2005-808 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE '(3.1'r" OCCUPANCY
Pennit Number. P20050808 Date Issued: Friday, February 10, 2006
This is to certify that work requested to be done as shown by Permit Number P20050808
has been completed.
Tax Map Number. 523400-308-007-0001-005-000-0000
Location: 3 EVANNA Dr
Owner. CERRONE BUILDERS INC
Applicant: CERRONE BUILDERS INC
This structure maybe 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 Enforcement
Planning Board or Zoning Board of Appeals.
o - gc 8
Check Residential Plan Review: One&Two Family Dwellings
Y/N/N/A
(2)Full sets of plans
Over 1,500 sq. ft.—Stamped
Design Loads On Plans: 90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations:
Window Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq.ft.
Grade,5.0 sq. ft.
24"(h)x 20"(w)min.
44"Max.M t above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofing/Waterproofing Materials On Plans
41 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
17 Platforms At Exterior Doors
Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
4/4
,y Spiral Not Allowed From 2 Story
V�l 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
arage 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
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050808 Application Number: A20050808
Tax Map No: 523400-308-007-0001-005-000-0000
Permission is hereby granted to: CF.RRONF.B1 TIT,DF,RS 1NC
For property located at: 3 EVANNA Dr
in the Town of Queensbury,to constrict 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 Garage-2 Cars Attached
Single Family Dwelling $210,000.00
QUEENSBURY, NY 12804-0000 Total Value $210,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-808 LOT 1 House No. 3 EVANNA DRIVE
Pinetree Circle
1544 SQ FT SINGLE FAMILY DWELLING
$225.28 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, October 19, 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 T Queen ury• nesday, October 19, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Permit— Septic Disposal System
Town of Queensbury 742 Bay Road Queensbun%, NY 12804 (518) 761-8256
1. OWNER INFORMATION: ...............................................................................................................__
Office Use
Location of installation: ,{f
_! File Permit No.c J J
Tax Map No.
Fee Paid
Owner's Name: �'!!? Yd, t9J /G
.................................... ._.
Address: ( 91AV 49��V
2. INSTALLER'S NAME J�C� ��7% PHONE NO 1Fk-4U(
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 Dail
1980 or older x 150 gal/bdrm =
1980- 1991 x 130 gal/bdrm =
1991 -present x 110 gal/bdrm = U
Garbage Grinder Installed yes_ / no
Spa or Hot Tub Installed yes_ / no
4. PARCEL INFORMATION: (circle applicable information& indicate measurements)
To-pouaphy SQL Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
Flat 45-a
an at what depth at what depth municipal
Rolling r feet feet well
Steep slope clay if well; water supply
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: r,—gallon (min. size 1,000 gal.)
Tile Field: each trench_J�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 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 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 Queensbury Sanitary Sewage Disposal Ordinance.
Sig-nature o responsible person a e
Town of Queensbury
Sewers and Sewage Disposal Chapter
Appendix C
ABSORPTION FIELD
SEPARATION REQUIREMENTS
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ROAD
Appendix C
ABSORPTION FIELD
SEPARATION REQUIREMENTS
PON
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1 +fRt1•#'sCS
*ftjvICMEAY y4�
Permit No. A
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid )
742 Bay Road,Queensbury, NY 12804 Recreation Fee
Dave Hatin,Director codesQaueensburv.net REC
Phone: (518) 761-8256 FAX: (518) 745-4437 FEE
Principal Structure Building ;Permit ApplicatiorfAl°
Application & Plans sublect 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 Owner:
Address: Address:
Home Phone: 2WI Home Phone:
Email Address: Email Address:
Cell Phone: � _ �/�- Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: ,' 'e_'` ,� /-' � �✓
Address: Phone !
Location of proposed construction: Lot No.�_ Legal Address: /
Tax Map Number. .3n,� • / �-� Subdivision Name:
Estimated Cost of Construction: $ 7dp dt2�
lr
Proposed construction is for: Residential Use _Commercial Use
Name of Business:
If proposed construction is an addition, what will use of new addition be?
New Addition Alteration Proposed Construction V Floor 2nd floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ft. Sq. Ft. Square feet Height
Ft.&In.
Single-Family Dwelling
Two-Famity Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Garage i 2 3
Type of Heating System: Electric, Oil(Da Wood, Forced Hot Air, Baseboard, Other:
Is a fireplace and/or woodstove being installed, please refer to a separate application. ,Yes No
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the application, together with the plans and
specifications submitted, are a true and complete statement of all proposed work to be done on the described
premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the
proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner.
Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Director of uilding and Codes, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location of all w cons ction.
Date: D // Applicant/Builder Signature:
The application of da ed is hereby approved and
permission granted for the nstr ction, reconstruction or alter ion ildin nd or accessory structure as set
forth above.
Date:l Authorized Signature:
L:\Sue Hemingway\Building.Permi .FORMS\Principal Structure Permit Application.doc V:12/14/04
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: d
NAME:
LOCATION: Cl/A A 9 JR
PERMIT#: dS glr5v-, _
Final Survey Plot Plan
A roved Denied
The attached final
survey has been
received by the
Dept.of
Community
Development.
Upon review the
syaey has b
Craig Brown,V119 Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspection.FORMSTina!Survey
Zoning Administrator.doc
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n bu Building & Code Enforcement - Residential Final Inspection
Quee s ry g _ p
Office No.(518)761-8256 Arrive: �`1am/pm RV—
NAME: am/pm
Date Inspection request received: _ Inspector's Initials: _ `V'
NAME: elm. PERMIT#:
()D_ O'S
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Ye No N/A
Building Number/Address visible from road VA (�
Chimney Height/"B"Vent/Direct Vent Location ! j 0
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 i
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,draftstopping finished basement 1,000 s .ft. oe
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 o eratin
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum''/z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage.fireproofing/%hour fire door I door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Yp qsure
Filial Electrical 70 /
inal Survey Plot Plan
As Built Se tic S stem/Sewer De t.Ins ection Sticker ,/ rr t!i —Oe
Site Plan /Variance required /1/ (�N I/1
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
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Septic Inspection Report
Office No. (518) 761-8256 Date Ins ect' request received:
Queensbury Building&Code Enforcement Arrive: am/ D art: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspects 's Initials:
NAME: PERMIT NO.:
LOCATION: _ -��{ Nei .4 adz INSPECT ON: -7,�
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft.
Length of each trench ft.
De th of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field/Pit
O enin Sealed: Y/NI Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft. APad Qom( L
Conforms as per Plot Plan Y N l� �
Location of System on Property:
Front Rear Left Side Right Side
Middle Front iddle Rear
System Use Status•
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
U\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
169 Haviland Road, Queensbury,NY 12804
Phone-518-745-4400 Fax -518-792-8511
January 12, 2006
Job # 46173
New York State Dept. of Health
77 Mohican Street
Glens Falls,NY 12801 RECFIVED
RE: Juniper Hill Subdivision- Queensbury(T) FEB0 9 �006
.1 Evanna Drive (Lot# 1) Septic System
BIi I L D 1 N(0 =a i C 0 D E
Dear Sir/Ma'am:
This letter is to inform you that I inspected the completed septic system for the house at
3 Evanna Drive(Lot#1)in the Juniper Hill Subdivision on January 12, 2006.
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
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspe on ,quest received:
Queensbury Building & Code Enforcement Arrive: f L'L am/p D art: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: .ti, .s. PERMIT #:
LOCATION: t INSPECT ON: / 4 (-o
TYPE OF STRUCTURE:
u
Y A NIA
Rom► h'Plumbin Nail Plates
Plumbing Vent/ Vents in Place C
1 1/2 inch minimum Drain Size /
Washing Machine Drain 2 inch minimum i
Cleanout every 100 feet/ change of direction P441A) l/�-1AJ
Pressure Test G
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping tN \
Air/ Heady t kZ
50 P .I for 15 minutes
laon Residential Check / Commercial Check -77
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\Rougb Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005
Y
Septic Inspection Report
Office No.(518)761-8256 Date Insp ctionjpquest received:
Queensbury Building&Code Enforcement Arrive. am/ m `Depart: ^am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspectors Initials:--- �w—
NAME: ' PERMIT NO.:
LOCATION: ,/ __ `�_. INSPECT ON: /a?
RECHECK:
_ Comments and/or diagram
Soil Type: � an /Loain/ lay
Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft•
Absorption Field: Total length
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size , T e
Building to tank :K_'> Y 0
Tank to Distribution Box <f ' ' 7,?5
Distribution Box to Field/Pit 1... �
Opening Sealed: Y/N/Partial
End Caps
Location/Separations
Foundation to tank
Foundation to abso lion c` ' ft.
Separation of Pits ft.
Conforms as per Plot Plan
En ineer Report and As-Built vy r- t,.,
Location of System on Property:
Front j Re Left Side Right Side
Middle Front Middle Rear
System Use Status:
proved
v?artial Approved and needs to be re-inspected, please call the Building& Codes Office
Disapproved
Last revised 1/6/05
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Framing /Firestopping Inspection Report
Office No. (518) 761-8256 Date lnspjection request received:
Queensbury Building&Code Enforcement Arrive: �am/pm Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector s Initials:
NAME: PERMIT#: v{�
LOCATION: INSPECT ON: _ C�
TYPE OF STRUCTURE:
Y N N/A COMMENTS
raming
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
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.
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
Rough Plumbing / Insulation Inspection Repo
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pry epart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �!
`.
NAME: PERM
IT MIT #:
��
LOCATION: c" - INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
ou fi 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 / chan a of direction
ressure Test
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
essure Test P
Water Supply Piping
Air / Head
50 P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check
Proper Vent Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005
Framing / Firestopping Inspection Report
�r�
Office No. (518) 761-8256 Date Insp c 'o request received:
Queensbury Building& Code Enforcement Arrive: _ani/plin bDepart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector' Initials:
QQ
NAME: �c- cx� PERMIT#: o6 OD
LOCATION: &l/ro P&- R_ INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
/Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W) i
5.7 sf above/below grade f
5.0 sf grade
LASueHemingway\Building.Codes.Inspection.FORM STraming Firestopping Inspection Report.doc January 29,2003
Framing/ Firestopping Inspection Report / — 1
Office No. (518) 761-8256 Date his �tio# Kuest received: �Iq 9
Queensbury Building&Code Enforcement Arrive: / Am/ am/pm
742 Bay Road,Queensbury,NY 12804 Inspe or, Initials:
NAME:
PERMIT#:
LOCATION: INSPECT ON: S
TYPE OF STRUCTURE: YJ
Y N N/A �COMMENT�
Framing ,
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z w) 16 gauge(8) 16D nails each side PAR
Draft stopping 1,000 sq. ft. floor trusses10/ ^,
Anchor olts 6 ft. or less on center '/(+''�
!p4nd 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
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: U
NAME: C� tiI C PERMIT#: camF
LOCATION: _C�/V ,9'
, a�EQ. _ INSPECT ON: --- - 1S _
TYPE OF STRUCTURE:
Comments
Footings -- -- - ----- —_
Piers
Monolithic S1ba
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.
oundation/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:\SueHemingway\Building.Codes.Inspection.FORMS\i�oundation Inspection Report.doc January 28,2003
Foundation Inspection Report (�
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: anvil Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
1
NAME: _ ff
PERMIT#:
LOCATION: _ INSPECT ON:
TYPE OF STRUCTU
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
Reinforcemen " Place
F on t- 9
Fo on/Waterproofing v
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
B"I I Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doe January 28,2003
1 W4<
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm/ �„ Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: — �(Z I�CC PERMIT#: G�
LOCATION: _ V&n1n)/� oZ , INSPECT ON: 1 fd O
TYPE OF STRUCTURE:
Comments
Y N N/AFootings �-----------^.�_�----
Piers
Monolithic Slab I
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
F €Iaton Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump ( �
Footing Drain Stone:
12 inch width
6 inches above footing
6 j for wet areas under slab
Backfll Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes-Inspection.FORM SToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: amip l Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: S
NAME: 1`rv� '� _ PERMIT#: 6)
LOCATION: WCTURE�':
INSPECT ON: -TYPE OF STR
Comments
N NIA
'Footings,-' -----__-------___—_ _ `
Piers
Monolithic Slab
Reinforcement in Place IV
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/CopperW
Foundation Insulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
L:\Suetlemingway\BuiIding.Codes,Inspection.FORM S\Foundation Inspection Report.doc January 28,2003
1.
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v
f
� t
� W
A00
Permit Number
MECcheck Compliance Report Checked By/Date
New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lc
Data filename:C:\Program Files\Check\MECcheck\CERRONE-LOT#2.cck
COUNTY:Warren
STATE:New York
HDD: 7635
CONSTRUCTION TYPE:Detached 1 or 2 Family -
HEATING TYPE:Non-Electric '
DATE:03/18/05
DATE OF PLANS:03/15/05
PROJECT INFORMATION:
LOT#Sij
COMPANY INFORMATION:
CERRONE BUILDERS
COMPLIANCE:Passes
Maximum UA=316
Your Home=216
31.6%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 648 38.0 0.0 19
Wall 1:Wood Frame, 16"o.c. 918 19.0 0.0 55
Wall 2:Wood Frame, 16"o.c. 900 19.0 0.0 42
Window 1:Vinyl Frame,Double Pane with Low-E 118 0.380 45
Door 1: Glass 40 0.380 15
Door 2: Solid 20 0.067 1
Door 3: Solid 30 0.067 2
Basement Wall 1:
Solid Concrete or Masonry, 8.0'ht/7.0'bg/5.0'insul 500 0.0 11.0 36
Floor l:All-Wood Joist/Truss,Over Outside Air 24 30.0 0.0 1
Furnace 1:Forced Hot Air,94 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 s ed and si ed this page,they are attesting that to the best of his/her knowledge,belief,
and professional judgm t,s ch pla o specifications are in compliance with this Co/de.
Builder/Designer """�-�—j Date l l 1
t
x
MECcheck Inspection Checklist
New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release 1 c
DATE:03/18/05
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: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/5.0'insul,
R-11.0 continuous insulation
Comments:
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
� I
Windows:
[ ] 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor: 0.380
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
Doors:
[ ] 1. Door 1:Glass,U-factor:0.380
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] ( 2. Door 2: Solid,U-factor:0.067
Comments:
[ ] 3. Door 3: Solid,U-factor:0.067
Comments:
Floors:
[ ] 1. Floor 1:All-Wood Joist/Truss,Over Outside Air,R-30.0 cavity insulation
Comments:
Heating and Cooling Equipment:
[ ] 1. Furnace 1:Forced Hot Air,94 AFUE or higher
Make and Model Number
Air Leakage:
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
[ ] ( Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
I
I Materials Identification:
L l I Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] ( Materials and equipment must be identified so that compliance can be determined.
[ ] I Manuficturer manuals for all installed heating and cooling equipment and service water heating
I 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
I Duct Insulation:
E ] 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-b.
E ] I Supply ducts in unconditioned spaces must be insulated to R-11.
[ l I Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
I 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
I Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
I operating at less than 2 in.w.g.(500 Pa).
[ ] ( Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] I 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:
L ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
I temperature set point of the largest zone.
I
I Electric Systems:
[ ] ( Separate electric meters are required for each dwelling unit.
I
I Fireplaces:
[ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] I Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction
I provisions of the Building Code of New York State,the Residential Code of New York State or
the New York City Building Code,as applicable.
I
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.
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
I
I Circulating Hot Water Systems:
[ ] 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°l0
of the heating energy is from Pon-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 OF must be insulated to the
I levels in Table 2.
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 Pine Sizes
Piping System Types Range(F .211 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)