2004-384 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. P20040384 Date Issued: Tuesday, December 07, 2004
This is to certify that work requested to be done as shown by Permit Number P20040384
has been completed.
Tax Map Number. 523400-296-008-0001-030-001-0000
Location: 10 MAYFIELD Ct
Owner. MICHAELS GROUP LLC THE
Applicant: MICHAELS GROUP LLC THE
This structure maybe occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Townhouse
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
' r
BUILDING PERMIT
Permit Number: P20040384 Application Number: A20040384
Tax Map No: 523400-296-008-0001-030-001-0000
Permission is hereby granted to: MTCHAF,T,S CTROTTP TJ,C TffF
For property located at: 10 MAYFIELD Ct
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: MICHAELS GROUP LLC THE
10 BLACKSMITH Dr Fireplace
MALT NY 12020-0000 Garage-2 Cars Attached .
Townhouse $206,900.00
Total Value $206,900.00
'Contractor orBuilder's Name /Address Electrical Inspection Agency
MICHAELS GROUP
ST JITE 1
10 BLACKSMITH Dr
MALTA_ NY 12020
Plans&Specifications
2004-384 Lot 47, House No. 10 Mayfield Court
1881 SQ FT TOWNHOUSE
$306.34 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, June 08, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of-the Town of Queensbury before;the expiration date.)
O
Dated at th own Que sb y, June 08, 2004
SIGNED BY for the Town of Queensbury.
Director.of Building&Code Enforcement
Building Permit Application
Town of Qucensbury—Dept of Con,rtuinity Development, 742 Bay Road, Queensbury,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 permil. All applicants' spaces on this RCC. I"cc Paid $
application must be complelcd and must appear on the Reviewed By:
application form.
Applicant: 1-T14 Owner:
Address: NAr, Address:
�C?1
Phone#(5 ) - 1 I Phone#( ) -
Property Location: Lot Number: 48_/ House Number 10 CC:uR-T"
Subdivision Name: �1P1.1�1.�1 l�i.l�e.E Tax Map Number:
New Building: residence /commercial Estimated Market Value of Construction: $ add ►9 00
❑ Addition: residence/ commercial If an Addition, what will use of new addition be?
LiAlteration: residence/ commercial
❑ No change to exterior size: residence/com'I
❑ Other work(describe )
Check Occupancylnformation ' t" Floor 2"` Floor Other floor 'Total
Below sq. ft. sq. ft. sq. ft. Square Feet
❑ Single family dwelling _
❑ Two family dwelling
Townhouse 149 4- 1$&I
❑ Multifamily dwelling
#of units
❑ Office
❑ Mercantile
❑ Manufacturin
❑ 1 car detached garage ) ��"�
❑ 2 car detached garage c 1 ?n 4
❑ 3 car detached garage J J} -
❑ 1 car attached garage
2`can`:Attached ;.. r - ^- 42
garage �� tti i,
❑ 3 car attached garage --
❑ Storage building
commercial
❑ Storage building-
residential
❑ Other
Will any second-hand or ungraded lumber be used? If so, for what?
Type of heating System: electric/ oil / gas wood / forced hot air/ baseboard/other:
Number of Fireplaces to be installed 1 Number of ll'oorhstoves to be installed N. a
List below the person(s) responsible for supervision of work as regards to building codes:
Name Address Phone Number
I'
Plumber kc
"�lumbchc 1 C �`_�+ - - � -2`4
Mason .V7,c5 A3 QW'mo 9�'vlAs 47-1- `A�d_)
Electrician � TA n(_-,�r _ ist,
Declaration: please sign below after you have carefully read the statenicnL•
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be 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/wc shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested by the Zoning
Administrator or Director of Building and Codes, an As Buill Surve;by a licensed surveyor;drawn to scale,showing actual
location of all new constuction.
Signature:_!/ �� owner,owner's agent,architect,contractor
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Date ' 1 120
Permit No:
Application is hereby made to the Building& Codes Office for the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements. and also will allow all inspectors to enter premises to per form required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: i t ; A w t - 1�� � Stove: wood coal pellet gas
Fireplace insert
Address: I'� °t- i .� ..� I i 1 i"� �=o p:lace,bfaclo y-.bui:l ' wood Cg s)
Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone: ?',r-i c-i - Q�,-,>11
If non-masonary applicance, please provide
Owner: . ¢= + tiK Manufacturer Name:
, O
Address: Model Number:
-- _ - Chimney Information' _
Phone: (circle appropriate words)
Masonry block brick stone
Flue the steely size: inches
Exact Address: k 7
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate (circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall / Insulated / 'JDirect verttin
Chimney Liner
Casb�fezr'i®c mepar�me�t`--Town;of Qzzear, bury, 3Vea�Y®ram;
i
l � t
Fire Marshal Code# S Collected S Refunded Received front (refunded to)._ t -''i 4= t t I'!1_t
a- 4- f7t address:
,4 173 3389 (190) Public Safety
A 233 2655 (230)Minor Sales J_
DATE:
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) O
Check Residential Plan Review: One &Two Family Dwellings
Y/N/N/A
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:
Window Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq.ft.
Grade,5.0 sq.ft.
24"(h)x 20"(w)min.
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofing/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10'Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
;�e uired
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls"
Platforms At Exterior Doors
Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
a
Winder Run and Rise
�piral Not Allowed From 2n Story
moke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall Width,36"min.
Handrails More Than One Riser On Open Sides
Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht.
fety Glazing Notes For Required Areas
Garage Fire Separation
Garage Floor Sloped
Attic 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
Queensbury Building & Code Enforcement - Residential Final Inspection
s
Office No.(518)761-8256 Arrive: am/pmDepart: �am/pm
Date Inspection request received: Inspector's Initials:
0 e-1
NAME: PERMIT#:
LOCATION: I 0 IV t DATE: _j _7
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake r `�
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %" /
Gypsum
I�
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp, 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: /• Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stoppiH finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"ac ess, 1 s . ft.-150 s . ft. vents
Building No./Addr s vi ' e frqrofoad
Final Electrical 11. 21 CH A)
Site Plan /Variance re uir d
Final Survey Plot Plan
As Built Septic System/Sewer 15elit.I s ection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamWlBuilding&CodeslInspection FormsRes. Final Inso. form 2.docLast printed 2/12/04
s - l
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received:
NAME: C
LOCATION: G(
PERMIT#: '
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of (� '
Community
Development.
Upon review the GAL
survey has bee
Craig Bro , Z Wing Administrator
Notes:
L:\.SueHemingway\Building.Codes.Inspection.FORMS\Fina]Survey
Zoning Administrator.doc
MAP REFERENCE:
WAVERLY PLACE SUBDIVISION
DATED AUGUST 24, 2000
LAST REVISED JANUARY 19, 2001
BY VAN DUSEN do STEVES
LAND SURVEYORS, LLC
SO 49
N0ro 01
A�
LD CO
AREA 2�
Z 10,581 sq.ft.
A 0.24 acres
Q \ UTILITIES El
titiA� .0��
ti
47
\ \ 1
T
it V
NOV 0 1 2004
I HEREBY AN CERUAYY FIELD SURVEY.THAT THIS MAP WAS PREPARED
FROMTHIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
MEAD 0 WB R 0 0 K ROAD AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TOa NANCY J. MCGRATH
STEWART TITLE INSURANCE COMPANY
a Of VF;p �
;EM1t •
CERTIFIED BYt-------- -------- ----
e
MATTHEW C. STEVES, LLS NY$ 50135
- DATEDs OCTOBER 28. 2004
�7 Date: 0 28, 20 4
P BEARING
A LICENSED ALTERATION OR RVE OR S L SURVEY n '
MAP�Nc A ON72 LAND SURVEYORS sEAI.IS A Map of a Survey made for Scale 1 =30
VIOLATION
OF SECTION 720i,SlX3-ENSION 2,OF
THE
NEW YM STATE EDUCATION LAW.'
P P GNLY COMM FROM Try[01WINAI OF TH6 SURVEY
S V _/ M AL S ALL.AN CONSIDERED
RE THE LAND 5URVE1 R 5
SEAL��GGNSDICATE 10 NALID TRUE S— 1
*CERTIFICATIONSVEYWAS PREPARED 94 REONACC s THAT Nancy J. McGrath
THIS SURVEY WAS PREPARED M ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
Land Surveyors LBY THEADS NEW YG�STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS.SAID 0M TH CERTIFICATIONS SNAIL RUN ONLY
TO THE PERSON FOR MEigl 111E SURVEY IS PREPARED,AND
ON HIS BEHALF TO THE TITLE COMPANY,GDvmMEHTAL SHEET 1 OF 1
169 Haviland Road Queensbur New York 12804 AGENCY AND LENDING I LENDING
LISTED HEREON,MID Town of Queensbury, Warren County, New York
y, ,�THE ASSIGNEES OF THE LENDING INSTITUTION
(518) 792-8474 New York Lie. No. 50135 MCGRATH
NO. DATE DESCRIPTION DWG. NO. 94312-48
Y
Framing /Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depa am/pm
742 Bay Road, Queensbury,NY,1.2804 Inspector's Initials:
NAME: G—c—S PERMIT#: 0 3
LOCATION: k&C-D INSPECT ON:
TYPE OF STRUCTURE:
Framing
Y N N/A C®l� MENTS
.
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2,3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side'/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doe January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ m epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
r
,
NAME: �NkkOkA-&O (r)(C,�' PERMIT #: Q "
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1, R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/chan a of direction
Water Supply Piping
Zdoper Commercial 0
Cooper, CPVC,Pex One and Two-Family
Insulation/Residential Check/Commercial Check ; C0 6
Proper Vent, Attic Vent C`G�t rnlC� Cow
Duct/Hot Water Piping Insulation ,a—
If required unheated spaces �� / le . Pam' 77f
Combustion Air Supply for Furnace
Duct work sealed properly/No duct toe
COMMENTS:
�a A)oT
L:\SueHemingway\Building.Codes.Inspection.FQRMS\Rough Plumbing Insulation Report.doc November 17,2003
Rough Plumbing /-Insulation Inspection Report
Office No. 518 761-8256 Date Inspection request received:
� ) p 9
Queensbury Building& Code Enforcement Arrive: am/ m, DSpart: am/pm
742 Bay Road, Queensbury,NY. 12804 Inspector's Initials:.
NAME: ( tiS PERMIT :
LOCATION: C j INSPECT ON:
TYPE OF STRUCTURE:
Y IN N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air,-Supply Test
Drain and Vents
5 PSI.or 10 feetabove highest
connection-for 15 minutes
Cleaniqut'ev.6ry 100'feet/change of direction
Wa r..SupplyPiping
Coop
oer Commercial
Co per;CPVC,Pex One and Two-Famil
I>tisulahoh,/Residential Check I Commercial Check ;
l ro er Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
r :
COMMENTS:
Z
r(f o4Ae-14
(f A u.-
Y
oK
L:\SueHemingway\Building.Codes.hispection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: /0,1 6`>C
Queensbury Building&Code Enforcement Arrive: am/ epart: pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initial :"
NAME:' PERMIT #: �w
LOCATION: INSPECT ON: /d a
TYPE•OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/vents
Cast Iron,Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents.
5 PSI or 10 feet above highest
connection.for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
C2UILer, CPVC;Pex One and Two-Family
Insulation/ esidential Check/Commercial Check Goere
Pro er ent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air_Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
LASueHemingway\l3uilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Framing /Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection req est received:
Queensbury Building&Code Enforcement Arrive: aml m epart: W am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initial
NAME: Vl/ll =t, �-S GRP PERMIT#: O `'
LOCATION: IL)' ,U A 1�{Z-�� r.a_-tj �T INSPECT ON: /0 2� Cd
TYPE OF STRUCTURE:
7
Y N N/A COMMENTSFraming
Jack
,Studs/Headers
racing/Bridging
y1oist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side11/2 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
/V*
Framing / Firestopping Inspection Report TLC
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: _am/p epart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 1G PERMIT#:
LOCATION: 7 INSPECT ON:
TYPE OF STRUCT
Y lv /A COMMENTS
aFr ng= -_ ,
Jack Studs/Headers � �R.+Ct��fS
Bracing/Bridging it �( t� l�Ld�l< i✓�Ql�
Joist hangers oe 4;c4
Jack Posts/Main Beams
Exterior sheeting nailed properly I U45 t� �C
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire w , 3, 4 hour
restopping
rPenetration sealed
16 inch insulation in cavity min.
Garage Fire Separation.
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
'LASueHernineway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
be REc1 V&Aj i
V
Rough Plumbing / Insulation Inspection Report
Office No. (S l 8) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: LAW
NAME: ,, PERMIT #:
LOCATION: INSPECT W-'
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1, R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/ Comm.
Ply in Vent/Vents in Place
ou"'h'Plurnbin /Nail Plates
1 % inch min.. Drain Size
Washing Machine Drain 2 inch min.
K6&or'Air'Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for is minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper, CPVC,Pex One and Two-Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.Gispection.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/ m Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: MR I'LL 0 0,eQ INSPECT ON: n
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
or Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall 11,f
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
i
LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Framing /Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initial
NAME: `ri1 } PERMIT#: ��✓��
LOCATION: INSPECT ON: P
TYPE OF STRUCTURE:
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
,tnchor 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 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 Firestopping Inspection Report.doe January 28,2003
00
Foundation Inspection Report
Office No. (518) 761-82.56 Date Inspection,request received:
Queensbury Building&Code Enforcement Arrive: 0-�vv am/pm Depart: —am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: - LR. PERMIT#:
LOCATION: ) TSPECT ON: — V N .
TYPE OF STRUCTURE: C
Comments
N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for This purpose on site. _
Foundation/Wallpour
Reinforcement in Place
Foundation Danipproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Dr h Stone:
12 j26 Width
I
above footing
6 mil poly for Wet areas under slab
Backfill Approval
Plumbing Under SIab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
[,:\SueHemingway\Building.Codes.Inspection.FO12MS\I'oundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-82.56 Date Inspection reques received: _
Queersbury Building&Code Enforcement Arrive: am/p Depart am/pm
742 Bay Rd., Queensbttry,NY 12804 Inspector's Initials:
NAME: _ 1C� s PERMIT#:
LOCATION: SPECT ON:
TYPE OF STRUCTURE:
Comments
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 pose 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
L6,rn l:poly for wet areas under slab
=Backfill`Approval
a
ing-Under Slab
PVC Cast/Copper L
ndation Insulation Interior 175,'xterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHc ningway\Auilding.Codes.InspectionTORMS\Poundation Inspection Report.doe January 28.2003
Aug .26. 2004 2:26PM QBY WATER WASTEWATER , No.5611 P . 3/4
Town of Queensbury epartment of Wastewa
� y
Sanitary Sewer Conn ction Sheet
Permit # o AUG 9 S 20 Date 1@1 `j]
1%OF 04
�E�Nse
Name M 1 C- 1%tZ 5
Address C M -—1. l_9
Contracto.r etc Lr G .
i
YES NO
Trench Back Water Valve
Depth, U-Trap
Outside Cfeanout Vented
Septic Tank Pumped Sump Pump
IN SERVICE
Comments: 1 fl IP,
�DA�'L
Inspected By:
SKETCH
Foundation Inspection Report
Office No. (518) 761-S256 Date Inspection request received: IP171,
Queensbury Building&Code Enforcement Arrive: an Dep rt: _am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
NAME: _ PERMIT#: Od - 0
4
LOCATION: C INSPECT ON: 0 - ;003o-
TYPE OF STRUCTURE: at
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection .from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
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
acicfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation teril Exterior
R-
Rough Grade 6 it drop within 10 ft.
L:\SucHemingway\Building.Codes.Inspcetion.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-82.56 Date Inspection request received: ���
Queersbury Building&Code Enforcement Arrive: am/pn D part: G am/pm
742 Bay.Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: \_ PERMIT#: 3
LOCATION: _ _ INSPECT ON: 0 -O
TYPE OF STRUCTURE: ._
Comments
otings
Piers
Monolithic Slab
Reinforcement in Place 2 / J�
The contractor is responsible _(
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site,_T
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 SIab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHemingway\BuiIding.Codes.Inspection.FbRMS\Foundation Inspection Report.doc January 28,200-3
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
F ctm ryr Built Gas Fireplace/Stove Inspection ReRort
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the histallation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
Permit# J u Schedule Inspection Time am put anytime Inspector_
Name {f l��'�� _�P Address / (/ �'"l��`I j%I L�� ! I Rough In_,Final
Appliance Manufacturer Model#
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulates)
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion-Air
Hearth Extension(if any)
Mantel
Height above Vp opening
Witness Operation
Tank Placement(if LP)
Pink—FireManhat
White—BeaildingDept. �'elluw 4-t er
T
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release lc
Data filename:F:\SHARE\Design\Energy Calc\WAVERLY PLACE\lOMayfield.rck
TITLE:WP 322 Woodruff
U
COUNTY:Warren - JUN Q 1 ZQ�Q
STATE:New York Y
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric --
DATE:05/25/04
DATE OF PLANS:May 25,2004
PROJECT INFORMATION:
10 Mayfield Court
Waverly Place "^
tnPI —
Queensbury,N.Y. 12804 '
COMPANY INFORMATION: ,fu L
The Michaels Group �'
10Blacksmith Dr.
n 4i
Malta,NY 12020
r .�
NOTES: u� :r F
Silverline 2900 windows ;
Slab on Grade Condition
COMPLIANCE:Passes
Maximum UA=483
Your Home UA=390
19.3%Better Than Code(UA)
Gross Glazing _
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling I-Raised or Energy Truss 1422 30.0 0.0 46
opt.Brkfst bay ceiling:Raised or Energy Truss 19 30.0 -0.0 1
opt.Brkfst bay wall:Wood Frame, 16"o.c. 15 19.0 0.0 1
1st fl walls:Wood Frame, 16"o.c.' 1534 19.0 -0.0 76
Ix Mbr(AE):Vinyl Frame,Double Pane with Low-E 40 0.400- 16-
lx Bed#2(AF):Vinyl Frame,Double Pane with Low-E 32 0.400 "-13-
Living#17: Glass 54 - 0.350 19
Ix Living(D):Vinyl Frame,Double Pane with Low-E 9 0.400 4'
1x Dining(AR):Vinyl Frame,Double.Pane with.Low-E 32 0.400 13
lx opt.Brkfst(L):Vinyl Frame,Double Pane with Low-E 30 0.400 12
.2x opt.Brkfst(K):Vinyl Frame;Double Pane with Low-E 21 0,400 8
_I
Foyer#1A:Solid 29 0.350 10
Laundry#20:Solid 19 0.240 5
2nd floor walls:Wood Frame, 16"o.c. 784 19.0 0.0 44
lx Foyer(AH):Vinyl Frame,Double Pane with Low-E 11 0.400 4
1x Loft(AR):Vinyl Frame,Double Pane with Low-E 32 0.400 13
Floor 1:Slab-On-Grade:Unheated 144- 6.0 105
Insulation depth:4.0'
Furnace 1:Forced Hot Air,92 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the
New York State Energy Conser Construction Code requirements. When a Registered Design Professional has stamped and
signed this page,they are atte ling at to the best of his/her knowledge,belief,and professional judgment,such plans or
specifications are in complia ith s Cod
Builder/Designer Date k
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release lc
DATE:05/25/04
TITLE:WP 322 Woodruff
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
[ ] 2. opt.Brkfst bay ceiling:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
Above-Grade Walls:
[ ] 1. opt.Brkfst bay wall:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] 2. 1st fl walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] 3. 2nd floor walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Windows:
[ ] 1. lx Mbr(AE):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 2. lx Bed#2(AF):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 3. lx Living(D):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
- For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 4. lx Dining(AR):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 5. lx opt.Brkfst(L):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 6. 2x opt.Brkfst(K):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type. Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 7. lx Foyer(AIT):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 8. lx Loft(AR):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
Doors:
[ ] 1. Living#17:Glass,U-factor:0.350
Comments:
[ ] 2. Foyer#lA:Solid,U-factor: 0.350
Comments:
[ ] 3. Laundry#20:Solid,U-factor:0.240
Comments:
Floors:
[ ] 1. Floor 1: Slab-On-Grade:Unheated,4.0' insulation depth,R-6.0 continuous insulation
Comments:
Slab insulation to extend down from the top of the slab to at least 4.0 ft.OR down to at
least the bottom of the slab then horizontally for a total distance of 4.0 ft.
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
Heating and Cooling Equipment:
[ ] 1. Furnace 1:Forced Hot Air,92 AFUE 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 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a
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:
[ ] 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
l�•
Controls:
[ ] i 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 OF or chilled fluids below 55 'F must be insulated to the
levels in Table 2.
it
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches-by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(F) 2"Runouts 1" and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
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