2005-593 an
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4z:t Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20050593 Date Issued: Monday, November 14, 2005
This is to certify that work requested to be done as shown by Permit Number P20050593
has been completed.
Tax Map Number: 523400-308-007-0001-010-000-0000
Location: 4 EVANNA Dr
Owner: CERRONE BUILDERS INCE
Applicant: CERRONE BUILDERS INCE
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12904-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050593 Application Number: A20050593
Tax Map No: 523400-308-007-0001-010-000-0000
Permission is hereby granted to: CERRONE BIILDERS INCE
For property located at: 4 EVANNA 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: CERRONE BUILDERS INCE Fireplace
66 SUNSET Trl Garage-2 Cars Attached
QUEENSBURY,NY 12804-0000 Single Family Dwelling $210,000.00
Total Value $210,000.00
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2005-593 LOT 14 HSE#4 EVANNA DRIVE
1786 SQ FT SINGLE FAMILY DWELLING
$254.32 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, August 16, 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 Town of Q eensJ; T;?usda t 16, 2005
SIGNED BY for the Town of Qua,
Director of Building&Code Enfo t
Yi {
Check Residential Plan Review: One & Two Family Dwellings ''/
N f N/A
(2)Full sets of plans
Over 1,500 sq. ft.—Stamped
C-� Design Loads On Plans: 90 Wind Floor Loads 40 psf
V 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.Hei t above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofing/Waterproofmg 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
Required
Ice and Snow shield 24"Inside Exterior Wall/24"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
Attic Access
Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"AccessNM�Zt
! Carbon Monoxide Detector Lowest Sleeping Level 1
Soil Test Results, if required
Septic To Well Or Water Line Separation
All Paperwork Signed
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: ` ,0/1l�.Cj /L Q
File Permit No. t
Tax Map No.
Fee Paid
Owner's Name:
................. _...............................,,.....................
Address:
U L7A
2. INSTALLER'S NAME �' �%I'f/f, PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply #of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Dailv Flow
1980 or older x 150 gal/bdrm =
1980— 1991 _ x 130 gal/bdrm =
1991 —present x 110 gal/bdrm =
Garbage Grinder Installed yes_ / no
Spa or Hot Tub Installed yes ! no
s
4. PARCEL INFORMATION: (circle applicable information& indicate measurement).
a h Nature Ground Water Bedrock or Impervious Material Domestic Water SuPply
Flat sand at what depth I at what deptho ling m feet feet we
Steep slope clay if well; water supply
_Yo slope other from any septic-system
depth: absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate. minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed
professional 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: ALL gallon (min. size 1,000 gal.)
Tile Field: each trench ft. Total System Length:
Seepage Pit(s): number of size of each: ft. by ft,
Size of Stone to be used: # / depth or thickness feet
Bed System Size: x
Alternative System: length andior size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of
Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any
material misrepresentation or failure to make a material fact or circumstance known by or on behalf of
an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all requirements of'
the Town of Quee ry Sanitary Sewage Disposal Ordinance.
ignature of responsible person Date
Town of Queensbury
Sewers and Sewage Disposal Chapter
Appendix C
ABSORPTION FIELD
SEPARATION REQUIREMENTS
SMA
POND
W,fB.u... au �GLas"�PE» Eii ir'rw,k'
lv4vr CA91*4ck
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3
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Appendix C
ABSORPTION FIELD
SEPARATION REQUIREMENTS
P0�
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3C
,e: ,�,b, ,e1-6zbb I-Ax: 151b, ,4 -44:i .rincipa Permit Application
l Structure Building Pe p
IlCatlon
Plans subject to review before issuance of a valid ermifi for construction.
beginning construction. No inspections will be made untleted and
tructions: A permit must il the
be obtained before be appli ants' spaces on this application must be comp
plicant has received a valid building p Da>C>Sr
)st appear on the application form.
Owner:
)plicant/Builder Address:
tdress:
Home Phone:
)me Phone: Email Address:
nail Address: Cell Phone:
ell Phone: - - FAX Phone:
s,X Phone:
erson responsible for supervision of work with respect to building and codes compliance:
Name:
Phone /L� `7
Address:
Legal Address:
ocation of proposed construction: Lot No. �-
5e
4� �_ Subdivision Name:
ax Map Number: ��
stimated Cost of Construction: $_ 0-/
is for: Residential Use ._._Commercial Use A �>
4�0
Proposed construction
Name of Business:
if proposed construction is an addition, what will use of new addition be?
2nd floor Other Total Proposed
New Addition Alteration Proposed Construction 1°t Floor
Sq.Ft sq ft. Sq.Ft. Square feet Height
structure (Occupancy Type) Ft.&in.
'
sin le-Family Dweilin
Two-Farnfly Dwellin
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
ManUfaC+,,r1nrt
Other:
Attached Gara a 1, 2, 3
Type of Heating System: Electric, Oil Go, Wood, Forced Hot Air, Baseboard, Other:
If a fireplace and/or woodstove are being installed, please refer to a separate application.
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 Compiionce
being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-BiJlt Survey by a
licensed surveyor, drawn to scale, showing actual location of all n nstru on.
Date: 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. r''
Date: C`� Authorized Signature:
LASue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection Resort
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# n Schedule Inspection J Time���L am pm anytime r�d
Name Addresses E\' ����. Y'� _U Rough re Final
Appliance Man
ufturer__1 � Model# L 1���% -A 0 ww
S��"�j t>D ✓
Direct Vent
Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
WhNe-BedidinjDe@t. Pink-FireManbat
Fire Marshal's Office 'Town of Queensbury,742 Bay Road,Queensbury,NY
PD
Application for Fuel Bu'r � a s & Chimneys
applicable to solid fuel AL)Vr64 @Wappliances
Date 20 t�f TMl'N OF CiJHNSPURY
,s.,� ,�.,,. .,� Permit No.
F ; r, G. ,)CCCE
Application is hereby made to the Building& Codes Office for the issuance of a Building and U.ce
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name:_. G Stove: wood coal pellet gas
Fireplace insert
Address/ �` i` Fireplace, factory-built: wood gas
Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone: If non-masonary applicance, please provide
Owner: Manufacturer Name: _.
Address: Model Number%1 = ��'�---
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
.. Flue tile steel size: inches
Exact Address:
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple i all / Insulated CIDIre, t verttin TChimney Lineri
4CAZALWdWr-*Ar Departme=t—Z'OMMM COXQ1Xa4-_"Wb1XWW, X8V"YorJK— --
Fire Marshal Code# $Collected $Refunded Received fi-onz (refunded to):
address:
A 173 3389 (190) Public Safety _
A 233 2655 (230)Minor Sales
,'
DATE:
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.)
top ffftv now
��y Richard A.1�iissita
li9hY Superintendent
DEPARTMENT
Home(518)798-5127
742 Bay Road • Queensbury,NY 12804 Midwd F. Travis
Wce Phoae: (548) 761-8211 / Deputy KghwW Superintendent
Fax: (5-18) 745-4466 (518)798-041s
r�
DRIVEWAY PERMIT
AUP
DATE: �� �^
APPLICANT NAME:
TELEPHONE NO.: G;�Zvl�
ADDRESS TO BE INSPECTED: L', 4, 7/ 14_VWWA_,
RETURN ADDRESS: '00/
Applicant must show exact location and width of driveway(s)to be connected to the highway by
placing stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The
following action has been taken:
STEP 1: ( )Preliminary Approval
NEED: ( )Slight Swale
( )Level with the road
( )Deep swale
Size pipe to be used(if necessary)
{ )12" ( )15" ( )IS- ( )24" ( )36"
Preliminary inspection completed by DATE
Approval by Highway Supt. Deputy Supt
Upon completion,please resubmit this approved permit for a final approval.
* STEP 2: { )Final Approval
( )Rejected
DATE:
Richard A. Missita,Highway Superintendent
-----------------------
til,5 e ( o
a �¢
` ;t that € h}{ave
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a64d
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r t
Final Survey Inspectio
Dept. of Community Development
Town of Queensbury
Quet 742 Bay Road Final Inspection
Office No. (518)7614 Queensbury,NY 12804 ,art:_ZA�0 am/pm
Date Inspection req= _ cc
NAME: Date received: /
LOCATION: I "ILL i�I /L/
TYPE OF STRUCTUI /
NAME: (m(PT1 - Comments '
a,
Building Number/Ad LOCATION: ✓ n`c { ' �'
Chimney Height/"B' r`
Fresh Air Intake
3 inch Plumbing Vent
PERMIT M logy S�
Roof Complete/Exter >�
Platform at all exterior
Guards at stairs,decks
Guard at stairwell at 3 Final Survey Plot Plan
Guard at deck,porche;
Handrail Termination
Interior/Exterior Railii AlDiDroved Denied
Interior Handrails @s The attached final
Grade away from four survey has been
6 inch clearance to sill received by the
Gas Valve shut-off expo Dept.of
Interior privacy!trim Community
Bathroom/Kitchen w Development.
Safety glazing/Wind, Upon review the
Interior Smoke Detecl survey has been:
Every level:
Outside every bedr or
Inter Connected:
Carbon Monoxide 15e
Attic access 30 inches Craig Brown, Zoning Administrator
Crawl Spaces 18 inch
Bathroom Fans,if no
Plumbing fixtures
Foundation insulation 00
Floor truss,draft stop
Emergency egress be Notes:
Gas Furnace shut-off 00,
Oil Furnace shut-off g
Furnace/Hot Water H
Low water shut-off bi
Relief Valve(s)instal'
Enclosed Stairs Sheetro•
Basement stairs close �)
Garage Floor Pitched
Garage fireproofing/ L:\SueHemingwayTuilding.Codes.lnspection.FORMS\Fina1 Survey
Duct work Sealed pre zoning Administrator.doc �
Gas Logs in Sealed o
Final Electrical
Final Survey Plot Pla
As Built Septic S ste
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 Fonns\Residential Final Inspection Form revised 100405.doc
1
Final Survey Inspectio
Dept. of Community Development
Town of Queensbury '
742 Bay Road
Queensbury,NY, 12804
Date received:
NAME: 6*tb-rlc
LOCATION: ,V",- '
PERMIT#: kd5 S1 3
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept.of
Community
Development.
Upon review the
curve has been:
i
Craig Brown Zoning Administrator
C g g
Notes:
L:\.SueHemingway\Buiiding.Codes.htWction.FORMS\Final Survey
Zoning Administrator.doc
MAP REFERENCE:
MAP OF A SUBDIVISION MADE FOR LOT #12
MICHAEL DICKINSON
DATED: JANUARY 15, 2003 ca
LAST REVISED SEPTEMBER 17, 2003 cBp f ! f
BY: DAVID J. BOLSTER
FILED IN THE WARREN COUNTY
f
CLERK'S OFFICE ON OCTOBER 7, 2003
IN PLAT B MAP NO. 238
Al
�� 1 LOT #13
0`3 pL
r
1 f /r
LOT #14
39,318 sq ft
t
0.90 acres
'�S 'ems \, �� /•f, .. `; ` ,�,
..40 f %
,\ 0)
LANDS NIF OF
;j' SANDRA D. BUSTEED
BOOK 1100 PAGE 50
f/ /
I
!
C.
2
`�ccp A50135
A
Date: OCTOBER 6, 2006
'INNANORZED ALTERATION OR ADDITION TO A SURVEY Scale 1'=30'
�" YAP BEARING A LNZNSED LAND SURVErORS SEAL IS A Map of a Survey made for VIOLATION OF SECnON nN.SUB-DM M Y•OF THE
P& P NEW YORK STATE IDUOATWN LAW.'
S V V S �T�zs �W OF THE
OF SURVEYORS
SURVEY
VAR®WIN AN wOgNAL of 7HE LAND SURVEYORS
AL BHALLBEroBErALio,�E CERRONE BUILDERS S- 1
'CERnncATONs Nw-ATED HEREON sWNRY THAT
1H3 SURVEY WAS PREPARED N ACOORDANCE wTH THE
Land Surveyors BYTE VIDE PRADEIS FOR MOON QF PROFES MAL
BY THE NEW VE ORS. STATE M CATM OF WL RUN
lANO SURVEYORS.SAD CERTFICATNNS SRAl1 RUN WLr
M THE PERSON FOR will THE SURVEY IS PREPARED.AM
ON HER BEHALF TO THE TITLE CMIPARY,GOVERiIENTAL
AODW169 Haviland Road Queensbury, New York 12804 TO THE AM`ES ONDW INE LEPIUMTID'I Wjj "`m.* A'" Town of Queensbury, Warren County, New York SHEET I OF 1
✓� ro IYIE As9p1EFS oc THE LENDNG NsnTURON.•
518 GERRONE 792-8474 New York Lie. No. 50135 N0. DATE DESCRIPTION DWG. NO. 03283-14
309.19-1—
169 Haviland Road, Queensbury,NY 12804
Phone-518-745-4400 Fax -518-792-8511 �J
f OW N t'f� �:SEIJRCY 1 S
0MrAU J, V E D MENT
� 1
3
NO ` :) 2005 November 11, 2005
ACO�_-- ._— - 141NG Job#46173
New York State Dept. of Health B&C \NNING
FM �>.EC. DIR.
77 Mohican Street —
Glens Falls,NY 12801
RE: Juniper Hill Subdivision- Queensbury(T)
4 Evanna Drive (Lot# 14) Septic System
Dear Sir/Ma'am:
This letter is to inform you that I inspected the completed septic system for the house at
4 Evanna Drive (Lot#14) in the Juniper Hill Subdivision on November 11, 2005.
The septic system as installed was for a three bedroom house and consisted of a 1,000 gallon
septic tank and 165 lineal feet of absorption trench constructed with stone and perforated pipe.
The system conforms to the requirements of the approved subdivision design drawings.
Please call me if you have any questions or concerns.
Sinter y,
Thomas R. Center Jr., P.E.
cc: Dave Hatin, Town of Queensbury
Al Cerrone
ZOOL
Hier tl C) ?flCJa
Ml
�j
NOV 15 2005 11 : 49AM HP LASERJET 3200 P. 1
• NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury, NY 12804
Phone-518-745-4400 Fax -518-792-8511
November 11,2005
Job#46173
FAXED TO 745-4437
New York State Dept. of Health
77 Mohican Street V L U
Glens Falls,NY 12801
NOV 2005
RE- Juniper Hill Subdivision - Queensbury(T) �'I f W
4 Evanna Drive(Lot# 14) Septic System T 0`VV 1 RY
B
Dear Sir/Ma'am:
This letter is to inform you that I inspected the completed septic system for the house at
4 Evanna Drive(Lot 4 14) in the Juniper Hill Subdivision on November 11, 2005.
The septic system as installed was for a three bedroom house and consisted of a 1,000 gallon
septic tank and 165 lineal feet of absorption trench constructed with stone and perforated pipe.
The system conforms to the requirements of the approved subdivision design drawings.
Please call me if you have any questions or concerns.
Sincerely,
Center Jr.,P.E.
Thomas R. Cent 6
cc: Dave Hatin, Town of Queensbury
Al Cerrone
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/ � epart: • /pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #:
LOCATION: -- to N d A— r., INSPECT ON: 7�
TYPE OF STRUCTURE:
Y N N/A QQ
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
0 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
C) ��
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: a 03
Queensbury Building & Code Enforcement Arrive: aM/D Depart: `am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: ' Lti PERMIT #: ��°�� S�C;3
LOCATION: INSPECT ON: ' 1OZ7 0 S
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 4:'- /,,)C�
Water Supply Piping
Air/ Head
50 P or 15 minutes
nsulation esidential Check/ Commercial Check
Pro er 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.4 /)50 �NS UL. /5 /JLac%/� L� *ll�
14be Svc ,�
LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
-Z'- 4yr
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pM
part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: �'e- PERMIT #: O J �-3
LOCATION: — INSPECT ON: to
TYPE OF STRUCTURE:
Y N N/A
Pz6gh Plumbing Nail Plates
Plumbing Vent / Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
CI nowt every 100 feet/ change of direction
Pre ure Test
r in / Vent
VA' / Head
P.S.I. or 10 ft. above highest connection for 15 minutes
P essure Test
r Su pply Piping ggpi
Head
.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 request received: N -10,
Queensbury Building&Code Enforcement Arrive: __amp Depart: m/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: (lePERMIT#: S 9
LOCATION: ��r� _ INSPECT ON:
TYPE OF STRUCTURE:
Y /A COMMENTS
F ming .:
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
ire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min. jjTV F +�,4r I\
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/ mn /Depart: c am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials
NAME: PERMIT#.
LOCATION: c 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 %2(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
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
Foundation Inspection Report
�X
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/p Depart:/5 an `pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
i
NAME: C, PERMIT#:
LOCATION: -
INSPECT ON:
TYPE OF STRUCTURE: f
C mments
!� Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in PlaceA
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
Rein for entin Place
F dation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 rail 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.FORMSToundation Inspection Report.doc January 28,2003
L�i2
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 2- SS
Queensbury Building &Code Enforcement Arrive: am/pm Depart: aniI_
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: C-0-(( 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
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:1SueHetningway\Building.Codes.Inspection.FORMSUbundation Inspection Report.doc January 28,2003
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.6 Release 1
Data filename: Untitled.rck
PROJECT TITLE:CERRONE BUILDERS, INC.
COUNTY:Warren
STATE:New York
HDD: 7635
CONSTRUCTION TYPE:Detached I or 2 Family
HEATING TYPE:Non-Electric
WINDOW/WALL RATIO: 0.11
DATE:07/28/05
DATE OF PLANS: 07/06/05
PROJECT DESCRIPTION:
LOT 14
COMPLIANCE:Passes
Maximum UA=366
Your Home UA=280
23.5%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value -Facto UA
Ceiling 1:Flat Ceiling or Scissor Truss 902 30.0 0.0 32
Wall 1: Wood Frame, 16"o.c. 2196 19.0 0.0 114
Window 1:Vinyl Frame:Double Pane with Low-E 198 0.350 69
Door 1:Glass 40 0.350 14
Door 2: Solid 58 0.100 6
Basement Wall 1: Solid Concrete or Masonry 600 11.0 0.0 44
Wall height: 7.6'
Depth below grade: 7.0'
Insulation depth: 5.0'
Floor 1:All-Wood Joist/Truss:Over Outside Air 18 19.0 0.0 1
Furnace 1:Forced Hot Air,90 AFUE
Air Conditioner 1:Electric Central Air, 10 SEER
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans, specifications,and other calculations submitted with this permit application. The proposed systems have been
designed to meet the 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
J
professional judgment,such plans or specifications are in compliance with this Code.
—leF/Designer Date ��" �
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.6 Release 1
DATE: 07/28/05
PROJECT TITLE: CERRONE BUILDERS, INC.
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:
Basement Walls:
[ ] 1. Basement Wall 1: Solid Concrete or Masonry, 7.6'ht/7.0'bg/5.0'insul,
R-11.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1:Vinyl Frame:Double Pane with Low-E,U-factor: 0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
Doors:
[ ] 1. Door 1: Glass,U-factor: 0.350
Comments:
[ ] 2. Door 2: Solid,U-factor:0.100
Comments:
Floors:
[ ] 1. Floor 1:All-Wood Joist/Truss:Over Outside Air,R-19.0 cavity insulation
Comments:
Heating and Cooling Equipment:
[ ] 1. Furnace 1:Forced Hot Air,90 AFUE or higher
Make and Model Number
[ ] 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher
Make and Model Number
Air Leakage:
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5"clearance from combustible materials. If non-IC rated,the fixture must be installed with a
3"clearance from insulation.
{
{ Vapor Retarder:
[ ] { Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
{
{ Materials Identification:
[ ) { Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] { Materials and equipment must be identified so that compliance can be determined.
[ ) { Manufacturer manuals for all installed heating and cooling equipment and service water heating
{ equipment must be provided.
[ ) Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
{ the building plans or specifications.
i
{ 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 181B.
{ 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/offheater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
f Heating and Cooling Piping Insulation:
[ ] ) 14VAC piping conveying fluids above 105 T or chilled fluids below 55 T must be insulated to the
levels in Table 2.
J
Table I: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating,Mains and Runouts
Temperature(F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2„
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Ping 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)