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2007-022O N ~" 4 0 O O O ~ `' `~ N [~ ~ ~ ~~°`~ a~ v U O c '`~ .v N N p W C~ d ~`~ ~ °o ~+ s w N ~ V ~ ~, O ~ ~ CQH ` / a~ ,L y,~ ,, v ~ `~ Q ~~ U z v ~ ~ ~ ° .~ c/) ~ ~ ~ ~ z z ~' ~ ~ o ~ ~ ~~ z ~~ ~ ~ o ~ ° ~a W N r O ~ O~ a C/] ~ d ~ ~- ~ ~ o M x x ~~ g ~~ '" ~ ~ o Q O ~ E-~ 3 0 ~ F"~1 0 ~ ~ Q Q v~ ~ °' ~ 'C O ~ W -- ~; ~~ o .~ N w z z Ao~ ~. ~ ~ N ~ ~ ~ a ~ i~ ~w o~ o~ ~ C ~ ~ N FW-, ~ ~ ~ ~ ~ c a ° ~ ;: ~ •~ ~, ~ ~ ~~~a ~ ~ .~ W ~ .~o~ ~~ ~~°~ U z "~z ~~~~ oo~~ a ~ ~ ,~_, v~ rn C~ fy ... ~ H ,~ H ~ ~ ~ ~"~ ~ ~ O. ~ a TOWN OF QUE E NSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Permit Number: Community Development -Building & Codes (518) 761-8256 BUILDING PERMIT P20070022 Application Number. A20070022 Tax Map No: 523400-227-014-0001-031-000-0000 Permission is hereby granted to: STEPHEN & DEBORAH SLOAN For property located at: 27 LAKEWOOD Dr in the Town of Queensbury, to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning C~rrlinanrP Owner Address: STEPHEN & DEBORAH SLOAN 35 THOMAS GROVE PITTSFORD, NY 14534-0000 Contractor or Builder's Name /Address TEAKWOOD BUILDERS 563 N BROADWAY SARATOGA, NY 12866-0000 Plans & Specifications Type of Construction Residential Addition Total Value Electrical Inspection Agency Value $85,000.00 $85,000.00 12007-022 150 sq ft residential addition $75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, February 15, 2008 (If a longer period is required, an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tow~1 of Q/u1 , nsbt~, ./r ~~'ebruary 15, 2007 SIGNED BY "`l"~- r•~' ~~y for the Town of Queensbury. Director of Building & Code Enforcement ; OFFICE USE ONLY ; TAX MAP NO. PERMIT N ~ O ~~""' ~ EY ' E ~~ ' FEES: PERMIT- RECREATION `_~ ENGINEERING 'TrJVVN yr ~~~~~ ~otsURY _ _ _ _ _ _ _ _ _ _ _ (It applicable) ; BUILDING AND CODE ; PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL ~ BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: ~L7I;WkUJO07 ~~~L"D~Q~ OWNER: ST~V~ SIo~~\ ADDRESS: r~F;r,/' ~ r7~O-~Lw~~A\~ ~~ ~S T~tM14S CgiZ6VC IATC~C~1R ADDRESS: ~~S ~OZ~~ ~,~ l ~~ PHONE NOS. ~SI~ S~~- Z~~p PHONE NOS.~~S~) 2L~_" Z.$~q CONTACT PERSON FOR BUILDING I& CODES COMPLIANCE:T UV~~, p PHONE: S~S1-2.$~ LOCATION OF PROPERTY: Z`( 1..1A~k(; ~Z\~~ I~IA~~~kl LL `[~/~.\I SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT Z APPLY TO YOUR O o~ PROJECT p Q ~ O ~ a ~~ cn ~ o w F ~'.`. ~ ~~ w Q a== C7 U Z Q - ¢ ~~ i"~ 2 Obi F. ~~ O a2 «s SINGLE FAMILY `, , J( , ` 1CO ~-~Z _J ~ ~ ~,',~ TWO-FAMILY MULTI-FAMILY (NO. ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER Town o%Qaref~r7sbtir7/ • Carrrtazuri~it~/ I~ez~eloJ~mr~~~t Office ~ %42 Brzy Road, QraE~eazs~r.~ry, ~'1~ 1Z$Q4 IF COMMERCIAL OR INDUSTRIAL -NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST~~S,O~ FUEL TYPE: L. I~ HEAT TYPE? t"~L)~ 1~1 ~ "HOW MANY FIREPLACE(S) AND / OR WOODSTOVES(S): -- ZONING CATEGORY: C~ ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? ~ ~ PROPOSED USE OF BUILDING OR ADDITION: «x-17 (?~~~ ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ~NO ARE THERE EASEMENTS ON PROPERTY? ~ d ~_~ u ;~~*p~~~r~te ~p~~l€~:~t€or~ fr3 irfr~ ,411~I~<a~~r;r;s ~ Cl~tir~~fn~°~5" :~v<:~i~~bi~ in crur r~Tf€ec~ I acknowledge no construction activities shalt be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have rea n agree to the above. Signed Director of Building & Codes: 761-8256 (for questions QUESTIONS ? CALL 761-8256 OR EMAIL regarding Building Permits, construction codes or septic codes(~gueensburv.net systems} - VISIT OUR WEBSITE FOR MORE INFORMATION Zonincl Administrator: 761-8218 (for questions regarding \ www.aueensbury.net required permits, the permit process, application requirements or to schedule an appointment} F __________________________________________~ This application /proposed action described herein is found to be in accordance with the zoning Laws of the Town of Queensbury. ; ~ t ~ i i ~ ZONING APPROVAL DATE ; i ~~......-....-~.-.......~~. ~...-_.. ..~...-.~~... ..-.,..,1 Permission is hereby granted to the above r Applicant to erect or alter the building described herein in accordance with said Application: ; r / ~ i Y BUILDING & CODES APPROVAL DATE ; f = Tarvn. of ~?x~c~err.sbu~~7/ • C:arrl.m~a.nit~/ Dez~elo~~r~rel~t Of~rce • 742 f3rz1/ Rand, r7ue~~~~zs~ra.ry, ~'~~l' 1204 ~~ ~ ~ I 0 tv 1 i i I .,~._'~ ~~ 8S~}. 88 q W ~Mry~ `'1 • ,Q V, 1 .~ ~' 1 NREAO~.a Cov~~.~uC 4tTtESS AOAtrt,L -- I P.a.~r S£cyat -~^~_--~ S'rn,N. ------ T+ N o vc E to r.,.a, ScWulc. ~-11C:k 1 V~v~ QAr~. /a~v¢ Zo DEaTH C NeT RECII v„¢EO ~F' cAS,-.+4 ,t la uNcoaS•~,vs-ctco MATg.[,l.l~ S 4ut- o,C QRAYEt, ~~ LOGATrc w~t~ AT LFAiz ~0 F¢. r. SFwER `wE 15 ~R.r, PSZOP~` 1~ pe"'HN~k ~a..,r. q-aY SrCW4GQ S`I~rc N o ~vMP CAPAccr~( GA~J Nov, _ Z ~KQ$SvRE -TANtc =3n G~LIo N S _... ,~ i Sea~~~E ~,NlE-t~ttta,~ Pv.~p ____ W ~ ~. LL '~ ET,i~ ~ L 0 S~ BM E2s~8~.~ ~ $c ~~ Qvm~ for b~l~tf r Supply hyE'~d i'OSK STATE DEP RT141ENT E-= HEr1LTH P.I District Sanitary En ~ineer ,~,.~~ j- B 1 3 IJU~ date W U t . - ...,~ ` `o T - ~-G4~+0 ~ - ~}'~ JtZ. TttE ctt oQ/1fJ4EguRa 4,PE ~•:fT1GNT J~~YTf M. N. G RAOE Z,~ 5?.: loco GAS. S FPTtc. Th£: K AT 1+~F4. $y ~T. t~tt_~E2 4 , MHI,-~O' FReM Novst"c ott leT l..wE ~Se'M~u.FQ~M Wt~, MAN log IIo~Z,Z..elTAL ~- 4" Urr. -r,i~ .Q, . oW,uc,EgeP~ Y,PE w i r r w ~} ~-C ~e ~.. ~r E t+~,q. 4,zAOt: 1 , (~. Q+Mpr. lo' M,tJ ~Q.a-..t S, T. e0. Y2sfER-tom( l.u+f So' M.-~. F2e.n wlc.c,l Lv-c s ,I~ t ~ g~ ©a 9 L7 0o b SYSTEM g 2 000 (~ LOTS 4, S~ (.,'1 •~ EttRoL9 ~ ET. ~-l. SYSTEM c iSoVJr. IoTS , -o, Aa rt SP>.stF BE9 ~3 rc~'..,EIC~.- .A. ~ ,8. /`~. ~ ~ ~ '~: ~ - '-^~•. i `\ ,l ~` \ • ,, ~ ~ \ .._,,., tL.._ . -, 116.08° 4, ,~ `~ ~ M '~ l 'ti ~ i ~,~ i~ ~O i 'o ,N ~R'S, r' -` 'r6 ~ ~~ c . J'~~ L•0 l7bJ c7 nba "..__..._._ ?•o IzSo Zsx sS I7-i' i•4 I 782 I ZSx so I 13 I Zsx sS ~ { I "T"''rQ1CAl ~~S ~2~Sv-chop Box ~-c M.~~~. s~z.~ t A ~F4ENfl = 4.~ ~1j1. Sv~l-D~tJS SEwEt L.~E SLoPE ~~" P~ctt~ooT S. T -loco GAI. 56PT~L T-~NK - lo~ M ~N. ~2oM HovSE 12So ~• ~• •~ ~F $ orZ MortE SEORoor~s Z. = 4' DIA. BUtI.)7~w-G $EwE~C L.~-aC SLoPE `~4` QEit1 -T Q. = Q~MP~ 41`IORoMA-ric Mo~oEL ~6u _ lo' MtN. ~',eort. S.'t W ~ WEI.I- $o' ~eoT M1N, FQeN aaY SEPT~~ TAWX Z~o~ MuJ IF ~wNN\~ Feorn AN`( LEf~CK+wG F MtUi~M SET$Ac1c SST. {02 1-~OVSEZ I N ~~fZ.'"r /aN1J r~M G~ UEENS Z.S 'Q2OQdSFg (~i AD 30 ' ~, ~~1.0 - 1CN%Fa QAAfl SS' ~i2 Low ~ - - ~ o o~ ,, ,~ 25 ~EA2 t_.,NE 30 ~ o s~ v ~. L.1---~5 1 0 $u;~FE.~ Ivy W~o~~ Wa G_u ~T~--~G PE2MITT~p EACH SLUE off' L~~.tE - - ---, /' 12 MAN. AB.aE Gft•+M~ .L t. r.~c• ~c AecA Sda1 ~~. ~ ~ c~iinnaezll:/L tech At: Brown 8 Brown of NY Inc FaXID: BBCliftonPark To: Att: Sarah Hislop ~ ~ ~ __~__. ~_______ " Date: 1/8/2007 09;26 AM Page: 2 of 3 ~ ~ ~ ~z2 ~r a~!~~ R~ .~.. ST:=ATE OF NEB' 1'URIL ~'ORILERS' CC)hiPENSATION B(~=~RD ~` ' . CERTIFICATE OF PARTICIPATION IN WORKERSr~'~~VI~'F~TSA,~'31Q11~Y GROUP SELF-INSURANCE BUILDING AND CODE la. LCgeI IQallle allll AQIh GSS UP HIIJLLCSS Pal Ulll/al.lllg 111 Q1UllL1 self- hlsluauce (Use Sheet Address Orilyj rlt. HlIS111C5S TCICllhUlle IQlLLllt)Cl UL Pr IISLLCSS 1CrC1elWClt ill t1U\ "14' 'Teakwood Builders Inc 518-587-2880 James a. Sasko, Jr. 563 North Broadwar• Sarato a NY 12866 lb. Effective Date of blemUer~lrip irr the Group: 4/41/46 1 e. N Y S tJnenlplo_yluent lrum•arlce Employer Kegisuation Ntunber Certificate Period: Od/01/06 To Oa/01/07 of Busvless referenced nl Uo~: "1 a" Certificate Nmuber: EC4~061713 L1IER#71-b~1188 1 c. T1re Proprietor, Pazttrers of Executive Officers are 1 f. Federal Employer Icientificahou Nimiber of Bnsuless referenced _ irrcludecl (Drily clrecl: Uox if all partners; u$icer~ included} irr Box "1 a" _s all excluded or certain partlrer~'o~cers ekclnded 111791167 2. Name arld Address of the Entity Requesturg Proof of is overage (Entity 3. IVarue arul Address of Group Self-Insurer Being Listed as Certificate Holder) Elite Contractors Trust Of NY Town of Queensbnry Compensation Risk Managers LLC 742 Bay Road 386 Violet Avenue Queensbury, NY 12804 Poughkeepsie, NY 12641 This certifies that the business referenced above in bos "la" is comph ing with the mandatory coverage requirements of the New York State Workers' Compensation Law as a participating member of the Group Self-Insurer listed above in bos "3" and participation in such group self-insurance is still in force. The Group Self-Insurer's administrator will send this certificate of Participation to the entity listed above as the certificate holder in bos "2". The Group Self-Insurer's Administrator will notifr• the abo~°e certificate holder within 10 days IF the membership of the. participant listed In bos "la" Ls terminated. (These notices may be sent by regular mail.) Otherwise, this Certlflcate is valid for a maximum of one year from the date certified tn• the group self-insurer. " x Ifthis certifccte is no longer valid according tv the abrn~e grlidelines and the business referenced in hoz "l a " contimles to he named orr cr permit. Ticerrse yr cvrrtract Issued hip tFre certificate lrvlder•. the bns•irtes:~ rnustprovide t6re certifaite hvlder• either' tit~ith <•r rtetit~ cer•ttf cafe nr• other rnRthr~ri~ed pra~f the business il~ cvmph~ing with the mandator}' coti~erage reyuir•ements ofthe ~'ew fork ,State TTr'nr•1-oar'!'«mponrtitinnl~nv. '~ Under penalty of perjury. I certify that I am an authorized representative of the Gmup Self-Insurer referenced above and that the husiness referenced in boY "la"has the coverage as depicted nn this form. Certified by: Brown & Brown of NY, Inc. - CP/P. Greg Scott (Flint Dame of authorized represeaW tlve of tLe Group Self-Iusut•ely Certified by: ~~ /~ 0'~ Il ••~~r 1/8/2007 (Signatw•e) (Date) Title: Executive Vice President Telephone Number: 518-371-2111 G5I-10.5.2 (2-42) O1-OB-2007 08:53 FR01~-ERIC J DESIMONE __ 2 518 877 5287 T-708 P.002/003 F-985 ~4CORD~, CERTIFICATE OF LIABILITY INSURANCE , °o~i"osizoo PRODUCER $18-877-QS26 TH19 CERTIFICATE IS ISSUED ~ S A MATTER OF INFORMATION FARM FAMILY CASUALTY INS. CO. ONLY AND CONFERS NO RIGIHTS UPON THE CFRTIFCCATE ERIC J, DESIMONE, CLU HOLDER. THIS CERTIFICATE QOES NOT AMEND. EXTEND OF E TH C VERAGE AFFOIIDED SY T E P CIES E W 258 USHERS ROAD, SUITE 200 CLIFTON PARK, NY 12085 INSURERS APPOROIWG COVERAGE NAIL # oasuRr~L' INeuReRA: F FAMILY CASUALIY IN5 CO TEAKWOOD BUILDERS, ING INSURERS: 563 N. BROADWAY IN3URERC: SARATOGA SPRINGS, NY 12866 N uR~RD: __ covlsrewaes TH B PO LICIES OF INSURANGfi LI$TED BEL OW HAVE SEEN IS9UEq TO THE IN SURED NAMfsD AB OVE FOR THE POL ICY PERIOD INDICATED. NO'fWIYli3TANDING A NY R EQUIREMENT, TERM OR CONgITIO N OF ANY CONTRACT OR OTHER DOCUMENT MAT H RESPECT TO WH ICH T115 CR'RTIFICATB MAY HE ISSUED OR M AY PE RTAIN, THE INSURANCE AFFORDE D BY THB POLICIES DESCRIAED H EREIN IS SUBJEC T TO ALL TNfi TItR MS, EX:LUSIONS AND CONDITIONS OP SUCH P OLICI ES. AGGREGATE LIMITS SHOWN MA Y HAVE RI>eL'N REDUCED eY PAID C LAIMS, IN R pp CYNUMBER poLIGY 6IIPIRATI N LD111TS ORNGRALW101UTY S!-Cry~7CCURRENCE S ') OOO OOO A COMMERCIAL QENERAL LIABILITY 3146X0136 0Th0/06 07/1 O/07 ~ S G~ erouro a S 50,000 CUIMSMADE 1.~.~ OCCUR MEOESP M anSO~ROIq S X BUSINESS L~ LINTY PaRSUNALaaDVlawuRY ~ INCL BC GaneiIALAOGREGATE 3 2,000,000 GGN'LAGOR~ ATELIMITAPP 6Pi;R: PROD1C75rCOMP/DPAGG S 1 000000 POLICY PROr OC A AUTOMOBLLlLUIB1LITY COMpNGDSINOLELIMIT 1000,000 s ANY AUTO 314600575 O7/10/06 07!-10/07 (~~ ~ icy ALL OWNED AUTOS IWURY BOD I X 9CHEOULHDAUTOS I , f (P-~a rypU S X MIREDAUTOS BODILVINJURY X NONrowNEDAUTOS (PfrarclCOntl S PROP:R7YDAMAO C S lP.~A~tawly OAR A6E LIABILITY AUTO DNLY r EA ACCIDGNT 7 ANY AUTO GJIACC OT'HE 2 THAN S AUTOONLY: AEG S CXC E33JUM0RELLALIABILiTY EACHOCCURRCNCL 9 Z,000,OOO A OCCUR ~ CLAIMS MADF 3146E1064 07/10/06 07110!07 AGGe EoATE ~ OOO 000 S 0£DUCTICLE S R T NTION S S A WORKiRiCOMPEN3ATi0NAND r X A PLOr a as r~I x uABILITY 3148W6061 07/10!08 07/-10107 ~~ yy pp pp iCUTIVI R ~ E.L. H ~cH Accloi~NT s 100,000 OPRICGIUM EMltaR DCCLU0G~7 Q.L D SfiASE r EA EMP OYCE S 1 OO OOO S~A a~cnoo ImCar dmow C scASn r MCT s 500 OOO OTNCR DilCRIPTION OF01'CRATIONe! 1LOCATKN(S/VCHIOLIE4IOXCLU810N8 ADDGD AY GNpORi~YENT!'PiCIALPROYI~IONS RENOVATION & RESIDENTIAL CONSTRUCTION CERTIFI LDER CANCELLATION SHOULD ANY OF TH! ABDYC OgORIBlD PO.IOIRS BE CANOELL6D GCFORti TNf CXPMTION O41S1 TNBRE01', TH6 IEIBUING WBURER WILL 1ENPfAYOR 70 MAIL 30 DAYt WRITTEN TOWN OF QUEENSSU RY NOTICE TD THC OCRTIPICATL NOLDCR NAM! tD TO TNp LEFT, BUT FAILURC To Do SO SHALL 74Z BAY RD. Ial~OlS NO OBU0AT10N OR LU181L TY OF . ANY KIND UPON TNB INSiURiR, ITS A~CNts oR QUEENSBURY, NY 12804 REPR~erT_ _ _ _ . _ _ , xb (200 loe~ TOVvN v~ ..~ ~ _._:~ors~1RY BUILDING AND CODE RE ~`~ED TO~IV>v ~~- ~,~~~.~~~~~~tSIJRY BUiLDiN~G NND CODE C~ ~ - ~"Z Permit Number RFScheck Compliance Certificate New York State Energy Conservation Construction Code REScheck So$ware Version 3.6 Release 2 Data filename: C:\2006\0636-Sloan\0636-SLOAN-ECCC.rck PROJECT TITLE: Calculations ofAddition COUNTY: Warren STATE: New York HDD: 7635 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric WINDOW /WALL RATIO: 0.11 DATE: 01/16/07 DATE OF PLANS: 01/15/07 PROJECT DESCRIPTION: Addition & Alterations to the Sloan Residence 27 Lakewood Drive Kattskill Bay, NY DES IGNER/CONTRACTOR: ARC HIT EX Timothy J. Gallagher, R.A. 52 Grandview Drive Latham, NY 12110 COMPLIANCE: Passes Maximum UA = 49 Your Home UA = 43 12.2% Better Than Code (UA) Checked By/Date Gross Glazing Area or Cavity Cont. or Door rim er R-Value R-Value U-Factor ~A Ceiling 1: Raised or Energy Truss 204 38.0 0.0 5 Ceiling 2: Flat Ceiling or Scissor Truss 38 38.0 0.0 1 Wall 1: Wood Frame, 16" o. c. 348 21.0 0.0 18 Window 1: Vinyl Frame:Double Pane with Low-E 35 0.380 13 Window 2: Vinyl Frame:Single Pane 5 0.360 2 Floor 1: All-Wood Joist/Truss:Over Outside Air 116 30.0 0.0 4 Furnace 1: Forced Hot Air, 80 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 ofhis/her knowledge, belied and processional judgment, such plans or specifications are in compliance with this Code. Builder/Designer Date REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheck Soffware Version 3.6 Release 2 DATE: O 1 / 16/07 PROJECT TITLE: Calculations of Addition Bldg. ~ Dept. ~ Use ~ ~ Ceilings: [ ] ~ 1. Ceiling 1: Raised or Energy Truss, R-38.0 cavity insulation ~ Comments: ~ Insulation must achieve full height over the plate lines ofexterior walls. [ ] ~ 2. Ceiling 2: Flat Ceiling or Scissor Truss, R-38.0 cavity insulation ~ Comments: ~ Above-Grade Walls: [ ] ~ l . Wall 1: Wood Frame, 16" o.c., R-21.0 cavity insulation ~ Comments: ~ Windows: [ ] ~ 1. Window 1: Vinyl Frame:Double Pane with Low-E, U-factor: 0.380 ~ For windows without labeled U-factors, describe natures: ~ # Panes Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: [ ] ~ 2. Window 2: Vinyl Frame:Single Pane, U-factor: 0.360 ~ For windows without labeled U-factors, describe features: ~ # Panes Frame Type Thermal Break? [ ]Yes [ ] No ~ Comments: ~ Floors: [ ] ~ 1. Floor 1: All-Wood Joist/Truss:Over Outside Air, R-30.0 cavity insulation ~ Comments: ~ Heating and Cooling Equipment: [ ] ~ 1. Furnace 1: Forced Hot Air, 80 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. ffnon-IC rated, the fixture must be installed with a ~ 3" clearance from insulation. ~ Vapor Retarder: [ ] ~ Required on the warm-in-winter side ofall non-vented framed ceilings, walls, and doors. ~ 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 fbr 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-1 I. [ ] ~ Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] ~ Supply ducts in unconditioned spaces must be insulated to R-11. [ ] ~ Return ducts in unconditioned spaces (except basements) must be insulated to R- [ ] ~ Return ducts in unconditioned spaces (except basements) must be insulated to R-2.. ~ Insulation is not required on return ducts in basements. Duct Construction: All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives) mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 181B. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). The HVAC system must provide a means for balancing air and water systems. Temperature Controls: Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point ofthe 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 ofcombustion air, as required by the Fireplace construction provisions ofthe 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 ofa circulating system. Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: Insulate circulating hot water pipes to the levels in Table 1. ~ Swimming Pools: [ ] ~ All heated swimming pools must have an on/offheater switch and require a cover unless over 20% ~ ofthe heating energy is from non-depletable sources. Pool pumps require a time clock. ~ Heating and Cooling Piping Insulation: [ ] ~ HVAC piping conveying iiuids above 105 °F or chilled quids below 55 °F must be insulated to the ~ levels in Table 2. Table l: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickne~ . in Inches by Pipe izes Heated Water Non-Circ ulating Runouts Circulating Mains and R nout Temperature (F~ Up to 1" Un to 1.25" 1.5" to 2.0" v 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. ~g~vstem T e~ Fluid Temp. Insulation Thickne s in Inches by Pipe ize Pi inyp Ran e F 2 Runou~ ] and Less I.25 to 2 2. to 4 Heating Systems Low Pressure/Temperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant, and Brine 201-250 1.0 1.5 1.5 2.0 120-200 0.5 1.0 1.0 1.5 Any 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) a -~~~ Queensbury Building & Code Enforcement -Residential Final Insp ction Office No. (518) 761-8256 Arrive: am/pm Depart .~ m/pm Date Inspection request received: ___ _~, Inspector's Initials: ~~~ ~` 1 NAME: ~f~'' PERMIT#: ~ / - V ~--d-' LOCATION: '' c hl.~(-.._ DATE: TYPE OF STRUCTURE: ,~ 7 Comments _ Building Number /Address visible from road Yes N~ _ N/A. Chtmne Hei ht / "B" Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbin Vent throu h roof minimum 6 inches Roof Com late /Exterior Finish Com Iete Platform at all exterior doors Guards at stairs, decks, atios more than 30 inches above ade Guard at stairwell at 34 inches or more Guard at deck, orches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railin s 34 inches to 38 inches Interior Handrails stairs 2 or more risers Grade awa from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed /regulator 1$ inches above grade Interior rivac /trim /doors /main entrance 36 inches Bathroom /Kitchen waterti ht Safe lzin /Window in stairwells safet lzin Interior Smoke Detectors: Every level: Every Bedroom; Outside every bedroom area: Inter Connected: Batte backu Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches hei ht) in accessible area Crawl S aces 18 inch x 24 inch access, 1 s . ft.-150 s . ft, vents Bathroom Fans, if no window Plumbin fixtures Foundation insulation Floor truss, draft sto in finished basement 1,000 s . ft. Emer enc a ress below ade Gas Furnace shut-off within 30 feet or within line of site _ Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed /Heat Tra /Water Tem 110 Enclosed Stairs Sheetrock Underside minimum %:" Gypsum Basement stairs closed rise > 4 inches Gara a Floor Pitched Gara e fire roofin / 3/a hour fire door /door closer _ Duct work Sealed ro erl Gas Lo sin Sealed or Glass Enclosure - Final Electrical Final Surve Plot Plan _ As Built Se tic S stem /Sewer De t. Inspection Sticker Site Plan / Variance re uired Flood Plain , if re uired Oka to ' ue C / C / O Tem /Permanent j ~ ~~~ /~,,/~r~`i' 1~~ ~ ~ r ~, f µ C L:~Building & Codes Forms~Building & Codes~Inspection Forms~Residential Final Inspection Forrn revised 100405.doc _ __ _ ~. Y. ~~ Foundation Inspection Report Office No. (518) 761-8256 Queensbury Building & Code Enforcement 742 Bay Rd., Queensbury, NY 12804 Date Ins tion equest received: Arrive: ~ , ltp~ D rt; Inspector s Initials: i~~ ~ am/pm NAME: ~' PERMIT #: ~~~ - ~~ LOCATION: • ~ _ INSPECT ON: TYPE OF STRUCTURE: ~~ / Co Y N NA Footings r" 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 se en site. Foundation / Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil 1 for wet areas under slab Backfill Approval Plumbing Under Slab PVC /Cast !Copper Foundation Insulation Interior /Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building & Codes Forms\Building 8c Codes\InspecHon Forms\FaunctTtion Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspect on Report Office No. (518) 761-8256 Date Ins -~equest received: Queensbury Building & Code Enforcement Arrive: am/p~ ~ Depart: arn/pm 742 Bay Rd., Queensbury, NY 12804 Inspect 's Initials: _~ NAME: /OGI PERMIT #: ~~ LOCATION: INSPECT ON: TYPE OF STRUCTURE: Commenb 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 se on site. Foundation / Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 1 for wet areas under slab ' Baclcfil Approval ' g Under Slab PVC /Cast /Copper Foundation Insulation Interior /Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building & Codes Forms~Building 8~ Codes~inspection Farms\Foundaiion Inspection Report.doc Last printed 12/20/2005 9:24:00 AM __ ~--~ /vim ~,~ ~ ~ `~ ~r _ . y / Framm / Firesto in ~ Ins ec i g pp ~, p ton Report Office No. (518) 761-8256 Date InspectiQ~pi request received: Queensbury Building & Code Enforcement Arrive: '~ ~ am/~m2 ]depart: 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ~- NAME: ~ LOCATION: ~~, TYPE OF STRUCTURE: Y N ~ 1V/A Framing i Attic Access 22" x 30" minimum i r Jack Studs /Headers Bracing /Bridging Joist hangers Jack Posts /Main Beams Exterior sheeting nailed properly ` 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches /Holes /Bearing Walls ~ Metal Strapping for Notches Top Plate _ 1 '/z w 16 au e (8) 16D nails each side ~ Draft stopping 1,000 sq. ft. floor trusses ~h o is 6 t. ess on center Ice and water shield 24 'nches from wall Fire separation 1 hour Fire wall 2, 3, 4 hour Firestopping ~ Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space /Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf ade am/pm PERMIT #: ~ `-~ INSPECT ON: ~. COMMENTS ~~R~ 1 Framing /Firestopping Inspection Report Office No. (518) 761-8256 Queensbury Building & Code Enforcement 742 Bay Road, Queensbury, NY 12804 Date Inspe ; onerequest received: Arrive: ~ am/pm~ ~~~part: amlpm Inspector's Initials: `' NAME: ~ ~. c~~} LOCATION: !_ 4-~s ~.,~ ~, c~D f'j R TYPE OF STRUCTURE: Y N N/A Framing Attic Access 22" x 30" minimum Jack Studs /Headers Bracing /Bridging Joist hangers Jack Posts /Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches /Holes /Bearing Walls Metal Strapping for Notches Top Plate 1 '/z w 16 au e 8 16D nails each side Draft stopping 1,000 sq. ft. floor trusses chor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavi min. Garage Fire Separation House side '/z inch or 5/8 inch Type X Garage side 5/8 inch. Type X Ceilin wall Windows Habitable Space /Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf ade PERMIT #: ~7 ' C7 ~-~~ INSPECT ON: ,~ (} C®MMENTS r`~C c. M I ~~ 1 ~:~ Framing / Firestoppin~; Inspection Report U/~/o~ Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart. am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ~~{ ~~ NAME: ~_~ LOCATION: 2~ - _;_ y~~ TYPE OF STRUCTURE: Y N N/A Framing Attic Ac s 22" x 30" minimum Jack Studs /Headers Bracing /Bridging Joist hangers Jack Posts /Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches /Holes /Bearing Walls Metal Strapping for Notches Top Plate 1 '/z w 16 au e (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wa112, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin /wall Windows Habitable Space /Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf ade PERMIT #: ~_''`~` INSPECT ON: L COMMENTS ~./u L ~~n.- L"l.'k~.C.-~' 1. ' t`'~ ~ t~-~Z~; ~~i~j~c~~ ~~~L6~~lt~r~~ ..\/.. ! ! _ .. ~ / / Rough Plumbing / Insulat~o Inspection Re ort p Office No. (518 761-8256 Date Inspection request __ Queensbury Building & Code Enforcement Arrive: !~_a m . part: 1 ~ ~` arn~ 742 Bay Road, ry, ~--~ Queensbu NY 12804 Inspectors Initial . // NAME: iti PERMIT # : ~~,~~ - ~~~ LOCATION: INSPECT' ON: i-~ - ~ ~ TYPE OF STRUCTURE: Q Y N N/A Rou h Plumbin Nail Plates Plumbin Vent Vents in Place 1 ~/z inch minimum Drain Size Washin Machine Drain 2 inch minimum Cleanout eve 100 feet chan a of direction Pressure Test Drain /Vent Air /Head 5 P.S.I. or 10 ft. above hi hest connection for 15 minutes Pressure Test Water Supply Piping Air /Head 15 minutes Insulation R sidential Check Commercial Check ~ Attic Vent Duct /Hot Water Piping Insulation If re uired unheated s aces Combustion Air Su f for Furnace Duct work sealed ro erl No duct tae , COMMENTS: t Q~ -Z rJ ~ Q ~. ~~ ~~ ~~u~ ~~,~ A~~.``~ L:~Pam Whiting~Building & Codes\Inspection Forms~Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15, 2005 Rough Plumbing /Insulation Inspection Report Office No. (518) 761-8256 Date Inspection r~. Queensbury Building & Code Enforcement Arrive: ~„~ ,art; m 742 Bay Road, Queensbury, NY 12804 Inspector's NAME:_~/~~ Z~/~l~e PE If #: ~Z LOCATION: _~ i n o '~ INSPECT ON:-J/" TYPE OF STRUCTURE: c Y N N/A Rou h Plumbin Nail Plates Plumbin Vent Vents in Place 1 ~/z inch minimum Drain Size Washin Machine Drain 2 inch minimum Cleanout eve 100 feet Chan a of direction Pressure Test Drain /Vent Air /Head 5 P.S.I. or 10 ft. above hi hest connection for 15 minutes Pressure Test Water Supply Piping A' Head 5 .S. fo 5 minutes Insulation sidential Check Commercial Check Pro er Attic Vent Duct /Hot Water Piping Insulation If re uired unheated s aces Combustion Air Su I for Furnace Duct work sealed ro erl No duct to e COMMENTS: ~' ' ~~ ~- ~~~ --~L~ ~,~ L:\Pam Whiting\Building & Codes\Inspection Forms\Rough Plumbing Insulation Report.rovised Nov 17 2003.doc Revised February 15, 2005