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2004-145 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development -Building& Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: . P20040145 Date Issued: Monday, August 029 2004 This is to certify that work requested to be done as shown by Permit Number P20040145 has been completed. Tax Map Number: 523400-308-008-0001-046-000-0000 Location: 45 BURNT HILLS Dr Owner: BURNT HILLS LLC Applicant: CLUTE ENTERPRISES INC. This structure may be occupied as a: By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling 4 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: P20040145 Application Number: A20040145 Tax Map No: 523400-308-008-0001-046-000-0000 Permission is hereby granted to: CT,T JTF F,NTFRPRTBF.S TNC. For property located at: 45 BURNT HILLS Dr in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tyne of Construction Value Owner Address: BURNT HELLS LLC 15 F BIRDIE Dr Garage-2 Cars Attached QUEENSBURY, NY 12804-0000 TotSinal Value le ly Dwelling $115, 000 $115,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency CLUTE ENTERPRISES_ INC. 13 DAWN Rd 01JEENSBURY_ NY 12804-0000 Plans&Specifications 2004-145 1232 SQ FT SINGLE FAMILY DWELLING $205.44 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 06, 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 own �jue /7 sda ,Apri106, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Job Site Address: . \o �3 �5` ' ` �i,�.,-�,-� --�--1'�,� Cj -r-,,-,e Date: � �_/0. . . Owner: — r�--� Application No. . , _ File No. d d_-1 J1 S.. WINDOW SCHEDULE K Openin ons Window Window Mfg. Window Unit or Rough T2ough SQ FT SQ FT SQ FT Clear Clear Special Hardware or Number or Naive Model Stock Opening Opentngr G1assNis�b Uent $gress/Clear Qpenmg Opening Height Instructions Letter on Or Type Number Width Height 1e ONx pening Width In In Inches Plan Call Size . tght Inches -z _App. ._5.2004 - . _ I. i.IFPNSBURY - BUILDING AND CODE THIS LINE HAS EXAMPLES OF SAMPLE ENTRIES A:,k Andersen Narro i 3 2:1/3 1 ne 3062 6 S/z:.: TS30 8 36. 6 O1 °34 ,24'1S/35 ` Double 11/:16 x p �= R Glazing L:\SueHemingway\Building.Permit.FORMS\Window Schedule.doc Job Site Address: � � � "1- � L� �;=�z Date: Owner: � L�� `�, _ L. � Application No. _. _ File No. Building _ a wilding Permit — Calculation Sheet Natural Light, Ventilation & Emergency Egress Requirements Habitable Area of Req.Light Actual Req.Vent Actual Sq.Ft. Remarks Room Room 8%of Room Light 4%of Room Vent Opening for in Area Square Area Square Egress Square Footage Footage Feet E, L:\SueHemingway\Building.Permit.FORMS\Nat.Light.V entil.Calculation.Sheet.doc Ns- Check Residential Plan Review: One&Two Family Dwellings Y/N/N/A (2)Full sets of plans Over 1,500 sq ft.—Stamped Design Loads On Plans:90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size y Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq.ft. 24"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans Foundation Drainage On Plans,if required 6"Drop in 10'Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width f Stair Run and Rise Winder Run and Rise , y Spiral Not Allowed From 2Dd Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width,36"min. Handrails More Than One Riser On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas age Fire Separation Garage Floor Sloped Attic Access Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results,if required Septic To Well Or Water Line Separation All Paperwork Signed Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: 36'6,06 File Permit No.c)eb Tax Map No. Fee Paid Owner's Name: C- ................................................................................................................................... Address: k 2. INSTALLER'S NAME PHONE NO. '7Zt777 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gandnn = 1980- 1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrin -- 7j 51P N E Lj Garbage Grinder Installed yes_ no Spa or Hot Tub Installed yes no Q\Nll OF OlIEENSBURY t, ,,oj)E 4. PARCEL INFORMATION: (circle applicable information&indicate measuremen s ( 13OLDIN ToDop-raDhv Soil Nature Ground Water Bedrock or!Lnpervious Material Do ter SUDDIV < Flat (F- �nici�al sa at what depth at what depth < Rolling loam? feet —feet well Steep slope clay if well; water supply —%slope other from any septic-system depth: absorption is_ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a 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: gallon (min. size 1,000 gal) Tile Field: each trench 5- CJ ft. Total System Length: Seepage Pit(s): number of size of each: _ft. by_ft. Size of Stone to be used; # depth or thickness feet Bed System Size: X Alternative System: length and/or size 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 re ations wi respect to this application and agree to abide by these and all requirement the Town of ueensb Sa i a Sewage Disposal Ordinance. tu e 0 onsible person Date ' IOw'll of (IlleellsbilrV Appendix t: fiI:I'ARA't'ION EtI;6ZLJI1tI [�ll �!'�I'I'�i POND ' WELL. M Ill►TrA- .4 � fcl tt'r4J ' 't11�1K C/�1►IC$ yam.... .,•- • 'T 1 loll )bust" G QE - , ,�,+>�'• III.»sue G M � i. J •- ,N,ly. Taf�fS 17 ),V�MPIK1 1 f"rkLb f - 7. SIGNATURE &INFORMATION F oRl I r6mil sL,z rr,"VL,4 Wkwa.w aw-. ; r , i I ENERGY CODE COMPLIANCE APPLICATION / TOWN OF QUEENSBURY, WARREN COUNTY ems ` l` tS 9000 HEATING DEGREE DAYS Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings (only) Part 6*- Thermal Rating—Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings(3 Stories or less) Part 4*-Design by Component Performance,Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT'S NAME:, PROPERTY LOCATION: XSe PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area square feet 2. Type of heat- Electric Oil Gas Other 3. Is building mechanically cooled? yes �No 4. Percentage of area of windows and doors Over 17% der 17% ` 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS , SHOWN ON PLANS SUBMITTED: a: Roof R 3:0 b. Exterior walls R V9 C. Glazed areas R �4." d. Exterior doors R e. Floors over unheated spaces R --- f. Edge of slab on grade(heated building) R g. Basement/cellar walls (above grade) R 1 h. Basement/cellar walls(below grade) R 1 i. Heating/cooling-ducts-piping in unheated space R 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code Yes No TEMP TU C NTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED p 'gn Date Phone Number f0 "797 'Z-, �721_7'�7 INS PE TOR'S REMARKS: Building Permit Application Town of Queensbury Department of Community Development, 742 Bay Rd.,Queensbury,NY 12804 (518)761-8256 A permit must be obtained before beginning construction. Permit No.. 0 g (15 No inspection will be made until applicant has received a Fee Paid: - Ll L valid building permit. Form must be completed. Rec.Fee Paid: Reviewed By: Applicant: Owner: Address: Address: Phone#: — Phone#: Tax Map Number: Subdivision Name: (if applicable) Lot Number: :.—> /House Number: /Street Name OR Property Location: New Building. �Resui mercial Estimated Market Value of Construction: + O'D O ❑ Addition: mmercial If an Addition,what will use of addition be? ❑ Alteration: Residential/Commercial ❑ No change to Exterior size: Residential/Commercial ❑ Other work: (describe ) Check Below Occupancy Info 1"floor sq.ft. 2'd floor sq.ft. Other floor sq.ft. Total Sq.Ft. Single Family Dwelling Two Family Dwelling Townhouse Multifamily Dwelling #of units _ Office I Vfl Mercantile E� Manufacturing t,PR 0 b 2004 1 car detached garage MAN nF ni E- n c 2 car detached garage BUII.DINIO MD_COD_E 3 car detached garage 1 car attached garage ` 2 car attached garage c;—7 k, �7 4o 3 car attached garage Storage Bldg.,Comm. i Storage Bldg.,Res. Other What is the proposed height of the structure: feet inches Will any second-hand or ungraded lumber be used? If so,for what? \I-1I.,C— No. of Fireplaces to be installed: No, of Woodstoves to be installed: List below the person(s)responsible for supervision of work in regards to Building Codes: Name Address Phone No. Builder Plumber f t: Mason r _ Electrician Declaration: Please sign below after you have carefully real 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 col lied with, whether specified or noted, and that such work is authorized by the owner. Further, it is el stoo that I/w 11 submit,prior to a Certificate of Occupancy or Certificate of Compliance bein ';sued, r uested t Zo g Administrator or Director of Building and Codes,an As Built Survey e rveyor- cale,showing actual location of all new construction. Signature: (circle one: owner,owner's agent,architect,contractor) 7 Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ m part: : -10Aam/pm 742 Bay Rd., Queensbury,NY 12804 Insopetor's Initials: NAME: PERMIT#: OO ' 5 LOCATION: .eo J tuh, DATE_: 151 Dt - ;Qb TYPE OF STRUM i Comments Y N N/A Chimney Ht./"B"Ve'nt/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete ffGuard . or more stags,decks, arios irwell at 34 in.or more ck, orches36 in or more ish Com lete Interior/Exterior Railings 34 in.to 38 in. P tform at all exterior doors nterior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft R Handrail Termination at Newell Post or Wall 8 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 Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight -_- -Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroomn Fans,if no window Carbon Monoxide detector lumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x A in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents Building No./Address visible from road Final Electrical . Site Plan /Variance required. Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/O(Cert. Of Occupancy) Okay to issue Permanent C/O Cert. Of Occupancy) (� L:\SueHemingAvay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,103 Residential Final Inspection �� l Office No. (518) 761-8256 Date Inspection reque t received: 2 19]0 00 (�y� Queensbury Building&c Code Enforcement Arrive: am/p epart: am/pm I 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: - NAME: PERMIT#: LOCATION: DATE: 213 ;Q(j TYPE OF STRUCT E: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete A G C�C' / �C Guard 30 in. or more ,stairs,decks, afros �` 1 Q L/ 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 Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall Vy 8 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 PV a y�Y _U Furnace/Hot Water Heater o eratin gcvz Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation C��C /� g • �CC .t> 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 �f} •S O 1 ( S Garage fireproofing Duct work Sealed properlyn t Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents Building No./Addre isillefforrrLad, Final Electrical . Site Plan /Variance r ui d Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/O (Cert. Of Occir anc ) Okay to issue Pem-lanent C/O(Cert. Of Occupancy) L:\SueHeniingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 TOWN OF QUEENSBUR- v BUILDING '& CODE {ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518)745-4447 ARRIVE: DEPART: INSP: _ FINAL INSPECTION REPORT COMMERCIAL ------ MULTIPLE DWELLING (hotel, motel, apt. plex) DATE INSPECTION REQUEST RECEIVED: NAME �( / LOCATION DATE PERMIT I S TYPE OF RUCTURE FOOTINGS _BACKFILL_ FRAMING_ UMBING_ INSULATION N/A YES NO CHIMNEY "B" VENT HEIGHT PLUMBING VENT FIXTURES ROOFING EXTERIOR FINISH HEAJTNG HOT WATER RELIEF VALVES 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. FINAL SURVEY PLOT PLAN IF RE OK TO ISSUE C/O OR C C p MAP REFERENCE: BURNT HILLS SUBDIVISION DKC HOLDINGS. INC. DATED: JULY 23. 2001 LAST REV15EDe JANUARY 17. 2002 BY, VAN DU5EN + 5TEVE5 '_.A.N_n SUPVFYnPC, ----------- -------- --- ------- ---------------- BURNT HILLS DRIVE --------------------------- S86013'50"E 95.00' UTILITIES JO k,9 t-� I CRUSHEDX Owl I 19,67' STONE DRIVE Q 1 STORY WOOD FRAME HOUSE 37.84' 23 U-i C\j CM, C\1 0 O M C\1 0 IF- CV) C\1 22 27,549 sq.ft. 0.63 acres Z I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SMALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL 120,, 73 INSTITUTIONS OR SUBSEQUENT OWNERS. 2 S8 1 —7 10 W 40 4 0 CERTIFIED TOI GLORIA J. WILLIAMS + VINCENT 5. POCOGRANO t &6'�QGQ(7�� 11004,OFNEW ' - -------- I OP STEWART TITLE INSURANCE COMPANY C. tp qN000FRy CERTIFIED BYl——— ———————————— MATTHEW C. 5TEVE5. LI-5 NY5 50135 JA DATED JULY 30. 2004 Date: JUNE 21, 2004 DuS M ZED ALTERATION OR ADDITION TO A SURVEY Scale 1'=30' AP BEARING I A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for VIOLATION OF SECTION 7209,SUB—DIVISION 2,OF THE & NEW YORK STATE EDUCATION LAW.' 'ONLY COnf5 FROM THE OvJGINAL Of TH15 5UPVfY MAPSID WITH AN ORIGINAL OF THE LAND SURVEYORS GLORIA J. WILLIAMS AND SEAL ;a.IALL Steves _ BE CONSIDERED TO BE VALID TRUE COPIES.'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT S- 1 THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EASTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL VINCE'NT S . POCOGRANO Land Surveyors BY SURVEYORS.SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL SHEET I OF 1 New York 12804 AGENCY AND LENDING INSTITUETION LISTED HEREON,AND Town of Queensbury, Warren County, New York 169 Haviland Road Queensbury, TO THE A5NGNtE5 OF THE LENDING INSTITUTION' GLUTS (518) 792-8474 New York lAc. No. 50135 1 1 1 NO. DATE DESCRIPTION DWG. NO. 99241-22 16rA-7T Foundation Inspection Report Office No. (518) 761-8256 Date Inspection requ st received: Queensbury Building&Code Enforcement Arrive: am/ Depart: m 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial NAME: N PERMIT#: 19-S LOCATION: I INSPECT ON: %2 TYPE OF STRUCT 1 Comments Y N/A ings Piers M olithic 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 f 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. I.:\.SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Rough Plumbing / Insuli.tion Inspection Report Office No. (518) 761-8256 Date Inspection request received: - �jl Queensbury Building&Code Enforcement Arrive: am/pI part: U am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT #: LOCATION: INSPECT ON: Z� TYPE OF STRUCTURE:. _ ram 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 Cooper Commercial 0o er,CPVC,Pex One and Two-Family nsulation/Residential Check/Commercial Check Proper Vent,Attie 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 Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm �iart am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT #: — LOCATION: 5 - INSPECT ON: -' J TYPE OF STRUCTURE: Y IN 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 Washin Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents I LI 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Coop mercial ;�` er er, CPVC,Pex One and Two-Family ' nsulation/Residential Check/Commercial Check Proper Vent,Attic Vent V 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.hispection.FORMS\Rough Plumbing Insulation Repoit.doc November 17,2003 Rough. Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: /v/ o Queensbury Building&Code Enforcement Arrive: epart: am/pin 742 Bay Road, Queensbury,NY 12804 Inspector's Initial . N NAME: t4 , kyO.,, PERMIT #: 0 �� LOCATION: INSPECT ON: 6//(- 0 TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbin Vent/Vents in Place ou Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test - -Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/chan a of direction Water Supply Piping , Cooper Commercial 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 in Inspection Re / Framing / Firestopp g Report p p Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p >art: a m 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: t ' f !' NAME: / ° `n PERMIT#: LOCATION: Ltr-- INSPECT ON: G TYPE OF STRUCTURE: -3.,& Y N N/A COMMENTS Framing PL . Jack Studs/Headers I/6 K7 6-) Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 3 6 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 Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 11/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5. sf grade Of L:\SueHemingway\Building.Codes.inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003 Framing /Firestopping Inspection Report Office No. (518) 761-8256 Date Ins ection ue ecei ed: Queensbury Building&Code Enforcement Arrive: "" a e rt: a m 742 Bay Road, Queensbury,NY 12804 Inspector's Iniha � NAME: PERMIT t r — ! LOCATION: h INSPECT-ON: !� TYPE OF STRUCT E: ` Y N N/A COMMENTS Framing . 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 e 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 '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Building.Codes.Inspection.FORMS\Fraining 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: %7�6 am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: v 21J' INSPECT ON: b TYPE OF ST U TURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing r 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour A)c 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\I3uilding.Codes.Inspection.FORMSToundati on Inspection Report.doc January 28,2003 t NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-192-8511 _ May 21, 2004 Job#46145 New York State Dept. of Health '77 Mohican Street Glens Falls,NY 12801 RE: Burnt Hills Subdivision - Queensbury (T) Lot# 22—46 Burnt Hills Dr. Septic System Dear Sir/Ma'am- This letter is to inform you that I inspected the-completed septic system ior the house at 45 Burnt Hills Drive (Lot#22) in the Burnt Hills Subdivision on May 12 ,2004. . The septic system as installed was for a three bedroom house and consisted of a 1,250 gallon septic tank and 200 lineal feet of absorption trench constructed with stone and perforated pipe. The system conforms to the requirements of the approved subdivision design drawings. Please call me if you.have any questions or concerns. Sincerely, Thomas W.Nace, P.E. cc: Dave Hatin,Town of Queensbur_y Larry CTufe Clute Enferprises 1 Foundation Inspection Report Z ,v Office No. (518) 761-8256 Date Inspection request received: lZ 1�r Queensbury Building&Code Enforcement Arrive: am/p,"n{� � Depart: ��—'amjpm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: 1 PERMIT#: 20v LOCATION: v4ta&WSPECT ON: S11'� b TYPE OF STRUCTURE: Comments Y N NIA Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 1.2 inch width 6 inches above footing 6 roil poly for wet areas under slab Backfill Ap 1 umbing Under -1a V ast/Copper 6 ndation Insulatio tt9 E erior R- O Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Bui]ding.Codes.Inspection.FORMS\Foundation 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: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: 1G� PERMIT#: v LOCATION: `J U R.ry INSPECT ON: 16 TYPE OF STRUCTURE: Comments Y N N/A tings Piers nolithic 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 UL� �G p>0 V r Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing 2 Type of Darnpproofmg/Waterproofing Footing Drain Daylight or Sump r 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. LASueHemingway\Building.Codes.InspectionTORMSToundadon Inspection Report.doc January 28,2003 9 , *00 Septic Inspection Report Office No. (518) 761-8256 Date Inspection requ st received: O Queensbury Building&Code Enforcement Arrive: a rw/!Depart: r am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: (1 l NAME: PERMIT NO.: LOCATION: tb LCI k IINSPECT ON: RECHECK: Comments and/or diagram Soil Type:Type:j Sa /Lo'anN Clay Type of W : Municip /Well Water Waterline se ration dist•nee ft. Well separatioll,distanc ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Sim, Type Buildingto tank t- Tank to DistributiNi Box �� w Distribution Bo to ield/Pit Opening Sealed. Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Location of Syste on Property: Front Ua Left Side Right Side Middle Front Middle Rear System Use Statu . Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:eSueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 PM 6, cr � `R A- Foundation Inspection Report Office No. (51S) 761-8256 Date Inspection request received: 51 516 Queensbury Building&Code Enforcement Arrive: am/pm\ n�Depart: - pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: �G NAME: �- l/l� `C_r PERMIT#: A� / 1, LOCATION: INSPECT ON: S u 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. Found `ion/Wallpour Inforcement in Place + Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing F�6 U 11P( Tk&x kA Po/2 C- Footing Drain Daylight or Sump Footing Drain Stone: J 12 inch width 6 inches above footing _-6--miLpoly for wet areas under slab Bacicfill pproval 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.do. January 28,2003 1 Foundation Inspection Report - ,3 Office No. (518)761-8256 Date Inspection request received: L Queensbury Building&Code Enforcement Arrive: am/pr Depart: ( pm '742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials: _&--- NAME: R PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTU : L Comments Y N/A &V 1� G�J ootingspQ Piers Monolithic Slab �7—/,' 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 Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Buiiding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 i I` j S 1 C� EIG" ! - ------- - - BU�Ly' - �' have gee or observed, or.believe I-saw evidence of, - ` --- - ; G� o�ectsueh as housesr_vells,trees,fences, etc., --- _ i ` went. I also represent that I hav m 1 — 5hoWn 0—1 -- a' ed the tances set forth,on the i gra — perso e - — : o _ 5 : SATE is ._..... 9 Jel 7-1 ! 1 l $ ; - - - - - - i t _ i iii ' F F : III � i ' 1 1 c i -f�l , F , : : i r� t i a F S a Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release Id Data filename:C:\Program Files\Check\REScheck\PMt Est#21.rck PROJECT TITLE: 1232 COUNTY:Warren STATE:New York HDD:7635 I V CONSTRUCTION TYPE:Detached 1 or 2 Family iiYY HEATING TYPE:Non-Electric APR 0 5 2004 DATE:03/03/04 DATE OF PLANS:03/03/04 TOWN OF QUEENSBURY BUILDING AND CODE PROJECT DESCRIPTION: \0 -d42jM, °-ice 7,0"ea '-4 DESIGNERICONTRACTOR: Clute Enterprises Inc. 13 Dawn Road Queensbury,NY 12845 COMPLIANCE:Passes Maximum UA=261 Your Home UA=246 5.7%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1232 30.0 0.0 43 Wall 1:Wood Frame, 16"o.c. 1152 19.0 0.0 57 Window 1:Vinyl Frame:Double Pane 138 0.490 68 Door 1:Solid 42 0230 10 Door 2:Glass 21 0.490 10 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1232 19.0 0.0 58 Furnace 1:Forced Hot Air,90 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 Vew York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and >igned this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code. Builder/De signer Date I j V/5 `�' RESche'ck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release Id DATE:03/03/04 PROJECT TITLE: 1232 Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Vinyl Frame:Double Pane,U-factor:0.490 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: Doors: [ ] 1. Door 1: Solid,U-factor:0.230 Comments: [ ] 2. Door 2:Glass,U-factor:0.490 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number 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. I Duct Insulation: [ I Supply ducts in unconditioned attics or outside the building must be insulated to R 11. [ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] I Supply ducts in unconditioned spaces must be insulated to R-11. [ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-2. I Insulation is not required on return ducts in basements. I I Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics I (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. I Exception:Continuously welded and locking-type longitudinal joints and seams on ducts I operating at less than 2 in.w.g.(500 Pa). [ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] I Air filters are required in the return air system. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space I temperature set point of the largest zone. I I Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. I I Fireplaces: [ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] I 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 I the New York City Building Code,as applicable. I I Service Water Heating: [ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the I water heater has an integral heat trap or is part of a circulating system. [ ] I Insulate circulating hot water pipes to the levels in Table 1. I i Circulating Hot Water Systems: ( ] I Insulate circulating hot water pipes to the levels in Table 1. I I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% I of the heating energy is from non-depletable sources. Pool pumps require a time clock. I I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105 T or chilled fluids below 55 °F must be insulated to the I levels in Table 2. s Tablg 1: 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 HVACPipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts I"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)