2005-950 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. P20050950 Date Issued: Thursday, May 18, 2006
This is to certify that work requested to be done as shown by Permit Number. P20050950
has been completed.
Tax Map Number. 523400-296-005-0001-022-000-0000
Location: 20 HIGHPOINTE Dr
Owner. GUIDO PASSARELLI
Applicant: GUIDO PASSARELLI
This structure maybe occupied as a:
Fireplace By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
-�r- TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050950 Application Number: A20050950
Tax Map No: 523400-296-005-0001-022-000-0000
Permission is hereby granted to: CT1JIDO PASSARF,TJJ
For property located at: 20 HIGHPOINTE 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: GUIDO PASSARELLI
465 LAKE Ave Fireplace
Garage-2 Cars Attached
LAKE LUZERNE, NY 12846-0000 Single Family Dwelling $250,000.00
Total Value $250,000.00
Contractor or Builder's Name /Address + . Electrical Inspection Agency
Plans&Specifications
2005-950 LOT 15 HSE#20 HIGHPOINT DRIVE
1872 SQ FT SINGLE FAMILY DWELLING
$268.04 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, January 11, 2007
(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.)
s
i
Dated at fhe To If eiury. esday,January 11, 2006
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Check Residential Plan Review: ne ' 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:
endow 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.fl.
24"(h)x 20"(w)min.
44"Max.Hei t above floor
esidential Check Paperwork Compliance and Inspectors Checklist: OK
ampproofing/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10'Exterior Grade
F g Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
Acquired --
Ye and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
latforms At Exterior Doors
fairway Headroom 6' 8'All Stairs 36''Width
Stair Run and Rise
N, Winder Run and Rise
piral Not Allowed From 2 Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall Width,36"min.
andrails More Than One Riser On Open Sides
Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht.
i Safety Glazing Notes For Required Areas
/Gara
ge 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
j Permit No. 0-00 S— Iq
S
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director codes@aueensbury.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder Tr_.v'Y['. Mg 1<5T v Owner: i
Address: Address: ®�
Home Phone: -7-1r,-!Ya/ Home Phone: \� °
Email Address: Email Address: /
Cell Phone: 7 y y - 17 7- Cell Phone: tZ2 I
FAX Phone: 715 -/D6 7 FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name:
Address: Phone 7"-1'Z7LJd
Location of proposed construction: Lot No. AT Legal Address: ',PO NNtdo,9snTPi ay, OfAa.
Tax Map Number: ? ?62 1- �_ 1 Subdivision Name: ay ld,se, AafrAf,
Estimated Cost of Construction: $ a,erd D
Proposed construction is for: Residential Use Commercial Use
Name of Business: DEC
If proposed construction is an addition,what will use of new addition be? -rn\MRI
New Addition Alteration Proposed Construction V Floor 2nd floor Other Total Proposed
structure (Occupancy Type) Sq.ft. sq.it. Sq.Ft. Square feet Height
Ft.Mn.
Single-Family Dwelling
Two-Family Dwelling _
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Garage t 2 3
Type of Heating System: Electric, Oil, as Wood, 4orced Hot Air Baseboard, Other:
Is a fireplace and/or woodstove being installed, please refer to a separate application. i' 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 Building and Codes, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location of all new construction.
Date: 2 20 D Applicant/Builder Signature: ls�
The application of dated is hereby approved and
permission granted for h construction, reconstruction or alt ration a building/and or,accessory structure as set
forth above. �
Date: Authorized Signature: � 1 `��
L:\Sue Hemingway\Building.Permit FORMS\Principal Structure Permit Application.doc V:12/14/04
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 ,�,.?r' , 20 x; "'" Permit No.
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)
t Stove: wood coal pellet rxs
Marne:�:,�f�.-� l'�� rs<, .:�', �,
Fireplace insert ) _
�,�-� Fireplace, factory-built;
Address: Z 1 wood
g i.,�'_ ; �� , y
Fireplace;masonry: J� wood gas
Furnace: wood gas oil
Phone: ? � Bt' If non-masonary applicance, please provide
Owner: Manufacturer Name:
Address: `; rl .Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue the- steel % size: inches
Exact Address: A,i-
of construction dr in'stallation Factory-Built
Manufacturer name: Af.,, T,
Model Number:
Note: Listed By: Number: __--
Construction/Installation must
conform to NYS Fire Prevention &Building -Indicate(circle) chimney material:
Code. Consult available Town of Queensbut) '
Handouts regarding required inspections. �'" Double hall 7 `Triple i all / Insulated / Direct venting
Chimney Liner
liner t
� C�ts�ifer',er���S�t►�m��t--Z'®�.�of Qaac��si,�buzy, N��7ti�orl3:— -
Fire Mal:shal Corte# $Collected Si'Refunded Received fi-ont (refunded to):
a address: --,--
A 173.3389 (190) Public Safety
A 233 2655 (230)Minor Sales �DATE: � _gi�- At
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.)
Application for Permit�-Septic Disposal SysteM,
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1, OWNER INFORMATION: 4...................................................................
Office Use
Location of installation: A&r Oldr r a y ydl. &, Y vlr fi
• File P�t No.
Tax Map No: 2 tG J_gi J /-,�a�
Foe Paid
Owner's Name: �G y y G 1'�a i ram«Tic. .............. ................... .................
i Address: ?
2. INSTALLER'S NAME : •MI J 6 no,iV ,g.a PHONE NO. 3c d Limla.
r
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#.bedroom(s) and multiply#of
bedrooms with applicable gallons per bedroom tb equal total daily flow)
Year of House: No. of Bedrooms x Computation Total!Daily Flow
i
1980 or older x 150 gal/bdrm
1980- 1991 x 130 gal/bdrm =
1991 -present x 110 gal/bdrm =
Garbage Grinder Installed yes— J no �L
Spa or Hot Tub Installed yes j!�'/ no
DEC
4: PARCEL INFORMATION: (circle applicable information&indicate measurem nt��qil Off. ; UL.-LNSuuRY
i3uu.r-01G*0 CODE
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Stlonly
"Flat_: C as nd at what depth at what depth municipa
Rolling rn feet feet we
Steep slope clay i I if well; water supply
_%slope other from any septic-system
depth: absorption is-
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 lined
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: ,�Ob ' gallon(min, size 1,000 gal.)
Tile Field: each trench \-�'b ft. Total System Length: PoO it.
Seepage Pit(s): number of size of each: ft. by 1_ft.
Size gf Stone to be used: # / depth or thickness feet`
Bed/System Size: x
• j �4 l
Alternative System: length and/or size I I
I
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL CA acity: gallons
I
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency. I
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 tithe Code of the Town
of Queensbury,any permit 6t 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
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 Ordfi�nce.
Signature o responsible person bate i
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AUNORVIION
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Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: ;wpm �Depart: am/pm
Date Inspection request received: - Inspector's Initials: _
NAME: 14 W PERMIT#: �
LOCATION: DATE: p
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more(a)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. Sz-
6 Handrail Termination at Newell Post or Wall (� ov 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
Low 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/'/<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 . f .-150 s . ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/0 Temporary/Permanent
L:\PamW\Buildinp,&Codes\Inspection Fortis\Res. Final Inst). form 2.docLast printed 2/12/04
' Queensbury Building & Code Enforcement - Residential Final Inspection .
FOffice No. (518)761-8256 Arrive: 7, ' /vam/pm ep am/pm
Date Inspection request received: Inspector's Initials: ^
NAME: /PERMIT#:
LOCATION: -�a �t 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 y�
Roof Complete/Exterior Finish Complete vy
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .'ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water 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 vG `
Duct work Sealed properly M
Gas Logs in Sealed or ss En los re
Final Electrical 'J a 0&J (-.-
Final Survey Plot Plarl
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/® [Temporary/Permanent]
L:\Building&Codes Forms\Building&CodesUnspection Forms\Residential Final Inspection Form revised 100405.doc
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. vZ 9
Main Office 176 Doe Run Road-Manheirn,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. N2 93346 cut-in Card No.....................................
Owner........................ ......z�&.'-f .c ...............................................................................
Location.......... &-n./.?I. ........... ...............................................................
Installation Consisting of...gn&A..Q.�........ ...........5<)..
.�(.3.....41.S.4.......7.........- 17.54.....7..... ... ..... ....P...W. ............
....................................................................................................................................................................................
InstalledBy.........SA.k.n.C-.............................................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date......S.21.3..ZQ..O................. INSPECTOR ../2�.. . . ......................................
M.-h-r-JR]MA TAFT
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received:
NAME: C�
LOCATION30
PERMIT C60
Final Survey Plot Plan
AwDroved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon revie the
Sur ve has e
(Ilrv--)
Craigkko4, Zoning Administrator
Notes:
L:\.SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
MAP REFERENCE:
MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION
MADE FOR GUIDO PASSARELU, ROUND POND
SUBDIVISION SITE PLAN" DATED 6/24/93
LAST REVISED 9/29/93, PREPARED BY
VANDUSEN & STEVES, LS AND FILED IN THE
WARREN COUNTY CLERK'S OFFICE IN PLAT
CABINET B, SLIDE 51, MAP #86.
LOT 16
o ss�
Lands n/f of F
The Great Escape Theme Park
�W
Q LOT >5
25,852f Sq. Ft.
utl/itks
ca
F: .
\ concrete
walk- 2,006
a
Ko
NOTES: ti
1) THIS SURVEY WAS PREPARED WITHOUT THE MAP OF SURVEY OF LOT 15
LOT 94 ROUND POND SUBDIVISION
BENEFIT OF AN ABSTRACT OF TITLE AND IS
THEREFORE SUBJECT TO ANY EASEMENTS, MADE FOR
COVENANTS OR RESTRICTIONS RECORD OF NE{�, TERRE MAJESTIC, INC.
ANY STATEMENT OF FACTS SUCHH DOCUMENT
WOULD DISCLOSE. CO
�MMET TF�O�
v
2) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY � �� TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK
MAP BEARING A LICENSED LAND SURVEYORS SEAL A T v BOLSTER AND ASSOCIATES
VIOLATION OF SECTION 7209, SUB—DIVISION 2, OF THE _� ���
NEW YORK STATE EDUCATION LAW. PROFESSIONAL LAND SURVEYORS
3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY FQ 05054,13 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SAND S N.Y.S. LIC. NO. 50540 DATE: APRIL 6, 2006 SCALE: 1 30'
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.
ll 7 DWG. NO. 97152L15 B
QSBY 296.05-1-22
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:,—?';"I am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: ;i
NAME: ��� � PERMIT#: U
LOCATION: Cam°+" INSPECT ON:
TYPE OF STRUCTURE: t
F Y N N/A COMMENTS
raming
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
I %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, , 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
i
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection Report
't
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the iustruction� d
spec cations contained in the Installation Manual accompanying the appliance.No deviation from the manufacture 's
instructions or specifications is allowed.
Permit# 0 Schedule Inspection Time /9%��7/ am pm anytime Inspectot���`'
NameA S S � Address y`T 1z o �� �,✓\,i �iC hough Final_ .
r '` � L Vft� Model#
App➢ianceMarm .tcturer� =s'LJ�, d L� '�, -
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A j Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase �vi
Wall Penetratioaa
i
Vent Clearances to Combustibles V/
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet f
Gas Shut-Off Valve
Combustion Air J
Hearth Extension (if any)
Mantel
Height above Up opening
Witness Operation
Tank Placement(if LP)
White—Bididing Dept. —�`—_ _ __ �eilow Chet er Pink—Fire Marshal
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 �U(, {
NAME: L' I PERMIT#:
LOCATION: NSPECT ON: d ,
TYPE OF STRUCTURE: `
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 '/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 separatiob4 1,`�',2, 3 hour 6 7 Ili
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 11/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 Report
Office No. (518) 761-8256 Date Inspection requ re ei a
Queensbury Building & Code Enforcement Arrive: / epart: �`�
742 Bay Road, Queensbury, NY 12804 Inspector's Ini '
NAME: 1CZ2 �dt PER IT #:
LOCATION: 17` l d`IF INSPECT ON: -261 v
TYPE OF STRUCTURE: J
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
PP Y P� 9
L Air / Head - — - - - -
50 .I for 15 minutes
nsulatiorr esidential Check / Commercial Check
ent 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
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: '6 O
Queensbury Building&Code Enforcement Arrive: am/pm Depart: m/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: a
NAME: / eel PERMIT #:
LOCATION: L.ol� kc �0 INSPECT ON: 3
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min. Drain Size
Washing Machine Drain 2 inch nun.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest •J
connection for 15 minutes
c leanout every 100 feet/change of direction
S Water Supply Piping
Cooper Commercial
\ CooM CPVC,Pex One and Two-Family
Insulatio Residential Check/ Commercial Check --
Pro er Vent, Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS: <sj�``f,, '�, -iZs..�ti► �; � Giv�`l� �Z"
LASueHemingway\Building.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doc November 17,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: :�I a-d Q("-"
Queensbury Building& Code Enforcement Arrive: am/pm Depart: eA 1 am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials * —
( -UP
NAME: � +'�-
PERMIT #:
LOCATION: �- .S INSPECT ON: a O e,-
TYPE OF STRUCTURE:
YY N N/A
PVC: R-1,R-2, R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/ Comm.
Plumbin Vent/Vents in Place
ou Plumbin / . Plates `J
: ize
Was 'Lae Drain 2 inch min. ,
or Air Supply est
Drain and Vents
5 PSI or 10 feet a highest
-
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper, CPVC,Pex One and Two-Family
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:\SueHemingway\Building.Codes.(nspection.FORMS\Rough Plumbing Insulation Repo t.doc November 17,2003
C3 p ^
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: '
Queensbury Building&Code Enforcement Arrive: am/pm Depart'`&_-E—�a pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: l
NAME: ^ PERMIT It. 5 /
LOCATION: INSPECT ON: 3 Q L�
TYPE OF STRUCTURE: C3 g�j--0 t V
Framin Y N N/A COMMENTS
g
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams � `V � C3d Y`���
Exterior sheeting nailed properly
12"O.G. .�
Headroom 6 ft. 8 in.
Stairwells 36 in. or more ►/,l A 3 l-
Headroom 6 ft. 8 in. � �W
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 side11/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
NOTES:
1. Repair is based on information received from the truss fabricator.
2. Truss must be in original undeflected position prior to carrying out QF NE h 4 6
repair specs. Provide temporary support to the truss.
3. This repair assumes that metal gusset plates at all joints are intact 4 rat 1 .4 h fii?5)
and not damaged (except as noted).
4. Field installed members must have complete wood to wood contact / R';!
with original member.
5. Apply all nails so as to avoid damaging of lumber and loosening of
plates at joints.
6. For all lumber, plates, loading and other information not shown, j ri
refer to Dwg.: N T06020767 - R4. _ +II
REPAIR PROBLEM:
g8ry
1. 1-3/41, sections of webs 11-I, G-S and D-T.
Da1c Scaled:311-7/2006
REPAIR SOLUTION:
A) Use a carbide tip blade to carefully cut and remove portions of
webs H-I, G-S and D-T as shown dashed. Remaining plates must
be intact and fully embedded after cutting.
B) Attach 2x4 SPF-#2 scabs (shaded), to one face of truss, using 10d
common nails, spaced 311o.c., plus clusters where shorn circled.
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R: 534 R: 434
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34-8-0 Scale:0.250'a V
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aob I Mark Quan Type Span P1-H1 Left OH Right OH [Single Drawing
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8obbim Engkrering.ImJOnlne Pkm^01998-2006 Vemlen 19.0.011 Sk2N Dmdrp per,Pege 3272008 2.38:13 PM Page 1
I
Framing /Firestopping Inspection Report
Office No.(518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: p am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME. PERMIT#.
C>5-9► 50
LOCATION: t INSPECT ON: n
TYPE OF STRUCTURE:
ng
Y N/A COMMENTS
ami � . Z
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 'h w 16 gauge 8) 16D nails each side k �
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
Rough Plumbing / Insulation Inspection Report
Office No. (5 l 8) 761-8256 Date Inspection request r ed�'� _
Queensbury Building& Code Enforcement Arrive: am/pm Depart: t : a
742 Bay Road, Queensbury,NY 12804 Inspector's Initia�.
/1
NAME: PERMIT #:
LOCATION: '' _ INSPECT ON: —�
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2, R-3,R4 Drain/Vents .
Cast Iron, Copper Drain/Vent/ Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min. Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
_Cleanout every 100_feet_/_chan a of direction
Water Supply Piping
Cooper Commercial
goo per,CPVC,Pex One and Two-Famil
sulation/Residential Check/Commercial Chee ,.
Proper Vent,Attic Vent r
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct to e
COMMENTS:
LASueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/pm Depart: a pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT #:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
I�'}
Y 'N N/A
PVC: R-1,R-2,,R=3,-R-4,l)rain�/Vents
Cast Iron, Copper Drain/Vent/Comm. -
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates ;
1 % inch min. Drain Size
Washing Machine Drain 2 inch min. P �
Head Air Supply Test �.
and Vents ,kr
=5-PSI10 feet above highesttion for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper, CPVC,Pex One and Two-Famil
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.
LASueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Ao, — ,I
M
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pin Depart:�am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's InitialsC
NAME: 1�1'S S d�-r_e PERMIT#: S— S�C�
LOCATION: v TClkINSPECT ON:
TYPE OF STRUCTURE:
C'24111 FIN e
Y N N/A COMMENTS
tAttic
aming
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 I/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 'I/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: �- y
Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm `
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: �f
�� D i
NAME: L PERMIT#:
LOCATION: 90 INSPECT ON: `3
TYPE OF STRUC
Framing Y N NIA COMMENTS
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing./Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z w 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping b«— :/��
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 11/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 Ins .. ction request received:
Queensbury Building&Code Enforcement Arrive: am/p epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspec s Initials: \ ""�
NAME: A.I PERMIT#: l
50
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing N N/A COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers /
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/z(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
>wi5nd water shield 24 inches from wall � /v k 'I,,Fire separation 1, 2, 3 hour �;A,,120��
Fire wall 2, 3,4 hour
-1 6_�►
Firestopping
Penetration sealed
16 inch insulation in cavity min. ��`� /1
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 518 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:ft 1 m/p epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT
LOCATION: H P INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Attic Access 22"x 30"minimum
�CJ
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 'h(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor lts 6 ft. or less on center
feeand 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 epart. —am/pm l
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: 2 -
`J `
NAME: ��4_; � �� PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %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 Roof
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
Septic Inspection Report
Office No. (518)761-8256 Date Inspe tion quest received:
Queensbury Building&Code Enforcement Arrive' l� J m/pm De�rt: am/pm
742 Bay Rd.,Queensbuly,NY 12804 Inspector's Initials:
NAME: PERMIT NO.: C9(5—, '767)
LOCATION: INSPECT ON: 7— /-3 d
RECHECK:
Comments and/or diagram
Soil Type( Sand/ Clay
T e of un.cipal Well Water
Waterline sep ration dista-4 e ft.
Well separation e ft.
Other wells: ft.
Absorption Field: Total length ft.
Length of each trench 50 ft..
De th of trenches
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Si e Type,/
Building to tank J9
Tank to Distribution Box t ?�
Distribution Box to ield/Pit `
Opening Seale /Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits
Conforms as per Plot Plan N
Location of System on Property:
Front rea) Left Side Right Side
Middle Front Middle Rear
System Use Statics
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
LASueHemingway\Building.Codes.Inspection.FORMS\,Septic Inspection Report.doc January 28,2003
F
Septic Inspection Report
Office No. (518)761-8256 Date Insp do !(ei t received:
Queensbury Building& Code Enforcement Arrive: �ufia
amp /bepart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspect isls:
NAME: �f�`2� PERMIT NO.:
LOCATION: _�� I�,i-� _ INSPECT ON:
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. "�� 3 (_._G T 64 F r`-1
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 Type
Building to tank
Tank to Distribution Box
Distribufiori-Box to Field/Pit
Opening ening Sealed: Y/N/Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Location of System on Property:
Front Rear Left Side Right Side
i
Middle Front Middle Rear
System Use Statu
Approved
Partial Approved and needs to be re-inspected,please,call the Building&Codes Office
Disapproved
LASueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
�N
y
Septic Inspection Report
Office No. (518)761-8256 Date Inspectionrequest received:
Queensbury Building&Code Enforcement Arrive: : IS am/p epart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT NO.:
LOCATION:Z� ,p INSPECT ON: 2 `�
RECHECK:
Comments and/or diagram
Soil Type:(S /,8t7w/Clay
Type of W r: unicip 1/Well Water
Waterline se ara ion distdnce
Well separation dI ce ft.
Other wells: ft.
Absorption Field: Total length ft
Length of each trench ft.
Depth of trenches
Size of Stone �L
-Seepage Pits: Number
Size: x
Stone Size:
Piping Sizp T e
Building to tank tFGtq ro
Tank to Distribution Box
Distribution Box f Field/Pit �+
Opening Sealed Y N/Partial
Location/Separations
Foundation to tank
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan ✓Y_N ��' /)
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
_System Use Status:
proved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:'4SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
1-�
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Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: ( 3 U C)
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: I '� �5 el/ : PERMIT#: �S -C)
LOCATION: 'Z,b \a)r,(� `� N fJNSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings %
Piers -
Monolithic Slab v�
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
Foundatio ampproofmg
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
f
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\Inspecction Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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: G PERMIT#: 6
LOCATION: - INSPECT ON:
TYPE OF STRUCTURE: =2n (�
Comments
Y N N/A
otings 1 -3
Piers
Of
Monolithic Slab
Reinforcement in Place V
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
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump h
Footing Drain Stone:
12 inch width L ��
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 Rep6rt.doc
Last printed 12/20/2005 9:24:00 AM
I
!?'-`'ter►
Town of Queensbury Fire Marshal
742 Bey Road
Queensbury,NY 12804
761-8205!761-8206
fax 7454437
Factory Built Gas Fireplace/Stove Inspection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed
Permit#, ��� Schedule Inspection Time _ am pm anytime Inspector
L 2-C�. o Rough In Final l�
Name ���G ( Aiiress �L IC*�_pl—
� -
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)
White—BuUdin;Dept. Yene c. r Pink—Fire Marshal
� = �So
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 IECC
REScheck So$ware Version 3.6 Release 2
Data filename: Untitled.rck
PROJECT TITLE: TOM AND AMY McDERMOTT
CITY: Glens Falls
STATE:New York DEC 9. Q 2005
HDD: 7635
CONSTRUCTION TYPE: Single Family TO'pN.OF �;liL�tivSGURY
WINDOW/WALL RATIO: 0.10 F3UILDit�G AIID_��
DATE: 12/19/05
DATE OF PLANS: 10/13/05
PROJECT DESCRIPTION:
FARMHOUSE
DESIGNER/CONTRACTOR:
TERRE MAJESTIC, INC.
COMPLIANCE: Passes
Maximum UA=463
Your Home UA= 348
24.8%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont, or Door
Perimeter R-Value R-Value U-Factor IAA
Ceiling 1: Flat Ceiling or Scissor Truss 1134 30.0 0.0 40
Wall 1: Wood Frame, 16" o.c. 2488 19.0 0.0 132
Window 1: Vinyl Frame:Double Pane with Low-E 168 0.340 57
Door 1: Glass 80 0.340 27
Door 2: Solid 41 0.100 4
Basement Wall 1: Solid Concrete or Masonry 1154 11.0 0.0 73
Wall height: 7.6'
Depth below grade: 6.8'
Insulation depth: 7.6'
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 312 19.0 0.0 15
Furnace 1: Forced Hot Air, 90 AFUE
Air Conditioner 1: Electric Central Air, 10 SEER
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been designed to
' 1
meet the 2000 IECC requirements in REScheck Version 3.6 Release 2 (formerly MECcheck) and to comply with the
mandatory requirements listed in the REScheck Inspection Checklist.
-BuiWer/Designer / L4 J-Z/ Date
REScheck Inspection Checklist
2000 IECC
REScheck Soffware Version 3.6 Release 2
DATE: 12/19/05
PROJECT TITLE: TOM AND AMY McDERMOTT
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
Above-Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
Basement Walls:
[ ] 1. Basement Wall 1: Solid Concrete or Masonry, 7.6' ht/6.8'bg/7.6' insul,
R-11.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1: Vinyl 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:
[ ] 1. Door 1: Glass, U-bctor 0.340
Comments:
[ ] 2. Door 2: Solid, U-factor. 0.100
Comments:
Floors:
[ ] 1. Floor 1: All-Wood Joist/Truss:OverUnconditioned Space, R-19.0 cavity insulation
Comments:
Heating and Cooling Equipment:
[ ] 1. Furnace 1: Forced Hot Air, 90 AFUE or higher .
Make and Model Number
[ ] 2. Air Conditioner 1: Electric Central Air, 10 SEER or higher
Make and Model Number
Air Leakage:
[ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated, or 2)installed inside an appropriate air-tight assembly
with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors.
Materials Identification:
[ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values, glazing U factors, and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Dud Insulation:
( ] Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-8.0.
Dud Construction:
[ ] I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives),
mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 181B.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in. w.g. (500 Pa).
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Thermostats are required for each separate HVAC system. A manual or automatic means to
partially restrict or shut offthe heating and/or cooling input to each zone or floor shall be provided.
Service Water Heating:
[ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of circulating system.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/offheater switch and require a cover unless over 20%
ofthe heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55 T must be insulated to the
levels in Table 2.
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) U42 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 Ty= Range F 2" Runouts 1" and Less 1.25"to 2" 2,511 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)