2005-932 T
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes .(518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20050932 Date Issued: Wednesday, December 27, 2006
This is to certify that work requested to be done as shown by Permit Number P20050932
has been completed.
Tax Map Number. 523400-309-014-0001-044-002-0000
Location: 9 RIVERSIDE Dr
Owner. SARA BISHOP
Applicant: SARA BISHOP
This structure maybe occupied as a:
Garage - 2 Cars Attached By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, C
Variance, or other issues and conditions as a result of approvals by the
Director of Building&Code Enfotrement
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: P20050932 Application Number: A20050932
Tax Map No: 523400-309-014-0001-044-002-0000
Permission is hereby granted to: -SARA BTSHOP
For property located at: 9 RIVERSIDE 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. Tyne of Construction Value
Owner Address: SARA BISHOP
9 RIVERSIDE Dr Garage-2 Cars Attached
Residential Addition $92,000.00
QUEENSBURY, NY 12804-0000 Total Value $92,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-932 1092 SQ FT RESIDENTIAL ADDITION,832 SQ FT GARAGE, 260 SQ FT CARPORT AND
190 SQ FT PORCH
$214.24 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, December 27, 2006
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the own o Quee s u sday, December 27, 2005
SIGNE
D BY for the Town of Queensbury.
Director of Building&CoA Enforcement
ommunity Development Office
Q,�
own of Queensbury • 742 Bay Road • Queensbury, NeW York •12804 ;
Marilyn Ryba, Executive Director•David Hatin, Director of Building&Codes ;
Craig Brozvn,Zoning Administrator ;
WINDOW SCHEDULE '
JOB SITE/ADDRESS: I� �r�tGle�r�y �PP�►��� DATE: I D- O's _
OWNER: ea r I I _ _ APPLICATION NO.: (OS-(9 Sac
WINDOW-
UNIT OR CLEAR CLEAR
WINDOW STOCK ROUGH ROUGH SQ.FT. OPENING
NO.OR WINDOW SQ.FT. WIDTH IN OPENING SPECIAL HARDWARE OR
VENT
MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHT
LETTER NAME MODEUTYPE CALL WIDTH HEIGHT OPENING IN INSTRUCTIONS
ON PLAN SIZE INCHES INCHES
aS�}'T-a Pella, PCaSe neent D5`-I� H a3/4 -3 1113/q', Ia.(� I a. ;- y 1 '' qa7/g„
Prol i n e i i,
as�+� Pello. CaSerne-n+ ;SL47 a' 13/y 3 I13,4,r ��3 �o, I �p�i� 4,;1-74
, 35 ,q ,Pe la_ COSeM n+ a141 31A o 0 ,g ,
asqI-a. Pella- Prollne- QSLI I Li 'a3iq'� 3'63114' 10-'$ I0,� y I 3(,,-7/g,,
Ca-semen+
i-----------------------
0
QCoommunity Development Officezvn of Queensbury • 742 Bay Road • Queensbury, New York •12804
01
Marilyn Ryba,Executive Director•David Hatin, Director of Building&Codes
Craig Brolvn,Zoning Administrator 0 ----------------------
BUILDING PERMIT CALCULATION SHEET: S—Ci 3�
NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS
AREA OF ROOM IN ACTUAL LIGHT REQUIRED ACTUAL SQUARE FOOT
HABITABLE ROOM SQUARE FEET SQUARE FOOTAGE VENTILATION4% VENTILATION OPENING FOR REMARKS
OF ROOM AREA SQUARE FOOTAGE EGRESS
Dresskng 131 1(0 5,a+ 1`7.(, 11 .a
S4,810 a333��1 �4 q ,35 30A ab,q
Bedroom 1.6? ��a a(.P L-74 3o.q a
�eclroom I7 I OqC�
En+r 131 3SA
QUESTIONS 7 CALL 761-8256 OR EMAIL
codes(tueensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION
Www.auensbury.net
Check Residential Plan Review: One&Two--Family Dvvelli— - -
N/N/ �
(2)Full sets of plans
Over 1,500 sq- ft.-Stamped
a.
Design Loads On Plans: 90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30 psf
--�i 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.&
Grade,5.0'sq.ft.
24"(h)x 20"(w)min.
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
/DAmpproofmg/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10'Exterior Grade
r� Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
-Required--
lee and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
1 Platforms At Exterior Doors
1.
C Stairway Headroom 6' 8'All Stairs 36"Width
% Stair Run and Rise
Winder Run and Rise
r'
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
I } Garage Fire Separation
i 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
J
------- ----------------------- r--- -
OFFICE USE ONLY ; 0 ;
o � NO.-,- 9
TAX MAP NO. � � MIT ,
FEES: PERMI ECREATION ENGINEERING
(If applicable) ;
---------------------------------------------------------------------' ----------------_----=
PRINCIPAL STRUCTURE: � U r
APPLICATION FOR ZONING APPROVAL & BUILDING PERM13j, 0 6 2005
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJE�TWTT OF REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. QUEENSSURY
Q BUILDING AND CODE
APPLICANT/BUILDER: eGIrG� �IShn�P(Inraa OWNER:SC,:a, KiShOOPP( C 11T:l
ADDRESS:`I_ I d e. Dr lye_ ADDRESS: 0i ICI verSl86- r`►v�
PHONE NOS. 5 t)3 a ya 14 PHONE NOS.(S1 i a _c ,Q�
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: urnS t11Y]S _PHONE: a-7D1 L
LOCATION OF PROPERTY:_ 1�,�Q� LAL JYLVE� Q_UY)4, D1AAr,
SUBDIVISION NAME: J
PLEASE INDICATE MEASUREMENTS AS REQUIR ELOW
CHECK ALL THAT Z
APPLY TO YOUR O cj w LL
PROJECT p ~Q p o (n � w
❑ W O LL LL LL 2 O V
W ❑ J m O z O H�: 0-
Z Q Q .-(A N(n O LL n.2 cd
SINGLE FAMILY (/ ✓ ISO ! GiG�I_ I Q aal p"
TWO-FAMILY
MULTI-FAMILY(NO. )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED 3�' ^
GARAGE(fI 3) ✓ c`01/ (J��
'CQYpOr_� b0 r
OTHER porch ✓ Igpy'5C)
=: Town of Queenshury• Communihj Development Office - 742 Bay Road, QueenshurJ, NY 12804
i
IF COMMERCIAL OR INDUSTRIAL-.NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: coo Please complete a separate Application
-t- for"Fuel Burning Appliances&Chimneys"
HOW MANY FIREPLACE(S)_ C) _AND/OR WOODSTOVES(S):_ 0 available in our office
ZONING CATEGORY: Of - k _ARE THERE WETLANDS ON THIS SITE?� 1\10
IS THIS A HISTORIC SITE? Ho
PROPOSED USE OF BUILDING OR ADDITION: he:SjcIf"0A IA}l l T6 S` A?., aa_rcgge
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? es r 'R'x IDS (b)nMSbPC1
ARE THERE EASEMENTS ON PROPERTY? KQ
I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I
certify that the application, plans, and supporting materials are a true and complete
statement/description of the work proposed, that all work will be performed in accordance with the
NY State Building Codes, local building laws and ordinances, and in conformance with local zoning
regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain
a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by
a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of
occupancy.
I have read and agree to the above.SignedSa4_v_ 2"e4�ao
Director of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 761-8256 OR EMAIL
regarding Building Permits, construction codes or septic codes(aDgueensbury.net
systems)
VIS IT OUR WEBSITE FOR MORE INFORMATION
Zoning Administrator: 761-8218 (for questions regarding ' www.gueensbury.net
required permits, the permit process, application requirements or to
schedule an appointment)
This application/proposed action described ; ; Permission is hereby granted to the above ",
herein is found to be in accordance with the 0 Applicant to erect or alter the building.described ;
zoning Laws of the Town of Queensbury. 0 herein in accordance with said Application:
, 0 oc
ZONING APPROVAL Y DATE � ILDING &C DE APPROVAL DA E
,
10
'«---------- ----------------------------J ».---.--.-----------!
�¢E Town of Queensbury• Community Development Office - 742 Bay Road, Queensbury, NY 12804
--------------------------------
OFFICE USE ONLY, ;
PROJECT NAME:
STAFF INITIALS:
a
BUILDING PERMIT SUBMISSION C�S`g3 % DATE: -_ -
,
CHECKLIST FOR:
SINGLE FAMILY DWELLING
'1. Building Permit Application Completed? YES NO� N /A
2 Energy Form or CheckMate Energy Code Compliance —✓ ---�� —
I Forms Complete? (2-copies) _
3 Energy Code Inspector's Report from Checkmate —
_ j Program? (2-copies)
4 Septic application completely filled out?
(if applicable)
5. Electrical Inspection Form complete?
6. Two (2) sets of the plans each of the following: YES NO I N /A ,
a. Floor plans (s)?
b. Foundation plan?
c. Cross sections (s)?
d. Elevations? 1 � ! _—_----�------�
' e. Window and door schedule?
g. Plans signed and sealed by registered architect or `
t
I ; engineer? ;
h. Window and door schedule? ✓
Two (2) site plans showing location of the structure to be ! I
7. built, location of well or water lines, location of septic
j — stem or sewer line?
8. _ Setbacks from property lines to new structure? I ✓ — ! —
j ; Setbacks to neighboring wells and septic systems, f — —
L $' ; including onsite well and septic systems (if applicable)?
9. I Driveway Permit?
"=r T07VII of Queensbunj • Community Development Office ■ 742 Bay Road, Queensbury, NY 12804
Rough Plumbing / Insulation Inspection, Report
Office No. (518) 761-8256 Date Inspe inn r uest rec ived:
Queensbury Building &Code Enforcement Arrive. am/pm Pga am/pm
742 Bay Road, Queensbury, NY 12804 Inspe or's Initials:
NAME: PERMIT #:
LOCATION: i r'• INSPECT ON: _5;?
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.eve 100 feet change of direction
Pressure Test
Drain / Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
f/ �
Pressure Test
Water Supply Piping '
_i�� 2
Air/ Head "C
for 15 minutes
.1-50+4ij Insulati n Residential Check/ Commercial Check;
Prope-F-Vent, Attic Vent �175
Duct/ Hot Water Piping Insulation
If re uired unheated spaces
Combustion Air Supplyfor Furnace
Ductwork sealed properly / No duct tape
COMMENTS:
LAPam Whitinouilding&Codes\Inspection Forms\Rough Plumbing Insulation Rleport.revised Nov 17 2003.doc Revised February 15,2005
R®ugh Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection r uest received: p6t�'
Queensbury Building & Code Enforcement Arrive: am/ De am/pm
742 Bay Road, Queensbury, NY 12804 Inspe or's nitials.
NAME: &I-�5� OJT PERMIT #:
LOCATION: At INSPECT ON: D
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet / change of direction
Pressure Test .
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
/ Head
0 P.S.I for 15 minutes
Insulation / Residential Check / Commercial Chec L,i! S
Proper Vent Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspectjkon request received: -2
Queensbury Building & Code Enforcement Arrive: • / am/p epart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: '=�--
NAME: PERMIT #:
LOC,4TION: 'J�(S, INSPECT ON: ^2,5j
TYPE OF STRUCTURE: '
Y N /N/A LL A/L
6����ents
�h_�-P umb `aif Plates /A in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
CI anout eVE 0 feet change of direction Pf��V l r'.�C--
sure-Test
ra'n / Vent
Air Head
S.I. or 10 ft. above highest connection for 15 minutes
�resTest-��"
Water Supply Piping
Air / Head
50 P.S.I for 15 minutes
Insulation Residential Check/ Commercial Check
Proper Vent Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins ec4o equest received:
Queensbury Building&Code Enforcement Arrive: • 2am/p �rt: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: 115'1yo PERMIT#:
LOCATION: / 16C/25�42C- Q2t INSPECT ON: —G�d
TYPE OF STRUCTURE:
i
Y N _ N/A COMMENTS
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams /G
��f���✓`
Exterior sheeting nailed properly
12"O.C. .:�r��
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 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 Inps5`lnitials.,
ntequest received:
Queensbury Building&Code Enforcement Arrive,: am/ m D part: am/pm
742 Bay Road, Queensbury,NY 12804 Inspect �
NAME: - �� PERMIT#: aC10 J !
LOCATION: INSPECT ON: / C�
TYPE OF STRUCTURE: n—
41C,
Y N N/A COMMENTS
Franriing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers �• �1" ` J
Jack Posts/Main Beams i
Exterior sheeting nailed properly
12"O.C. i
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 1/z w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
chor Bolts 6 ft. or less on center
Ice and water-shield-24 mches from wall
�•;� �x�;A � .ram �.
Fire separation 1,2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
/ w i
Septic Inspection Report
Office No.(518)761-8256 Date Ins ecgon retest received:
Queensbury Building&Code Enforcement Arrive: 7- - �am/p e rt: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: Drj C— PERMIT NO.:
LOCATION: T', CIS/2 INSPECT ON: 5 ! C'
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft.
Length of each trench t. S� ��� U-t J
Depth 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
Opening Sealed: Y/N/Partial
End Caps
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Engineer Report and As-Built N e-�i't
Location of System on Property:
Front Rear Left Side Right Side
Middle Fro t Middle Rear
System Use Stat s:
Approved
Partial Approved and needs to be re-inspected,please call the Building& Codes Office
Disapproved
Last revised 1/6/05
,a f
169 Haviland Road, Queensbury,NY 12804
Phone-518-745-4400 Fax -518-792-8511
CFIVED
MAY 19 April11, 2006
TOWN OF �....__,„6uURY Job#46175
New York State Dept. of Health BUILDING AND CODE
77 Mohican Street
Glens Falls,NY 12801
RE: Pine Ridge Subdivision- Queensbury(T)
46 Westber y Way (Lot#29) - Septic System
Dear Sir/Ma'am:
This letter is to inform you that we inspected the completed septic system for the Douse on 46
Westberry Way(Lot 429) in the Pine Ridge Subdivision on April 11, 2006.
The septic system as installed was for a four bedroom house and consisted of a 1,250 gallon ,
septic tank and 216 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. , PE
i �
cc: Dave IIatin Town of'Queensbury
Tom Farone ��
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: C ,� am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT
LOCATION: ,�' INSPECT ON: (�
TYPE OF STRUCTURE:
Comments
Footings
Y N N/A l/
/l�/Piers
onolithic Slab
T
ment in Place
ntractor is responsible for - �_�c--5t �ing protection from freezing
hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation 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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
S�' yv 4 E ! lam/
l D FraVnvng / irestopping Inspection Report
Office No.(518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: J am/p Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspecto s Initials:. �
NAME: GL PERMIT#: 7.3
LOCATION: r` .'Si INSPECT ON: 7-00 7
TYPE OF STRUCTURE:
-_ Y IN N/A
COMMENTS
ccess 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
re wall 2, 3,4 hour
>Al irestoppng
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch_Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date In pec request received:
Queensbury Building&Code Enforcement Arrive: am/p p rt: am/pm
742 Bay Road, Queensbury,NY 12804 Inspect c0's nitials:
NAME: G .S A L C` PERMIT#: i6iAG
�j v
LOCATION: C S C� R- 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. (��i;L�
Stairwells 36 in. or more V�`�` l
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 i� ^1` D (" \ b I ✓ �/
Penetration sealed L—•
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
Ceilin 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 Ins perequest received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspectols: v
NAME: PERMIT#: /
LOCATION: INSPECT ON:
TYPE OF STRUC
Comments
Y N N/A � '
otings U
Piers a
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
Footing Dowels or Keyway in place
y
Fou�` 11 D►apgoofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfiill Approval
Plumbing Under Slab
VC/Cast/Copper
Foy ei d Ia6&Insulation tenor Exterior
R-
Rough drade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
1
Foundation Inspection Report
Office No. (518) 761-82.56 Date Inspit'vtIPP)request received: —
Queensbury Building&Code Enforcement Arrive:`/< "U am/p Depart: am/pm
742 Bay Rd., Queensbury,.NY 12804 Inspector's Initials:
NAME: _ _ t PERMIT#: l
LOCATION: ����s� � ^� INSPECT ON: l
TYTE OF STRUCTURE:
Comments
----- _ Y f N N/A
yl 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 pu_pr ose 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
Backfrll Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASucHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doe January 28,2003
Foundation Inspection Report
Office No.(518)761-8256 Date Ins ; kn/p
quest received:
Queensbury Building&Code Enforcement Arrive: / Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto s Initials: (jib
NAME: �� PERMIT#: n. 3;, (LOCATION: INSPECT ON: n
TYPE OF STRUCTURE:
Comments
N/A N
ootings Y O
Piers
Monolithic Slab
Reinforcement in Place �t✓
The contractor is responsible for
providing protection from freezing p % F�d 4�
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation 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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
- % I 121al
Queensbury Building & Code Enforcement - Residential Final Inspection
Office o. 518
( )761-8256 Arrive: � . �) am/prh� part: am/pm
Date Inspection request received: Inspector`s Initials: '.-
NAME: PERMIT#: O�
LOCATION: e r DATE:
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake 74
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, I s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
,Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O Temporary/Permanent
L:1Building&Codes Forms\Building&CodesUnspection Forms\Residential Final Inspection Form—revised—I 00405.doc
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received:
NAME: -pea 1,8d 6
LOCATION: i
PERMIT#:
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept.of
Community
Development.
Upon revftbe
e
-surveyha
- AD
Craig ro , Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doe
i
RIVER SID �''
E D PJVE
0.00
S54°35'40NE V
o�; Y "
344.251 Fb
60.41' O
LOT 2
W 43,560 sq.tt. lJ
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1N �
0 WOOD FRAMED /
M •- t10U5E Popcn
2 �• ` h f
104,60
DECK '`' S1 I �.,j�, LEGEND:
IRF 2 �4.7± IPE O IPF = IRON PIPE FOUND
N 6 39,33'� -"� 9`��s WELL OIRS = IRON ROD SET/TO BE SET
J = UTILITY POLE
= WELL
i TIF LINE NLY RE 1 0 = PROPANE TANK
LAND5 N/1= OF
OIPF PETER T. + 5U5AN F. B15HOP
�ex
NA q31/40 IP
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lip
-
?. �
EXCEPTING ALL LANDS
WITHIN 50 FEET OF
HIGH WATER MARK OF
THE HUDSON RIVER v \� � IFf
MEAN HIGH WATER MARK
ELEVATION = 285.00'
MAP REFERENCES:
MAP OF A SURVEY MADE FOR
GLENS FALLS NATIONAL BANK & TRUST CO. \�
DATED: MAY 9, 1988
REVISED: SEPTEMBER 19, 19887
BY: VAN DUSEN & STEVES \
MAP OF
RICHARDSON STREET LOTS
DATED: OCTOBER 4, 1960 RECEIVED
REVISED: MAY 2, 1961
BY: HENRY W. WATTS DEC 2 8 2006
MAP OF A SURVEY MADE FOR TOWN ur uuttivsb RY
GLENS FALLS NATIONAL BANK & TRUST CO. BUILDING AND COD
DATED FEBRUARY 7, 2002
BY VAN DUSEN & STEVES
A Dates EPTEM$ER 9, 002
all u S vNAvnwRIZED arERAnGN at A S A SURVEY Ma of a Survey Ina Scale 1'=60'
V.. �a�,F„CT SURVEYORSsM p y de for
wauTIGN OF SECTION 720D.SVB-aWSR>H z of rNE
P P NEW YO(M STALE EDUCATM LAY('
S V V S W, W"A O 7M O@TIC VIN 5UKVCV ViY
MARKED VAIN AN ORK.INAL Or TIC 1/VID SURVCld6
� LLK m�VA�� Sara & Adam. Pearsall
CERnTTCA7MS NMA70 MEOW 9GN6Y THAT �� 1
"STHIS SURYEY WAS PREPARED N ACCORDANCE YOR rNE 3 10�31�06 LOCATE ADDITION 1 Land Surveyors "STING EVOW DFPRA IGN&
BY niS NEW OR& STALE rf"TM S I.L RUNSONAL
IANp SURVEYORS.SAID CERTMCATKMIS SHALL RUN ONLY
TO THE PERSON FOR rrHaw"C SURVEY I PREPARED ANp 2 8106103 FINAL UPOATE 1 OF 1
aN Hls BEHALF ro THE nTtE ca*ANr.DDYERNNENrAL
1B9 Haviland Road Queensbury, New York 12804 G NSn M,"°tea' AND Town of Queensbury, Warren County, New York 1 12111102 HOUSE LOCATION
(518) 792-8474 New York Lie. No. 50135 133-1-2 BisrtoP C742
NO. DATE DESCRIPTION DWG. NO. 02273
Queens ury Buildi & Code Enforcement - Residential Final Inspection
y 11
Office No.(518)761-8256 Arrive: J am/pm p am/ m
P
Date Ihspection request received: Inspec is Initials:
NAME: '
PERMIT#: � ) /
LOCATION: DATE: '
TYPE OF STRUCTU
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake V
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete J
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 4 stairs 2 or more risers V +L �Vt'
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: JJ y' C O ✓,
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches hei ht)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s . ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft. ! `
Emergency egress below grade !
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum''/a"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed o Glass nclosure
Final Electrical t lero
Final Survey Plot Phil I
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
Permit#
Permit Date
REScheck Software Version 3.7 Release 1
Compliance .Certificate
Report Date:11/07/05
Energy Code: New York State Energy Conservation
Construction Code
Location: Warren County, New York
Construction Type: Detached 1 or 2 Family
Heating Type: , Non-Electric
Glazing Area Percentage: 17%
Heating Degree Days: 7635
Construction Site:C1 2i vers}de"Dr. Owner/Agent-!Saa-&SAP VeoM&A Designer/Contractor: E.IanhS-4A4Ac,17_
Q�Lee;,vb tom`/
Ceiling 1:Flat Ceiling or Scissor Truss: 964 38.0 0.0 29
Wall 1:Wood Frame,16"o.c.: 1078 19.0 0.0 51
Window 1:Wood Frame:Double Pane with Low-E: 187 0.340 64
Door 1:Solid: 42 0.350 15
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 833 30.0 0.0- 27
Floor 2:Slab-On-Grade:Unheated:,Insulation Depth:4.0' 132 33.0 84
Statement of Compliance: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 En rgy Co servation Construction Code requirements..When a Registered Design Professional has stamped and signed this
page,t y ar ttesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in
com an h thi ode.
Bui der/Designer Company Name Date
Page 1 of 4
ti-
z
CREcheck Software Version 3.7 Release 1
NJ/ Inspection Checklist
Date: 11/07/05
Ceilings:
❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
Above-Grade Walls:
❑ Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Windows:
❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Door 1:Solid,U-factor:0.350
Comments:
Floors:
❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation
Comments:
❑ Floor 2:Slab-On-Grade:Unheated,4.0'insulation depth,R-33.0 continuous insulation
Comments:
Slab insulation to extend down from the top of the slab to at least 4.0 ft.OR down to at least the bottom of the slab then
horizontally for a total distance of 4.0 ft.
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.
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 and glazing U-factors must be clearly marked on the building plans or specifications.
Duct Insulation:
❑ Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
❑ Return ducts in unconditioned attics or outside the building must be insulated to R-6.
❑ Supply ducts in unconditioned spaces must be insulated to R-11.
❑ Return ducts in unconditioned spaces(except basements)must be insulated to R-
❑ Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
_ Page 2 of 4
Insulation is not required on return ducts in basements.
Duct Construction:
❑ 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 181 B.
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/off heater switch and require a cover unless over 20%of the heating energy is from
non-depletable sources.Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table
2.
_ Page 3 of 4
Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Non-Circulating Runouts Circulating Mains and Runouts
Heated Water
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
140-169 0.5 0.5 1.0 1.5
100-139 0.5 0.5 0.5 1.0
Table 2:Minimum Insulation Thickness for HVAC Pipes
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 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 and 40-55 0.5 0.5 0.75 1.0
Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD:(Building Department Use Only)
Page 4 of 4