2004-014 TOWN OF QUEENSBURY, FILE
>>
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20040014 Date Issued:` Thursday, October 07, 2004
This is to certify that work requested to be done as shown by Permit Number P20040014
has been completed.
Tax Map Number: 523400-296-008-0001-031-001-0000
Location: 11 HAYFIELD Ct
Owner: MICHAELS GROUP LLC THE
Applicant: MICHAELS GROUP LLC THE
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Townhouse
Director of Building&Code Enfo •ement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040014 Application Number: A20040014
Tax Map No: 523400-296-008-0001-03 1-00 1-0000
Permission is hereby granted to: MIC'HART,S CTRnI TP TJ,C; THF,
For property located at: 11 MAYFIELD Ct
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: MICHAELS GROUP LLC THE
10 BLACKSMITH Dr Fireplace
Garage-.2 Cars Attached
MALTA, NY 12020-0000 Townhouse $186,610.00
Total Value $186,610.00
Contractor or Builder's Name/Address Electrical Inspection Agency
MICHAELS GROUP
SUITE 1
10 BLACKSMITH Dr
MALTA_ NY 12020
Plans&Specifications
2004-014 LOT 46 HSE#11 MAYFIELD COURT
1319 SQ FT TOWNHOUSE WITH 2-CAR ATTACHED GARAGE
$224.96 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, January 20, 2005
(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 Tewn of een ®r a January 20, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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:
Win w Schedule With Glass Size
E
oor Schedule/Main Entrance 36"Door
E. ergency Escape Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq.ft.
Grade,5.0 sq.ft.
2 '(h)x 20"(w)min.
44"Max.Height above floor
esidential Check Paperwork Compliance and Inspectors Checklist: OK
ampproofing/Waterproofing Materials On Plans
oundation Drainage On Plans,if required
6" op in 10'Exterior Grade
raming Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
e uired
I e and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
atforms At Exterior Doors
Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise ,
piral Not Allowed From 2nd Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance.
all 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
Ga age Floor Sloped
ttic 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
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 1 t= , 20 C fir- Permit No.
Application is hereby made to the Building& Codes Office fiw;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 peifbrnn required inspections.
NOTE to applicant; Rough-in and Final Inspections are required..
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: _rrjt� A t ,sA. .t,. 1� =tal Stove: wood coal pellet gas
Fireplace insert
ri e lace factor build wood �as`'
Address: �� lw,f-�,� t��,t=-�t�i'a �'="m�.e� ��.aa Y.�..- �g�
�t �,t � 1 �� Fireplace,anasonry: wood gas
Furnace: wood gas oil
Phone: "i s-`9 -t,P I l
If non-masonary applicance, please provide
Owner: S_'ai�-,r-ttm. Manufacturer Name:
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue file steed size: inches
Exact Address: { 0 A,`t lr"I e L T_�, C F.
of construction or installation Factory-Built
Manufacturer name: -
Model Number:
Note: Listed By: Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts,regarding required inspections. Double wall / Triple wall / Insulated / Direct ventu�
Chimney Liner
I Oasl�iier'�er Departmez:t—2'osarrn of Queen�erbzzry, N�s�-Y''orli:
Fire Marshal Code# S Collected 8 Refunded Received fi-onz (refunded to)f_`"i_J %,'..'
--- „-_
A 173.3389 (190) Public Safety
A 233 2655 (230)Minor Sctles _!
DATE
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.)
Building Permit .Application
"Down of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury, NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No.
No inspection will be made until applicant has received a FCC Paid
valid building pernlif. All applicants' spaces on this Ree. Fee Paid $
application must be completed and must appeal'On the Reviewed By:
application form.
A#R�PEU ir-M
LJ
Applicant:` L11Ce I& (��' — Owner: C`(1� IQnI 5 ZQ04
Address: Ip g �rnit�n '�YZA�y Address:
r QUEENSBURY
Phone# (15ka) Phone#(_) - U CODE
Property Location: Lot Number: 4-(D_/ House Number 11 / M t YFIELt> CouZ:T-
Subdivision Nanlc: W p,,gaKL�-
.e Pt_NLE Tax Map Number:
XNew Building: residence (commercial Estimated Market Value of Construction: $ 1 `at.P 610
❑ Addition: residence/ commercial If an Addition, what will use of new addition be?
Li Alteration: residence/ commercial
❑ No change to exterior size: residence/coni'I
❑ Other work(describe )
Check Occupaneylnformation t" Floor: 2 ' Floor Other floor 'Total
Below sq. R. sq. ft. Sq. ft. Square Feet
❑ Single family dwelling
❑ Two family dwelling
$4 Townhouse 13 19 13 t Q
❑ MultifamilY b dwellin 1
#of units
❑ Office
❑ (Mercantile
❑ Manufacturin
❑ I car detached garage
❑ 2 car rletachecf garage ff\\
❑ 3 car detached garage 3V
❑ 1 car attached garage
9 2 car attached garage 403 4o3
❑ 3 car attached garage
❑ Storage building-
commercial _
❑ Storage building-
residential
❑ Other
Will any second-hand or ungraded lumber be used? If so, for what? RJN ,
Type of bleating System: electric/ oil / gas wood /forced hot air/ baseboard/other:
Number of Pre»laces to be installed I Number of lVoodsioyes to be installed =
List below the person(s) responsible for supervision of work as regards to building codes:
Narne Address Phone Number
Plumber Ga �_�I�mbi�c� lam.G�\ \I 5� r �
Mason_
Electrician
Declaralioq: please sign below after you have carefully read the statement:
To tiie best of my knowledge the statements contained in this 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•thc Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be coniplied
with, whether specified or noted, and (hal 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
Adminis(rator or Director of Building and Codes,an its BnrN Svrnet'by a licensed surveyor;drawn to scale,showing actual
location of all new sh•uction.
Signature: — -- owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: P am/pm . Depart: am/pm
Date Inspection request received: Inspector's Initials: �J
NAME: r PERMIT#:
LOCATION: DATE: —
TYPE OF STRUCTURE: /
Comments
Y N N/A � " �
Chimney Ht./"B"Vent/Direct Vent Location tl 01
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" '`
Roof Complete/Exterior Finish Complete
Guard 30 in.or more ��stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or moreC� 0
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in. �� 1
Platform at all exterior doors \ I 1
Interior Handrails stairs 2 or more risers 1
Enclosed Stairs Sheetrock Underside minimum %Z"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
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: i / Batter 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 grRde
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/1/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl S aces 18"x 24"access, 1 s . ft.-150 s . ft.vents Al
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/O Temporar / ermanent
L:\PamW\Building&Codes\Insvection FormslRes.Final Insp. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm epart: am/pm
Date Inspection request received: Inspector's Initials:
NAME: l PERMIT#:
LOCATION: DATE: (j-- 7 :4 2
TYPE OF STRUCTURE: l
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 @ 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 %z"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
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 stoppin finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s .ft. vents
Building No./Address visible from road
Final Electri .
Site n /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/O Temporary/Permanent
L:\PamW\Building&CodesUnspection Forms\Res, Final Insn. form 2.docLast printed 2/12/04
x
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 4-,--,—,-
Queensbury Building&Code Enforcement Arrive: am/pn D partO , `5,'7am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
LLL
NAME:-- S\h PE T •�RMI #. )
LOCATION: INSPECT
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/change of direction
Water Supply Piping
Co er Commercial
oo er, CPVC,Pex One and Two-Famil
Insulation/Residential Cheek/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air S!!pply for Furnace
Duct work sealed properly/No duct toe j
I
COMMENTS:
LASueHemingway\l3uilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
o �
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: a
Queensbury Building& Code Enforcement Arrive: am/pm r De pa am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: J
NAME: �� PERMIT #: "J
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y IN N/A
PVC: R-1,R-29 R-3,R4 Drain/Ventss Iq
Cast Iron, Copper Drain/Vent/ Comm.
Plumbin Vent/Vents in Place L`�� V 3
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/change of direction
Water Supply Piping
Cooper Commercial
Cgoper,CPVC,Pex One and Two-FapLH �/
su cklation/Residential Check/Commercial Che 7 uC-Cb �A"'5
Proper Vent, Attic VentSHE
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
1 0 l 5'h,►. 12��.
OMMENTS.
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Framing / Firestopping Inspection Report ) 0
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/ part: pm
il /U
742 Bay Road, ueensbury, NY 12804 Inspector's Initials:
0 NAME: C�Nnt PERMIT#: A4
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
raming
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 /4/6/
FirestoppingPenetration 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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: g ®a4n.
Queensbury Building&Code Enforcement Arrive: am/ Depart: m/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials _
NAME: PERMIT#: �d
LOCATION: INSPECT'ON:
TYPE OF STRUCTURE: I
raming
Y lv N/A COMMENTS
—�_ -
Jack Studs/Headers 1A.)%A PA, 1A
Bracing%Bridging ��4-n
Joist hangers Lv k
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or mote
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
I and snow shield 24 inches from wall Vs
Fire separation 1- 2'.3 hour
Fire wall 2, 3,4 hour
Firestopping p ^
Penetration sealed CAL/��+�'� Air (fk,,,V56_
16 inch insulation in cavity min.
Garage Fire Separation
House side 11/2 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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Town of Quleensbury Fire Marshal
742 Day Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
)Factory Buil Gas Fireplace/Stove InslRection Report
Notices New York State requires that all UL Listed,factory built appliances be iiistailed 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# A oC - Schedule Inspection d U Time ate pin anytime Inspector J
Name g
�(� Rou h bi]" Final_
Address
Appliance Manufac rer.— ��L Model# 34e 6P V lz rz az ZWz_1r_
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 alcove roof
penetration;2 feet alcove any combustible
construction within 10 feet
Gas Shia-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if I.,F)
White—Building Dept. _— v Fellow Cast er Pink—Fire Marshal
J J
Rough Plumbing / Insulation Inspection Report
0
Office No..(518) 761-8256 Date Inspection request received: 0 m1im,
Queensbury Building& Code Enforcement Arrive: am/pm. ep am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials-
NAME: PERMIT #: OO ' (�
LOCATION: INSPECT ON: 00
TYPE OF STRUC'T
Y 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 h 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/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:
LASueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Repoit.doc November 17,2003
l .r
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/p pp l cc-part O- am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: tl"
NAME: 3��O—G- PERMIT #:
LOCATION: SPELT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2, R-3,R4 Drain/Vents
Cast Ir , Copper Drain/Vent/ Comm.
Pl in Vent/Vents in Place
ou h Plumbin /Nail Plates
1 % inch min.. Drain Size
W shin Machine Drain 2 inch min.
,dead or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
ater 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:
LASueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Aug .26. 2004 4:47PM.,.. OF WATER WASTEWATER No.5617 P . 2
'own of Queensbury - Department of Wastewater
Sanitary Sewer Connection Inspection Sheet
Permit # Date
Name I kk0AWL1 S75
Address I J MAYF'Q LD CT.
Contractor
YES NO
Trench e C Back Water Valve
Depth U Trap
Outside Cleanout� Vented
Septic Tank Pumped Sump Pump
IN SERVICE
Comments: ,,, G
Inspected By;
4 l SKETCH
��.0;
f ry-)
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ m Depart: m am/p
742 Bay Road, Queensbury, NY 12804 Inspector's Initials
NAME: ,���� CC1� PERMIT#: C. l
LOCATION: INSPECT ON: {�
TYPE OF,STRUCTURE:
Y N N/A COMMENTS
4JrackStuds/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 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 %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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (51'8) 761-8256 Date Inspection requestt,received:
Queensbury Building&Code Enforcement Arrive: am/jfn� Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials. ��VUVJJJ��
%\, �.���r � -O)q
NAME. PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCT
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
e
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 in -width
6 ' ches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundatioula 'on Interi / ` e
R- G'
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doe. January 28,2003
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: l PERMIT#: o "( I
LOCATION: bL�o INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
i
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete. j
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
Bacl E . pproval,
r Under-Slab
PVC/ ast./Copper
Foun ation Insulation Interior/Exterior
Rough Grade 6 inch drop'within 10 ft.
L:\,SueHemingway\Building.Codes.Inspection.FORMS\Fo spection Reporkdoc January 28,2003
�P - y .Al
Aug , 26 . 2004 2:26PM QBY WATER WASTEWATER No. 5611 P . 2/4
Town of QueensburY - Department De of waste r
�
Sanity Sewer 'Connection n
Sanitary o inspection Sheet
Permit #_ Date
100z�o
Name
Address qrid, B N ofn1 CUU4 /
Contractordid e-J GqN SeU
YES/ NO
Trench Back water Valve V
Depth U-Trap
Outside Cleanout Vented
Septic Tank Pumped Sump Pump
IN SERVICE ✓'
Comments; M2& lnwec;6 d
Inspected By;
SKETCH `
l 6IV 1� Q,tu
Ne Iry 3 PAP vic e
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pmf Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 31
NAME: PERMIT#: d
LOCATION: INSPECT ON: S Gl
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
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofmg/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width 4�0
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
C/Cast/Copper
Foundation Insulatio Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003
�c)�.,
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ m Depart: -°&C-`am/pm
742 Bay.Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: 014 — O
LOCATION: ' INSPECT ON:
TYPE OF STRUCTURE:
Comments
�QP
Y N/A
Footings
Piers Cl
Monolithic Slab
Reinforcement in Place 2— )
The contractor is responsible for J
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 Dampproofmg/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.
LASucHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: ar�pj epa am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON: S-�� (�L(
TYPE OF STRUCT
Comments
Y IN N/A
otings
Piers
Monolithic Slab
Reinforcement in Place -25
The contractor is responsible fo�
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
b
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release lc
Data filename:F:\SHARE\Design\Energy Calc\WAVERLY PLACED I Mayfield.cck
TITLE:WP 320 Chickory
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE:01/05/04
DATE OF PLANS:January 5,2004
PROTECT INFORMATION: .
I Mayfield Court
Waverly Place
Queensbury,NY 12804
COMPANY INFORMATION:
The Michaels Grop
10 Blacksmith Dr.
Malta,NY 12020
NOTES:
Slab on Grade Condition
Silverline 2900 windows
COMPLIANCE:Passes
�.Or 4�
Maximum UA=341
v
Your Home UA=286
16.1%Better Than Code(UA)
Gross Glazing
Area or Ca ity Cont. or Door
Perimeter 1t-Value R-Value U-Factor UA
1st.Fl.Walls:Wood Frame,l6" o.c. 1457 19.0 0.0 75
Dining#7: Glass 40 0.350 14
2x opt.Family D: Vinyl Frame,Double Pane with Low-E 28 0.400 11
Ix Mbr(L): Vinyl Frame,Double Pane with Low-E 30 .0.400 12
lx Bed#2(L): Vinyl Frame,DoublePane with Low-E 30 0�400 12
ix Pwdr(N): Vinyl Frame,Double Pane with Low-E 6 0.400 2
Entry#IA: Solid 30 0.350 11
Brkfst#20: Solid 19 0.240 5
Ix Brkfst(L):Vinyl Frame,Doub.�-_Pane with Low-E 30 0.400 12
Floor 1: Slab-On-Grade:Unheated 122 6.0 89
Insulation depth:4.0'
e
opt.Brkfst box out ceiling:Raised or Energy Truss 18 30.0 0.0 1
Ceiling 1:Raised or Energy Truss 1301 30.0 0.0 42
Furnace 1:Forced Hot Air,92 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the
New York State Ener'realy Cons vation Construction Code requirements. When a Registered Design Professional has stamped and
signed this page,they est' g that to the best of his/her knowledge,belief,and professional judgment,such plans or
specifications are in compl ce with t is de.
Builder/Designer Date 5 0 4
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release lc
DATE:01/05/04
TITLE:WP 320 Chickory
Bldg.
Dept.
Use
Ceilings:
[ ] 1. opt.Brkfst box out ceiling:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
[ ] 2. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
Above-Grade Walls:
[ ] 1. 1st.Fl.Walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Windows:
[ ] 1. 2x opt.Family D: Vinyl Frame,Double Pane with Low-E,U-factor: 0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 2. Ix Mbr(L):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] 3. Ix Bed#2(L):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 4. Ix Pwdr(N):Vinyl Frame,Double Pane with Low-E,U-factor: 0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 5. Ix Brkfst(L):Vinyl Frame,Double Pane with Low-E,U-factor: 0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
Doors:
[ ] 1. Dining#7: Glass,U-factor: 0.350
Comments:
[ ] 2. Entry#lA: Solid,U-factor:0.350
Comments:
[ ] 3. Brkfst#20: Solid,U-factor:0.240
Comments:
Floors:
[ ] 1. Floor 1:Slab-On-Grade:Unheated,4.0' insulation depth,R-6.0 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.
Heating and Cooling Equipment:
[ ] 1. Furnace 1:Forced Hot Air,92 AFUE or higher
Make and Model Number
Air Leakage:
[ ] Joints,penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a
3"clearance from insulation.
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
[ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values, glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
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-2.
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. Duct tape is not permitted.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g. (500 Pa).
[ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] Air filters are required in the return air system.
[ ] 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 OF or chilled fluids below 55 OF 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) Up to I„ Up to 1.25" 1.5" to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(F) 2"Runouts 1" and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
MAP REFERENCE:
WAVERLY PLACE SUBDIVISION
DATED AUGUST 24, 2000
LAST REVISED JANUARY 19, 2001
BY VAN DUSEN do STEVES
LAND SURVEYORS. LLC
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44
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66.85' SAl°A�
S11026I10NW
1 HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THI5 CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR
MEADOWBROOK ROAD BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TOs RONALD A. + NANCY L. SHAW
TRU5TC0 BANK NATIONAL ASSOCIATION.
IT'S SUCCESSORS AND/OR A55IGNS
tl A CHICAGO TITLE INSURANCE COMPANY
o C.
NEwya y
. � 1
GN� CERTIFIED BYs__—_____�____
MATTHEW G. STEVES. LLS NY5 50135
DATEDs AUGUST 24. 2004
F
Du s, Date: AUGUSTZZ 24, 004
V UNAU7NORIZEO ALTERATION OR ADDITION TO A SURVEY
MAP Scale 1')=JL,
P BEARING A 1RANSED LAND SURVEYORS SEAL IS A Map of a Survey made for
VW1A710N OF SEC71ON 7209.SUB-DIVISION 2,OF THE
NEW YOW STATE EDUCATION LAW
*ONLY Corns FRDM The CNUGHAL or 11,115 9UAVV
P MARKED S vAON AN CONSIDERED
RE rn[ BE VAUD ORS AT _
S t v e s �'C S'�� SAD TO HEREON VALID TRUE COPIES'
SR,�A,WNS R�>ED INACCORDANCE�FY,ITM R o:n al+d A. & Nancy L. Shaw
THIS SURVEY WAS PREPARED O URV MRS THE EXISTDIC CODE a PRAOTICE FOR LAND SURVEYORS ADOPTED
Land Surveyors BY THE REw YRSR STATE AS90G"RD°I a PROFESSIONAL
(�1NT1 E PERSON
SAID OM THE A IonSURVEY
SMALL RUN ONLY
TO 1HE PERSON FOR E TIT 111E SURVEY IS PREPARED.AND SHEET� 1 OF 1
ON HIS BENM.F TO THE TITLE COWANY,OOVERNNENTAI
CW PC N[rNiiNG w IM5muraN
169 Haviland Road Queensbury, New York 12804 AGENCYAGENCY�°M:31GR[E9 a 1NSD117N LISTED HEREON.AMA5 Town of Queensbury, Warren County, New York
ro m
(518) 792--8474 New York Lie. No. 50135 N0. DATE DESCRIPTION DWG. NO. 99312-46