2008-577 TOWN OF QUEENSBURY
742 Bay Road,Quccnsburv,M'12804-5902 (518)761-8301
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080577 Application Number: A20080577
Tat Map No: 523400-295-006-0001-009-000-0000
Permission is hereby granted to: BROOKVIEW PLACID, LLC
For property located at: OLD 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: BROOKVIEW PLACID, LLC Garage Attached
17 BRITISH AMERICAN Blvd Single Family Dwelling $110,000.00
LATHAM,NY 12110-0000
Total Value $110,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
CLUTE ENTERPRISES, INC.
6 HOLDEN Ave
OUEENSBURY.NY 12804-0000
Plans & Specifications
2008-577
910 sq ft single family dwelling & 400 sq ft garage
$149.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, November 05, 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 ueens ry; d esday, November 05,2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code forcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (13"VE7 0CCUP-A-N- CY
Permit Number. P20080577 Date Issued: Thursday, December 18, 2008
This is to certify that work requested to be done as shown by Permit Number P20080577
has been completed.
Location: 10 OLD WEST MT. Rd
Tax Map Number. 523400-295-006-0001-009-000-0000
Owner. BROOKVIEW PLACID, LLC
Applicant: BROOKVIEW PLACID, LLC
This structure maybe 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, �V
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
Check Residential Plan Review: One & Two Family Dwellings
Y/N/N/
(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
Calculations:
Window Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
/ Above/Below grade, 5.7 sq. ft.
Grade,5.0 sq. ft.
24"(h)x 20"(w)min.
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofing/Waterproofing Materials On Plans
Foundation Drainage On Plans, if required
6"Drop in 10' Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where
Required t t. C.
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
Stairway Headroom 6' 8' All Stairs 36"Width
Stair Run and Rise
N Winder Run and Rise
Spiral Not Allowed From 2d Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall 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.
k
Safety Glazing Notes For Required Areas
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
......................I......I................r ..r.r.......r...rr . �.........I..........�'
OFFICE USE ONLY
+ TAX MAP NO. PERMIT NO. ERMIT FEE
APPROVALS: ZONING TOWN CLERK_ ;
:......r.r.. r..r...r..r..r ......................: i
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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: 1 r �� INSTALLER:
ADDRESS: ADDRESS: ('en
PHONE NOS. �i 3 —7a-77-7 PHONE NOS.
LOCATION OF INSTALLATION: O C:A A W
r
k_...__.._{ �..._....._......_................ _ _..._............I RESIDENCE INFORMATION:
YEAR BUILT 1( NO.OF ; X COMPUTATION= t TOTAL DAILY FLOW ;
- -._1. BEDROOMS j -.. .._....._. _. ....._... .. i-.� .._.._._-._..__. __ ...__.. I GARBAGE GRINDER
-. - 1 _...w._. -.-.... _.._
1980 or older 1 X 150 gallon per bedroom 1 INSTALLED? ��o
j-X- -130 gallon per bedroom-�~=w w- m -µ-�µ- - - SPA OR HOT TUB
l 1992present N 110 gallon per bedroom ...I_ .. -- - - ' INSTALLED?
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE
✓ S_OIL NATURE: SAND LOAM CLAY OTHER
✓ GRQUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT
WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL
(IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. )
✓ PERCOLATION TEST: RATE IS 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: Oo GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH -b FT.
✓ TOTAL SYSTEM LENGTH:_I kD FT. SEEPAGE PIT(Sl: HOW MANY?
✓ SIZE OF EACH FT. X FT.
✓ SIZE OF STONE TO BE USED: # /DEPTH OR THICKNESS FT.
✓ BED SYSTEM SIZE: 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 8Y A TOWN
APPROVED ELECTRICAL INSPECTION AGENCYi PLEASE REVIEW+L{ST PROV{DED: y H Yy -:.......:.,.
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 re s wit espect to this application and QUESTIONS? CALL 781-8258 OR EMAIL
agree to abid y these 1 ments of the Town of aades®nueensbuMnet
Queensbu Sanitary ge p a Ordinance.
VISIT OUR WEBSITE FOR MORE INFORMATION
www.aueensburv.net
S n re of Person Responsible Date
Q Town of Queensbury - Community Development Office • 742 Bay Road, Queensbury,NY 12804
....._.._. ...................................................................., �.
OFFICE USE ONLY
'
TAX MAP N0. PERMIT NO.
:.
FEES: PERMIT RECREATION ENGINEERING
(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: OWNER: 1
ADDRESS: Q� � u' c� ADDRESS: Q-P k-�x-
PHONE NOS. �91,S -7�-?-7 PHONE NOS. ��! , �-�
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE? Z�
LOCATION OF PROPERTY: , ® 1►�- + -`
-2 -�
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p Uj
o t-
APPLY TO YOUR Z I- It p cdi) N W U. w
PROJECT O O O _j O ~ s
o O LL o U. _ �¢- 0
w o d Z c1 t- t- O yy--.. a i �s
Z Q Q e— N (n O u_ f— tt.
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS_)
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED t
GARAGE( 0 ) y o o L400
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: k l O ,O o a FUEL TYPE: �-
HEAT TYPE: \ !HOW MANY FIREPLACE(S): (Z_AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: •.�a� *-•� �� � ���
"Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available In our office 133-LGL i t-05
Town of QUeensburu■ Commur►;fi, �„c r' �~ - "^ „___
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
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, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to prolis
s-built survey by a licensed land surveyor of all newly
constructed facilities prio sua a certificate of occupancy.
I have read and a e to th
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 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: ; 00
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0 ,' / %; ,
B&t &COD A PROVAL 0 ZONING APPROVAL
DATE 0 DATE
11
...................... ............�
QUESTIONS? CALL 761-8256 OR EMAIL
codesCa3_aueensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit issued: Yes No www.clueensbury.net
Occupancy Type: �C j-, F►3�C x �
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensbury- Community Development Office - 742 Bay Road, Queensbury, NY 12804
I
Community Development Office ,
oTnrr of Queensbury • 742 Bay Road • Queensbury, New York•12804 ;
BUILDING PERMIT CALCULATION SHEET:
NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS
ACTUAL LIGHT REQUIRED SQUAREFOOT
AREA OF ROOM IN LIGHT VENTILATION
HABITABLE ROOM SQUARE FEET 8960E ROOM SQUARE VENTILATION-496 SQUAREOPENING FOR REMARKS
AREA FOOTAGE OF ROOM AREA FOOTAGE EGRESS
lq3
CIO 5.97
QUESTIONS? CALL 761.8266 OR EMAIL
Fodes0ausensburv.net
VISIT OUR WESSITE FOR MORE INFORMATION
www,nuensburv.net
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- Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/ Depart: am/pm
Date Inspection request received: Inspector's Initials: {
NAME: PERMIT#:
LOCATION: DATE: — -
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4' Building Number Address visible from roads ✓�'
Chimney Height/"B'Vent/Direct Vent Location !
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches �i`-� �f UI
Roof Complete/Exterior Finish Complete
Platform at all exterior doors /
Handrail 4 or more risers
Guards at stairs deckspatios 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/Handica d Ram 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: Bafterybacku :
Attic aocess 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 scl.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 Sheetroclk Underside minimum IN Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door doser
Duct work Sealed properly
Gas Logo 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/C or C 10 Tem ora /Permanent
LABuilding&Codes FormslBuilding&Codes\lnspection FormslResidential 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: am/pm i(�_8ep�: an- m/p
Date Inspection request received: Inspec or's Initials:
NAME: PERMIT#:
LOCATION: LQ DATE: l Zpi5
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %Z"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: i Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures 01
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade 01
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/1/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"aces , 1 s . ft.-150 s . ft. vents
Building No./Address v' i 1 m roa
Final Electrical
Site Plan /Variance re it //
Final SurveyPlot Plan �'' "
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Buildina&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
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Septic Inspection Report 16 s e 7fi ) Z- i\0 u�
Office No. (518) 761-8256 Date Inspection ,equest received: �l�A)
Queensbury Building&Code Enforcement Arrive: am/pm ldenart: am/fin
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: N_ __
NAME: _C 'T t, j='14'r cif i S�S PERMIT NO.: O X � !-7
7
LOCATION: i M i INSPECT ON:
RECHECK:
Comments and&r d- iaaram
Sal Type: Sand Loam pay
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: J U k•\
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field Pit
Opening Sealed: Y NJ Partial
End Ca
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 Y N
Engineer Report and As-Built Y N -i::�` PAL E�c C:
Location of System on Property:
Front Rear Left Side Right Side
Middle Front addle Rear
System Ise Stat
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 021006
Last revised 1/6105
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received:
NAME:
LOCATION:
PERMIT#: (J?'J-77
Final Survey Plot Plan
A roved Denied
The attached final
survey has been
received by the
Dept.of
Community
Development.
Upon review the
Lyaey has been:
Craig brKwn,Zoning Administrator
Notes:
L.\SueHemingwa)ABuilding.Codes.Inspmtion.FORMS\Fina1 Survey
Zoning Administrator.doe
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE ELECTRICAL APPROVAL
Permit No,.'..Y' ...... .... ...7..lert. N2 11133Cut-in Card No.....................................
Owner................Ck k(...rz. ............................................................................................................
Location... ....... ..............................................4��
........ ..........
Installation Consisting of / . ......../..............................................
...............................................................................
C3..... ........ ..... ........ '
....... .........................................................................
InstalledBy........ ................................................................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 datc. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of rn, inspections at any time, and if its
rules are violated,the Company shall have the right toe k is Vertificatz,
s
..... ..... �41
.Date... ............... INSPECTOR.... ........................................... ....................
Member N.F.P.A.,I.A.E.I.
Rough Plumbing / Insulation Ins eWon Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: J 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 highest connection for 15 minutes
Pressure Test
Water Supply Piping
d
0 P.S. fo 15 minutes
Insulation/ esidential 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 properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008
le-
Septic Inspection Report
Office No. (518) 761-8256 Date In x�request received:
,qxpqQueensbury Building &Code Enforcement Arrive: am/pm part: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: J PERMIT NO.:
LOCATION: INSPECT ON:
RECHECK:
I Z- -Os-
Comments and/or diagram
Soil Typel&bej Loam/
T of Water: a unici / Well Water r�
Waterlin ration distance ft. -
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + - Y N_N/A
Absorption Field: Total length Z ' - ft.
Length of each trench ft.
Depth of trenches
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type,
Building to tank
Tank to 6ir-er Box fL - S
Distribution Box to Field Pit ''
Opening Sealed: N
End Cap Y N
Inlet/Outlet Pipes &Baffles Y N
Location Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft. '1�e AC
Conforms as per Plot Plan V Y N
Engineer Report and As-Built _Y_ N
Location of System on Property:
!Fro Rear Left Side Right Side Middle Front Middle Rear
System Use Status:
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
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Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/prrt Depart. ; am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: c-&A
NAME: C_ � ✓ � S r-3 PERMIT #: 77
LOCATION: c tec F M INSPECT ON: fl
TYPE OF STRUCTURE: alI
Y N N/A
au h Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pres%+r -rftT-- \
.,0 6/-Vent
i d
Air/Head
5 P.S.I. or . above highest connection for 15 minutes
lNessTWTest
Water Supply Piping
Air/Head
50 P.S.1 for 15 minutes
Insulation/Residential Check/Commercial Check
Tyyek 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
sat
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report f 2- p
Office No. (518)761-8256 Date Inspection request received: S/
Queensbury Building &Code Enforcement Arrive: am/pm Depart: I am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: C L v i i— ci z- V\S PS PERMIT#: _��S ` S�77
LOCATION: - VVt INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N I NIA COMMENTS:
Attic Access 22" x 30' minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed property
1T 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
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 518 inch Type X
Ceilin ll
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuikting&Codes Forms-C3lDaA$TM9&CodesVropection FOMTraming Firestopping Inspection ReporLdoc Revised January 7,2006
Z. -A
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT
LOCATIONa _�,v�-=�sit�` (-�� INSPECT ON: _
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
sulation/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: z T/
Queensbury Building &Code Enforcement Arrive: am/.prn , Depart: m/pm
742 Bay Road, Queensbury, NY 12804 inspector's Initials
NAME: G(,,v i ti r ±`�� " S f S PERMIT#:
LOCATION: INSPECT ON: 11172
TYPE OF STRUCTURE:
raming Y N WA COMMENTS:
Attic Access 22" x W minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
IT 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
Fire wall 2, 3, 4 hour
irestopping
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
Ceilingtwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L\Build'mg&Codes For►ns-OLD\Building&CodesNnspection Form Trarning Firesiopping Inspection Rsportdoc Revised January 7,20M
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: Z 1 Qy
Queensbury Building &Code Enforcement Arrive: am/pm Depart: arr#pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: L(rlE E- PERMIT #:
LOCATION:_.__. 01 D ttji75 l.�� ', r , INSPECT ON:
TYPE OF STRUCTURE:
Y N k/A
6kough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
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 propeq/No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, reprised February 15,2005, revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Ins tio"*uest received:
Queensbury Building&Code Enforcement Arrive. c3`� am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto 's 1nitials: ., �
NAME: ("I PERMIT#: �
LOCATION: INSPECT ON: — C
TYPE OF STRUCTURE:
Con mob
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Foo ' . Daylight or Sump
Footing Drain S ne:
me width
' ches above footing ` r
6 mil ly for wet areas under slab \(
Bac val
bing Under S
P C/ ast/Copper tj
Foundation Insulation Interior/Exlerior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspecti s\Foundation Inspection Reportdoc
i Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Ins V request received:
Queensbury Building 8c Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: U` �-� 7 PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
..P�Ciistl_C r
Foundation rlati Interi /Exterior
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
NOAT�Mt-:
Foundation Inspection Report
Office No.(518)761-8256 Date In�f tion r iv
Queensbury Building&Code Enforcement Arrive: Depart: err
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: �U-We- _E�E �1'��� ERNIIT 4: T�
LOCATION: _ pip yoEb-T MVN,� INSPECT ON: 11-f4--
TYPE OF STRUCTURE:
Commenb
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.
oun ion J Wallpour
Reinforcement in Place
ootin Dowels or Keyway in pace
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Budding&Codes Forms\8uiiding&Codes\tnspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
i
Foundation Inspection Report
Office No.(518)761-8256 Date In tion requ ce' e -
Queensbury Building&Code Enforcement Arrive: Depart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial :
NAME: l/G4 #:
LOCATION: CT ON:
TYPE OF STRUCTURE:
Comment
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofmg
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Bacldyll 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
I
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. .: :..........:..../.....{....Cert. N_ 4 8 8 9 Cut-in Card No.....................................
Owner...............L...:... u... .......................................................................................................
Location.............ti�'...(� ..... !V.........�� A......................................... ..t �....
Installation Consisting of 1.....s b l� ......................................w .. p. .......................
l. ................4.... ................................................................................
...................................................................................................................................................................................
InstalledBy...........Pailt.............................................................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 spections at any time, and if its
rules are violated,the Company shall have the right to re o e t fica
Date...�l..Uj:.lrf'..:.U...�......... INSPECTOR..................
r yt
t- -
r 1
f
1 it Number
,Xt
PMcheck Compliance Certificate i Checked By
New York State Fnergy Conservation Construction Cooke
REScheck So$ware Version 3.6 Release 2
Data filename: \\Clutel\shared data\Clutel\Rescheck\2008HO—I\100LDW—I.RCK
PROJECT TITLE: 26 x36(936) Ranch
COUNTY: Warren
STATE: New York
HDD: 7635
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE:Non-Electric
WINDOW /WALL RATIO: 0.09
DATE: 10/08/08
DATE OF PLANS: 10/8/08
PROJECT DESCRIPTION:
10 Old West Mountain Rd
Queensbury,NY 12804
DESIGNER/CONTRACTOR:
Clute Enterprises, Inc.
6 Holden Ave
Queensbury, NY 12804
COMPLIANCE: Passes
Maximum UA= 217
Your Home UA= 178
18.0%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R Value R Value U Facto UA
Ceiling 1: Flat Ceiling or Scissor Truss 936 30.0 0.0 33
Wall 1: Wood Frame, 16" o.c. 992 19.0 0.0 53
Window 1: Vinyl Frame:Double Pane 67 0.490 33
Door 1: Solid 21 0.230 5
Door 2: Glass 21 0.490 10
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 936 19.0 0.0 44
Furnace 1: Forced Hot Air, 92 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans, specifications, and other calculations submitted with this permit application. The proposed systems have been
designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design
t
Professional has stamped and sign s p e, they are attesting that to the best ofhis/her knowledge, belief and
professional judgment, such s or s fications liance with this Code.
Builder/Designer Date
t�T
T
t
R—EScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheck So$ware Version 3.6 Release 2
DATE: 10/08/08
PROJECT TITLE:26 x36 (936) Ranch
Bldg. I
Dept. I
Use I
I
f Ceilings:
[ ] I 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
I
Above-Grade Walls:
[ ] I 1. Wall 1: Wood Frame, 16"o.c., R-19.0 cavity insulation
Comments:
I
I Windows:
[ ] I 1. Window 1: Vinyl Frame:Double Pane, U-factor. 0.490
I For windows without labeled U factors, describe features:
I #Panes Frame Type Thermal Break? [ ]Yes [ ]No
I Comments:
I
I Doors:
[ ] I 1. Door 1: Solid, U-factor: 0.230
Comments:
[ ] I 2. Door 2: Glass, U-factor. 0.490
I Comments:
I
I Floors:
[ ] I 1. Floor 1: All-Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation
I Comments:
I
I Heating and Cooling Equipment:
[ ] I 1. Furnace 1: Forced Hot Air, 92 AFUE or higher
Make and Model Number
I
I Air Leakage:
[ ) I Joints, penetrations, and all other such openings in the building envelope that are sources of air
I leakage must be sealed.
[ ] I Recessed lights must be 1)Type IC rated, or 2)installed inside an appropriate air-tight assembly
with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a
I 3" clearance from insulation.
I
Vapor Retarder:
[ ] I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors.
I
I Materials Identification:
t '
[ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufidurer 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 duds in unconditioned spaces(except basements)must be insulated to R-
[ ] Return duds in unconditioned spaces (except basements)must be insulated to R-2..
Insulation is not required on return duds in basements.
Duct Construction:
[ ] I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics(adhesives),
mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 181B.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in. w.g. (500 Pa).
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] 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 ofcombustion air, as required by the Fireplace construction
provisions of the Building Code of New York State, the Residential Code of New York State or
the New York City Building Code, as applicable.
Service Water Heating:
[ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of circulating system.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/offheater switch and require a cover unless over 20%
ofthe heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] ( HVAC piping conveying$uids above 105 T or chilled fluids below 55 T must be insulated to the
levels in Table 2.
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts CirculatinL,Mains and Runouts
Temperature(Fl U to o V 1112 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
Pining System Types Range(F)(F) 2"Runouts 1" and Less 1.25" to 2" 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, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)
Community Development Office
mon of Queensbury • 742 Bay Road• Qneensbu.ry, New York -1.2804
WINDOW SCHEDULE
JOB SITE/ADDRESS: DATE:
OWNER: �Z- 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 EGRESSlCLEAR HEIGHT
LETTER NAME MODELITYPE CALL WIDTH HEIGHT VENT OPENING WIDTH IN IN INSTRUCTIONS
ON PLAN SIZE INCHES INCHES
t 3� 7 '��
�1
B 26-LTR 11.05