2004-015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building & Codes (518) 761-8256
CERTIFICAT E
Perrrut:Number _:,P20040015 Date Issuedc Thu_rsday,=August 26, 2004
This is-to_certi that.work re uesfed.to_be done as shown b. .Permit Number
fy q_
y. _.__ P20040015
has been completed. -^ -
Tax Map Number: 523400-296-008-0001--031-002-0000
Location: 9 MAYFIELD Ct
N 14,ELS 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 Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community.Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040015 Application Number: A20040015
Tax Map No: 523400-296-008=0001-031-002-0000
Permission is hereby granted to: MTCHAFT,S CTROTTP TJ,C THF,
For property located at: 9 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
MALTA, NY 12020-0000 Garage-2 Cars Attached
Townhouse $201,875.00
Total Value $201,875.00
Contractor or Builder's Name /Address Electrical Inspection Agency
MICHAELS GROUP
ST JITE 1
10 BLACKSMITH Dr
MALTA. NY 12020
Plans&Specifications
2003-015 LOT 45 HSE#9 MAYFIELD COURT
1584 SQ FT TOWNHOUSE WITH 2-CAR ATTACHED GARAGE
$263.76 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 Town eensb Tye d , January 20, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
i
I
Cheek Residential Plan Review: One&Two Family Dwellings
YIN/N/A
Full sets of plans
Over 1,500 sq. ft.—Stamped
Design Loads On Plans: 90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations:
Window Schedule With Glass Size
vl Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
/ Above/Below grade,5.7 sq.ft.
v Grade,5.0 sq.ft.
24 (h)x 20"(w)min.
"Max.Height.above floor
esidential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofing/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10' Exterior Grade
aming Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where
e uired
e and Snow shield 24"Inside Exterior Wall'/24"Inside Knee Walls
P tforms At Exterior Doors
Stairway Headroom 6' 8' All Stairs 36"Width
Stair Run and Rise
t
Winder Run and Rise ;
piral Not Allowed From 2n Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
all 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.
Safety Glazing Notes For Required Areas ,
Garage Fire Separation
arage Floor Sloped
ttic Access
oof 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
Building Permit Application
Town of Qucensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No. C7 L _ I
No inspection will be made until applicant has received a lice Paid $ �
VAIN building permit. All applicants' spaces on this Rec. Fcc Paid $
application must be completed and must appear on the Reviewed By: , lie
application form.
Applicant:TIAE VIA" Owner: P C Address: `Q g �i '�ry Address: ��E
Phone# (155e)&IL- f,gS i l Phone# ( ) - t` 2004
TOWN OF QUEENSBURY
BUILDING AND CODE
Property Location: Lot Number: 45_/ House Number 9
Subdivision Name: WP,,g Tax Map Number: .
New Building: residence /commercial Estimated Market Value of Construction: $_ 2_01 1 `a-7 5
❑ Addition: residence/ commercial If an Addition, what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/coni'I
❑ Other work(describe )
Check OCeupaneyillforination 1"Floor- 2"` Floor Other Iloor 'Total
Below sq. fit. sq. ft• sq. fit. Square Feet
❑ Single family dwelling
❑ Two family dwelling
jK: Townhouse 1 5164 15 e 4-
❑ dDL
Multifamily dwellingl
#01 units
❑ Office
❑ Mercantile
❑ ManufaCtUrill
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
J4 2 car attached garage ¢Zp 42.0
❑ 3 cat-attached garage
❑ Storage building- —
commercial
❑ Storage building-
residential
❑ Other
Will any second-hand or ungraded lumber be used? If so, for.what?
��_D
Type of Heating Sysletn: electric/ oil / gas wood /forced hot air/ baseboard/other:
Number oi'PirelVaces to be installed 1 Number of)[Voorlstones to be installed N. �
List below the person(s)responsible for supervision of work as regards to building codes:
Name _ Address Phone Number
IGIC�I �� . Q—
Plunlbcr _ ,kc�I�`�I�ihc� lam_ t�_
Mason
�-Zt-
Electrician �.i►C �C � � . Ca�-L—Z
Dcclaratioii: please sign below after you have carefully Wild the statement•
To the 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 the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
wily, whether spcciried or noted,and thatsuch work is authorised 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 its Btrilt Serve)by a licensed surveyor;drawn to scale,showing actual
location of all iicw construction.
Signature:— � owner,owner's agent,architect,contractor
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 t 1 120 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 requiretnents 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)
Name: Stove: wood coal pellet gas
Filrep�ce, iased--,
Address: l ' ;fitt i4`fit► l-t i a`r �i,�el�.lace. factory-b wood '
MAI s' -1 ',.I y 1 Z G)Z D Fireplace,.masonry: wood gas
Furnace: wood gas oil
Phone: E�'J c'l y C 1
If non-masonary applicance, please provide"
Owner: Manufacturer Name:
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue tile Cteel size: inches
Exact Address:
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction IInstallation must
con orin to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code..Consult available Town of Queensbury
Handouts regarding required inspections. Double ivall / Triple wall Insulated / Direct vertri ;t
Chimney Liner
IC�s.�ifer'�®r.Depaz�mex�t—2'o�r�:of Qzzee�terbury, ATe�Yoram:
Fire Marshal Code# $Collected S Refunded Receivedfi•on: (refunded to): .'
address: -----
A 173 3389 (190) Public Safety /
A 233 2655 (230)Minor Sltles _
DATE;
If Yi�r�a�N2o- 701V . 6"oa. !�"r .�
White(Applicant) / Green(Fire Marshal) - / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.)
Aug.26. 2004 2:26PM QBY WATER TEWATER No. 6611 P . 4/4
Ac,G v av V3
T p 2004
Town of Queensb cc{� rtment of Wastewater
o�po R�
Sanitary Sewer Conn i spection Sheet
Permit #
Date �'a•�.
Name
Address
Contractor
YES NO
Trench 644 Back Water Valve
Depth Y�`— U-Trap
Outside Cleanout� 3 Vented
Septic Tank Pumped Sump Pump
IN SERVICE
Comments; /I' s'
Inspected By: tv
SKETCH
V� �D M"
3�
S
Queensbury Building & Code Enforcement - Residential Final Inspec •on
(P;�00
Office No. (518)761-8256 Arrive: am/p Depart: y am/pitiL�
Date Inspection request received: — Inspector's Initials:
NAME: �Ci� v 1 PERMIT#:
LOCATION: DATE: _
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 ''/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 lzin /Window in stairwells safety glazing
Interior Smoke Detectors: /
Every level: / Every Bedroom: J
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"a cess, 1 s . ft.-150 s . ft. vents
Building No./Addy s vi ib fr m roa
Final Electrical A!
Site Plan /Varianc ehjirdd
Final Survey Plot Plan p
As Built Septic System/Sewer Dept. Inspection Sticker I ebV,
Flood Plain Certification,if required
Okay to issue C/C or C 10 Temporary/Permanent
L:1PamW\BuildinQ&Codes\Insvection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
TOWN OF QUEENSBURY
BUILDING '&: CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY • NY 12804
(516)745=4447
ARRIVE: DEPART: INSP: UJ
FINAL INSPECTION REPORT
COMMERCIAL ------ MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION REQUEST RECEIV
NAME
LOCATION //'y/CC
DATE PERMIT A (/ `( —D/-S
TYPE OF STRUCTURE
FOOTINGS _BACKFILL_ FRAMING_ PLUMBING_
INSULATION
NIA YES NO
CHIMNEY "B" VENT HEIGHT
PLUMBING VENT FIXTURES
ROOFING
EXTERIOR FINISH
HEATING HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS RAILINGS
STOCKROOM ENCLOSURE
FIRE DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN VARIANCE REQ.
SURVEY PLOT PLAN IF RE
OK TO ISSUE C/O OR C C
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804 r
761-8205/761-8206 1 0C)
fax 745-4437
n
Factory Built Gas Replace/Stove Inspection Retort
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.
1Permnit# _01 S Schedule lnspeetion---2—,f1'S Time Q.aria pm aiaytime, Inspector
���/
Naive � - Address_ Rough In__F`inalL.
Appliance Manufacturer.---- Model#
Direct Vent Factory wilt Chimney flue Size Double Wall Triple Fall 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 my combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if ally)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
Nubile BtaihaingiDepi, — - Yeilor� fast er Pink—Fire Marshal
MAP REFERENCE: i
WAVERLY PLACE SUBDIVISION
DATED AUGUST 24, 2000 j
LAST REVISED JANUARY 19. 2001
BY VAN DUSEN do STEVES
LAND SURVEYORS, LLC i
1 !r 1 YAGN8TjC
I I
t
�' 44
S�
\ C
6�
UTILITIES z \,
45
I 10,455 sq.ft. f co
cn6a cc, 0.24 acres r
o
47 46CO
w 9
T 3kro
7"
S11
i
I
1
MEADOWBROOK ROAD ;6-1 q OA y
C))5
5W35 ,
lAW, a
a Du Date: AUGUST 24, 2004
DNADn,D�ZEO ALTERATION OR ADDITION To A SURVEY Scale 1"=30'
MAP BEARING A LICENSED LAND SURVEYORS SEA&IS A Map of a Survey made for
VIOLATION OF SECTION nos,SUB-aNSION z OF THE
NEW TORN STATE EOUCAIION LAw.-
oear Corts FROM"0"rMAL or Mrs-0VRVff
St e v e s 'C�BE SCONSIDEREDINDICATE TO BE VALID TRUE CORES'
���NS PhD"��S` THAT Sarah A. Skinner
THIS sLAtvEY WAS PREPARED NT ACCORDANCE wTM THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
Land Surveyors LABY DS NEW YOWOM STATE ASSOCIATIORTMATION S1 PROFESSIONAL
LAND SURVEYORS R CERTif'E SURVEY
SHALL RUN 0l,A SHEET TO 771E PERSON FOR MHOM THE 518lVEY 5 PREPARED,AND
ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL
169 Haviland Road Queensbury, New York 12804 AGENCY AM LENDING INSTITUTION LISTED HEREON'AND Town of Queensbury, Warren County, New York
TO MC A55.'GWCS Or me IeNOwO IA'STRUrON
SKINNER
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. No. 99312-45
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: _ (Ar 5�
Queensbury Building&Code Enforcement Arrive: am/p D art: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: �i\ry TG PERMIT #: O �-� '0 S
LOCATION: 'C\ ` : i INSPECT ON: - - a 0-0
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
0o er, CPVC,Pex One and Two-Family
nsulation/Residential Check/Commercial Check P
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:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Rough Plumbing / Insulation. Inspection Report 11 �
Office No. (518) 761-8256 Date Inspection request received: /
Queensbury Building&Code Enforcement : Arrive: am/p apart: 1 1.` am/pm.
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
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 A 98.
,. U(/
connection for 15 minutes
Cleanout every 100 feet/chan a of direction
W ter Supply Piping
C ooper Commercial
Coo 'er,CPVC,Pex One and Two-Family
Insulation-/=Residential Check/Commercial Check
Pro er Vent,Attic Vent ,q- (,D"rA)C
Duct/Hot Water Piping Insulation yQS�
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
"Tyz'�
L:\SueHemingway\Building.C6des.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: / I
Queensbury Building&Code Enforcement Arrive: am/ p�e�art: m/pm
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials:? 2'� z"/
NAME: PERMIT#:
LOCATION: ��c_h �z_. INSPECT ON: !aJ v
TYPE OF STRUCTURE:
Y N 'N/A COMMENTS
Framing S`�prpP l V
Jacktuds/Headers
racing/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 hole
Firestopping 1615-7
Penetration sealed lll�i�
16 inch insulation in cavity min.
Garage Fire Separation
House side11/2 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.FORTvIS\Framing Firestopping Inspection Report.doc January 28,2003
Framing /Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: a pm epart: pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: C,G(.q��5 �Q� PERMIT#: a l
LOCATION: A`t riC e-C2 67 INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N, N/A COMMENTS
_
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1,2, 3 hour
Fire wall 2, 3,4 hour
irestopping
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
LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report L(
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm epart: am/pm
il r
742 Bay Road, ueensbury, NY 12804 Inspector's Initials:
l
NAME: PERMIT#: f�
LOCATION: INSPECT ON: -
TYPE OF TRUCTURE:
Y N N/A COMMENTS
Fr ming -
ack Studs/Headers
Bracing/Bridging mod. �[(1
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 s shield 24 inches from wall
Fire se ration 1, 2, 3 hour
Fire all 2, 3, 4 hour
'restopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side t/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
LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pn Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: f CSL PERMIT #:
LOCATION: �' INSPECT ON: `7 -
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron, Cop er Drain/Vent/ Comm.
Plu mg 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:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Deport
Request Q V 1S SCHEDULE
Received: Permit# INSPECTION ON:
Name: la. G)aL,_,+U - AM PM ANYTIME
Location: 0) QA -
_ _ PPROVED
_ N/A YES NO — COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-_NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM _
FIRE SUPPRESSION SYSTEM_ -_-
HOOD INSTALLATION -
INTERIOR FINISHES _
STORAGE
COMPRESSED
CLEARANCE TO SPRINKLERS �-
CLEARANCE TO HEATING
UNITS _
CLEARANCE TO ELECTRICAL_
REQUIRED SIGNAGE
MERGENCY PLAN
MAXIMUM OCCUPANCY/SIGN p
CHIMNEY — --DfUe� '�&N I
MASONRY ROUGHiN V
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL _
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE -t --�---
, MASONRY ROUGH IN OK THIS DA E OK FOR OO NOT OK
- --- FINAL —
FIREPLACE
FACTORY BUILT ✓✓ROUGH IN
------------�— INSPECTED BY
FINAL
COMUEV/C HRISJMORD/LETTERS2001/FIREMARSHALINS PECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Rough Plumbing / Insulation Inspection Report c�
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm De a C a�m �
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: ` PERMIT #: f(�
LOCATION: INSPECT ON: - -
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast IrWCopper Drain/Vent/Comm.
Plupffmg Vent/Vents in Place
ou k,Plumbin /Nail Plates
1 % inch min.Drain Size
W shing Machine Drain 2 inch min.
ead or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cjeanout 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:
L:\SueHemingway\Building.Codes.Inspection.FQRMS\Rough Plumbing Insulation Report.doc November 17,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials-.l- �
NAME: v PERMIT#: C�
LOCATION: INSPECT ON: -' - �
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
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
Bacicfill Approval
mbing Under Slab
PV /Cast/Copper G�
o dation Insulation Interior/Exterior
R
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
1
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/prp Depart: _ �Sam/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ��
i
NAME: � � PERMIT#: 06
0
LOCATION: i INSPECT ON:
TYPE OF STRUCTU : ;
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofmg/Watelpro fang
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
_6 inches above footing
mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PV /Cast/Copper
oundatio Insulation Inte 'or/Exterior
R- N14lL
Rough Grade 6 inch drop within 10 ft.
L:�,SueHemingway\Bui]ding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ m Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: �\ \,\10,A) CPERMIT#: n O —U l-5
LOCATION: (' INSPECT ON: —
TYPE OF STRU URE:
Framing Y N N/A COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anc or Bolts 6 ft. or less on center
ce 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
LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: ,
Queensbury Building&Code Enforcement Arrive: am/p Depart: m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: —l.5 PERMIT#:
LOCATION:AQY INSPECT ON: S— 17-11 O
TYPE OF STAUt URE:
qComments
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 40 j,j.
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
P C/Cast/Copper
Foundationlnsulation tenor Exterior
R- �J
Rough Grade 6 inch drop within 10 ft.
LASuellemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request eceived:
Queensbury Building&Code Enforcement Arrive: am/pm D art: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: M 1 \ PERMIT#: V
LOCATION: �r INSPECT ON:
TYPE OF STR CTURE:
Comments
Y N N/A
ootings � ,
Piers
Monolithic Slab
Reinforcement in Place 2
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection requ st A received:
Queensbury Building&Code Enforcement Arrive: a d We'Depart: J pm
742 Bay Rd., Que.ensbury,NY 12804 Inspector's Initials.
NAME: , \� U ( PERMIT#: 0 r ��
LOCATION: Msc f INSPECT ON:
TYPE OF STRUCT
Comments
Y IN N/A
ootings
Piers
Monolithic Slab
Reinforcement in Place Z
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
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.
LASueHenningway\Building.Codes.InspectionTORMSToundation Inspection Report.doe January 28,2003
1
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release lc REC � �®
Data filename:F:\SHARE\Design\Energy Calc\WAVERLY PLACE\9 Mayfield Court.cck
TITLE:WP 321 Sage aipKl 1 52p04
COUNTY:Warren TOWN O1F AND CBU Y
STATE:New York BUILD
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE: 01/05/04
DATE OF PLANS:January 5,2004
PROJECT INFORMATION:
9 Mayfield Court
Waverly Place _
Queensbury,N.Y.
COMPANY INFORMATION: •,' , �
The Michaels Group
10 Blacksmith Dr. . f f.
Malta,NY 12020 a
NOTES: %PC, 0
Slab on Grade Condition N.
Silverline 2900 windows
COMPLIANCE:Passes
Maximum UA=473
Your Home UA=403
14.8%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
lst fl walls:Wood Frame, 16"o.c. 1938 19.0 0.0 98
2x opt.Mbr(K):Vinyl Frame,Double Pane with Low-E 21 0.400 8
lx opt.Mbr(L):Vinyl Frame,Double Pane with Low-E 30 0.400 12
2x Kitchen(K):Vinyl Frame,Double Pane with Low-E 21 0.400 8
Kitchen door-#7: Glass 40 0.350 14
Ix Dining(A): Vinyl Frame,Double Pane with Low-E 34 0.400 14
2x Family (D): Vinyl Frame,Double Pane with Low-E 27 0.400 11
2x opt Family(X): Vinyl Frame,Double Pane with Low-E 10 0.400 4
Ix opt.Family(F):Vinyl Frame,Double Pane with Low-E 6 0.400 2
Ix Study(L):Vinyl Frame,Double Pane with Low-E 30 0.400 12
Ix Bath (R): Vinyl Frame,Double Pane with Low-E 6 0.400 2
4 Ix opt.Bed#2(P): Vinyl Frame,Double Pane with Low-E 17 0.400 7
2x opt.Bed#2(K):Vinyl Frame,Double Pane with Low-E 20 0.400 8
Entry door-#IA: Glass 29 0.350 10
Garage door-#20:Solid 19 0.240 5
opt.Bed#2 bay walls:Wood Frame, 16"o.c. 15 19.0 0.0 1
opt.Mbr.bay wall:Wood Frame, 16" o.c. 15 19.0 0.0 1
Floor 1:Slab-On-Grade:Unheated 180 6.0 131
Insulation depth:4.0'
opt.Bed#2 bay ceiling:Raised or Energy Truss 17 30.0 0.0 1
opt.Mbr.bay ceiling:Raised or Energy Truss 20 30.0 0.0 1
Ceiling 1:Raised or Energy Truss 1663 30.0 0.0 53
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 Energy Cons vation Construction Code requirements. When a Registered Design Professional has stamped and
signed this page,they are at est ng that e best of his/her knowledge,belief,and professional judgment,such plans or
specifications are in compli n e wit is ode.
Builder/Designer Date 0--
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release 1c
DATE: 01/05/04
TITLE:WP 321 Sage
Bldg.
Dept.
Use
Ceilings:
[ ] 1. opt.Bed#2 bay ceiling:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
[ ] 2. opt.Mbr.bay ceiling:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
[ ] 3. 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:
[ ] 2. opt.Bed#2 bay walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] 3. opt.Mbr.bay wall:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Windows:
[ ] 1. 2x opt.Mbr(K): 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 opt.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. 2x Kitchen(K):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 Dining(A):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. 2x 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:
[ ] 6. 2x opt Family(X): 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:
[ ] 7. Ix opt.Family(F): 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:
[ ] 8. lx Study(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:
[ ] 9. lx Bath(R):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:
[ ] 10. lx opt.Bed#2(P):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:
[ ] 11. 2x opt.Bed#2(K): 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. Kitchen door-#7: Glass,U-factor: 0.350
Comments:
[ ] 2. Entry door-#lA: Glass,U-factor: 0.350
Comments:
[ ] 3. Garage door-#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 °F must be insulated to the
levels in Table 2.
i
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types 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)