE: 5•f
--?
Framing Y N 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.
StairweNs 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches I Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 16(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
Fi , , 4 hour
Firestopping
penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1 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:1Buildkp&Codes F ru-OLDrBuUding&Codesdnspec ion Formtcraming Firestopping Inspection Report.doc Revised January 7,2008
Rough PlumbingI Insulation Inspbetion Report
Office 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 Initials:
6_4767 e
NAME: o I PERMIT#: 0 37
LOCATION: 21 if- t•-) 0 CT - INSPECT ON: /- a
TYPE OF STRUCTURE:
I
Y N/A
Rough Plumbing/ =il Plates
Plumbs • - 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
Air/Head
50 P.S.1 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
FFP/
COMMENTS: '' Y7–core—
Rough Plumbing Insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm rt: /1 /r 1am/pm
742 Bay Rd., Queensbury,
NY 12804 Inspector's Initials: / j
NAME: ` / �. PERMIT NO.: (/ % /
LOCATION: 1 I !-G.� C77• INSPECT ON: ACK
RECHECK: '
Comments and/or diagram
Soil Type: . a : / I
Type of Water: n'T'.' /Well Water
Waterline separation distance ft.
Well separation distancefit.
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 ft.
Size of Stone *47—
Seepage Pits: Number
Size:
Stone Size:
Piping Size Type
Building to tank A �
Tank to Distribution Box A,
Distribution Box to Field/ Pit t° /*1) 3
Opening Sealed: N l� t
End Cap N �� 1
Inlet/Outlet Pipes&Baffles ✓Y N -
Manholes 12"or less belowrade Y N
g — —
[provide extension collar if Yes] Y N
Location/ Separations
Foundation to tank • ft.
Foundation to absorption A" ft.
Separation of Pits ..A1! ft.
Conforms as per Plot Plan Y
Engineer Report and As-Built —Y Nib
ETU Maintenance Contract Y N
provided
Location of System on Property:
Front Rear Left Side •ht Side Middle Front Middle Rear
System Use Statu .
V Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
L:\Pam Whiting\2010\Building Codes Forms\Inspectlon Forms\Sept c Inspection Report03 29 10.doc
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Rough PlumbiWg I suiation Inspection Report
Office 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 Initials:4,fr,_ (
NAME: (c):/ /kPERMIT#:
LOCATION: 2 r Opel INSPECT ON: M- /l?
TYPE OF STRUCTURE:
Y N l NIA J
Rough Plumbi . I Nail Plates
Plumbing V, . /Vents in Place r✓
mimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every100 feet 1 change of direction
P est
in Vent
. /
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 I Residential Check I 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
/0 / f—r &
Framing / Firestopping Inspection Report
Office 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 Initials:E �
CC) / Fc.!!NAME: PERMIT#: /& YY /
LOCATION: /7 F�i;,�-i:;r C13. INSPECT ON: ___
TYPE OF STRUCTURE:
N COMMENTS:Framing �
22"x30"minimum yr
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams -�C-� �c7
Exterior sheeting nailed prey
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
•
Notches/Hobs/Bearing Walls
Metal Strapping for Notches Top Plate
1 %(w) 16 gauge (8) 16D nalis eschews
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 4N7
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:1Building&Codes For s-OLDSullding&CodesJnspedion Fom*Framing Firestopping Inspection Repottdoc Revised January 7,2009
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date I . : M i• request received:
Queensbury Building &Code Enforcement Arrive: 2 / am/p D rt: am/pm
742 Bay Road, Queensbury, NY 12804 Ins• r,•is Initials:
NAME: PERMIT#: -
LOCATION: INSPECT ON: /KW `,a
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
Framing
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 'A(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 t re74.-/C C-7 _ `/'G
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 IA 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:\Building&Codes Formsd)lDrBuilding&Codeslinspedion FommsFFraming Firestopping inspection Repoitdoc Revised January 7,2008
� $ (-7-iota-Lift
Framing / Firestopping Inspectioeport
411
Office No. (518)761-8256 Date lns�pec�
Queensbury Building&Code Enforcement Arrive: =5�b = o • = : a
Pm
742 Bay Road, Queensbury, NY 12804 Inspector's India =
NAME: /k /i'e.. PERMIT#: /o-- s /
LOCATION: 1 �j r is�l�---/ 1� , INSPECT ON: ?-2/7—.70
TYPE OF STRUCTURE:
Framing Y N NA COMMENTS:
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jadc Posts/Main Beams
Exterior sheeting/� nailed properly
12"O.V.
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 side
Draft stopping 1,000 sq.ft.floor trusses
6 ft. or less on center
Ice and water bit 24 inches from wall
-Fire nrt'on 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 16 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:iBuiidkg&Codes Forms-OLDDBuNding&Codesllnspedion Fomia.Ftsminp Firestopping Inspection RepoA.doc Revised January 7,2008
Framing / Firestopping Ins on port
Office No. (518)761-8256 Date Insryr6Gbquest received:
Queensbury Building&Code Enforcement Arrive:re: am/ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: . (c\jik.... PERMIT#:LOCATION: r , C INSPECT ON:
TYPE OF
STRUCTURE:
Framing I N tith COMMENTS:
Attic Access 22'x 30" minimum
Jack Studs/Headers
Bracing!Bridging
Joist hangers
Jack Posts 1 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 KF
Strapping for Notches Top Plate �
1 %(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Bolts 6 ft. or fess on center
Ice and - shield 24 inches from wall U
,QO
ire on 1, 2, 3 hour /�
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1A inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:tBuilding&Codes Forms-OLDuiiding&Codes1In pection FomniFraming Firestopping Inspeclion Rspod.doc Revised January 7,2008
Cl2 se--- 1U -1`
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectio 441;"-iQueensbury Building&Code Enforcement Arrive: I% : yDepart: 1:1,-, a:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial' `
NAME: Co ( (e --(l-`Q- II T#: , J
LOCATION: `Z- t Fol ‘.q---(-4-41,-/ C j _ 1, SPECT ON: VAG
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.
adation/Wallpour
ili .
orcement in Place
Footing Dowels or Keyway in place
oundation Waterproofing „- A
Air-- „miti ,,, -
_ woop______
F ting Drain Stone: J/
12 inch width //
i ches above footing
"1111_ as under slab
P bing Under Slab
/Cast/Copper i
t la 1.1 . . ` . :a . AWN., _ A
,,.. - 0 0.•
Rough Grade 6 inc • op wi i in 1 `.
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 InsTection requ w,.
Queensbury Building&Code Enforcement Arriv c : g, i.7 Depart: �'-Z
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials r„ �
NAME: _ ►` P RMIT#: I5 i
LOCATION: �{ffl �' , / SPECT ON: Z-0 —10
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 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
PI ing Under Slab
VC /Copper .,"--”' >" -7V'_y �-
Foundation Insulation Interior/Exterior D Y---l
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspectiion Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
0) c7 7/t":(}ric>k_.),.
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectio =•uest received:
Queensbury Building&Code Enforcement Arrive: • < : s i p ► art: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspec •is itials: v
NAME: / -� PERMIT#: (')'-
LOCATION: ( � ,rte , 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 Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
7- 6 nu 1y for wet areas under slab
Backfill royal 111-g
PVC/Cast/Copper
Foundation Insulati/Interior/ tenor
R• /� ,tCf
Rough Grade 6 inch • •'n 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
1 : 00 ) /--3 tJei4es 04 .
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: 6 am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: ( e °2..a PERMIT#: / 0 .< S/
LOCATION: ar , .,� j INSPECT ON: �'— -/()
TYPE OF STRUCTURE: „int;
i
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 • - . —
ateri: s for this p ••se on site.
oundation/Wallpour ‘/\ ,
Reis• : • ace ) ` ) c` _
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing &CV 41k
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 Inspectio• -.uest received:
Queensbury Building&Code Enforcement Arrive:' ,`y-pill/eC Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspec a s rig': s:
NAME: C -__ --- ----
PERMIT#: / o'3,9--
LOCATION: ,A-I PO Arci C--\-- . INSPECT ON: e
/
TYPE OF STRUCTURE:
Comments
Y N NIA
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.
Fount : ._ : Wallpour
einfo, - to t t' Place
Foo*i g Dowe or Keyway in place
Fount :do 0: 's pproofmg
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\Inspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
/C—/ —
Foundation
4,7 Inspection Report
d
Office No.(518)761-8256 Date Inspec ' nest received:
Queensbury Building&Code Enforcement Arrive: p part: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: —
NAME: CO? _ PERMIT#: 1 57/
LOCATION: 10_7INSPECT ON: ✓
TYPE OF STRUCTURE:
Comments
•
Y / N NA
Footings
•
':A
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:�Buliding&Codes Forms\Buiiding&Codes\Inspection Forms\Foundation Inspection Report doc
Last printed 12/20/2005 9:24:00 AM
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