2005-371 i
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFI CATE OF OCCUP-A-N- CY
Permit Number: P20050371 Date Issued: Thursday, February 23, 2006
This is to certify that work requested to be done as shown by Permit Number P20050371
has been completed.
Tax Map Number: 523400-308-017-0001-050-002-0000
Location: 168 WEST MT. Rd
Owner: PATRICK& CAROLE GERUSO
Applicant: PATRICK& CAROLE GERUSO
This structure may be occupied as a:
Garage - 3 Cars Attached By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code +force ent
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: P20050371 Application Number: A20050371
Tax Map No: 523400-308-017-0001-050-002-0000
Permission is hereby granted to: PATRIC'K & C'AROT,F CTF,RTJSO
For property located at: WEST MT. Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: PATRICK& CAROLE GERUSO
185 LOCKHART MT Rd Garage-3 Cars Attached
LAKE GEORGE NY 12845-0000 Single Family Dwelling $200,000.00
Total Value S200,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-371
3400 SQ FT SINGLE FAMILY DWELLING
$494.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, June 21, 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 nvzg�
June 21, 2005
for the Town of Queensbury.
SIGNED BY
Director of Building&Code Enforcement
i
Application for Permit-Septic Disposal System,
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) T61-8256
1. OWNER INFORMATION:
...................................................................................
J �
Office Use
Location of installation:
File Permit No.
Tax Map No.
P j Foe Paid
Owner's Name:
Address: I Q> >
2. INSTALLER'S NAME � �?�� ti`"'� ��� .r PHONE NO. ( �
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#.bedroom(s) aInd multiply#of
bedrooms with applicable gallons per bedroom to equal total daily flow)
I
Year of House: No. of Bedrooms x Computation Total(Daily Flow
I
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
i
I
4--
4' PARCEL INFORMATION: (circle applicable information&indicate measurements)
ToogrgRh oil Nature Ground Water Bedrock or Im ervi us Mat 'al D Water Supply
t.
a san at what depth at what depth unici
olling am (,�` feet �_feet
Steep slope clay ( if well; water sup y
_%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
i
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a lic�insed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the isize
of the septic tank and leach,field for each Garbage Grinder,Spa or Whirlpool Tub.
Septic Tank: 1� ' gallon(min. size 1,000 gal.)
Tile Field: each trench O(D ft. Total System Length: ft. ;
Seepage Pit(s): number of size of each: _ ft. by ft.
Size Stone to be used: # 6 / depth or thickness
Bed System Size: x
Y c
Alternative System: length and/or size
I
6. HOLDENG T SYSTEM: (if required)
Number tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note- Alarm ystem and associated electrical work must be inspected by a Town approved
electrical inspection agency.
I i
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 ofthe 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
requirement e o Queensbury Sanitary Sewage Disposal Ordinance.
'I
Signature of responsible person ate
Permit No. 7 (jo5 37 t
iuiiding&Codes Office-Department of Community Development-Town of Queensbury Fee Paid
142 Bay Road,Queensbury,NY 12804 Recreation Fee
have Hatin,Director codes@gueensbury net
'hone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subject 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.
.` ' Lv.ALifc'•�•�. Owner:
Applicant/Builder
Address: 0 " r� - Address:
Home Phone: Home Phone:
Email Address: Email Address:
Cell Phone: S t ' 's,�3 s<-- Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: z'►C� f ,E '' 4
Address: `.>L%.cam Phone C
Location of proposed construction: Lot No. Legal Address:
Tax Map Number: �� `$jC>C�' r� '� ` �� Subdivision Name: r��� ��` � 6 CIle �
Estimated Cost of Construction: $ l
Proposed construction is for: Residential Use _.Commercial Use
Name of Business:
If proposed construction is an addition,what will use of new addition bet
New Addition Alteration Proposed Construction 1It Floor 2nd floor Other Total Proposed
structure (Occupancy Type) Sq.Ft. sq.ff. Sq.Ft. Square feet Height
F &in.
Sin le-Fami Dwellin
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Garage 1, 2,
Type of Heating System: Electric, Oil, Gas Wood, ForcedDHot , Baseboard, Other:
Is a fireplace and/or woodstove being installed, please refer to a separate application, i Yes No
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 Dir r uilding and Codes, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location f II ew construction.
Date: , �' e` Applicant/Builder Signature:
The application of aced is hereby approved and
permission granted for th c nstruction, reconstruction or alte atio f uildin nd or accessory structure as set
forth above.
Date: d Authorized Signature:
1:11ue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04
Check Residential Plan Review: One&Two Family Dwellings
,:Y N/N/A
(2)Full sets of plans
Over 1,500 sq. ft.-Stamped
Design Loads On Plans:90 Wind Floor Loads 40 psf
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
Dampproofing/Waterproofing Materials On Plans
o ation Drainage On Plans,if required
6"Drop in 10'Exterior Grade
Framing Cros Section For Each R f Line, Vertical St p ing Ev 10'Where
Required fry
Ace and Snow shield 24"Inside Exterior Wall ler Inside Knee Walls
Platforms At Exterior Doors
Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
-Spiral Not Allowed From 2d Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
\ Hall Width,36"min.
Handrails More Than 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 + 1
Attic Access
Roof over 30"-22"x 30"/Crawl Spaces 18"x 24"Access
Carbon Monoxide Detector Lowest Sleeping Level
Soil Test Results,if required
i Septic To Well Or Water Line Separation
All Paperwork Signed
�S- FILE
Job Site Address: �� Ui}m �' (� Date:
Owner: Ri�� v t���Sy Application No. _ File No. EIVED
Building Permit — Calculation Sheet JUN ����
OSBURY
Natural Light, Ventilation & Emergency Egress Requirements Town,of o
Habitable Area of Req.Light Actual Req,Vent Actual Sq.Ft. Remarks AND CEDE
Room Room 8%of Room Light 4%of Room Vent Opening for
in Area Square Area Square Egress
Square Footage Footage
Feet
s
L
Dim 22°►fA t g,3s JA, 2d ,�o JA.
s k�• 5tb kk k-t• 5 .�.
c1�ae 1 3qq,` Z1.s3 � 30A3
2
oe 5� 2 g.� 2a3 11.4 u
c.Z I `�,. �b�
I", .v Z &2 s "g'7s 10ty
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L:\SueHemingway\Buiiding.PermitFORMSW at.Light.V entil.calculation.Sheet.doc
�---/c a,,^---
i Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 ^� Arrive: am/pm Depa am/pm
Date Inspection reques�ceived: Inspector s Initials:
l/ �� - 2
NAME: t L �' 1�" PERMIT#. 3 7I
LOCATION: 1 DATE:
TYPE OF STRUCTURE:
Comments' r
Y o 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 X.
Bathroom/Kitchen watertight
Safety glazing/Wind qv" in stairwells safe 1 m
Interior Smoke De ctors: i
Every level: Eve Bedro '�,�
Outside every bedroom ea:
VA
Inter Connected: Battery backup:
Carbon Monoxide Detector1��-k �v
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 Tern 110
Enclosed Stairs Sheetrock Underside minimum''/z"Gypsum 01
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/a hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical 'Z
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 FormsBuilding&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
Final Survey InspecW
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received:
NAME:
LOCATION: W 1 V
PERMIT#:
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept.of [/
Community
Development.
Upon review th
surve has be
Craig Brown,Zoning Administrator
Notes:
L:\.SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administratocdoc
MAP REFERENCE
MAP OF LANDS OF LANDS N/F OF
JOHN + CAROLYN LORD SCHNEIDER LANDS N/F OF
BY, COULTER + McCORMACK WELLINGTON LANDS N/F OF
DATED, SEPTEMBER 3. 199q STEHLE
LAST REVISED% JUNE 14. 2004
O GIRF S87°33' 15"E
------ 471.458
RETAINING m
WALLSi�m GIRF
NORTHWEST ROAD CRUSHED
/ STONE
W DRIVE
p i. 178.32, — I 2 STORY LANDS N/F OF
IN WOOD FRAMED GROFF
to 1-tO < HOUSE
PROPANE �a
Z 1 TQK
PORCHES
W � �
/ 119,336.03 sq. ft.
n
2.74 acres
LANDS N/F OF
BEDFORD CL05E
A5PIfALT DRIVE 2.ci 02� p HOMEOWNER'S ASSN.
1. � c�
c� °
N
O
rl
i
n
oo
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L EA OBIY
o _
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY. 2
THIS CERTIFICATION 5HALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
AND•LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS. PF
CERTIFIED TO• PATRICK GERU50
LANDS N/F OF
M + T MORTGAGE SUCCESSORS AND/OR A55IGN5 TROEL5TRA
FIDELITY NATI �@` ANY
769. 79,
CERTIFIED • ww N82039+50,,W
TTHEW C. 3
DATED,JANUARY 26. 2000 2�� LANDS N/F OF LEGEND
LORD A
LANDS N/F OF GIRFQ= GAPPED IRON ROD FOUND
l
HARNEY IPFO= IRON PIPE FOUND
cTL= UTILITY POLE
A atel jANUARY 25, 0
1NN,IKMXD AL7E U7M OR AOOIIKN ro A SWAY ._ t
V .}� VIM A'�LAMk& A Ma of a Survey made for Scate 1 -40-[ NOI Y OF X 040 7•mP.sue-oi ou z a ne p
P P MEw Yauc srADE PDurwnaM uw.•
S V v \�' S 'RIMY COPIES O M AL.deONN.OF DNS SVR
YARKm MiR AN aAKi7AL OF 11E LAND 91lR1EYptS
�S�LLeER �A=Wn Be VALID PATRICK GERUSO S- 1
C8MnCA710W NOICA7ED HUVW Sift"THAT
7F/S SURVEY YIAS PRFPMm N ACOOROANCE MI7H 1HE
Land Surveyors °DSIN�RDDERPPRA S FM SOCLLA�I.D: ,D.RPP>�
BY IIIE W*'PORK WAX ASSOdM M SH IL KM9WAL
LMID SUR1EDdi5.SAID Ct7Tii10ATKNS SMALL RUN OIO.Y
TO TIME PEASOM RN lelOM 7K"WY IS PREPMM AID
OM HIS eEw To
TIE n7m 0
0wA m ROVEDO e"'L SHEET I
169 Haviland Road Queensbury, New York 12804 A� ""I `MS OF`�"LM "s"`° KK* A"° Town of Queensbury, Warren County, New York i OF 1
7n DME AssalEEs aP 7N:eFHoerR Ns11JUikN.-
GERU50 G1709
(518) 792-8474 New York Lie. No. 50135 ND. DATE DESCRIPTION DWG. No. 04162
308.17-1-50.2
/Y
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request e 1
Queensbury Building&Code Enforcement ve: ".CSu D art:
742 Bay Road, Queensbury,NY 12804 sInspector's Initials.
NAME: ��` �� L, J PERMIT #: � S - 3.7
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2, R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % 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 L� , \
connection for 15 minutes h�Iv
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
r,CPVC,Pex One and Two-Family
Insulatio Residential Check/Commercial Check
Vr6jir Ven 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
F-/G
Framing / Firestopping Inspection Report aA,
Office No.(518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ e rt: 1 pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:;
-Q00-5-- 3 7 P59
NAMES CJ PERMIT#:
LOCATION: INSPECT ON: 71 o S
TYPE OF STRUCTURE: �i�'1
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
IF
irestoppin
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side Yz 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: 0�f
Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: •
NAME: C . v 2— � \ PE cx3S- �1
RMIT #.
LOCATION: 1 1 M INSPECT ON: NI i o
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates ��
Plumbing Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet change of direction
Pressure Test
Drain / Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air / Head
50 P.S.I for 15 minutes
u a io Residential Check / Commercial Check
ent Attic Vent V
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&CodesUnspection Forms\Rough Plumbing Insulation Report-revised Nov 17 2003.doe Revised February 15,2005
V. to ckk____.
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 1 1 jq o
Queensbury Building & Code Enforcement Arrive: am/ 6��Sart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 6PERMIT #:
LOCATION: INSPECT ON:/, s�
TYPE OF STRUCTURE: 54)
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 . above highest connection for 15 minutes
sure Ye
upply Piping
air/ Head
5 P.S.I for 15 minutes
sulation 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&Codes\Inspection Forms`Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building&Code Enforcement Arrive: am/'pm Depart: pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials' /
NAME: V ` PERMIT#:
LOCATION: _ INSPECT ON:
--- �-1 --
TYPE OF STRUCTURE:
Comments
Foo gs ------------_
rers
Monolithic Slab
Reinforcement in PlaceThe 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.
LASueHemingway\Building.Codes.Inspection.FORMST oundati on Inspection Report-doe January 28,2003
Septic Inspection Repere
Office No.(518)761-8256 Date Inspection 3
Queensbury Building&Code Enforcement Arrive: : a r742 Bay Rd., nsbury,NY 12804 Inspector's InitiNAME: ,LOCATION:
RECHECK:
Comments and/or'_dia i am
Soil T e: San oam/Clay
Type of Wate ' Well Water
Waterlines aration is anc ft.
Well separation distance ft.
Other wells: ft.
Abso tion Field: Total length zoo ft.
Length of each trench JA ft.
Depth of trenches 7 ft.
Size of Stone v
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank W
Tank to Distribution Box
Distribution Box t 'eld/Pit —
Sealed Partial
End Cap
Location/Separations
Foundation to tank A.
Foundation to absorption ft.
Separation of Pits
Conforms as per Plot N
Engineer Report an As-Built Y N
Location of System on Property:
Front Rear Left Side Right Side
Middle Fro fiddle Rear
System Use St us:
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Last revised 1/6/05
518-793-2290
Fax#518-793-2115
E-mail:morningstarseptic@hotmail.com
www.momingstarseptic.com
r ` PTIC SMIRVIC■
Date: 107 Jewel Road,Gansevoort,NY 12831
TO:
M A P
_1
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f i ,- a_
1 J,
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Rough Plumbing
g b g / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection reqFee
Queensbury Building & Code Enforcement Arrive: art: am m
742 Bay Road, Queensbury, NY 12804 Inspector's NAME: r — PERLOCATION: INS �C
TYPE OF STRUCTURE:
Y N N/A
u h 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
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:
LAPam Whiting\Building&Codes\lnspection 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 r ue t r !MI
Queensbury Building&Code Enforcement Arrive: am/p 742 Bay Road, Queensbury,NY 12804 Inspector's Ini als•NAME: V U PE #: U
LOCATION: 1(0�- uu e S ► 1 , h- - INSPECT ON: s
TYPE OF STRUCTURE:
Framing Y N /A COMMENTS
Attic Access 22"x 30"minimum _
Jack Studs/Headers
Bracing/Bridging
i r GTc
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in.or more N
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
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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm p rn/ r
742 Bay Road, Queensbury, NY 12804 Inspector's Initials• p
NAME: PERMIT#: OS 71 '
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Framing T7 COMMENTS
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
Anch Bolts 6 ft. or less on center
e and snow shield 24 inches from wall M4\ N7N4,6�
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 i
Ceiling/wall I
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Sue Hemingway\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/pm Depart: m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: T Jb
vzz
NAME: PERMIT#*, 5-3 l
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A Framing COMMENTS
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 is 6 ft. or less on center ,� L
loe`aind snow shield 24 *nch om w 11
-� 0
Fire separation 1, 2,3 Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
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: a
Queensbury Building& Code Enforcement Arrive: _am/ m Depart:,jrti711 ZnVkp -
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: fjl.,kR)
NAME: o j CU PERMIT#:
LOCATION: l ; _ vim' Z INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/a COMMENTS
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 snow shield 24 inches from wall
Fire separation 1, 2,3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed cavity
16 inch insulation in 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
LASueHemingway\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/pm Depart: ,i D am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:L-�-- h--
IJ
NAME: <—O�� PERMIT#:
LOCATION: td, INSPECT ON:
TYPE OF STRUCTURE:
i
i
Y N N/A COMMENT f
Framing
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,Kh
chor Bolts 6 ft. or less on center
Ic and water shield 2 inches from wall fi �—C--- -- -----
Fire separation , 2, 3 hour
Fire wall 2, 3,4 hours �1
Firestopping
Penetration sealed �, c���� `,�[�
16 inch insulation in cavity min.
Garage Fire Separation
House side Yz inch or 5/8 inch Type X
Garage side 518 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
!A
fl
Framing / Firestopping Inspection Report
No. (518) 761-8256 Date Inspection request received:
isbury Building & Code Enforcement Arrive: am/ m Depart: ) m
Say Road, Queensbury, NY 12804 Inspector's Initials:
NAME: c ��'�S 0 PERMIT#: 6b 5- 37 r
LOCATION: 1 C, ' INSPECT ON:
TYPE OF STRUCTURE: — �
U
Framing Y N N/A COMMENTS
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 shie 24 inches from wall � \K--�
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
LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report Z,
Office No. (518) 761-8256 Date Inspection request received: c
Queensbury Building&Code Enforcement Arrive: am/p epart: 'pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place y
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
F oting Drama 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.
I,1SueHern:ngway\Building.(:odes.Inspection.FORMS\roundation Inspection Report.doc January 28,2003
C./
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection req st received: S US
Queensbury Building &Code Enforcement Arrive: am/ Depart: ti' �arrv`pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initial
NAME: C � � PERMIT#: C _3 7/
LOCATION: INSPECT ON:
TYPE OF STRUCTURE;
Comments
y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place H-e--CA S/'
Foundation Dam roofing �' S
Foundation/Waterproofing /1 f
Type of Dampproofing/Waterproofing
Foot' ht
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.inspectionTORMSToundation Inspection Report.doc January 28,2003
��vYl
Framing/ Firestopping Inspection Report l
Office No. (518) 761-8256 Date Inspection re est c ve
Queensbury Building&Code Enforcement Arrive: p D art: r a
742 Bay Road, Queensbury,NY 12804 Inspector's Init' Is:
NAME: PERMIT#: /
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
aming &\QX k j
Attic Access 2 "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
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 %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
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release le
Data filename:Untitled.rck RECEIVED
PROJECT TITLE:Pat&Caro;e Geruso
MAY
COUNTY: Warren TOWN OF QUEENSBURY
STATE:New York BUILDING AND CODE
HDD: 7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE: 05/29/05
DATE OF PLANS:May 05
PROJECT DESCRIPTION:
Single Family Residence
COMPLIANCE:Passes
Maximum UA=577
Your Home UA=470
18.5%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 2679 38.0 0.0 80
Wall 1: Wood Frame, 16"o.c. 3594 21.0 0.0 173
Window 1: Wood Frame:Double Pane with Low-E 416 0.340 141
Door l: Solid 97 0.200 19
Door 2: Glass 40 0.340 14
Basement Wall l: Solid Concrete or Masonry 217 13.0 0.0 13
Wall height: 8.0'
Depth below grade:7.0'
Insulation depth: 8.0'
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 924 30.0 0.0 30
Furnace l:Forced Hot Air,84 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the
New York State Energy Conservation Constructio 'rements. When a Registered Design Professional has stamped and
signed this page,they are attesting that to the Oaf dge,belief,and professional judgment,such plans or
specifications are in compliance with this C
Builder/Designer �'� Datez. c5
r a
tp- °psozo
R -
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheck Software Version 3.5 Release le
DATE: 05/29/05 Y
PROJECT TITLE: Pat&Caro;e Gerwo
Bldg.
Dept.
Use
I
Ceilings:
[ ] I ]L Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
I
Above-Grade Walls:
[ ] I 1. Wall 1: Wood Frame, 16"o.c.,R-21.0 cavity insulation
Comments:
i
Basement Walls:
[ ] I 1. Basement Wall 1: Solid Concrete or Masonry, 8.0'ht/7.0'bg/8.0'insul,
R-13.0 cavity insulation
Comments:
I
windows:
[ ] I 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 [ J No
Comments:
I
Doors:
[ ] I 1. Door 1: Solid,U-factor: 0.200
Comments:
[ ] I 2. Door 2: Glass,U-factor:0.340
Comments:
i
Floors:
[ ] I 1. Floor 1: All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation
Comments:
I
Heating and Cooling Equipment:
[ ] I 1. Furnace 1:Forced Hot Air, 84 AFUE or higher
Make and Model Number
I
Air Leakage:
[ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] I Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a
3"clearance from insulation.
I
Vapor Retarder:
[ ] I Required on the warm-in-winter side of all non vented framed ceilings,walls,and floors.
I
Materials Identification:
[ ] I 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.
r
[ ] 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
I the building plans or specifications.
Duct Insulation:
[ ] I 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.
[ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
i
Duct Construction:
[ ] I 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).
[ ] I 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.
[ ] I Air filters are required in the return air system.
[ ] The HVAC system must provide a means for balancing air and water systems.
I
Temperature Controls:
[ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
I
Electric Systems:
[ ] I Separate electric meters are required for each dwelling unit.
I
Fireplaces:
[ ] I 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
I 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.
I
Service Water Heating:
[ l I Water hefers 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.
[ J I Insulate circulating hot water pipes to the levels in Table 1.
I
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
i
Swimming Pools:
[ ] I 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 OF or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
f
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 HITACPipes.
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)