2004-385 TOWN OF QUEENSBURY FILE COPY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20040385 Date Issued: Friday, December 10, 2004
This is to certify that work requested to be done as shown by Permit Number P20040385
has been completed.
Tax Map Number: 523400-296-008-0001-030-002-0000
Location: 12 MAYFIELD Ct
Owner: MICHAELS GROUP LLC THE
Applicant: MICHAELS GROUP LLC THE
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Townhouse
Director of Building&Code lYnforceMent
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (519) 761-8256
BUILDING PERMIT
Permit Number: P20040385 Application Number: A20040385
Tax Map No: 523400-296-008-0001-030-002-0000
Permission is hereby granted to: MTCHAF,T,S C'TR01 JP T T,C THF,
For property located at: 12 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.
Garage-2 Cars Attached
MALTA,NY 12020-0000 Townhouse $192,900.00
Total Value $192,900.00
Contractor or Builder's Name/Address Electrical Inspection Agency
MICHAELS GROUP
SUITE 1
10 BLACKSMITH Dr
MALTA_ NY 12020
Plans&Specifications
2004-385 Lot 47, House No. 12 Mayfield Court
1584 SQ FT TOWNHOUSE
$261.66 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.)
Dated at the Town of Queensbury; Tuesday,June 08,2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Qucensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No. j
No inspection will be made until applicant has received a Tee Paid
valid I)UIILIIng permil. All applicants' spaces on this Rec. Ice Paid
application must be completed and mist appear on the ' Reviewed By:
application form.
Applicant: TIAU_ 1"� ' Mee & C�� Owner: Sbmv_
Address: 1® 1<,SYt\NArn �rL�>v Address:
Me—A Nam•
Phone#(5l ) -�_� Phone# ( ) -
L,4qI JUIN 0 1 2004
Property Location: Lot Number: 4;(�' / House Number 1 Z / M"l"I ,Eot? T y
Subdivision Name: Wbogyy_L._( Lpi ,ce Tax Map Number:
New Building: residence /conlnlercial Estimated Market Value of Construction: $ 1'1Z,9100
❑ Addition: residence/ commercial If an Addition, what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/coni'l
❑ Other work(describe )
Check Occupancylnformation I" Floor 2` Floor Other floor Total
Below sq. ft. sq. ft. sq. ft. Square Feet
❑ Single-family dwelling _
❑ Two family dwelling
>. :.:.Towlillouse 1584 15$4
❑ Multifamily dwelling -
#of units
❑ Office
❑ Mercantile
❑ Manufacturin
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
'2'car Mtached garage. 3q q
❑ 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 Kret)laces to be installed 1 Number of 1I'oodstoves to be installed N. e
List below the person(s) responsible for supervision of work as regards to building codes:
Name Address Phone Number
- -- - ��uiiu�i -- 1'�..\��%S�u_" iC'.C._��•ll�'C �JY7, - '�. �T� _�a 1 .7
Plumber C ��L1�tY��j�`(�C� 1 1 �- + .�►\ _ -2�CF�"
Mason -C).Vc2e&A3 CW*c,--,9?AA< 4v
Electrician
��- T-1- IC �,Q �11-�)ITCL
Declaration; please sign below aner you have carefully read the stalcmenl:
To the best of niy 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, whctllct•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 of Certificate of Compliance being issued, as requested by the Zoning
Adnlinislralor or Director of Building and Codes,an its Built Survey by a licensed surveyor; drawn to scale,showing actual
location of all new coast•Iction.
Signature: _ __ owner,owner's agent,architect,contractor
Check Y/N/N/A Residential Plan Review: One&Two Family Dwellings
(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:
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
Dampproofmg/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
'Drop in 10'Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where
Required
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
V�Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise ,
S iral Not Allowed From 2n Story
Smoke 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.
UIA Safety 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
Fire Marshal's OfficeTown of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Date 151 2 (11 , 20 U14- Permit No. C� 00 l- 6_
Application is hereby made to the Building& Codes Office for the issuance of a Building and Use
Pertnit 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 perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Stove: wood coal pellet gas
Fireplace 'insert
Address: . 1,:t. k, to 4::,M t'! ',I c)~irepla e factory builti wood t„g
� .i fu t Y t;r e. '
Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone: t��,�r �l a l�� ::i I
If non-masonary applicance, please provide
Owner: Manufacturer Name:
Address: - Model Number:
Phone: - (circle appropriate words)
Masonry block brick stone
Flue the eel-, size: inches
Exact Address: k i
of coWstruction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction/Installation must
coil ortn to NYS Fire Prevention &Building . Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple i all / hisulated / E°,�ect vevetis' ti,g t
Chimney Liner
� C�schfear'�r Depaz�tment—Toss:of Queensbu�r-y, rTe��ori�:
Fire Marshal Code# $Collected $Reficnded Receivedfrom (refunded to):
address:
1 =1 —-
A 173 3389 (190) Public Safety
A 233 2655 (230)Mirror Sales _ ✓ , _
+ i ' J
DATE '�_ ,.•' g;' (t �_ � ', t ,�tom.
C .,. �•�r,� 7owri, G 02 C�� .
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Punk&Goldenrod(Cashier's Dept.)
4
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/p 11 pa . mob' #Urn/pm
Date Inspection request received: Inspector's Initials:
NAME: 3�r/,(,4V4n PERMIT#: .-
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
X N INA
Chimney Ht./"B"Vent/Direct Vent Location i
Fresh Air Intake- -
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors-/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
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 Seated 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"a cess, 1 s . ft.-150 s . ft.vents
Building No./Address vi i e fr oa
Final Electrical
Site Plan /Variance re ire
Final Survey Plot Plan
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\Buildinp,&Codes\Inspection Forms\Res. Final Insp. form 2,docLast printed 2/12/04
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: v
NAME:
4
LOCATION: /ca
PERMIT#:
Final Survey Plgt Plan
Approved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has been:
V")
Craig o , Zoning Administrator
Notes: IG`�
L:1SueHemingway\Building.Codes.Inspection.FORMS\Final 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
YAGNgl'IC
SO 49
_ 1
\ UTIUTIE5
32.0
0
47 w
\ � o ° 46
\ AREA I co
\ 10,870 sq.ft. I
\ 0.25 acres
85.21'
511 2G710-W
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
MEADOWBROOK ROAD AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO, THERESE D. COLLYER 47
CHICAGO TITLE INSURANCE GI'P ° ry
NOV 0 1 2004
6 •
�ErVI� • Tr
•
CERTIFIED BY,------------- -----------
MATTHEW C. STEVE5. LL5 NY$ 50135
DATEDs OCTOBER 28, 2004
. ° IANP
Date: OCTOBER 28, 2004
'UNAUTHORIZED A LICENSED
LAND ADDITION To A SURVEY Map of a Survey made for Scale 1 =30
YAP VIOLATION OF A UCQISED LAND SURVEYORS,OF IS A
wounaN OF
SECTION 7200,sue-aasroN z,of THE
NEW YORK STATE EDUCATION LAW.-
bN.Y COFE5 FROM THE ORRNAL OF THIS SURVEY �y
�//
ARARFEO Wrm AN ORTG NAL OF THE LAND 5URV&M �� 1
SEAL SHALL
BE CONSIDERED TO BE VALID TRUE COPIES,'
St e v e s 1
*CERTIFICATIONS INDICATED HEREON SIGNIFY THAT Therese D . C o l ly e r .
THIS SURVEY WAS PREPARED RR ACCORDANCE rTH THE
E)USTING RODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
Land Surveyors LAND E PERSONS. R V CERTIFICATIONS SHALL RUN ONLY
10 THE PERSON FOR WHOM 171E SURVEY IS PREPARED,AND SHEET 1 OF I
ON HIS BEHALF TO THE TITLE CWANY,GOVEWAIENTAL
AGENCY AND LENDING INSTITUTION LISTED HEREON,AND Town of Queensbury, Warren County, New York
169 Haviland Road Queensbury, New York 12804 Tom NG THE GOLLYER
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 9g312-47
J
Rough Plumbing / Insulation Inspection Deport
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ past: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: \ RMIT #:
LOCATION: INSPECT ON: -�
TYPE OF STR TURF:
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 dire 'on
Water Supply Piping
Cooper Commercial
0o er, CPVC,Pex One and Two/mil
ifisulation/Residential Check/ Commercial Chec
Proper Vent,Attic Vent
Duct/Hot Water Piping Insula ' n
If required unheated s aces
Combustion Air Supply for lFur/nace
Duct work sealed properly/INo duct tape
COMMENTS:
r
i
LASueHemingway\Building.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doc November 17,2003
Dough Plumbing / Insulation Inspection Deport �
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/, epart: a pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initial .
NAME: G PERMIT #61
IKS
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 nun.
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
o er, CPVC,Pex One and Two-Family
sulation/Residential Check/Commercial Check (�
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If re uired unheated spaces
Combustion Air S!!pply for Furnace
Duct work sealed properly/No duct tape
COMMENTS: /'IV C .-<
0
V
LASueHemingway\I3uilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003
Rough Plumbing / Insulation Inspection Repo t
Office No. (51 8) 761-8256 Date Inspection request received: Ja alp
Queensbury Building& Code Enforcement Arrive: am/pm/ epart: *- am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT #: OG4 ` A Jc
LOCATION: 1 INSPECT ON: 10 '1 d - :do
TYPE OF STRUCTURL4 -�
Y N N/A
PVC: R-1,R-2, R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
PlumbingVent/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 I U A)v
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
_Cooper, CPVC,Pex One and Two-Family
is`a atibn/Residential Check/ Commercial Check
-Proper Vent, Attic Vent
Duct/Hot Water Piping Insulation Ve'v T-
If required unheated spaces ��5� 1;0Ckj
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape ,/ /� I
COMMENTS:
)f�� P
LASueHemingway\Building.Codes.Inspection.FORM S1Rough Plumbing Insulation Report.doc November 17,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 1
Queensbury Building& Code Enforcement Arrive: _am/ De art: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials' -- 6"
NAME: ( r,� PERMIT#:
LOCATION: _ INSPECT ON: 140
TYPE OF STRUCTURE:
ramie '¢, Y N N/A. COMMENTS
z g
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 %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
ce and-snow-shield 24 inches from wall
Fare separation 1, 2, 3 hour �Ap 1A) rolo
Fire wall 2, 3, 4 hour
P. -
pping
Penetration 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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report . ..
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/ mar'_ rt: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: IL
NAME: PERMIT #: D q— RRS
LOCATION: A INSPECT ON: c-
TYPE OF STR CTURE:
Y N N/A
PVC: R-1,R-2, R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/ Comm. C/ Vi,
Plu><gbin :.Vent/Vents in Place ( l
u"h Plumbing/Nail Plates
A-% inch min.Drain Size
Washing Machine Drain 2 inch min.
Heador Afr Supply Test
'Dr'iin and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
at-o„e,Supply Piping
4 > V
"Cooper Commercial
Cooper, CPVC,Pex One and Two-Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Town of Queensbury Fire Marshal
742 Day Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Iiispection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the:installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed ,
I , ( � C�
Permit# -3 Schedule Inspection ���� Time L a pm anytime Inspecto
/ (� Rough Final_
Name 1v���: ,1.�L ddress / � Cc,�-•, ,t o�-z�- -
Appliance Mans acturer Jy Model#'56 5 D
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No NIA Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Wall Penetrations
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet alcove roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LF)
White—Building Dept. _---� Yellow Gast er Pink—lelre Marshal
Foundation Inspection Report
Office No. (518) 761-82.56 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: ti"W am/pm Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspectors Initials:
NAME: _ �c (L�, T PERMIT#: L! v
LOCATION: INSPECT ON: —
TYPE OF STRUCTURE: �r
Comments
Footings —
0`�
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/W allpour
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\Building.Codes.InspectionTORMS\Foundation Inspection Report.doe January 28,2003
'jJ00P%--
l -dy,,-'
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: affd m Depart:/.* am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials - K '
NAME: udas PERMIT#: Q
LOCATION: la INSPECT ON: o �S•
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 puTose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Bing Under S a
oundation Insulation terior/ exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORMS\I-o ndatio It spection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: I J�
Queensbury Building&Code Enforcement Arrive: anr/pt4� _ Depart: m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ��//GG
NAME: _ PERMIT#:
LOCATION: _ _ INSPECT -aM
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 pu ose 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
ackfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundat'on Insulation tenor Exterior
R- D
Rough brade 6 inch dro :thin 10 ft.
L:\SueBcmingway\Building.Codes.Inspection.FORMS\l'oundation Inspeedon Report.doe January 28,2003
Foundation Inspection Report
Office No. (518) 761-82.56 Date Inspection requ st re ei ed:
Queensbury Building&.Code Enforcement Arrive: anv Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: 1 C � PERMIT#. _�?Ks
LOCATION: � �a' INSPECT ON:
TYPE. OF STRUCTURE:
Comments
otings
Piers ^^
Monolithic Slab
Reinforcement in Place ��/ Il
The contractor is respopsible fo
providing protection from freezin
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 Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
LASueI-]cmingway\BuiIding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
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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\12 Mayfield.rck
TITLE:WP 321 Sage
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE:05/25/04
DATE OF PLANS:May 25,2004
PROJECT INFORMATION:
19LMayfield Court
Waverly Place
Queensbury,N.Y.
COMPANY INFORMATION: r'� Jp a C ;
The Michaels Groupco
10 Blacksmith Dr. a V..,.
Malta,NY 12020
Z it
NOTES:
Silverline 2900 windows
Slab on Grade Condition
COMPLIANCE:Passes
Maximum UA=476
Your Home UA=412
13.4%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
1st fl walls:Wood Frame, 16"o.c. 1938 19.0 0.0 96
2x opt.Mbr(K):Vinyl Frame,Double Pane with Low-E 21 0.400 8
lx opt.Mbr(L):Vinyl Frame,Double Pane with Low-E 30 0.400 12
2x Kitchen(K):Vinyl Frame,Double Pane with Low-E 21 0.400 8
Kitchen door-#7:Glass 40 0.350 14
Ix Dining(A):Vinyl Frame,Double Pane with Low-E 34 0.400 14
2x Family(D)`Vinyl Frame,Double Pane with Low-E 27 0.400 11
2x opt Family(X):Vinyl Frame,Double Pane with Low-E 10 0.400 4
Ix opt.Family(F):Vinyl Frame,Double Pane with Low-E 6 0.400 .2
2x opt.Study(K):Vinyl Frame,Double Pane with Low-E 21 0.400 8
Ix opt Study(A):Vinyl Frame,Double Pane with Low-E 34 0.400 14
lx Bath(R):Vinyl Frame,Double Pane with Low-E 6 0.400 2
Ix opt.Bed#2(P): Vinyl Frame,Double Pane with Low-E 17 0.400 7
2x opt.Bed#2(K):Vinyl Frame,Double Pane with Low-E 20 0.400 8
Entry door-#lA:Glass 29 0.350 10
Garage door-#20:Solid 19 0.240 5
opt.Bed#2 bay walls:Wood Frame, 16"o.c. 15 19.0 0.0 1
opt.Study bay walls:Wood Frame, 16"o.c. 15 19.0 0.0 1
opt.Mbr.bay wall:Wood Frame, 16"o.c. 15 19.0 0.0 1
Floor 1:Slab-On-Grade:Unheated 179 6.0 130
Insulation depth:4.0'
opt.Bed#2 bay ceiling:Raised or Energy Truss 17 30.0 0.0 1
opt.Mbr.bay ceiling:Raised or Energy Truss 20 30.0 0.0 1
opt.Study bay ceiling:Raised or Energy Truss 20 30.0 0.0 1
Ceiling 1:Raised or Energy Truss 1663 30.0 0.0 53
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 Conservation Construction Code requirements. When a Registered Design Professional has stamped and
signed this page,they are atte ' g that to t est of his/her knowledge,belief,and professional judgment,such plans or
specifications are in compli ce with is C e.
Builder/Designer Date 5 Z�
ri REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release lc
DATE:05/25/04
TITLE:WP 321 Sage
Bldg.
Dept.
Use
Ceilings:
[ ] 1. opt.Bed#2 bay ceiling:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
" Insulation must achieve full height over the plate lines of exterior walls.
[ ] 2. opt.Mbr.bay ceiling:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
[ ] 3. opt.Study bay ceiling:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
[ ] 4. Ceiling 1: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. lst fl walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] 2. opt.Bed#2 bay walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] 3. opt.Study bay walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] 4. opt.Mbr.bay wall:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Windows:
[ ] 1. 2x opt.Mbr(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:
[ ] 2. lx opt.Mbr(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:
[ ] 3. 2x Kitchen(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:
[ ] 4. lx Dining(A):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. 2x Family(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:
[ ] 6. 2x opt Family(X):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
,y For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ]. 7. lx opt.Family(F):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. 2x opt.Study(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:
[ ] 9. lx opt Study(A):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:
[ ] 10. lx Bath(R):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:
[ ] 11. lx opt.Bed#2(P):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:
[ ] 12. 2x opt.Bed#2(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:
Doors:
[ ] 1. Kitchen door-#7: Glass,U-factor:0.350
Comments:
[ ] 2. Entry door-#IA:Glass,U-factor:0.350
Comments:
[ ] 3. Garage door-#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:rater 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 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 T 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„ 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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