2004-340 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building 8&Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
J
Pernut Number. P20040340 Date Issued: Thursday, September 09, 2004
This is to certify that work requested to be done as shown by Permit Number P20040340
has been completed.
Tax Map Number. 523400-301-019-0.001-028-006-0000
Location: 28 EVANNA Dr
Owner. CERRONE BUILDERS INC
Applicant: CERRONE BUILDERS INC
This structure maybe occupied as a:
By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
Director of Building&Code Enforce nt
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040340 Application Number: A20040340
Tax Map No: 523400-301-019-0001-028-006-0000
Permission is hereby granted to: C F,RR0NF,R1 TTf,DF.R S TNC;
For property located at: 28 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 $180,000.00
QUEENSBURY, NY 12804-0000 Total Value
$180,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-340 LOT 8 HSE 28 EVANNA DRIVE
1702 SQ FT SINGLE FAMILY DWELLING
$244.24 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, June 01, 2005
(If.a longer period is requited,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 Quee sbury; Tuesday, June 01, 2004
SIGNED BY 1) for the Town of Queensbury.
Director of Buff e Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Quiensbury,NY
(518)761-8256
A permit must be obtained before.beginning construction. permit File No.
No inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Roo.Fee Paid '
application mustbe completed and must appear on the Reviewed By: n =/
application form. i,r I fie ,
Applicant: j Owner: _
Address: Address:
Flu
Phone#(� �' -`� Phone#(—) .�
S�-ao
Property Location: Lot umber: / House Number�c� / �i� / � • �` 30
SubdivisionName:?"f Tax Map Number:
New Building: residene /commercial 'Estimated Market Value of Construction:$'�-
Ci Addition: ce/ commercial If an
v Alteration: residence/ commercial Addition,what will use of new addition be?
G No change to wdertor size: residence/com'1
v Other work(describe
Check OccUpaneyInforMation 1 Floor 2° Floor Other floor Total
Below sq.ft. sq.ft, sq.ft. Square Feet
Single farrlil dwelling
o Two family dwelling
o Townhouse
o Multifamily dwelling /
#of units
o Office
a Mero=tlle
o Manufacturia
o i oar detached pmge
0 2 car detached Swap
0 3 car detached prap
e . 1 oar attached garage 00
A 2 car attached garage eA�
G 3 car attached garage
v Storage building-
commercial
o Storage building-
residential
o other
What is the proposed height of the structure 4�4 feet�— inches
will any second-hand or ungraded lumber be used? Tf so,for what?
Type of Heating Syst= electric/ oil /Agaa wood =forcedjj/ baseboard/other:
Number of Fire vtaces to be installed / 0 Number of Woodsrovgi to be installed A/V _
_List below the person(s)responsible for supervision of work as regards to building codes:
-Name Addres Phone-Number
Builder -; , Z�
Plumber p
Mason � �" 1�
Eloctrician 26T
Deolaratio : please sign below attar 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 ou 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 T/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or or of Building and Codes,an As Bulk Survey by a licensed surveyor;drawn to scale,showing actual
location of all n c cd
Signature: owner,owner's agent,architect;contractor
o0 -� �
Project Name:z9 � Ad;x1'11'V P/4-7-. BP#
Address: � ,�
T® � p 2004
Building Permit Submission SFD r�%tu
Checklist 2-Family C pRp ,
All items below must be checked either yes,no or not applicable prior to submission of any budding
permit to the Town of QueensburyBuilding Department. If anyof the below items are lacking,the permit
will not be accepted until such time as the application is deemed complete for submission.
1. Building Permit Application Completed ..................................... W)ts ❑no ❑n/a
2. EnergyForm or CheckMate Energy Code Compliance Forms Complete.. Vyes [:]no ❑n/a
(2 copies)
3. Energy Code Inspector's Report from CheckMate Program..... ........... Krs ❑no ❑n/a
(2 copies)
4. Septic application completely filled out(if applicable)... ............... ... ... , yes ❑no ❑n/a
5. Solid Fuel Burning or Gas Appliance Form... ......... .Eyes Ono d
la
6. Electrical Inspection Form......... ... .................................... ...... .. Ks Ono ❑n/a
7. Two(2)complete sets of structural drawings....................... ...... ... ....0yes Ono ❑n/a
a) floor plan;b)foundation plan;c)cross sections:d)elevations;
e)window and door schedule
8. Two(2)site plans showing location of the structure to be built....... ... ... Efyes Ono ❑n/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property hues to new structure........................... ... .. eyes Ono ❑n/a
10. Setbacks to neighboring wells and septic systems,including onsite well.... ❑yes Ono dn/a
and septic systems (if applicable)
11. DrivewayPennit............... ... ... ...... ... ................................. ... `rJyes ❑ o ❑
n n/a
Date: IA
Staff InitiaL-
L:\SueHerdmgNvay\Building.Pernric.FORMS\Generic Check& doc Janumy28,2003
0> , 3qo
Check Residential Plan Review: One&Two Family Dwellings
YIN/N/A
(2)Full sets of plans
/Over 1,500 sq. ft.—Stamped
Design Loads On Plans:90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations:
W' dow Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
mergency Escape Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq.ft.
ade,5.0 sq.ft.
4"(h)x 20"(w)min.
44"Max.Height above floor
R idential Check Paperwork Compliance and Inspectors Checklist: OK
Da
proofing/Waterproofing Materials On Plans
dafion Drainage On Plans,if required
6"Drop in 10'Exterior Grade
raming Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
e uired
I and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
atforms At Exterior Doors
irway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
iral Not Allowed From 2 Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall Width,36"min.
H ails 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
/fiarage Fire Separation
arage Floor Sloped
A/11c Access
oof 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
I
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY ���
9000 BEATING DEGREE DAYS lr�ti r ZOp
TOo;„f 4
C(;t� Or QUF
Compliance Methods:Part 5 -Acceptable Practice Method-1&2 Family Dwellings(onTy`)i- y
Part 6*-Thermal Rating-Component trade Offs 1&2 Family Dwelling, ODE
Multi=Family Dwellings(3 Stories or less)
Part 4*-Design by Component Performance,Commercial Buildings-Hi
Rise Residential
*Requires submission of worksheets
AP ICANT'S N , P OPE,,RTY LO TION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area Z 70 ls' square feet
2. Type of heat- Electric Oil Gas V**/ Other
3. Is building mechanically cooled? yes No
4. Percentage of area of windows and doors Over 17% ` Under 17%
5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND►TO R VALUES AS ,
SHOWN ON PLANS SUBMITTED:
a: Roof R
b. Exterior walls R
C. Glazed areas Rom_ -
d. Exterior doors R /j2
e. Floors over unheated spaces R
E Edge of slab on grade(heated building) R
g. Basement/collar walls(above grade) R /0
h. Basement/cellar walls(below grade) R /O
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 'can ' ignature Date Phone tuber
INSPECTOR'S REMARKS:
Application for Permit=Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 �J//,�
1. OWNER INFORMATION: ... .......................................................... ...�.. ....l,..V..,.,.,.....,..j
Office Use
Location of installation: �' 0� �O A�.O 4 , MECEI
File Permit No. �--�
Tax Map No.
rvrN�� �;
Fee Paid €' 0 2004
Owner's Name: ............................................ !
Address:
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 gandrm =
1980-1991 x 130 gal/bdrm =
1991-present x - 110 gal/bdrm = O
Garbage Grinder Installed yes_ / no
Spa or Hot Tub Installed yes_ .l no
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topograph ature Ground Water Bedrock or Im ervious Material Doiff 6§037a-tbr SgRply
Flat san at what depth at what depth municipal
Rolling oam 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: /00 gallon(min.size 1,000 gal)
Tile Field: each trench ft. Total System Length:
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # / depth or thickness feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury,any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I.have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
.x;/1 4_11�ilz�v '
gnature of responsible person Dart
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Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement An ive: am/pm Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: .
NAME: C-e,,eg-q —� PERMIT#:
LOCATION: kryk WJV* N1 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," 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 ValvRsj 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
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
Final Electrical
Site Plan /Variance required
—<J Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary C/O(Cert. Of Occupancy)
Okay to issue Permanent C/O(Cert. Of Occupancy)
L:\SueHeming�vay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Queensbury Building & Code Enforcement - Residential Final Inspection
YN'vo
Office No.(518)761-8256 Arrive: am/pm Depart:A am/pm
Date Inspection request received: \ lnspector'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 minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in. or more a)stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railin s 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
i Enclosed Stairs Sheetrock Underside minimum %"
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 i
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:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures co
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 2 "access, 1 s . ft.-150 s . ft.vents
Building No./Addre v sibV fro r d
Final Electrical WNW
Site Plan /Varia r ui d
Final Survey Plot Plan L� fiQV�L
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\Inspection Forms\Res. Final Insp. form 2.docLast pri tad 2/12/04
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: a :/� epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:'
NAME: C � PERMIT #:
LOCATION: INSPECT ON: —
TYPE OF STRUCTURE: 7 �'
Y N N/A
PVC: R-1,R-2, R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
lumbin Vent/Vents in Place
�Rou -h Plumbing/Nail Plates j I �
1 % inch min. Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI br 10 feet above highest
connection for 15 minutes I C()j
Cleanout every 100 feet/change of direction
Water Supply Piping
Coo er Commercial
o er, CPVC,Pex One and Two-Family to IN
sulation/Residential Check/Commercial Check
Pro er Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air S!!pply for Furnace
Duct work sealed ro erl /No duct tape
COMMENTS:
S-Fo 6P
LASueHemingway\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: x i
Queensbury Building& Code Enforcement Arrive: am/p . >spart: //pm
742 Bay Road, ueensbury, NY 12804 Inspector's s Initials:`�� ✓
il 4'
V
NAME: \ PERMIT#: .
LOCATION: -- INSPECT ON:
TYPE OF STRU TUBE: �FX
Y N N/A COMMENTS
gaming.
Jack Studs/Headers u5
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
ire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation u 4TU P y,06j l< 0(o=c
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
Pe-tAA 3 6xi c-ND Ex KK v5 r �� C.)fE--/u A
L:\Sueliemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
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Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received: �z
Queensbuiy Building&Code Enforcement Arrive: am/ epart: am/pIn
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT NO.: 604- Dq CU
LOCATION: INSPECT ON:
RECHECK:
Comments and/or diagram
Soil T e: Sa o Clay
Type of Wate : Municip 1/Well Water
Waterline sep ration tance ft.
Well separation istance ft.
Other.wells:
Absorption Field: Total length
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Siz TypeZ.
Building to tank G
Tank to Distributi Box p << 7-0
Distribution Box o ield/Pit � «
Opening Sealed: Y N/Partial
Location/Separations
Foundation to tank 16, ft
Foundation to absorption ft.
Separation of Pits z ft.
Conforms as per Plot Plan Y_N �G� A5— 6o(61 (
Location of Syste on perty:
Front ear Left Side Right Side
Middle Front iddle Rear
S 'stem Use Statu .
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
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Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: ��p .Depart am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initial "— t
NAME: �Q f(- �52� PERMIT #: y3jo
LOCATION: 3 r INSPECT ON: — U
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1, R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plujnbing Vent/Vents in Place
dvu h;iPlumbin ,/Nail Plates
'1 !7 ink.-Drain Size
Washing Machine Drain 2 inch min.
He d o A Sea'ppiy Test
, 7I)>�avn 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 V
Cooper, CPVC,Pex One and Two-Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Framing / Firestopping Inspection Report � l
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ rr� (part: t am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: f�
NAME: _ P,�( _(, � PERMIT#: C) V
LOCATION: _ -� e��,�U, `��( INSPECT ON: V -U�
TYPE OF STRUCTURE: fs n
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
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 %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.FOWS\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (51'8)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
l —3 q-C)
NAME: cN PERMIT#:
LOCATION: SINSPECT 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
enforcement in Place o
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6,gKpoly for wet areas under slab
cicfill 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 request received: me 7`
Queensbury Building&Code Enforcement Arrive: am/p _n/ Depart: m/pm
742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials: -C�
NAME: ��J PERMIT#: s y 0
LOCATION: ON: Q
TYPE OF STRUCTURE:
Comments
Y N N/A
ooti
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofmg/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 roil 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:\.SueHeniingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
s �
169 Haviland Road, Queensbury, NY 12804
Phone-518-745-4400 Fax -518-792-8511
August 9, 2004
Job #46173
New York State Dept. of Health
77 Mohican Street
Glens Falls, NY 12801 Off/
RE: Juniper Hill Subdivision- ueensbu T C/
P Q . rY � )
28 Evanna Drive(Lot# 8) Septic System
Dear Sir/Ma'am:
This letter is.to inform you that I inspected the completed septic system for the house at
28 Evanna Drive (Lot#8) in the Juniper Hill Subdivision on July 29 ,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: CDave Hatin,—j- nw of Queensbury
Al Cerrone
PermiQ up$r0 200.
101,
MECcheck Compliance Report Chh k =ByD i p
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:05/13/04
DATE OF PLANS:4/30/04
PROJECT INFORMATION:
1543-E
COMPLIANCE:Passes
Maximum UA=404
Your Home=288
28.7%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 886 30.0 0.0 31
Wall 1:Wood Frame, 16"o.c. 2197 .19.0 0.0 116
Window 1:Vinyl Frame,Double Pane with Low-E 159 0.350 56
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
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.
$nii&ler/Designer Date •���'��
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
DATE:05/13/04
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:
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.
[ ] J 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 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-Circulating Runouts Circulating Mains and Runouts
Temperature(F) Up to 1„ U 1.5"to 2.0" Over 2"n to 1.25"
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)
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L,a Yl d nE n551GNEE5 oP THE LENDING 4volm TON
Ne-w York 12804 1--28.6
Queensbury, 301.19-
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