2002-807 TOWN OF QUEENSBURY
orio 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20020807 Date Issued: Friday, September 12, 2003
This is to certify that work requested to be done as shown by Permit Number P20020807
has been completed.
Tax Map Number: 523400-239-008-0001-007-000-0000
Location: 24 RUSSELL HARRIS Rd
Owner: JOHN & KATHLEEN WEBER
Applicant: JOHN & KATHLEEN WEBER
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF UEENSBURY
Residential Addition
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
41111%
Fli* 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020807 Application Number: A20020807
Tax Map No: 523400-239-008-0001-007-000-0000
Permission is hereby granted to: JOHN & KATHLEEN WEBER
For property located at: 24 RUSSELL HARRIS Rd
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: JOHN & KATHLEEN WEBER
5 JEROME Ln Fireplace
Residential Addition 50,000.00
SO. GLENS FALLS,NY 12803-00 Total value 50,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
TAYLOR, JOHN. CONSTRUCTION
HIJDSON FALLS.NY 12839-0000
Plans&Specifications
2002-807 * Moving septic system to a new location.
Construction of a 804 sq ft residential addition with one fireplace per plot plan and specifications.
$96.48 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 27,2003
(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 Tow ensbu Fri t y, eptember 27,2002
SIGNED BY 4 for the Town of Queensbury.
Director o f Building&C•de EnN rcement
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256 a _
A permit must be obtained before beginning construction. - Permit File No. Z&01 ,f .,
No inspection will be made until applicant has received a Fee Paid $ 4- �; ' '
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the - Reviewed By: 'c i'
application form.
Applicant: oL a GA1Z Owner: �l0!j ) it/ 1Ltew G,eheit
Address: : • 4-r, 5 Nre. opt LN. Address: ,Sh,eo"e LA/-
So 6/ems Falb N-jl 1 tO3 So G-leivs Falb N, 1 1O3
Phone#(air)993- airgir f Phone#(s/g)998 -S6S i
Email Address: Cap%TA(., 449 eAcleitd,4, Email Address: sir?
Property Location: Lot Number: / House Nu Number g9 / jeit$SC// 17,.iiv1 RA eh-444414
Subdivision Name: /If/,q Tax Map Number: // / — /9.r
O New Building: residence /commercial Estimated Market Value of Construction: $ S�Oao
74 Addition: idenc / commercial If an Addition,what '11 use of new addition be?
❑ Alteration: residence/ commercial XoO/YL
❑ No change to exterior size: residence/com'l
❑ Other work(describe )
Check Occupancylnformation 1"Floor 2°d Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling _ 6 /.,3c7$ . sr"'
o Two family dwelling D
o Townhouse
❑ Multifamily dwelling - \,)1,7-
#of units
o Office C1I
❑ Mercantile Yv
o Manufacturing L \::((.3)// 1
o 1 car detached garage
❑ 2 car detached garage
o 3 car detached garage e
❑ 1 car attached garage -
o 2 car attached garage
❑ 3 car attached garage .
❑ Storageilding-
co ercial
❑ Sto ge b ' ' g-
8?),(64re denti Ael-"eiS
Wh t is the proposed height of the structure - 7 Foill_IP )
% feet a finches
Will any second-ha ungraded lumber be used? If so,for what? /U
Type of Heating System: electric/ oil / 0/wood / orced hot air/ baseboard/other:
Number of Fireplaces to be installed / Number of Woodstoves to be installed 0
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder ' OPPPJ la:go R r".eud .l iquctsori £//yJN%' 7Vg' 9 2-98
Plumber #
Mason n
Electrician 0 -
•
Declaration: please sign below after you have carefully read 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
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 Occ pancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Direc f Bui g and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new ns c '
Signature: owner,owner's agent,architect,contractor
RIR- - r 2_cx)2,- g 07
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
Location of installation:
d' ( eL 1 t t2� c G
Tax Map No. 1/ / / / 69•f File Permit l o. '< = , fi;;i
�041 Web-el( �,..
Owner's Name: Fee Paid <.i
Address: .5. Ue-ied me z_N. So ../e i s 7.'/4 N. i°P-� .. _....._.......... ...........
2. INSTALLER'S NAME : S igei! ,6G ?!I PHONE NO. O/3c "\,)
y
3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroom(s) and multiply# of
bedrooms with applicable gallons per bedroom to equal total daily flow)
r
Year of House: No. of Bedrooms x Computation = Total Daily Flow \r )V
1980 or older x . 150 gal/bdrin = �. 0�1980- 1991 x 130 gal/bdrm = N
1991 -present 3 x 110 gal/bdrm = 0 I ,r
Garbage Grinder Installed yes/6 / no 'lU Spa or Whirlpool Installed yes Z / no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
• re Ground Water Bedrock or Imnervious Material Domestic Water Sgpnly
Fl s at what depth at what depth municipal
Rolling loam 30 feet ' : f feet well
Steep slope clay if well; water supply
_%slope other from any septic-system
depth: absorption is ft.
other LAhe.,
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: _ min e per inc
5. PROPOSED SYSTEM: For New C,onstrKtion: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub.
Septic Tank: iAS-0 gallon(min. size 1,000 gal.)
Tile Field: each trench 6Q ft. Total System Length: /80 ft,
Seepage Pit(s): number of /l size of each: ft by ft.
Size of Stone to be used: # .4 / depth or thickness a feet
Bed System Size: x
/
Alternative System: C F/reA roes length and/or size APO
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Q eensbury Sanitary Sewage Disposal Ordinance.
YY#. 4‘ta , /, -'-. 7 . -
ignature of responsible person Da
.' .c
' Iosvn of (Zucens1aury
Sewers and Sewage. Disposal Cho illel-
A1)I)t:lltlix C.
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. A f l.SUPrl'I()N I'll EI,I.)
- SE PA ItIPM.1.1IItENII.:N'I'S
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7. SIGNATURE &INFORMATION FOR RESEUNwIDLE rr,‘z../L. u„.,...,..,....,
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illik r----___
1;
TO OF QUEENSBURY
BUILDING A CQ)E ENFORCEMENT
742 Bay Road
Queensdury NY 12804
(518)761 rs
SEPTIC DISPOSAL SYSTEM INSPECTIgf
Name (E bilt
__ a U
Location � 4l
Date 'S1 p 91 Permit # (2C-..U'3IAV
111lit
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if appl'cable) Rate-Minute/IlCh
TYPE Or SYSTEM: —
ABSORPTION FIELD: Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: F ur-
cite - ft. x _ ft.
Stone
P1PIM6S'�e — S 7e e—
B;dg. to Tank
iTank to Dist. Box ^ •
Dist. Sc,. to Field/Pit Openings Sealed? Yes_ Par.ia
LOCATION/SEPARATIONS:
Foundation to Tank - feet
Foundatior, to Absoro ticn _ feet
Separation of Pits feet •
Conrurmg as per Plot Plan ----Yes No
LOCATION OF SYSTEM ON PROPERTY: •
;circle une) •
Front - Rear - Left Side - Right Side
( Middle Front - Middle Rear
COMMENTS: 0 "le-K -
3R,o 5,,,,:a. 5 .
� 4 u ) 7 ,,,,,,Ai.in ', A�. Caw.�4- r,
i,A1&,. 3c)1 •
SYSTEM USE APPROVED: YES ' ROI
Arrived: A r ✓
Departed: ,g '
I _ IOC,
I Building inspector
i
2002- tc)i
eirear•fti ENERGY CODE COMPLIANCE APPLICATION 4 ,
Fle...41 TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS '} ''
TOWN OF QUEENSBUR
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name dcii'.> n ,e, - '� < �.
o�
Location Z-t-( /2 C.W( (�I/'ri S /,2 j - •
Date /=' a`� U2-Permit # 2- L- —67 / ' W
SOIL TYPE: San -Lour-C1 ay- -, ~-
Os
Results of Percolation Test- l °I -
(if applicable) Rate-Minute/Inch dtv
TYPE OF SYSTEM: _ -
ABSORPTION FIELD: Total ength , 3 3
Length of each trench, 5 3
Depth of trench _!It .4
Size of stone OP
SEEPAGE PITS: Number-
Size - ft. x ft. c';
Stone size "`
',6?
PIPING: Z,
,
PP Bldg. toize Type
Tank ,e
Tank to 44g/<,j ,, .
Dist. Box to Field/Pts -` -
Openings Sealed? es - No Partial i t 1' �1 c
LOCATION/SEPARATIONS: ,� �
Foundation to Tank /C) feet t� i )
Foundation to Absorption 2_C) feet ='
Separation of Pits — feet ,- - g g- ;
Conforms as per Plot Plan Tii) NoLOCATION OF SYSTEM ON PROPER
(circle one) 3uic.j T N
Front - Rear - Left Si :Right Side z = ' -
Middle Fron - Middle ea > a, ,
COMMENTS: i eeA-► ;.rs /) - N
o
s4 j fit. " 4; N
—. s 4 I
m c 9 '
c,
•
f m c
SYSTEM USE APPROVED: i` YE NO R 1
Arrived:
Departed: 17771)
_kt---(:--
Building Inspector 111
jU l.... Q40t--+0
lc\ ti .1£-•9g S
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 , 20 Permit No.
t"Yd1
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 requir&i inspections.
NOTE to applicant: Rough-in and Final Inspections are required. i
Applicant Information Fuel Burning Appliance Information
,0/
(circle appr• e words) iff:, ,
Name: pl P, ",, coal p,ellet gas' 1 /
'replace insert '
Address: ,l -o/'b,,; dia0rt:
w,aP gas
�..,, 5 , c • woos gas
iliin c 3 Furnace: wood gas oil
.Phone: , 5,4 "- ee
If non-masonary applicance, please provide
Owner: Manufacturer Name:
Address: cLE„4/7" Model Number:
Chimney Information
Phone: (circle appropriate words)
) my block rick stone
g ,i . . z - ' t, ( Flue tile steel)
) size: i inches
Exact Address:)y 'of construction or 'n "Nation Factory-Built
,f
i r.. - , 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 Queenshury
Handouts regarding required inspections. Double wall / Triple wal / Insulated / Direct venting
Chimney Liner
Caner riier'as.Depnrtmexzt—T.ow. of Qizeem,srb « •,_Mew Y'ov.i
I .. .
Fire Matishal Code# $Collected $Refunded Received front (refill ey;� ' - , y` - ,-
1-- - -
) `-,,.+ address: -- --
A 173 3389 (190) Public Safety a '
A 233 2655 (230)Mis nSales t / , I/ W I „," (-
-7---, ,,.; 1,, , _,_,
, /
,. ,,, _ 7 . ee oi. D 7
White(Applicant) / Green(Fire Marshal) / Yelloa±(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.)
3-,3c -4-1
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: 'illarr am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME:
PERMIT#: -60
LOCATION: i4 R MQR,1 S v . DATE: 'L
TYPE OF STRUCTURE: 3
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
li
. 3 inch Plumb Vent through roof
Roof 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 A
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers 4
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off ex.osed/re. lator 18"above • ade
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 Valve(s)installed
4111
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight K.
Safety glazing 1111111�_
Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backu.:
Bathroom Fans,if no window IN
�
Carbon Monoxide detector
Plumbing fixtures
insula El
■
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly J
II
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 4"access, 1 sq. ft.-150 sq. ft.vents
Building No./Ad ss dte fro/Rot1111
Final Electrical • rj/(✓,
Site Plan /Vari re ired iii
Final stem
Survey Plot Plan ■■.
As Built Se'tic S s /Sewer De It. Ins.ection Sticker
Flood Plain Certification, if required
Okay to issue C/C(Cert. Of Compliance) Iii
Okay to issue Temporary C/0(Cert. Of Occu.anc )
Okay to issue Permanent C/0(Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
C
t Town of Queensbury
s Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518)745-4437
Fire Marshal's Inspection Report
Request Ajo
SCHEDULE
Received: Permit# o 7 INSPECTION ON: '12 7
Name: C`-,e363K
AM PM ANYTIME
Location:
APPROVED
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 GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINALCHIMNEY
�`�
FACTORY BUILT ROUGH IN cc(��2}�NC:-
FINAL
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY R GH IN K THIS DAT OK FOR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT LGHIN INSP CTED BY
FINAL
COMDEV/CHRISJ/WORD/LETTERS2001/FIREMARSHALINSPECTIONREPOR 11022001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
Town o#Queensbury
Fire Marshal's Office
O
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518)745-4437
Fire Marshal's Inspection Report
Request p SCHEDULE
Received: Permit# 04— 00 / INS ECTION ON: / Z 7 ,*
Name: -: elf` 6 ,6 PM ANYTIME
Location:
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING �' n
FIRE EXTINGUISHERS i
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING � pc�� �' QtiUNITSt`
CLEARANCE TO ELECTRICAL f s r +
REQUIRED SIGNAGE i-�
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
CHIMNEY FACTORY BUILT ROUGH IN
46/46614
FINAL -- 4)0
0 dcl /41Q R'�-'�
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FI EPLACE
SONRY ROUGH IN OK THIS DATE OK FOR CO OT OK
FINAL
FIREPLACE
FACTORY BUILT ' ROUGH IN INSPECTED BY
FINAL
COMDEV/CHRISJMIORD/LETTERS2001/FIREMARSHALINSPECTIONREPOR 11022001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
r
�, r ` Town of Queensbury
F Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# 4 607 INSPECT N 011 ,.. 1 { 6
Name: `j�-/ ( ( '') AM PM ANYTIME
n /
Location: IC S4i tS 'o ;1
APPROVED .f
—� N/A YES I NO COMMENTS `
EXITS ,e'
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM /
FIRE SPRINKLER SYSTEM (, 1 -���
FIRE SUPPRESSION SYSTEM Vg,00 1 p L 3t
HOOD INSTALLATION
INTERIOR FINISHES 4 STORAGE �4` I `7
COMPRESSED GAS i
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
CHIMNEYUI
FACTORY MAT VOUGH IN i _
( 1i‹-1 -.�� FINAL I .� ` l V LO L. 75a i -K`;
WOOD LA LZ I �"7%aSTOVE ROUGH IN ,
FINAL
VENTED GAS
APPLIANCE ROUGH IN ,
FINAL -
Th
FIREPLACE
MASONRY ROUGH IN THIS DATE OK FOR CO NOT OK
FINAL i (____ _.....,.._ - `
FIREPLACE ��.J p
FACTORY BUILT OUGH IN V INSPECTED BY
FINAL
COMDEV/CHRISJIWORD/LEUERS2001/FIREMARSHALINSPECTIONREPOR 11022001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
Framing / Firestopping Inspection Report
E
Office No. (518)761-8256 Date Inspection request received:/
Queensbury Building&Code Enforcement Arrive: a epart: c ' J am/pm P(Ak-.
742 Bay Road, Queensbury,NY 12804 Inspector's Initials.
NAME: C PERMIT#: C R ' 7
LOCATION: Ru e s kihegt5 120 • INSPECT ON: WI 03
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/M-•• Beams
Exterior sheet' g .iled properly
12"O.C.
Headroom 6 ft. 8 in. \:
Stairwells 36 i or mo
Headroom 6 ft. 8
Notches/Holes/ -aring ails
Metal Strapping for Notch:s Top Plate
1 %2(w) 16 gauge :) 16 9 nails each side
Draft stoppin 1,000 sI ft.floor trusses
Anchor Bolts 6 ft. r -ss on center
Ice and snow shield 24 • ches from wall
Fire separation 1,2,3 h 4 ur
ire wall 2, 3,4 hour
Firestopping
7
Penetration sealed
16 inch insulation in c=vity 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
•
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ art: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials.
NAME: PERMIT#: ��'3 0,
LOCATION: S Cr!-f_ �, w INSPECT ON: / 6 fj
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/ eats
Cast Iron, Copper Drain/Vent/ mm
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Drain and Vents
5 PSI or 10 ft above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
/ Copper, CPVC,Pex One&Two Family
isulation/Residential Check/Commercial Chec c -- z t Proper Vent,Attic Vent — s
/ 1
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L:\PamW\Whiting\Rough Plumbing Insulation Report.doc
-- Office Use -
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet: I
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART l / > am/pm `Note /� '
(518) 761-8256 Inspector's Initials i AL' ;
NAME: iiix.„_66.-3/2PERMIT# 01Zr-C/-
7
LOCATION: �jJ tjIICCL � g/5 /V) INSPECT ON(date): _ I J8 '6 /
f
TYPE OF STRUCTURE: —
RECHECK v/17
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
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
Backfill Approval___
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls It-
Ceiling R- _
Duct work or piping in
Junheated spqes R-
roerp i , Attic V ent __ /
_
Jack Studs/Headers
Bracing/Bridging
Joist Hangers_ ti
Jack Posts/Main Beam
Air Infiltration Barrier _
Fire Separation 1,2,3,hour
Penetration,Sealed_
NIFFire
. 3,4 hour _— — __ COlkAiel-LT15' f'� D C PL-' 4 (' 4)1
asp g
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L:LSueHerningway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
--
Office Use 1
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet: F -?
Building& Code Enforcement At time:
to
742 Bay Road � 4
Queensbury, NY 12804 ARRIVE am/pm: DEPART yati/pm Nates.
4.7
(518) 761-8256 Inspector's Initials g
NAME: 1 Al&be< PERMIT# CO? Z '" 607
LOCATION: �� Z;""C,4-- /4,24e-Ii RJ - INSPECT ON(date): Jgod-aerjrfr—.
TYPE OF STRUCTURE: r
RECHECK
_ N/A,YES NO COMMENTS
Footings/Piers
_ �
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from free i
for 48 hours following the pla meat
of the concrete.
Materials for this purpose on site 1
Foundation/Wallpour \.
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab _^— t
Ppimbing Vent/Vents in Place - 7_
tough-In
Insulation __
Foundation Walls Interior R- '
Foundation Walls Exterior R-
Floors R-
i
W• is R-
—_
-iling R-
Duct work or piping in
unheated spaces R-
'rope'Vent,Attic Vent /
Jack Studs/Headers ✓
Bracing/Bridging — /n/ Pa're-- E, I (7(,de-->
Joist Hangers v//
g ✓
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour_
Penetration Sealed
Fire Wa112,3 4,hourFiresteNtmg = _ �
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
---
Office Use
GENERAL INSPECTION REPORT Inspector:
ad
Town of Queensbury early at time:.
Dept. of Community Development Request received: 76(2442__ Meet:
Building& Code Enforcement At time:
742 Bay Road `/6
Queensbury, NY 12804 ARRIVE am/pm: DEPART I am/pm Notes:
(518) 761-8256 Inspector's Initials (.- •
NAME:t mIAL64/- PERMIT# 2°02-- /
LOCATION: it ' INSPECT ON(date): l C} L_. eervit-
TYPE OF STRUCTURE:
RECHECK,�,
N/A YE�S/�NO COMMENTS
ootm s/Piers / V
�onol thic NZ—K.—gm _
Reinfor ent 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/W allpour___
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval__
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing,
Heating Rough-In _
Insulation _
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R 4 _
Duct work or piping in
unheated spaces R- —
Proper Vent,Attic Vent
Framing
•
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FOR.MS\GENERAL INSPECTION REPORT.doc
0 ice Use
cLu
GENERAL INSPECTION REPORT Inspecto
y5 .
p
Ready at time: AIM
Town of Queensbury ,
Dept. of Community Development Request received: `t%'2 Z Meet:
Building& Code Enforcement �' At time:
742 Bay Road ,{
Queensbury, NY 12804 ARRIVE am/pm: DEPART//O, am/pm Notes:
17
(518) 761-8256 Inspector's Initials ` r
NAME: �1+r1 W the R- PERMIT# '2-00 _ k07
LOCATION: S S l( ( r S te-1) - INSPECT ON(date): /0/717 Z
TYPE OF STRUCTURE: UCH
RECHECK
N/A YES NO COMMENTS
Footings/Piers (/' Zo � CMonolithic Pour Form i Reinforcement in Place
The contractor is responsible for 1
providing protection from freezing -/ 11,e
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour_ �-'r1� ee--cR e-.�
Reinforcement in Place ('
l� ` G �'
Foundation/D ampproofing
Backfill Approval_
Plumbing Under Slab_
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In_
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- ^_
Duct work or piping in
unheated spaces R- _
Proper Vent,Attic Vent
Framing •
Jack Studs/Headers
Bracing/Bridging
Joist Hangers! !_
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingwaylBuilding.Codes.Inspectio^.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT ` Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
vi �
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART ,,It-am/pm Notes:
(518) 761-8256 Inspector's Initials yd./
NAME: PERMIT# 0 Z—go 7
•
LOCATION: z�� /—/ 1d /j i/ .2 I INSPECT ON(date): /0/2 .).2..._
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
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 f
Foundation/Wallpour ;
Rei t orcement in Place
F:undation/D amppro o fing
ackfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In__
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers _
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour_
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT / Inspector:
Town of Queensbury Ready at time:' e(
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road j
Queensbury, NY 12804 ARRIVE am/pm: DEPARZ- I am/pm Notes:
(518) 761-8256 Inspector's Initials ,,Fb
NAME: C4J PERMIT# QZ Q
LOCATION: ' R(/4-4,_ 14 4K.R1, 40, INSPECT ON(date): _ a l_ _ _
TYPE OF STRUCTURE:
RECHECK
N/A YES O COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible or
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/D amppro o fing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing_ _
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping ^_,
L:`SueHemingway\Buiiding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
) 6O2- fl
Permit Number
MECcheck Compliance Report Checked By/Date
New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lc
Data filename: C:\Program Files\Check\MECcheck\2332-02 Weber.cck y
*e OF Nei/y .
g'�Q' �pSEPy 9 °9,f
COUNTY:Warren * Gc9y
STATE:New York `%
HD :7635
fiL 1'
CONSTRUCTION TYPE:Detached 1 or 2 Family t'�� �
HEATING TYPE:Non-Electric J068 9 5$
DATE:09/23/02
49°PESSIONP�"
DATE OF PLANS:09/23/2002
PROJECT INFORMATION:
John&Kathy Weber
Lake George,New York
COMPANY INFORMATION:
Northern Design&Building Associates,Ltd.
P.O.Box 47
Hudson Falls,New York 12839
COMPLIANCE:Passes
Maximum UA=200
Your Home= 186
7.0%Better Than Code
Gross- Glazing
Area or Cavity Cont. or Door
Perimeter R Value R-Value- Factor UA
Ceiling 1:Cathedral Ceiling(no attic) 836 38.0 0.0 21
Skylight 1:Wood Frame,Double Pane with Low-E 40 0.370 15
Wall 1:Wood Frame, 16"o.c. 741 21.0 0.0 35
Window 1:Wood Frame,Double Pane with Low-E 66 0.320 21
Door 1: Glass 54 0.270 15
Wall 2:Wood Frame, 16"o.c. 400 21.0 0,0 15
Window 2:Wood Frame,Double Pane with Low-E 131 0.320 42
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 672 30.0 0.0 22
Furnace 1:Forced Hot Air,85 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the
building plans,specifications,and other calculations submitted with this permit application. The proposed systems
have been designed to meet the New York State Energy Conservation Construction Code requirements. When a
Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her
knowledge,belief,and professio i al judgment,such plans or specifications are in compliance with this Code.
r 0.V2C2,2.—Builder/Designer ���,.r�,, —�,, Date
MECcheck Inspection Checklist
New York State Energy Conservation Construction-Code
MECcheck Software Version 3.3 Release lc
DATE:09/23/02
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: Cathedral Ceiling(no attic),R-38.0 cavity insulation.
Comments:
Above-Grade Walls:
[ ] 1. Wall 1:Wood Frame, 16"o.c.,R 21.0 cavity insulation
Comments:
[ ] 2. Wall 2:Wood Frame, 16"o.c.,R-21.0 cavity insulation „-
Comments:
Windows:
[ ] 1. Window 1:Wood Frame,Double Pane with Low-E,U-factor:Q.320
For windows without labeled U-factors,describe features:
Panes Frame Type Thermal Teak?[ ]Yes[ ]No
Comments:
[ ] 2. Window 2:Wood Frame,Double Pane with Low-E,IT-factor:p.320
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal-SreakT[ r Yes[ ]No
Comments:
Skylights:
[ ] 1. Skylight 1:Wood Frame,Double Pane with Low-E,U-factor:0.370
For skylights without labeled U-factors,describe features:
#Panes Frame Type Thermal BreakT[ f Yes[ r Na
Comments:
Doors:
[ ] 1. Door 1: Glass,U-factor: 0.270
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
Floors:
[ ] 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space,R-30.ft cavity insulation
Comments:
Heating and Cooling Equipment:
[ ] 1. Furnace 1:Forced Hot Air, 85 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 coaled.
[ ] 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%installation
instructions.
[ ] Materials and equipment must be identified so that compliance can be determined_ T
[ ] 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-cl ly marked on
the building plans or specifications.
Duct Insulation:
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to-Rt-11.
[ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] Supply ducts in unconditioned spaces must be insulatedto R-I1.
[ ] 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 wekts,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 most provide a means for balancing airand 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 mast 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°F or chilled fluidsbelow 55°F mmst.be incntated 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 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)
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