2005-594 TOWN OF QUEENSBURY FILE
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4z:t Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20050594 Date Issued: Wednesday, November 30, 2005
This is to certify that work requested to be done as shown by Permit Number P20050594
has been completed.
Tax Map Number: 523400-308-007-0001-009-000-0000
Location: 8 EVANNA Dr
Owner: CERRONE BUILDERS INC
Applicant: CERRONE BUILDERS INC
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling f
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050594 Application Number: A20050594
Tax Map No: 523400-308-007-0001-009-000-0000
Permission is hereby granted to: CERRONE BUILDERS lNC
For property located at: 8 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 INC
66 SUNSET Trl Fireplace
QUEENSBURY NY 12804-0000 Garage-2 Cars Attained
Single Family Dwelling $220,000.00
Total Value $220,000.00
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2005-594 LOT 13 HSE#8 EVANNA DRIVE
1653 SQ FT SINGLE FAMILY DWELLING
$238.36 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 Quee bury /f�u east 16, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Check Residential Plan Review: One�& Two Family Dwellings
/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
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
Fla Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
Stairway Headroom 6' 8'All Stairs 36"Width
YJ 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"Access
! Carbon Monoxide Detector Lowest Sleeping Level
Soil Test Results, if required
Septic To Well Or Water Line Separation
All Paperwork Signed
Application for Permit— Septic Disposal System
Town of Queensbuq 742 Bay Road Queensbury, NY 12804 (518) 761-8256
1. OWNER INFORMATION: .............. .. __................................ ..............
Office Use
Location of installation:de.�-
File Permit No.
Tax Map No.
�} Fee Paid
Owner s Name: 1�it J
Address:
2. INSTALLER'S NAME 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 Daily Flow
1980 or older x 150 gal/bdrm =
1980— 1991 x 130 gal/bdrm =
1991 —present x 110 gal/bdrm = J3
Garbage Grinder Installed yes / no l'�'= `.' `' '0 "
Spa or Hot Tub Installed yes_ / no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
a h y ScdLNature Ground Water Bedrock or Impervious Material estic Water Supply
Fla san at what depth at what depth municipa.
olling oam feet feet we
Steep slope clay if well; water supply
o 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: f—gallon (min. size 1,000 gal.)
Tile Field: each trench 5v� ft. Total System Length: jr
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # 1 depth or thickness feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of 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 rehamce upon any
material misrepresentation or failure to make a material fact or circumstance knownn 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 Queensb Sanitary Sewage Disposal Ordinance.
Signature of responsible person Date
Town of Queensbury
Sewers and Sewage Disposal Chapter
Appendix C
ABSORPTION FIELD
SEPARATION REQUIREMENTS
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Appendix C
ABSORPTION FIELD
SEPARATION REQUIREMENTS
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Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Date , 20l Permit No. -' �� � f Li
Application is hereby made to the Building&Codes Office for the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Natne:_ ,�' �, , /GI�L�- - Stove: wood coal pellet gas
Fireplace insert
Address: ` r t7''. ! Fireplace, factory-built: wood I`` gas)
Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone: -11r�' Z�. --
If non-masonary applicaance, please provide
Owner: Manufacturer Namez'/.. jam ,
Address: "° Model Number:
- � ,92
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) chinmey material: w
Code. Consult available Town of Queensbury f
Handouts regarding required in Double wa11 / Triple 14a11 / Insulated / Direct venting
Chimney Liner
� Ca,+�rheiear'r�Z1ep�rtm.�t—.To�rlat of Q►u�e�s�bury, .rTesr�Yorl�
i
Fire Marshal Code# $Collected $Refunded Received from (refunded to):
ruldress:
.4 173 3389 (190) Public Safety C -
A 233 2655 (230)Minor Sales `
DATE: 1�1 ux
�^tal wqn wt.�— IOWw ��02 �Gyu�O
White(Applicant) / Green(Fire Marshal) ! Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.)
ivi ic, ��iq� roe-oGJo rl1h. (,D ioj 14J-44J/
Principal Structure Building Permit Application
Application & Plans subiect to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form. c I'�ZQ5_ SIT
Applicant/Builder Owner:
Address: Address:
Home Phone: -V?,6-6 Home Phone:
Email Address: T Email Address:
Cell Phone: Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervisi n of work with respect to building and codes compliance:
Name:
Address; 4' Phone Zk=
Location of proposed construction: Lot No. Legal Address: -WUp - e/ 0if/" y
Tax Map Number: �s �j� Subdivision Name: G�_ L�,e['��
Estimated Cost of Construction: $ Z�c SPX/
Proposed construction is for: '!Residential Use _Commercial Use n
Name of Business:
If proposed construction is an addition, what will use of new addition be?
New Addition Alteration Proposed Construction 10 Floor 2nd floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ff. Sq. Ft. Square feet Height
Ft. &In.
Single-family Dwelling
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Garage 1
Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, Baseboard, Other:
f 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:
fo 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
Droposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner.
-urther, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a
icensed surveyor, drawn to scale, showing actual location of all w constr ction.
date: Applicant/Builder Signature:
'he application of dated is hereby approved and
Dermission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
orth above.
Date: lqf Authorized Signature "r� �J
.:\Sue Hemingway\Building.Permit.F0RMS\Principal Structure Permit Application.doc v:12114/04
G H'� AY Richard A.Mende
_ K9�Y Superintendent
DEPARTMENT Hne(2518)79"127
742 Bay Road • Queeasbury,NY 12804
Michael F. Travis
Wce Phone: (518) 761-8211 DeP*HJhY Superintendent
Fax: (518) 745-4466 (518)798-0413
DRIVEWAY PERMIT
DATE: / d
APPLICANT NAME: �.t � , ys� ,U✓ L .
TELEPHONE NO.: f !�/Lr--
ADDRESS TO BE INSPECTED:
RETURN ADDRESS: s.,
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" ( )18" ( )24" ( )36"
Preliminary inspection completed by DATE
Approval by Highway Supt. Deputy Supt
Upon completion,please resubmit this approved permit for a final approval.
:F STEP 2: ( )Final Approval
O Rejected
DATE:
Richard A. Missita,Highway Superintendent
Town of Queenabnry Fire Marshal
IQL 742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireulace/Stove Insuection 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 love
Permit#� Schedule Inspection /G pm anytime Inspector
Names Address �t- k t�.c�'►'r, ; `}L 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
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)
Pink-Fire MarAd
White-Building Dept. Yellow r
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm De art: m/pm
Date Inspection request received: Inspector's Initials: � ,
NAME: PERMIT#: 0 5 — 5
LOCATION: t DATE: e p
TYPE OF STRUCTURE:
Comments
Chimney Ht./"B"Vent/Direct Vent Location Y N N/A
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
ow water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/1/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft. vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance require
Final Survey Plot Plan 1� 5
As Built Septic System/Se r D t.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
' c o6
Office No.(518)761-8256 Arrive: am/p �art: I am/pm
,Date Inspection request received: _ Inspector's Initials:
NAME. _ '� _� PERMIT#:
LOCATION: �;t12 DATE: —
TYPE OF STRUCTURE:
Comments
Ye No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location )
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
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
1/
Low water shut-off boiler 1 /
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%:"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealedproperly UG1 V`�G �
Gas Logs in Sealed ol Glaps E closure
Final Electrical 111 v)
Final SurveyPlot PI �✓G
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
C
YR f
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received:
NAME: ( �A16—
LOCATION:
PERMIT#: D3��
Final Survey Plot Plan
AiDDroved Denied
The attached final
survey has been
received by the
Dept.of
Community
Development.
Upon review the
survey has be
�I
Craig oning Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Fina1 Survey
Zoning Administrator.doe
i l j
MAP REFERENCE:
MAP OF A SUBDIVISION MADE FOR ' !
MICHAEL DICKINSON
DATED: JANUARY 15, 2003 �✓
LAST REVISED SEPTEMBER 17, 2003 ✓ ' % %
BY: DAVID J. BOLSTER
FILED IN THE WARREN COUNTY
CLERKS OFFICE ON OCTOBER 7, 2003
IN PLAT B MAP NO. 238 l
LOT #12
pGB ha' p0 e ms! i ro
00
f a
/ ✓ r3
94 tom` / ✓ J` / �i
LOT #13 ` ' ✓ t
32, 729 sq ft
0. 75 acres
rn
0
LANDS N/F OF
SANDRA D. BUSTEED
LOT #14 BOOK 1100 PAGE 50
CI
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C.
A
DateIOCTOBER 6, 2005
v"AUTHO IZED AL'ERA"D"OR ADa11ON TO A SURVEY+� Scale 1'=30'
& e� NAP BEARING A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for
VIOLATION OF SECnQN 72M.SUB-D(W"2 OF 7HE
NM IM STATE EDUCATION LAW.'
S t 1./ V </ S •ONLY OOPIES ORK 1HE OF TWL OF THIS SURVEY
MARKED wTH AN ORONAL d:TEE LAND SURVEWRS
� � TO K NACO DE1 CERRQNE BUILDERS
'CERNOCANOa ROCATED HFAEW sYODFY THAT
M nI>RVEY wAs PREPA MACDOE M ALAW SNCE wTN THE
Land Surveyors I"1W WDEDF WAXAl-MRLAM MAL
BY 1NE NEq YOB(STAIE ASSOCURW ff PRDFESSIONK
LAND SURVEYORS.SAID CER7W.AlIM SHALL RIM ONLY
TO THE PERSON FOR wN>r THE SURVEY IS PREPARED.AND
CN HIS K"'TO THE nn.E cawANY.OOVERW¢NTAL �
169 Haviland Road Queensbu�p New York 12804 70°'� A"I°`°`"�"�'"UNO `"'ED DON.' A"D Town of Queensbury, Warren County, New York
ryf lb 1!ff ASSClIFF,4 Of THE LFUIOfID MSRNnON.'
GERRONE
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 03283-13
309.19-1-
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: —,,,,
Queensbury Building & Code Enforcement Arrive: am Depart: / am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials.
NAME: PERMIT #:
LOCATION: I INSPECT ON: -
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates l
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 t `
5 P.S.I. or 10 ft. above highest connection for 15 minutes 00
Pressure Test
Water Supply Piping
Air ,/ ead
VP.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&CodeAnspection 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: ezl
Queensbury Building&Code Enforcement Arrive: am/ Depart: ,--a Wpm
742 Bay Road, Queensbury,NY 12804 Inspector's Initia
NAME: Ac PERMIT#: 05
LOCATION: C INSPECT ON: —J4 (,Zj
TYPE OF STRU
ji iew:
Y N N/A COMMENTS
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 '/� 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
NOV 21 2005 5: 1GPM HP LRSERJET 3200 p. 2
169 Haviland Road, Queensbury,NY 12804
Phone-518-7454400 Fax - 518-792-8511
November 21,2005
Job#46173
New York State Dept. of Health
77 Mohican Street
Glens Falls, NY 12801
RE: Juniper Hill Subdivision- Queensbury(T)
8 Evanna Drive(Lot# 13) Septic System
Dear Sir/Ma'am:
This letter is to inform you that I inspected the completed septic system for the house at
8 Evanna Drive(Lot#13)in the Juniper Hill Subdivision on November 21, 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,
Thomas R. Center Jr., P.E.
cc: Dave Hatin, Town of Queensbury
Al Cerrone
C
Septic Inspection Report
Office No.(518)761-8256 Date Inspection request received: I/
Queensbury Building&Code Enforcement Arrive: am/pm Depart r am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: C �r 8�� PERMIT d
LOCATION: 7.7
X4t 13 = �1� f INSPECT ON: �}
fir-
Comments and/or diagram
Soil Type and Loam/Clay
Type of Water. umci l/Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ���-' $.
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches Z-t- ft.
Size of Stone �.
Seepage Pits: Number Yj P
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box zt
Distribution Bo Field/Pit
Opening Sealed N/Partial -'
End Caps
Location/Separations
Foundation to tank
Foundation to absorption 2 ft.
Separation of Pits ft
Conforms as per Plot Plan Y L ? mil
En ineer Report and As-Built Y
Location of System on Property:
Front ear Left Side Right Side
Middle Front M' le Rear
System Use Stat
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Last revised 116105
Framing / Firestopping Inspection Report 0/1-
Office No. (518) 761-8256 Date Inspection request received: b
Queensbury Building&Code Enforcement Arrive: am/ �, part:
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: �_
NAME: ' ��l PERMIT#: ��
LOCATION: L INSPECT ON: ajR p '�
TYPE OF STR CTURE:
L
Y N w/A COMMENTS
Framin /
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging I �(a G't j C
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly �n v , r 1 C Ae-e <--5S
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls v l b
Metal Strapping for Notches Top Plate �2J�S �6 S
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 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. 6 okfz,
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
I
Town of Queensbury Fire Marshal C
low 742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
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 Schedule Inspection C, � Time L�am pm time Ins:7tal_
Name _ �)% �� �- ? Address (' Rough In
Appliance Manof turer__ �(-X Model#3p l-P � AP 13 Ce 00 5�y
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 J 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 Vp opening
Witness Operation
Tank Placement(if LP)
White—BuiWfng Aept Yenow Chet r Pink—Fire MArAW
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 16119ZO-5,
Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/ m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: . `/
NAME: � � PERMIT #: cs:— S�
LOCATION: = INSPECT ON:
TYPE OF STRUCTURE: �
Y N N/A
(Rough Plumb it Plates
PlxmtM—gVe—nt / 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
/ Vent
WS
Head
.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head / 1 r "
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\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: 1 -Z� am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:� �"
NAME: c PERMIT#: 0S
LOCATION:, - INSPECT ON: — I ( -� (�S
TYPE OF STRUC
Y N NIA COMMENTS
aming J�� �
Attic Access 22"x 30"minimum n
Jack Studs/Headers —3
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
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/ /D�part: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials(/
NAME: PERMIT#:
LOCATION: /-'S ruc, INSPECT ON: r
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers /C�
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
i
1 %z w 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses l
Anchor Bol ft. or less on center
I 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 Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: /'IlAX---,
NAME: PERMIT#: �J /
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N NIA COMMENTS
Attic Access 22"x 30" minimum
Jack Studs/Headers
rLr
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 Yz w) 16 gauge 8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anc or Bolts 6 ft. or less on center 7-1
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 Yz inch or 5/8 inch Type X j
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
f`
/r
Foundation Inspection Report
Office No. (51 ) 761-8256 Date Inspection re u t rec iv
Queensbury Building&Code Enforcement Arrive: p Depart: a m
742 Bay Rd., Queensbury, NY 12804 Inspector s Initi ls-
NAME: -e E IT#:
LOCATION: PECT 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 I
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforce tin Place
F dation Dampproofing _
Foundation/Waterproofing
CT
pproofing Waterproofing
g Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
IBackfill Approval
i
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.InspectionTORMSWoundation Inspection Repoit.doc Januaiy 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: s
Queensbury Building &Code Enforcement Arrive: am/pm Depart: mr�.
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:t_�
NAME: r e r-f
PERMIT#: _ �C,-Z�5��> `/�--
LO.CATION: 3 ECT ON: � w5
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.
USueHemingway\Building.Codes.Inspection.FORMS\roundation Inspection Report.doc January 28,2003
19
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Permit Number
MECcheck Compliance Report Checked By/Date
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
Data filename:C:\Program Files\Check\MECcheck\CERRONE LOT#13.cck
TITLE:NEW HOUSE
COUNTY: Warren
STATE:New York
HDD: 7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE:07/25/05
DATE OF PLANS: 7/22/05
PROJECT INFORMATION:
CERRONE BUILDERS-LOT#13
COMPANY INFORMATION:
CERRONE BUILDERS-LOT#13
COMPLIANCE:Passes
Maximum UA=503
Your Home=354
29.6%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 70 38.0 0.0 2
Ceiling 2:Flat Ceiling or Scissor Truss 811 38.0 0.0 24
Wall 1:Wood Frame, 16"o.c. 1314 19.0 0.0 79
Wall 2:Wood Frame, 16"o.c. 1350 19.0 0.0 81
Basement Wall 1:
Solid Concrete or Masonry, 8.0'ht/7.0'bg/8.0'insul 1168 11.0 0.0 58
Door 1: Solid 40 0.069 3
Door 2:Glass 40 0.490 20
Window 1:Vinyl Frame,Double Pane 175 0.490 86
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 39 30.0 0.0 1
Furnace 1:Forced Hot Air,92 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 Proposed New York State Energy Conservation Construction Code requirements.
Builder/Designer Date
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
DATE: 07/25/05
TITLE:NEW HOUSE
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
[ ] 2. Ceiling 2:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
Above-Grade Walls:
[ ] 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] 2. Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
[ ] 1. Basement Wall 1: Solid Concrete or Masonry,8.0'ht/7.0'bg/8.0'insul,
R-11.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1:Vinyl Frame,Double Pane,U-factor:0.490
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
Doors:
[ ] 1. Door 1: Solid,U-factor:0.069
Comments:
[ ] 2. Door 2:Glass,U-factor:0.490
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
Floors:
[ ] 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-30.0 cavity insulation
Comments:
Heating and Cooling Equipment:
[ ] 1. Furnace 1:Forced Hot Air,92 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 Type IC rated and installed with no penetrations,or Type IC or non-IC
rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible
materials and 3"clearance from insulation.
I
I Vapor Retarder:
[ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
[ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ J I Materials and equipment must be identified so that compliance can be determined.
[ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating
I equipment must be provided.
[ j I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
I the building plans or specifications.
I
Duct Insulation:
[ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] I Supply ducts in unconditioned spaces must be insulated to R 11.
[ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
Duct Construction:
[ ] 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).
[ J 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.
[ ] I 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:
[ ] Separate electric meters are required for each dwelling unit.
i
Fireplaces:
[ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ J I 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
j the New York City Building Code,as applicable.
I
Service Water Heating:
[ ] I 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.
[ J Insulate circulating hot water pipes to the levels in Table 1.
1
I Circulating Hot Water Systems:
[ J I Insulate circulating hot water pipes to the levels in Table 1.
I
Swimming Pools:
[ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
I
I Heating and Cooling Piping Insulation:
[ ] I HVAC piping conveying fluids above 105°F or chilled fluids below 55°F must be insulated to the
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe,Sizes
Piping System Types Ran e F 2"Runouts I"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)
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