2007-604 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CE RT I F I CAT E OF OCCUPANCY
Permit Number. P20070604 Date Issued: Friday, August 28, 2009
This is to certify that work requested to be done as shown by Permit Number P20070604
has been completed.
Location: 14 PARK VIEW Ave
Tax Map Number. 523400-302-014-0003-058-000-0000
Owner. RMG PROPERTIES, L.L.C.
Applicant: RMG PROPERTIES, L.L.C.
This structure maybe occupied as a:
Fireplace By Order of Town Board
Garage - 1 Car 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&Co a Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070604 Application Number: A20070604
Tax Map No: 523400-302-014-0003-058-000-0000
Permission is hereby granted to: RMG PROPERTIES, L.L.C.
For property located at: 14 PARK VIEW Ave
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: RMG PROPERTIES, L.L.C.
30 CLEMENT Ave Fireplace
SARATOGA SPRINGS, NY 1286 Garage Veon
Car Attached
Single llinR $160,000.00
Total V $160,000.00
Contractor or Builder's Name / A ss Electrical Inency
GAMMON CONSTRU ON LLC
NY 12804-0000
Plans&Specifications
2007-604 14 Parkview Avenue
1868 sq ft single family dwelling 430 sq ft garage and 1 fireplace
Pd $25 on 12/31/2008 to renew permit for one year. SH
$267.16 PERMIT FEE PAID -THIS PERMIT EXPIRES: Monday, October 12, 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 Town of Queensbur Friday., October 12, 2007
SIGNED BY for the Town of Queensbury.
Director of Building&C n ement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070604 Application Number: A20070604
Tax Map No: 523400-302-014-0003-058-000-0000
Permission is hereby granted to: RMG PROPERTIES, L.L.C.
For property located at: PARK VIEW Ave
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: RMG PROPERTIES, L.L.C.
30 CLEMENT Ave Fireplace
Delliellsn
ed
SARATOGA SPRINGS,NY 1286 Garage- 1 il Dwelling
Single Family $160,000.00
Total Value $160,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
GAMMON CONSTRUCTION LLC
NY 12804-0000
Plans &Specifications
2007-604
1868 sq ft single family dwelling 430 sq ft garage and I fireplace
$267.16 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday, October 12,2008
(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 Vwn o ctober 12,2007
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
XY -;
PROJECT NAME: LL I aue—
STAF FRI IALp
1,
3oa -o/q �F
-() y6
DATEI
0
BUILDING PERMIT SUBMISSION
CHECKLIST FOR: CODES
-----------------------
SINGLE FAMILY DWELLING
1. Building Permit Application Completed? YES NO N /A
Energy Form or CheckMate Energy Code Compliance
2.
Forms Complete? (2-copies)
Energy Code Inspectors Report from Checkmate
3.
Program? (2-copies)
4 Septic application completely filled out?
.
(if applicable)
5. Electrical Inspection Form complete?
6. Two (2) sets of the plans each of the following: YES NO N /A
1 a. Floor plans (s)?
b. Foundation plan? �f
c. Cross sections (s)?
d. Elevations?
e. Window and door schedule?
1 g. Plans signed and sealed by registered architect or
1 engineer?
h. Window and door schedule?
Two (2) site plans showing location of the structure to be
A
7. built, location of well or water lines, location of septic
system or sewer line?
8. Setbacks from property lines to new structure?
I Setbacks to neighboring wells and septic systems,
8.
1 including onsite well and septic systems (if applicable)?
9. Driveway Permit?
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
1
____
PROJECT NAME: OFFICE USE ONLY 01
STAFF INITIALS:
;
BUILDING PERMIT SUBMISSION ; DATE:
CHECKLIST FOR: `
MULTIPLE DWELLING or COMMERCIAL PROJECTS
1. Building Permit Application Completed? 1 YES NO N /A
12 Energy Form or CheckMate Energy Code Compliance i
I j Forms Complete? (2-copies)
3 Energy Code Inspector's Report from Checkmate
_ _Program? (2-copies)_ _
4 Septic application completely filled out?
(if applicable)
f ; �
5. Electrical Inspection Form complete?
6. Two (2) sets of the plans each of the following: YES NO N /A
a. Floor plans (s)?
b. Foundation plan?
j c. Cross sections (s)?
d. Elevations?
^?e. Design loads including floor, snow load, and wind C
' load?
f. Seismic design (required after January 2003)?
i
g. Plans signed and sealed by registered architect or
engineer?
h. Window and door schedule? l
I Two (2) site plans showing location of the structure to be j
built, location of well or water lines, location of septic ; !
7' system or sewer line with all setbacks and separation
j distances shown, and all improvements to the property? i
1 f
8. # Solid Fuel Burning or Gas Appliance Form (if applicable)? s
-
9. Driveway Permit
Ef
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
r r ;
r ,
Cmmunifiy Development Office
own of.Queensbury• 742 Bay Road • Queensbury, New York-12804 ;
r '
Marilyn Ryba,Executive Director• David Hatin,Director of Building&Codes
Craig Brown,Zoning Administrator ;
BUILDING PERMIT CALCULATION SHEET:
NATURAL LIGHT, VENTILATIGNAND EMERGENCY EGRESS REQUIREMENTS
AREA OF ROOM IN ACTUAL LIGHT REQUIRED AaClt)A4 SQUARE FOOT
HAWAFLE ROOM SQUARE FEET SQUARE FOOTAGE VENTILATION-4% VENTRA'nON OPENING FOR REMARKS
OF ROWARFA SQUARE FOOTAGE EGRESS
Wit• 4PO7'7 03 5,1A l3. 3$ 5-8 i
Igg 9q-/3 t7-68 / 3. 38 5-81
8aoo 43 ,56 aa•
QUESTIONS 7 CALL 761-Use OR EMA&
coffee ueensbb m-r-M
VISIT OUR WEWrM FOR MORE WFORMATION
www.au4n_sbunr.net
Community Development Office
own of Queensbury- 742 Bay Road - Queensbury, New York -12804 (� �r ;
Marilyn Ryba,Executive Director-David Hatin,Director of Building&Codes
Craig Brown,Zoning Administrator rSFP ' 5 ?N7
WINDOW SCHEDULE :_TflYube.c� .tal3k `f
BUILE)ING X G(-)nE.S
JOB SITElADDRESS: Qcwclg., ZOT-W I f DATE:
OWNER: 9/Y79 Aeozet-hesC APPLICATION NO.:
UNIT OR CLEAR
NO.00R SQ.FT
WINDOW STOCK ROUGH ROUGH SQ.FT. CLEAR OPENING
WINDOW . OPENING SPECIAL HARDWARE OR
LETTER MODEL/TYPE VENT
MANUFACTURER NUMBER OPENING OPENING EGRESSICLEAR WIDTH IN HEIGHT INSTRUCTIONS
ON PUN NAME CALL WIDTH HEIGHT OPENING INCHES IN
SIZE INCHES
ignd Sere 0a5emcA-t- G[2.. -
C4x,ren7— C-/3.S ;L+-0 5le( -S i-s�j�" y y. /�� 3 S--�1514
pol a*lo -6 Y8 -51-0 I z
Community Development Office
own of Queensbury• 742 Bay Road • Queensbury, New York•12804
Marilyn Ryba,Executive Director• David Hatin,Director of Building&Codes
Craig Brown,Zoning Administrator -----------------
;
+ +
BUILDING PERMIT CALCULATION SHEET:
NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS
AREA OF ROOM IN ACTUAL LIGHT REQUIRED ACTUAL SQUARE FOOT
HABITAEi E ROOM VENTILATION.4% VENTILATION OPENING FOR REMARKS
SQUARE FEET SQUARE FOOTAGE OF ROOM AREA SQUARE FOOTAGE EGRESS
k;-lam/�Eh >a q � y. '� � �:�•;�� /3-� y- ;�
8410f)'g 6.ay 11� 66 5.8 /
QUESTIONS T CALL 761-8256 OR EMAIL
c g*Q&auesnsbunr.r_t
VISIT OUR WESSITE FOR MORE INFORMATION
ywvw,aMsburv,net
L lyJ
IZIICE USE ONLY - ; ;
TAX MAP NO. PERMIT NO. '
FEES: PERMIT RECREATION ENGINEERING TQ t� QFI
(If applicable) LDING& Ot%Es
-------------------------------------- ---... ...........
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: � r�ir;ir� LL OWNER:eM ,�la '� tPS L
30 Gle re,4 Pve.,gyve_ -3Q eleineli-- Avenue-
ADDRESS: Slyer�, STD s 46)� /,2 .6 ADDRESS:-Sct m Ag 4 5,Orlal S A).�j
PHONE NOS(5/8)9`-;L 93Y3 376 -Ed t- PHONE NOSc,�/8) 591-'93L/3 576 '9-3:;df
�Q C�•rro�n 58f7-g3y3
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE: ✓�'76 -�`r2
LOCATION OF PROPERTY: odr ky,c3t c) c7tL-
47ve- 5-2 3 —
Svrvc�/ rrj
SUBDIVISION NAME: V`
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR z � p d W tz
rn
PROJECT O OO O O v7 = w
J ~ _
u. v
c�
w o � O ° 0 � H O � OfwZ
z a a � cn N U) 0 LL LL a = ots
SINGLE FAMILY / L1 7, Is66 Jb f r7 11
TWO-FAMILY Y'
o4� j
I �
MULTI-FAMILY
(NO.of UNITS_
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL U
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: /��T ,,Y�
ESTIMATED CONSTRUCTION COST: ,(2O FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S):__/ AND/OR WOODSTOVES(S):
ZONING CATEGORY:_SF-2-lla ARE THERE WETLANDS ON THIS SITE? A D
IS THIS A HISTORIC SITE? /Z 3
PROPOSED USE OF BUILDING OR ADDITION: 5 `lPn►� /.11 �2 �n�jq
"Please complete a separate Application for"Fuel Burning Appliances&Chimneys available in our office
B 3-LGL 11-05
k Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
ARE THERE STRUCTURES-NOT SHOWN ON PLOT PLAN? A C7
ARE THERE EASEMENTS ON PROPERTY? /yn
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 Ilwe 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
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:
4 , , ,
,
,
+ ,
,
B &CODES A OVAL 01 ; ZONING APPROVAL
p + 1 ,
1
DATE DATE
CALL 761-8256 OR EMAIL
Codes(Dgueensburv.net(.-QUESTIONS?
IT OUR WEBSITE FOR MORE INFORMATION
WWW.queensburv.net -
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
._.__._.._._._.._...OFFICE USE ONLY..............__._.__.___% % '
/ ,
TAX MAP NO. PERMIT N0. �! RM{T FEE 0
+ i
on
0
APPROVALS: ZONING TOWN CLERK_ '
SF . 207
_____
APPLICATION FOR SEPTIC DISPOSAL S YS TE URY
m
t. (:ODES
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANC
PERMIT. /
OWNER: /fm -,• .?"-o /�IeS z-c INSTALLER: c
3b GieiMei)4- QUe/ /(!- 3o r rr r►e.��F Re-e_
ADDRESS: �G41A 2 -51Cr/1-)qS I'VI 4916(l ADDRESS:_ - . S &-- C
PHONE NOS��Z>�� ��`9�y� aH i--�I< PHONE NOS,6 / Q 1
LOCATION OF INSTALLATION:
i........................................:............................................................................................................................. ..........................:...................................:.....................................: RESIDENCE INFORMATION:
YEAR BUILT E NO.OF X i COMPUTATION= I _ TOTAL DAILY FLOW i
................................................!.. BEDROOMS A B G
j...........a...................................................:.....................;....................................................................................I GA
RBAGE AGE KINDER
1980 or older X 150 gallon per bedroom = I INSTALLED? �_
................................................a..............................................r................................................................................. ..... ...................................................................a...
1981 1991 j X ; 130 gallon per bedroom
i................................................;.................:.................,....,...I...........a............................................................. ........a...................................... SPA OR HOT TUB
...
! 1992-present X i 110 gallon per bedroom _ INSTALLED?A 30
t...... ....- :............ ...............................I.....................................................................................;...........:.......... ... .... .......................................
PARCEL INFORMATION:
✓ TOPOGRAPHY: CLA3ROLLING STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND 1/ LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH?. BEDROCMM PERVIOUS MATERIAL: AT
WHAT DEPTH? J
✓ DOMESTIC WATER SUPLY: MUNICIPAL �/ WELL
(IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS—&A FT. )
✓ PERCOLATION TEST: RATE IS m►n 5�'CPER MIINUTE PER INCH (TEST TO BE
COMPLETED BY A LICENSED PROFES ZONAL 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: 1(#-Jb GALLON (MIN. SIZE IS 1,000 GAL.) TI+ g-F�E- 'M: EACH TRENCH 3 FT.
✓ TOTAL SYSTEM LENGTH: .S!_FT. SEEPAGE PIT(S): HOW MANY? -
✓ SIZE OF EACH FT. X FT.
✓ SIZE OF STONE TO BE USED: #-- /DEPTH OR THICKNESS FT.
✓ BED SYSTEM SIZE: J'�j X If
✓ ALTERNATIVE SYSTEM: 'jJe d ra/" LENGTH AND/OR SIZE
✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: /SIZE OF EACH ---
✓ GALLONS./TOTAL CAPACITY. GAL.
II NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
' APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
i.:..::::::::....::..........:......:...::.....:..:............. .... . .
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 Sewage Disposal Ordinance. codes®aueensburv.net
�trGtC �,r#nso VISIT OUR WEBSITE FOR MORE INFORMATION
C Z -0 7 www.aueensbury.net
Signature of Person Responsible Date
Town of Queensbury - Community Development Office • 742 Bay Road, Queensbury, NY 12804
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received:
NAME:
LOCATION: 'ik
PERMIT#:
Final Survey Plot Plan
Ap
proved De»ied
The attached final
survey has been
received by the
Dept.of ✓
Community
Development.
Upon revie . the
C.
sury 'has
Craig Brown,Zoning Administrator
Notes:
L\SueHemingwaykBuildm&codac.Inswtion.FORMS'Final Survey
Zonkig Mministmwrdoc
MAP REFERENCE:
MAP OF A SURVEY MADE FOR
HOWARD LAROSE \
BY: JOHN B. VAN DUSEN
DATED: MAY 26, 1976
�1C AS'
'0�r?*
IPF
4 �
o-
ASPHALT
DRIVE
/0.
72
PORCH
/ h� y '
ti � 2 STORY o
° WOOD FRAMED r�
HOUSE AZ h� 00
y0 ^� to
0 d
��h M
70
DECK
71
Area
7,517 sq.fl.
0.17 acres
S
N0, O po,
Kith PA
!f i
LEGEND: �� t=
IRF 0= IRON ROD FOUND
IPF 0= IRON PIPE FOUND LANDS N/F OFC:
�O>= UTILITY POLE KLINE
—❑ ❑— = FENCE LINE
Date, August 0
a� �` �► MAP•UN ARM A L ALTM IONLAN OR ADDITION S L%IS A Scale 1'=20'
A LK�LAND s SEAL Is A Map of a Survey made for
Y+oLARDN a secTwN 7209.Sera-pWS10N Z a T4N:
P P NEW YM STATE EDUCATIM LAW
S \I V V S ONLY COPS TROY TIHIE OW YK OF THIS SU=
YANKED MITN AN AIMCI L OF THE LAND SU W Wg5
SEAL 0nCHALL BE IS 00CRED ro 8E SI TRUE COPffS' —_
' �'M LAND THAT Thomas L. & Starr R. DiCiurcio
Land s �surtVEY WAS PREPARED.4 ACCORDANOE NTH THE
u r v e y o r s EYTHE PRACTICE A FOR LA01�YE,�A��
BY THE NEW YDRK STATE ASSOCIM OF PROFESSIONALCKY
LAND SUR4EYDRA SAID CERTIFICATDNS SHALL RIRI ONLY
TD THE PERSON FOR*M 4NE XXNEY'IS PREPARED.AND
aN 4a eEYlur ro THE "'LE
cO4WANY.OOYE~ffAL 1 OF 1
169 Haviland Road Queensbur New York 12804 AO"DY A"°1EES O "W UDN°" MM "°N.' 'WD Town of Queensbury, warren County, New York SHEET y� ro R4E AssN4NEEs a T4E LElDNIO D+snnrnaa.•
518 792-8474 DICiurcio
New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 04151-71
302.14-3-58/101-7-9
i
Queensbury Building & Code Enforcement - Residential Final Inspection ;-7
Office No. (518)761-8256 Arrive: 111b -a rt:�.. a�
Date Inspection r st received: a? 0 9 _ Inspector's Initial .
NAME: U� _ E MIT#: 7 cl--o
LOCATION: TE:
TYPE OF STRUCTURE:
Comments•
Yes No NIA
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Co fete/Exterior Finish Complete ✓
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs decks patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck, rches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/HandicappedRam Compliant
Grade awayfrom 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 �+
Safetv glazing/Window in stairwells safety glazing4jf �,r 0e �4l
Interior Smoke Deter ors/Carbon Monoxidq Detectors
Every level: Every Bedr om:
Outside every bedroom a: �// /
Inter Connected: ^J Bette backu :
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
V71-
CravA Spaces 18 inch x 24 inch access, 1 sq.ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.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 Valve(sj installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock underside minimum IN Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched _ C
m.3� Garage fireproofing/%hour fire door/@oor closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
6
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic S stem I Sewer Dept.Inspection Sticker
Site Plan /Variance r uired
Flood Plain Certification,if required -
Oka t Cl ore IP '. No
emu:.
es orms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Queensbury Building & Code Enforcement - Res' ential Final Inspection
Office No. (518)761-8256 Arrive:-'` - am/ DeP-Prt: am/p
Date Inspection request received: Inspector's nitials: M v
NAME: PERMIT#:
LOCATION: ✓ DATE:
TYPE OF STRUCT R : '
CQmmen-ts•
Y N NIA
,C BuildingNumber Address visible from road A/
Chimne 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 atios 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 Bract /Handicapp2d Ram Com liant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off e /regulator 18 inches above grade
Interior priM/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety lain /Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 Inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 s .ft.vents
Bathroom Fans if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emeraency egress below grade "z
Gas Furnace shut-off within 30 feet or within line of site ��;t,1�R �1;gr�,J ,(�••.
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating cbc>L tJ4"A S
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum IA;
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer l7�CT �tNC�C S
Duct work Sealed prop rt
Gas Loge in Sealed orGIgss Encosu
Final Electrical \ 0
Final Survey Plot Plan fr,L t fj L;R
Are Fault Breaker in Bedrooms
Flex Gas Pipe Boni
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if re uired
Okay to issue C I C or C 10 1 Temporary/Permanent �� J
t ( /J,& L„kI Gas L I�tJ c-
L:\Building&Codes Forms\Building&Codes\Inspection FonnslResidenfial Final inspection Forrn_revised_100405.doc;Revised
January 7,2008;Revised 812601
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection r quest received:
Queensbury Building & Code Enforcement Arrive: Q am/pm art: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: ►...0 PERMIT #:
LOCATION: Pk"\C INSPECT ON: 3-114 O
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing Nail Plates
Plumbing Vent Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet change of direction
Pressure Test
Drain / Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
ressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation Residential Check Commercial Check
Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
)Droct work sealed properly / No duct tape
COMMENTS:
�1
LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
C. h-4-1 v-kc
Rough Plumbing 1 Insulation In pction Rep
ort
Office No. (518) 761-8256 Date In Lion request received:
Queensbury Building & Code Enforcement Arrive: am/,pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: <-
NAME: Gt KP, in, PERMIT #:
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
eve 100 feet/change of direction
Pressure est
/Vent
Air/Head
10 ft. above highest connection for 15 minutes
Messurelest tJ�
apply Piping
Air/Head
r 15 minutes 5 ,Q Z
Insulation/ esidential Check/Commercial Check
T ek milar Exterior Sealant
Proper Vent, Attic Vent c>Cy G C-ca--���
Door/Window Sealed No Insulation
Duct l Hot Water Piping Insulation
If required unheated Maces
Combustion Air Supply for Furnace
Duct work sealed propedy/No duct tape
COMMENTS,
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Tmm of Qaeeaalm"Fitt Mar"
742 Bay Bad
Queendawy,NY 12W4
761-SM/761-SM
fax 7454437
Factory Built Gas Fireplace/Stove I mwdion Report
Notieir-New York State meq■ires that all UL Listed,factory bak app6amees be mdaSed aocor "to the W4ractions and
cowed in the lie Mad the applwoe:No deviation fro•the ss 9
butrections or spedficadoms is allowed.
Pamilt# Schedule laqpectiois 1's e •�. is p m anytime Inspector
A,' Addnso �"ArrZ(LV E(� 2 . Rowo to
Appfiaaoe � �f2L— (1�'t/S��/`7 Mudd#
Direct Vat Factory Built ch=wy F Ne size Dome Wai Triple Wall Iasodated
Y No N/A Cora�b
[Moor Protection
Clearances to Combustibles(all sides)
Firestop(a) Vadcal chase
WA hseftTiiom
Vent Clearamm to Combustibles
Vest/Chimney Termination
Mooney heir crust be 3 feet above red
penetrstien;2 feet above any combustible
eonstrnction within to feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension(if any)
Mantel
ReW abaft UPOPCOM>;
Witness Operation
Task Placemat(if LP)
WMe-9WMMs DeM-
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 0OT
Queensbury Building &Code Enforcement Arrive: �am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: '
NAME: PERMIT #: �219
LOCATION: VL — INSPECT ON: t
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
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
4
Rough Plumbing Insulation Report revised Nov 17 2003,revised February 15,2005, revised January 7,2008
Framing 1 Firestopping Inspection Report Z _ j
Office No. (518)761-8256 Date Inspeppon request received:
Queensbury Building&Code Enforcement Arrive: -7- ,/U am/pm rt: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: / k,.w-c3!L' PERMIT
LOCATION: t /�r2 i<�! �- t,�� r INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N NIA 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 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 waft
Fire separation 1, 2, 3 hour
Fir v+rai12, 3, 4 hour
irestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 518 inch Type X
Garage side 5/8 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (V1l)
5.7 sf above/below grade
5.0 sf grade
LABuikling&Codes Fomss-=\Build ft&Codesmnspedion FormeTraming Fi estopp ft Inspection ReporLdoc Revised January 7,2008
Framing / Firestopping Inspection Reporl
Office No. (518)761-8256 Date InWuest received:
Queensbury Building &Code Enforcement Arrive: Dgpart: am/pm
742 Bay Road, Queensbury, NY 12804 InspectC�
NAME: `� PERMIT#: _
LOCATION: 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 properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq.ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
hour
Firestopping
Penetration sealed
16 inch ' 61
in cavity min.
e ire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilingtwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. ("
5.7 sf above/below grade
5.0 sf grade
LABuiici ft&Codes Forms-OLD1Builci ft&CodesNnspection FomtsTramirp Firestopping Inspection Report.doc Revised January 7,2008
Rough Plumbing / Insutation Ins eWon Report
Office No. (518) 761-8256 Date Ins ecti
7 request received:
Queensbury Building & Code Enforcement Arrive: % am/p Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: ('� 4 a"t PERMIT#: 7.7-
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA
Rou h Plumbing/ ail Plates
"',ftrnbingy-ontTVents 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
Air/Head J 1
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Rough Plumbing / Insulatio&rlsopection Report
Office No. (518) 761-8256 Date In pection request received: �)
Queensbury Building & Code Enforcement Arrive: • `� am/ m Depart: pm
742 Bay Road, Queensbury, NY 12804 Inspector's In�als:� �-c-,
NAME: PERMIT
#:
LOCATION: INSPECT ON: 1
TYPE OF STRUCTURE:
Y N NIA
jtRoguigh Plumb' /Nail P
ents in Place
1 '/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
leanout every 100 feet/change of direction
Pressure Test
Drain /Vent
�j
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 Maces
Combustion Air Supply for Furnace
Duct work sealed propefly/No duct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, wised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspechop request received: `Z
Queensbury Building &Code Enforcement Arrive: am/ De rt: am/pm
742 Bay Road, Queensbury, NY 12804 Inspecto Initials:
NAME: cT PERMIT* U
LOCATION: �^ 1 ej INSPECT ON: A G
TYPE OF STRUCTURE:
G �
Framing Y N NIA 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 Y2 w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor or less on center
Ice and water shield riches from wall c
Fire separation 1, 2, 3 hour
Fire wail 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuildirg&Codes Forms-01-Mudding&CodesIft" lion Fomis'Emming FiresloppvV Inspection Reportdoc Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date In oast received:
Queensbury Building &Code Enforcement Arrive: Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspect is Initials: ` l
NAME: C V- PERMIT#:
LOCATION: �a C 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 nails each we
D stopping 1,000 sq. ft. floor trusses
chor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forms-0LD\Building&CodesNnspection Fams\Fmn*V Firestopping Inspection Report.doc Revised January 7,2008
&,Y-/O �n (51-
Framing / Firestopping Inspection report
Office No. (518) 761-8256 Date In n request receiv :
Queensbury Building &Code Enforcement Arrive: r a rt: am/pm
742 Bay Road, Queensbury, NY 12804 Inspecto s Initials-
NAME: R/Y 16 PERMIT#: 'v�
LOCATION: X Ta _ 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
12A O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/z w 16 gauge 8 16D nails each side
Draft sto 000 sq. ft. floor trusses
r Bob 6 ft. or lei on center
f Ice and water shield nches from wall ` V
n 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forms-OLD1Building&CodesUnspedion Fours lFran ft Firestopping Inspection ReporLdoc Revised January 7,2008
/An/r��67.
7 Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received: _
Queensbury Building &Code Enforcement Arrive: am/ Depart:l�" - am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT t
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 nails each side
Draft stopping 1,000 sq. ft. floor trusses
fi or less on center
Ice and water sh' Id 24 inches from wall 7-'
on 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forms-OLDrBuilding&CodesNnspedion FomslFrartNng 19westopping Inspection Reporidoc Revised January 7,2008
Framing / Firestopping Inspection Repo
Office No. (518)761-8256 Date inspecti request received:
Queensbury Building &Code Enforcement Arrive: - 1 am/ rt: am/pm
742 Bay Road, Queensbury, NY 12804 Inspect s Initials:
�r
NAME: PERMIT M Q
LOCATION: 141 INSPECT ON:
TYPE OF STRUCTURE:
Y N WA COMMENTS:
Framing
Attic Access 27 x 3W minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
1 T 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
=andwater
or less on center
sh' d 24 inches from wall 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (V1f7
5.7 sf above/below grade
5.0 sf grade
LABuiiding&Codes Forms-01-Muilding&CodeSMnspedion ForrnsT arning Firestopping Inspection Report.doc Revised January 7,2008
s"fe'%
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection' jj request received:
Queensbury Building &Code Enforcement Arrive: -^A=am/pm Depart: am/pm
742 Bay Rd., Quee bury, NY 12804 Inspector's Initials: A
Ili I
NAME: PERMIT NO.: c �I
LOCATION: INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Ty oam/ Clay
Type of Water: unici al ell Water
Waterl ration distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + - Y N _N/A
Absorption Field: Total length 7 ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone Seepage Pits: Number
Size: x
Stone Size:
Piping sizfz Type
Building to tank c
Tank to Distribution Box tl
Distribution Box to Field/ Pit us
Opening Sealed: N
End Ca Y N
Inlet/Outlet Pipes&Baffles Y N
Location Separations
Foundation to tank A.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan V Y N
Engineer Report and As-Built Y N
Location of System on Property:
Front4se
ear Left Side Right Side Middle Front Middle Rear
e U
pproved
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
-r-A �
Foundation Inspection Report
U 7�J
Office No.(518)761-8256 Date Inspectio uest received: ��
Queensbury Building&Code Enforcement Arrive: �p1�?_� Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector s tials: �.L'
NAME: (�/ r� cS�. 61�K PERMIT#: T
LOCATION: I INSPECT ON: Of
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
oun ' n ampproo m
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
Backfiill 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
Foundation Inspection Report
Office No.(518)761-8256 Date Ins�e�c�t�i request received:
Queensbury Building&Code Enforcement Arrive: '�• w am/pm �� Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �—
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUC .
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 h urs f the placement
o e co ete.
at 'als for this o on site.
Fo io Wallpour
Rein f ace
Footing owels'or Keyway in place
Founds on Dainpproofing
Foundatio aterproofing
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
Foundation Inspection Report
Office No.(518)761-8256 Date Ins 9n request received: 7 2 o o
Queensbury Building&Code Enforcement Arrive: am/pm&'/ Depart: am/pm
s iti
742 Bay Rd.,Queensbury,NY 12804 Inspector' als:J
NAME: ►�+M l� `�"C i es L I i,� PERMIT#: L�
LOCATION: PI-VIZ v t- uJ INSPECT ON: Z / 0
TYPE OF STRUC —T
Comments
Y N N/A
ootings
Piers
Monolithic Slab
Reinforcement in Place 0�2 1 G�
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\Buiiding&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
' t t
r
Permit#
�I S � 20
07 Permit Date
f
f3Ui(DING r 00
REScheck Software Version 3. .
Compliance Certificate
Project Title: PLAN NO. 1868-06
Report Date:06/18/07
Data filename:C:\Program Files\REScheck\REScheck\1868-06 GAMMON-LOT 74 PARK VIEW,QUEENSBURY.rck
Energy Code: New York State Energy Conservation
Construction Code
Location: Warren County,New York
Construction Type: Detached 1 or 2 Family
Heating Type: Non-Electric
Glazing Area Percentage: 16%
Heating Degree Days: 7635
Construction Site: Owner/Agent: Designer/Contractor:
LOT 74 PARK VEIW AVE. BOB GAMMON DANIEL WILLIAMS
QUEENSBURY,NY 12804 GAMMON CONSTRUCTION LLC. WILLIAMS&WILLIAMS DESIGNERS
30 CLEMENT AVE. INC.
SARATOGA SPRINGS,NY 12866 509 GLEN STREET
518 587-9343 GLENS FALLS,NY 12801
518 376-8326 CELL 518 798-4687
Compliance.Passes Maximurn ♦ 426 Your !
Ceiling 1:Flat Ceiling or Scissor Truss: 1174 38.0 0.0 35
Wall 1:Wood Frame,16"o.c.: 1099 19.0 0.0 54
Window 1:Wood Frame:Double Pane with Low-E: 116 0.320 37
Door 1:Glass: 40 0.320 13
Door 2:Solid: 20 0.130 3
Door 3:Solid: 20 0.130 3
Wall 2:Wood Frame,16"o.c.: 1103 19.0 0.0 55
Window 2:Wood Frame:Double Pane with Low-E: 190 0.320 61
Basement Wall 1:Solid Concrete or Masonry: 1043 11.0 0.0 66
Furnace 1:Forced Hot Air:92 AFUE
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
structi C VhThowledge,
quirements.When a Registered Design Professional has stamped and signed this page,they are attesting that
th best h belief,and professional judg nt,such plans ors ifications are in compliance with this Code.
lk hi I J.A ,,-" I �( I(—, b—I� -0
esi Company Name Date
PLAN NO.1868-06 Page 1 of 4
Y
REScheck Software Version 3.7.3
Inspection Checklist
Date: 06/18/07
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-19.0 cavity insulation
Comments:
❑ Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
❑ Basement Wall 1:Solid Concrete or Masonry,8.0'ht/7.0'bg/8.0'insul,R-11.0 cavity insulation
Comments:
Windows:
❑ Window 1:Wood Frame:Doubie Pane with Low-E,U-factor:0.320
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.320
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Door 1:Glass,U-factor:0.320
Comments:
❑ Door 2:Solid,U-factor:0.130
Comments:
❑ Door 3:Solid,U-factor:0.130
Comments:
Heating and Cooling Equipment:
❑ Furnace 1:Forced Hot Air:92 AFUE or higher
Make and Model Number:
Air Leakage:
❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage 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.
PLAN NO. 1868-06 Page 2 of 4
r
❑ Materials and equipment must be identified so that compliance can be determined.
❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided.
❑ Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or
specifications.
Duct Insulation:
❑ Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
❑ Return ducts in unconditioned attics or outside the building must be insulated to R-6.
❑ Supply ducts in unconditioned spaces must be insulated to R-11.
❑ Return ducts in unconditioned spaces(except basements)must be insulated to R-
❑ Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
.Insulation is not required on return ducts in basements.
Duct Construction:
❑ All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives),
mastic-plus-embedded-fabric,or tapes.Tapes and mastics must be rated UL 181A or UL 181 B.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500
Pa).
❑ The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
❑ Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest
zone.
Electric Systems:
❑ Separate electric meters are required for each dwelling unit.
Fireplaces:
❑ Fireplaces must be installed with tight fitting non-combustible fireplace doors.
❑ Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building
Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable.
Service Water Heating:
❑ Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral
heat trap or is part of a circulating system.
❑ 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.
PLAN NO. 1868-06 Page 3 of 4
Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature ff) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-169 0.5 0.5 1.0 1.5
100-139 0.5 0.5 0.5 1.0
Table 2.Minimum Insulation Thickness for HVAC Pipes
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0
Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD:(Building Department Use Only)
PLAN NO. 1868-06 Page 4 of 4