2004-216 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: P20040216 Date Issued: Wednesday, August 04, 2004
This is to certify that work requested to be done as shown by Permit Number P20040216
has been completed.
Tax Map Number: 523400-301-019-0001-028-007-0000
Location: 24 EVANNA Dr
Owner: CERRONE BUILDERS INC
Applicant: CERRONE BUILDERS INC
This structure may be occupied as a:
By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
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: P20040216 Application Number: A20040216
Tax Map No: 523400-301-019-0001-028-007-0000
Permission is hereby granted to: C'F,RR0W BTTff,DF.RS iNC;
For property located at: 24 EVANNA 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: CERRONE BUILDERS INC
66 SUNSET Trl Garage-2 Cars Attached
Single Family Dwelling $190,000.00
QUEENSBURY, NY 12804-0000 Total Value
$190,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-216 LOT 9 HSE 24 EVANNA DRIVE, Pinetree Circle Subd.
1892 SQ FT SINGLE FAMILY DWELLING
$275.44 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, May 03, 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 T of ueen ; Ar
ay 03, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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: t 1�•�11,/ ,�1 R-41 r ,
File Permit No.0`7 `
Tax Map No. / /
Fee Paid
Owner's Name:
Address: l�1 C�)-x/,re,V1- -
2. INSTALLER'S NAME PHONE NO. J ��
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 gal/bdrm =
1980-1991 f x 130 gal/bdrm =
1991-present x 110 gal/bdrm =
Garbage Grinder Installed yes
Spa or Hot Tub Installed yes_./ no-7
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
ToweraDh ature Ground Water Bedrock or lm ervious Material Dgwwgtia Water Supply
Flat sand at what depth at what depth municipal
o ling m feet feet we
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:1,2—do gallon(min.size 1,000 gal)
Tile Field: each trench 5S7 ft. Total System Length: ZZO ft.
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 I TOTAL Capacity: gallons
Note: Alarm-System and associated electrical work must be inspectedby a Town approved
electrical inspection agency. ,
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury,any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant,shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
ax:2' Z, 0,
gnature of responsible person Dat
s:
• . � ;'l'cnvt� of t�til;t'!11;�1)tlt•y '
..Mft s anti Sewitl;C Di.spt sal t:itstti)it't•
AI)I)<<odix C
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Ms Wool
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7, SIQNA►TURE &INFORIv A.TION FCC. aYVt�l �fisL �r�wv���,� •�......:;" ;' :'":;
y ' '
ENERGY CODE COMPLIANCE APPLICATION
TOWN 9 00 HEATING DEGREEA N COUNT ,
DAYS
Compliance Methods:Part 5 -Acceptable Practice Method-1&2 Family Dwellings(only)
APR � 2> 2004
Part 6* Tbermal Multi-Family
nDwellin 3 Stories o Offs &2 Family Dw 11 ugD�Q Amo SIBURY
c00E
g ( less) COCc
Part 4*-Design by Component Performance,Commercial Buildings-Hi
Rise Residential
*Requires submission of worksheets
�ppLICANT'S N P PERTY LOCA ION.
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area 1JW1 square feet
2. Type of heat- Electric Oil Gas Other
3. Is building mechanically cooled? Yes L/No
4. Percentage of area of windows and doors Over 17% -/Under 17%
5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TOR VALUES AS
SHOWN ON PLANS SUBMITTED:
a: Roof R ?�Q
b. Exterior walls R
C. Glazed areas R 7,9
d. Exterior doors R
C. Floors over unheated spaces R�_
£ Edge of slab on grade(heated building) R --
g. Basement/cellar yAls(above grade) R_Z
h. Basement/cellar walls(below grade) RZ
i. Heating/cooling-ducts-piping in unheated space R
6. Service(domestic)hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140-WILL NOT BE EXEEDED
p ' is i ature Date Phone Number
INSPECTOR'S REMARKS:
k
Building Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road,Quoensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No. �J u-oil Cp
No inspection will be made until applicant has received a Fee Paid $ , U t 1
valid building permit. All applicants' spaces on this Red.Fee Paid $
application mustbe completed and must appear on the ON
application form. Reviewed By: 3
Applicant: e, 1J _Y/Q Owner:
Address; b ' / Address:
Phone#( - Phone#(_)
Property Location: Lot umber: G' / House Number /
Subdivision Name: �e St-t4c(. Tax Map Number: J6 491/-Ab,7
New Building: residenc /commercial Estimated Market Value of Construction: $ � /�/�
O Addition; res once/ comniereial If an
O Alteration: residence/ commercial Addition,what will use of new addition be?
O No change to exterior size: residence/com'1
O Other work(describe )
Check OccupancyInformation 1' Floor 2° Floor Other floor Total
Below sq.ft. sq ft. sq.ft. Square Feet
Single family dwelling -7 L L
O Two family dwellin
O Townhouse
o Multifamily dwelling `
#of units
O Office
o MercantileP Ot IF ENSBUR
O -Manufacturing 1 IILDING At,Cl—L;uur-
a 1 oar detached ge
O 2 car detached garage
0 3 car detached garage
O 1 oar attached garage
2 oar attached page
O 3 car attached garage
v Storage building-
commercial
o Storage building-
residential
v Other
What is the proposed height of the structure ---=,F-fe�ett inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ 'oil gas/woodCfor=cedhotir baseboard/other:
Number of Elmak"s to be installed Number of Woodsigves to,be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder
Plumber !� /I �' V
Mason
Electrician L
Declaration: please sign below after you have carefully read the statement:
To the beat 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 dote on the described premises and that all
provisions of the Building Code,the Zoning Ordinanco and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/wo shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Dix of Building and Codes,an its Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all no ens 7/�Z
Signature: owner,owners agent,architect,contractor
Queensbury Building & Code Enforcement, - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm D part: Z / "m/pm
Date Inspection request received: — Inspector's Initials:
NAME: p _ PERMIT#:
LOCATION: L DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" 7-
Roof Complete/Exterior Finish Complete C
Guard 30 in.or more @ stairs, decks,patios \
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum ''/z"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
arbon Monoxide Detector
athroom Fans, if no window
Xlumbing fixtures t A.ke
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/'/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" ccess, 1 s . ft.-150 s . ft.vents
uildin No./Address isi e ftern!ad.
Final Electrical
Site Plan /Variance 1equ red,
Final SurveyPlot PlanI-A, (o I
As Built Septic System/Sew&D t.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No..............n........................Cert. N O 7 5 9 4 0 Cut-in Card No...........................
Owner......... eauldw-e- 6G425 9
,................... ................................................................................................................... ...
Location.M!�:T..7......Es e4gLi �............
......�...................................��...................................... ...............
Install tion Consistin of...................... ..... ,t.................. .....�........................
2. .; `7Z�...S. /5/.........�-`
. .. / U�.... ................................................................................................................
.... . .. .__..nn..... ..,,.//.��...
InstalledBy........15..L.r Y................................................Lie.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makin insp ctions at any time, and if its
rules are(violated,the Company shall have the right t r oke this certi. ate.
Date.......¢ �� C,r ............ INSPECTOR.. t
....................... .. ....... ......... ......................................................................
Member N.RP.A.,I.A.E.I.
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: ��' PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in. or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
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
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:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping.finished basement 1,000 sf
Emer.gency egress below grade
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
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./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan 010
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 Occu anc
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
try / / !
Queensbury Building & Code Enforcement - Residential Final Inspection
-Office No. (518)761-8256 v Arrive: am/p De art: am/pm
Date Inspection request received: c7oq Inspector's Initials:
I �
NAME: !l.�1'!—Ord�- �• .�i � -1�1`� T PERMIT#:
LOCATION: ,�'�(�� ,,,� O iV(� DATE: ?,
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ 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
Vv-
Enclosed Stairs Sheetrock Underside minimum %Z"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup: Ny(A-1X-- 194 (�
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures /J
Foundation insulation �C���
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/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, 1 s . ft,150 s . ft.vents
Building No./Address visible from road
Final Electrical
Site?lan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker UU(Nl L�
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codesllnspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
_ �C
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 6S�
Queensbury Building& Code Enforcement Arrive: am/pm ,art--
am/pin
742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials:
NAME: t�?�h9��� PERMIT NO.: w`(— oZ I
LOCATION: a ✓Cc;,N C Jam_ INSPECT ON:
RECHECK:
Comments and/or diagram
Soil T e S Clay
Type of Wate : Mumcip /Well Water
Waterline separa ' 11 istance ft.
Well separation distance 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 Size,, Type
Building to tank L
Tank to Distribution Box er u
Distribution Box to Field/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
Location of Syst on Property:
Front Rea Left Side fight ide
Middle Fr it Middle Rear
System Use Stat 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
ZO/—
:We seer; or observed, or believe I saw evidence of, �
:. objects such as hduses, ��iplls, trees, Fences, etc.,
jshown on this ocument. I also represent that I have
I personall r e cared t istances set forth on the ' gram." a� �
IRE
�Z�/iw CI
SIGNATURE DAM
To AP 2 � 2004
g�a�1�QUFEIVSBURY
G AND CODE
le6
� a
-116 j
MCI
d n
i
IAL
169 Haviland Road, Queensbury, NY 12804
Phone-518-745-4400 Fax -518-792-8511 ,l
August 9, 2004
Job # 46173
New York State Dept. of Health
77 Mohican Street
Glens Falls,NY 12801
RE: Juniper Hill Subdivision - Queensbury(T)
24 Evanna Drive (Lot# 9) Septic System
Dear Sir/Ma'am:
This letter is to inform you that I inspected the completed septic system for the house at 24 .
Evanna Drive(Lot#9) in the Juniper Hill Subdivision on July 28 ,2004.
The septic system as installed was for a three bedroom house and consisted of a 1,000 gallon
septic tank and 165 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 R. Center Jr.,EI
cc: Tm-w atin;Town of�Que-ensbury
Al Cerrone
Rough. Plu.mbin / Insulation Inspection Report
g p p
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p a art: - am/pm
742 Bay Road, Queensbury,NY., 12804 Inspector's Initials: _n �r ".�
J 1
NAME: PERMIT ##: O ( n
LOCATION: INSPECT ON:
TYPE OF STRU&URE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
apt Iron, Copper Drain/Vent/Comm.
Xumbing Vent/Vents in Place
R_ou Plumbin ;/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
Wate Supply Piping
C oper Commercial
oo er,CPVC,Pex One and Two-Family,
N esidential Check/Commercial Check ,
'- ro er ent;Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Co bustion Air Supply for Furnace
uct work sealed properly/No duct tape
LV_T
px
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
a-E PA
Rough ]Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 7 /`�� ,,
Queensbury Building&Code Enforcement Arrive: DepartL am/pm I N�t
742 Bay Road, Queensbury,NY 12804 Inspector's Initial
NAME: PERMIT #: vL 5U
LOCATION: J�� �r INSPECT ON: (n �C��
TYPE OF STRUCTURE: S�
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Pl
umbin Vent/Vents in Place Fve Vc�
"Rough Plumbing/Nail Plates
1'Mi inch min. Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test W,4tt'5 kR
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes (/j �.
Cleanout eve 100 feet/change of direction
Water Supply Piping
Cooper Commercial
C 6 er, CPVC,Pex One and Two-Family ��SJ/�GC �j��v L Le
I. sulation/Residential Check/ Commercial Check ,Fox
Proper Vent,Attic Vent �(
Duct/Hot Water Piping Insulation
If required unheated spaces
C mbustion Air Supply for Furnace
uct work sealed properly/No duct tape
f
L�'J
C
��� '�6
MENTS: ��2/1>6 (,0j(fP
I O jA)o f ccC-$5
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Framing f Firestopping Inspection Report3:3 6
)
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p part: am/p_- 'U
n / ._-
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: _ INSPECT ON: --(�
TYPE OF STRUCTURE:
- Y N N/A Fr COMMENTS
aming
Jack Studs/Headers
Bracing/Bridging V r V
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
ire 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
L:\,SueHemingway\Building.Codes,Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building&Code Enforcement Arrive: am/pml pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: C �U�'LQ _ PERMIT #:
LOCATION (�.\1����� < <� INSPECT ON: - �U
TYPE OF STRUCTURE: C �
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
J?Aun*ifigVent/Vents in Place
®u -Plumbin /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
Cl anout every 100 feet/change of direction
ater Supply Piping
Cooper Commercial
Cooper, CPVC,Pex One and Two-Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe November l7,2003
Framing /Firestoppmg Inspection Report
Office No. (518) 761-8256 Date Inspectionfa
ei . Jc- Aw
Queensbury Building& Code Enforcement Arrive: � e rt:�f am/ m
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initi
NAME: ` PERMIT#: }
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
S� R
Y N N/A C®�EN
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
An lts 6 ft. or less on center
Ice and snow sh �ld 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.FORMSTraming Firestopping Inspection Report.doc January 28,2003
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: �( '
LOCATION: DATE:
COMMENTS:
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish Grade Complete 6"in 10' or Equivalent
Interior/Exterior Guardrails 42 in.Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11"
.Vestibules For Exit doors>3000 s . ft.
All Doors 36 in.w/Lever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36 (w)x 44" 1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator 18" Above Grade
Floor Bathroom Watertight/Other Floors Oka
Relief Valve,Heat Trap/Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 '/2 doors
> 10%> 1000 s . ft.
3/a Hour Corridor Doors &Closers
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
'Ceiling Fire Stopping, 3,000 s . ft.Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Si a e/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Si na e
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ram /Handrails Continuous/12 in.Beyond
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification,if reg.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Drivewa
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20' wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc
ry)
Foundation Inspection Report
Office No. (51'8) 761-8256 Date Inspection request received: r
Queensbury Building&Code Enforcement Arrive: am/pn Depart: /am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: ��, PERMIT#: off—
LOCATION: q u c INSPECT ON:
TYPE OF STRUCTURE: SF
Comments
Y IIN N/A
F otings
Piers
Monolithic Slab
Reinforcement in Place eZ--
The contractor is responsibleAr
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 Dampproofmg
Foundation/Waterproofing
Type of Dampproofmg/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Bacicfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection reque received:
Queensbury Building&Code Enforcement Arrive: am/pn Depart: am/pm
742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials:
NAME: PERMIT#: 1 l
LOCATION: r 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 pul pose on site.
Foundation/Wallpour
inforcement 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
mil poly for wet areas under slab
IS ackfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHenungway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
L'
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pI Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
(04 NAME: `7-�—"' PERMIT#:
LOCATION: L<.,INSPECT ON:
TYPE OF STRUCTURE.
ka 'l 8����_Comments
- 6 a5l�
Y N/A
ootin l
Monolithic Slab
Reinforcement in Place i
The contractor is responsible fbr
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:
1.2 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.InspectionTORMSToundation Inspection Report.doc January 28,2003
r
4
Permit Number
MECcheck Compliance Report Checked By/Date
Proposed_New"York State Energy Conserv-a -Construction Code
AffiCeheck-SoRwwe-Version 3.3 Release 1b
Data filename:-C--.ftgram-FileslChe k%ffiCdwckc C�E-PEU.cck
TITLE:.CERRONE HERS
COUNTY:Warren RRECEIVED
-.STATE:New York
BDD:7635
CONSTRUCTION TYKE:Detached-1 or-2-family
BEATING TYPE:-Non-Electric APR 2 2 2004
--DAT£:04/21/04 TOWN OF QUEENSSURY
-DATE�OFTLANS:04-21-04 BUILDING AND CODE
-PROJECT INFORMATION:
CERRONE$RJUAIIERS
SBERMAN- A-VE.DEVELOPEMENT
COMPANYINFORMATION:
CERRONE BUR:DER'S
- COMPLIANCE:lasses
Maximum-UA=391
.Your 295
24:6%Better Than Code
-Gress- Glazing
Area or sty Cont. or Door
Perimeter-R-Value R Value U Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss- 1199, 30:0 0.0 42
Wall 1:Wood frame, IW o e. 10 9' -19:0 0.0 51
Window 1:Vinyl Frame,Double Pane 160 0.470 75
Door 1: Solid 20 0.069 1
Door 2:Solid 19 0.069 1
WA112:Wood Frame, 16"o.c. . 1086 19.0 0.0 65
Basement Wall 1:
Solid Concrete or Masonry,8.0'ht/7.0'bg/5.0'.insui -580 0.0 10.0 43
Floor 1:All-Wood Joist/Truss,Over Outside Air 504 30.0 0.0 17
-Furnace 1;Forced Hot Air,92 AFUE
COMPLIANCE STATEMENT: The proposed--building represented in this document is consistent with the
building plans,specifications,and other calculations submitted with this permit application. The proposed systems
have been designed to meet the Proposed New York State Energy Conservation Construction Code requirements.
1 /l
BuilderfDrsigner Date
r��P�p KE17y�dA0'9
cz
LU
MECcheck Inspection Checklist:
Proposed New.Ybrk State orgy.Conservation Construction Code
AE-£cheaHoRw=esk-U Release
TIMa
L+rm�irti.�c�sT ►-limo - '
- ._TTTT�
- - -Wit•
Pe I
L L_-_C_e,_hW_ .TW Ceiling*r issc ;. �411 elation
} Co�e __
j Abeva r Walls:
-W4I1+ V14WTrame, ration
-
2- 1-2:-Vibodfram 16"a.c,,.R 1,9.,O ins#ation
. j Comments:.
Bulls: ,
f. ]L- I.: L ---Basement-Wall 1: Solid=Cancrete-or Masonry $ l;tM& 34 insul,
f R-144 oentmuous insulation
j Cow
{ Extern elation mustlave-a rigid,-due, ther-resistant-protective covering that
{ covers�vWsed(abovy ac sulatien andr,�cteads least 6 in.below grade.
Windows:
-f _j" I -L.. Windw.1.Vinyl Frame, -0470
I For-YAndevswithout la -ems;desm ibe=fcatures:
j #Panes- Frame Type [ ]No `
j £ommants.
I -Doors:
L- Dom---r.Solid,U factor:40.069'
I -Comments-.-
I Dom--2-Solid,°U factor 0-.W
t £dents:- -
j -fors:
Floor l-:-Ali-Wood Joist/Tiss;elvertjutside Air;*-Mffr�avity insulation
I- Comments:
Heat g.an(Moeling Equipment:
[ ] j L- .furnace l:-Forced Hot Air; AFUE-or higher
f i andModelNumber_
j� �leakage:
Joints -penetrations;and all other such Wenings in the building-envelope that are sources of air
j leakage must be sealed,'
[ j j Recessed lights must be Type 4C-rated-and installed -ne penetrations,or Type IC or non-IC
I rated installed inside an appropriate-air-fit assembly with a ii 7"clearance from combustible
I materials and Y-clearance from insulation.
I
I Vapm•larder:
[ ] I Required on the warm-in-winter-side of all non-vented framed ceilings,walls,and floors.
I Materials identification:
[ ] I Materials and-equipment must-be installed in accordance with the manufacturer's installation
instructions.
L ] I Materials and equipment must be identified so that compliance can be determined.
L ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
I
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.
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
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 Exceptions Continuously welded and locking-type longitudinal joints and seams on ducts
I operating at less than 2 in.w.g.(500 Pa).
] j 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.
L ] 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 Electric-Systems:
[ ] I Separate electric-meters are required for each dweHing unit.
I
1 maces:
[ ] 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
I provisions of the Building Code of New York State,the Residential Corte of New York State or
the New York City Building Code,as applicable.
I Service Water Heating:
[ ] I 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,
[ ] I Insulate circulating hot water pipes to-thelevels 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/offheater switch and require a cover unless over 20%
I of the heating energy is from non-depietable sources. Pool pumps require a time clock.
.Heating and Cooling Piping.Insulation:
[ j j HVA-C.piping conveying fluids above 105'F or chilled fluids below 55°F must be insulated to the
j levels in fable 2.
Table l: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation-Ttiolmess in Inches*hRe Sizes
-Heated Water Non-CirculatingRunouts Circulating Mains and Runouts
Temperature(F) UP to 1" Up to-1.25" 1.5"to 2.0° -Over 2"
170480 1" i:0 - 1.5 2.0
140-1-60 0 ilk 3-0 1.5
100-130 10:5 -0.5 -0.5 1.0
Table 2: Minimum Insulation-Thicknessyor HVAC Pipes.
Fluid Temp. Insulation T idmess in Inches by Pipe Sizes
Piping System T-aes-_ -Ran F 2"Runouts V 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 fl.5 1.10 1.0 1.5
Steam Condensate for feed water) Any 1.0 1.0 1.5 2.0
Cv0liag Systems
Chilled Watery Refrigerant, 40,55 -0.5 0.5 0.75 1.0
and Brine Below 40 1.0 4-0 1.5 1.5
NOTES TO T LH(Building DTartment Use Only)
-04
A '
e suen or observed, or believe I saw evidence of,
ejects such as houses, wells, trees, fences, etc.,
':shown on this ocument. I also represent that I have
personall e ured t . istances set forth on We ' gram," �f 'aj
RE EIVE
SIGNATURE DAT
A R 2 2 2004
TOWN®F QUEENSBUR
EUl!. !d°L� i CODE
,r
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t 4 n
a
�L� 1
`P6EP6�
L V
MAP REFERENCE:
MAP OF A SUBDIVISION MADE FOR
MICHAEL DICKINSON
DATED: JANUARY 15, 2003
BY: DAVID J. BOLSTER
LOT #8
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217.98'
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LOT #9
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1:6 W C.
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Date, JULY 2, 2004
A t \ Du UNAUTHORIZED ALTERATION OR ADDITION TO SEA SURVEY Map of a Survey made for Scale 1'— 30'
MAP BEARING A LICENSEDENSEDLAND
SE AND SURVEYORS AL IS A
v � VIgAiION OF SECTION 7209,SUB-DINSION 2,OF THE
NEW YORK STATE EDUCATION LAW.'
ARMY COPIES FROM THE ORIGINAL OF THIS SURVEY
Steves MARKED W11H AN ORIGINAL OF IHE LAND SURVLI'ORS �_—
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.' C E R R o N E BUILDERS
'CERTIFICATIONS INDICATED HEREON SIGNIFY
THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
Land Surveyors EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED sH�'
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS.SAID CERTIFICATIONS SMALL
RUN ONLY
TO THE PERSON FOR WNOM THE SURVEY IS PREPARED,AND
ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL
New York 12804 AGENCY AND LENDING INSTITUITION LISTED HEREON,AND Town of Queensbury, Warren County, New York
169 Haviland Road Queensbury, ft TO THEA551GN5OFMELENDINGINSTITUTION• CERRONE
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 03283-11
301.19-1-28.7