2004-259 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: P20640259 Date Issued: Tuesday, August 17, 2004
This is to certify that work requested to be done as shown by Permit Number P20040259
has been completed.
Tax Map Number: 523400-301-019-0001-028-003-0000
Location: 25 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: P20040259 Application Number: A20040259
Tax Map No: 523400-301-019-0001-028-003-0000
Permission is hereby granted to: C'F,RR0NF,B1J1T,DF,RS TNC;
For property located at: 25 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
QUEENSBURY NY 12804-0000 Single Family Dwelling $185,000.00
Total Value $185,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-259 Lot 5, House No. 25 Evanna Drive, Pinetree Circle Subd.
1710 SQ FT SINGLE FAMILY DWELLING
$252.64 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, May 05, 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 To da May 05, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256 . '
A permit must be obtained before beginning construction. ;rvl
t File No. ® ``j
No inspection will be made until applicant has received a idp
valid building permit. All applicants spaces on this . Rec.Fee Paid. $ �',3
application must be completed and must appear on the Reviewed By:
application form.
Applicant: We_, Owner:
Address: AWtres,- Address:
s
4.
Phone#( ) !-. Phone i
PropertyLocatton: LotNumber: / HouseNumber.;�5
SubdivisionName: Cc' Tax Map Number:.
dJ New Building: residen !commercial 'Estimated Market Value of Construction: $ Asl___U
o Addition: residence/ commercial. If an Addition,what will use of new addition be?
G Alteration: residence/-commercial
O No change to exterior size: residence/com'1
o Other work(describe )
Check Occupancylnformation 1' Floor, 2° Floor Other floor Total
Below sq.ft. sq.ft, sq.ft. Square Feet
o Single family dwelling
v Two fttmfly dwellin
v Townhouse
o Muldlkmily dwelling
#of units
O OfficeF 7 t V
o. Morcantile .
o Manufacturin a°^• .
0 1 car detached Wage.
0 2 car detached gate e . TOMOF QUE=JN1S URY
ra 3 car detached garage bU_W\c3 Ai': 11_,�,-
a 1 car attached garago
2 car attached prap
G 3'car attached garage
e Storage building-
commercial
o Storage building-
residential
a Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: .electric/ oil gas wood Corcoed:h:otair baseboard/other:
Number of Mrolwes to be iq*Ucd Number of Woodstoygl to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Ad ss Phone Number
- - -— "---- Builder - /' -2,._
Plumber
Mason -
Blectrician
D4S 43p please sign below after you have carefully read the statement:
To the best of my lmowledge,the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
submit,prior to a Cate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or ect r of Buil ' g and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all w co ctio
Signature: owner,owner's agent,architect,contractor
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
� j Office Use
Location of installation:& DLI - 1
`' t
File Permit No. Z(C 2_
Tax Map No.
Owner's Name: C Fee Paid1.................................................................................................._......,..........,................I
Address: � i
2. INSTALLER'S NAME PHONE NO.
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 x 130 gal/bdrm =
1991—present x ' 110 gal/bdrm =
Garbage Grinder Installed yes_ / no
Spa or Hot Tub Installed yes_ ./ no
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
ToRoatgphy Satil-'Nature Ground Water Bedrock or Impervious Material Domestic Water Sup-ply
Flat Vnd at what depth at what depth municipal
Rolling 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: �LbC� gallon(min. size 1,000 gal:)
Tile Field: each trench Total System Length: ft.
Seepage Pit(s): number of size of each: fl, 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 regulations with respect to this application and agree to abide by these and all
requireme:a, wn of Queensbury Sanitary Sewage Disposal Ordinance.
e of responsible person D to
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ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
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=Fainily Dwellings(3 Stories or less)
Part 4*-Design by Component Performance,Commercial Buildings-Hi
Rise Residential
*Requires submission of worksheets
LICANT'S NW P OPEJqY LOCA ON:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area- 1;710 square feet
2. Type of heat- Electric Oil Gas ✓ Other
3. Is building mechanically cooled? es /No
4. Percentage of area of windows and doors Over 17% Under 17%
5. R-VALUES FOR INSULATION GIVEN BEL OW MUST CORRESPONEk TO R VALUES AS ,
SHOWN ON PLANS SUBMITTED:
a: Roof R �;O
b. Exterior walls R 1,q
C. Glazed areas R y9
d. Exterior doors R_ Jg
e. Floors over unheated spaces R •--
E Edge of slab on grade(heated building) R
g. Basement/cellar yialls(above grade) R /p
h. Basement/cellar walls(below grade) R 1 d
i. Heatinglcooling-ducts-piping in unheated space R
6. Service(domestic)hot water heating device
Conforms to muumum efficiency por code Z/Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED
ppl'cant' 'gnature Date Phone Number
INSPECTOR'S REMARKS:
1
l Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building Fc Code Enforcement Arrive: am/ �epart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
I .
NAME: C PERMIT#: ` Z
LOCATION: q-a,► A— DATE: In el
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
Ca bon Monoxide detector
umbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
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
Fi4al Electrical .
to 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 Occu anc )
Oka 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
Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received: ILA 0 �;DO tin
Queensbury Building&Code Enforcement Arrive: am/ epart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: .
r
NAME: PERMIT#: do
LOCATION: DATE:
TYPE OF STRUCTURE: ,5 FD
Comments
Y N N/A
Chimne 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. Ve
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 fiunace area
Fumace/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 ( JCL-!
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4 houur 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"apces.sj 1 s . ft.-150 s . ft.vents
Building No./Addre sible fro roa
Final Electrical . 6 1 M02 rr
Site Plan /Variancrrtquipt
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 1 O(Cert. Of Occupancy)
Okay to issue Permanent C/O (Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003
Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received: _
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/prn
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: _ .
NAME: �-�dr - PERMIT#: `" 2
LOCATION: y4 MW A-- bge, 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 Ternunation 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 Fuiinace shut-off at entrance to furnace area
Fumace/isot 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: / Batter backu :
Bathroom Fans,if no witidow
Carbon Monoxide detect6r
Plumbing 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 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
FinqL1 Electrical
e 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 Occu anc )
Okay to issue Permanent C/O(Cert. Of Occupancy)
L:1SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: apart: am/pm
742 Bay Rd., Queensbuly,NY 12804 Inspector's Initials:
NAME: �G��D,�.%C— PERMIT NO.:
0 � 5
LOCATION: _ 2 G(/4 r�,rL� INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
_Type of Water: Municipal/Well Water
Waterline separation distance 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 Siz Type -
1
oK
Building to tank
Tank to Distribu Box
Distribution Bo to Vield/Pit
Opening Seale : Y I 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 System on Property:
Front Rear Left Side Right Side
Middle Fr 'nt Middle Rear
System Use Stat s•
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingNvay\Building.Codes.lnspection.FORMS\Septic Inspection Report.doc January 28,2003
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request eceived: /
Queensbuiy Building& Code Enforcement Arrive: am/p art: �7 n�/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials. ^J
NAME: PERMIT NO.: 0 4 91
LOCATION: r ti INSPECT ON:
RECHECK:
Comments and/or diagram
Soil T e: Sa /roam/ a
Type of Wa Municipal J Well Water
Waterline sep ation dista ce ft.
Well separation to ft
Other wells:
Absorption Field: Total length f
Length of each trench ft. '57
Depth of trenches (�
Size of Stone -v _
Seepage Pits: Number l A)L&T l'/ P� 6.41-1—_
4Z--
Size: x
Stone Size:
Piping Size T e
Building to tank o
Tank to Distribution Box 5+PlZ
Distribution Box to Field/Pit t C►'�
Opening Sealed: Y/N/Partial
Location/Separations..
Foundation to tank ft.
Foundation to absot ption . t• � _ f
Separation of Pits ft. ��Z y v L t_
e�
Conforms as per Plot Plan Y N
Location of System on roperty:
Front Rear Left Side Right Side I �"
Middle Front Middle Rear
System Use Status:
Approved
a. artial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
171 '
3
"I have seen or observed, or believe I saw evidence of,
ail ob;ects such as houses, wells,trees,fences,etc.,
shown on th• ocument. I also represent that I have
personal m sured t istances set forth on the diagram."
J—A D
SIGNATURE D E
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To-
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P!
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RUG 16 2004 8: 22RM HP LRSERJET 3200
p. 2
169 Haviland Road, Queensbury, NY 12804
Phone-518-745-4400 Fax -518-792-8511
August 13, 2004
Job#46173
New York State Dept. of Health
77 Mohican Street
Glens Falls, NY 12801
RE: Pinetree Circle Subdivision- Queensbury (T)
25 Evanna Drive (Lot#5) Septic System
Dear Sir/Ma'am:
This letter is to inform you that I inspected the completed septic system for the house at
25 Evanna Drive(Lot#5)in the Juniper Hill Subdivision on August 12,2004.
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: Dave Hatin, Town of Queensbury
Al Cerrone
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No....n....................................Cert. ® 75877 Cut-in Card No.........................\
li f��4 aV ���.� ..
Owner..................................................................................................................................... ............,........
Location...�� ........�2....... ................�........".�.........................Ga�Q...�........
Installation Consisting of..V.6.�/.� �.�r 2 `��T��
....... ........... .. .......... ................................................................
..................1. . ..... 'j... ° .. ......�..........................
S '! ..... ......p............... ....... ......................................................
InstalledBy..........i.T.........................................................................Lic.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 mak g inspections at any time, and if its
rules are violated,the Company shall have the right t re ke thi certificate
Date.....lJ ����0 I................... INSPECTOR
..................... ...............................................................................................
Member N.EP.A.,I.A.E.I.
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 19, 0 00 apYi
Queensbury Building&Code Enforcement Arrive: am/�m��epart: m/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: j�
NAME: (TU7-) ,I PERMIT #: 00 - 59
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: S Fb
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 t/ inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test �, /
Drain and Vents Vl/A-
5 PSI or 10 feet above highest
connection for 15 minutes CZ—)LjAA,0Cleanout eve 100 feet/chan a of direction
Water Supply Piping
Cooper Commercial
Cooper, CPVC,Pex One and Two-Family
nsulation/.Residential Check/ Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
uct work sealed properly/No duct tape
P,,C�-1-61 e0 P o C--
COMMENTS:
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: 9
Queensbury Building& Code Enforcement Arrive: a p Dsepart:-Z am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initial \C1Y
Z9
NAME: PERMIT#:
LOCATION: 1 INSPECT ON: /
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
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 w , 3, 4 hour I. 1
F' estopping
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 �L� N�
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASueHenningway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
- Z
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection req st re e" ed:
Queensbury Building& Code Enforcement Arrive: a In epart.- a m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials
NAME: PERMIT#: zi�CA
LOCATION: -c5 INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N I N/A COMMENTS
Jack Studs/Headers V
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly ✓ - ��iL L���I� � ��
12"O.C. /
Headroom 6 ft. 8 in. ✓ b li7
Stairwells 36 in. or more J
Headroom 6 ft. 8 in. u ���� a��� `✓ �
�C u�
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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request r eived:
Queensbury Building&Code Enforcement Arrive: e art: am/�
742 Bay Road, Queensbury,NY 12804 Inspector's Initials
NAME: C ��CS�� _ ( ) l��C�l�� ERMIT #:
LOCATION: ��' �,��� _ INSPECT ON: -=�. C�
TYPE OF STRUCTURE:
Y N N/A
PV R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumb' Vent/Vents in Place
u h Plumbing/Nail Plates _
1 '/ inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents u; �
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper,CPVC,Pex One and Two-Famil
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
Framing /Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ i depart: - m/pm
742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials:
a lNAME: PERMIT#:`�6'��.
LOCATION: c E INSPECT ON: O ey
TYPE OF STR CTURE:
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
An or 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 1/2 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 FirXInspectioneport.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ part: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: u
LOCATION: J �h^� �� INSPECT ON: 7 c36�z
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
einforcement in Place
Foundation Dampproofing
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
c � ppro
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
�Ck V-O-
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depart: m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials'
a G
NAME: PERMIT#: D q � J
LOCATION: S c - Y INSPECT ON: �, -
TYPE OF STRUCTURE: 457--)n.
Comments
Y N /A
ootings NO Pq-A) a AJ
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 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.
LASueHemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003
i
all a-S
Permit 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: CERRONE BUILDERS, INC.
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE: 04/27/04
DATE OF PLANS:4/23/04
PROJECT INFORMATION:
1543-D LOT 5
COMPLIANCE:Passes
Maximum UA=407
Your Home=293
28.0%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 894 30.0 0.0 31
Wall 1:Wood Frame, 16" o.c. 2225 19.0 0.0 118
Window 1:Vinyl Frame,Double Pane with Low-E 168 0.350 59
Door 1: Glass 40 0.350 14
Door 2: Solid 58 0.100 6
Basement Wall 1:
Solid Concrete or Masonry,7.6'ht/6.8'bg/7.6'insul 1037 11.0 0.0 65
Floor 1:All-Wood Joist/Truss,Over Outside Air 8 19.0 0.0 0
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 c,g�CL" Date I-—Q-7—o
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
DATE: 04/27/04
TITLE:CERRONE BUILDERS, 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:
Floors:
[ ] 1. Floor 1:All-Wood Joist/Truss,Over Outside Air,R-19.0 cavity insulation
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.
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.
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 offew 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 OF or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
Table 1: Minimum Insulation: Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulatins 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)
f'
r'
I
171
"I have seen or observed, or believe I saw evidence of,
all objects such as houses, wells,trees, fences, etc.,
shown on thi ocument. I also represent that I have
personall m spared t istances set forth on the diagram."
SIGNATURE DOE/
�5
�t 1
11
9
7 �--�
6V
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MAP REFERENCE:
MAP OF A SUBDIVISION MADE FOR
MICHAEL DICKINSON
DATED: JANUARY 15, 2003
BY: DAVID J. BOLSTER
LOT #6
44
ti
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ID O J`�\\
LOT #S 004,4
M
3J V)`n 00
4
27,689 sq ft
10,
N
59.96, O
1� O
24 1.43 II II
N�8 052 48 T,W N
W
V
LOT #4
W • • • •
l..rhy ..-- •
Date, JULY 2, 2004
D u S e "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY Map of a Survey made for Scate 1'= 30'
AP BEARING A LICENSED LAND SURVEYORS SEAL IS A N
V` � VIOLATION of SEC ON nos,SUS-DIVISIONz,a THE
NEW YORK STATE EDUCATION LAW.'
,ONLY COPIES FROM THE ORIGINAL Of 7H15 5URVEY
MARKED WN H AN ORIGINAL OF 1 HE LAND 5UKVEYOR5
eves SEAL SHALL 13ETIO CONSIDERED TO BE VALID TRUE COPES' c E R R 0 N E BUILDERS S 1
'CERTIFICATIONS
INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
Land Surveyors EXISTING CODE OF S PRACTICE A FOR LAND SURVEYORS ADOPTED
BY THE NEW PORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS,SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND 1F i
O
ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL
169 Havlland Road Queensbury, New York 12804 AGENCY AND LENDING INSTTUITION LISTED HEREON.AND Town of Queensbury, Warren County, New York
TO THE ,551GNCE5 Of THE LENDING IN5TITUTION.'
GERRONE
(518) 792-8474 New York IAc. No. 50135 1 NO. DATE DESCRIPTION DWG. NO. 03283-5
301.19-1-28.3