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2004-162 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: P20040162 Date Issued: Thursday, July 15, 2004 This is to certify that work requested to be done as=shown by Permit Number -- .-P20040162 has been completed. Tax Map Number: 523400-296-005-0001-025-000-0000 Location: 8 HIGBPOINTE Dr Owner: GUIDO PASSARELLI Applicant: GUIDO PASSARELLI This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling 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: P20040162 Application Number: A20040162 Tax Map No: 523400-296-005-0001-025-000-0000 Permission is hereby granted to: Cr1TID0 PASSARF,T,T,T For property located at: HIGHPOINTE 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. Type of Construction Value Owner Address: GUIDO PASSARELLI 465 LAKE Ave GaragFireplace LAKE LUZERNE,NY 12846-0000 Single -2 Cars FamilDwelling Attachgd Single $180,000.00 Total Value $180,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency LAMOTT. MIKE 45 HERALD DRIVE OTTEENSBURY. NY Plans&Specifications 2004-162 LOT 18 HSE 8 HIGH POINTE DRIVE 1388 SQ FT SINGLE FAMILY DWELLING $213.16 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 08, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of Queensbury; Wednesday,April 14, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Fire Marshal's Office 'Town of Queensbu y,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date f,;f ,20 > Permit No.! Application is hereby made to the Building& COdG'S Office for the issuance of a Building and Use Permit pursuant.to the New York State I ire 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 preinises to petforin required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Inforrmation (circle appropriate words) Name: J:a ;',w. :,' ;,; - „ ,., _ Stove: wood coal pellet gas - Fireplace insert Address: c h" t; i 9 �;.', . 1, , Fireplace, facfory-built: _ wood Fireplace,.masonry: wood gas Furnace: wood gas oil Phone: �;)',r,; vIz,�.�-� If note-masonary applicance,please provide Owner: Manufacturer Name: 4 ; ; ,,•, Address: Model Number: - 1 Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile steely size: inches Exact Address: .i ;} i' V. of construction dr installation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction IInstallation must coca orm to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury '.Handouts regarding required inspections. Double wall- / Triple wall / Insulated / Direct venting Cliinsney Liner Ca,sEliier'ier Department—To.M:ei of 401Xee2XfiW7buXy, 1V"4-_WW-Xorl;: Fire.Marshal Code# S Collected S Refunded Recenied from (refunded to): address; _T_ A 173 3389 (190) Public Safety A 233 2655 (230)Minor Sales DATE: c' White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.) Check Residential Plan Review: One&Two Family Dwellings YIN/N/A V (2)Full sets of plans Over 1,500 sq.ft.—Stamped Design Loads On Plans:90 Wind Floor Loads 40 psf 1 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size oor 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" op 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 P tforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise A114 Winder Run and Rise Spiral Not Allowed From 2 Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width,36"min. Handrails More Than One Riser On Open Sides 'ling and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas Garage Fire Separation age 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 Building Permit.Appiication Town ol•Qucatsbury—Dept orConurlurlily Development, 7,12 Bay Road,(2uccnsbury, NY (518)76 1-825 G A permit must be obtained bclin-c beginrlinl;conslruclion. Permit Filc No No inspcelion will be naa(lc tuitil applicant has received a lice Paid valid building permit. All applicants' spaces on this IZCC. Fee Paid 1� application nm i be complete(l and nrdrsl appear oil tits Revie4vedl 13y: appliealion Form.- Applicant: Q e Owner:Address: %6-!? RT q Address: °s Property Location: Lot Number: j / l l0usc Number Subdivision Name: r- -/ G— , �I a ft tip New Building: es+(Ie�uce 1 cummumiul Isslimale(I M-M-kcl Value orConsU"uclion: $ Li Addition: resae�leace/ coannacrcial Iran Addition, what will use of drew addilion be*1 u Allcration: residence/ Connnacial U No ehange to exterior size: residence/cunt'I ul Other work(desetibe Check -- -•-•-I`t.hlutrr ..-_..___.-2"'r I�ltlur---•— Other flour 'Col:+l cylttfountadoit Belo sq.I'I. sq. Il. $1t. fl. Square Feel ilydwelling Two f,unily dwelling U 'Townhouse t_t Multiramily dwelling it orunits U Office U Mercantile U Ma1luTactu611g U 1 car delached garage _ U 2 car detached garage 3 car delac:hed garage U I car attached garage t�2 car ali:tche(1 garage __ y�( -•-- _ U 3 car allached garage U ;storage building-commercial u Storage building- residential Other Will any sceoud-hand or ungraded luntberbe used? If so, for what? Type yf l lcating System: clec(ric/ oil / ga wood / hod ai•/ baseboard/other: Number or l,"kepluces to be installed — — 'Number or!ruminates to be installed 1_.ist below the t?et'soll(s) responsible For supervision or'work at5 regards iL'building codes: Nance Address ' _Phone Number Builder /'?► �� /�'i' � . � '�9'li�� ]'lumberG*6 R'c�s8'�f� 2 Mason �e� Th omens rya-/tiIP� ))cclara(iuu: please sign below ancr you have cnrclially read llrc st- oil(; •'1'o the best or my knowledge the slalemenls contained in this application,together with(lie plants and specifications submi(ted,arc n true and complete siniclncat of all proposed work to be done oil the described pr'cn+iscs and that till provisions of the 131fildiirg Codc, [lie 'Zoning Ordinance all(I all other laws pertaining to the proposal work$hall be complied With, wl+c(lier speciliud or noted,and that such work is authorized by the owner. Further, it is un(Icrslood(ha(I/we shall submit, prior lu lr Certificate ofoccupancy or Certificate ofcompliau+ec being issued,as requested by(lac honing Administrator or Director of Iluilding and Codes,am As 11►rilt Srn•rer by a liecoscd surveyor;diawal to'sCale,showifg actual location or all few conshuction. Signature: '-���` _ owner,q.vue's agent,al'CIIIICCh CVllh'actur Application for Permit—Septic Disposal System 70l11t1 of Q11MISbitly 742 Bay Road Queensbury, N1' 12804 (518) 761-8256 1. OWNER INFORMATION: Office ugL Location of inst��rllation: _ �,�T �� �//a ,�p�n7� ��, L� File Permit No. Tax Map No. 6 fee Paid Owner's Name: 7"�yr� at�s7� Address: 4 1 797' 97, E 2. INSTALLER'S NAME : DD gy PHONE NO._ 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate I/bedroom(y) and multiply 11 of bedrooms with applicable gallons per bedroom to equal total claily.Jlo►>>) Year of House: No. of Bedrooms x Computatiofi. = Total Daily_I low 1980 or older x 150 gal/bdrm = 1980— 1991 x 130 gal/bdrm = — �t�}Tll`="preseu Ll x 110 gal/bdrrri = Garbage Grinder Installed yes / rio Spa or Whirlpool Installed yes / uo 4. PARCEL 1NFORMA'1'ION: (circle applicable infortnatioii (�,, iai«ic ite titeasureuretits) Ar r�1 lr►y Soil Nature Ground Water Bedrock or h►mcrvious Material Domestic Water Su �7at and at what depth at ►chat depth rurici wl v!ltrtg oatn `i feet fret me Steep slope clay if ivell; water supply _%slope other fi•orrr arty septic-system depth: absorption is ft. other_ Percolation'Pest: (1 o be completed by licensed profrssioncrl engineer or architect) Rate: mimtte per inch 5. PROPOSED SYSTEM: Fur New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning 13oard approved subdivision). Add 250 gallons to lire size of the septic tank and leach field For each Garbage Grinder, Spa or WhirlimI Tub. Septic Tank: �,000_gallon (min. size ],000 gal.) Tile Field: each trench _Jl. Total System Length: a p® fl. Seepage Pit(s): number of'____ size of'eaclr: fl, by fl. Size of Stone to be used: It ..._.___..._.Y_ 7 depth or thickness _ .__._Ir�e't Bed System Size: x Alternative System: length anaVor 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 die regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. EX/ S�, res ponsible person Date g l Queensbury Building & Code Enforcement - Residential Final Inspection A Office No.(518)761-8256 Arrive: pm D art: a Date Inspection requgst re eived: Q Inspector's Initi s�NAME: F ! RMIT#: LOCATION: r�ti r ATE: TYPE OF STRUCTURE: s � 1 Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location V. Fresh Air Intake \ 3 inch Plumb Vent through roof minimum 6" 1, 1v ® C\VT C-, Roof Complete/Exterior Finish Complete Guard 30 in.or more P,stairs, decks,patios Guard at stairwell at 34 in. or more J. Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. ����� ���- �•-�j`C— Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum 1/2" Gypsum ,/ vo Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s) installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. N P,06�2 '�3es�)'P-jck� Bathroom/Kitchen watertight _ Safety glazing/Window in stairwells safety glazin Interior Smoke Dete tors: Every level: / Every Bedrpom: Outside every bedroom area: ✓ ✓ Inter Connected: ✓ / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade u- -twv Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/1/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure �` W-\S(A\.— Q Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area e NU 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 or C/a Temporary/Permanent] L:\PamW\Building&Codes\Insuection FormslRes, Final Insp. form 2.docLast printed 2/12/04 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518)745-4447 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT COMMERCIAL ------ MULTIPLE DWELLING (hotel, motel, apt. complex) DATE INSP�7 ION REQUEST RECEIVED: NAMEGLS LOCATION DATE / PERMIT A �(D� TYPE OF STRUCTURE FOOTINGS _BACKFILL_ FRAMING_ PLUMBING_ INSULATION N/A YES NO CHIMNEY "B" VENT HEIGHT PLUMBING VENT FIXTURES ROOFING EXTERIOR FINISH HEATING HOT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION INTERIOR STAIRS RAILINGS STOCKROOM ENCLOSURE FIRE DEMISE WALLS PENETRATION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE PL VARIANCE RE . I L SURVEY PLOT PLAN IF RE OK TO ISSUE C/O OR C C 1 0 LEGEND o I.R.F. IRON ROD FOUND o I.P.F. IRON PIPE FOUND o I.R.S. IRON ROD SET MAP REFERENCE: caj UTILITY POLE 000o STONE WALL MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION x—x—fc- BARBED WIRE FENCE MADE FOR GUIDO PASSERELLI, ROUND POND SUBDIVISION O.P. INT SITE PLAN" W.F WOOD FENCE POST PREPARED BY VANDUSEN & STEVES, L.L.S. —ohw— OVERHEAD WIRES DATED JUNE 24, 1993 n/f NOW OR FORMERLY LAST REVISED SEPTEMBER 29, 1993 FILED IN THE OFFICE OF THE WARREN COUNTY CLERK PLAT CABINET B, SLIDE 51, MAP No. 86 150.00' LOT 18 Ni a 481 ACRES o_ c5 LOT 19 LOT 17 m 22.5; w HousE Porch 3 A °a 26.2 a v'a! UtNtles v 0 30.0 "W LOT 16 574.4g,40 L�68.1 6 R'325 00 �R Iy'E E 01 NOTES: I HEREBY CERTIFY TO: 1) FRANCISCO & DARLENE E. LOPEZ 1) THIS SURVEY WAS PREPARED WITHOUT THE 2 COUNTRYWIDE HOME LOANS, INC., ITS SUCCESSORS AND/OR ASSIGNS OF N BENEFIT OF AN ABSTRACT OF TITLE AND IS 3 THAETITY THIS MAPNAL WASITLE P EP REDANCE FROMCANY ANPACTUAL FIELCIYORK MAP OF A SURVEY OF LOT 18 ROUND POND SUBDIVISION THEREFORE SUBJECT TO ANY EASEMENTS, SURVEY COMPLETED ON JUNE 24, 2004. MADE FOR COVENANTS OR RESTRICTIONS OF RECORD THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL 13E ANY STATEMENT OF FACTS SUCH DOCUMENT VALID ONLY TO THE PARTY OR PARTIES HEREON NAMEC AND �F INV WOULD DISCLOSE. PIMNCISCO & DARLENE E. LOPEZ ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS CR 2) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR EXPRESSLY STATED HEREON. � MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A 3 VIOLATION OF SECTION 7209, SUB—DIVISION 2, OF THE , TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK NEW YORK STATE EDUCATION LAW. Q 0 3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY DAVID J. BOLSTER 4 DA VID J. B OL S TER MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS JULY 7, 2004 LAND 5V LICENSED LAND SURVEYOR SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839 DAVID J. BOLSTER, LLS DATE: JULY 7, 2004 SCALE: 1"= 30' N.Y.S. LIC. NO. 49534 DATE SEALED DWG. NO. 04-142 C Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 0 " Queensbury Building&Code Enforcement Arrive: am/. Depart: m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initial . r'- NAME: PERMIT #: LOCATION: ( INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1, R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min.Drain Size / r Washing Machine Drain 2 inch min. G Head or Air Supply Test GL j� 30 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 CPVC,Pex One and Two-Family Insulation/R sidential 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: OWICIAI& raW- AG C6(&CK— C,j FO LJ� ►S.�-C K FiZo lt& V C—,J 7' L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing /Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: . Queensbury Building&Code Enforcement Arrive: am/pm , D part: am/pm 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials: , NAME: PERMIT#: LOCATION: O 7_11 .r--- INSPECT ON: O TYPE OF STRUCTURE: Y z N/A COMMENTS Framing C��d�� Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/2 'inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade _ LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report � r T�a Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Depart: !l- a a p 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials Z,/1 � NAME: U"' PERMIT#: LOCATION: INSPECT ON: a TYPE OF STRUCTURE: Y N 'N/A COMMENTS Framin Jack Sfuds/Headers AIA I Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/z(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side ''/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\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection requ eceived: Queensbury Building&Code Enforcement Arrive: % '` a ep a pm 742 Bay Road, Queensbury,NY 1.2804 Inspector's Inttia s: 0 NAME: G PERMIT#: LOCATION: INSPECT ON: f�—O " TYPE OF STRUCTURE: U ;�(7 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 Ane r Bolts 6 ft. or less on center ce and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 1 ow Septic Inspection Report Office No. (518)761-8256 Date Inspection-re est re e -d- Queensbury Building&Code Enforcement Arrive: am/p art: a 742 Bay Rd., Queensbury,NY 12804 Inspector's Ini ' Is: NAME: ) S tQ�Q_, PE IT LOCATION: ; SPECT ON: (_ RECHECK: Comments and/or diagram Soil T e: Sand/Loam/Clay T e of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length Length of each trench t. Depth of trenches Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tanlc to Distribution Box Distribution Box/to-)Field/Pit Opening Seale : / /Partial Location%Separations Foundation to tank . ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan VY N Location of System on Property: Front Rear Left Side Right Side Middle Front e Rear System Use St s• Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LASueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 F-, © Xk \ V x . rryy cJ �8� �• Q s- e•' "� P- 41 _ M �� in w 17 �l7 ""eke",!; ate, \.._• y� 'Z, -. IS, i v _: .. IA U ' 00 41 Moe r nl�ser�re;l, Q ► v saw evidence of r " to h d ail obie6 gh 8S i��U$°C, ^�';,S, i-, ps. i ces eetc. C7 IT � �.! `'s J" r r '-1 v VI � Q. � (� shown, on this doLcur}"tC'.nt, I iso le-prose' n't that I have m h V (Il r e1 ,ci � ,��rs��Faii� ;�r-asF.;.e� ti:?- tjfStia"�eS Sep: 1L'it�i ;?EI ��c r¢1rg:nf�l? wu c to c TO 39Vd A3A1 ins GNV-1 ?31=,-109 EEZS1 P18TS TC:60 £aGZ/0vzo C-3 Foundation Inspection Report Office No. (5 H) 761-8256 Date Inspection r uest ived• Queensbury Building&Code Enforcement Arrive: !? a epart: -� ain 742 Bay Rd., Queensbury,NY 12804 Inspector's Initi �o NAME: L ERMIT#: —Z�q4 e LOCATION: INSPECT ON: - TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place e V Foundation Dampproofmg Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing poly for wet areas under slab Bacicfil�Approval +� Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report,doc January 23,2003 J Foundation Inspection Report Office No. (51'8)761-8256 Date Inspection request received: /,-In Queensbury Building&Code Enforcement Arrive: am/prr��Z Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ��11 NAME: PERMIT#: LOCATION: `, '�'-� SPECT ON: D r 2 erg yZ �. TYPE OF STRUCTURE: Comments Y IN N/A Footings Piers Monolithic Slab Reinforcement in Place 2_ 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 e Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 ueensbu Buildin & Code Enforcement - Resi `ent1� nns ection Q rY g P Office No.(518)761-8256 Arrive: a pm De - a� Date Inspection request received: 1114103 .30 Inspector's rnit' s: NAME: ,- IT#: ao — iz a LOCATION: ATE: TYPE OF STRUCTURE: S - Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more OZ.stairs, decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers �t - Enclosed Stairs Sheetrock Underside minimum %" Gypsum Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall pO 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s) installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safe glazing/Window in stairwells safety glazing Interior Smoke De ctors: / Every level: / Every Be room: Outside every bedroom,,area: Inter Connected: j / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access,.l 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 or C/O Temporary/Permanent _ L:\PamW\Building&Codes\Insvection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 Town of Queensbury Fire Marshal 742 Day Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Mspection Report Notice:New Fork State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's ( / instructions or specifications is allowed. Permit## Schedule Inspection Time _ am pin anytime Inspecto Name ��((� _ Address C -_ hough In1Ba1_ Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Fall _ Insulated Yes No N/A Comments Floor Protection earances to Combustibles (all sides) Firestop(s) Vertical Chas,,— Wall Penetration Vent Clearances to Con bustibles Vent/Chimney Termination Chimney height must be 3 feet shove roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Fitness Operation Tank Placement(if LP) Pink—Fire Ma Nhal White—Building Dept. Yellow Cabt es Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 C)I~1 761-8205/761-8206 fax 745-4437 Factor*Built Gas Fire laa ce/Stove Ltspectign Itet��rt Notice:New York State requires that all fL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's / instructions or specifications is allowed. J� / Permit# (p Schedule Inspection Time �/ am pm anytime Inspector /�- 0/� Name �' �!�f Address ®/� � � hough In_Final_ Appliance Mann cturer �(ri��t/RI U� Model# C�� �b J s CAI I'l Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated _ Yes No N/A comments Floor Protection Clearances to Combustibles (all sides) F'irestop(s) vertical chase � �/(/��� � � /`lo C,-.? Wall Penetration 0/0 tT- Vent Clearances to Combustibles Vent 1 Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Of Valve J / Combustion Air Hearth Extension (if away) Mantel I Height above Up opening Witness Operation Tank Placement(if LP) White—Building Dept. �^ fellow Cmftmer Pink—Tire.MmA al jMMI Wrf[.f[Jr[Jrr�[PMfryL3PLPCCP[.IMPLPL 3PLPL1PL[PLPLft1!I11 E. [.r@ffi LPLPL E. I[2P�LPLPQPQPPLGPL i!!! R�C1��[1�Gf[J�r�[J�rJ�[PCf[lr�rl?[J�[�.f[.f[PC I� 51# BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE. UNDERWRITERS 5 5 5 5 BUREAU OF ELECTRICITY 5 5 40^ FULTON STREET - NEW YORK, NY 10038 c� S CERTIFIES THAT 5 5 5 Upon the application of upon premises owned by �� 5 5 5 TERRE MAJESTIC INC., *TERRE MAJESTIC959 STATE C5 QUEENSBURYUNY 112804-6290, QUEENSBURY, NY 12804 5 5 - 5c 5 Located at 8 HIGHPOINT DRIVE LOT 18 QUEENSBURY, NY 12804 5 5 • - 5,-Application-Numbers 2000101 w ��lCer ificate Num6er:'- 2000101 5 5 Section: Block: Lot: Building Permit: BDC: A239 5 5 5 5 Described as a Residential 1200-1799 square ft. occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 Basement,First Floor,Attached Garage,Outside, 5 5 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the -13th Day of July,2004. 5 5 Name QTY Rate Rating Circuit Type 5 Alarm and Emergency Equipment 5 5 Sensor 1 0 Carbon Monoxide 5 5 Sensor 5 0 Smoke C5 5 Appliances and Accessories 5 5 Bell Transformer 1 0 KW 5 5 Dish Washer 1 0 1.5 KW 5 Dispos4l- - - —- — — — --1 0 __ ---FRY— Exhaust Fan 2 0 F.H.P. S 5 Air Conditioner 1 0 Amps 5 Furnace 1 0 Gass 5 Wiring and Devices 5 5 Fixture 28 0 Incandescent _ 5 Fixture 1 0 Flourescent - 5 5 Receptacle 33 0 General Purpose_:'_ 5 5 5 Switch 35 0 General Purpose 5 Receptacle 5 0 GFCI f " seal 5 5 Outlet 3 0 Telephone 5 Receptacle 1 0 Dryer ` (', 5 Continued on Next Page 1 of 2 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 5 o pr I����MP�P�������������������������������� ' L: LZ�����LPLP� o Q�r P�J'c�r��PrJ�tnr Pr PtPr�rJ�r1�r.PcJ�rtr PinrJ�cl�r�clrJ�cnrJ�cJ�rJJ�J�rJ�rJ�r�c1rJ�r�cl�clr�rJ�cPr�r�rJ�r�r�r�r�rJ�rJ��l�rnrJ�rJ�rJrPrJ�c1��.1��PrJ� 5 i BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 S 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 5 0 5 5 Upon the application of upon premises owned by 5 5 5 TERRE MAJESTIC INC., *TERRE MAJESTIC 5 5 959 STATE ROUTE#9 959 ROUTE 9 5 SQUEENSBURY, NY 12804-6290, QUEENSBURY, NY 12804 S 5 5 H Located at 8 IGHPOINT DRIVE LOT 18 QUEENSBURY, NY 12804 5 5 5 .C — -- -5- Appticatior�Number:' -- 2000101 �e�r ifiicate�umber: " 2000101 5 5 5 SSection: Block: Lot: Building Permit: BDC: A239 S 5 5 5 Described as a Residential 1200-1799 square ft. occupancy, wherein the premises electrical system consisting of Cj 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,First Floor,Attached Garage,Outside, 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the 13th Day of July,2004. 5 5 Name QTY Rate Rating Circuit Type 5 5 Receptacle 1 0 Range CeJ 5 Service 5 5 1 Phase 3W Service Rating 200 Amperes 5 _ 5 Service Disconnect: J 200 cb S 5 Meters: I 5 S S 5 _ 5 5 5 5 = - seal 5 2 of 2 = 5 5 ' 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 n��n��n�.n�nr��nr nr rrnr���n�n���n���rrr���n��nrn�nr��.re nt.r�n�n��[PrPLPrJ'r3P s�n��n��n���l-��n��.r��� a Ll aa G • ~ W tin F- • d to `�- a � � . A L13 o ; q Co 8 ft; S 'S w d �• z ' V p � ���/ �' air, ---::.,• .� ~�� . �,`` tr i L1 U LO vOpZ�f1� O•CC) `�A eJ N 03�rn�sN.71" _; a oj 44 r observed, �b l: v4saw evidence of,r Q a{{ objects s�h as houses, vie s, gees, fences, etc., • shown on this documLrt. i _is r ra nt, ` m 443 IV 0 o ep se,.� that 1 have C-) personally measured the distances set forth on the diagrar�7" cU -J 6 LO �dATURE SITE TO 3DVd A3(\ns (iiw1 �i31s,-lsS G6ZGLVL8T9 T6.:60 COOZ/6Z/LO I 1 s ermit Number MECcheck Compliance Report Checked By/Date Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb Data filename:Untitled TITLE:TERRE MAJESTIC, INC. 0 ® C I ApR L 7 2004 COUNTY:Warren STATE:New York TOWN OF QUCENSBURY HDD:7635 BUIL ING AND CODE CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 04/06/04 DATE OF PLANS: 8/21/01 PROJECT IN RMATIO LOT 18 COMPLIANCE:Passes Maximum UA=368 Your Home=283 23.1%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1388 30.0 0.0 49 Wall 1:Wood Frame, 16" o.c. 1571 19.0 0.0 80 Window 1:Vinyl Frame,Double Pane with Low-E 144 0.350 50 Door 1: Glass 40 0.350 14 Door 2: Solid 50 0.100 5 Basement Wall 1: Solid Concrete or Masonry,7.6'ht/6.8'bg/7.6'insul 1342 11.0 0.0 85 Furnace 1:Forced Hot Air,90 AFUE Air Conditioner 1:Electric Central Air, 10 SEER 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 Proposed New York State Energy Conservation Construction Code requirements. -Builder/Designer e 2/ Date i' J MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE: 04/06/04 TITLE: TERRE MAJESTIC, INC. 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: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry,7.6'ht/6.8'bg/7.6'insul, R-11.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor: 0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: Doors: [ ] 1. Door 1: Glass,U-factor: 0.350 #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 2. Door 2: Solid,U-factor: 0.100 Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number [ ] 2. Air Conditioner 1:Electric Central Air, 10 SEER 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 Type IC rated and installed with no penetrations,or Type IC or non-IC rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials and 3"clearance from insulation. f 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. v [_ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R-11. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [ ] Separate electric meters are required for each dwelling unit. Fireplaces: [ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: [ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 V or chilled fluids below 55 T must be insulated to the levels in Table 2. r . 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)