2005-895 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20050895 Date Issued: Friday, May 19, 2006
This is to certify that work requested to be done as shown by Permit Number P20050895
has been completed.
Tax Map Number. 523400-308-008-0002-030-000-0000
Location: 20 DAWN Rd
Owner. CLUTE ENTERPRISES
Applicant: CLUTE ENTERPRISES
This structure maybe 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,
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
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050895 Application Number: A20050895
Tax Map No: 523400-308-008-0002-030-000-0000
Permission is hereby granted to: CLUTE ENTERPRISES
For property located at: 20 DAWN Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and' compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: CLUTE ENTERPRISES
13 DAWN Rd Single Family Dwelling $100,000.00
QUEENSBURY, NY 12804-0000 Total Value $100,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-895
1040 SQ FT SINGLE FAMILY DWELLING
$124.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, December 01, 2006
(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 o of Q e ns�74,tday, December 01, 2005
1�
SIGNED BY `�� for the Town of Queerisbury.
Director of Building&Code"Enforcement
Check Residential Plan Review: One&Two Family Dwellings
yhN/N/A
(2)Full sets of plans
+� Over 1,500 sq. $.—Stamped
Design Loads On Plans: 90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations.
r } Window Schedule With Glass Size ' ;
Door Schedule/Main Entrance 36 Door
Emergency Escape Or Bedrooms and Habitable Space
1 Above/Below grade,5.7 sq.ft.
Grade,5.0 sq.ft.
�+ 24"(h)x 20"(w)min.
44"Max.Heigbt above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
A?ampproofmg/Waterproofing Materials On Plans
f Foundation Drainage On Plans,if required
6"Drop in 10'Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
' -Required
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
ti
E � Stairway Headroom 6' 8'All Stairs 36"Width
tair Run and Rise
T Winder Run and Rise
(✓ Spiral Not Allowed From 2° Story
Smoke Detectors Battery Backup and Proper Location
�. ) Bathroom Fixtures Proper Clearance
i J
Hall Width,36"min.
' ? Handrails More Than One Riser On Open Sides
d
Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht.
9
Safety Glazing Notes For Required Areas
V,96age Fire Separation
F Gage Floor Sloped
Attic Access
Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access
Carbon Monoxide Detector Lowest Sleeping Level
Soil Test Results,if required
Septic To Well Or Water Line Separation
All Paperwork Signed
Job Site Address: ten' Date,.
Owner; Application No. Pile No, ��
Building Permit --Calculation Sheet
Natural Light, Ventilation & Emergency Egress Requirements CEW
ED
Habitable Areaof Req,LigYlt Actual Req,Vent Actual Sq.Ft, Remarlcs
Room Room 8%of Room Light 4°/a of Room Vent Opening for 1 NOV 1 5 2Q�5
in. . * Area Square Area Square Egress
Square Footage Footage 7' N OF
Feet QDE6/aSB(RYN oG
oE
Y.
3S
• I
i
r
• I
L:1Sueliemingway�8uilding,PetmitFOItMS�tVat.L{ght Ventil.Caiculation,Sheet.doc
WINDOW SCHEDULE RECEIVED
to Address: c \-�- Date: ® �� �a-� v 1 5 2005
Job e I _R5 T
Owner: � �� Appiica�ion No.
TOM, pF QUEENSBURIf
s III DING AND CODE
Window Window Window Unit or Rough Rough SQ.FT. SQ,FT SQ.FT, Clear Clear spec I Hardware
Number or Manufaturor ModelRype Stock Openin Opening GlassNis Egress/Cle Opening Opening or Instructions
Letter on Named Numbe g Height Ible Vent ar Width In Height
Plan Call Width Light Opening Inches In inches
` ``1 size
i
• I
i
Example Entry
A Andersen Narrollne 3062 3' 2 6'5 '/s 15.30 8.36 6.01 34 2416/35" Tempered
Double 1/3" 11/16 Glazing
Hung—L I
C,.\Documenu and SeWnSaut.UZZl Sttdugs\Temp\Window Schedule.doe
Permit No.
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director codes@queensbury.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans sublect.to review before issuance of a valid permit for construction
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form. r
Applicant/Builder. _ C_ Owner: r
Address: Gd _L-jR\ Xe, Awe Address:
Home Phone: ,? 'yy�Z Home Phone:
Email Address: l
C. � C� c'Ac� -� �'�-� Email Address:
Cell Phone: 3(�, l , Cell Phone:
FAX Phone: -? FAX Phone:
Person responsible for supervision of work with respect to building and codes complianc �opG�U�F
Name:
Address: Phone
Location of proposed construction: Lot No. Legal Address: 7
Tax Map Number: 304A --3 ; Subdivision Name:
Estimated Cost of Construction: $ X C)
Proposed construction is for: Residential Use _Commercial Use
Name of Business:
If proposed construction is an addition,what will use of new addition be?
New Addition Alteration Proposed Construction 1,1 Floor 2^d floor Other Total Proposed
structure (Occupancy Type) Sq.Ft. sq.ff. Sq.Ft. Square feet Height
Ft.&in.,
Single-Family Dwelling Q C)
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other: -
Attached Garage 1,' 2, 3
Type of Heating System: Electric, Oil, as, Wood, orced Hot Air, aseboard, Other:
Is a fireplace and/or woodstove being installed, please refer to a separate application. _Yes �No
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the application,together with the plans and
specifications submitted, are a true and complete statement of all proposed work to be done on the described
premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the
proposed work shall be complied with,whether specified or noted, and that such work is authorized by the owner.
Further, it is understood that I/we shall submit prior to a Certificate of O pa cy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Director uilding nd Cod , an As-Built Survey by a
licensed surveyor, drawn.to scale, showing actual location of all ew con ction
Date: l i 0`' Applicant/Builder Signature:
The application of dated is hereby approved and
permission granted for the construction, reconstructs n or alteration of a building/and or accessory structure as set
forth above.
Date: Authorized Signature:
L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04
Application for Permit—Septic Disposal System OJEF
Town of Queensbury 742 Bay Road Queensbuiy,NY.12804 (518) 761-8256 � ,
1. OWNER INFORMATION: .........................._.............�/Q.�....7...�................ C
TOE/ Office'CTA 2005
Location of installation: . c^aNOF
'36� - File PermiB 6IN QUF��S RY
Tax Map No.
Fee Paid
Owner's Name:
1...............................................................................................................................
Address:
2. INSTALLER'S NAME J `'= _� PHONE NO4~Z� ��
3. RESIDENCE INFORMATION; (circle.year of dwelling, indicate#,bedroom(s) and multiply#of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House. No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gallbdrm =
1980- 1991 x 130_gal/bdrm =
1991 -present _7Z, x 110 gallbdrm = SC--,
Garbage Grinder Installed yes— / no
Spa or Hot Tub Installed yes_ / no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
To o a hV SQj11,1ature Ground Water Bedrock or Im ervious Material ater Supply
Flat cam -:at what depth at what.depth nici al
olling loam feet feet we
Steep slope clay if well; water supply
^%slope other from any septic-system
depth: absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. 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). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub.
Septic Tank: tC)Z)Q gallon (min. size 1,000 gal.)
Tile Field: each trench .�0 ft. Total System Length: ::;-0cQi�-7k ft.
Seepage Pit(s): number of size of each:. ft. by , ft.
Size of Stone to be used: # Z / depth or thickness feet
Bed System Size: x
Alternative System: -. length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be.inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION ROR RESPONSIBLE PERSON(please read)
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 know4 by or on behalf of
an applicant, shall be void.
I have read the regulatio r ect tot 's application.and agree to abide by these and all requirements of
the Town of Queens ry Sanitary ew e D'sp 1 Ordinance.
gnat of r ponsible person Date
Town of Queensbury
Sewers and Sewage Disposal Chapter
Appendix C
ABSORPTION FIELD.
SEPARATION REQUIREMENTS
POND
O Hui— %A tgllT�R
SO
Appendix C
ABSORPTION FIELD
SEPARATION REQUIREMENTS
POD
WA-mv—-rorlmT
J
f
W s
s �sl�-rs
. '�� AR1h+CYtJl1f
• � 3
�, ._ T-' a'nai..'.�.. .r:.,,�-y -s>�-..,.,,.� ,�3:�'�`'e-,ax�-r,1 �;r n�->3w•i:..�'t'F aa>'.^'_.><' - - - �+,:;. rr� .t<. �.
• "1 ( � a
41-111
it
— a �AN
It
lit
-r 0 ;
F .
o15.
s
J .
i
-l\`
iq
FN
t:
R ."+.
L� .
MAR 17 -A06 0
TOWN
r BUILDING CODE
-r
SCk) , A) ToN Re-L)isIoA-) a0 0gwN �oPe-li�-,� T �o�3�
rm*%ECP IV ED
MAR 17 106
TOWN Or ;3; II Jpfy
BUILDING;,i3O CODE
{
I ;
i
I
i
,
i
-
f
r-1
Uc UN,c S
aa sa
a5.�• r 1s' a ,�lo ja uaa� �k 1ra 7
ryes ona;a - 0 --
ci
It
,
I i z
;�
-- -OF:QUE�N��I��'f - -- - -- --- - -. --- --- - ._---- ---- ---..- - _ -- --- '- -----
TOWN
BUILDING AND COP
------------
i
F
i I
1 1 s
i
:
:
-- - -- -
, r
I
t
t
,
,
1 ,
j
•
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/prry�Dirt am/pm
Date Inspection request received: _ Inspector's Initials: _ -�
NAME: "LV 1 PERMIT#: L�
LOCATION: ��j—�, � DATE:
TYPE OF STRUCTURE: —_5 7--j
_ Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake 1
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Com lete S
Guard 30 in.or more a�stairs,decks patios ��
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum ''/z"
Gypsum
Grade away from foundation'6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site I
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom: _v
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched _
Garage fire roofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C 10 Temporary/Permanent
L:\PamW\Building&CodesUnspection Forms\Res. Final Insm form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm ADErt: am/pm
Date Inspection request received: Inspector's Initials: r—
NAME: �L��'�L_ PERMIT#:
LOCATION: .-P O _ DATE: 4Y
TYPE OF STRUCTURE: 7
Comments
YeV No N/A
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
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
Interior Handrails @ stairs 2 or more risers
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: /
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft,150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/Y4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Olass nclosure �
Final Electrical
Final Survey Plot Plifii 5 / c• / C���If}- '
As Built Septic System/Sewer De Ins ction Sticker t.
Site Plan /Variance required CA
Flood Plain Certification,if required
Okay to issue C/C or C/0 [Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doe
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date InspectioArn/pni
equest,received:
Queensbury Building& Code Enforcement Arrive: D/ Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initial
NAME: u d G� PERMIT#: o
LOCATION: INSPECT ON: �� b
TYPE OF S RI]CTURE:
Y N N/A /� COMMENTS
F�ng !
I FMk Studs/Headers !�f�d(/`j�� �C�(Jl�_� I �- 4,,t) OJ/
Bracing/Bridging �L060Q- P14A) :�P PQC—Al,
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C. On
Headroom 6 ft. 8 in. P12DU
Stairwells 36 in. or more 2&A-y",9
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls C
Metal Strapping for Notches Top Plate
1 %z (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 snow shield 24 inches froln wall
Fire separation 1, 2, 3 hour
ire wall 2, 3, 4,hour
Firesn
I g7nMetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %z 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
LASueHemingway\Building.Codes.Inspection.FORMS\Franning Firestopping Inspection Report.doc January 28,2003
Final Survey I
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: /-S S'
NAME:
LOCATION:IL.Tj—+-S62�,x
PERMIT
Final Survey Plot Plan
Avvroved Denied
The attached final
survey has been
received by the /
Dept. of J
Community
Development.
Upon review the
survey h en:
Craig n, Zoning Administrator
Notes:
LASueHemingway\Building.Codes.InspectionTORMSTinal Survey
Zoning Administrator.doc
FILECOPY
Bldg. Permit File No. V9�
Final .
0
Inspection
Approval
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 11545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
JPermit No..�J..`l�V6. � ....Cert. N 2 93329 Cut-in Card No.....................................
Owner......................G.1.l,1./.. -........./.n t3..1..�.(�,� l f .. ....................................................................
Location...............nr.Z 0....... ....... ...........................................................................................
Installation Consisting of.... ..Q.Q./. ...............Ss .�.I 4'-.1......"-�..,3...R. 5L5. j.....1..Z....S.wj........
1.i�.... T...S.,......1....T. ..t'Z.f..... ...S..mAJ.��...11. lit.t? 5.,......CJ..trS1�...................
:.....................................................................................................................................................
L:\ Installed By..........S.0-va C...........................................................Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date.........Ll.'.. .7..-.Q.6............. INSPECTOR..r.�.�..2 ./_2......................................
Member N.F.P.A.,I.A.E.1.
r
f
] -3;r--��
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspect'Qn�e�t received:
Queensbury Building & Code Enforcement Arrive: am/ ert: dn m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: Ly l�� l�,-1 `,� �C- PERMIT #: 0 5
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
oLo
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent / Vents in Place
1 1/2 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
nsulation / Residential Check / Commercial Check
Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspe tion.re uest
Queensbury Building&Code Enforcement Arrive: at Ei/ 01 �`epart: 7-4a-00 a 'p
742 Bay Road, Queensbury,NY 12804 Inspector's Initi 1s ;
NAME: PERMIT #:
LOCATION: INSPECT ON: � '
TYPE OF STRUCTURE:
Y N N/A. 2�
PVC: R-1,R-2,R-3,R4 Drain/Vents �� J
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
o er,CPVC,Pex One and Two-Family
sulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS: (>1/�
L-.\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Insp ctioporequest received:
Queensbury Building&Code Enforcement Arrive: bj am/pm Dart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: A PERMIT#. 0 n S
LOCATION: INSPECT ON: 3--- f — D P
TYPE OF STRUCTURE: -
Y N N/A COMMENTS
ranun 1�
I a
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
Headroom 6 ft. 8 in. J
Notches/Holes/Bearing Walls /
Metal S apping for Notches Top Plate
1,'/z _116 g4u e(8) 16D nails each side
i �St`,pp ng 1,000 sq. ft. floor trusses
a ;
or Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation I, 2, 3 hour
Fire wall 2 3,4 hour
ysa- _
"`Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 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
Rough Plumbing / Insulation 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:
NAME: PERMIT #: S'%s
LOCATION: INSPECT ON: - D
TYPE OF STRUCTURE:
Y N NIA C� i
PVC: R-1,R-2,R-3, R4 Drain/Vents
Cast Iron, Copper Drain/Vent/ Comm.
tldmbing Vent/Vents in Place ,
f— ou h Plulii in /Nail Plates
1 '2 inch min. Drain Size
Washing Machine Drain 2 inch min.
sH-ead ors .nr-Suipply Test
Dra' and Vents
SI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
W�t pPly Piping
t` Cooper Commercial
Cooper, CPVC,Pex One and Two-Family
Insulation/Residential Check/ Commercial Check '-
Proper Vent, Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS Aq4,r:,
LASueHemingway\Building.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doc November 17,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Insp �ti reauest received:
Queensbury Building&Code Enforcement Arrive: am/ m!1 epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: �✓
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Attic Access 22"x 30" minimum �� l
Jack Studs/Headers /a
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
e and water shield 24 inches from wall C
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 %2 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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins tr equest received:
Queensbury Building& Code Enforcement Arrive:� am/p Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Ini ials:
2
NAME: �Y�`y�G� PERMIT#: c�
LOCATION: INSPECT ON: a�
TYPE OF STRUCTURE: i
Framing Y N N/A COMMEN TS
Jack Studs/Headers 1�
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z (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 snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %z 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
LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive:rL. 05am/pm Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: ClJ U �- PERMIT NO.:
LOCATION: INSPECT ON:
RECHECK:
�. Comments and/or diagram
RSoil Type: Sa ` m Clay
T e of Wa Municipal/Well Water
(3�'
Waterline separation ance ft. ��
Well separation distance ft. I
Other wells:
Absorption Field: Total length ft,
Length of each trench ft. ,/1
Depth of trenches
Size of Stone G
Seepage Pits: Number
Size: x
Stone Size:
Piping Sizq A, Type
Building to tank b
Tank to Distribution Box
Distribution Bo ield/Pit %
Opening Seale ., Y/N/Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption t.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Location of System on Property:
Front DRearLeft Side Right Side
Middle Front Middle Rear
System Use Status:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
LASueHemingwayU3uilding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
TOWN-OF QUEE SSUR .. _._ - _ . ...._.._._
BUILD114G AND CODE
- B
1 Y i
..c
� l
4
#r
F
�-M)
Foundation Inspection Report
Office No. (51 i3) 761-8256 Date etii request received: l ��
Queensbury Building &Code Enforcement Arriv��`�`="am/ Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:..
NAME: Ci l,/T G PERMIT#: _ C)
LOCATION: °2--0 INSPECT ON: Z
TYPE OF STRUCTURE:
/ Comments
ti gs
Pir —/
e s �q
onolithic 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
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfll Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORMWoundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:/
n
NAME: PERMIT#:
LOCATION: `� INSPECT ON: — 1
TYPE OF STRUCTURE:
Comments
Y N N/A l
Footings Q�
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 ' hes above footing
6 it poly for wet areas under slab
B kfill 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 Repoit.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report • �"�
Office No.(518)761-8256 Date Inspectionpquest received:
Queensbury Building&Code Enforcement Arrive: g /�jSam/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: O 9-S
LOCATION: INSPECT ON:
TYPE OF STRUCTU
Comments
Y N N/A
otings
Piers
Monolithic Slab
Reinforcement in Place l,s
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
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
RECEIVED
Permit Number NOV 1 5 2005
TOWN OF QUEENSBURY
BUILDING AND CODE
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheck So$ware Version 3.6 Release 2
Data filename: C:\Documents and Settings\C1uteEntl\Desktop\Meccheck\Untitled.rck
PROJECT TITLE: 1040 Ranch
COUNTY: Warren
STATE: New York
HDD: 7635
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE:Non-Electric
WINDOW/WALL RATIO: 0.10
DATE: 11/15/05
DATE OF PLANS: 11/14/2005
PROJECT DESCRIPTION:
20 Dawn Road
Queensbury, NY 12804
DESIGNER/CONTRACT OR:
Clute Enterprises Inc.
6 Holden Avenue
Queensbury,NY 12804
COMPLIANCE: Passes
Maximum UA= 230
Your Home UA= 199
.13.5%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 1040 30.0 0.0 36
Wall 1: Wood Frame, 16" o.c. 1056 19.0 0.0 55
Window 1: Vinyl Frame:Double Pane 80 0.490 39
Door 1: Solid 42 0.230 10
Door 2: Glass 21 0.490 10
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 1040 19.0 0.0 49
Furnace 1: Forced Hot Air, 90 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans, specifications, and other calculations submitted with this permit application. The proposed systems have been
designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design
Professional has stamped and signed this page, they are attesting that to the best ofhis/her knowledge, belies; and
professional judgment, such plans or specifications are in compliance with this Code.
Builder/Designer Date
RF�check Inspection Checklist
New York State Fnergy Conservation Construction Code
REScheck Software Version 3.6 Release 2
DATE: 11/15/05
PROJECT TITLE: 1040 Ranch
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
Above-Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1: Vinyl Frame:Double Pane, U-factor: 0.490
For windows without labeled U-factors, describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
Doors:
[ ] 1. Door 1: Solid, U-factor: 0.230
Comments:
[ ] 2. Door 2: Glass, U-factor: 0.490
Comments:
Floors:
[ ] 1. Floor 1: All Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation
Comments:
Heating and Cooling Equipment:
[ ] 1. Furnace 1: Forced Hot Air, 90 AFUE or higher
Make and Model Number
Air Leakage:
[ ] Joints;penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated, or 2)installed inside an appropriate air-tight assembly
with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non vented framed ceilings, walls, and floors.
Materials Identification:
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(Fl iJn to 1" iJp to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-169 0.5 0.5 1.0 1.5
106-139 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range F 2"Runouts 1" and Less 1.25"to 2" 2.5"to 4"
Beating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)
a ,
[ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values, glazing U-factors, and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] Supply ducts in unconditioned spaces must be insulated to R-11.
[ ] Return ducts in unconditioned spaces (except basements)must be insulated to R-
[ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2..
Insulation is not required on return ducts in basements.
Duct Construction:
[ ] I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives),
mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 18113.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in. w.g. (500 Pa).
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point ofthe largest zone.
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction
provisions of the Building Code of New York State, the Residential Code of New York State or
the New York City Building Code, as applicable.
Service Water Heating:
[ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of circulating system.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes.to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/ofheater switch and require a cover unless over 20%
ofthe heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105 T or chilled fluids below 55 T must be insulated to the
levels in Table 2.