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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 • • •'1'awi► •uT �Ztit:c+►►�l�tsi•�r ' 5t:wonm and Sows )),c I)bsvosal C.Implel Avv-mull x (, IN U.'sIA) ' SI:I'11'1LA'i'IW1N. I�Ir6Zi,lilti+'.t4]I��I�'1`�i PQN to at • ---�'-+-r-� A� .�..u...�..�.•.fir„",.q„* . 11rw= nQ +'' ,�+ �,M,..• t e'a,6 full. w • 7. SI ATA'T'URId`&]NFOItIVi�►.Z'S41�I C •1 kVi� usz� rr � •,...,...., - - - - - w ' 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 l em 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 1 306 z 3:;E���';S1iV ',s�. �fn FIR i3j tS1@l _ — � is r r° A"'; :�.; , }•:;t ti}t>j� fi 'F.;r li;�'''il� �� UNis f S l;S ;.(3, M .41 1 qIP , 00 rh t� 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) O a , it �t ! oY`Jei tJ';id, 3i 24 i.,. 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O3'L83-11 o(. 9pNCE THAT SEAL SHALL BE CONSIDERED To BE V-D TRUE COPIES. cERnF,cAnon5 INDCATEo HFS,E SURE YOR 1HENew York S -Leves n75SURVEY WAS pREPAAED�A��DSURVEYORS ADOP DESCRIPTION EXS'tGW GGDE OF PRAV FOR LAI Warren County, N0 DATE GF GNA< STATE ASSOGTAnON RUN ONLY S LY THE RVEmEW ORS-MOM SURVEoNsY SHAH f� of Queensburyf y� LANO SURVEYORS. , 04 1FIE SURVEY IS VE F E D.AHo 1 owu u�,V e y o 1 o THE PERSDN T E T1TLE COMPANY.GOVERNMENTAL NISY AND LENDWG INSnTU{nON IlS1ED HEREON.AND L,a Yl d nE n551GNEE5 oP THE LENDING 4volm TON Ne-w York 12804 1--28.6 Queensbury, 301.19- 0,n u,viland Road _ j--Ir i.ic. No. 50135