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2008-591 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 4z Community Development- Building &Codes (518) 761-8256 CERTIFICATE (J""FE' OCCUPANCY Penn it Number. P20080591 Date Issued: Friday, November 06, 2009 This is to certify that work requested to be done as shown by Permit Number P20080591 has been completed. Location: 117 SUNNYSIDE EAST Tax Map Number. 523400-279-019-0001-004-002-0000 Owner. DONALD & JOHANNAH ROSS Applicant DONALD & JOHANNAH ROSS This structure maybe occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Qmensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080591 Application Number. A20080591 Tax Map No: 523400-279-019-0001-004-002-0000 Permission is hereby granted to: DONALD &JOHANNAH ROSS For property located at: 117 SUNNYSIDE EAST 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: DONALD &JOHANNAH ROSS SUNNYSIDE Rd Fireplace QUEENSBURY,NY 12804-0000 Garage Attached Single Family Dwelling $180,000.00 Total Value $180,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency JELLEY CONSTRUCTION 796-5611 227 KONCI Ter LAKE GEORGE,NY 12845-0000 Plans &Specifications 2008-591 Address: 117 Sunnyside East 1800 sq ft single family dwelling with 720 sq ft garage& 1 fireplace $288.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,November 07, 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 T Quee ury; i y,November 07,2008 SIGNED BY for the Town of Queensbury. Director of BuildingY Code nforcement /..r....r.r......._..rrrr...rr__rr_.r._.__.r._..r._._...__r_.______r A..._r..__..r_... r _9FFICE USE ONLY ; A t TAX MAP NO. A` PERMIT NO. ERMIT FEE i i A �,. fVII TQ� , APPROVALS: ZONING TOWN CLERK ` A A 111-1-1140 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.j OWNER:ck�s2[�1AC� Ty��ff� INSTALLER: E(.L /CYII LLf� ADDRESS: Z' We AD22� --�F _4Q�%14 DRESS: O 7-Epa ZAKEig.&0 PHONE NOS. ��L J�E� PHONE NOS. 7- o 1 / LOCATION OF INSTALLATION-��Z��T_Qu,,wl t1a,(b6 EA57, Q(g N y N0.OF =• ..........................................................................I...........t...............................................................,.,........, RESIDENCE INFORMATION: I YEAR BUILT BEDROOMS X COMPUTATION= ' _ TOTAL DAILY FLOW »................................ .. ....................................t........... i,..........;..........................................................................1 GARBAGE ........................................................ 1980 or older X 150 gallon per bedroom I INSTALLED?R DI 0 DER ......................................I....................................................<.....,..................................................................... .........d.................................................................................. ..,i N 1981 1991 I X 130 gallon per bedroom __.......................................................I...................................•. .... 1992 resent 3 X j 11,0 gallon per bedroom { i '��j p INSTALLED?. PA OR HOT 1..............__.....p.................�............,................................. .......................................... ..........................................................I........................... PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE S ✓ SOIL NATURE: SAND LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? DO-C- BEDROCK WHAT DEPTH; /IMPERVIOUS MATERIAL: AT ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS JQP FT, ✓ PERCOLATION TEST: RATE IS 2 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: O0 GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH i�V_FT. ✓ TOTAL SYSTEM LENGTH:..C!�0 FT. SEEPAGE PIT(S): HOW MANY? ✓ SIZE OF EACH , FT. X :�, FT. ✓ SIZE OF STONE TO BE USED: # 2 /DEPTH OR THICKNESS FT. ✓ BED SYSTEM SIZE: —X ✓ ALTERNATIVE SYSTEM: , I LENGTH AND/OR SIZE_ ✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS:0-/SIZE OF EACH _0_ ✓ GALLONS./TOTAL CAPACITY:_Q�_GAL. l........................................................:.:.:.:....:.............:.................................:.......................... :.,.,...:...:.;.:.,.:........:.:.:.:...:...:...:.:.,•:.:...,.,.:.:...:.:...:...,.......:.:...........:.:.:.,,:.,.:.:.:.:.........:...,...:.:.,.......:,.,:...:.......,.:..,,.:.:,:...:....,:...,...,.....:.,.. I NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN 'r•: 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 to abide by these and all requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL Queensbury Sanitary swage Disposal Ordinance. codes4aueensburv.net VISIT OUR WEBSITE FOR MORE INFORMATION ® www.gueensbury.net 3-,A Signature of Person Respon ble Date V Town of Queensbury • Community Development Office 742 Bay Road, Queensbury, NY 12804 L-ZFFICE USE ONLY TAX MAP NO. PERMIT NO. ; ; u N OF Gi�3EENS$UR I FEES: PERMIT RECREATION ENGINEERING BUILBI':1C, 50DE5 (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/11A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: 7�'T.7Oo4,7 wnon LLc OWNER.4 i6'�-SoII MAL- WIJA _ 5� ADDRESS: IZI �-Onc f C e- ADDRESS: 107Q 4ST-ATP-b 7, Ny �2 Qze o,,7e N l2 45- t &4116 PHONE NOS. PHONE NOS. CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: IFAtJk JFLI Y PHONE:13)6'7 105Go !17 LOCATION OF PROPERTY: u 6S OT A 2 SUBDIVISION NAME: N J(I PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT APPLY TO YOUR z � 0 C'1 w LL u) PROJECT 00 � O N W J O F- = tLL LL LLJQ U z ¢ Q ; a zz C1 F- H O � � wZ cn N U) O LL u- a 2 oiS 7-il SINGLE FAMILY9OI TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE , C*U FACTORY OR f - INDUSTRIAL ATTACHED GARAGE(1, ,3) ✓ 12� �Z� ,, 2� y�Z OTHER IF COMMERCIAL OR INDUSTRIAL-NAME Q# BU (NESS: B� o � ESTIMATED CONSTRUCTION COST. FU L TYPE: 4 HEAT TYPE: i z- HOW MANY FI EP ): &A AND/OR WOODSTOVES(S): y ZONING CATEGORY: '� ARE TH RE WETLAN ON THIS SITE? AVo IS THIS A HISTORIC SITE? / y o PROPOSED USE OF BUILDING OR ADDITION: 31AGLE FAM t L-X u)EALIJ6 'Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL 11-05 Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? I U 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 provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above. Signed vv� &/_1 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) ...................... ................................__., , 01 , , , , Permission is hereby granted to the above 0 This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the 01 described herein in accordance with said zoning Laws of the Town of Queensbury. Application: , 0 , 1 10 , 11 , BUILDING & CODES APPROVAL ZONING APPROVAL00 01 , , , , , , , , , DATE 0 ; DATE , 1 ; QUESTIONS? CALL 761-8256 OR EMAIL codesda-)gueensburY.net VISIT OUR WEBSITE FOR MORE INFORMATION Office Use Only www.aueensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensburyj • Community Development Office • 742 Bay Roan, Queensburyy, NY 12804 Fire Marshal's Office F 10-UM of L?acet'risi ��r.i ;42 Bail Road • ` t'rrr r if _r N- ix : ork •I L'804 CI=lichaei 1- Pahrr-r, F ire'V1r;rsha? r,y'�Eiltrttrzft, I)ejutttt Frre ;1 . hr,' ; RNOV p 3 2 APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building &Codes Office for the issuance of a Building&Use Permit pursuant to the New York State Fire Prevention &Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances,regulations,and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. OWNER:ZO&AL.h *MxiAAW14 R6SS INSTALLERIBUILDER: :T ON jTi2UGTt� LL e ADDRESS: l I bl ,s M7>e�, N 7 ADDRESS: �lV cf 7♦;"o 1AkE [7 ICI E?IN PHONE NOS. 7��`Y 7 PHONE NOS. LOCATION OF PROPERTY: t2.9 LoT27 �(AEWYSbL EA-7 SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATTtON: 41/tn16 !fib OM CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: I WJ K`j T� PHONE: ?q& '5(0/ ) FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT* Aw FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. LISTED BY: NUMBER: QUESTIONS? CALL 7614205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: fremarshal@gueensbury.net MASONRY" CHECK ONE ✓ VISIT OUR WESSITE TILE STEEL SIZE IN FOR MORE INFORMATION EE INCHES www.cIueensbury.ne ✓ t FLUE CHECKONE V DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY WALL LIN CHIMNEY MATERIAL CHECKONE ✓ **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. 15-7 0S" " o __N_�___________, R PROJECT NAME: c��75 1 �� QL OFFI �l1S STAFF INITIALS: BUILDING PERMIT SUBMISSION DATE: CHECKLIST FOR: __________: SINGLE FAMILY DWELLING 1. j Building Permit Application Completed? YES NO N /A .____.____..._.........-_.._....-._..:_..........._.-__..-..__...._.._-..............._.._.__._.___._.___.._-..-__`_-.____............-...-..__...._.................__......_.__._.;_...........................-_._......� ....._._............-......... -'---'---"'-__..__...__.; 2 fiEnergy Form or CheckMate Energy Code Compliance Forms Complete? (2-copies) Energy Code Inspector's Report from Checkmate 3. Program? (2-copies) I/ ...._-......_......... ..........._... -------- ----....._....................._..-._...._.-............................._.._....._.._-....................._............................... ................._.._......._......_._............................................._.._........._.__..-.__...-------------- 1 Septic application completely filled out? I 4' i (if applicable) ---_�__ ._._------- ._._-. __._. -------..--___--r 5. ` Electrical Inspection Form complete? I 6. Two (2) sets of the plans each of the following: i YES NO N /A 3 a. Floor plans (s)? b. Foundation plan? ------ -,------------- -_ -----._._..... -------------------...-- -----------..._._. ------..__.. _.._.. .. - - _ --- ----- - E c. Cross sections (s)? .-_______ ___._____._.___.___.....-__.__..__._.._._.__....__..__......__..__..._-_-.-----.-----._._._..-..---_---..---.--..__.._.__.._..........._......._..._...-.---_............._._.._..._._.__..-__.........._.... _.._ i 1 d. Elevations? i ; e. Window and door schedule? V, i 1 ........................__.._-_...__.._._._--------------- _-___.__._._____._.__....................__._....._.....__.__.f_____.__._ ..........._.:..._..____....____...___._.._.___.___.__.� f. Natural Light, Ventilation and Emergency Egress r Requirements? V g. Plans signed and sealed by registered architect or engineer? El__....__ ____._.__-_.w__.__....__.._._.._--.----.--_----_____ ____ -_____.-__------.._._._.. -_ ._L.__.._.._.___ Two (2) site plans showing location of the structure to be / 7. ` built, location of well or water lines, location of septic v §ystem or sewer line? .......... ._ _ ................._.-._._-...._..._.--__-..._.-._...-.--..._.._.______..._----.__.-.__.._........_.._......._._.........__._.__.. -.. 8. Setbacks from property lines to new structure? ' I I Setbacks to neighboring wells and septic systems, i i 8' including onsite well and septic systems (if applicable)? ............. _.............._..._... -_.......... _.. _.._..._.... --- - ---... ..............._. _._........ ,-... I 9. I Driveway Permit? 1--------------------------- --- _--- ----- ------- ------ ..........._..._..........._. ---------------------. ...-- --------- - Town of Queensbury ■ Community Development Office ■ 742 Bay Road, Queensbury, NY 12804 B 12-LTR 11-05 PROJECT NAME: OFFICE USE ONLY ; STAFF INITIALS: ; BUILDING PERMIT SUBMISSION DATE: ; , CHECKLIST FOR: ' MULTIPLE DWELLING or COMMERCIAL PROJECTS ............ T 1. Building Permit Application Completed? YES NO N /A 2 Energy Form or CheckMate Energy Code Compliance ! �� Forms Complete? (2-copies)_ ______--_--___._-------...__.__-----. . -- _ 3 � Energy Code Inspector's Report from Checkmate Program? (2-copies) _ 4 Septic application completely filled out? [ — _ (if applicable) -_-__----_-___.l. I 5. Electrical Inspection Form complete? ................... 1 i 6. ' Two (2) sets of the plans each of the following: YES NO N /A I a. Floor plans (s)? b. Foundation plan? C. Cross sections (s)? i d. Elevations? - ----_ I e. Design loads including floor, snow load, and wind load? f. Seismic design (required after January 2003)? _�.__----._-- g. Plans signed and sealed by registered architect or engineer? h. Window and door schedule? Two (2) site plans showing location of the structure to be I ' built, location of well or water lines, location of septic 7' system or sewer line with all setbacks and separation f distances shown and all improvements to the propert ? ! 8. ? Solid Fuel Burning or Gas Appliance Form (if applicable)? 9. Driveway Permit i Town of Queensbury - Community Development Office - 742 Bail Road, Q.reensbury, NY 12804 Check Residential Plan Review: One& Two Family`Dwellings Y/N/N/A (2)Full sets of plans Over 1,500 sq. ft.-Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf 50 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: L/ryindow Schedule With Glass Size D or Schedule/Main Entrance 36"Door ),'Emergency Escape Or Bedrooms and Habitable Space Above/Below grade, 5.7 sq. ft. Grade,5.0 sq. ft. 4"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofmg/Waterproofing Materials On Plans e5oundation Drainage On Plans,if required "Drop in 10' Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where uired �Jce 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 Winder Run and Rise S�Not Allowed From 2 Story oke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance H 11 Width, 36"min. andrails More Than Four Risers On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4" in Ht. fety Glazing Notes For Required Areas arage Fire Separation �rarage Floor Sloped ttic Access oof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access C rbon Monoxide Detector Outside Lowest Sleeping Area, On Every Level& terconnected oil Test Results, if required Septic To Well Or Water Line Separation All Paperwork Signed Page 1 of 1 Dave Hatin UT To: Daniel W. Ryan, P.E. Cc: Pam Whiting Subject: Request for Town Engineer Review DEEP HOLE/PERC TEST Request for Town Engineer Review Name: Courtney and Robert Smith Phone: 793-9283 Address: 129 Sunnyside East Location of Test: 129 Sunnyside East Applicant's Engineer: Ken Kosa Phone: 899-3405 Applicant's Agent: Frank Jelly Phone: 796-5611 Additional Notes: Two Lot Subdivision Reason for Request: = New System Replacement System Failed System Are WETLANDS present? = YES NO UNKNOWN David Hatin Town of Queensbury Director of Buildings&Codes 761-8253 10/26/2007 Town of ueensbur�■ Building&Codes Enforcement Office■742 Bay.Road• `1`Q 1 y Queensbury NY J �04 DEEP HOLE/PERC TEST Request for Town Engineer Review Property Owner: l OUC-fM-e`j R o ` Phone: �C � Property Owner's Address: �l0 Location of Test: 7_7 61 n y" s/ t- Eq 4-L>t Z Tax ID#: r *Applicant's Engineer: �� Phone: Applicant's Agent: Fran k TeI � Phone: Additional Notes: :fin/-o i0t 5 V 411(f.jtc1l 1. Reason for Request? ❑ New Septic System D Replacement Septic System 0 Failed Septic System XSubdivision Site Plan Review 2.Are Wetlands present? F] YES `X NO UNKNOWN *Note: Applicant is required to engage an engineer for design and testing of the system. The Town Engineer's responsibility is to witness system testing only. PLOT PLAN: Plot plan, to scale, to be submitted with application FEE a. $ 200 Flat Fee, Date Paid: A ' Check No.: b. OR Fee to be determined during To Be Determined: Site Plan /Subdivision review process SIGNATURE: In carrying out the provisions of Article IV, the Local Board of Health or the enforcement officer may engage the services of a qualified professional consultant for expert review and recommendation arising from the carrying out of the provisions of Art. IV, including but not limited to the review of plans, specifications and reports, attendance at inspections, dye tests, deep hole test pits, septic related deep hole and percolation tests, system installations, and any other aspect of any matter contained in this Art. IV, and any costs incurred in such review shall be paid to the Town by the owner of the property before any approval can be granted under this Art. IV shall become effective within 30 days of presentment of an invoice for same, whichever is sooner. Such costs shall not exceed $1,500 without prior written notice to the party to be charged with same. My signature below indicates I have thoroughly read and understand the instructions, agree to the submission requirements and have completed the application. I also fully understand that additional engineering fees may be necessary per Town of Queensbury Local Law 136-14D. SIGNATURE OF APPLICANT: Date: SIGNATURE OF AGENT: r '< f Date: b-7 Original (B&C File) Canary (Planning) Pink (Applicant) Gold (Town Clerk) --------------------- Community Development Office ouln of Queensbury • 742 Bay Road • Queenshury, Neu) York -12804 ; BUILDING PERMIT CALCULATION SHEET: NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS REQUIRED ACTUAL LIGHT REQUIRED SQUARE FOOT HABITABLE ROOM AREA OF ROOM IN LIGHT VENTILATION SQUARE FEET 8%OF ROOM SQUARE VENTILATION-0% SQUARE OPENING FOR REMARKS AREA FOOTAGE OF ROOM AREA FOOTAGE EGRESS �QO 03 , QUESTIONS 7 CALL 761-8256 OR EMAIL codesAkweensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION www.auensbury.net B 10-LTR 11-20 Com urnityDevelopmentOffice __________________ "own of Queensbury • 742 Bay.Road • Queensbury, New York -12804 WINDOW SCHEDULE '_____.__ . JOB SITE/ADDRESS: DATE: OWNER: APPLICATION NO.: WINDOW CLEAR UNIT OR CLEAR WINDOW STOCK ROUGH ROUGH SQ.FT. OPENING NO.OR WINDOW SQ.FT. OPENING SPECIAL HARDWARE OR WIDTH MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHT LETTER NAME MODEL/TYPE CALL WIDTH HEIGHT VENT OPENING S IN INSTRUCTIONS ON PLAN SIZE INCHES INCHES B 26-LTR 11-05 Town of Queensbury Fire Marshal 742 l;ay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's Q r- instructions or specifccations is allowed. Permit# l'1 ' Schedule4nspection � �1 Time pm anytime Inspector_ Name::ff _;) Can O ldress RoughIn Fin Appliance Manufacturer. 1? Cr Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension(if any) Mantel Height above f/p opening C Witness Operation Tank Placement(if LP) Whitt—Baildins Dept. Yellow r P"—Fire Mardmi Framing / Firestoppi g Insp con�Repo Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: IN/a, am/pm 742 Bay Road, Queensbury, NY 12MM Inspector's Initials: NAME: PERMIT#: LOCATION: INSPECT ON: - -- TYPE OF STRUCTURE: Framing Y N WA COMMENTS: 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 % w 16 gauge 8 16D naNs each side Draft stopping 1,000 sq. ft. floor trusses Anchor Botts 6 ft. or less on center Ice and water shield 24 inches from wall ire separation 1, 2, hour �- Fire w , , our 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 Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Forms-OMBuNding&Codesllnspec w Fo m W arning Fndoppinp inspsom Report.d=Revised Jonuary 7,2008 Town of Queensbury Fire Marshal 742 Baja Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit#Q ^—W/ }Schedule Inspection l Time / � am pm anytime Inspecto 11� r Name1� �S` Cg'Cw ✓ Address `�� Sl�A1iU yS/�e j?� _ P�r$TRaigh ja�Final_ Appliance Manufacturer. 4W Model# P Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles oA Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension(if any) Mantel Height above f/p opening Witness Operation [41 [ Tank Placement(if LP) White—BuR&ft Dept I Yellow r PWk—Fire Marshal Queensbury Building & Code Enforcement - Residential Final Inspection ram" Office No. (518) 761-8256 Arrive: _ am/pm Depart: am/pm Date Inspection request received: > Inspector's Initials: q / NAME: PERMIT#: C) LOCATION: ^<v 1 .-1 -�� DATE: Xloct TYPE OF STRUCTURE: Comments: NIA ,V 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 Co lets/Exterior Finish Complete Platform at all exterior doors _ Handrail 4 or more risers Guards at stairs decks ratios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more HandraN Termination at Newell Post or Wail Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapoed Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-of exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety alazina Interior Smoke Dot ors I Carbon M99noxide etectors Every level: FE"veBedroOutside every bedroo : �Inter Connected: 01 atts badku oe Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access 1 .ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emeraency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to fumace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves instg /Heat TraV Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'A"Gypsum Basement stairs closed rise>4 inches Gara a Floor Pitched Garage fireproofing/%hour fire door/door closer 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 I Variance required Flood Plain Certification,if required Okay to issue C/C or C 10 Temporary/Permanent LABuilding&Codes FormslBuilding&Codesunspection FormslResidential Final Inspection Forrn_revised_100405.doc;Revised January 7,2008;Revised 6/26108 2 rZ/ / Queensbury Building.& Code Enforcement - kpldential Final Inspection Office No. (518) 761-8256 Arrive: am/pm part: am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: F- _ LOCATION: DATE: TYPE OF STRICT E: Comments: 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,patlos more than 30 inches above grade �► kJ Guard at stairwell at 34 inches or more Guard at deck es 36 inches or more Handrail Termination at Newell Post or Wall 01 Interior/Exterior Railings 34 inches to 38 inches Deck Bra /Handicapped Ramp Compliant Grade awayfrom foundation 6 inches with 10 feet 6 inch clearance to sill plate V 01 ` Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy I trim/doors/main entrance 36 inches 01 Bathroom/Kitchen waterti ht Safety glazing/Whdow in stairwells safety q in +� Interior Smoke ors I Carbon IV loonoxi Detectors Every level: Ev Bed�rc/�6m t Outside every bedroom re; 4, Inter Connected: Batte badku : Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access 1 .ft:150 sq.It.vents Y Bathroom Fans if no window —.. Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 sq.ft.- Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to fumace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock underside minimum'IV Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed propgriy'— Gas Logs in Sealed o ass n 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 I Variance required Flood Plain Certification,if required Okay to issue C/C or C 10 Temporary I Permanent L:\Building&Codes Forms\Building&Codes\lnspection Forms\Residential Final Inspection Fonrh_revise0_100405.doc;Revised January 7,2008;Revised 6/26/08 / -C�� -- i -3 Rough Plumbing / Insulation In edion Report Office No. (518) 761-8256 Date Ins Mn n request received: Queensbury Building &Code Enforcement Arrive: am/pm part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: S e Las I , INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 %inch minimum Drain Size Washin 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.1 for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant c en Door/Window led Insulation ct/Ho Waterr Insulation u��41f ces 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 e+�tion Report Rough Plumbing / Insulation In 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:-" / NAME: D�SS' PERMIT#: —� LOCATION: Urn A — INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/chan a 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 .S.I 15 minutes Insulation/ idential Check/ Commercial Check ilar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Dud/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Dud work sealed properly/No duct tape COMMENTS: T1 d D�s Rough Plumbing Insulation Report.r'evised Nov 17 2003, revised February 15,2005, revised January 7,2008 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: U tt' NAME: / PERMIT#: e—�_I LOCATION: _ INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 '/ inch minimum Drain Size Washing Machine Drain 2 inch minimum A-Qleano eve 100 feet/change of direction ure Test rain/Vent Air/Head P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply 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 ReporLrevisad 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 &Cock Enforcement Arrive: am/pm Depart. ,Orn pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:&411) NAME: X(,)SS / PERMIT#: o LOCATION: INSPECT ON: TYPE OF STRUCTURE: Framing MM Y N WA COENTS Attic Access 22"x 30' minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jadc 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 naAs each side Draft stopping 1,000 sq. ft. floor trusses Anchor Botts 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 Ceifingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LA8uikkq&Codes Foms-OLD16uii N&Codesanspedion Fo msTrarNnp Frestopping inspedion ReporLdoc Revised J nUM 7,2006 21—q Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 01 X v Queensbury Building &Code Enforcement Arrive: am/pm art:n amipm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: fLOS5 PERMIT #: —S �/ LOCATION: I L v4A� :S C' S� INSPECT ON: � 0 TYPE OF STRUCTURE: Y N NIA 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 1/0 P.S.I. or 10 ft. above highest connection for 15 minutes ressure 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 Dud/Hot Water Piping insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No dud tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestop�in nspectlon f t Office No. (518)781-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart:cam/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: I A k--% NAME: 9 PERMIT#: LOCATION: :71 INSPECT ON: TYPE OF STRUCTURE: Y f N NIA COMMENTS: Framing AAttiss 22" x 3W minimum Jack Studs/Headers VIV Bracing/Bridging Joist hangers Jadc Posts/Main Beams Exterior sheeting nailed properly IT O.C. Headroom 6 ft. 8 in. StairweAs 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 $ 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolus 6 fit. 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"A inch or 518 inch Type X Garage side 518 inch Type X Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABuiid ft&Codes Forms-0W%uit6mq&Cod"Ninspection Form Wwr ing Fvedoppft Unspedion RepoR.doc Revised January 7,2006 Foundation Inspection Report Office No.(518)761-8256 Date on uest received: Queensbury Building&Code Enforcement Am e p n Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspecto s Initials: J NAME: PERMIT#: LOCATION: INSPECT ON: — — TYPE OF STRUCTURE: Commeab Y N NA Footings Piers MonoWc Slab Reinforcemen in Place The coAtrdctor 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 Glove footing 6 mil 1 wet areas under slab *ppl6val Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Buliding&Codes Forms\Building&Codes\Inspection Fonns\Foundation Inspection Report-doc Last printed 12/20/2005 9:24:00 AM Framing / Firestopping Inspection Report ( � �,D Office No. (518)761-8256 Date I Queensbury Building &Code Enforcement Arrive: pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initi NAME: `� � ERMIT k LOCATION: _ INSPECT ON: TYPE OF STRUCTURE: Framing Y N N/A COMMENTS: Attic Access 220 x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jadc 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 fox Notches Top Plate 1 % w 16 gauge 8 16D nails each skis Draft stopping 1,000 sq. ft floor trusses Anchor Bob 6 ft. or less on center ice and water shield inches from wall ire 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's inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilinghyall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. OM 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Forms-OLD1&At&CodesYmpedion FortnslFmnhV Firestopping Inspection Report.doc Revised January 7,2008 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart:C.-n. n am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAMES. PERMIT NO.: Z I LOCATION: INSPECT ON: RECHECK: r^ Comments and/or diagram Soil Type: Sand Loam / Clay Type of Water: Municipal/ Well Water Waterline se rati istance ft. Well separat' n 'stance ft. the wells: ft. Well Casing Len 50 + / - / Y N_N/A Absorption Field. Total le th I ft. Len thlof each tren h De th of trench4t Size of Stone P Seepage Pits: Number Size: R x Stone Size: f Pi ing Size Type I V Buildin to tank Tank to DistribLition Box Distribution Box to Field / Pit O nin :Sealed: Y N nd Cap Y N Inlet/Outlet Pipes &Baffles Y_ N Location Sepa tions Foundation 0 tan ft. Foundation to absorkt A- Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built Y N Location of System on Property: Front R ar Left Side Right Side Middle Front Middle Rear S s m Us 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 F-57 D Kenneth M. Koza l CMK Engineering JUL JUL 17 2009 P.E. License Number 070971-1 5 Morningdale Court TOWN OF QUEENSBURY Ballston Lake,NY 12019 BUILDING & CODES July 23, 2009 Queensbury Building & Code Enforcement 742 Bay Road Qtieensbury,NY 12804 Ref: 117 Sunnyside East To Whom It May Concern: This lettez, is certify that the septic system installed at 117 Sunnyside East was installed in accordance with the submitted plans and New York State Appendix 75-A Wastewater 'Treatment Standards—Individual Household Standards the New York State. "The as installed dimensions of the septic system are documented on a separate drawing for infonnation. If you have any questions please call me at 899-3405. Sincerely, aF N E l v Kenneth M. Koza, P.E. > 0�09711 f �OFESS1 Kenneth M. Koza CMK Engineering P.E. License Number 070971-1 5 Morningdale Court Ballston Lake,NY 12019 July 23, 2009 Queensbury Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Ref: 117 Sunnyside East To Whom It May Concern: This letter is certify that the septic system installed at 117 Sunnyside East was installed in accordance with the submitted plans and New York State Appendix 75-A Wastewater Treatment Standards—Individual Household Standards the New York State. The as installed dimensions of the septic system are documented on a separate drawing for information. If you have any questions please call me at 899-3405. Sincerely, �pF NEW), Kenneth M. Koza, P.E. H M./oO�,� 07097A, G , Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Dep i pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: Ila — , INSPECT ON: TYPE OF STRUC Commelb Y N NA Footin Piers 7 7F "L ono ithic 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 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 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: 7J D� NAME: gas—> � 2 , LOCATION: T s UAt 1 d PERMIT M Final Survey Plot Plan AyRroved Denied The attached final survey has been received by the / Dept.of t/ Community Development. Upon review the survey bM been: rows,Zoning Administrator Notes: L:\SueHemingway%BuNing.Codes-kspectia►•FORMS\Final Swvey Zoning AdminislratWA1M lir Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: Q-I At-am/pm 742 Bay Rd., Queensb , NY 12804 Inspector's Initials: � �f NAME: OsS PERMIT NO.: LOCATION: INSPECT ON: — — RECHECK: Comments and/or diagram Soil T n Loam / Clay Type of Water: Munlci al / Well Water Waterline separation distance ft. Well separation distance / ft. Other wells: Well Casing Length 50' + / - Y N V N/A Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ` ft. Size of Stone Seepage Pits: Number Size: L x Stone Size: Piping Size T Building to tank "4`k 0 Tank to Distribution Box 1 Distribution Box to Field/ Pit �,t,k ZG Opening Sealed: N End Ca N .�^ Inlet/Outlet Pipes &Baffles FY=N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y En ineer Report and As-Built Y N Location of SystnRear perty: Front Left Side Right Side Middle Front Middle Rear m Use S. 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 F11 E, COPY 129 Sunnyside East evidence ot, or believe s fences,etc., N a1, have Seen or observed we11s,trees, all objects such as horses, resent that t h"el. „ k 1 also rep � h on t�+° t�cevan on this document. d'► +ances set �,•y m¢asured LI Sox Expansion Area ------------------------- ---------e-- -------- Abso►btlon Rek! (Throe So' lines) me. .TMI 1 Distribution Box--�� ,,� a'typ ---- _ T L --�1000 Galion Septic Tank oo• to'�Ipn. Proposed House r so' e• �. . ' 1 , y 1 6. Propowd W v 0 4) > 1 ' *' 1 7y W 1 N i Q Y CL i O f f / • t, i Foundation Inspection Report l 6,4 Office No.(518)761-8256 Date Inspection request received: 2 Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: vn S}✓�c U� ��SS PERMIT#: LOCATION: S d e INSPECT ON: TYPE OF STRUCTURE: Con, ime" 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 oundation 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 ackfill 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&Codesunspectlon Fonns\Foundatlon Inspectlon Report.doc Last printed 12/20/2005 9:24:00 AM /_�� _Ikor,417 , Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:�pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: INSPECT ON: r 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 m in Place Footing Dowels r Keyway in place Fo'u1rdafiew0ftkpprootmg 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\Inspecdon Fonms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Inspecti request received: U Queensbury Building&Code Enforcement Arrive:P am/p Depart: pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: 0 � LOCATION: INSPECT ON: TYPE OF STRUC . Comments Y N/A Wootings Piers Monolithic Slab Reinforcement in Place / ' �, The contractor is respons�le fo providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. l:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report-doc Last printed 12/20/2005 9:24:00 AM F-• Permit# Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: Ross Project Report Date:05/04/08 Data filename:C:\Program Files\Check\REScheck\Ross.rck Energy Code: New York State Energy Conservation Construction Code NUV Location: Warren County,New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: 13% Heating Degree Days: 7635 Construction Site: Owner/Agent: Designer/Contractor: 129 Sunnyside East(lot2) Queensbury,NY 12804 Assembly R-Value Ceiling 1:Flat Ceiling or Scissor Truss: 1724 38.0 0.0 52 Wall 1:Wood Frame,16"o.c.: 1920 21.0 0.0 95 Window 1:Wood Frame:Double Pane with low-E: 250 0.360 90 Basement Wall 1:Solid Concrete or Masonry: 768 0.0 11.0 61 The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements.When a Registered Design Professional has stamped and signed this page,they are attesting that to the best gf his/her nowje ge,belief,and professional'udgment,such planspr specifications are in complia;:;�7�de. Fra, �s �G � LCC g Builder/Designer Company Name Date Ross Project Page 1 of 4 REScheck Software Version 3.7.3 Inspection Checklist Date:05/04/08 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: Basement Walls: ❑ Basement Wall 1:Solid Concrete or Masonry,8.0'ht17.0'bg/4.0'insul,R-11.0 continuous insulation Comments: Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade) insulation and extends at least 6 in.below grade. Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. Vapor Retarder: ❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment must be identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Supply ducts in unconditioned attics or outside the building must be insulated to R-11. ❑ Return ducts in unconditioned attics or outside the building must be insulated to R-6. ❑ Supply ducts in unconditioned spaces must be insulated to R-11. ❑ Return ducts in unconditioned spaces(except basements)must be insulated to R- ❑ Return ducts in unconditioned spaces(except basements)must be insulated to R-2. .Insulation is not required on return ducts in basements. Duct Construction: ❑ All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives), mastic-plus-embedded-fabric,or tapes.Tapes and mastics must be rated UL 181A or UL 181 B. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in,w.g.(500 Pa). ❑ The HVAC system must provide a means for balancing air and water systems. ...,� Ross Project - � �� -. � �- - � Page 2 of 4 Temperature Controls: ❑ Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: ❑ Separate electric meters are required for each dwelling unit. Fireplaces: ❑ Fireplaces must be installed with tight fitting non-combustible fireplace doors. ❑ Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: ❑ Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. ❑ 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/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. Ross Project 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 Rangeff) 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) Ross Project Page 4 of 4