2005-333 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20050333 Date Issued: Thursday, March 16, 2006
This is to certify that work requested to be done as shown by Permit Number P20050333
has been completed.
Tax Map Number: 523400-301-018-0002-006-000-0000
Location: 39 LAMBERT Dr
Owner: RAYMOND & DOROTHY GROVER
Applicant: RAYMOND & DOROTHY GROVER
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage Attached TOWN OF QUEENSBURY
Residential Addition
� ..
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050333 Application Number: A20050333
Tax Nlap No: 523400-301-018-0002-006-000-0000
Permission is hereby granted to: RAYMOND & DOROTHY GROVRR
For property located at: 39 LAMBERT Dr
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: RAYMOND &DOROTHY GROVE
39 LAMBERT Dr Garage Attached
QUEENSBURY NY 12804-0000 Residential Addition $25 000
Total Value $25,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
TIM ALLEN
15 SLY POND Rd
FT. ANN_ NY 12804-0000
Plans&Specifications
2005-333
576 SQ FT RESIDENTIAL ADDTION AND 576 SQ FT 2-CAR ATTACHED GARAGE
$138.24 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, June 13, 2006
(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 Tonensb M day, June 13, 2005
SIGNED BY for the Town of Queensbury.
Director of Building ode forcement
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 i I A r - -' 20 Permit No. L205-3 3�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 pet form required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: � iG, wu)kx<A C'-�,r� ® Stove: wood coal ellet gas
IL Fireplace insert
Address:_?, ( XI AA�p, DVL'A Fireplace, factory-built: wood
Fireplace, masonry: wood ga
Furnace: wood gas oil
Phone: _
If non-masonary applicance, please provide
Owner: Manufacturer Name:( by =L1 •5 ��
Address; Model Number: _ � 60
Chimney Information
Phone: (. - (circle appropriate words)
Masonry block brick stone
Flue the stee size: 3 inches
Exact Address: G(.0
of construction or installation Factory-Built
Manufacturer name: 4�j(n o, 01 J LA j2
Model Number: 7,0 o
Note: Listed By: Number: _
Construction IInstallation must
con orm 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
� Ca�xi�z-'mac Z�epartm�ewct—To�� o.�P Que��bury, 3V'��]tor.I� ^
Fire Marshal Code# $Collected $Refunded Received fi-om (refunded to): GYb>
� 00 address: --
A 173 3389 (190) Public Safety
A 233 2655 (230)Minor Sales
DATC: NOV
0*votwu-
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.)
Permit No. ao05 it 333
Building&Codes Office-Department of Community Development Town of Queensbury Fee Paid 1 •.2�.
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director codes@aueensbury.net
Phone: (518)761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subiect to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
y: C- ywev,
Applicant/Builder "'`;AA 0 1 U►n Owner: I �'a�(•r1 r,tc�,�y�,QyKf (-,,tor_
Address: 1. I Address:(
1— ,K. [�.teP,�S c vto ll1Pr� L/,CL i r
Home Phone: Home Phone: v
Email Address: A111k Email Address: Mk
Cell Phone: Cell Phone: 34.0-v-71 tp
FAX Phone: FAX Phone: n.a Ind. 1*_
Person responsible for supervision of work with respect to building and codes compliance:
Name: J,✓�t (� �D
Address: PILA VNA-1 Phone aL-J
Location of proposed construction: Lot No.� Legal Address: .3q La_, of t 1r��
Tax Map Number: / U , 13, Subdivision Name:
_��1 pcnc
Estimated Cost of Construction: $ � J, - F - V�C�c, � - R���'vE®
Proposed construction is for: Residential Use _Commercial Use MAY
Name of Business: �_�'" TOWN OF CIUEENSBURY
BUILDING AND CODE
If proposed construction is an addition,what will use of new addition be? (—
New Addition Alteration Proposed Construction Is'Floor 2nd floor Other Total Proposed
structure (Occupancy Type) Sq.Ft. sq.ft. Sq.Ft. Square feet Height
Ft.Mn.
Single-Family Dwelling
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Garage 1, 2, 3 5-'
Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air Basebo,a�`Other:
Is a fireplace and/or woodstove being installed, please refer to a separate application. Yes _No s�4t
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the application, together with the plans and
specifications submitted, are a true and complete statement of all proposed work to be done on the described
premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the
proposed work shall be complied with,whether specified or noted, and that such work is authorized by the owner.
Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location of all,n�w c struction.
Date: ' J1 Applicant/Builder Signature:
The application of dated is hereby approved and
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
forth above.
Date: Authorized Signature:
L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04
Town of Queensbury 742 Bay Road, Queensbury, NY 12804
-BnHdin h Code Enforcement Buildm- g pit
Phone:(518)761-8256 D;�te: ✓
Fax: (518)745-4437
Enza codeskytenst»iry net
Dear
Yom buddmg Pund 4phcabm has been rtwicwed and A and to be deficient in&e following areas
`-
�l� � !-- / /d1E'� ��' t9�L ��^— ✓� �E�'s.l�/ ��l / C' � �i ACM
A i
�^rf oZ.2- )C 36'�
�6G1f--
These Betz&wed to be added to or noted on both sets oiPJM& Please W free ID contaet t)ris Of5M MA any WWODJ'S
regarding this matler.
Sincerely,
BURDMG&COMS OFMCE
L_�Suc}Iefr�rngsvaylBv;3il"mgPu�t.F4RMS'�c1"xient building petgut:la»2U0�d�C
Check Residential Plan Review: One& Two Family Dwellings
Y/N/N/A
(2)Full sets of plans
Over 1,500 sq. 1t.—Stamped
Design Loads On Plans:90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations:
Window Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq.ft.
Grade,5.0 sq.ft.
24"(h)x 20"(w)min.
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
c' alw
Dampprooliing/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10'Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
�d Required
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Was
Platforms At Exterior Doors
Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
Spiral Not Allowed From Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall Width,36"min.
r Handrails More Than One Riser On Open Sides
Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht.
Safety Glazing Notes For Required Areas
Garage Fire Separation
Garage Floor Sloped
Attic Access
Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access
Carbon Monoxide Detector Lowest Sleeping Level
Af- Soil Test Results, if required
Septic To Well Or Water Line Separation
All Paperwork Signed
Job Site Address: Date: - z9 os
Owner: {A e 6roav,- Application No. File No.
WINDOW SCHEDULE
4peraiacatan
Window Window Mfg. Window Unit or Rough 12;pgh SQ.FT. SQ.FT. SQ.FT Clear Clear Special Hardware or
Number or Name Model Stock Opening Opening G1assNisib Uent Egress/Clear Opening Opening Height Instructions
Letter on Or Type Number Wi+lth, Ho-ight I Opening Width In In Inches
Plan Call Size Light Inches
1l✓fPltwf- av yf A! .i3 /2.l3 5 84 A90 s3. 2.3
*31'/ Sicv iJ,NC a �� 3b 'ly Y4 ��y " icy. i r y.�s 31 ,E 22 � tow ti 6cAsj
THIS LINE HAS EXAMPLES OF SAMPLE ENTRIES
A Andersen Narrbline 3062 3121/3" ' 6'51/7. 15.30 6.36 6,p1 ,�4 115135" 'Tempered
Double 11%16" Glazing
Hur
L:\SueHemingway\Building.Permit.FORMS\Window Schedule.doc
ry Job Site Address: Date: say as
Owner: &,,,J6j k4r_ Application No. File No.
Building Permit — Calculation Sheet
Natural Light, Ventilation & Emergency Egress Requirements
Habitable Area of Req.Light Actual Req.Vent Actual S q.Ft. Remarks
Room Room 8%of Room Light 4%of Room Vent = Opening for
in Area Square Area Square Egress
Square Footage Footage
Feet
. 3& 3 ,R W e'4-0o,1
F cp alb .30.0 o-Y 30 *'3. 95
L:\SueHemingway\Building.Permit.FORM S\Nat.Light.Venti l.CalcuIation.Sheet.doc
Queensbury Building & Code Enforcement - Residential Final Inspection
r +�
Office No.(518)761-8256 Arrive: p p'& : _ am/pm
Date Inspection request received: _ Inspect is In' 'a s:
NAME: PERMIT#:
LOCATION: ``� ��, � DATE: �P
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors �--
Guards at stairs,decks,patios 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
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safe lzin /Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s . ft.-150 s .ft.vents
Bathroom Fans.if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet 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
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
asement stairs closed rise>4 inches
ara a Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Lo s in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Se tic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O Tempor /Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireulace/Stove Insaection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
2 instructions or specifications is allowed. ,,rr��/
Permit# � % Schedule Inspection m, /(Q v6 Time am p anytime Inspector J12e -
Name �� Address 61)Q 1 t>rZ - Rough In Final V
Appliance Manufacturer._ — Model#
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof �/}
penetration;2 feet above any combustible P, /�(1wo,
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension(if any)
Mantel
Height above Up opening
Witness Operation
Tank Placement(if LP)
White—Building Dept. Yellow Chet r Pink—Fire Marshal
e
i
Queen bury Building & Code Enforcement - Residential Final Inspection
i
Office No.(51 )761- 256 � Arrive: U7 am/pm a _ am/pm
Date Inspection ues�received: InspectoPs Initials:
NAME: PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTU
Comments
Yes No N/A
Building Number/Address visible from road �A
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches —/
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios 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
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s . ft,150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress 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(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fire roofin /3/a hour fire door/door closer
Duct work Sealed pro erl
Gas Logs in Sealed or G s nc sure
7/
Final Electrical
Final Survey Plot Plan
' '' *
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O[Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
Town of:Q*ensbury Fire Marshal
742 Bay Road
Queensbury,NY 12904
761-8205/761-8206
fax 7454437
Factoa Built Wood Burning Fireplace/Stove Inspection Resort
Notice:New York State requires that an 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# S 333 Schedule Inspection [Z i�( Time � anytime Inspector J S
N ay 6;vd Address _31 2—af b c-4 Rough In Fivat±_�
Appliance Manufacturer yl i'�L�. s %e, Model# w
Masonry Chimney Factory Built Cbimney,�6lae Sizel Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection cAlwV 4/A1 1pel1ef- ova
Clearances to Combustibles (all sides) �\
Safety Strip Installation(fireplaces only)
Firestop(s) Vertical Chase
Wall Penetration
Chimney Clearances to Combustibles
Chimney Termination
3 feet above roof penetration;2 feet above
any combustible construction within 10 feet
Combustion Air
Hearth Extension
Mantel(height above f/p opening)
Fireplace Doors I Screen(required)
Widte—BWdinc Depk
Yet —C mer PWk—Fire Manhd
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. N2 - 93970Cut-in Card No.............................
Owner...............le:........ ................................................................................................... .....
Location.... D12,. ...............................................................................................................4te';g.... .... ...x..........
Installation Consisting of 3-o P--eC—e-P / 7 t�t TZ)S... ..................................... ...................................2.....................
.... .......... ......................................................................................................................
....................................................
InstalledBy . ............................................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making el—s ctions at any time, and if its
rules are violated,the Company shall have the right tXoev e this Yrti icat e.//
Date................?..`L:...>.".................. INSPECT( ........ ................................................................................
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 1 �' A'''
Queensbury Building & Code Enforcement Arrive: am/pm Depart: ` am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
7�
NAME: PERMIT #: 3 3�
LOCATION: INSPECT ON:�1e)) J4:;�qS—
TYPE OF STRUCTURE: 'n--
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
Pressure Test
Water Supply Piping
Air / Head
50 P.S.I for 15 minutes
nI 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:
LAPam Whiting\Building&CodeAnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
AWAY
Town of,Qdwnsbury Fire Marshal
742 Bay Road
Queensbury,NY 12804 ,� ►r �(� j 3 P S
761-8205/761-8206
fax 7454437
�►efi
Factory Built MWO Burning Fireplace/Stove Inspection ReRort
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
a .3 h�3 instructions or specifications is allowed.
Permit# Schedule inspection ime /0 5 an pm anytime Inspector
Nt�
Address Zj Rough In)Fin- ran�111erz
al
Appliance Manufacturer �1-46 1-e C Sf�- �> S r�v� Model#
Masonry Chimney Factory Built Chimney Flue Size3 11 Double Wall_,�(Triple Wall Insulated
Yes No N/A Comments
Floor Protection �r4
Clearances to Combustibles(all sides) 39
Safety Strip Installation (fireplaces only)
Firestop(s) Vertical Chase__
Wail Penetration
Chimney Clearances to Combustibles
Chimney Terminationv �rLJ G
3 feet above roof penetration;2 feet above
any combustible construction within 10 feet
Combustion Air
Hearth Extension (�
Mantel(height above f/p opening)
Fireplace Doors /Screen(required)
woe-BdMing Dep. Y -C Rak-HmManW
Framing / Firestopping Inspection Report
Office No.(518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: Y2 r INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A 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
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
Ice and water shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2, 3,4 hour
I"firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side t/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
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/ m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: l i
NAME: Ill PERMIT #: �3
LOCATION: 3 `� � -z L INSPECT ON:
TYPE OF STRUCTURE:
pzo:� V/-4--"i
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
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Ins esidential Check/ Commercial Check
Pro er Vent Attic Vent
Duct o Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&Codesllnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: !—am/DM f`
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:/1 tur)
NAME: Cis _� '�. PERMIT#:
LOCATION: INSPECT ON: - -
TYPE OF STRUCTURE:
r�
Y 01 N N/A COMMEN
t raming
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging /0 —
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 'V2 w 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building&Code Enforcement Arrive: —am/pm Departl -1015— anZEDV
742 Bay Road, Queensbury,NY 12804 Inspector's Initials•
NAME: �C�U ) Gyae_vPERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUC
Framing Y N N/A COMME S
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %s w 16 gauge 8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anc r Bolts 6 ft. or less on center
e 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 V2 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
Foundation Inspection Report
Office No. (518) 761-8256 Date InspectionZ--y
Queensbury Building&Code Enforcement Arrive: Depart: pm742 Bay Rd., Queensbury, NY 12804 Inspector's InitiNAME: � �.1
LOCATION: �� oe
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
Reinfor entin Place
ndation 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.
LASuellemingway\Buil ding.Codes.lnspection.FORMSUroundation Inspection Report.doc January 28,2003
I
I
P
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-L—im"
NAME: ( C- "1( PERMIT#:
LOCATION: INSPECT ON: —
TYPE OF STRUCTURE:
Comments
Y N N/A
ootings �� J
Piers
Monolithic Slab l
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 kSueHemingway\Building,Codes,InspectionTORMSToundation Inspection Report.doc January 28,2003
Town of Queensbury Fire Marshal
161 742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Filctoa Built Gas Fireplace/Stove Inspection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed. p
Permit# �� Schedule Inspection Time am pm anytime Inspector
Name 60�'b UEZ Address L � �l Q/� Rough b.Final t�
Appliance Manufacturer- __ _ .__ Model#
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall _ Insulated
Yes No N/A Comments
Floor Protection
STo�IC--
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
White—BuWifn;Dept. Yellow r Pink—Fire Mutshat
J
Permit Number
Checked By/Date
Generated by REScheck-Web Software
Compliance Certificate
Project Title: Dorothy and Ray Grover
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
Window-to-Wall Ratio: 0.08
Heating Degree Days: 7635
Report Date:
Date of Plans:616/05
Project Information: Builder Information:
New Construction garage attached to existing home Jim Allen
with Family Room and Den/Closet Space above 15 Sly Pond Road
Fort Ann, NY 12827
Project Notes:
Slab on grade with frost walls
Compliance: ..-
Assembly
• - WI=N
�..
Floorl:Heated Slab-On-Grade,Insulation Depth:4.0' 72 0.0 75
Wall 1:Wood Frame, 16in.o.c. 504 19.0 0.0 30
Floor2:All-Wood Joist/Truss Over Uncond.Space 576 30.0 0.0 19
Wall 2:Wood Frame,16in.o.c. 576 19.0 0.0 29
Window 1:Vinyl Frame,2 Pane w/Low-E 88 0.310 27
Ceiling 1:Flat or Scissor Truss 576 41.0 0.0 17
Boiler 1:Other(Except Gas-Fired Steam):80 AFUE
Statement of Compliance:The proposed building represented in this document is consistent with the building plans,specifications,
and other calculations submitted with this permit application.The proposed systems have been designed to meet the New York
State Energy Conservation Construction Code requirements.When a Registered Design Professional has stamped and signed this
page,they are attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in
compliance with this
/Code.'
G.,ro.
ilder/Designer Company Name Date
Page 1
Generated by REScheck-Web Software
REScheck Inspection Checklist
Project Title: Dorothy and Ray Grover
Ceilings:
❑ Ceiling 1:Flat or Scissor Truss,R-41.0 cavity insulation
Comments:
Above-Grade Walls:
❑ Wall 1:Wood Frame,16in.o.c.,R-19.0 cavity insulation
Comments:
❑ Wall 2:Wood Frame, 16in.o.c.,R-19.0 cavity insulation
Comments:
Windows:
❑ Window 1:Vinyl Frame,2 Pane w/Low-E,U-factor:0.310
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Floors:
❑ Floorl:Heated Slab-On-Grade,R-0(uninsulated)
Comments:
❑ Floor2:All-Wood Joist/Truss Over Uncond.Space,R-30.0 cavity insulation
Comments:
Heating and Cooling Equipment:
❑ Boiler 1:Other(Except Gas-Fired Steam):80 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\plain\f2\fs20 in accordance with the manufacturer's installation instructions.
❑ Materials and equipment must be identified so that compliance can be determined.
❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided.
❑ Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications.
Duct Insulation:
❑ Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
❑ Return ducts in unconditioned attics or outside the building must be insulated to R-6.
❑ Supply ducts in unconditioned spaces must be insulated to R-11.
❑ Return ducts in unconditioned spaces(except basements)must be insulated to R-
❑ Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
Page 2
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°F or chilled fluids below 55°F must be insulated to the levels in Table 2.
Page 3
Table 1:Minimum Insulation Thickness for Circulating Not 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
140-169 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.Hot Water 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 Pressurefremperature 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)
Page 4