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2005-435 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: P20050435 Date Issued: Tuesday, December 06, 2005 This is to certify that work requested to be done as shown by Permit Number P20050435 has been completed. Tax Map Number: 523400-301-013-0001-043-000-0000 Location: 3 PEGGY ANN Rd Owner: LARRY CLUTE Applicant: CLUTE ENTERPRISES, INC. This structure may be occupied as a: Garage - 2 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 rc ent Planning Board or Zoning Board of Appeals. Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 i i Factory Built Gas Fire-place/Stove Inspection Report 1 � Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructio and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufo er's instructions or specifications is allowed. Fev/ Permit X21 --0U- ~ ( ,-2-)CJ Scbedule Inspection imec)w, 'ti`.t pm anytime °r Name Address O _^ Rough In—Final_ Appliance Manufacturer _ Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated _ Yes No N/A Comments Floor Protection �� ✓�"r' Clearances to Combustibles (all sides) Firestop(s) Vertical Chase L� �— /�VA,1 /1, Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Poe vv I D�Chimney height must be 3 feet above roof IM penetration;2 fret 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) WMte—Building Dept Yellow cadimer Pink—Fire Marshal Permit No. 0 L13S Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid 742 Bay Road,Queensbury,NY 12804 Recreation Fee Dave Hatin,Director codes@gueensbury.net Phone: (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. Applicant/Builder ��C �f�t b�r'�� Owner: L- �t' C_�� Address: V> ID Address: Home Phone: 7r 2 =7 -, Home Phone: Email Address: Email Address: Cell Phone: Cell Phone: FAX Phone: !7, r c FAX Phone: Person responsible for supervision of work with respect to building and codes compliance: Name: L-,�c r-`�1 C `,i �.e 7 Ct -7 D 7�7 Address: Phone Location of proposed construction: Lot No. Legal Address: 72. Tax Map Number: �ON .�� '�� Subdivision Name: Estimated Cost of Construction: $ t 7 0 00so y D / ( Iv Proposed construction is for: 7�Residential Use _Commercial Use 1 Name of Business: ot4 1 N OE UEVNSBUR If proposed construction is an addition,what will use of new addition be? OW Qp C00 New Addition Alteration Proposed Construction 1,'Floor 2nd floor Other Total Proposed structure (Occupancy Type) Sq.Ft, sq.ft. Sq.Ft. Square feet Height Ft.&in. Single-Family Dwellingt Two-Family Dwelling Townhouse Multifamily Dwelling Number of Units: Office Mercantile Manufacturing Other: Attached Garage goo Type of Heating System: Electric, Oil wood, orced Hot;)Baseboard, Other: Is a fireplace and/or woodstove being installed, please refer to a separate application. ,Yes GNoD 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 O anc or Certificate of Compliance being issued, as requested by the Zoning Administrator or Director uilding a odes, an As-B Survey by a licensed surveyor, drawn to scale, showing actual location of al ew con tiq' Date: 26 Applicant/Builder Signature: The application of - ed is hereby approved and permission granted for the construction, reconstructi r eratio of ild n er accessory structure as set forth above. Date: Z. 6 Authorized Signature: L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Ap ation.doc V:12/14/04 ',;nnee of, Lt t z f _ Imo.�-, *-J#L-IVED 7® N OF QJEENSSURY y AND CODE _ 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: GGi u CIv C a 1" •-- t-�-I. j j I File Permit No. J Tax Map No. ! / Fee Paid Owner's Name: F, 1L.A i...... _....................-...................................................................... Address: c�-%w-• 2. INSTALLER'SNAME - w 4C -- PHONE NO. 77 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#,bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) i Year of House: No of Bedrooms x Commutation Total'Daily Flow 1980 or older _ x 150 gal/bdrm 114,5 1980— 1991 x 130 gal/bdnn = 1991 —present x 110 gal/bdrm = i Garbage Grinder Installed yes Spa or Hot Tub Installed yes 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) I h Soil-Nature Ground Water Bedrock or impervious Material r Su 1 4olling-, at what depth at what depth unici al ottm feet feet well Steep slope clay ` if well; water sup y ° slope other from any septic-system /o s o P 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 syste"must be designed by a hc�nsed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: to 30 gallon (min. size 1,000 gal) Tile Field: each trench Total System Length: ft. Seepage Pit(s): number of size of each: fi. by Size 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: J Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 1 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 oflthe 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 regal 'th espect to this application and agree to abide by these and all requirements of own of ensbury Sani ewage Disposal Ordinance. � re of r onsible pers on ate 5r�vc:iw; :trot �c:wti1;tr I3i�j�tr.:tt t:ttstistt♦t• . I Al1.8=11'•1116 i I"IItiIi.I.) '��I;I'A'ItA.'I'IWtN ItI.��Ji ICI+Ill I�:t�1'I:� POND iv�wf won, . r 1 �leu. tN IrA��•iL. �.. Cal 1G w� . U101i MOW I I �`sAt.i*r i MONO f /��T��{��. y� ��T" �p��,��ram• �,T '1• SI�e►+tAA.�URE of INFO'i11YlAL O ��./�►y4+��V�Y��L�'i�ri��7V1`IuJlOf/avawvJ1.'t I f� i I Queensbury Building & Code Enforcement - Residential Final Inspection Afice 1'VTo. (518)761-8256 Arrive: p part: am/pm P Date Inspection request received: _ Inspector Initials: NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTU : - Comments YW 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 l� 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 Furnace/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 Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure 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 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/prrl�rt:� am/pm Date Inspection request received: _ Inspector's Initials: dd NAME: .k PERMIT#: ( .� LOCATION: \ G mac: d,� - �; DATE: TYPE OF STRUCTURE`- -3 Comments Yes No N/A r- Building Number/Address visible from road fI ; Chimney Height/"B"Vent/Direct Vent Location r# Fresh Air Intake `' 3 inch Plumbing Vent through roof minimum 6 inches ; r, i t ti, 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 jI (� Handrail Termination at Newell Post or Wall /t17 ('j S� Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers �,��r�/ .L 1qA k L—� hz6v 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 i✓G`E'rJ '(�jo�G l„J�t) - 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'/2"Gypsum Basement stairs closed rise>4 inches , Garage Floor Pitched Garage fireproofing/'/<hour fire door/door closer Duct work Sealed pro erl Gas Logs in Sealed o Gl s Ejuclosure. Final Electrical L I b 7 L C� Final Surve Plot Pl ')v'g(�l i V As Built Septic System/gewer 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 MAP REFERENCE: W MAP OF SECTION NO. 4 OF LAND O'PINES DATED: JULY 8, 1982 �r BY: COULTER & McCORMACK �` O ' GGY ANN _ GIRF ROAD S�6o75 30 bE 7;?g.00 Q 403S Q � ;il CpNC�E 81 �F o , WOODTORY �h h�• h0U fA� Y— i 37 g/, O tM N 01) 82 00 � I 21,616 sq. ft. ° Cb N 0.50 acres C0 84 g �V 2.q5, T 1 DEC U 1 200 BU�LD1�i ��' "C U RF �O C. A0 0 5 - y 3 .S N�2 561 100 pyr Z- sF00 to 1 L u S %9 WTIMzM ALTER TM OR AOOIUON M A SAIVEY '` Scale 1'=20' & e YAP DE~A LICUM LAND SLOVEYORS SEAL R A Map of a Survey made for ION VIOLAT OF SECTION 72011 Su, b-WONON z OF THE eve NEW YOM STATE EDUCATION LAW S `/ S BILLY COPES►O TIE OfIML OF 7N6 SURVEY MMKED�YTN AN ONOINNAL 01'1ME LAW SLRIKYQfIS SELL SHALL EE CCNODENED TO K VALID TINE COPES.- S 1 C ,M ,ED IW TNLT CL1:7TE ENTERPRISES Tws EMMING5UWllVCO wAs AEYANED N ALAND S V MITI THE Land Surveyors W*WI" �" F°"`� D 8Y TIE NEW YpOC STATE ASSOCIATION OF PROFtS90NAL LAND&RVEYDRS SAD OERTIFlCAV"SHALL RUN ONLY M TIE PERSON I M MIOM THE"Y"IS RIWAIIM AND ON M EHALF TO TIE WILE COMPANY,OOMINMID1TAL SIEL71 OF 169 Haviland Road Queenabury, New York 12804 AGENCY AND LENONO raDTRIION USTED IIDM%AM Town of Queensbury, Warren County, New York TO nE ASBIONEES OF TIE LEYiDING*MlUTDN.- CLUTE (518) 792-8474 New York Lie. No. 50135 1 1 NO. DATE DESCRIPTION DWG. NO. 05162 121—8-82/301.13-1-43 C 1681 Town of Queensbary Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit Z-/ Schedule Inspection C `> Tim r v am pm anytime inspector d Name J '�L Address - \ Rough In Final_ 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 U penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air V Hearth Extension (if any) 7i Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White-Bunning Dept YeIIow r Pink-Fire M r" Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: / 0 NAME: LOCATION: PERMIT#: Final Survey Plot Plan A roved Denied The attached final survey has been received by the Dept.of j Community Development. Upon review surve hasVeen: Craig Brown, Zoning Administrator Notes: L:\SueHemingway\Building.Codes.Inspection.FORMSTinal Survey Zoning Administrator.doc Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-82051761-8206 fax 7454437 Factory )Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit#A)05 r 3S Schedule Inspection -QsTime. am pm ytime In r Name C L Rough)illy Final r. �� Address gh .__ Appliance Man acturer _ ILI Model# -VwaP OE�Ar-_�_____ Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wail Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) V4 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 Gass Shut-Off Valve Combustion Air Hearth Extension(if any) Mantel Height above f/p opening Witness Operation Tank Placement (if LP) Widte^ l Dept. Yellow Cyst r Pink—Fire Mar" Rough Plumbing O Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: ' Queensbury Building & Code Enforcement Arrive: am/p Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: _ PERMIT #: LOCATION: ecz °- INSPECT ON: TYPE OF STRUCT RE: 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 JVAIeZ4 1� Air / Head 5 .S.I for 15 minutes nsulation 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 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: "-- Queensbury Building & Code Enforcement Arrive: am/p Dep rt: 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: Q PERMIT #: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A l y Rough Plumbing / Nail Plates Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washinq Machine Drain 2 inch minimum CleanoAevery 100 feet change of direction Pre re Test rain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test /Wa,PaNpply Piping r Air/ Hea 50 or 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\Inspection 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/ n epart: *,Lam—/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: _y l NAME: L-"c PERMIT#: 05�q LOCATION: INSPECT ON: — C. —Qs TYPE OF STRUCTURE: Y N N/A COMMENTS raming Attic Access 22"x 30"minimum �` Jack Studs/Headers Bracing/Bridging 3 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 restopping 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) 0 in. (W) 5.7 sf above/below grade 5.0 sf grade / PC- LV Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: ` am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials:l�. NAME: l "" PERMIT#: C�G S LOCATION: h INSPECT ON: TYPE OF STRUCT 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 c water shield 2 i es 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 (A A C, Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p epart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: ,�,, PERMIT NO.: cZ?V LOCATION: INSPECT ON: RECHECK: Comments and/or dia r Soil Type: o y Type of Water:tmumcipaVVell Water Waterline se ance �• Well separation distance ft• Other wells: ft• Absorption Field: Total length ft. Length of each trench ft. Depth of trenches X, ft• Size of Stone _-j; Z— Seepge Pits: Number Size: x Stone Size: Piping Si2r T e Building to tank Tank to Distribution Box c� y Distribution Box to Field/Pit /+ « Opening Sealed: Y/N/Partial End Caps Location/Separations Foundation to tank ft• Foundation to absorption Separation of Pits ft• ��,- v �'� Conforms as per Plot Plan N Engineer Report and As-Built I Y N Location of Syste n Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status• Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved Last revised 1/6/05 Foundation Inspection Report 7 Office No. (518) 761-8256 Date Inspection request received: IlInj_ Queensbury Building&Code Enforcement Arrive: am/pr. ,/,/J Depart: ' m 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: �� NAME: Lk±tiPERMIT#: LOCATION: INSPECT ON: _= TYPE OF S CTURE: Comments Y N/A Footings Piers onolithic 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 Fo Vulkationteri r Extey� R- 4/ Rouglf Grade 6 inch dr within 10 ft. I:\SueHemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report / - Office No. (518) 761-8256 Date Inspection request received: 7 O Queensbury Building &Code Enforcement Arrive: am/p jp Depart: amr'pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: Ile- NAME: r'q-LP"-" PERMIT#: _ LOCATION: _ - � INSPECT ON-: _ 4 - TYPE OF STRUCTURE: Comments Y ZN N/A� .ngs ►U I .�___ Pier olithic 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 y Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil of 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,:\SueHerningway\Buil ding.Codes,InspectionTORMSToundation Inspection Report.doc January 28,2003 J Foundation Inspection Report Office No. (518) 761-8256 Date Inspection.request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: Yj am/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 th concrete. M, erials for this purpose on site. Fo dation/Wallpour einforcement 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 mijp6ty for wet areas under slab t,packTill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulatio. Interior Exterior R- ---- Rough Grade 6 inch drop within 10 ft. I.:\SueHemingway\Building.Codes.nspection.FORMS\Foundation Inspection Report.doc January 28,2003 =D _ 7Q - tk - - 46 p - t Ll aao S q 6Q jc it N er RFScheck Compliance Certificate ed By/D e New York State Energy Conservation Construction C REScheck So$ware Version 3.6 Release 2 Data filename: C:\Documents and Settings\All Users\Documents\Rescheck\3 Peggy Ann Road.rck COUNTY: Warren STATE: New York HDD: 7635 R E C rE I1 y E CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric WINDOW/WALL RATIO: 0.02 JUN 17 DATE: 06/17/05 TOWN OF QUEENSBUR DATE OF PLANS: 06/17/05 BUILDING AND CODE PROJECT DESCRIPTION: 3 Peggy Ann Road Queensbury, NY 12804 DESIGNER/CONTRACTOR: Clute Enterprises, Inc 6 Holden Ave Queensbury, NY 12804 COMPLIANCE: Passes Maximum UA= 603 Your Home UA= 378 37.3%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R R-Value U-Factor Ceiling 1: Flat Ceiling or Scissor Truss 1536 30.0 0.0 54 Wall 1: Wood Frame, 16" o.c. 3584 19.0 0.0 208 Window 1: Vinyl Frame:Double Pane 49 0.490 24 Door 1: Solid 42 0.230 10 Door 2: Glass 21 0.490 10 Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 1536 19.0 0.0 72 _ Furnace 1. Forced Hot Air, 90 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 Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best ofhis/her knowledge, belief and F l professional judgment, ch specifications are in compliance with this Code. Builder/Design / Date 067 i [ ] Manufacturer manuals fbr all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values, glazing U-factors, and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R-11. [ ] Return ducts in unconditioned spaces (except basements)must be insulated to R- [ ] Return ducts in unconditioned spaces (except basements)must be insulated to R-2.. Insulation is not required on return ducts in basements. Duct Construction: [ ] I 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 18113. 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 fDr 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 fDr 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 ofthe 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 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/offheater switch and require a cover unless over 20% ofthe 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 T must be insulated to the levels in Table 2. 1 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Lyon-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1" Un to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Ranee(F) 2"Runouts 1" and Less 1.25"to 2" , 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£ed 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 L5 NOTES TO FIELD(Building Department Use Only) f RFScheck Inspection Checklist New York State Energy Conservation Construction Code REScheck So$ware Version 3.6 Release 2 DATE: 06/17/05 Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Vinyl Frame:Double Pane, U-factor: 0.490 For windows without labeled U-factors, describe£atures: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: Doors: [ ] 1. Door 1: Solid, U-factor: 0.230 Comments: [ ] 2. Door 2: Glass, U-factor: 0.490 Comments: Floors: [ ] 1. Floor 1: All-Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1 1. Furnace 1: Forced Hot Air, 90 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. Ifnon-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 doors. 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. WINDOW SCHEDULE Job Site/Address: Date: Owner: r-X r. - CU�e Application No. Window Window ' Window Unit or Rough Rough SQ.FT. SQ.FT SQ.FT. Clear Clear Special Hardware Number or Manufaturor Model/Type Stock Openin Opening Glass/Vis Egress/Cie Opening Opening or Instructions Letter on Name CA-!,t, Numbe g Height able Vent ar Width In Height Plan Cali Width Light Opening Inches In Inches Size a �odes►• l�►� 3°tit" 3� � � lam, �2 St� S � -��.�S 2 S,,s Example Entry A Andersen Narroline 3062 3' 2 6'5 '/Z 15.30 8.36 6.01 34 2415/3511 Tempered Double 1/3" 4411116 Glazing Hun CADocuments and SettingASueUcal ScUingATemp\Window Schedule.doc Job Site Address: ' - Date:.. ( L� Owner: L Ell Application No. File No. Building Permit — Calculation Sheet Natural Light, Ventilation & Emergency Egress Requirements Habitable Area of Req.Light Actual Req.Vent Actual . .Ft. Remarks Room koom 8%of Room Light 4%of Room Vent opening for in Area Square Area Square Egress Square Footage Footage Feet L:\SueHemingway\Building.PermitFORMS\NatLight Ventil.Calculation.Sheet.doc