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2008-483 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20080483 Date Issued: Thursday, August 06, 2009 This is to certify that work requested to be done as shown by Permit Number P20080483 has been completed. Location: 43 MASON Rd Tax Map Number: 523400-226-016-0001-017-000-0000 Owner: MARK & PAMELA KELLY Applicant: MARK & PAMELA KELLY This structure may be occupied as a: Garage Attached By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the o Direc wilding&C n ement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080483 Application Number. A20080483 Tax Map No: 523400-226-016-0001-017-000-0000 Permission is hereby granted to: MARK& PAMELA KELLY For property located at: 43 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: MARK& PAMELA KELLY 55 WEST Rd Garage Attached EASTON, CT 06612-0000 Single Family Dwelling $475,000.00 Total Value $475,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2008-483 $359.68 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, October 06, 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�6o eensy�T, � vn ctober 06, 2008 SIGNED BY �--�` �' � for the Town of Queensbury. Director of Building&Code Enforcement US ., .......... _..... , OFFICE .f ONLY ; TAX MAP NO. �/�y�V PERMIT NO. ; ` I / FEES: PERMI RECREATION ENGINEERING 10 (If applicable) .... PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: � h31L� � OWNER: ADDRESS: "/ �� d • � ADDRESS: ZSS-l6(01 6me, PHONE NOS.U j- 251-4011 Galt. PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: I�� LS PHONE: 6' .t - LOCATION OF PROPERTY: SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT Z APPLY TO YOUR z p a C'1 0 U_ 07 PROJECT O 00 H 0 w J 0 t- w F- o Z z ¢ Q �- W Na OU uu_� aM _ 06 SINGLE FAMILY i /1 � � � C 201-0, 1 li TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) J OTHER ;�ry>L A ' � 4 IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST:�4151 WO,&0 FUEL TYPE: P kM14(Tj HEAT TYPE: �" �'� � cw MANY FIREPLACE(S): AND/OR WOODSTOVES(S): C> ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? © IS THIS A HISTORIC SITE? t40 PROPOSED USE OF BUILDING OR ADDITION: f t yCock, *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL 11-05 AOaW �f;�e, Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? IV Q ARE THERE EASEMENTS ON PROPERTY? � 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, 1 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 faciliti s p for to issuance of a certificate of occupancy. I have rea d a r e h above. Signed 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 described10 o Applicant to erect or alter the building ; herein is found to be in accordance with the described herein in accordance with said ; zoning Laws of the Town of Queensbury. Application: BUILDING & CODES APPROVAL ZONING APPROVAL , DATE 0, DATE ..._.� QUESTIONS? CALL 761.8256 OR EMAIL codesVI-gueensburv.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.gueensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbu►-1y - Community Development Office - 742 Bay Road, Queensburj, NY 12804 For an EPA homeowner's guide: httr):/Zwww.epa.gov/npdesZoubs/­`homeowner guide long customize pdf xxxxxxxxxxxxxxxxsxxxxxxx- ----- USE ONLYxxxxxxxxxxssxxxxxxxxxxxxs xxxxxx xx xxxxxxxx0 OFFICE o TAX MAP NO. PERMIT NO. ,1; ' P�RMIT FEE APPROVALS: ZONING TOWN CLERK f g ! x x x x x x s s s x !x ssrxsssssxasxxssxsssrxxxxsssxsxxxxxxxxxxsssxxxxxxxxsxsxrsx fxxxxx+xxxxssxxxxxxxss/ 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: M /fit zv, KE1_Ly INSTALLER: TDI) ADDRESS: �� VV t— c�� �1 ADDRESS: ot•r� � o Col � PHONE NOS. PHONE NOS. LOCATION OF INSTALLATION: RESIDENCE YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW INFORMATION: BEDROOMS 1980 or older 0 X 150 gallon per bedroom = 0 GARBAGE GRINDER 1981 -1991 0 X 130 gallon per bedroom = 0 INSTALLED?,NeS 1992-present X 110 gallon per bedroom = '5 5 0 SPA OR HOT TUB INSTALLED?— PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE SLOPE_ ✓ SOIL NATURE: SAND LOAM CLAY OTHER ►� 1 ✓ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? >�� ✓ DOMESTIC WATER SUPLY: GiExw—Ca.F, MUNICIPAL WELL (If well:water supply from any septic system absorption is:( ft) ✓ PERCOLATION TEST: RATE IS 5"18 PER MIINUTE PER INCH(TEST TO BE COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE: -7060GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: ❑ABSORPTION FIELD (WITH NO. 2 STONE) Total length ft. Each trench X ❑SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? ALTERNATIVE SYSTEM Bed or other type? fit.... et4-112�� -5 L,ArTEIiZAL--5-y1N LJ HOLDING TANK SYSTEM Total required capacity? Tank size? . Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree CALL 761-8256 OR EMAILto abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. (:QUESTIONS T OUR FOR MORE INFORMATIONueensburv.net �E-�N Ignature of Person Responsible Date Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804. 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 8,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: it INSTALLER/BUILDER: pf�tv(2 ADDRESS: ADDRESS: PHONE NOS. 2G zl Z9!1 4011 ✓Y�^`CfA.V PHONE NOS. LOCATION OF PROPERTY: , Id ho 1 I�'`6U8DIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 1�I Y�ll�i -awe CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE: ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT* �aJ FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. LISTED BY: NUMBER: QUESTIONS? CALL 761.8205 or 7614206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: remarsI:aI rr Lam= `r MASONRY** CHECK ONE ✓ VISIT OUR WESSITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES 'LNFVwcluet FLUE CHECK ONE ✓ 70 DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY WALL LINER 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. Permit Number (town use) / - Town of Queens b u ry--_ Application for Stormwater Management Permit Under Chapter 147,Stormwater Management, LL 4-99 THIS APPLICATION IS FOR A_ ❑Major Project Minor Project 9. OWNER INDIVIDUAL OPARTNERSHIP []ASSOCIATION 1]CORPORATION (I MUNICIPALITY. Q:AGENCY NAME M A ZK 1/E L_ -y PHONE 3 2-57--A-1 O-7 I MAILING ADDRESS \4q F- {- CITY E�+�Tp hl STATE GT ZIP CODE Z AGEI IT` (J SAI1rIE AS OWNER .0-CONTRACTOR Q ATTORNIr�( GONStJLTAt f 0 CONTACT PER-SfJN.. �iV�!l'12d1�1h'lE'�['fi4 NAME MAG 'i�-of - E Tit 1�t-�v� PHONE -T -pRv17 MAILING ADDRESS E>P CITY �� �"���� STATE ZIP CODE 1 Z 3 �011 []SAME:A9, NAME PHONE MAILING ADDRESS CITY STATE ZIP CODE 4. f'fQJE `LC�4'Ci ! FACILITY NAME(if not residential) SECTION aa�_i BLOCK LOT 17 _ STREET 3 M A-,7du �aA� ZONING CLASSIFICATION PROPERTY IS PRESENTLY wR L_A 0 VACANT ❑PARTIALLY DEVELOPED )(DEVELOPED&OCCUPIED IS PROPERTY PART OF A SUBDIVISION? VtJo, p Yes, name of subdivision S' PROJECT D1= RIPTlflN PROJECT }-AM I LLB PROJECT INVOLVES: ❑Earthwork/Landscaping p Tree Clearing `House Construction or Addition Driveway Construction p Garage Construction p Detached Structure Septic System ❑Modification of a Stormwater Device Q Other L:\CRAIG\TEMPLATESISTWATAPPSITOWN STORMWATER APPL.DOC 11/2000 Page 1 of 3 I PkUNUS!~[U USE iJ Kesidential (seasonal) Residential (year-round) Q Association Q Public Q Commercial PROPOSED STARTING DATE _ ©S PROPOSED COMPLETION DATE q-©q ___ .. . DESCRIBE THE MM-M SLOPE OF THE PROPERTY IN THE PROJECT AREA!-- - 0 0-5/o (Level) 5-10/o (Gradual slope) p 10-15/o (Moderate slope) ❑Greater than 15% (Steep Slope) IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED? 0 Yes Vo (if yes,please explain) 6. CALCULATIONS & CONTROLS TOTAL AREA OF PROPERTY ACRES jocircle one) TOTAL AREA OF LAND DISTURBANCE: "7,7 00 FT2(do not include area of stormwater controls) TOTAL AREA OF NEWLY CREATED IMPERVIOUS SURFACE:-, O 80 FT2 TOTAL VOLUME OF STORMWATER TO BE CONTROLLED: (see(see instructions) TYPE OF STORMWATER CONTROL MEASURES TO BE USED: HAS AN EROSION CONTROL PLAN BEEN PREPARED? XYes, plan is attached p No If no, please contact your County Soil&Water Conservation District for assistance: Warren County 623-3119 7 SITE.1NSPECT ON — - During the processing of this application-town personnel may need to visit this site-for the purpose of inspecting;------- measuring and/or photographing site conditions. 1 authorize town personnel to conduct such a site inspection- yes) o I wish to be contacted prior to any site inspection A no 8 GEI TIFI A ION: I hereby affirm that the information on this form and all attachments submitted herewith is true to the best of my knowledge and belief. As a condition to the issuance of a permit, the applicant accepts full legal responsibility for all damage,direct and indirect, or whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the town from suits, actions, damages and costs of every name and-descnption-resulting-#ten-the--sa' - - - -- SIGNATURE OF OWNER DATE SIGNATURE OF AGE DATE _ LapplicationPerimnits ITH THIS o.A.M e location map ject plate on 8'l2 X 1 ! sae p p r-(S�: snit 4 yoptes ®f Anyplans larger than me and legal mal an add l ses of--ycu-air leirs of the p.,ronorfy a-4hment A,&r major pro' ds vniy). rr»virater:Control deport(ior rnaj:or pirojects--Qn . ironmental Assessment:Form (for major projects only) e any one of the required_ items will result in an incomplete notice and delay in processing your rmits and approvals may be required from other agencies. for town use only Page 2 Of 3 0CRAIGITEMPLATEaSTWATAPPS\TOWN STORMWATER APPL.DOC 11/2000 i he project is approved as shown on the attached approved plans and subject to the conditions listed on the attached Schedule A. Approved by on Permit E)pires Zoning Administrator Date CONDITIONS OF APPROVAL ATTACHMENT A to Stormwater Management Permit Application Parts or applrovals=l" WO 4tlar r ge Agency Permit or Approval Date Applied Date Issued Ad)oi 'rNtg P-aprty Cnc�n� s •Lrst ail par�eis wi#hiCi�g�ft:,. _ Tax Parcel Number Name Mailing Address LACRAIGUEMPLATESISTWATAPPaTOWN STORMWATER APPL.DOC 11/2000 Page 3 of 3 ------------------------------ OFFICE USE ONLY PROJECT NAME: _ STAFF INITIALS: DATE: BUILDING PERMIT SUBMISSION CHECKLIST FOR: ____________________________________: SINGLE FAMILY DWELLING 1. Building Permit Application Completed? YES NO N /A .... .y.. ...._.. ..._............ _......... .........._.._.. ......... ...__..... __ ._ ..... .._......... 2 ! Energy Form or CheckMate Energy Code Compliance 7 Forms Complete? (2-copies) . .......... ........ . . ..;......................._.......... . _ 3 Energy Code Inspector's Report from Checkmate J Program? (2-copies) ___.__ ...... _ 4 ! Septic application completely filled out? __._..._.._!._.(if applicable)_........ 5. Electrical Inspection Form complete? _ ........_.... _ .. .. _ ......................... ...... --._._................................ .... _ 6. Two (2) sets of the plans each of the following: YE NO N /A a. Floor plans (s)? U b. Foundation plan? t0 c. Cross sections (s)? :...... ........_.... ............. ............... ........_.. -- d. Elevations? Lj e. Window and door schedule? __ . _.._--._._ ----_. _.---- _.__.. __.__ -- f. Natural Light, Ventilation and Emergency Egress ;. ;.._Requirements? - - ....... - _ _ ........ ........ _. _... __ ....... .. - --._ .. . Y ._._ . ...._. _.. g. Plans signed and sealed by registered architect or engineer?ineer? ! (:......_.__._._._..1__....._...._g__._.__...- ._..__......_.._..._,.. --._........ .__....._..---_....._._..._.._...._._..---..._..---__---...................._........._.....__....._._..__ _.............._..........._..._........._............_...........__.._._............._....._.... ............-, Two (2) site plans showing location of the structure to be 7. built, location of well or water lines, location of septic I/ s stem or sewer line? _._._. .............Y_________._..___.___.._.__.__.._...._____.____._.._..._.__.._ ... ..__ ..._......... . ......... ._...... .......................... 8. 1 Setbacks from property lines to new structure? iI .._........................ _._..._...._r--._._...._......--___-_.._.-__...-._.-..__._..__.-.._.__.._.... ._.__.._..._._..__..... -._._._._._...---..........................................................................._-..._.............-.............._................ 8. Setbacks to neighboring wells and septic systems, including onsite well and septic systems (if applicable)? _ . 9. Driveway Permit? ...... . -..- ......................_ _...................._........_ ._.._ ....... . .. ._.__ .. .. __ ............... ......... . __.._._.- .__. Town of Queensbury • Community Development Office. • 742 Bay Road, Queensbury, NY 12804 B 12-LTR 11-05 i Check Residential Plan Review: One& Two Family Dwellings YIN/N/A 2)Full sets of plans VV 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 Calculations: indow Schedule With Glass Size D or Schedule/Main Entrance 36"Door mergency Escape Or Bedrooms and Habitable Space Above/Below grade, 5.7 sq. ft. Grade,5.0 sq. ft. "(h)x 20"(w)min. 44"Max.Height above floor V'Vesidential Check Paperwork Compliance and Inspectors Checklist: OK VI.Pampproofing/Waterproofing Materials On Plans oundation Drainage On Plans,if required 6" rop in 10' Exterior Grade , raming Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where YRequired Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors S ' ay Headroom 6' 8' All Stairs 36"Width Stair Run and Rise Winder Run and Rise u-al Not Allowed From 2d Story !� Smoke Detectors Battery Backup and Proper Location Ba oom Fixtures Proper Clearance all Width, 36"min. /Handrails 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 arage Fire Separation Garage Floor Sloped is Access of over 30"—22"x 30"/Crawl Spaces 18"x 24"Access OVilar on Monoxide Detector Outside Lowest Sleeping Area, On Every Level& erconnected oil Test Results, if required Septic To Well Or Water Line Separation All Paperwork Signed Septic Inspection Report Office No. (518) 761-8256 Date Inspection rgquest received: Queensbury Building &Code Enforcement Arrive: am/prr�n&part: am/pm 742 Bay Rd., Queensbur , NY 12804 Ins or's Initials: �� ((��--��� NAME: ! G-u.5� PERMIT NO.: LOCATION: /M*'5VA 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. WeIF&sing Length 50' + - Y N _N/A 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 I Pit Opening Sealed: Y N End Cap Y N Inlet/Outlet Pipes&Baffles Y N Location/ Separations Foundation to tank Foundation to absorption ft. ,vC� Separation of Pits ft. Conforms as per Plot Plan N Engineer Re _Report and As-Built Y N Location of System on Property: Front Rear, Left Side Right Side Middle Front Middle Rear Syst em Use Stat 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-01-1)\Building&Codes\Inspection Forms\Septic Inspection Report.doc � IIIIIIIIIIIII `� ENVIRONMENTAL DESIGN r y5`2 PARTNERSHIP,LLP August 6,2009 (((111111 JJ Town of Queensbury Community Development Department I� 742 Bay Road I tE C E 0 W47 Queensbury,NY 12804 2009 I `' Attn: Craig Brown,Zoning Administrator 1, 1 Dave Hatin, Director of Buildings&Codes L)TOWN� _ BUILDING-7 & CODES Re: Kelly Residence 43 Mason Road Gentlemen: In compliance with application approvals granted by the Town of Queensbury I offer the following regarding the referenced project. The design plans reviewed and approved by the Town as associated with the wastewater system application are as follows: Wastewater and Stormwater Systems for the Residence of Mark&Penny Kelly 43 Mason Road Town of Queensbury Tax Parcel 226.16-1-17 • Sheet S-1 Site and Wastewater Plan revised 9-30-08 • Sheet S-3 Design,Details&Notes issued 9-5-08 During the course of construction I was on the job site to observe key components of the system installation culminating with the `start-up' of the pump assembly and control panel system on July 15, 2009. Based on my inspection of the system start-up it is my opinion that.the wastewater system is in compliance with the intent of the approved design plan and is ready for operation. Please contact me should you require any further information. Sincerely, Dennis MacElroy,PE Cc: Mark&Penny Kelly Wayne Williams 900 Route 146, Clifton Park, New York 12065 phone(518)371-7621 -fax{518)371-9540 -T z Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pm D rt: am/pm Date Inspection request received: Inspector's Initials: ] NAME: PERMIT#: .4. v LOCATION: DATE: TYPE OF STRUCTURE: Comments: YeV No NIA 4' Building Number Address visible from road Chimney Height/"B'Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks tics 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 oe 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 late Gas Valve shut-off exposed/regulator 18 inches above grade �V �- Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety in Interior Smoke De ors/Carbon onoxi Detectors Every level: Every Bed Outside every bedroom Area: /0', Inter Connected: Batterybacku Attic access 30 inches x 22 inches x 30 inches hei ht in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emergency ress 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 Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'A"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed pEMrly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if reg9ired Okay to issue C/C or C 10 Temporary/Permanent L:1Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection For►n_revised_100405.doc;Revised January 7,2008; Revised 6I26/08 Queensbury Building & Code Enforcement - Residential Final Inspection a Office No. (518) 761-8256 Arrive: am/pm Depart: C. dam/pm Date Inspection request received: Inspector's Initials: NAME: ke-- PERMIT#: —4,53 _ LOCATION: DATE: TYPE OF STRUCTURE: Comments: Y No WA 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks tios 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 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emergency ress 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 Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer v Duct worts Sealed properlyv� Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C I C or C 10 Temporary/Permanent LABuilding&Codes FormslBuilding&Codes\lnspec ion Fonns\Residential Final Inspection Form revised_100405.doc;Revised January 7,2008;Revised 6/26/08 JUL-30-2009 10 : 13 AM W D WILLIAMS CON_S'TRUCTIS 518 656 3560 P. 01 + i INFORMATION-FOR-BUILDING,- EPARTM : ND/OR LNDING AGENCY Atlantic-Inland, Inc. is In the process of Issuing a Certificate of Compllonce-fobr the sivictrlcal Instdllatlon projoat.gs covered'in an application filed 1%o4r Application#: Site Address: Date Electrical Ine r NEW YORK;.ATLANTIC•INLAND,INC. MAIN OFFICE: (607)753-1118 6Y ?3 r� 74-/e My K Qupensbury Building.& Code Enforceme -'Residential Final Inspection t ffice No. (518) 761-8256 Arrive: am/p partn k < am/prn ate inspection request received: Inspector's Initials: NAME: K-e-- PERMIT#: LOCATION: BATE: TYPE OF STRUCT RE: Comments: YW N A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors _ Handrail 4 or more risers Guards at stairs decks tios more than 30 inches above grade V oe 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 Railin s 34 inches to 38 inches Deck Brad /Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet V,/r 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior priv@q I trim/doors/main entrance 36 inches ,` Bathroom/Kitchen watertight Safety glazing/Windew in stairwells safe 1 n Interior Smoke De ors/Carbon noxid 7Every level: E Bed m: Outside every bedroom res: Inter Connected: Bane badku Attic access 30 inches x 22 inches x 30 inches eight in accessible area Crawl Spaces 18 inch x 24 inch access 1 N.ft..-1 50 s .ft.vents V Bathroom Fans if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000Sq.ft. Emeraency egress below grade V �- Gas Furnace shut-off within 30 feet or within line of site p ,_ Oil Furnace shut-off at entrance to fumace area t` Fumace/Hot Water Heater operating Low water shut-off boiler �� , G I" Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock underside minimum'r4"G um , Basement stairs dosed rise>4 inches Gara a Floor Pitched Garage fire roofi /%hour fire door/door closer Duct work Sealed propprly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Surve Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Selptic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if re uired Okay to issue C I C or C 10 1 Temporary/Permanentr LABuilding&Codes FormslBuilding&CodesVnspection FormslResidenbal Final Inspection Forrn_revised_100405.doc;Revised January 7,2008;Revised 6126/08 Notify-Plus Ync. P.O.BOX 767 GLENS FALLS,NEW YORK 12801 -+ 518/793-7788 FAX:518/793-0602 INSPECTION COMPLETION DATE 7- CUSTOMER: Mwrk 4 PeKv►-e Kelty ADDRESS: y3 M-so-q R-P Cleve✓cklt THE FOLLOWING FIRE ALARM DEVICES WERE TESTED DURING OUR INSPECTION OF THE ALARM SYSTEM: FIRE ALARM CONTROL BATTERIES f FIRE ALARM CONTROL CHARGE CIRCUIT ✓ SMOKE DETECTORS HEAT DETECTORS MANUAL PULL STATIONS HORN STROBES DUCT SMOKE DETECTORS STROBE DEVICES FIRE DOORS OTHER: G.D. bc+eAtrs TRANSMISSION TO CENTRAL STATION AT THE TIME OF THIS INSPECTION, THE SYSTEM WAS FOUND TO BE IN OPERATING ORDER. 1B ov,-- DATE:7- 7-og IN.tqECTO �- \ DATE: C OMER cz . V COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No.......:.........................—"..Ce t. N_ 11107 Cut-in Card No..................................... Owner............................... :. .................................................................................................. Location...7..�„r......,�1`iJ!f�.. 1. .........>...........A........................ Installation Consisting of.g..".... ..3 f�!...:....A14 n- �'o.rt�.lR..�r�- .......f1°1° U ......................................................................... ....................... ..... ..�..................................... .............................................................. ................................................... InstalledBy.....r!...A......O .R.I -.::.............................................Lic.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of maki in ctions at any time, and if its rules are violated,the Company shall have the right to r v e his ertifi te. Date...��l..Q.`..�,1�.................. INSPECTOR........ "... Member N.RP.A..I.A.E.I. Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: NAME: LOCATION: 150 K , PERMIT#: 105~ U Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of Community t/: Development. Upon review the survey ha en: rA`j Crasg Brown,Zoning Administrator Notes: L:\SueHemingway\BuiMing.Codes.Inspection.FORMS\Fina1 Survey Zoning Admmist ator doc s Septic Inspection Report Office No. (518) 761-8256 Date Inspecti uest received: Queensbury Building &Code Enforcement Arrive: a am/am Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspe is Initials: NAME: K-4C V PERMIT NO.: LOCATION: '�- , Oti 'n INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand Loa / Clay W- T of Water: Municipal I Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + - Y N N/A Ac Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. .Size of Stone Seepage Pits: Number Size: x Stone Size: pip!RL Size Type Building to tank Tank to Distribution Box Distribution Box to Field Pit p Opening Sealed: N End Cap Y N Inlet/Outlet Pipes &Baffles Y N Location Separations Foundation to tank ft. Foundation to absorption Separation of Pits ft. Conforms as per Plot Plan Y Engineer Report and As-Built Y Location of System on Property: ' r(,t/ 6t.G� , Front Rear Left Side Right Side Middle Front Middle Rear G 44K System Use Status: proved artial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 U\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc Rough Plumbing I lnsuiatio 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: r 1 NAME: PERMIT #: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent/Vents in Place 1 Y2 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 hi hest connection for 15 minutes Pressure Test Water Supply Piping Air I Head 0 p.S. or 15 minutes " s , Insulation P Residential Check/Commercial Check imilar 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 property/ No duct tape COMMENTS; _ Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 C oo) Rough Plumbing / Insulation Inspection Report OfFce 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:/I NAME: � � PERMIT #: nig LOCATION:_ q2, tA Gk)DL> L-�n INSPECT ON: 2_-Zip—p9 TYPE OF STRUCTURE: Y N NIA Rough Plumbing/Nail Plates Plumbing Vent 1 Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.1. or 10 ft. above highest connection for 15 minutes Pressure Test € � Water Supply Piping l� 'r/Head 50 P.S.1 for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Duct work sealed propW/No duct to COMMENTS: Rough Plumbing Insubdion Report,revised Nov 17 2003, named February 15,2005, revised January 7,2008 Rough Plumbing / Insulation Ins a ion Report P P 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: #t NAME: , PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 '/z inch minimum Drain Size Washing Machine Drain 2 inch minimum arout-eve -100 feet/change of direction Pressure T Drain /Vent Air/Head � . . ft. above highest connection for 15 minutes Pressure Test p Piping Air/Head 50 P.S.1 for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm rt:l t>✓�jcqm/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: COMMENTS: Framing Y N WA CO , Attic Access 22"x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'h w 16 gauge 8 16D nails each side _ d Draft stopping 1,000 sq. ft. floor trusses � A�-�� Anchor Bolts 6 ft. or lesson center Ice and water shield 24 inches from wall ���✓�� Fire separation 1, 2, 3 hour /- Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 518 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. CM 5.7 sf above/below grade 5.0 sfgrade L:16uildmg&Codes Forms-OLDeuilding&CodesNnspection FamalFtamitV FRIStOPping trIspechon Raport.doc Revised Jan uary 7,2008 Framing / Firestopping Inspection Report Office No. (516)761-8256 Date I request received: Queensbury Building &Code Enforcement Arrive.(- am/pm C%apart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. NAME: PERMIT A LOCATION: INSPECT ON: �- �-- TYPE OF STRUCTURE: Y N WA COMMENTS: Framing Attic Access 2Y x W minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12°O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D nails each side Draft stopping 1,000 sq.ft. floor trusses Anchor Bolts 6 ft. or less on center �-4 �-- ce and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wail 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 518 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf gmde LABuiiding&Codes Forms-OLD1BuildN&CodesUapection FomnsTraming Faesaop q InspoCoon Repoit-dx Revised January 7,2008 W I� 4,t i!'S()ar►- Framing / Firestopping Inspection Report Once No. (518) 761-8256 Date 1 request received: Queensbury Building&Code Enforcement Arrive: /�' aml .r epart: amJpm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: O k-- t k 3 LOCATION: INSPECT ON: TYPE OF STRUCTURE: il"�/ l Y N NIA COMME NT1 Framing Attic Access 22" x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Wails Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D nags each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft, less on center and water shield 24 i ches from wall GD� :� ti Fire separation 1, 2, 3 hour ( J Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 518 inch Type X Garage side 518 inch Type X Ceilin ll Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (1M 5.7 sf above J below grade 5.0 sf grade USUIlding&Codes Fomns-OLMSuildiM&Cvdesilnsped ion Foar-aTranning Firestopping Inspection Reportdoc Revised January 7,2006 1cl Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Masonry Chimney/Fireplace Inspection Report Permit# Schedule Inspection pm anytime Rough In Final / Name Address - �� Inspector 64 i Yes No N/A Comments FOOTING Concrete or solid masonry Minimum 12"thickness Extends minimum 6"beyond f/p on all sides Below frost line Cleanout opening—noncombustible cover FIREBOX Walls must be solid—no hollow masonry allowed 8"minimum thickness—back/side walls I Joints between firebricks-'/4"max CNN Refractory mortar used on firebrick Minimum depth 20" Fresh air intake Clearances to combustibles:4"rear,2"sides/front LINTEL/THROAT Non-combustible material , Minimum 4"bearing length each end Damper installed,minimum 8"above flp opening SMOKE CHAMBER Walls must be solid—no hollow masonry allowed n I Minimum wall thickness 6"including liner r4o' Firebrick lining laid with refractory mortar CHIMNEY IV Minimum wall thickness 4"—solid masonry y✓ e�(� Must be lined with appropriate liner type Clay flue liner laid with refractory mortar Flue liner smooth surface inside,no mortar ,/ L� Minimum masonry thickness between flues 4" Minimum clearances to combustibles 2"for interior chimneys,1"for exterior Termination height minimum 3 feet above highest 1/ point of roof where it passes through,2 feet above �I any combustible construction within 10 feet ` Chimney cap installed HEARTH/HEARTH EXTENSION Constructed of concrete or masonry Supported by noncombustible material No combustible material on underside f Minimum thickness 4"—hearth only Minimum thickness 2"—hearth extension �L.i Hearth Extension—16"to the front,8"to sides NOTE:if F/P opening is greater than 6 sq.ft.,must I/ extend 20"front,12"sides MANTEL/TRIM No combustibles within 6"of F/P opening Combustibles within 12 inches of F/P opening cannot project more than 118"for each inch distance F/P opening low Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Masonry Chimney/Fireplace Inspection Report 1 12- 7/Z�7 permit# � Schedule Inspection r 3U am m any time Rough In Final �+ Name �� Addressy 3 1"')�1 ��h RV Inspector Yes No N/A Comments FOOTING Concrete or solid masonry Minimum 12"thickness 1 Z ` � Deft - Extends minimum 6"beyond f/p on all sides 5 Below frost line Cleanout opening—noncombustible cover FIREBOX Walls must be solid—no hollow masonry allowed I � 8"minimum thickness—back/side walls Joints between firebricks—'/4"max Refractory mortar used on firebrick Minimum depth 20" Fresh air intake Clearances to combustibles:4"rear,2"sides/front LINTEL I THROAT Non-combustible material 1 r� Minimum 4"bearing length each end 1 J Damper installed,minimum 8"above f/p opening SMOKE CHAMBER Walls must be solid—no hollow masonry allowed Minimum wall thickness 6"including liner Firebrick lining laid with refractory mortar CHIMNEY Minimum wall thickness 4"—solid masonry Must be lined with appropriate liner type Clay flue liner laid with refractory mortar �/ I Flue liner smooth surface inside,no mortar Minimum masonry thickness between flues 4" Minimum clearances to combustibles 2"for interior chimneys,1"for exterior Termination height minimum 3 feet above highest point of roof where it passes through,2 feet above any combustible construction within 10 feet rX Chimney cap installed `Q HEARTH/HEARTH EXTENSION Constructed of concrete or masonry l Supported by noncombustible material f �j 1 G No combustible material on underside / 4 Minimum thickness 4"—hearth only ✓� Minimum thickness 2"—hearth extension Hearth Extension—16"to the front,8"to sides NOTE: if F/P opening is greater than 6 sq.ft.,must extend 20"front,12"sides MANTEL/TRIM No combustibles within 6"of F/P opening Combustibles within 12 inches of F/P opening cannot (C1 f` _project more than 1/8"for each inch distance from r t� F/P opening / raining / �iliesZtopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: iam/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: _ NAME: ` PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y Framing N NIA COMMENTS: Attic Access 22" x 30' minimum Jack Studs J 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 J Bearing Walls Metal Strapping for Notches Top Plate 1 h w 16 gauge 8 16D nails each side Draft stopping 1,000 sq. ft. floor trusses ft. or less on center Ice and waters ield 24 inches from wall Fire n 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min.Garage Fire Fire Separation House side%inch or 5/8 inch Type X Garage side 518 inch Type X Ceifinglwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. W 5.7 sf above/below grade 5.0 sf grade LABullci ft&Codes Forms-OLDSuildN&CodaVrapec bon FamsTrarninp Firestoppitp Inspection Reportdoc Revised January 7,2008 Framing / Firestopping Inspection Report 16 Office No. (518) 761-6256 Date Inspection request received: / o �, Queensbury Building &Cade Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: �'� PERMIT LOCATION: jcw. INSPECT ON: hs9l TYPE OF STRUCTURE: ' 1 Y N WA COMMENTS: naming y! , Attic Access 22" x 30' minimum Jack Studs/Headers Bracing/Bridging Joist hangers � Jadc Posts/Main Beams � PWr 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 sine --^"""" 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 518 inch Type X Garage side 5/8 inch Type X CeilingNmIl ex Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above i below grade 5.0 sf grade LABuilding&Codes Fortis-OLMBuildit&C0de9Ynspection Fora Traming Fnstopping irapadion RepoR.doc Revsed January 7,2006 9�-- /0 ' No � Foundation Inspection Report Office No.(518)761-8256 Date Inspection fequest received: Queensbury Building&Code Enforcement Arrive: '?dam/ m Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect 's Initials'17� NAME: Ke G PERMIT#: DZO � LOCATION: tv 3 15ZA INSPECT ON: TYPE OF STRUCTURE: Columenta Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing l for 48 hours following the placement 0 oncrete. ! Materials or on site. r Foundation/Wallpour -ReWLorceme 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 V-/aa Foundati Inspection Report Office No.(518)761-8256 Date inspection request received: AlJ 1 eU�J Queensbury Building&Code Enforcement Arrive. -�4im/pm� epart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: V NAME: �,�. G PERMIT#: LOCATION: INSPECT ON: U12 U✓, TYPE OF STRUCTURE: 'T�✓ ._ ._. Commenb r Y N N/A Footin �` �L k 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 Fonns\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report r Office No.(518)761-8256 Date Ins ion rAuest received: ! � U� Queensbury Building&Code Enforcement Arrive: T am/p Depart: am/pm 742 Bay .,Q Rd ueensb �—�ury,NY 12804 Inspector's Initials: NAME: C �Mf PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUC ,! Commeng Y N NA 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 1 for wet are der slab r< Backull Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes FormsWilding&Codes\Inspection Forms\Foundation Inspection Report.doc Last painted 12/20/2005 9:24:00 AM /0 - /-,7 pe � Foundation Insction Report Office No.(518)761-8256 Date In#r'sl—n n request received: Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspecttials: NAME: r't'-2 It-, PERMIT#: `7 0 LOCATION: INSPECT ON: TYPE OF STRUC Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inch above footing mil poty for wet Ocas under slab Backfill A roval U 1 g Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\lnspecdon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Inspecti,, rNuest received: Queensbury Building&Code Enforcement Arrive: I . . am/Pp�n �,, Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: J r NAME: lkffPERMIT#: LOCATION: INSPECT ON: c - 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 0110 the placement ncrete. Materials for this on site. Foundation/Wallpour me 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\lnspection Forms\Foundation Inspection Report-doc Last printed 12/20/2005 9:24:00 AM REScheck Software Version 4.1.3 Compliance Certificate Project Title: PLAN NO. 2664-08 Report Date:09/05/08 Data filename: D:\RES-CHECK\2664-08 KELLY 43 MASON RD CLEVERDALE.rck Energy Code: 2007 New York Energy Conservation Construction Code Location: Warren County, New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: 19% Heating Degree Days: 7635 Construction Site: Owner/Agent: Designer/Contractor: 43 MASON ROAD MARK&PENNIE KELLY JESSICA CHENIER CLEVERDALE,NY 12820 55 WEST ROAD WILLIAMS&WILLIAMS DESIGNERS EASTON,CT 06612 509 GLEN STREET 203-255-1861 GLENS FALLS,NY 12801 518-798-4687 Compliance: Compliance:21.6%Better Than Code Maximum UA:564 Your UA:442 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or D.. Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 878 38.0 0.0 26 Ceiling 2:Cathedral Ceiling(no attic) 641 38.0 0.0 17 Wall 1:Wood Frame, 16"o.c. 1434 19.0 0.0 65 Window 1:Wood Frame:Double Pane with Low-E 156 0.300 47 Door 1:Solid 23 0.130 3 Door 2:Glass 108 0.310 33 Door 3:Glass 28 0.310 9 Door 4:Glass 20 0.310 6 Door 5:Solid 20 0.130 3 Wall 2:Wood Frame, 16"o.c. 1458 19.0 0.0 73 Window 2:Wood Frame:Double Pane with Low-E 239 0.300 72 Basement Wall 1:Solid Concrete or Masonry 687 13.0 0.0 36 Wall height: 11.0' Depth below grade: 10.0' Insulation depth: 11.0' Basement Wall 2:Solid Concrete or Masonry 807 13.0 0.0 46 Wall height:9.0' Depth below grade:8.0' Insulation depth:9.0' Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 232 38.0 0.0 6 Boiler 1:Other(Except Gas-Fired Steam)92 AFUE The proposed building represented in this document is consistent with the building plans,specifications,and other calcul *\kibpratted with this permit application.The proposed systems have been designed to meet the NoW- 7 ficTk Energy Conservaf 4`or�slxuctjori Code requirements.When a Registered Design Professional has stamped and s fi§page a 're attesting th to t est ot�his�her" . \a knowledge belief,and profes ' al judgment,such plans or specifications aGe in Cor. Pance is Code. ;� I t. Nartfe-Title g Date Project Title: PLAN NO. 2664-08 � R ort a 08I� Data filename: D:\RES-CHECK\2664-08 KELLY 43 MASON RD CLEVERDALE.rck y � REScheck Software Version 4.1.3 Inspection Checklist Date:09/05/08 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: ❑ Ceiling 2:Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: ❑ Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Basement Walls: ❑ Basement Wall 1:Solid Concrete or Masonry, 11.0'ht/10.0'bg/11.0'insul,R-13.0 cavity insulation Comments: ❑ Basement Wall 2:Solid Concrete or Masonry,9.0'ht/8.0'bg/9.0'insul,R-13.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.130 Comments: ❑ Door 2:Glass,U-factor:0.310 Comments: ❑ Door 3:Glass,U-factor:0.310 Comments: ❑ Door 4:Glass,U-factor:0.310 Comments: ❑ Door 5:Solid,U-factor:0.130 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-38.0 cavity insulation Comments: Heating and Cooling Equipment: Project Title: PLAN NO. 2664-08 Report date: 09/05/08 Data filename:D:\RES-CHECK\2664-08 KELLY 43 MASON RD CLEVERDALE.rck Page 2 of 4 C_, ❑ Boiler 1:Other(Except Gas-Fired Steam):92 AFUE or higher Make and Model Number: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are 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,fixtures are installed with a 3"clearance from insulation. Vapor Retarder: ❑ Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. ❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: ❑ Supply ducts in unconditioned attics or outside the building are insulated to at least R-11. ❑ Return ducts in unconditioned attics or outside the building are insulated to at least R-6. ❑ Supply ducts in unconditioned spaces are insulated to at least R-11. ❑ Return ducts in unconditioned spaces(except basements)are insulated to R-2.Insulation is not required on return ducts in basements. Duct Construction: ❑ All joints,seams,and connections are securely fastened with welds,gaskets,mastics(adhesives),mastic-plus-embedded-fabric,or tapes.Tapes and mastics are rated UL 181A or UL 181B. Exceptions: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). ❑ The HVAC system provides a means for balancing air and water systems. Temperature Controls: ❑ Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: ❑ Separate electric meters exist for each dwelling unit. Fireplaces: ❑ Fireplaces are installed with tight fitting non-combustible fireplace doors. ❑ Fireplaces have 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 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. ❑ Circulating hot water pipes are insulated to the levels in Table 1. Circulating Hot Water Systems: ❑ Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps have a time clock. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Project Title: PLAN NO. 2664-08 Report date:09/05/08 Data filename: D:\RES-CHECK\2664-08 KELLY 43 MASON RD CLEVERDALE.rck 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 Fluid Temp. Insulation Thickness in Inches by Pipe Sizes 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) Project Title: PLAN NO. 2664-08 Report date: 09/05/08 Data filename: D:\RES-CHECK\2664-08 KELLY 43 MASON RD CLEVERDALE.rck Page 4 of 4