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2008-122 TOWN OF QUEENSBURY c742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080122 Application Number. A20080122 Tax Map No: 523400-301-013-0001-090-001-0000 Permission is hereby granted to: KERRI B. MOSER For property located at: E WEST MT 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: KERRI B. MOSER 9 CRESTWOOD Dr Fireplace QUEENSBURY,NY 12804-0000 Garage Attached Single Family Dwelling $150,000.00 Total Value $150,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2008-122 1840 SQ FT SINGLE FAMILY DWELLING WITH 557 SQ FT GARAGE WITH 1 FIREPLACE $276.50 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,April 15,2009 (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 To o eens ,jd a pril 15, 2008 SIGNED BY ' for the Town of Queensbury. Director of Building&Code Enforcement _ OFFICE USE ONLY 3 % .it�� - - TAX MAP NO. P NQ. APR {y g � � M4`i� � © ���t� � FEES: PERMIT '�j RECREATIO A.L ENGINEERING i _________., ./ (If applicable) ,-: zt,l OF QUEENSE Y t ___ _ _______ „...� amp tdt3 Sr.CODES. PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANC OF A VAALIDPJERMIT FOR CONSTRUCTION. iz /,� APPLICANT/BUILDER: err/ ;/� /4 G'�(-r OWNER: ( 6'/r% ICJ. /�/�'_.S ADDRESS:9C �.e,54(1 '/ A i i 4 / JtiewADDRESS: PHONE NOS. i'/ /9i-,3 7 PHONE NOS. ,-Y,' L g jf y �/ CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: �'r1�1 /(�IOW PHONE: 5-- 46 713 LOCATION OF PROPERTY: Mi(//7rA 6/ t,. -/-91 / id,::i Ai/( '/ SUBDIVISION NAME: LifidC! i ' PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT zO cc dp I.... APPLY TO YOUR Z I=- cc p a a W "- co Lu PROJECT pi. 21-: ce -J O = 2 wCI W JU- i. LL W Q a (� U � C� zz C� I- I- O H rt W Z /Z Q Q - CO NCO Ou. I- LL d2 �s SINGLE FAMILY �/ 93(1 9 j/J / L'1W 77 TWO-FAMILY G/ MULTI-FAMILY (NO. of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED / 7 - `� I GARAGE(1,2,3) V // OTHER ,L 2 IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? 4 £ ARE THERE EASEMENTS ON PROPERTY? _-. 4G7 a? ,/C%r I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to th above. Signed /;/ `0 Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: 1404 '/-:://111 BUILD G :'CODES APirIVAL ZONING APPROVAL ►-. DA T DATE QUESTIONS? CALL 761-8256 OR EMAIL codesAqueensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.queensburv.net Operating Permit issued: Yes No tit) OFFICE USE ONLY .X MAP NO. PERMIT NO. PERMIT FEE APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT) A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER: l /^/k 11 • '�'= INSTALLER: ADDRESS: �` r, � `' „ ADDRESS: l '� PHONE NOS. 2I C 7 / . /�f PHONE NOS. LOCATION OF INSTALLATION: 1GC.1` / 7 9 : 5G*/ /J �l A/K57' //!t7/' 2TCi//7 RESIDENCE INFORMATION: YEAR BUILT j BEDROOMS } X j COMPUTATION= = TOTAL DAILY FLOW GARBAGE GRINDF , 1980 or older ; ; X 150 gallon per bedroom = INSTALLED? Di 1981 -1991 1 X ; 130 gallon per bedroom I = S OR HOT TU� INPAT ALSLED? /�'4`` 1992-present ; X 110 gallon per bedroom , _ 330 PARCEL INFORMATION: / ,/ TOPOGRAPHY: FLAT ROLLING `/ STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND '✓ LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? /f`A / ✓ DOMESTIC WATER SUPLY: MUNICIPAL \/ WELL (IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. ) ✓ PERCOLATION TEST: RATE IS /IN4 PER MIINUTE PER INCH (TEST TO BE COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub. ✓ SEPTIC TANK: / 5 GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH 4 FT. ✓ TOTAL SYSTEM LENGTH: ,m FT. SEEPAGE PIT(S): HOW MANY? ✓ SIZE OF EACH FT. X ✓ SIZE OF STONE TO BE USED: # ' /DEPTH OR THICKNESS / FT. ✓ BED SYSTEM SIZE: /5-- X ✓ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE ✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: /SIZE OF EACH ✓ GALLONS./TOTAL CAPACITY: GAL. NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any nArmit nr annrnval ("ranted which is based unon nr is nranted in reliance unon any material misrepresentation or A • Community Development Office Town of Queensbury • 742 Bay Road • Queensbury, New York•12804 • •David Hatin,Director of Building&Codes • '' Craig Brown,Zoning Administrator•Michael J.Palmer,Fire Marshal ! ; F APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building &Codes Office for the issuance of a Building&Use Permit pursuant to the New York State Fire Prevention &Building Code. The applicant or owner agrees to comply with all applicable laws,ordinances,regulations,and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. OWNER: Al"'"1 . , /2?o S f INSTALLER/BUILDER: r/c/ / . ��"!`' 1 ADDRESS: / l r t`�.5// z,(I C/ /)� ( ,/�G`` ADDRESS: 5�fi/ ? I/ (/2i PHONE NOS. ✓ / / ` PHONE NOS. /91-)7/ LOCATION OF PROPERTY:/n/// t 1 t /5 -/-5'I / SUBDIVISION NAME: /i11 41! /! ✓ ,/71-5 LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION:L L(1) /f�/G' /17�`tf� /ICG ✓v,/+ CONTACT PERSON FOR BUILDING CODES COMPLIANCE: i - -'i /7ti PHONE: 'S �/, F E ( C � ! € 4 Ft ) *Y tF J ( --- L k S Y r „,:. !,,-14 1 , E,E x +a..s....-.a _.,�. r..�.a a. za..-a Ywx.. ce.+« ;s ,.. �i�, 3STOVE FIREPLACE INSERT 1 11 FIREPLACE,FACTORY BUILT` FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. LISTED BY: NUMBER: QUESTIONS? AIL: � � 'riti� CALL 761-8205 or 761-8206 OR i :e c ha(Moueeens � firemars bury.net MASONRY** CHECK ONE /of VISIT OUR WEBSITE - _ ; �,,10„ j. € , FOR MORE INFORMATION www.aueensburv.net FLUE CHECK ONE ✓ e r Srw' .� =A,..>..,..,F .Av._ z _ ` vC_. E f y as,.a. .-. .�. ,I� g 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/0 MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. /vv r '#/i c �� ler. c,-,_/) - /6,_ PROJECT NAME: f/e f"/'I / C� CE USE ONLY STAFF INITIALS: OFFI DATE: BUILDING PERMIT SUBMISSION CHECKLIST FOR: SINGLE FAMILY DWELLING 1. Building Permit Application Completed? (YES NO N /A 2 Energy Form or CheckMate Energy Code Compliance Forms Complete (2-copies) 3 Energy Code Inspector's Report from Checkmate / i Program? ___..___... (2-copies) __.....___._..____._......_.._._......_.___. .. _. _.---- 4. Septic application completely filled out? V i (if applicable) 5. Electrical inspection Form complete? V 6. ' Two (2) sets of the plans each of the following: YtS NO i N /A a. Floor plans (s)? b. Foundation plan? / ! c. Cross sections (s)? / i I , d. Elevations? / I . e. Window and door schedule? N./ , f. Natural Light, Ventilation and Emergency Egress Requirements? r / 1 r I g. Plans signed and sealed by registered architect or 1 engineer? �._.,_......._.,..__...._._......_.._..._._.___.__.......1 _ .I Two (2) site plans showing location of the structure to be 7. built, location of well or water lines, location of septic system or sewer line? 8. Setbacks from property lines to new structure? t 8 Setbacks to neighboring wells and septic systems, I including onsite well and septic systems (if applicable)? ._ 9. Driveway Permit? ! Town of Queensbury • Comnmunity Development Office • 742 Bay Road, Queensbury, NY 12804 B 12-LTR 11-05 f , PROJECT NAME: OFFICE USE ONLY ; STAFF INITIALS: ', • , , BUILDING PERMIT SUBMISSION , DATE: , CHECKLIST FOR: ----- - -----, MULTIPLE DWELLING or COMMERCIAL PROJECTS 1. Building Permit Application Completed? YES NO N /A 2. Energy Form or CheckMate Energy Code Compliance • Forms Complete? (2-copies) __.__—.__ _ ____._____.____.____i_. 3 Energy Code Inspector's Report from Checkmate Program? (2-copies) • Septic application completely filled out? j i 4' (if applicable) 5. rt Electrical Inspection Form complete? 6. Two (2) sets of the plans each of the following: 1 YES NO N /A 1 a. Floor plans (s)? • b. Foundation plan? c. Cross sections (s)? • 1 d. Elevations? i e. Design loads including floor, snow load, and wind load? 1 f. Seismic design (required after January 2003)? �_1 __.._____ ______-_____ _.__ __._v.__ 1- ....A.. ___--._a g. Plans signed and sealed by registered architect or engineer? ___ • h. Window and door schedule? 1j Two (2) site plans showing location of the structure to be 7 . built, location of well or water lines, location of septic system or sewer line with all setbacks and separation distances shown, and all improvements to the property? I ' 8. ' Solid Fuel Burning or Gas Appliance Form (if applicable)? I , E 9. I Driveway Permit R Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 Check Residential Plan Review: One &Two Family Dwellings Y/N/N/A (2)Full sets of plans / Over 1,500 sq.ft.—Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf 50 Ground Snow Load Sleeping Areas and Attics 30 psf r Calculations: ✓/ indow Schedule With Glass Size Door Schedule/Main Entrance 36"Door mergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq. ft. de,5.0 sq. ft. 4"(h)x 20"(w)min. 44"Max.Height above floor esidential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofmg/Waterproofing Materials On Plans undation Drainage On Plans, if required 6"Drop in 10' Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where 6 / �_'*'��. Required / ce and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls 7 {� vv Platforms At Exterior Doors � V)RA / Stairway Headroom 6' 8'All Stairs 36"Width �( Stair Run and Rise Winder Run and Rise S ' al Not Allowed From 2nd Story 7 Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width, 36"min. 7 an More Than Four Risers On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas Y Garage Fire Separation ' Garage Floor Sloped Attic Access .,.) Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Outside Lowest Sleeping Area, On Every Level& Interconnected Soil Test Results, if required / Septic To Well Or Water Line Separation All Paperwork Signed sit 46. %-vrimpi4.11.14,y uvwctuprrtent ujpce own of Queensbury • 742 Bay Road Queensbury, New York .12804 David Hatin, Director of Building&Codes Craig Brown, Zoning Administrator BUILDING PERMIT CALCULATION SHEET: NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS REQUIRED ACTUAL ACTUAL LIGHT REQUIRED SQUARE FOOT HABITABLE ROOM SQUARE FEET HROOM SQUARE VENTILATION-4% VENTILATION OPENING FOR REMARKS FOOTAGE OF ROOM AREA SQUARE FO EGRESS AREA OTAGE \`1 CCIUESTIONS? CALL 761-8256 OR EMAIL codesesaueensburv.net r\ VISIT OUR WEBSITE FOR MORE INFORMATION www.auensburv.net I B 10-LTR 11-20 own of Queensbury• 742 Bay Road • Queensbury, New York .12804 .44. //yj•David Hatin,Director of Building&Codes .5 Craig Brown,Zoning Administrator WINDOW SCHEDULE JOB SITE/ADDRESS: 7/ . 5/ /7% %/ Z L // DATE: '4 j S- OWNER: ; r%''% /"7/ 15 APPLICATION NO.: UNIT OR CLEAR WINDOW- WINDOW STOCK ROUGH ROUGH SQ.FT. CLEAR OPENING NO.OR WINDOW SQ.FT. OPENING SPECIAL HARDWARE OR MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHT LETTER NAME MODEL/TYPE CALL WIDTH HEIGHT VENT OPENING WIDTH IN IN INSTRUCTIONS ON PLAN INCHES SIZE INCHES f q\, B 26-LTR 11-05 4 -/ k /icc4- . . , Queensbury Building & Code Enforcement - Residential Fir l Inspection Office No. (518)761-8256 Arrive: C� Vi m/ epart: am/pm pe Date Inspection request received: ins cto Initials: L � NAME: A ' �� PERMIT#: )---- /2 LOCATION: 2_, tic'.s !1, rj DATE: / Z 4°✓ 0:r,. TYPE OF STRUCTURE: Comments: Yes No N/A 4" Building Number Address visible from road e.r\far "-u.- C' , r-i- Chimney Height/"B Vent/Direct Vent Location Fresh Air Intake _ j` i I,, 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete - f% Platform at all exterior doors 7 (�, --_ z , Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate _ Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: inter Connected: Battery backup: 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 sg.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/insulation Certification _ Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site / pif Furnace shut-off at entrance to furnace area / ,/F mace/Hot Water Heater operating (� `0 `> ow water shut-off boiler L d4.A/ — i< v/i Relief Valve(s)installed/Heat Trap/Water Temp 110 �1��vC �L/��� e)�4i l Enclosed Stairs Sheetrock Underside minimum /i Gypsum d Basement stairs closed rise>4 inches G rage Floor Pitched arage fireproofing/'/.hour fire door/door closer Duct work Sealed pr pperly - Gas Logs in Sealed or Glass Enclosure / Final Electrical / inal Survey Plot Plan /'' VFrc Fault Breaker in Bedrooms lex Gas Pipe Bonding As Built Septic System/Sewer Dept. inspection Sticker ' Site Plan /Variance required ,,' Flood Plain Certification,if required /' Okay to issue C/C or C/O[Temporary/Permanent] V L:1Building&Codes Forms\Building&Codes\lnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 Queensbury Building & Code Enforcement -_.Residential Final Inspection Office No. (518)761-8256 Arrive: I - am/p art: am/pm Date Inspection request received: Inspecto 's Initials: f J NAME: 0J,/,i61? PERMIT#: LOCATION: 14J . r ,2. DATE: TYPE OF STRUCTURE: Comments Yes 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 ej2f Guard at deck,porches 36 inches or more N LPG Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches O /G 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: 4/)(14 - Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: f � Carbon Monoxide Detectors/, ��7 411 Attic access 30 inches x 22 inches x 30 inches(height)in accessible area f Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation 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 Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum Y2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/e hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc DEC-22-2008 10:12A FROM:NEW YORK FIRE & SECU 5187925199 TO:7454437 P.2 # u NEW YORK FIRE & SECURITY CORP. 4 Glens Falls Technical Park Glens Falls N.Y. 12801 (518) 798-9551 - (518) 792-5199 fax 22 December 2008 Queensbury Building and Codes Department Re: Account of Kern Moser Letter of Certification This is to certify that the residence of Kern Moser located at 9 Crestwood Drive, Queensbury, NY 12804 has a fire and security alarm system installed. The system consists of a hard wired Fire and Security Alarm panel with a backup battery, smoke detectors, heat detectors, carbon monoxide detectors, low temperature detector, window contacts, motion detectors, and an interior siren The system is currently set up for a local alarm only and meets all requirements of New York State and Town of Queensbury Code building code requirements for a fire alarm system. For any questions or concerns please contact me at 518-798-9551. Thank • _ ,roy(___________________—__ John . r ickinson Ill Service Manager Page 1 --)/' /140t...‹- �-- Queensbury Building & Code Enf cement - Residential Final Inspection - P Office No. (518) 761-8256 Arrive: t am/pm \`.Depart: am/pm Date Inspection request received: Inspectors Initials: ,r NAME: G 5E1� /) PERMIT#: 69 _ /22 LOCATION: C-? /J I /1. DATE: /' — _ce TYPE OF STRUCTURE: 2 .'�_j Comments: No NIA 4" Building Number Address visible from road \/ Chimney Height 1"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 it- Handrail 4 or more risers ,J j� Guards at stairs,decks,patios more than 30 inches above grade ,/� Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch dearance to sill plate _ r Gas Valve shut-off exposed/regulator 18 inches above grade 1/J Interior privacy/trim I 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: r-Y )0..)z:,(-14-Ca-42` Outside every bedroom area: PROV t Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area C"K Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures J /��C�ti�l"� nil Foundation insulation/Insulation Certification _ Floor truss,draft stopping finished basement 1,000 sq.ft. / eoge&cf 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 / �r�;>�' ;�� u C j(�l Fumace/Hot Water Heater operating / / V/"f 1 Low water shut-off boiler j ✓✓ I Relief Valve(s)installed I Heat Trap/Water Temp 110 , /1/ l'J 7I4-tt°' -'' '�', it/i)l Enclosed Stairs Sheetrock Underside minimum IA"Gypsum / Basement stairs dosed rise>4 inches /7 Garage Floor Pitched �(� Garage fireproofing/V4 hour fire door/door closer Duct work Sealed prope y 46 17�vuoi FinalLogs in Sealed I Z as� r�c�osure� " Final Electrical I ' (_1i `� 1 _ r � Final Survey Plot Pla � Arc Fault Breaker in Bedrooms 1�£6�r" �� . Flex Gas Pipe Bonding << ‘.!,,,,i7 CO(k<--- i As Built Septic System/Sewer Dept. Inspection Sticker O(t Site Plan /Variance required .e Flood Plain Certification,if required /r '� fab� �" Okay to issue C/C or C/0[Temporary/Permanent I A, r r P .. 4/4 L. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: I J- =Q(S NAME: LOCATION: 5-5 Cs/ f'I`t 7>,/. Tes.y/ PERMIT#: Q /2Z 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 Town,Zoning Administrator Notes: L:\SueHemingway\Building.Codes.inspection.FORMS\Final Survey Zoning Administrator.doc DEED REFERENCES 1 LAND 0' PINES DEVELOPMENT, INC. TO FREDERICK & JOAN WHEELER DATED OCTOBER 22, 1982 IN DEED BOOK 649 AT PAGE 976 2 FREDERICK & JOAN WHEELER TO FREDERICK & JOAN WHEELER DATED JULY 14, 2606 IN DEED BOOK 2987 PAGE 87 LOT 65 SECTION 4 LAND O'PINE5 MAP REFERENCE MAP OF SECTION 4 OF LAND 0' PINES IRF DATED JULY 8, 1982 BY COULTER & McCORMACK �► SECTION 5 s LAND 0' PINES �8 o � O Rq/Nq�F N D` gyp' 4SFMFNT IRF / U C13 C ` ED STON£ � rn IRF DEED REF. I REVISED LOT 64 0 SECTION 4 LAND O'PINE5 � \\ 26,272.52 sq. ft. � 0.60 acres = IPF ^ ( �j T43.g' CONC. MON. DEED REF.z 263" N co 57T - NOV 06 2008 SHED -� -` IRF I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS LEGEND: FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR SECTION 2 BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. LAND 0' PINES IPF = IRON PIPE FOUND CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. IRF = IRON ROD FOUND CERTIFIED TO: KERRI MOSER, 0 = CONCRETE MONUMENT N6T;-BANKLSSORi_N A! I 1�S;SUCCE ,S A��/OR ASSIGNS �= UTILITY POLE CHib fAGO TITLE IN`8URANCE COMPANY �, = METAL FENCE LINE = FIRE HYDRANT r' c. I +; f —I IPF IPF CERTIFIED BY•' _ _- ATTHEW.C STEVES,,LI:S NYS 50135 DATED: AUGUST; .18 Date, MAY 24, 2007 "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for Scale 1'=30' VIOLATION OF SECTION 7209.SUB-DIVISION 2.OF THE NEW YORK STATE EDUCATION LAW." S ONLY COPIES FROM THE ORIGINALOF THIS SURVEY MARKED WITH AN ORIGINAL OF THEHELAND SURVEYORS SEAL SHALL BE CONSIDERED TOBE D TRUE COPIES.' KE R R I M 0 S E R 'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN IN ACCORDANCE DANCE N11H THE Land S u r tiT e y o r S EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW PORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS.SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND �� ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL m AGENCY AND LENDING INSTITUITION LISTED HEREON,AND Town of /Queensbur Warren County, New York 169 Haviland Road Queensbu.ry, New York 12804 TO THE ASSIGNEES OF THE LENDING INSTITUTION." y' 1 8118108 HOUSE LOCATION MOSER C-1995 (518) 792-8474 New York Lie. No. 50135 1 1NO. DATE DESCRIPTION DWG. NO. 07073 - 3 pf\---- Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Ins 'U n request received: (U)a-a--(0 Queensbury Building &Code Enforcement Arrive: am/prfi art: am/pm 742 BayRoad, Queensbury, NY 12804 lnspe�c,for's Initials: NAME: KPERMIT #: )S,Ca-01 )-D- LOCATION: INSPECT ON: t 01 (4) TYPE OF STRUCTURE: -7DJ it e/s - Y N NIA, Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 YZ 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 co for 15 minutes Pressure Test Water Supply Piping (J.4 Air/Head �n •r 15 minutesK Residential Che /Commer 'al Check l = or Similar Exterior t Proper Vent, Attic Vent Door I Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 qii A Rough Plumbing I insulation InspeC • n Report Office No. (518) 761-8256 Date Inspection a«- ed: Queensbury Building &Code Enforcement Arrive: 1,.._I ,- �•art: b 4 min p.._ 742 Bay Road, Queensbury, NY 12804 Inspector's In NAME: 14° S ?f PERMIT,• : �' /?a _. LOCATION: 53 2 . iksJ f1H- INSPEC ON: TYPE OF STRUCTURE: Y N N/A ] Rough Plumbing/Nail Plates Plumbing Vent I Vents in Place 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 Ai d ! 0 P. I f r 15 minutes Insulation/ esidential Check/Commercial Check Tyve imilar Exterior Sealant l 7�2 F Proper Vent, Attic Vent ` AR ,� Door/Window Sealed (No Insulation) ,/� Tb f Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: -7416 -,f37 Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 /- tr -f- Rough Plumbing l Insulation lnspef tion Report Office No. (518) 761-8256 Date Inspecti equ . ived: Queensbury Building &Code Enforcement Arrive: V e am/•y�j�j ! •art: : 1 ) a 742 Bay Road, Queensbury, NY 12804 Inspector's nitials Ar i NAME: [I4ocrPERM #: 10 1' /22_ ,. LOCATION: 5$ 2 . 7 ffi71 4 INS"' CT ON: /o-2P-0S" . IPE OF STRUCTURE: Z' \ 01 m Y N/A ' �Plumbin nt ace 1 'A inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction Pressure Test Drain I 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 Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: t3:2) r'-‘1- 41;??-\Z*G‘' 'KVYVZ‘ Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: ' / NAME: d p • PERMIT NO.: LOCATION: T ��"c t,4)O INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft, Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone _ Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y/ N/ Partial End Cap Inlet/Outlet Pipes&Baffles _.__..Y N Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan N UtC--1 C� r1 Cj• - Engineer Report and As-Built .Y NAej,- Location of System on Property: Front Rear Left Side Right Side Middle Fron Middle Rear m • Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Last revised 021006 Last revised 1/6/05 • 0 0 ---. 6-1-› bAt/ j_ [J, S. t re I itt 6r0 ff uitt • /- 3 ) T Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Ins ec#I,on request received: Queensbury Building & Code Enforcement Arrive: ��- 'v am/p f�tepart: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: M' NAME: C vtr PERMIT #: LOCATION: 5c . 1,,, /#4 INSPECT ON: ak TYPE OF STRUCTURE: Y N NIA Rou h Plumbin Nail Plates (D.m ent/Vents in Place (4,3 9 ce 1 %2 inch minimum Drain Size ! C2 Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction j t_c„ r� I Pressure Test Drain I 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 Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly I No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 8 - t c fift.. Town of Queensbury Fire Marshal 742 Bay Road 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 ecifications is allowed Permit#Og— l 47 Schedule Inspection �.t� Time i pm anytime lira NamePkij ),,a13—LAddress iL3 4 I 1 R_1,_____ Rough In Final_,_ A fiance Mann cturer. \^,�J\N pp _ . "�TIL. Model# �� Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated ~ _ Yes No N/A Comments Floor Protection / -~"` Clearances to Combustibles (all sides) V Firestop(s) Vertical Chase„_ Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve / Combustion Air ✓ Hearth Extension (if any) / . t vi Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Bsd4iing Dept _____.___________�. .._ Yellow—Customer ' Pink Fire Marshal 761e7..SL/9A/ Framing f Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart:_am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:e kti) NAME: I^ C PERMIT it: LOCATION: �� we S J�._ INSPECT ON: f - TYPE OF STRUCTURE: S5F1) Y N wA COMMENTS: Framing Access 22" x 30" minimum Jack Studs/Headers l Bracing/Bridging 14 Joist hangers +t/ Jack Posts/Main Beams V Exterior sheeting nailed properly 12" O.C. --� Headroom 6 ft. 8 in. Stairwells 36 in. or more ✓ ROTht-)g-Or") � Exterior Deck Bracing M� gr2 Headroom 6 ft. 8 in. t =� Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side' inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\Building&Codes Fortes-OLDBBui ding&CodesUaspection Fomu\Framing Firestopping Inspection Report.doc Revised January 7,2008 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm epart: ` am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:e„,„ �l NAME: it:; z/( — PERMIT NO.: Z 45 2.Z LOCATION: ccZ-- 1 1) INSPECT ON: _ .J)- (58 RECHECK: Comments and/or diagram Soil Type: Sand / Loam / Clay Type of Water: Municipal/ Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + / - Y N N/A Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. ' i' CIC4-9 Size of Stone Seepage Pits: Number Size: x1/1 -5 v Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y N End Cap �Y N Iniet/Outlet Pipes&Baffles ^Y N Location/ Separations Foundation to tank ft. Foundation to absorption Separation of Pits ft. Conforms as per Pl. 'lan _ !N Engineer Report an. -Bui ► _N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear Sys em • Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc 03Yr' fr' O 64 3 ce Gy r ;-*Iravaimemilivr. tcdiih Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart:S am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:61,49 NAME: //105eC— PERMIT#: LOCATION: c7 . 1_cam ►`o INSPECT ON: TYPE OF STRUCTURE: 4S/11) Y N NIA COMMENTS: Framing Attic Access 22" x 30" minimum Jack Studs I Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/z(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses 6 . less on center ce and water shi 24 inches from wall on 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%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 I below grade 5.0 sf grade L:\Building&Codes Forms-OLD\suiiding&Codes\Inspedion FormsTraming Firestopping Inspection Reportdoc Revised January 7,2008 &tffx ,fol ` o'l l0-1a-,,. Framing / Firestopping Inspection Report z Office No. (518)761-8256 Date Inspection request received: 0 Queensbury Building&Code Enforcement Arrive: am/• Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .. 1 NAME: " t Jf PERMIT#: LOCATION: S `I) INSPECT ON: p TYPE OF STRUCTURE:...___ Y N WA COMMENTS: Fr ing cc.)" A c Access 22"x 30" minimu Jack Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour r2,p*(41°E- Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:1Building&Codes Forms-OLD\Building&Codes\inspedion Fo m&J raming Firestopping Inspection Repott.doc Revised January 7,2008 . _ , t . •-',.?-ri- Se tic Inspection Report C (oTOi____i,2f41,1'"--- M � i� Office No. (518) 761-8256 Date InspectionU tic/ Queensbury Building&Code Enforcement Arrive: . (t. 1- .•rt: aMirri'i'!Quee ry 742 Bay Rd., Queensbury, NY 12804 Inspector's initi• : NAME: +"t 0 ) -- '" 'MIT NO.: LOCATION: W t'ST ,MT 17..ev NSPECT ON: 1/1 l/� RECHECK: ` Comments and/or diagram Soil Type:ep •.m/ Clay i Type of Wa -r: Municipal/ Well Water 0.) , Waterline separation distance © ---- ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length -i•-OO ft. Length of each trench Vi 6. tuft. Depth of trenches ft. Size of Stone ?-- Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank 1-All '-'Its Tank to Distribution Box L '1 �G Distribution Box . el• / Pit Ll a` V�� x h W- Opening Seal-. / Partial End Cap tInlet/Outlet Pipes&Baffles N Location/Separations Foundation to tank 1 I __ ft. Foundation to absorption "7, ft. Separation of Pits -7 OE_E_Tc). —v` --_- Conforms as per Plot Plan __Y C Engineer Report and As-Built ____Y Location of System on Property: Front R-• Left Side ght Side Middle Front Middle Rear ���� S V, a� tLL- Approved Partial Approved a to , p • • & Disapproved Last revised 021006 Last revised 1/6/05 Foundation Inspection Report Office No.(518)761-8256 Date Inspection • -iv=• Queensbury Building&Code Enforcement Arrive: s � %epart: = 're. • 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial NAME: N1®be-c P• ' I #: c6.-c 2Z LOCATION: Mom:.\ A‘n1 2) I SPECT ON: —1 0'6 TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footin_ 1• . • • ay in place oundation Dampproo • s : ;on Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing ter/ 6 mil for wet areas under slab if Approv. ' um mg 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 Reportdoc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Ins• tion • - « i • ( j 04 Queensbury Building&Code Enforcement Arrive: 11 I.Art, epart: Q�. • • 742 Bay Rd.,Queensbury,NY 12804 Inspector's Intl: NAME: M RMIT#: LOCATION: War 1 INSPECT ON: ( 3Q Q TYPE OF STRUCTURE: E� 1) C` fr 0 )\) ' itaconnts - � 1. 134-9o, Y ,� N NJA Footings \// Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 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 , Permit# Permit Date REScheck Software Version 3.7.3 0 Compliance Certificate F 11 P CIN.npy Project Title: New Residence Report Date:03/14/08 Data filename:Y:\Moser-Kem\Colonial Model\CONSTRUCTION DWGS\Moser.rck Energy Code: New York State Energy Conservation Construction Code Location: Warren County,New York Construction Type: Detached I or Family Heating Type: Non-Electric Glazing Area Percentage: 13% Heating Degree Days: 7635 Construction Site: Owner/Agent: Designer/Contractor: West Mountain Road Kerri Moser Ethan P.Hall Queensbury,NY 12804 Morgan Management Rucinski Hall Architecture 509 Queensbury Ave 627 Maple Ave Queensbury,NY 12804 Saratoga Springs,NY 12866 518-796-3437 518-580-1905 ogmoser@aol.com ephall@nycap.rr.corn Compliance:Passes Maximum UA:376 Your Home UA:301 -->19.9% Better Than Code(UA) Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or Door Perimeter U-Factor Ceiling 1:Raised or Energy Truss: 584 38.0 0.0 15 Ceiling 2:Raised or Energy Truss: 346 30.0 0.0 11 Wall 1:Wood Frame,16"o.c.: 976 21.0 0.0 49 Window 1:Wood Frame:Double Pane with Low-E: 118 0.350 41 Walt 2:Wood Frame,16"o.c.: 1098 21.0 0.0 52 Window 2:Wood Frame:Double Pane with Low-E: 115 0.350 40 Door 1:Glass: 40 0.370 15 Door 2:Solid: 20 0.300 6 Door 3:Solid: 18 0.300 5 Basement Wall 1:Solid Concrete or Masonry: 795 0.0 10.0 67 Furnace 1:Forced Hot Air:91 AFUE Air Conditioner 1:Electric Central Air:13 SEER 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 be • his/her • I,. . jef,and professional judgment,such plans or specifications are in compliance with this Code. A > -/ =tau /4 /€.2 Builde .esigner �4 ,'company Name Date New Residence Page 1 of 4 REScheck Software Version 3.7..3 Inspect Date:03/14/08 Ceilings: ❑ Ceiling 1:Raised or Energy Truss,R-38.0 cavity insulation Comments: ❑ Ceiling 2:Raised or Energy Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 2:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: Basement Walls: U Basement Wall 1:Solid Concrete or Masonry,7.9'ht/6.0'bg/5.0'insul,R-10.0 continuous insulation Comments: Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade) insulation and extends at least 6 in.below grade. Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No comments: U Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Glass,U-factor:0.370 comments: ❑ Door 2:Solid,U-factor:0.300 Comments: ❑ Door 3:Solid,U-factor:0.300 Comments: Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air:91 AFUE or higher Make and Model Number: ❑ Air Conditioner 1:Electric Central Air:13 SEER 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.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. New Residence Page 2 of 4 Vapor Retarder: ❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be installed in accordance with the manufacturer's installation instructions. IJ 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: ❑ 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 181 B_ Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). U The HVAC system must provide a means for balancing air and water systems. Temperature Controls: ❑ Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the 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 a circulating system. U 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: U All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. New Residence Page 3 of 4 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature(°F) Up to 1" Up 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 1.5 100-139 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Insulation Thickness in Inches by Pipe Sizes Fluid Temp. Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating 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 and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) New Residence Page 4 of 4