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2013-496 'seta TOWN OF QUEENSBURY ` s 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20130496 Date Issued: Friday, July 11, 2014 This is to certify that work requested to be done as shown by Permit Number P20130496 has been completed. Location: 89 MASON Rd Tax Map Number: 523400-226-012-0001-023-000-0000 Owner: 89 MASON ROAD, LLC Applicant: This structure may be occupied as a: Fireplace By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property ret.) // owner of the responsibility for compliance with Site Plan, Variance, or GGGsssvkvv other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals. Temporary Certificate of Occupancy 90 Day Building Permit No. : 2013-496 Property Location : 89 Mason Road Property Owner: Kate and Jody Tabner Approved for the following uses: Single Family Dwelling Conditions of approval: 1. Site plan certification; $100 fee received on: May 21, 2014 90 Day Temporary CO expires on: August 21, 2014 *A final inspection for this project must be scheduled before the expiration of this Temporary Certificate of Occupancy — if your project is not complete within this 90 day period you will be subject to additional Signature of Applicant: 4Printed name of Applicant: Director of Building & Codes: David A. Hatin Town of Queensbury Building &Codes Office Dept. of Community Development 742 Bay Road, Queensbury, NY L . BUILT INTERNATIONAL IN Systems Inc. 14 INTERSTATE AVENUE, ALBANY, NEW YORK 12205 Phone (518) 459-3993 Protecting Area Fax (518) 459-6673 Homes 8 Businesses NYS License#12000282251 Since 1971 Licensed by the NYS Dept. of State May 20, 2014 Michaels Group Re: 89 Mason Rd. Attn: Jonathan Bunker Cleverdale, NY To Whom It May Concern: Please be advised that the Fire Alarm and Carbon Monoxide Detectors Ivere installed per code and are functioning at the above location by International Built-In Systems, Inc. Sincerely, Jsoa /teir7ef GRAJNY Consulting, LLC 80 Andriana Lane Albany, NY 12204 518 221-3240 05/19/2014 Mr. Joseph G. Dolan, Purchasing Manager The Michaels Group 10 Blacksmith Drive Malta,NY 12020 Inspection Address: 89 Mason Road, Queensbury, NY 12804 Report Number: 0519140 Dear Joe: At your request, the Blower Dour Inspection to verify infiltration rate of the house as per requirements of the NYS 2010 Energy Conservation Construction Code of the above property was performed on 05/3019/2014. GRAJNY Consulting, LLC is pleased to submit the following report. The following data was provided: - Square Footage of the house=3,468 SF - Volume of the house=27,352 CF Based on above,the following test data was collected: - Infiltration Rate, including conditioned basement at 50 Pascal = 1,489 CPM - ACH50,Actual Changes per Hour at 50 Pascal= 1,489X60/27.352=33 < 7 The Instruments used For test were provided by the Energy Conservatory Digital Gauge D6-3 rated accuracy=+/- 1%, calibrated rni rimi ni once per year. Thank you for selecting our company. We appreciate the opportunity to be of service. Please call this office if there are any questions. (77::05'.&8 Sincerely, Stan Grainy, PE %! NYS HERS EnergyRater BER-041 as e4sx NYS PE 065406-1 v� a.- n,^:- ` :'' 169 Haviland Road Queensbury, NY 12804 Hutchins Engineering Phone: (518)745-0307 9 9 Fax: (518)745-0308 May 21, 2014 Town of Queensbury Buildings Department 742 Bay Road Queensbury, NY 12804 Re: Kathryn Tabner Revocable Trust 89 Mason Road, Tax Map # 226.12-1-23 Site Plan # 17-2013 This office prepared design plans for the site plan and wastewater system installation for the referenced project. I visited the site on several occasions during installation of the wastewater system. With the exception of final turf establishment, which is ongoing, it is my opinion that the wastewater system is installed in general conformance with the approved plans and is as depicted on the attached record drawing. Please contact me if you have any questions or if you require additional information. Regards, Vat .Y TA G. - omas utchins, P.E. Cc. Tony Lacascio —The Michaels Group G.Thomas Hutchins,P.E. SITE DEVELOPMENT DATA TOTAL LOT AREA 0.23± ACRES 10,033±, SF TEST TOTAL DISTURBANCE 6,500± SF ALTERATION (REDUCTION) ) U EXISTING IMPERVIOUS AREAS PROPOSED IMPERVIOUS AREAS CHANGE IN IMPERVIOUS AREAS BUILDING FOOTPRINT U 1 016 SF -. , 1,478 SF 462 SF ACCESSORY STRUCTURES 481 SF 481 SF 0 PAVED HARD SURFACES 1,581 SF ' 359 SF 1222 SF PERMEABLE PAVERS * 0 r512 SF 512 SF PORCHES & DECKS 459 SF 311 SF (148 SF) BcDft001d RESIDENCE r TOTAL IMPERVIOUS 3,537 SF 3,141 SF (396 SF) TOTAL PERMEABLE 6,496 SF 6,892 SF 396 SF <PERMEABILITY 64.7% `:68.7% 4.0% i wnc ad ,, , SCALE. 1"=10' - TEST _ TB 3 CONT D ( ) , ALTERATION OF THIS DOCUMENT EXCEPT BY A.LICENSED PROFESSIONAL ENGINEER IS _ WASTEWATER DESIGN A;VIOLATION OF NYS EDUCATION LAW. SYSTEM TB -1 _ 9/23/2013 BY H TCH SENGINEERIN G 24-32 MED. BROWN'SAND, AND SILT FIRM , BcDft001d RESIDENCE r .- - 0 3 FINE TOP SOIL. NO GROUNDWATER EVIDENCE �., z., _ , E r � WATER SA /ING FIXLURES 1.6 GPF, MAX. FLUSH, 3.O :GPM MAX. FAUCETS ( ) ,� ..l ' 3 6 »'TB LT.' BRAWN FIN E &VERY: FINE SAND -4.. ,„ •._ .._ "y.: _ _ � : r I � � DESIGN FLOW 110 GPQ/BEDROOM _6 12 _ Y FINE & SIL LL BROWN VER N 1 -0 3 CRUSHED ST0 E H N ,� - , . WASTEWATER RECORD..DRAWING....:. , _ . / 14 — EM r _ � . -. W ...440 GPD SYST_M D_SIGN rL _ � TEST S _. PIT DATA _ BORING ABANDONED,DUE TO LARGE:ROCK...... - — 3 6 MED BROWN FINE .SAND _ � , , 2.. _ ESO LU 0 REVISED PER, TOW .`ENGINEER ...TEST BORINGS •PB R I TI N N 9 23 13 / /, SE PT7C TANK .1250 GAL P R ECAS ..CONCRETE T _ .. TER EVIDENCE : NOGROUNDWATER ,. — ,.6....12 'LT. BROWN SILTY FINE 'SAND --. 1 ' REVISED PER TOWN ENGINEER .COMMENTS 7/23/13 a : — 1 000 GA_ PRECAST CONCRETE PUMP STA TI ON R .. � 1, , + T S PITS TEST IT _ - ;.TB 2 9 3 20 3 BY H UTCHINS ENGINEERING 2 1 / / _ » , 12 32 _ D &SILT ,. LT BROWN VERY-FINE'SAN o ISSUED FOR :VARIANCE &SITE PLAN REVIEW 3 15' 13 R EACH FIELD — P ESBY ABSORPTION 8ED :', __A 1 LE i TP 1 — 2 21 2013 BY. UTCHINS `ENGINEERING / / H _ » 0 6 ,. DK.';BROWN TOPSOIL < _ '. <„ N0 GROUNDWATER'EVIDENCE , „ , ,- — — p DESIGN PcRCOL TI N'RATE — 1 5 MIN IN' a / i �� ' » 0-6 , FROST TOPSOIL / _ , 1 » 6-20 DK. BROWN FINE SANDY, LOAM ;: T6-5 Y f ”, <„ No. Date RR SAND BE A cA R_QUIR_D, 463 SF PER INSTALLATION MANUAL �F ( ) ,: , _ 6 36 LIGHT BROWN :SILTY FINE SAND _ ,. 20 24 -MED. BROWN SAND &SILT. __ ,_ . ; — 0 6 DK. BROWN TOP SOIL ryry SIIErLAN SITE R _ F _ _ OSF SAND BED A EA PROVIDED 1 o X32 48 'f » 36-48 OLIVE BROWN SANDY SILT — 24 32 <, .. LT BROWN SII TY SAND, .: 6 -12 DK.:BROWN FINE SAND. .SOME SILT , AES PIP_ LE GTi REQUIRED. 70 LF BEDROOM X 4 BEDROOMS 280 LF / 7e ared for. P P — , r� S ROWS REQUIRED 280 LF 31 ROW LENGTH 9 ROWS NUMBER Or qq ft Q � .. ,,. NO GROUND TER=EVIDENCE '. E. - 12 18 D. ` 0 N VERY NE SAND ME BR W R FI - " 1 -' � r r — — _ P s _ ROWS PROVIDED 9 ROWS ROOTS ENTIRE `DEPTH . , R � _ _ TB 3 9 23 2013 BY, H UTCHINS:ENGINEERING _ _ _ _ ,: &SILT .r , , ._ _ , ,:. .. DI Safel Kathryn Tab y PlUMB_R Or . _S li NO GROUNDWATER EV DE CE I N „ n g ■ r r 1 0 Br LAKE WATER :SUPPLY POTABLE 1/A1TR SUPPLY T 0 6 .- -MED.` BROWN SANDY TOPSOIL 18. 30 LL BROWN VERY FINE SAND - 89 MdSOn ROdd ,:_New4York .. :. „_/-�� 6 12 SILTY ANS MED BROWN. S NO EVIDENCE , , , cau Defere reg Di s _ Town of Queensbury, Warren Cou n NY Yr tYr _ .. -.: — 12 18 -.... VERY FINE, &-S LT >.. LT. BROWN V€ I -, ._. .,.., :,. <...:...'., :.. _. `,r ,.,. .. .::: _.._.., ®We it The Time Confirm Utility Response ® Y P - -n. _.Q Drawn ,DAG ARN :: — Scale..i.-.10 ::' Checked.GTH ... 'Date. .1211312012 ,. " » `.:: 18 24 GRAVELLY Y`F _._D MED. BROWN. RA ELL INE SAN & .r., ::. ,. .. -:.. _ . . - :' : Res ec t The Marks , i 169H 1 dR • ,i `,.,.0 ®D9 t are aVl an O T A :50% :IMPERVIOUS AREA _ PERMEABLE' PAVER AREAS REFLECT 804 ': _ rr ;, SILT: _ , .,: 2 Queensbury, NY 12 80A 962 796 y a _ 1 SF. f 1 ne ork.eom , ' 2 646 0 S3 TOTAL PROPOSED AREA OF PERMEABLE PAVERS IS 1 023 ff REDUCTION, T , � I: ., _ _ : www.tligsaeY +nY .518 745-0307 Phone•. „ Hutchins Engineering 518 745--0308 Fax : , TOWN OF QUEENSBURY ` a 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20130446 Date Issued: Tuesday, February 11, 2014 This is to certify that work requested to be done as shown by Permit Number P20130446 has been completed. Tax Map Number: 523400-226-012-0001-023-000-0000 . Location: 89 MASON Rd Owner: 89 MASON ROAD, LLC Applicant: KATHRYN L TABNER REVOCABLE TRUST This structure may be occupied as a: Demolition By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the l 2 41 -#51t property owner of the responsibility for compliance with Site Plan, L-�Guu vuu 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 FON 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130496 Application Number: A20130496 Tax Map No: 523400-226-012-0001-023-000-0000 Permission is hereby granted to: For property located at: 89 MASON Rd in the Town of Queensbury, to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: KATHRYN L TABNER REVOCABLI Fireplace KATHRYN TABNER,TRUSTEE ET. Single Family Dwelling $700,000.00 MICHAEL BOARDMAN & JODY Ti Total value 5700,000.00 2 RIVER FALLS Ct POTOMAC MD 20854-0000 Contractor or Builder's Name /Address Electrical Inspection Agency MICHAELS GROUP SUITE 1 10 BLACKSMITH Dr MALTA.NY 12020 Plans&Specifications 2013-496 SFD 1st Fir 1,375 sf; 2nd Fir 1,309sf; Fin Basement 455 sf 1 Fireplace Cross Ref. AV 11-2013 and SPR 17-2013 $627.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, October 31, 2014 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town Que sbu , Th d , October 31,2013 SIGNET)BY for the Town of Queensbury. Director of Building&Code Enforcement r Awe ,41-1--92_3 1_j 9� OFFICE USE ONLY .; _. p( 13--7918 I TAX MAP NO PERMIT NO. 1�JJ I 0 FEES' PERMIT RECREATION n��` ENGINEERINGO /a-'�.�•- i OCT 1 i I _DewbL11JZmulctsp(If applicable) /Msv/fid3 21 Z��� �I I re6Ni ld new 5h? or,prtv;"-S efeericp¢t I-�.7 - -� - :--1 PRINCIPAL STRUCTURE: n�'�UING& CODESRY APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. �fJ e--,— [ APPLICANT/BUILDER: THE 4) MIc €1S Cj te&p OWNER: ccI tram •'Cob ncr ADDRESS: 10 BLAQtS AIT%+ -DE, MM l% ,NY I20ZO ADDRESS: " PHONE NOS. 51e-899- co- it PHONE NOS. •• CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: T• Lo�`<-lo PHONE: 861 -3l 4 4- LOCATION LOCATION OF PROPERTY: co, MP• >141. WOP•a A V l/ -,1-0 i 3 SUBDIVISION NAME: 5 D S r 17-0)-3 (3 PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z hr-I .v,.r i-"O��"/�/ APPLY TO YOUR Z O a 0 G7 rj w LL cip PROJECT O ¢ O ¢Ls_ Lil j O~_ o W o J .O O I-F O� CCw� Z Q Q ,-tO Ng OU- i-U- d=am .r7 SINGLE FAMILY X 11S7$ *1309 9 55 1 '�,139 s e .i ,, _' 1 L rSifte • L%�� 1 `vi TWO-FAMILY 'f' SU MULTI-FAMILY(NO ) g. if V/ TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER is-L; Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST:fl/ a700 OoO FUEL TYPE: ct s HEAT TYPE? P 1•IA *HOW MANY FIREPLACE(S) t AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? No IS THIS A HISTORIC SITE? PROPOSED USE OF BUILDING OR ADDITION: Stwcit-E PP.MU-Y ItesroENc.t. ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? Aio ARE THERE EASEMENTS ON PROPERTY? *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 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 tot abo . Signed Director of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 761.8256 OR EMAIL regarding Building Permits, construction codes or septic codes(dqueensburv.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) This application /proposed action described Permission is hereby granted to the above herein is found to be in accordance with the Applicant to erect or alter the building described zoning Laws of the Town of Queensbury. herein in accordance with said Application: ZONING APPROVAL DATE BUILDING & CODES APPROVAL DATE QTown of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 vmce use urn( Town of Queensbury Building & Codes Received: SEPTIC DISPOSAL PERMIT - _Permit M$ap ID:-._ _.- beginning J 0, IPe�rni.Fe O13 $ / 3 - y 9Q- A permit must be obtained before be innin construction r_ Approvals: 1 - -. _11.4-,-A,Sni rqv 4 / '---�. ' -rte),^/ $ / Applicant: /[//,. tit'.4.sd3 (��°460 InstallerlBuilder —/ ire f11. L i 6Vo..iip Address: $q d.*, oh t.4 4. Address /O 4. k 3 t A Cv. 11+14 , may. 1ZO2-o Phone: 177— 3 f ✓{`/- / Phone Owner: V arty h t t. .2 - Location of Installation g 1 )143'0`1 pCo 4. Address: Phone Contact Person for Building&Code Compliance: Day Phone: Residence Information: Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow ,r 1980 or older x 150 = Garbage Grinder installed? _Cl 1981-1991 x 130 = Spa or Hot Tub Installed? kin 1992—Present at x 110 = 44 Parcel Information: Topography A Flat Rolling _Steep Slope %Slope Soil Nature Sand /Loam Clay _Other Groundwater At what depth? Bedrock/Impervious Material At what depth? Domestic Water Supply Municipal Well(if well,water supply from any septic system absorption is ft.) Percolation Test Rate- per minute 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 49 T'O gallon(minimum size 1,000 gallons),add 250 gallons to size of septic tank for each garbage grinder,spa or whirlpool tub System Type: Absorption Field(with#2 stone) Total length 2—6° ft. Each trench 3 ( X 2- Seepage Seepage Pit(S)(with#3 stone) How many? t/ Size? 4 4. Alternative System Bed or other type? Holding Tank System Total required capacity? Tank size? #of tanks? NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified Electrical form on Town website; 2) Effective as of March 23, 2006 Septic System-As Built Plot Plan: The Building Department will no longer allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed system must match the septic system layout on file. There will be no exceptions. 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. ✓l have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Print Name: v Li 2 r SC/c Date: /077-1/43 Signature: /�/ Date: Town of Queensbury Building&Codes -ptic Disposal Permit 518-761-8256 Fire Marshal's Office � ' - I ; Town of Queensbury • 742 Bay Road • Queensbury, New York •12804 rlt€ `s.� p 1 Michael J.Palmer, Fire Marshal•Gary Stillman, Deputy Fire Marshal I T ` – — J' Jt• .SSURY B1ALDI v., „ CODES 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.D. OWNER: THE 4c.s4p..s. C_1Sz2L.T?"lJ_C INSTALLER/BUILDER: � -� T�tZ� ADDRESS: kG (1 ' fie/ ADDRESS: %16o C )met b4- S,f1 f$-f PHONE NOS. *S. c •t_t t l PHONE NOS. S'S. 8iS9.exicoo LOCATION OF PROPERTY: 89 M SO4AQUAD SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: L hi I SiCiRM CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: T. I hr Pry.O PHONE:tplit•951'314• 4 ✓ FUEL BURNING,APPLIANGE: .-; ' • a `^`' INFORMATION,:' `#`' ,COAL OOD ';' PELLET. ' GAS OIL STOVE FIREPLACE INSERT XC FIREPLACE,FACTORY BUILT* JG FIREPLACE,MASONRY FURNACE (GARAGE ONLY) *IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURER NAME: Hen-h1- CkLA MODEL NO. Dom/3132-S13I LISTED BY: NUMBER: QUESTIONS? CALL 761-8205 or 761-8206 :01441-EY;IN•EORMATI'ON=- ., =''- ' 'BLOCK: " BRICKsw`� STQNE:' * , OR EMAIL: . - -, * ,._• -h"..'•# 2.« • `et;�_w - -> , - ... firemarshal(rDqueensbury.net MASONRY.. CHECK ONE ✓ VISIT OUR WEBSITE . • ::�c;;.:'__`.,-;. ;",�? _..r, <__t,;, .�x. _ FOR MORE INFORMATION ,,TILE ,;• ,L, ,-, ?.INCHES- www.queensburV.net FLUE CHECK ONE ✓ .. . ,-. -•e..i: " DOUBtf' •«�a.� =r=:;; -.._ .. : ;,..,..,,;.,- <s;;T_.,M1: CFamNEY' •. ':TRIPLf`WALLINSULATED r DIRECT VENT . _ . .. WAIL -. _...,ew`t.... _ts .. s ._ .- .. ... . _. _ - _LINtR CHIMNEY MATERIAL CHECK ONE ✓ **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: 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. ' I11Lint 3 Town of Queensbury Michael F. Travis Highwayj HHome (18) 798-0413 Superintendentighway Department a ./�—/-a-3 742 Bay Road—Queensbury,NY 12804 Thomas R. Van Ness Office Phone: (518)761-8211t Deputy Highway Superintendent Fax: (518) 745-4466 I 91, Home (518) 745-0929 DRIVEWAY PERMIT DATE: APPLICANT NAME: THE MIcA teas LLC ih - l > TELEPHONE NO.: 5viN•0°iet .• (c5- 11 ye ADDRESS TO BE INSPECTED: Cg9 71/ gRCI rCC, RETURN ADDRESS: cf�/ i S g Applicant must show exact location and width of driveway(s) to be connected to the Lhighway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP 1: ( ) Preliminary Approval NEED: ( ) Slight swale ( ) Deep swale ( ) Level with the road ( ) Level with the top of the paved wing Size culvert pipe to be used (if necessary) ( )12" ( )15" ( )18" ( )24" ( )36" Preliminary inspection completed by: Date: Approval by Highway Supt: Deputy Supt: Upon completion, please resubmit this approved permit for a final approval. STEP 2: ( ) Final Approval ( ) Rejected Date: Michael F. Travis, Highway Superintendent Thomas R Van Ness, Deputy Highway Superintendent Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/pm Deart: { \_015:1 Date Inspection request received: Inspector's Initials: NAME: 1.1.np r PERMIT#: 3-44 LOCATION: DATE: TYPE OF STRUCTURE: S F p ������JJJJJJ Comments: YNo NIA_ 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location �' pa C I etFresh Air Intake I 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete 0/a]I 19 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 38 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 6 inch clearance to sill plate Gas\Valve shut-off exposed/regulator 18 inches above grade Interior privacy I 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: 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 to floor/Sticker on Panel Duct work sealed properly/Blower Door Test 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 14"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System I Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification, if required Okay to issue C/C or C/O[Temporary/Permanent] L:\Building&Codes Forms\Building&Codeslinspection Fonns\Resldential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 626/08;Revised 12122/10,Revised 04/13/11 -1/u+✓s • Queensbury Building & Code Enforcement - Residential Final inspection blak OfficeNo. (518) 761-8256 Arrive: am/pm Depart _-m/pm Date Inspection request received: Inspector's Initials: It lT`/ O NAME: til€' PERMIT#: / 3-- 'i9&, LOCATION: N Mcg-so ry Rci DATE: .S-4Q0—/e/ TYPE OF STRUCTURE: g c-1) Comments: Yes/No N/A 4" Building Number Address visible from road �� Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake V 3 inch Plumbing Vent through roof minimum 18 inches %/ Roof Complete/Exterior Finish Complete VVy Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 Indies above grade t// Guard at stairwell at 34 inches or more �// Guard at deck,porches 36 inches or more ✓V7 Handrail Termination at Newell Post or Walt Interior/Exterior Railings 34 inches to 38 inches V ✓ Deck Bradng/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet ^-1— AA._ )t 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy!trim/doors/main entrance 36 inches V/, LY Bathroom/Kitchen watertight Safety glazing/�W�in�in stairwells safety gl�ng ppp Every Smoke ors/Carbon M9oxide'Detedors �-�� Eve level: �ed Every Bedrogrh: tV_/ .\-- ,k- Interior every bedroom rea: Inter Connected: Battery backup: / ..{2_CrE C![-(�7 Attic access 30 inches x 22 inches x 30 inches(height)in accessible area ✓/ �'�` ` } 5 Crawl Spaces 18 inch x 24 inch access,1 sq.ft.-150 sq.ft.vents ,// t5�� �14-U- ' `^ Bathroom Fans,if no window Plumbing fixtures Foundation insulation to floor/Sticker on Panelt, , C Dud work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft / — Emergency egress below grade s// Gas Furnace shut-off within 30 feet or within line of site ✓ /, ,it Oil Furnace shut-off at entrance to furnace area / V Ctc - t-Si Fumace/Hot Water Heater operating f/ /' �' O — Low water shut-off boiler e/ � /-`� Relief Valve(s)installed/Heat Trap/Water Temp 110 V / e 95.A Enclosed Stairs Sheetrock Underside minimum W Gypsum / t/ �, q Basement stairs dosed rise>4 inches k/ / tc-(4wlP �l=/• Garage Floor Pitched i / Garage fireproofing/'''A hour fire door/door closer / ✓ Gas Logs in Sealed or Glass Enclosure �/ Final Electrical;Energy Saving Light Bulbs 50% ✓/ Final Survey Plot Plan t// Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles V` /// Flex Gas Pipe Bonding r/ / /rto �� C� b As Built Septic System/Sewer Dept. Inspection Sticker v Site Plan !Variance required Flood Plain Certification,if require. _ Okay to issue C/C or C I O ' - porn 'Permanent] .L L:1Building&Codes FormsOuilding&Codes F. ,. . ..r esidential Final Inspection Form_revised_100405.doc; Revised January 7,2008;Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 s . SER Bayer Material Science insulation Certificate This form must be filled out and posted to comply with building code requirements. Meets IRC Sections N1101.3, N1101.41, and N1101.8 requirements The following spray polyurethane foam product(s) has/have been installed. ❑ BayseaV CC Closed-Cell Spray Foam Insulation ❑ BaysealTM OC Open-Cell Spray Foam Insulation ❑ BaysealTM CC Polar Closed-Cell Spray Foam Insulation BaysealTM CC X Closed-Cell Spray Foam Insulation ❑ BaysealTM CC X P Closed-Cell Spray Foam Insulation Consult International Building Code, Chapter 26-Plastic and International Residential Code (IRC) R314 Foam Plastics for specific requirements. The spray polyurethane foam insulation system(s) has/have been installed in accordance with manufacturer's processing guidelines to provide a thermal resistance of: Area Insulated Aged R-Value Thickness' Attic Area R- 3':s At 5,‹ inches Sloped Ceilings R- t At 5,tr inches Walls (Location): EYE e icor R- dr` At 3 inches Walls (Location): R- At inches Floors (over an unheated crawl space) R- At ILK. inches Crawl Space Perimeter R- At inches Basement Exterior Walls R- At "Z inches Other (Location): R- At inches "Nominal thicknesses are representativetiof field,spray-appliedafoam material. Jobsite Address: ( 9+ /t rJ_ asoL it ezne- Date of Insulation: �B]/ 3 /� Building Contractor: 'I /p /,4 p 3 (tet,3) Insulation Contractor: Aii rr�Gr.�_ �Pt7 } r5r#-^ 7'hr Insulation Contractor Phone: <3A-- 7c�S r installed By: )4)(/,,,-\ <like 1 I u✓�"1 Installed By: Installed By: Installed By: INSULATION CERTIFICATE -DO NOT REMOVE -Please Post Near Electrical Panel- e ICC EVALUATION . SERVICE Most Widely Accepted and Trusted ICC-ES Evaluation Report ESR-2072 Reissued September 1, 2013 This report is subject to renewal September 1, 2015 www.icc-es.orq I (800)423-6587 I (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 07 00 00—THERMAL AND MOISTURE 3.0 DESCRIPTION PROTECTION 3.1 BaysealTM Closed Cell Foam Plastic Insulation: Section: 07 21 00—Thermal Insulation Section: 07 25 00—Water-Resistive Barriers/Weather BaysealTM Polar Closed Cell spray-applied polyurethane Barriers foam insulation comprises a series of products designated: BaysealTM CC, BaysealTM CC Polar, REPORT HOLDER: BaysealTM CC X; and BaysealTM CC XP BaysealTM` Closed Cell spray polyurethane foam insulation is medium-density BAYER MATERIALSCIENCE, LLC polyurethane foam plastic intended to be installed as a 2400 SPRING STUEBNER ROAD component of floor/ceiling and wall assemblies The SPRING,TEXAS 77389 material is a two-component, closed cell, one-to-one-by- (800)226-3626 volume spray foam insulation with a nominal density of www.spf.bavermaterialscience.com 1.9 pcf (30 kg/m3) The insulation is produced in the field by combining a polymeric isocyanate(A component)with a EVALUATION SUBJECT: polymeric resin blend (B component) The insulation liquid components have a shelf life of six months, are supplied in BAYSEALTM CLOSED CELL SPRAY-APPLIED nominally 55-gallon (208 L) drums and must be stored at POLYURETHANE FOAM INSULATION temperatures between 70°F (21°C) and 80°F (27°C) a minimum of 48 hours prior to use 1.0 EVALUATION SCOPE 3.2 Surface-burning Characteristics: Compliance with the following codes: The insulation at a maximum thickness of 4 inches • 2012 and 2009 International Building Code®(IBC) (102 mm) and a nominal density of 1 9 pcf(30 kg/m') has • 2012 and 2009 International Residential Code®(IRC) a flame-spread index of 25 or less and a smoke-developed index of 450 or less when tested in accordance with ASTM • 2012 and 2009 International Energy Conservation E84. Thicknesses of up to 8 inches (203 mm) for wall Code(I FCC) cavities and 12 inches (305 mm) for ceiling cavities are • Other Codes(see Section 8) recognized based on room corner fire testing in Properties evaluated: accordance with NFPA 286,when covered with a minimum • Surface-burning characteristics /2-inch-thick (13 mm) gypsum board or an equivalent thermal barrier complying with, and installed in accordance • Physical properties with,the applicable code. • Thermal resistance 3.3 Thermal Resistance(R-values): • Attic and crawl space installation The insulation has thermal resistance (R-value) at a mean • Air permeability temperature of 75°F (24°C)as shown in Table 1. • Vapor permeance 3.4 Vapor Permeance: • Water-resistive barrier The foam plastic has a vapor permeance of less than • Extenor walls in Types I through IV construction 1 perm (5.7x10-11 kg/Pa-s-m )when applied at a minimum 2.0 USES thickness of 1 inch (254 mm) and may be used where a Class II vapor retarder is required by the applicable code. BaysealTM Closed Cell spray foam insulation is used as thermal insulating materials in Type I, II, Ill, IV and V 3.5 Air Permeability: construction under the IBC and dwellings under the IRC. BaysealTM Closed Cell spray foam insulation is air- See Section 4 6 for use in Type I, II, Ill and IV construction. impermeable in accordance with Section R806.4 of the The insulation is for use in wall cavities,floor assemblies or IRC, at a minimum thickness of 3/4-inches (19.1 mm), ceiling assemblies, or attics and crawl spaces when based on testing in accordance with ASTM E283 installed in accordance with Section 4.0.When installed in 3.6 BaysealTM IC Intumescent Coating: accordance with Section 4.5, the insulation may be used as an alternative to water–resistive barriers required in IBC BaysealTM IC intumescent coating is a one-component, Section 1404 2 and IRC Section R703 2. water-based polymer coating. BaysealTM IC intumescent ICC-ES Evaluation Reports are not to be construed as representing aesthetes or any other°timbales not specifically addressed,nor are they to be con itrued azt; cors) os an endorsement of the subject of the report or a recommendation for its use There is no warranty by ICC Evaluation Service,LLC,express or Implied,ar EisIkk to any finding or other matter in this report,or as to any product covered by the report mar Copynghl®2013 Page 1 of 5 ESR-2072 I Most Widely Accepted and Trusted Page 2 of 5 coating is supplied in 5-gallon (19 L) pails and 55-gallon 4.3.2 Application without a Prescriptive Thermal (208 L)drums and has a shelf life of one year when stored Barrier: in a factory-sealed container at temperatures of 50°F 4.3.2.1 Application with Flame Seal® TB Intumescent (10°C)or above. Coating: The prescribed 15-minute thermal barrier may be 3.7 Flame Seal®TB Intumescent Coating: omitted when installation is in accordance with this setion The Baysealrm Closed Cell insulation and Flame Seal®TB Flame Seal® TB, manufactured by Flame Seal Products system may be used in lieu of the prescribed 15-minute Inc., is a two-component, four-to-one-by-volume, liquid- thermal barrier. The foam plastic insulation thickness must applied, water-based polymer intumescent coating. The not exceed 6 inches (152 mm) in walls and ceilings, and coating is supplied in 5-gallon (19 L) pails and 55-gallon the insulation must be covered with 18 dry mils (0.46 mm) (208 L) drums and has a shelf life of six months when of Flame Seal® TB intumescent coating applied at a stored in a factory-sealed container at temperatures minimum rate of 1 6 gallons (6 L) per 100 square feet between 40°F and 90°F(4°C and 32°C). (9.3 m2). The substrate must be dry, clean and free of dirt 3.8 TPR2 Fireshell®BMS-TC Intumescent Coating: and loose debris or other substances that could interfere with the adhesion of the coating. Flame SealeTB may be TPR2 Fireshell® BMS-TC intumescent coating, applied by airless sprayer at ambient temperatures manufactured by TPR2 Corporation, is a one-component, between 50°F and 115°F (10°C and 46°C) and relative water-based polymer coating. The coating is supplied in humidity of less than 70 percent 5-gallon (19 L) pails and 55-gallon (208 L)drums and has 4.3.2.2 Application with TPR2 Fireshell® BMS-TC a shelf life of one year when stored in factory-sealed Intumescent Coating: The prescribed 15-minute thermal containers at temperatures of 50°F(10°C)and above. barrier may be omitted when installation is in accordance 3.9 Paint to Protect®DC-315 Intumescent Coating: with this section.The BaysealTM Closed Cell insulation and TPR2 Fireshell® BMS-TC intumescent coating may be Paint to Protect® DC-315 intumescent coating, used in lieu of the prescribed 15-minute thermal barrier manufactured by International Fireproof Technology, Inc., The foam plastic insulation thickness must not exceed 71/4 is a one-component, water-based coating The coating is inches (184 mm) in walls and 91/4 inches (235 mm) in supplied in 5-gallon (19 L) pails and 55-gallon (208 L) ceilings, and the insulation must be covered with 12 dry drums and has a shelf life of two years when stored in mils(0.30 mm) (20 wet mils(0.51 mm)], at a minimum rate factory-sealed containers at temperatures between 50°F of 1.24 gallons (4.7 L) per 100 square feet (9.3 m2)]. The (10°C)and 80°F(27°C). substrate must be dry, clean and free of dirt and loose 4.0 INSTALLATION debris or other substances that could interfere with the adhesion of the coating. TPR2 Fireshell® BMS-TC 4.1 General: intumescent coating may be applied by airless sprayer, BaysealTT Closed Cell spray foam insulation must be conventional spray, medium knap roller or brush at installed in accordance with the manufacturer's published ambient temperatures between 62°F and 95°F (16°C and installation instructions and this report. A copy of the 35°C)and relative humidity of less than 70 percent manufacturer's published installation instructions must be 4.3.2.3 Application with Paint to Protect® DC-315 available at all times on the jobsite during installation. Intumescent Coating: The prescribed 15-minute thermal 4.2 Application: barrier may be omitted when installation is in accordance with this section. The Bayseal" Closed Cell insulation The insulation is spray-applied on the jobsite using and Paint to Protect® DC-315 intumescent coating system volumetric positive displacement pumps as identified in the may be used in lieu of the prescribed 15-minute thermal Bayer MaterialScience application instructions. The barrier. The foam plastic insulation thickness must not maximum service temperature must not exceed that exceed 71/4 inches (184 mm) in walls and in ceilings specified in the manufacturer's published installation and the insulation must be covered with 12 dry mils[18 wet instructions.The foam plastic must not be used in electrical mils(0.45 mm)], at a minimum rate of 1.12 gallons (4 23 L) outlet or junction boxes or in contact with water.The foam per 100 square feet (9.3 m2). The substrate must be dry, plastic must not be sprayed onto a substrate that is wet, or clean and free of dirt and loose debris or other substances covered with frost or ice, loose scales,rust,oil,or grease that could interfere with the adhesion of the coating. Paint The insulation may be applied a maximum to Protect®DC-315 intumescent coating may be applied by of 2 rinoses (51 mm) per pass u at atthe mum thickness total airless sprayer at ambient temperatures between 50'F and 105°F (10°C and 41°C) and relative humidity of less than thickness as specified in Sections 3.2, 4.3 and 4.4. 80 percent. Additional passes may be applied after ten minutes or more of curing time. 4.3.2.4 Use as Interior Finish: The BaysealV^' Closed Cell spray-applied polyurethane foam insulation and 4.3 Thermal Barrier: intumescent coating systems, as described in Section 4.3.2.1, 4.3.2.2 or 4.3.2 3 may be used as an interior finish 4.3.1 Application with a Prescriptive Thermal Barrier: in all construction types under the IBC and dwellings under Baysealt" Closed Cell spray foam insulation must be the IRC separated from the interior of the building by an approved thermal barrier of 1/2-inch-thick (12 7 mm) gypsum 4.4 Attics and Crawl Spaces: wallboard or an equivalent 15-minute thermal barrier 4.4.1 Application with a Prescriptive Ignition Barrier: complying with, and installed in accordance with, IBC When BaysealT" Closed Cell insulation is installed within Section 2603.4 or IRC Section R316.4, as applicable. attics or crawl spaces where entry is made only for service Thicknesses of up to 8 inches (203 mm) for wall cavities of utilities, an ignition barrier must be installed in and 12 inches (305 mm) for ceiling cavities are accordance with IBC Section 2603.4 1.6 or IRC Sections recognized, based on room corner fire testing in R316.5.3 and R316.5.4, as applicable The ignition barrier accordance with NFPA 286. must be consistent with the requirements for the type of ESR-2072 I Most Widely Accepted and Trusted Page 3 of 5 construction required by the applicable code, and must be ignition barrier in accordance with IBC Section 2603 4 and installed in a manner so the foam plastic insulation is not IRC Section R316.5.3 may be omitted exposed. The insulation as described in this section may 4.4.3 Attic Floors: be installed in unvented attics in accordance with 2012 IRC Section R806.5 or the 2009 IRC Section R806.4. 4.4.3.1 Use on Attic Floors with BaysealTM IC Intumescent Coating: BaysealTM" Closed Cell insulation 4.4.2 Application without a Prescriptive Ignition may be installed at a maximum thickness of 8 inches (203 Barrier: mm) between and over the joists in attic floors. All foam 4.4.2.1 General: Where BaysealTM Closed Cell plastic surfaces must be covered with 4 dry mils (0.1 mm) insulation is installed without a prescriptive ignition barrier of BaysealTM IC intumescent coating uniformly applied at a as described in Section 4.4.2.2, 4.4.2.3, 4.4.3.1 or 4.4.3.2, rate of 0.5 gallons (1.9 L) per100 square feet (9.3 m2). in attics and crawl spaces,the following conditions apply: BaysealTM IC intumescent coating may be applied by • Entry to the attic or crawl space is only to service utilities brush, roller or airless sprayer at ambient temperatures and no storage is permitted. between 50°F and 115°F (10°C and 46°C) and relative humidity of less than 75 percent. Surfaces to be coated ■ There are no interconnected attic or crawl space areas. must be dry, clean, and free of dirt, loose debris and any ■ Air in the attic or crawl space is not circulated to other other substances that could interfere with adhesion of the parts of the building. coating The insulation must be separated from the interior • Under-floor (crawl space) ventilation is provided when of the building (beneath the attic) by an approved thermal required by IBC Section 1203.3 or IRC Section R408.1, barrier. The ignition barrier in accordance with IBC Section as applicable. 2603 4 and IRC Section R316.5 3 may be omitted. • Attic ventilation is provided when required by IBC 4.4.3.2 Use of BaysealTM CC X and BaysealTM CC XP Section 1203.2 or IRC Section R806, except when Closed Cell Insulation on Attic Floors without air-impermeable insulation is permitted in unvented Intumescent Coating: BaysealTM CC X or BaysealTM CC attics in accordance with 2012 Section R806 5 or 2009 XP Closed Cell insulation may be installed exposed at a IRC Section R806.4. maximum thickness of 71/4 inches (184 mm) between and • Combustion air must be provided in accordance with over joists in attic floors without a code-prescribed ignition e Section 701 of the 2009 International Mechanical Code® barrier or intumescent coating. The insulation must (IMC). separated from the interior of the building by an approved thermal barrier. The ignition barrier in accordance with IBC 4.4.2.2 Use with BaysealTM IC intumescent Coating: Section 2603.4.1 6 and IRC Section R316 5.3 may be BaysealTM Closed Cell insulation may be spray-applied to omitted. the underside of roof sheathing and/or rafters, and the 4.5 Water-resistive Barrier: underside of wood floors and/or floor joists in crawl spaces as described in this section. The thickness of the foam BaysealTM Closed Cell spray-applied polyurethane foam plastic applied to the underside of the wood floor or roof insulation may be used as the water-resistive barrier sheathing must not exceed 12 inches (305 mm). The prescribed in IBC Section 1404 2 and IRC Section R703.2, thickness of the spray foam insulation applied to vertical when installed on exterior walls as described in this wall surfaces in attics and crawl spaces must not exceed 8 section. The insulation must be spray-applied to the inches (203 mm) All foam plastic surfaces must be exterior side of the sheathing, masonry or other suitable covered with 4 dry mils (0.1 mm) of BaysealTM IC exterior wall substrates to form a continuous layer of 1 inch intumescent coating, applied at a rate of 0.5 gallon (1 9 L) (25.4 mm) minimum thickness. All construction joints and per 100 square feet (9.3 m2). BaysealTM IC intumescent penetrations are to be completely sealed with BaysealTM coating may be applied by brush, roller or airless sprayer Closed Cell insulation. Optionally, self-adhering flexible at ambient temperatures between 50°F and 115°F (10°C flashing materials complying with ICC-ES Acceptance and 46°C) and relative humidity of less than 75 percent. Criteria for Flexible Flashing (AC148), dated February Surfaces to be coated must be dry, clean, and free of dirt, 2011, may be installed around penetrations and openings loose debris and any other substances that could interfere prior to application of the BaysealTM Closed Cell spray- with adhesion of the coating. BaysealTM Closed Cell applied insulation. insulation, as descnbed in this section, may be installed in 4.6 Exterior Walls in Types I, II, Ill and IV unvented attics in accordance with IRC Section R806.4. Construction: 4.4.2.3 Application of BaysealTM CC X and BaysealTM When used on walls of Type I, II, Ill and IV construction, CC XP Closed Cell Insulation without Intumescent the assembly in which the BaysealTM Closed Cell spray- Coating: BaysealTM CC X or BaysealTM CC XP Closed applied polyurethane insulation is used must comply with Cell insulation may be spray-applied to the underside of Section 2603.5 of the IBC and must be installed at a roof sheathing and/or rafters and the underside of wood maximum thickness of 3 25 inches (82.6 mm) in floors and/or floor joists in crawl spaces as described in accordance with the manufacturer's published installation this section. The thickness of the foam plastic applied to instructions and this report. The potential heat of the the underside of the wood floor or roof sheathing must not BaysealTM Closed Cell spray-applied polyurethane exceed 111/4 inches(286 mm). insulation is 1838 Btu/ft2(20 9 MJ/m2) per inch of thickness The thickness of the foam plastic insulation applied to when tested in accordance with NFPA 259. Wall vertical surfaces in attics and crawl spaces must not assemblies complying with this section must be as exceed 71/4 inches (184 mm). BaysealTM CC X or described in Table 2. BaysealTM CC XP Closed Cell insulation, as described in 5.0 CONDITIONS OF USE this section, may be installed in unvented attics in The BaysealTM Closed Cell spray-applied foam plastic accordance with 2012 IRC Section R806.5 or 2009 IRC insulations described in this report comply with, or are Section R806.4. suitable alternatives to what is specified in, those codes When BaysealTM CC X or BaysealTM CC XP Closed Cell listed in Section 1.0 of this report, subject to the following insulation is installed in accordance with this section, the conditions: ESR-2072 I Most Widely Accepted and Trusted Page 4 of 5 5.1 The products must be installed in accordance with the telephone number; the product name (BaysealT^' CC, manufacturer's published installation instructions, this Baysealt CC Polar, Baysealw CC X or Baysealrm CC evaluation report and the applicable code The XP), mixing instructions, the density, the flame-spread and instructions within this report govern if there are any smoke-development indices; the evaluation report number conflicts between the manufacturers' published (ESR-2072); and the name of the inspection agency installation instructions and this report (UL LLC). 5.2 The insulation must be separated from the interior of Intumescent coatings are identified with the the building by an approved 15-minute thermal manufacturer's name and address, the product name and barrier, except when installation is as described in use instructions Sections 4 3 2 and 4.4. 8.0 OTHER CODES 5.3 The insulation must not exceed the thicknesses noted in Sections 3 2,4.3 and 4.4 of this report. In addition to the codes referenced in Section 1 0, the products described in this report were evaluated for 5.4 The insulation must be protected from prolonged compliance with the requirements of the following codes' exposure to weather during application. 5.5 The insulation must be applied by contractors certified • 2006 International Building Code(2006 IBC) by Bayer MaterialScience, LLC. ■ 2006 International Residential Code®(2006 IRC) 5.6 When use is on buildings of Types I, II, Ill and IV ■ 2006 International Energy Conservation Code (2006 construction, construction must be as described in IECC) Section 4 6 and Table 2 • 2003 International Building Code(2003 IBC) 5.7 Use of the insulation in areas where the probability of termite infestation is "very heavy° must be in • 2003 International Residential Code®(2003 IRC) accordance with IRC Section R318.4 or IBC Section • 2003 International Energy Conservation Code® (2003 2603.8,as applicable IECC) 5.8 Jobsite certification and labeling of the insulation must comply with IRC Sections N1101.4 and NI10141 The products comply with the above-mentioned codes as and IECC Sections 303.1.1 and 303.1.2, as described in Sections 2.0 through 7.0 of this report, with applicable the revisions noted below 5.9 Use of the insulations in fire-resistance-rated • Application with a Prescriptive Thermal Barrier: See construction is outside the scope of this report Section 4.3.1, except the approved thermal barrier must 5.10 BaysealT" Closed Cell spray-applied foam insulations be installed in accordance with Section R314.4 of the are produced by Bayer MaterialScience, LLC, in 2006 IRC or Section R3141.2 of the 2003 IRC, as Spring, Texas, under a quality control program with applicable. inspections by UL LLC (AA-668) • Application with a Prescriptive Ignition Barrier: See 6.0 EVIDENCE SUBMITTED Section 4 4 1 except attics must be vented in accordance with Section 12032 of the 2006 and 2003 6.1 Data in accordance with the ICC-ES Acceptance IBC or Section R806 of the 2003 IRC, and crawl space Criteria for Spray-applied Foam Plastic Insulation ventilation must be in accordance with IBC Section (AC377), dated June 2012, including reports of tests 1203 3 of the 2006 and 2003 IBC or IRC Section R408, in accordance with Appendix X. as applicable Additionally, an ignition barrier must be 6.2 Reports of room corner tests in accordance with installed in accordance with Sections R314 5 3 or NFPA 286 and UL 1715. R314.5.4 of the 2006 IRC or Section R314 2.3 of the 2003 IRC, as applicable. 6.3 Report of potential heat of foam plastics tests in accordance with NFPA 259. • Application without a Prescriptive Ignition Barrier: 6.4 Report of air leakage tests in accordance with ASTM See Section 4 3.2, except attics must be vented in E283. accordance with Section 1203.2 of the 2006 and 2003 IBC or Section R806 of the 2003 IRC, and crawl space 6.5 Data in accordance with the ICC-ES Acceptance ventilation must be in accordance with IBC Section Criteria for Foam Plastic Sheathing Panels Used as 1203 3 of the 2006 and 2003 IBC or IRC Section R408, Water-resistive Barriers (AC71), dated February 2003 as applicable (editorially revised March 2011). • Protection against Termites: See Section 5.7, except 6.6 Report of water vapor transmission testing in use of the insulation in areas where the probability of accordance with ASTM E96 termite infestation is "very heavy' must be in 6.7 Report of fire propagation characteristics testing in accordance with Section R320.5 of the 2006 IRC or accordance with NFPA 285. Section R320.4 of the 2003 IRC. 6.8 An engineering analysis supporting the report of • Jobsite Certification and Labeling: See Section 5.9, testing in accordance with NFPA 285. except Jobsite certification and labeling must comply 7.0 IDENTIFICATION with Sections 102.1.1 and 102.1.1 1, as applicable, of the 2006 IECC. Components for BaysealTM Closed Cell spray-applied foam plastic insulations are identified with the manufacturers name (Bayer MaterialScience, LLC), address and I ESR-2072 I Most Widely Accepted and Trusted Page 5 of 5 TABLE 1—THERMAL RESISTANCE(R-VALUES)' THICKNESS(inches) R-VALUE(°F.ft'.h(Btu) 1 69 2 14 3 21 3.5 24 4 28 5 34 5.5 38 6 41 7 48 7 5 52 8 55 9 62 10 69 11 76 12 83 For 51: 1 inch=25.5 mm; 1°F.ft2.h/Btu=0 176 110°K.m2lW 'R-values are calculated based on tested K values at 1 and 3.5-inch thicknesses. TABLE 2—NFPA 285 COMPLYING EXTERIOR WALL ASSEMBLIES WALL COMPONENT MATERIALS Base Wall System- 1-Concrete wall Use either 1,2 or 3 2-Concrete masonry wall 3-1 layer 5/8--inch-thick Type X gypsum wallboard complying with ASTM C36 or C1396 on the intenor,installed over minimum 3 le-inch-deep,No 20 gage,C-shaped steel studs,spaced a maximum of 24 inches on center with lateral bracing every 4 feet vertically.Gypsum wallboard must be attached with No 6, 1'/4-inch-long self-tapping screws located 8 inches on center along the perimeter and in the field of wallboard Gypsum wallboard joints must be taped and treated with joint compound in accordance with ASTM C840 or GA-216 Floorline Firestopping 4 pcf mineral wool(e.g.,Thermafiber)in each stud cavity at each floorline,attached with Z-clips Cavity Insulation-Use either 1,2 or 3 1 -None 2-Fiberglass batt insulation(faced or unlaced) 3-Bayseal closed cell or open cell insulation Exterior Sheathing-Use either 1 or 2 1-'/rinch-thick,exterior-type gypsum sheathing 2-5/8-inch-thick,exterior-type gypsum sheathing Exterior Insulation Bayseal*"closed cell SPF,up to a maximum nominal thickness of 3 inches Exterior Wall Covering- 1-Brick-standard nominally 4-inch-thick clay brick,brick veneer anchors-standard types Use either 1,2 or 3 installed a maximum of 24 inches OC vertically on each stud -Maximum 2-inch air Sap between exterior insulation and brick 2-Stucco-minimum 1.-inch-thick,exterior cement plaster and lath.A secondary water- resistive barrier may be installed between the exterior insulation and the lath.The secondary water-resistive barrier must not be full-coverage asphalt or butyl-based self-adhered membranes 3-Minimum 2-inch-thick limestone.Any standard non-open-jointed installation technique such as ship-lap,etc,may be used For SI:1 inch=25.4 mm, 1 pcf= 16.018 kg/m3 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: C J'3-/i/ NAME: J n r LOCATION: r 4 m a sor.. PERMIT#: /3-449(� Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the survey has been: Craig Brown, Zoning Administrator �(d t Notes: DL41Lw D1-1) • LASueHemingwa}Building.Codes.Lupection.FORMS\Final Survey Zoning Admmislrator doc I MAP REFERENCES: #1 MAP OF RIPLEYS POINT DATED: APRIL 1887 BY J W. REED #2 ASBUILT & AS 1N POSSESSION MAP OF SURVEY OF LANDS Z -MOR INC. DATED: OCTOBER 28, 1974 BY. W.R. CROCKER, ASSOCIATES #3 SKETCH SHOWING LOCATION OF EXISTING WHARF OWNED BY JOHN A. DALE ESTATE DATED: DECEMBER 14, 1981 BY: COULTER & McCORMACK #4 MAP OFA SURVEY MADE FOR KEITH & ELYSA CAVAYERO DATED: FEBRUARY 7, 2003 LAST REVISED: AUGUST 18, 2008 BY. VAN DUSEN & STEVES DEED REFERENCE: EVANS-CLEVERDALE, INC. TO JOHN W. & LENA V TABNER DATED: MARCH 31, 1978 BOOK 613 PAGE 184 ADJONfR'S LANDS N/F OF o a BROOKWOOD ASSOCIATION, INC. 12791271 Mir LAKE ELEV. = 319.51' LEGEND: O IPF = IRON PIPE FOUND O IRF = IRON ROD FOUND O CIRF = CAPPED IRON ROD FOUND O RRSF = RAILROAD SPIKE FOUND O IRS = IRON ROD SETITO BE SET `a, =UTILITY POLE v— = WOOD FENCE = STONE/MASONRY WALL QS =SANITARY COVER = TREES/SHRUBS NAIL FOUND IN WALL pOCK ' BOq �. r10USF l TIE LINE N12°38'5011E__-� 63.97' 71.5'± ALONG SHORE ADJ_O,=R LI BOAT;yOuSE BUILDING BUILDING N13033' 05 "E CORNER OVER CORNER OVER „r 6.24' 3' WlOf BY 0.43' 3Y210 Nl , Ted RIGHT-OF{WAY ,-BROOKWOOD ASSOC., INC. :s RSU \ S86020'59"E 7.50' °UNA°TIORI2£0 ALTERATON OR ADDITION i0 A SURKY NAP BEARING A ULLEE0 LAND SURVEYORS SEAL IS A VIOLA110N OF SEQIWN 7209. SUB-DINSION 2, OF ME NEW YORK STATE LDUCATON LAW.' ONLY cGPB FFUN THE ORIGINAL OF THIS SURVEY MARKED LL Ary ORIGINAL OF ME LANG NRVET OPI SGL SHALL M 5 INDICATE i0 BE VALID IFY COPIEi' STANLEY VAT IS SLO'BY WA5D INDICATED IN AM 'MS SD CO WOf PREPARED IN ACCORDANCE ORI THE EpSTNG CODE GF PRACRCE FOR LANG SURVEYORS ADOPTED OY TIE NEW YON{ STATE C ASCOCIATIXi OF PROFESSIONALRUOLY LAND SURE£TOR;_ SAID ASSICATONN OF RUN ONLY ToWE PERSON EOR WENT TIE SURVEY B PREPARED, AND ON HIS BEHAl To SHE 11RE COMPANY. COVEANMENTAL i° WE ASSIGAND NEES OF THE IFNDINGSTIMMON UNS UEON.-SED ANO 518) 792-8474 New York Lie. No. 50135 R .. L }Lilillk 1✓LI ' ,..I I:� T-�A �F. i� Ir 4 i i l i $ � 12611 u I!' il, pl„ i II F I I 14 I, 11 f j� 1 �y i f ' I IPF ' NDS N/F OF r w I JON ATHAN BERGER IRE j i 1 7661267 Y Q Lli BUILDING BUILDING N13033' 05 "E CORNER OVER CORNER OVER „r 6.24' 3' WlOf BY 0.43' 3Y210 Nl , Ted RIGHT-OF{WAY ,-BROOKWOOD ASSOC., INC. :s RSU \ S86020'59"E 7.50' ,g{,J s e &D ,,((''�� O� $T i1F"' e Y e s �pV y y //�'ryryry C a � i^i S ii'tea v e y ® -•6�J• •Y Y� g p(� York 169 Hav land Road Queensbury, New York 12804 °UNA°TIORI2£0 ALTERATON OR ADDITION i0 A SURKY NAP BEARING A ULLEE0 LAND SURVEYORS SEAL IS A VIOLA110N OF SEQIWN 7209. SUB-DINSION 2, OF ME NEW YORK STATE LDUCATON LAW.' ONLY cGPB FFUN THE ORIGINAL OF THIS SURVEY MARKED LL Ary ORIGINAL OF ME LANG NRVET OPI SGL SHALL M 5 INDICATE i0 BE VALID IFY COPIEi' STANLEY VAT IS SLO'BY WA5D INDICATED IN AM 'MS SD CO WOf PREPARED IN ACCORDANCE ORI THE EpSTNG CODE GF PRACRCE FOR LANG SURVEYORS ADOPTED OY TIE NEW YON{ STATE C ASCOCIATIXi OF PROFESSIONALRUOLY LAND SURE£TOR;_ SAID ASSICATONN OF RUN ONLY ToWE PERSON EOR WENT TIE SURVEY B PREPARED, AND ON HIS BEHAl To SHE 11RE COMPANY. COVEANMENTAL i° WE ASSIGAND NEES OF THE IFNDINGSTIMMON UNS UEON.-SED ANO 518) 792-8474 New York Lie. No. 50135 T-�A ,g{,J s e &D ,,((''�� O� $T i1F"' e Y e s �pV y y //�'ryryry C a � i^i S ii'tea v e y ® -•6�J• •Y Y� g p(� York 169 Hav land Road Queensbury, New York 12804 °UNA°TIORI2£0 ALTERATON OR ADDITION i0 A SURKY NAP BEARING A ULLEE0 LAND SURVEYORS SEAL IS A VIOLA110N OF SEQIWN 7209. SUB-DINSION 2, OF ME NEW YORK STATE LDUCATON LAW.' ONLY cGPB FFUN THE ORIGINAL OF THIS SURVEY MARKED LL Ary ORIGINAL OF ME LANG NRVET OPI SGL SHALL M 5 INDICATE i0 BE VALID IFY COPIEi' STANLEY VAT IS SLO'BY WA5D INDICATED IN AM 'MS SD CO WOf PREPARED IN ACCORDANCE ORI THE EpSTNG CODE GF PRACRCE FOR LANG SURVEYORS ADOPTED OY TIE NEW YON{ STATE C ASCOCIATIXi OF PROFESSIONALRUOLY LAND SURE£TOR;_ SAID ASSICATONN OF RUN ONLY ToWE PERSON EOR WENT TIE SURVEY B PREPARED, AND ON HIS BEHAl To SHE 11RE COMPANY. COVEANMENTAL i° WE ASSIGAND NEES OF THE IFNDINGSTIMMON UNS UEON.-SED ANO 518) 792-8474 New York Lie. No. 50135 m ADJo/NERIS S11034'30"W - .. 3" BU/LDING 5.25' l � I S19047, 1 1 E 34 68' RS o S1103413011W I 14.26' c\I al h 10 033±SOFT. tlEDy� �7905'S2"W _. j k �� 0:23± ACRES HIGHWAY LINEASPER DEED REFERENCE THOMAS KIMMON$ LIVING TRUST Map of Kathy Jody To Town of Queensbu TAX r oury Building &Code Enforcement A61-8256 K NAirteCtl an- Septic ^Septic Inspection Report lv� tion request received: 5140 / `t r / Na e._� g cl.t�t's g% e//Abner Inspected on: (-12g. 2' /� ‘24/4 Location: )NW Arrive: ` ..m. ar Permit No.: a2 o/ 3 -4749 Inspector's Initials: Co "ents andlor diagram SoilTyp: an. .lai lay Type of Water: Municipal/Well WaterC- '7419 Waterline separation distance ft. �— ! L 7 Well separation distanceLA1Le- %O C7 ft. Other wells. ft. Well Casing Length 501 +/- Y N N/A [150'to well required if NO] Absorption Field: Total length V:b V2j72 ft. VizEhel P5En A4b-rEi-k Length of each trench 912---17C) ft. Depth of trenches Size of Stone t� tst\17, C3 Et7 Seepage Pits: Number - - Size: x Stone Size: Piping Size Type Building to tank '?- ,.nab Tank to Distribution Box ) Distribution Box to Field/Pit //` "6012-35 Tc7 VP-a ?"1 PAPE 06 VE?- Opening Sealed: ✓Y N End Cap Yl N E SCA EQ Inlet/Outlet Pipes&Baffles ✓Y N Manholes 12"or less below grade Y/ rN \U tAc% £ e l.-et?-t-\ !ESN— [provide extension collar if Yes] ✓Y N Location/Separations Foundation to tank ft. Pigg.)_ Nos b\). Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan ✓Y �y - t3 EED cz li rE-VEngineer Report and As-Built Y %/1%11 A/ �l` �� ETU Maintenance Contract provided Y N ►DEED i o `1�R1F` MSC' Location of System on Property: �` Front Rear Left Side Right Side• Middle Front Middle Rear System Use Status: /Approved artial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report 'te t' ()pen Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart` l pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:�l �/r�jlt/�� NAME: 1'a b e-I' PERMIT#1: 13—y 9 h LOCATION: gm it ` INSPECT ON: S-/3-/5/ TYPE OF STRUCTURE: b Comments N NIA onolithic Slab ,-C—Aer) Y P 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 Dampproofng 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:\Bunding&Codes Forms Building&Codes\Inspection Forms\Foundation Inspection Report doc last printed 12/20/2005 9:24:00 AM C (US-e c-v t 049 _( J Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: 579/i y Queensbury Building&Code Enforcement Arrive: am/pm Dam/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's[ Initials: tt.A NAME: Is-e(5 &T / 114-b Oil' 't' ( P RMrr#: � 3 ' l c LOCATION: M ti Sont n ---ts INSPECT ON: s7 a// y TYPE OF STRUCTURE: 1t>tcC_V Comments Y N N/A Footings ( iers 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 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\Buiiding&Codes\Inspection Fortes\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Town of L ury Building &Code Enforcement 1' h ursda /- 3 Office No. (518) 761-8256 0 Septic Inspection Report Inspection request received: Name: , Qdb✓I e r Inspected on: S 3-Iy Location: F � Rio( q rn Arrive: Z2. . _ a.m.l p.m. Permit No.: ihi-- 0 <I y B U A I'k FHAscector's Initials: — a / 3'1962 's F p Comments andlor diagram Soil Type: Sand I Loam I Clay Type of Water: Municipal/Well Water 5 r� Waterline separation distance ft. - 3 (q I -I / q Well separation distance ft. Other wells: ft. Well Casing Length 50'+/- Y N N/A [150'to well required if NO] 1-2iE o' z_ Absorption Field: Total length ft. Length of each trench ft ;$. ` �V3 Depth of trenches ft r" 1 Size etP ` r f Seepage Pits. Number C. Z c W Size: x Stone Size: `r alc1461tra&r2S Piping Size Type r2./ .ty—yp y Building to tank ��� f /n_ `) — Tank to Distribution Box DistributioneingBoxField 1 Pit .5 a c ^_/f Opening Sealed: _Y_N ��L 4G End Cap _Y_N _c -cf r Inlet/Outlet Pipes&Baffles Y N "��`—' Manholes 12"or less below grade Y N [provide extension collar if Yes] Y N 66 Location/Separations l/U G� / p �R Foundation to tank ft. ��r — c2 —s.{A n\AWAy Foundation to absorption _ ft. Separation of Pits ft. Conformsineeres per Plot As-Built Engineer Report and As-Built ETU Maintenance Contract provided N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status JApproved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report rtka Rough Plumbing / Insulation Inspection Report oyb-/0 Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm 742 Bay Road, Dueensbury, NY 12804 Inspect s lnitia Y NAME: 7Ma-so n f- 1� C - t oder- PERMIT#: C� / 5-�4Qlo LOCATION: .c '9 Ma.snn Rd INSPECT ON: TYPE OF STRUCTURE: S F ts Y N N/A Plumbing under slab Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 11/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum c`,01A " Cleanout every 100 feet/change of direction 66-01--LE-‘64 Pressure Test Drain /Vent �� Air/Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes - -VIPitAil Pressure Test Water Supply Piping Air/Head 19-NOO 50 P.S.I. for for 15 minutes c��A� � [IInsulation /residential Check/Commercial Check Window Sealing ', 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 ‘ht, 941641 Blower Door Test Air Sealing � A• COMMENTS: e �� y 6 CCT- CPrt t Z `''t%- ('ATO E -& C�a� Or Q`r c JcM/ C f ti co A.4,(4, Rough Plumbing_Insulation Inspection_02 0513 I/ a\--fl ( 311 IOW ...4Town of Queensbury Fire Marshal IF742 Bay Road IF, Queensbury,NY 12804 761-8205/761-8206 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. V Permit# /3 'Kt 9(p Schedule Inspection it—Qi'/ Time'). \ am pm anytime Inspector t'—as) Name 1'OJOinQ.r Address a—( rnCkS©!nRd RoughIn Final_ Appliance ManufacturerLAC7,1/1 -1\--C=„ce, Model# L �L" c2- IA—SF Direct Vent,Factory Built Chimney Flue Size_ Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chases Wall Penetration _ / / Vent Clearances to Combustibles 7 Vent/Chimney Termination / Chimney height must be 3 feet above roof _1// penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) 7 Mantel V Height above f/p opening Witness Operation V Tank Placement(if LP) ----- lin il7Q� _-__ CO�Betec/ /ti no `! ' , _ ,1, \ \SST Bong-" White—Building Dept. Yellow—Costumer Pink—Fire Marshal ca—Ay ?)Rou h PlumbingI Insulation Inspection Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive:, am/pm Depart:`/i3u am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: jj NAME: ''(iyLk.,n r PERMIT#: /3-994, LOCATION: g4 Mo-s -' Rd INSPECT ON: /-al-lY TYPE OF STRUCTURE: S F d Y / N N/A �Rough'Pl�mbing /Nail Plates Plumbing Vent/Vents in Place 1 1/4 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 �1 Insulation / Residential Check/Commercial Check 1(- 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: ?,\C7 - 1)-7 �h\ Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 -tuts a�y Framing / Firestopping Inspection Report C 310 ?) Office No. (518) 761-8256 Date Inspe•tio request received: Queensbury Building & Code Enforcement Arrive' Z. 4. am/pm 742 Bay Road, Queensbury, NY 12804 Inspect,r g rials: NAME: TQC r .r PERMIT#: I3-<le/ly LOCATION: $g Meat&er'e Rid INSPECT ON: /— cV//'/ TYPE OF STRUCTURE: Sr t0 N N/A COMMENTS: f, Fr nma i g Attic Access 22" x 20" minimum Jack Studs/Headers y� Truss Specification Provided �/ Bracing /Bridging ////�� Joist hangers V 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 11/2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center V/ Ice ans water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour gang V �Z � � 1/4—t—)44-45 Penetration sealed • 16 inch insulation in cavity min. E9L—Tarb _. Garage Fire Separation House side 1/2 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 Design Professional Sign-off, If required Framing Firestopping Inspection_Revised_02 0513 to ,2.01 rN3 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspgction re est received: Queensbury Building & Code Enforcement Arrive: /e ,( am/pm 742 Bay Road, Queensbury, NY 12804 Inspectors nl taIs%r( � p d,{ NAME: I ean•-.4711.- PERMIT#: / 3-19/0 LOCATION: $ '9 A2:4-, kat INSPECT ON: /- / 5-/1 TYPE OF STRUCTURE: Y N N/A COMMENTS: Framing Attic Access 22" x 20" minimum Jack Studs /Headers Truss Specification Provided Bracing /Bridging Joist hangers Jack Posts/ Main Beams Exterior sheeting nailed properly 12" 0.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 11/2 (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 ans water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1/2 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 Design Professional Sign-off, It required Framing Firestopping Inspection_Revised_02 0513 htiAcleay g-/e) Foundation Inspection Report (9Q J 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 NAME: I Q -n tr, PERMIT#: LOCATION: % 611 M OLA INSPECT ON: t ' k-5 TYPE OF STRUCTURE: / Comments I N 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 Foundatidn 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 IP ;in Under;Siab -z L� VC Cast/Copper / Foundation Insulation Interior/Exterior . / R_ IC VVV Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 1 Foundation Inspection Report A Office No.(518)761-8256 Date Inspection request received: fk-P -D / 3 Queensbury Building&Code Enforcement Arrive: am/pm Depdct:mam/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's(� Initials NAME: ],�-t`31J� 1 PERMIT#: ,---)-0 /3-49<;) LOCATION: 5'i INSPECT;'N: *ape//3 TYPE OF STRUCTURE: �f9 p 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 Q-erfndation Waterproofing Footing Drain Daylight or Sump _ V Footing Drain Stone: 12 inch width 6 inches above footing _ nav�et areas under slab Approval - Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. I.:\Building&Codes Forms\Buflding&Codes\Inspehon FormsVoundadon Inspection Report doc Last printed 12/20/2005 9:24:00 AM 1' mit /6-14 (11:30 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/Eft Depart ,_m/Thppm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials(tin Depart/ c 9 NAME: " fl a it PERMIT#: /3-<-19b LOCATION: ccINSPECT ON: /1— / /3 TYPE OF STRUCTURE: S P Comments N Footings N/A 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 Ille_inforcement in Place A Footing Dowels or Keyway in place ` /� Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Fooling 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 Forrns\Building&Codes\Inspection Forms\Foundatton Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report ( a R\ Office No.(518)761-8256 Date J Queensbury Building&Code Enforcement Arrive: t r;..11-0 • .at \2:_tam4g7 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial r NAME: " 1Wa p PERMIT#: /3- c(94, LOCATION: A,.p l= INSPECT ON: //-/ `(3 TYPE OF STRUCTURE: Comments iffaktiria Footings -` N/A 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 inches ab000 ci 66 mil poly forve wetfareasting under slab BackfillTApproval c4.a!7f Plumbing Under Slab PVC/Cast/Copper Fouddation"Insulati.� , �. or R- \ rl—i� Baa "���lll... Rough Grade 6 inch drop within 10 ft. L:1BuIMing&Codes Forms\Buiiding&Codes\Inspection Fonns\Foundation Inspection Report doc Inst 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: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials}/ / NAME: (r(1 t.C.A"\ o LI/ I Qifirc‘Qit. PERMIT#: / 3"'`1'& LOCATION: R`j rn nA.,- INSPECT ON: j/ /a-j 3 TYPE OF STRUCTURE: g ; n Comments rI N/A Footings J 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 V Reinforcement in Place �^ 2,QkLc'S -- Footing Dowels or Keyway in place Y 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\Buliding&Codes\Inspection Fonns\Foundatlon Inspection Report doc S printed 12/20/2005 9:24:00 AM