Loading...
2003-771 TOWN OF QUEENSBURY FILE COPY 742 Ba R n NY 2 8 7 1- 201 y oad,Quee sbury, 12804-590 (51 ) 6 8 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20030771 Date Issued: Thursday, March 31, 2005 This is to certify that work requested to be done as shown by Permit Number P20030771 has been completed. Tax Map Number: 523400-279-000-0001-041-000-0000 Location: 1311 RIDGE Rd Owner: MICHAEL LEMERY Applicant: MICHAEL LEMERY This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 3 Cars Attached Single Family Dwelling Director of uilding&Code orcem t TOWN OF QUEENSBURY A 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 0 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030771 Application Number: A20030771 Tax Map No: 523400-279-000-0001-041-000-0000 Permission is hereby granted to: MICHAFT,I,F.MERY For property located at: 1311 RIDGE Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: MICHAEL LEMERY DONNA ST. JOHN Garage - 3 Cars Attached 452 BAY Rd G Single Family Dwelling $300,000.00 QUEENSBURY, NY 12804-0000 Total Value $300,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2003-771 911 Address: 1311 Ridge Road, Queensbury, NY 12804 2002 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Q.cp( C-2-41\-C)A14 $326.64 PERMIT FEE PAID-THIS PERMIT EXPIRES: Monda September 26, 2005 (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 limn o ueet 7/1 r eptember 26, 2003 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. ' / No inspection will be made until applicant has received a Foe Paid $� �-�►p -4- valid building permit. All applicants' spaces on this Rec.Fee Paid $ application must be completed and must appear on the application form. Reviewed By: 3 51 ,tr9 • Applicant:I'llecitiel Le LJ drl Owner: Address: +ESL 3 (243A,0 I Address: dr ss. c�u L)¢ 124 Phone#( )3 bi -1 V'b Z Phone#( ) - Property Location: Lot Number: / House Number / tie ci(_, (2,./y+Eav40 Subdivision Name: Tax Map Number:214- o i - 4.1 lit New Building: residence /Guimasereial Estimated Market Value of Construction: $ 303 - 31) 1< o Addition: residence/ commercial If an Addition,what will use of new addition be? 0 Alteration: residence/ commercial O No change to exterior size: residence/com'l o Other work(describe ) Check OccupancyInformation i"Floor 2"Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet )51 Single Emily dwelling 20,3 Z "Zoo 2_ o Two family dwelling o Townhouse o Multifamily dwelling N #of waits I o Office o Mercantile :;Flo- 1 �. o Manufacturing T0 1 car detached garaget3i'1 'Ci '� i, 3+ Y 0 2 car detached garage .�._� a.ttrt 0rifz F<r%C'n-v: o 3 car detached garage O 1 car attached garage O 2 car attached garage 1q 3 car attached garage 86 4 o Storage building- commercial o Storage building- residential • o Other 11 What is the proposed height of the structure" feet 3�inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil / gas/wood forced hot a / baseboard/other: Number of/Irenlases to be installed 1 Number of Wooclatoves to be installed Ch List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder uild Plumber DR C 3?t. N`� iJ b c i IV>� 3 1-i Zo AleA. C.‹)AkAc..it P.v3. u3s- s,eieocisii, Ai VP- tqs Mason Q,rcrc ei. 3'l 1 P,, t1,119.1 Eloctriclan �c Mk- r3�t�(�. � �iA'1Ui�'�Q 10�2-����� cPu o ►.,c, ou- . Declaration: please sign below after you have carefully read the statement To the best of my 1 ge the statements contained in this application,together with the plans and specifications submitted,are a mplete statement of all proposed work to be done on the described premises and that all provisions of the uil ' Code,the Zoning dinance and all other laws with,whetherspecified noted, pertaining to the proposed work shall be complied with, and that su work is authorized by the owner. Further,it is understood that Uwe shall submit,prior to ' to of Occupanc r Certificate of Compliance being issued,as requested by the Zoning Administrator or ' r f Buil ' Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all ne co Signature: owner,owner's agent,architect,contactor Application for Permit—Septic Disposal System 1 own of Qtteensbtuy 742 Bay Road Queen iut;V, NY 12804 (516) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: NYS Route 9T Ri dg- Read _��� 1 Filo Permit No. Tax Map No. 279 / 1 / 41 Fee Paid Owner's Name: Mike Lemery Address: 16 Harold Harris Road, Queensbury, NY 2. INSTALLER'S NAME : PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 11 bedroom(s) and multiply II of bedrooms with applicable gallons per bedroom to equal total daily flow) Your of House: No. of Bedrooms x Computation_ = Total Daily Flow 1980 or older x 150 gal/bdrin = 1980— 1991 x 130 gal/bdrm = 1991 —present 4 x 110 gal/bdrm = 440 Garbage Grinder Installed yes— / no X Spa or Whirlpool Installed yes� / no X 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) Topography Soil Nidure cro and Water Bedrock or impervious Material _Domestic Water Supply 1"lat sand at what depth at what depth municipal Rolling loam feet fret well Steep slope clay if well; water supply 15-25%slope other PLANS PLANS from any septic-system depth: absorption is 100 ft. Min. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: 9.15 minute per inch 5. PROPOSED SYSTEM: For New Constriction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning 13oard approved subdivision). Add 250 gallons to the sirs of the septic tank and leach field for each Garbage Grinder.Spa or Whirlpool Tub. Septic Tank: 1250 gallon (min. size 1,000 gal) Tile Field: each trench ft. Total System Length: fi. See plans Seepage Pit(s): number of size of each: ft. by II. See plans • Size of Stone to be used: ll / depth or thickness feet See plans Bed System Size: x Alternative System: length and/or size See plans 6. HOLDING TANK SYSTEM: (if required) N/A Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. — 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON (please read) 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 Queeh -y Sanitary Sewage Disposal Ordinance. /0 t,C 03 e of responsible person Date • Town of (Z Ie( nyitul•y Beavers :Intl `ictvslfti> I)ispilta1 (:II:II1icr Appendix (: A I - )ItP'1'ION F1 I;LI ) SEPARATION R1;(ZI_!I REM I.:N'I'S -%_____L;I RP_t.t4 _ ------. .k, 1 - ----- I-;:\1 horn s ___g vi LI_ IN VATf R- ra 1t'rt••1 114101r c2\51,ltx t _ h 3 y - 7 1,o-- IIousE G J E ISOu.SE: C=I f1� , .— Ca ,�,i J�Q , § (...-_-__. 1 ,. / .-----'- , - i \tp..I 11 Ili / QC,f,_t 1V_ \ ( 7 U,�,I II ttt,•, t l (/ r \---,....____ VIRLb ' • . r - - - . _______ _'____---1.-- -------- R...f f� ...._ _____ ___________ I Application for Permit--Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (S18)"761-8256 1. OWNER INFORMATION: q � � J Office Use Location of installation: Tax Map No.27 9 / (51 / 41 File Permit No. 0 j~- 7 Owner's Name:f .Yal l[ e'( l I aj-YA Fee Paid Address: igZ134 P $-p QUF SL)� Nk.f /2.�04 77r,,, 2. INSTALLER'S NAME : ''K-gc give . L,,.p V All nC PHONE NO.lq3-'5'207 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Dai y Flow 1980 or older x 150 gal/bdrm = 1980— 1991 __ x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = Garbage Grinder Installed yes! / no Spa or Hot Tub Installed yes. / no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedroclvor Impervious Material . Domestic Water Supply Flat sand at what depth at'what depth Rolling loam feet feet Steep slope clay z well; water supply _%slope other from any septic-system depth: absorption is ft. other Percolation Test (To be completed by licensed professional engineer or architect) Rate: 7 minute per inch 5. PROPOSED SYSTEM: For New onstruc ion: All individual sewage disposal systems must be designed by a licensed professional engine •r • - t(unless installed in a Planning Board approved subdivision)' Add 250 gallons to the size of the septic tank •.•d leach field,or each Gaader Spa or Whirlpool Tub. Septic Tank g• on in. gal. /CJJ? /ki(A.// ,lUla i Tile Field: eac trench £U . otal System Length: ." ft. Seepage Pit(s): number of size of each: ft. by ft. Size'If Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks/ Size of eaclll-50— gallons /TOTAL Capacity gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) 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 th= lations with respect to this application and agree to abide by these and all requirements , Town of Qu ensbury Sanitary Sewage Disposal Ordinance. tp Sign;ture of ;ponsible person ate Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: , _ / Office Use ((�� � Location of installation: K? q L e 12 D File Permit No. 0 3- / / l Tax Map No.219 / °I / 41 ,, ( Fee Paid Owner's Name:�l l I.l I AA • Address: 46 1..34 6'0 c ul€ �3J� A ;4,4 ` 2. INSTALLER'S NAME : uet C.)44,0 VA 11 c PHONE NO.lcs-± lo7 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980- 1991 x 130 gal/bdrm = 1991 -present x 110 gal/bdrm = Garbage Grinder Installed yes_ / no Spa or Hot Tub Installed yes ) / no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sand at what depth at what depth __ al Rolling loam feet feet Steep slope clay z well; water supply _%slope other from any septic-system depth: absorption is ft. other Percolation Test (To be completed by licensed professional engineer or architect) , Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engine r ar t(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank d leach field or each G Grinder,Spa or Whirlpool Tub. I2, o Septic Tank • g on in. ' gal.) g Tile Field: eac trench SO otal System Length: -- ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks.-=2/ Size of eacl ' gallons /TOTAL Capacity gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) 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 lations with respect to this application and agree to abide by these and all requirements ; Town of Qu-ensbury Sanitary Sewage Disposal Ordinance. A 'iI; P _ Sign ture of I;ponsible person ate (7?6-b- 7-7-7/ AR R E sIVI A R an misangigiao PI a H. Thomas Jarrett, P.E. Professional Engineering Kenneth Martin, P.E. September 12, 2003 Mr. Mike Lemery 19 Harold Harris Road Queensbury,NY 12804 Re: Ridge Road Property Test Pits and Percolation Test JME Project#03-080 Dear Mr. Lemery On Wednesday, September 3,2003 staff from this office witnessed deep test pits and performed a percolation test on your Ridge Road property in the Town of Queensbury. An area of the property approximately 50' to the north of the south property line and 100' west of the east property line was investigated to determine the presence of suitable soils to locate a new wastewater disposal system. The results and locations of the Test Pit and Percolation Test in this area are as follows: Test Pit#1 Location: See Attached Plan Depth below Grade Soil Description 0-6" Dark Brown Topsoil\Duff 6"-36" Light Brown Loam 36"-75" Light Brown Sandy Loam 75" Bottom of hole No Evidence of Mottling or Groundwater Test Pit#2 Location: See Attached Plan Depth below Grade Soil Description 0—4" Dark Brown Topsoil\Duff 4"—24" Light Brown Loam 24"- 60" Sandy Loam 60"—75" Sandy Gravel 75"—96" Gravel 96" Bottom of hole No Evidence of Mottling or Groundwater Percolation Test#1 Location: See Attached Plan Depth: 30" Soil: Light Brown Sandy Loam Stabilized percolation rate of 9 minutes 15 seconds. 12 East Washington St. • Glens Falls, NY 12801 518-792-2907/518-798-1864 Fax 0 Printed on Recycled Paper r i> Mr. Mike Lemery Page 2 Re: Ridge Road Property, Town of Queensbury The New York State Dept. of Health Wastewater Treatment design standards and the Town of Queensbury "Sanitary Sewage Disposal Ordinance" state that a minimum of 2' of vertical separation, in this location, is required between the bottom of a leaching device and seasonal high ground water or bedrock when constructing a conventional on-site wastewater disposal system. From soil conditions observed in the Test Pits and Percolation Test, it is our opinion that sufficient usable soil exists, in the area investigated, to construct a conventional on-site wastewater disposal system. In addition to maintaining 2' of vertical separation,all horizontal separation distances required by the New York State Dept. of Health (i.e.: 150' setback to wells without 50' of grouted casing, 100' setback to stream, 10' setback to property lines,etc.)must be provided. No wells or other potable water supplies in the immediate area of the investigation were observed Prior to construction of a wastewater disposal system to serve this site, locations of all existing roposed wells must be verified and documented as to their exact location to insure that the minimum horizontal separation distances to the wastewater disposal system are me For further information regarding vertical and horizontal separation requirements refer to the New York State Dept. of Health "Individual Residential Wastewater Treatment Systems Design Handbook"and the Town of Queensbury"Sanitary Sewage Disposal Ordinance". If you have any questions or comments regarding this letter please feel free to contact myself at 792-2907. Sincerely, Jarrett-Martin Engineers,PLLC 9/4-"<€ Robert U.Holmes II Project Engineer For H. Thomas Jarrett,P.E. Principal PERM 42p(8/93) STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION c 0U / 7 HIGHWAY WORK PERMIT 01-03-0393 Permit Fee: $ 15.00 Permit No.: 3 S 25.00 Insurance Fee: $ Project Identification No.: Total Received: $ 40'00 Expiration Date: 01/30/2004 Check or M.O.No.: 2367 SH No.: 1813 / / Deposit Rec.for$ 0-00 Check or M.O. No.: Dated: / / 'Permittee: Estimated Cost of Work Performed in the State Right-of-Way$ 0.00 MICHAEL $` LEMERY Chargeable to Bond No.: 2 PROSPECT DRIVE or Undertaking on File: ($ 0.00) DUEENSBURY, NY 12804 att: Billing Address:(Complete if different from above) Return of Deposit Made Payable to:(Complete if different from Pemnttee Under the provisions of the Highway Law or Vehicle&Traffic Law,permission is hereby granted to the permittee to: CONSTRUCT AND PERMANENTLY MAINTAIN A RESIDENTIAL DRIVEWAY 12' IN WIDTH. A 12' DRIVEWAY CULVERT WITH END SECTIONS IS REQUIRED. THE PERMITTEE IS RESPONSIBLE FOR THE MAINTENANCE AND PROTECTION OF TRAFFIC. ANYONE WORKING IN THE STATE HIGHWAY RIGHT-OF-WAY IS REQUIRED TO WEAR HIGH VISIBILITY APPAREL(ORANGE/YELLOW)AND HARD HAT. County- WARREN Municipality-OUEENSBURY Route#- 9L as set forth and represented in the attached application at the particular location or area, or over the routes as stated therein, if required; an( pursuant to the conditions and regulations general or special, and methods of performing work, if any; all of which are set forth in thf application and form of this permit. (/j� (A/.. CC_ )/(.._ Dated at: SCHENECTADY, N.Y. Commissioner of Transportation Date Signed: 07/18/2003 By. WILLIAM _.E. :IOG IMPORTANT THIS PERMIT,WITH APPLICATION AND DRAWING(OR COPIES THEREOF)ATTACHED SHALL BE PLACED IN THE HANDS OF THE CONTRACTOF BEFORE ANY WORK BEGINS.THE HIGHWAY WORK PERMIT SHALL BE AVAILABLE AT THE SITE DURING CONSTRUCTION. BEFORE WORK IS STARTED AND UPON ITS COMPLETION,THE PERMITTEE ABSOLUTELY MUST NOTIFY THE RESIDENT ENGINEER, FRANK P. KOMOROSKE 4021 MAIN STREET (518)623-3511 WARRENSBURG, NEW YORK 12885 UPON COMPLETION OF WORK AUTHORIZED, THE FOLLOWING WILL BE COMPLETED, SIGNED BY THE PERMITTEE AND DELIVERED TO THE RESIDENT ENGINEER. Work authorized by this permit has been completed. Refund of deposit or return/release of bond is requested. DATE PERMITTEE AUTHORIZED AGENT(If Any) Work authorized by this permit has been satisfactorily completed and is accepted. Reverse side of this form must be completed. ❑ Refund of Deposit is authorized ❑ Return of Bond is authorized ❑ Amount charged against Bond may be released ❑ Retain Bond for future permits ❑ Other DATE RESIDENT ENGINEER Thin Raninnal(lffira will forward this form to thin Main Offiro with thin annrnnriata hnx rharkari �4 PERM 33m(1/97) STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION PREPARE 3 COPIES - HIGHWAY WORK PERMIT APPLICATION FOR NON-UTILITY WORK (photocopies acceptable) Application is hereby made for a highway work permit: For Joint application,name and address of Second Applicant below: Name M t c1.1ot L S_ L, NscL- J Name Address2` C(` p(Lt b Address Citcf?J4':P1t State Zip /2 0 City State Zip Federal I.D.No.or Social Security No. (7, _ G.-0 t_c I Applicant Telephone No. 34,/ _./a "7-- Project Identfication No. Contact person in case of emergency C5 e cc Highway Work Permit No. Telephone No.of contact person S.47,/ RETURN PERMIT TO:(If different from above) RETURN OF DEPOSIT/BOND TO:(Complete only if different from permittee) Name Name Address Address City State Zip City State Zip z — O 1. Estimated cost of work being performed in state highway right-of-way $ R. 2. Anticipated duration of work: From J / /7 6L" thru J'' "'i • ' , /,to apply to the operation(s)checked on the reverse side. O 3. Protective Liability Insurance covered by Policy No. :expires on 19 Cl.Lu 4. A$20.00 fee will be charged for checks returned by the bank. O PROPOSED WORK(Brief description): `G/.`� l L//14 /1eAr;e17/xi efii /-1' / )'‘t: <i deiA LLI F- Zvi ' � f// k7&/3 � ,•, :z-71��, ATTACHED: Plans Specifications �— LOCATION: State Route State Highway /fJ between Reference Marker ! L" ` /70 / - /1 7 7 and Reference Marker 74— T/7 a/ —/4 V I' Town of: (' CUeel5/7(.l`(f County of: uJrreti SEAR REQUIREMENTS:(Check appropriate item) Exempt Ministerial Type II EIS or DEIS Lead Agency If project is identified to be ' ' rial,exempt,or TYPE II,no further action is required. If project is determined to than ministerial,exempt,or TYPE II,refer to MA.P.7.12-2,Appendix A SEQR REQUIREMENTS FOR HIGHWAY WORK PERMITS. Acceptance of the it subjects the p Anittee to the restrictions,regulations and stated on this application and on the permit. )( Applicant Signature Date / 1 d P 19 . Second Applicant Signature U Date 19 Z 3 ,By Resident Engineer ICI a Y No- Approval recommended . )ea). 19 ,By Regional Traffic Engineer Region No. PERMIT IS ISSUED CONTINGENT UPON LOCAL REQUIREMENTS BEING SATISFIED. r II II y 1 r; ' '1 .02 A ItiAl Nekc: sQ so 2_ 7 5 '/'- Cf ;'4"6--frRis —. ( • 't f "Ciir4 Cial— 94. L0517 - Permit Insurancean Penn 17 Total Amount �y CHECK TYPE OF OPERATION Fee Fee or Under of Fee dlor Taking Imurance Bond 5. 9(Single job-Permit issued for each job a. Driveway or roadway 1. F-4 Residential $ 15 $ 25 2. 0 Commercial-Minor 550 175 a.❑ Home Business 100 75 3. ❑Commercial-Major-(Less than 100,000 square feet Gross Building Area) 1400 N/A Actual ith 4. 0 n.Commercial-Major-(100,000 square feet Gross M cost N/A Building Area and Greater) uPon Pew aPP 5. ❑Subdivision Street 900 N/A 6. 0 Temporary access road or street 200 150 b. ❑Improvement 1. ❑Residential 15 25 2. ❑Commercial Check additional description below: a.0 Install sidewalk,curb paving,stabilized shoulder, 200 150 drainage,etc. b.❑ Grade,seed,improve land contour,clear land of 100 75 brush,etc. c.0 Resurface existing roadway or driveway 50 50 r d.❑ Annual resurfacing of residential and commercial roadways or driveways. C. 1. 0 Per County 150 N/A 2. ❑ Per Region 400 N/A f; c. ❑Tree Work 1. 0 Residential 15 25 2. ❑Commercial(not required for pruning if utility has annual 25 50 maintenance permit) Check additional description below: a.❑ Removal or planting b.❑ Pruning,applying chemicals to stumps,etc. d. ❑Miscellaneous Construction 1. 0 Beautifying ROW-(for Civic Groups only) NC 25 2. ❑Temporary signs,banners,holiday decorations a.❑ Not-for-profit organizations NC 25 b.0 Organizations other than not-for-profit 25 25 3. 0 Traffic control signals 500 175 4. ❑Warning and entrance signs 25 50 5. ❑Miscellaneous-Requiring substantial review 400 175 6. ❑Miscellaneous 25 50 6. 0 Encroachment caused by D.O.T.acquisition of property 25 50 7. 0 Compulsory permit required for work performed at the request of D.O.T. a. 0 Building demolition or moving requested by D.O.T. NC 25 1. 0 Demolition 2.0 Moving b. 0 Improvement to meet Department standards NC 25 8. ❑Miscellaneous 25 25 9. 0 Adopt a Highway NC N/A Guarantee Deposit Check Number or Bond Number REVERSE(1/97)33 E S __ _ _ 3 7 -1 / Arm! ENERGY CODE COMPLIANCE P 5P',Rep - APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings(only) Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings(3 Stories or less) Part 4*-Design by Component Performance,Commercial Buildings-Hi Rise Residential *Requires submission of worksheets PPLICANT'S NAME: PROPERTY LOCATION: M I ch4e.L LENE91 ` 1)0‘413A SL.)1.0 doe i2cj PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area•- 200 2 square feet 0253Ft6)-- 2. Type of heat- Electric Oil Gas ) Other 3. Is building mechanically cooled? X yes No 4. Percentage of area of windows and doors Over 17% Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS SHOWN ON PLANS SUBMI ITED: a. Roof R b. Exterior walls R c. Glazed areas R d. Exterior doors R e. Floors over unheated spaces R f. Edge of slab on grade(heated building) R g. Basement/cellar walls(above grade) R h. Basement/cellar walls(below grade) R i. Heating/cooling-ducts-piping in unheated space R 6. Service(domestic)hot water heating device Conforms o minimum efficiency per code Yes No TE RATURE ONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED A • ' n ture Dctieib-14 3 Pone Number INSP CTOR'S ARKS: Job Site Address: eRL 1Z1 Age Date: q 1 t,5'1`p3 Owner: N itiNt4ei L S3-6t14 Application No. File No. Q2ob 3` 77/ Building Permit — Calculation Sheet Natural Light, Ventilation & Emergency Egress Requirements Habitable Area of Req. Light Actual Req. Vent Actual Sq.Ft. Remarks Room Room 8%of Room Light 4%of Room Vent Opening for in Area Square '- Area Square Egress Square Footage Footage Feet 2101.2.32. °, 21')-C691 Z3 . 3° io. L is !3.4zo .° , 2-k ZEr L oa.0wl 133 203 �. (0 Sfo 11.140 ti9 5 ,32.t3 4,110 32.x., 0)0dNE iS3.1t3 11 .2�`� t 1 ;ai n 6,i y P 2&, 2•97 CAA: S6,0 D„3ea6t I+Fe.a C (1 .e,to 23 -93° S .qLo t 420 32x 28 19 2.c s 1 f M ��• ! . 2.k t 2 t Z. .(o 0o Sb. to 1ST 3/`7 F e1 r i{ is L:\SueHemingway\Building.Permit.FORMS\Nat.Light.V entil.Calculation.Sheet.doc -+ n Job Site Address: �-1"d- gl L Kite 2 J Date: qi 1510,5 Owner: N 1dc4E1 LE64Ez1\a,IJIJA 5--3 h,i Application No. File No. & 0 'a-7 7/ WINDOW SCHEDULE F ' ' , .+< „Opening Spedficat,ons Window Window Mfg. Window Unit or Rough Rough SQ.FT. SQQFT, SQ.FT. Clear Clear Special Hardware or Number or Name Model Stock Opening Opening Glass/Visib Vent Egress/Clear Opening Opening Height instructions Letter on Or Type Number Width Heigh le Opening, Width In In inches Plan Call Size Light :` Inches �2p Avag 3Zx2&-1 G• _.3/z B 00LD Ctwt,c,r', 31(9 31- i„ 40'-,5M, C. Wt5f-D cA3e. '< 4 312.7-11 3 -l`' 2 -7i'� _ 0 i�J2O p,3� 32%Z8 3`-z`' _ 5'-5�� (Au.4. E. `24 2yz/C, 2,- 2' 3'-6�' i i "1/49 32.1(.2-4 3'-7.." 41-9" 61 tbk >JO 13,,,),)_ 3z,t 11, 3'-2" 3'-S'� 14 14)40 Oil ig41_2 el'`-III" 4'-`i' IS _ 2-o 'CAse_Ar_,. 3131-1( 3 -1' -z 0 ti„ `J ° �5e:l h c�R-G31 3= ► r, 3=os/g' 'e_AD � '�;,,,,�liNE ib �t22 . I�l�" �y'- 5" J - 'HIS IrIAS uEXAV'5LES OF SAMPLE tNTR1ES L 2-0 '� 32. i- 3 Z 4' 5 ` '- A Andersen Nark ine 3Q62 3'2 1/3 6i $'4" 15 30: 8,36 6,01 34 2415/35' Tempered �' Double �,� r! 1 ,:k11116" Glazing L:\SueHemingway\Building.Permit.FORMS\Window Schedule.doc Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date Cl 15' , 20°3 Permit No. ,J'`". 2 7 J Application is hereby made to the Building& Codes Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and 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. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: !C,( I J, L�' 2t t yapltl 54 JJ i Stove: wood coal pellet ,has — Fireplace insert Address:4<2- - Fireplace, factory-built: wood gas Cg,_ i 1,41 12404 f Fireplace, masonry: wood gas Furnace: wood gas oil Phone: 3o, - 1 iL) If non-masonary applicance, please provide Owner: y3h^e 6x.0 • Manufacturer Name: Address: Model Number: �` Chimney Information Phone: :-p-, , (circle appropriate words) ' F Masonry block brick stone I `.. I • Flue tile steel size: inches Exact address: �.. t 46e. �*- of construction or installation Factory-Built Manufacturer name: Model Number: Note: • Listed By: Number: Construction/Installation must t conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting Chimney Liner 1 Caatllier',aer.Depa etsn�ent a—Tc ,,, , ;of Queou bury, Ariew Yoram Fite Marshal Code# $Collected $RLfiended Received from (refiatded to): 11::tk • rl/t- �'t ' (. )'TM.) address: A 173 3389 (190) Public Safety . A 233 2655 (230)Minor'Sales _ �" ` ,•�" y} 1-7', 126 1 DATE. "t . _ rim**, c z " y, White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.) 1-5p / i 3e i; N !T-mAR H. Thomas Jarrett, P.E. Professional Engineering Kenneth Martin, P.E. September 12,2003 Mr. Mike Lemery 19 Harold Harris Road Queensbury,NY 12804 Re: Ridge Road Property Test Pits and Percolation Test JME Project#03-080 Dear Mr. Lemery On Wednesday, September 3,2003 staff from this office witnessed deep test pits and performed a percolation test on your Ridge Road property in the Town of Queensbury. An area of the property approximately 50' to the north of the south property line and 100' west of the east property line was investigated to determine the presence of suitable soils to locate a new wastewater disposal system. The results and locations of the Test Pit and Percolation Test in this area are as follows: Test Pit#1 Location: See Attached Plan Depth below Grade Soil Description 0-6" Dark Brown Topsoil\Duff 6"-36" Light Brown Loam 36"- 75" Light Brown Sandy Loam 75" Bottom of hole No Evidence of Mottling or Groundwater Test Pit#2 Location: See Attached Plan Depth below Grade Soil Description 0—4" Dark Brown Topsoil\Duff 4"—24" Light Brown Loam 24"- 60" Sandy Loam 60"—75" Sandy Gravel 75"—96" Gravel 96" Bottom of hole No Evidence of Mottling or Groundwater Percolation Test#1 Location: See Attached Plan Depth: 30" Soil: Light Brown Sandy Loam Stabilized percolation rate of 9 minutes 15 seconds. 12 East Washington St. • Glens Falls, NY 12801 518-792-2907 / 518-798-1864 Fax «•Printed on Recycled Paper Mr. Mike Lemery Page 2 Re: Ridge Road Property, Town of Queensbury The New York State Dept. of Health Wastewater Treatment design standards and the Town of Queensbury "Sanitary Sewage Disposal Ordinance" state that a minimum of 2' of vertical separation, in this location, is required between the bottom of a leaching device and seasonal high ground water or bedrock when constructing a conventional on-site wastewater disposal system. From soil conditions observed in the Test Pits and Percolation Test, it is our opinion that sufficient usable soil exists, in the area investigated, to construct a conventional on-site wastewater disposal system. In addition to maintaining 2' of vertical separation,all horizontal separation distances required by the New York State Dept. of Health (i.e.: 150' setback to wells without 50' of grouted casing, 100' setback to stream, 10' setback to property lines,etc.)must be provided. No wells or other potable water supplies in the immediate area of the investigation were observed Prior to construction of a wastewater disposal system to serve this site, locations of all existing proposed wells must be verified and documented as to their exact location to insure that the minimum horizontal separation distances to the wastewater disposal system are mee For further information regarding vertical and horizontal separation requirements refer to the New York State Dept. of Health "Individual Residential Wastewater Treatment Systems Design Handbook"and the Town of Queensbury"Sanitary Sewage Disposal Ordinance". If you have any questions or comments regarding this letter please feel free to contact myself at 792-2907. Sincerely, Jarrett-Martin Engineers,PLLC 411"--7--€ Robert U. Holmes II Project Engineer For H. Thomas Jarrett, P.E. Principal MN.? ?eov 1t'ED ".al 0u.) 'e \\. o , 0 • - 200- 0" �, WOODS ) -. (UNDIGTURezp) Q.�ti,,,E�L 4 ,._ , co G w IJ to I it tu to / E L 2.----. 1Q i - 1 ►�oUS p _ Ioo'-o x47a I x T / I ' 8 5. / r i�43 4 It N STo+4E AccE5S �. 22'-0" . ( P/4 TP*2A FUTURE iE root 4 / FUTURE I CO / YARD N g 64-o x540 cU o - . . . N PER .-e.sT - FUTuRE POOL FENCE P WOODS (ur.I DISTUI,Z ) F� 20,'-0 x,42-O 12R. p EcWNE L.(G(-IT D' P�cLARs 2.01 o --2.01- O - -.-- — - c -__- - - - - - — —E — --o-- — E — _____ s _____ ____ } tW CULVERT PGIZ D.O.17 SPECS N,Y. 5. ROUTE IL (pay is ro\ Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/p e...4#1 Date Inspection request received: .— Inspector's Initials: _ - © — 77/' >�� _ PERMIT#: _ I LOCATION: Co— DATE: 3 f © _ TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Z� Guard 30 in.or more�w�stairs,decks,patios '— Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors , Interior Handrails stairs 2 or more risers En losed Stairs Sheetrock Underside minimum '''A" ypsum Grade away from foundation 6 in.with 10 ft. , / ��Gl Handrail Termination at Newell Post or Wall C�r t 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating . Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: i Every Bedroom: _— Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade / 1 Basement stairs closed rise>4 inches ar Ga Floor c f Garage ge fireproofingPit hed I%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required 7 ' Okay to issue C I C or C/0[Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: "--3,.2—OS NAME: l.\ces_ Le/YYQ// LOCATION: ' s ' 3c4 1 > PERMIT#: 7 7 Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of Community Development. Upon review th- survey has ,.- Craig ro ', Zoning Administrator Notes: L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc r Plot Plan Map Lands N/F of PECKHAM Lands N/F of made for Bk.377,Pg.440 McLaughlin J Michael J. emery & Donna Al. St. John 279.00-01-47 ^1 �1 279.00-01-26 h t v „1 .1'. ° Bk.651,Pg.261 Qo N34°18'19"E 0''' 13. 200.00' I.P.F ,� situate in the CLR.S. 3/4 /.P.FlPF _20'SLGine _ — — — — t over) 20.2" Town of Queensbury, County of Warren (top mushroomed) 1:1-:„.. State of New York o ass ®a.6o C.LR.Fa Scale: 1" = 50' Date: 15 July, 200,3 ARAG W Revised: 16 August, 2004 — Added House Ni z Revised: 25 March, 2005 — Setback information Y HOUSE 29'— o 80.Y overhang (r Deck c 49' Lands NSF of 2�Z Story Wood Frame & Singer Stone Face House w/ Bk.1316,Pg.169 attached 2 Car Garage Lands N/F of 279.00-01-40 and Concrete Foundation. Morrill CERTIFIED TO: (under construction at time of survey) Bk.931,Pg.219 279.00-01-43 Michael J. f ern ery Donna M. St. John aspholt`dr;ve Area = 1.00t Acre w Saratoga Mortgage Bk.809,Pg.291 , its successors and/or assigns. Y. 279.00 01-41 b 134.4' CZ) i) I.P.F.I.P.F. Found 06 Stoke eVP. ^�ind M 4.9_ Highway Boundary Line CLR'S' C.I.R.F. 100.00' CI.R.F. O 0 e Tie distance = 200' 200.00' S 34°18'19"W e E E E E N �i� NEW YORK STATE ROUTE 9L 4.,���•;��o Zvi?ii �% �� TO PLC VS FqI _J " f, IJ r;JC lE 1 .9 _ ��� E G. Fo — — (a.1.a. Rid(a Raad,� l �, ,�,� - s E �o „' — 4 a i ''�'.� aniTaf a• 0499� 4 \�� .,-f�,y,�O`1NEW,`OI``�, NYS L lC NO. 049942 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pmarn/pm Date Inspection request received: Inspector's Initials: NAME: LC CY PERMIT#: 7 LOCATION: ri � � IE j_ DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake A _ 3 inch Plumb Vent through roof minimum 6" Tf"?` U Roof Complete/Exterior Finish Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum '/z" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater opera Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans,if.no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq.ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C or C/0[Temporary/Permanent] L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 Town of Queensbury Fire Marshal f IF742 Bay Road � Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report \ j 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# 3 7 I Schedule Inspection 3 Ji/U) Time ti i i am)pm anytime Inspector i Name 1 ---- '�15 N) Address \31 T2 lOGE 0 Rough In Final Appliance Manufacturer. Ls N L►�X Model# E 1 fl`ii ��� L/U 5 C Direct Vent Factory Built Chimney /X Flue Size Double Wall X Triple Wall Insulated Yes No N/A Comments Floor Protection jf\O'V k; yN1 S c1lJtk bS' k ,aIA) O - S ;o S S3 `2J-+' C) Clearances to Combustibles (all sides) X5 C Cis eirv,c £ 5 `T-�L" ar� II 7 Firestop(s) Vertical Chase X i Wall Penetration �C Vent Clearances to Combustibles , O c v , n s Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible �J�J construction within 10 feet Gas Shut-Off Valve Oi �'P I' c ( c4 %k h vh ' Combustion Air .,I\v1;-)L C Vr L `/ Hearth Extension (if any) Mantel \ Height above f/p opening Witness Operation Tank Placement(if LP) White-Building Dept. �.�_ ------__-- Yellow-Gamer Pink-Fire Manual i�� Town of Queensbury Fire Marshal � 742 Bay Road Queensbury,NY 12804 /' 761-8205/761-8206 ,f , fax 745-4437 �: Factory Built Gas Fireplace/Stove Inspection Report L./ ) ,i Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions' d specifications contained in the Installation Manual accompanying the appliance.No deviation front the manufacturer's 1 instructions or specifications is allowed. Permit# l �'$ Schedule Inspection i/"1 "5 Time '�" (h^'- ant pm anytime Inspector P Name L 6-r rcixs."l Address 406; Z V 13 i/ Rough In Final �L�j !� Model# b� 3 Ca' fJ Appliance Man acturer. Direct Vent X, Factory Built Chimney Flue Size Double Wall Triple Wall Insulated_,.__ __________ Yes No N/A Comments _ Floor Protection .\< Ly1t-c' L"'' C; r3 b A5`z 0 e--- - Clearances to Combustibles (all sides) X -1`' Firestop(s) Vertical Chase / Wall Penetration (�(' Vent Clearances to Combustibles �c coo'', �'r' 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) X Mantel XHeight above f/p opening Witness Operation Tank Placement(if LP) )( White—Building Dept. "__ _ _.___.._._. _______ Yellow—Customer Fink—Fire Marshal Rough Plumbing / Insulation Inspection Report 0,1 Office No. (518) 761-8256 Date Inspection request receive t� Queensbury Building&Code Enforcement Arrive: am/ ed ., V Jam/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials l2 L- -- NAME: *_ U PERMIT#: O' ` 77/ LOCATION: Gy j INSPECT ON: 2— G TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes ter Supply Piping Copper Commercial C�GZ,C—C K Cc'1-6) Family �� V Copper,CPVC,Pex One &Two ... :=-Residential Check/Commercial Check Proper Vent, Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly I F,:e 'io r COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Numbing Insulation Report.doc January 28,2003 Rough Plumbing / Insulation Inspection ReporW46,61 Office No. (518) 761-8256 Date Inspection request received: , Z'5Queensbury Building& Code Enforcement Arrive: am/p D part:(/ 1 am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: LC U PERMIT #: d 7. ? LOCATION: 1 CP- e,tJ , INSPECT ON: / a TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2, R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 %A inch min. Drain Size Washing Machine Drain 2 inch min. , Head or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction I Wat Supply Piping `I/�k A! L2" Doper Commercial Coogex7,CPVC,Pex One and Two-Family / tifi./.Residential Check/Commercial Check d Met 617 4 Proper Vent,Attic Vent Duct/Hot Water Piping Insulation e LL-106e. 4/4.. If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape •-rce64retCh I ,,v17\7 1 061,k/P(.6-0- - COMMENTS: 'Uc---7- L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: �j� Queensbury Building& Code Enforcement Arrive: am/ -i epart: GI,. "am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:`---3 e'D -0 NAME: L.L.-' / r�PERMIT#: .3 — 7 7 ( LOCATION: i�r % Nl c C 6- leY) . INSPECT ON: 2 0 TYPE OF STRUCTURE: Y N N/A COMMENTS Framing 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 Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/z (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center -„t.- [-- 17VC ( ec--6 -660 Ice and snow shield 24 inches from wall Fre separation 1, 2, 3 hour ire wall 2, 3, 4 hour ,_ Firestopping l! Co x -it) ta4111" . -1 k, Penetration sealed 0—&-re r ,LY 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 ZA/Stit • t L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received:` _ Queensbury Building& Code Enforcement Arrive: am/ m D art: _ am/pm "•,- /,„ei, 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: c' 1 \c€ LQ�+rY��1�j PERMIT#: 03- 7 l LOCATION: `` _ �j1 ` �, c) �U INSPECT ON: AMC. 0 TYPE OF STRUCTURE: Y N N/A COMMENTS Framing 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 Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/2 (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 snow shield 24 inches from wall 4/.„ eh-A-0 Fire separation 1, 2, 3 hour Fire wa 2, 3, 4 hour estopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.lnspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 . -e- c>2-9, Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: .L•�Vam/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: 1'—L NAME: ‘ 1 ` �\ ,l-Q PERMIT #: 03-7? LOCATION: ��a � INSPECT ON: l/ -/ ? --d TYPE OF STRUCTURE: v J Y N N/A PVC: R-1, R-2, R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min.Drain Size Was •' achine Drain 2 inch min. He or Air Supply Test I ,RA I� + l_N f rain and Vents l 5 PSI or 10 feet above highest connection for 15 minutes �� ��'� Cleanout every 100 feet/change of direction I f�' Ude - Supply Piping / /Water Cooper Commercial Cooper,CPVC,Pex One and Two-Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: , Queensbury Building& Code Enforcement Arrive: am/ m Depart: .L'V am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials:c'fj / NAME: L.e , PERMIT #: b — -771 LOCATION: Pkvcce `xJ . INSPECT ON: t t Siff TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 'A inch min. Drain Size 7eahing Machine Drain 2 inch min. d or Air Supply Test ainntsI A60 p _ 5 PSI �I 4 connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial Cooper,CPVC,Pex One and Two-Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 0\1\itti Rough Plumbing / Insulation Inspection Repor //\/ Office No. (518) 761-8256 Date Inspection request received: t Queensbury Building& Code Enforcement Arrive: am/pm epart: 4, �� am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: \ NAME: 1_,,f) PERMIT #: 03 77LOCATION: l-j�\ �� i)).t‘ r-j INSPECT ON: 1 f`! (, 7311 STRUCTURE: TYPE OF STRU 4 Y N N/A PVC: R-1,R-2,R-3, R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. PI g Vent/Vents in Place ough Plumbing/Nail Plates 1 1% inch min. Drain Size A-Ts Was ' g Machine Drain 2 inch min. H or Air Supply Test Drain and Vents ✓ eft, V!Ac- i G� 5 PSI or 10 feet above highest IAA . 14rH connection fir 15 minutes Cleanout ever? 100 feet/change of direction V N •S Water Supply Piping / Cooper Commercial 1/ 415 7 Abrf L.— Cooper,CPVC,Pex One and Two-Family Insulation/Residential Check/Commercial Check �l Proper Vent,Attic Vent 7riP (4 ' ''S Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape /VG-6'✓ ����' ��COMMENTS: L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 . A Septic Inspection Report QC-1( y - "/ Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p n�part: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: 31--.' '1 l NAME: ���� 4\(-)C\---Q.^( PERMIT NO.: 0 3 tat,i LOCATION: l,- 1\ , ` , INSPECT ON: r r RECHECK: Q Q �� 0 Comments and/or diagram Soil Typ�and/Loa /C --, Type of Water: Munici 1/Well Water Waterline separation dista ft. Well separation distance /0411. Other wells: ft. Absorption Field: Total length 2 ft. Length of each trench ft. Depth of trenches ft. Size of Stone 3 .v Seepage Pits: Number Size: x Stone Size: • Piping Si / Type Building to tank 440 v bf,V (' 6 FJz- L vk Tank to Distrib ' n Box tt It ?._1) Distribution Box ield/Pit tt 'LA-s Ac. fc „)1 �f5—Q K Opening Sealed Y N/Partial Location/Separations Foundation to tank /8 ft. Foundation to absorption _? ft. Separation of Pits --A---ft. Conforms as per Plot Plan ✓ Y_N .4.c—Z CJ(L7-- Location of System on Property: Fron Rear Left Side Right Side Middle Front Middle Rear System Use Statyb: if Approved 1 Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Foundation Inspection Report • Office No. (518)761-8256 Date Inspection request received: >tf Queensbury Building&Code Enforcement Arrive: am/!p �. Wepart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: V deg .?. t)k\. a . -6 3- 77/ NAME: PERMIT#: LOCATION: l7)l/ /2 _ `r�,INSPECT ON: -7 TYPE OF STRUCTURE: d 7e Comments Y N/A 6 G" �o T`-4°> It oo S Pie . 61 ' 'r 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 t Foundation Dampproofmg Foundation/Waterproofing Type of Dampproofmg/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:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 ad Foundation Inspection Report r r Office No. (518)761-8256 Date Inspection r;.ues r/ : Queensbury Building&Code Enforcement Arrive: .m/p Depart: w12,5;a m� 742 Bay Rd., Queensbury,NY 12804 Inspector's Initia . NAME: it INSPECT ON:RMIT#: 0 73 < ) /, �a� LOCATION: 3 q C °Lj - `9, a CI TYPE OF STRUCTURE: � Comments Y N N/A ootings ��� b --�—� 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 Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 / v -I Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 9 / Arrive: am/p epart: C li I!'7 /P-Jam m Date Inspection request received: .3 ,)- d 5 Inspector's Initials: NAME: _ _ ei, PERMIT#: 02O5_7-7/ LOCATION: /zj j �p) ---- DATE: 3/-5p J,.�6y S _ TYPE OF STRUCTURE: a J Comments VN_ N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete ZGuard 30 in.or more @ stairs,decks,patios !1,e- ,qGK ,OR Guard at stairwell at 34 in. or more ✓ Guard at deck,porches 36 in.or more Exterior Finish Complete �j�^V /Pc- �2 C Interior/Exterior Railings 34 in.to 38 in. ik.)s-ikt,t, v ��� Platform at all exterior doors 7 Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum '/2" Gypsum /� Grade away from foundation 6 in.with 10 ft. ✓/ Handrail Termination at Newell Post or Wall Vli 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade �/ Gas Furnace shut-off within 30 ft. or within line of site t/ / Oil Furnace shut-off at entrance to furnace area / ✓ Furnace/Hot Water Heater operating Low water shut-off boiler ✓ Relief Valve(s)installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. ✓f Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazingItiel Interior Smoke Detectors: Every level: i Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector itje4a- CAP -7'. Bathroom Fans,if no window Plumbing fixtures ✓, Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below gradeBasement stairs closed rise>4 inches / :/7. Garage Floor Pitched +/ �Pl Garage fireproofing/%hour fire door/door closer c®4v �CE ��-� �/ fDuct work Sealed properly f / Gas Logs in Sealed or Glass Enclosure / / ctJC�s Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area ✓ /QQp 7 Crawl Spaces 18"x 24"acce s, 1 sq. ft.-150 sq. ft.vents Building No./Addres visib e fro ro / Final Electrical -p 05 C'l Aj t/ Site Plan /Variance a ui ed f Final Survey Plot Plan I As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification,if required I Okay to issue C/C or C/O[Temporary/Permanent] L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 Town of Queensbury Fire Marshalay 742 B Road V � Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice: New York State requires that all IJL 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# 0 S 7 7/ Schedule Inspection 3 S Time am pm anytime Inspector Name 1 f vi\j,�L L6-1A,,C ( Address /�v t( `RI 1,4/6 Rough In Final__ Appliance Manufat,turer MY9_Cc Model# 7)1,1 ) £ f Direct Vent / actory 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) �'1 z rlD Mantel O 4 �, Height above f/p opening L.)q)(vc-i Z- Witness Operation Tank Placement(if LP) White _finDept. Yellow-Conger Fink-Fire MarsheS COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. �A i" Main Office 176 Doe Run Road-Manheim,PA 17545 e,, j.) MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 84832 3ermit No. Cert. Cut-in Card No. "'Nvtlio )wner M i C t72U 6 4/ .ocation 3!� ,, j P 6'& l�s ,,,,�.,,� t s` �' 7 nstallation Consistin of C�6 /rr �,9 z c�'Yj o g C-1 ri-,-S .f G i g ! fr4JS 1 Srntai-ro' to//.,.A.) /v-o A 13 e/9-4/ez-- nstalled By c Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is ;ancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the ntroduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any time, and if its ules are violated,d, the Company shall have the right/t to,r/[�/►✓oke thi ce ificatet Date.....6"Z, a C INSPECTOR �`� Member N.F.P.A.,I.A.E.I. Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ m art: "am/pm Q �"Y p p 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: � '�C-� PERMIT#: 0 7/ LOCATION: 120 i\ 1 c (r G M INSPECT ON: TYPE OF STRUCTURE: f N N/A COMMENTS Framing Jactuds/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 Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2(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 snow 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 '/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report _ Fri Office No. (518) 761-8256 Date Inspection request received: ..30 /t) pm) Queensbury Building&Code Enforcement Arrive: am/p part: a 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: 0 3— 7 7l LOCATION: j.,l l i � INSPECT ON: / —3 0-�? TYPE OF STRUCTURE: Y N N/A COMMENTS F ming 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 Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2(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 snow 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 '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Cttit'Y ftr/ Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: ami i4 nl Depart: • /pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �JY"-� NAME: .i \ �QQ • PERMIT#: 03 -" 7 LOCATION: YN • - INSPECT ON: ._ TYPE OF STRUCTURE: S s Comments Y N N/A ootings Piers Monolithic Slab Reinforcement in Place i4 6 The contractor is resp nsibl 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 Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 4 44 -fttie,4\ Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p epart. ` ++lam/pm 742 BayRd., Queensbury, 12804 Inspector's Initials: Q n', p NAME: S\c\.\-\Ke PERMIT#: LOCATION: 3 H i ��r �`—' INSPECT ON: — TYPE OF STRUCTURE: Comments Y N N/A Footings Piers ithic Slab /4/ enforcement in Place / �LAVP 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 ©( D 4 Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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 oundation�I sulation Inte /Exterior c/ R- a:ade e- R. Grade 6 inch drop within 10 ft. V L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 3 // / Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: • Queensbury Building&Code Enforcement Arrive: am/pm Depart:' ' am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: // /�!ram ( PERMIT#: .0' 7? LOCATION: l /i?G iez - _ INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A /ootings i Piers Monolithic Slab Reinforcement in Place /,L— The contractor is responsible fY providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width . 6 inches above footing 6 mil poly for wet areas under slab /3ackfill Approval P1 bing Under Slab PVC/Cast/Copper Gb d undation Insulati enor xterior R la Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 ..\-- ‘ ktt‘ /),--,...5Dip Foundation Inspection Report Office No. (518)761-8256 Date Ins ection request - eive Queensbury Building&Code Enforcement Arrive:am/:4P part: am/. 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial . NAME: 4 ( IT 4)21-::1,, l fi‘ l LOCATION: J I e) � INSPECT ON: TYPE OF STRUCTURE: U 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 Foundation Dampproofing (Di i . oundation/Waterproofing of Dampproofmg/Waterproofing jType g Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing it poly for wet areas under slab j. ckfill Approval Plumbing Under Slab 'PV Cast/Copper ii) undation Insulati,,n Interio, xterior R_ /," VoRtf\ 7 1- b— LOptvl_.,- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Pi Foundation Inspection Report Office No. (518) 761-8256 Date Inspection re ec ' e : Queensbury Building&Code Enforcement Arrive: •_ so:' �� Depart: a m 742 Bay Rd., Queensbury,NY 12804 Inspector's Initi. NAME: \\ 'YV�N(t 'E' ►'IT#: 03 3.`7 2 LOCATION:?) \ Gar ^c •ECT ON: f TYPE OF STRUCTU : Uy� Comments Y N N/A ootings 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 Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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 I Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 \J 3- / Permit Number MECcheck Compliance Report Checked By/Date Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb Data filename:C:\Program Files\Check\MECcheck\MICHAEL AND DONNA LEMERY.cck TITLE:MICHAEL AND DONNA LEMERY COUNTY: Warren STATE:New York HDD:7635 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:08/20/03 DATE OF PLANS:07/08/03 PROJECT INFORMATION: SAME COMPLIANCE: Passes Maximum UA=637 Your Home=560 12.1%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Cathedral Ceiling(no attic) 1080 38.0 0.0 29 Ceiling 2:Flat Ceiling or Scissor Truss 1310 38.0 0.0 39 Wall 1: Wood Frame, 16"o.c. 3032 19.0 0.0 140 Window 1:Wood Frame,Double Pane with Low-E 535 0.340 182 Door 1:Glass 101 0.340 34 Door 2: Solid 62 0.100 6 Basement Wall 1: Solid Concrete or Masonry,8.6'ht/7.8'bg/8.6'insul 1190 11.0 0.0 73 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 12 19.0 0.0 1 Floor 2: Heated Slab-On-Grade,2.6'insul. 78 10.0 56 Furnace 1:Forced Hot Air,90 AFUE Air Conditioner I:Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the Proposed New York ®State Energy Conservation Construction Code requirements. Btuilder/Designer Date g —ea-5 f' • MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE: 08/20/03 TITLE: MICHAEL AND DONNA LEMERY Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments: [ ] 2. Ceiling 2:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry,8.6'ht/7.8'bg/8.6'insul, R-11.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: Doors: [ ] 1. Door 1: Glass,U-factor:0.340 #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 2. Door 2: Solid,U-factor:0.100 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: [ ] 2. Floor 2: Heated Slab-On-Grade,2.6'insulation depth,R-10.0 continuous insulation Comments: Slab insulation to extend down from the top of the slab to at least 2.6 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 2.6 ft. 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. Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number [ ] 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number l ' i 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 Type IC rated and installed with no penetrations,or Type IC or non-IC rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials and 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,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-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. Duct tape is not permitted. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] 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°F or chilled fluids below 55°F must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 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" 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, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) . , PLAN #563-0370 Price Cade C PLAN DATA r k. , _ Total Living Area: 1,721 _ _ Bedrooms: _- 3 Baths: 2 ✓. F i y 4 Garage: 3-car Foundation Types: \= (�(' , ,,_ ' C-.1_ )i Walk-out basement- , o -s,—,. J r standard Crawl space _ Slab 1 • - l .:'rw.�l a=L L I l� p,,,,,1., =.... yLt'G- • J-+LL ,,...alp .:irk 001d. L:)��F. � a n ii74 !4!� 'fijY(`�'X/{ t4. b,T7 N �1j s[. F- ()Pr.; mil a ..ChqY vl�da t � * . J /r -1;.;,.;`.7±;_,::":/:,7e:"e:'14-‘ -1Ni ' --- - -' , .4,44.„,._.--...i:43 ,,o, ...:.7. . •-,,,a—eW _:!,••••• ' rt }f, p ' 1 ri.ice. . 1it ,{ S d 1 jr,g 1;1 .11 !It-H� : I f! r :-.- ' • 1,-, -i.; Rear View _ ' r•. -t; c__, ,...,•_,;_____ tiii.): ___ ....„,r, , _ , -4141111141, K TO ORDER BLUEPRINTS USETHE FORM ON PAGE 9 OR CALLTOLL FREE 1-800-DREAM HOME.r(373-2646) 15 Survey Map Lands N/F of / PECKHAM Lands N/F of 7/ made for McLaughlin Bk.377,Pg.440 g' • 279.00-01-47 � Bk.651,Pg.261dr Michael Leme � N34°18'19"E 279.00-01-26 __ CLR.S." Al . , LP.F. Situate in the 3/4 LP.F. CN IP.F 200.00' (bent over) (top mushroomed) N Town of Queensbury, fQueensbury, County of Warren O U 060 1 /PF CI.R.F State of New York 06 . w I . Scale: 1" = 50' Date: 15 July, 200,3 `v oc 0 3-- 7 ._/ Lands N/F of Singer i01 ��) Bk.1 .169 Area = 1.00+Acre Lands N/F_ of 279.00-01-40 MoPT,(i ri s ;u Y Bk.809,Pg.291 ek.s31,Pi = ;,r ; 279.00-01-41 279.00-01-43 � 1- 04 ,d o • 0 Metal Stake N Found � LP.F. - 4.9' Highway Boundary Line CLR.SJ CLR.F. 100.00' CLR.F. Tie distance = 200' 200.00' E _ S 34°l8'19" W E E--0-- — E E `��� unul,q///�' J E ```` �ti9 LAND SVA A,�� $ r TO GLENS FALLS NEW YORK STATE ROUTE 9L mac► 4. 41 (a.k. a. Ridge Road TO NYS ROUTE 149 �v �Q 147.� s. �' - -Unauthorized 8lterat on or addition to a survey � , . licensed lands ors seal is a "Only copies from the original of this survey �,, o T� A a map bearing a Y :narked with 8n original of the land surveyors 0499 yr „,• violation of section 7209,sub-dvision 2,of the embossed seal shall be of the l red to rtiev valid i FOF NEW 40`` Newyork State Education Law. true P�� w copies." hill!',llllllll"t`, NYS LIC NO. 049942 ., MNp ?e \ tr,ED 3I oui 'e , 0 O _- I 200-o" ,� WOO D5 ill(UNDISTUl2�ED) q -WELL O ---------- r , r7ii iZ Q ‘ ,:r.„ co to c !i to .►10 t SE i �{ 1 i00•-0 X.47-0 1ILI 0 d / �b,/ dh di . !� y N S ACCESS . I j 221-0" . t RrTP Tc�q -'P*2, A/ J FUTURE' I s � f'OOL� 4 / "ge I `fAR_ d O 64'-o xS4-0 t N � � N W .:.. • 4 11 - UN PEQK'Te STr-FU 1"ORE. ?OOL Fe1 C.E CW 0 D5D5 (UN DtSTUt2MO) 20".-0 X(o4-0 I RR. O 00 6 NEW [4 4T El I II 0 - -.- ;2°',0" _ _ _ _ _ _ _ _ _ _ E — — E , — w cULV&t2T P Z V.O.T. 5PEC5 N.Y. 5. ROUTE IL nor ms. tZIDGE ROAD • , -, : 4-,, Ar