2004-669 Z
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: P20040669 Date Issued: Monday, November 29, 2004
This is to certify that work requested to be done as shown by Permit Number P20040669
has been completed.
Tax Map Number: 523400-308-007-0001-008-000-0000
Location: 12 EVANNA Dr
Owner: CERRONE BUILDERS INC
Applicant: CERRONE BUILDERS INC
This structure may be occupied as a:
By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling4<7
f
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
,r
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8236
BUILDING PERMIT
Permit Number: P20040669 Application Number: A20040669
Tax Map No: 523400-308-007-0001-008.-000-0000
Permission is hereby granted to: CERRONE BUILDERS INC
For property located at: 12 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 Garage-2 Cars Attached
66 SUNSET Trl Single Family Dwelling $195,000.00
QUEENSBURY, NY 12804-0000 Total Value
$195,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-669
1632 SQ FT SINGLE FAMILY DWELLING
$235.84 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 07, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tfrnof Z)t 4t7 eptember 07, 2004
SIGNED BY for the Town of Queensbury.
r .Y
Director of Building&Code Enforcement
Building Permit AppUcation
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
- - (518y7d1.8256
A permit must be obtained before beginning construction. Permit File No.-�
Nospection will be made until applicant has received a p ee paid t\
valid buildtng permit AU applicants' spaces on this Roo.Fee Paid S
applidation mustbe completed and must appear on the Reviewed B
application form.
Applicant: Owner:
Address: Addxss• �..
Phone Phone
Property Locatloii: Lot
SubdivisionName: � T Number:
.tl New Building: r�Iwnce/
commercial 'Estimated Market Value of Coustcuctiorl:$ 000
n Addition: recommeroial If Addition,what ws11' use of now addition be?
Q Alteration: residence/ commeroial
an
O 14o change to exterior size: residence/oom'1
tl t'lther woc'k(dercdbo )
Check Occupmeywormation V Floor Z Floor Other floor Total
Below sq.ft. sq.ft, sq.ft. Square Foot
o Sit► a tlimil. dwellin
o Two 2M&dwellin
ci Townhouse
a M y dwelling .
#Of units
o Office
o Meraaatile
o Manu�tattttStl
0 1 oar detached e
o 2 oax detach Fag j
a 3 cat detached gnrqe
a 1 oar attached ga NSB Ry
2 oar aftahed e E
C 3 cat attstehed Lmse %
e Storage building-
comrneroial
o Storage building-
residentiat
a MR
What is the proposed height of the structure feet inches
Will any sdoond-hand or ungraded lumber be used? if so,for what? ,/VO
Type of Heating System: electric/ oil gas wood 1 forced hot air/ baseboard/other: „
Number of Fltrgr�taees to be installed Number of ffagddMEgg to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
ame Address PhoixeNumbor
Builder :✓Z ha' _. - _
Plumber — — - -
Mason
$leotaian
12oglodgW please sign below after you have darefully-read the statement
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a trm and complete statement of all proposed work to be done on the described promises sad that all
provisions of the Building Code,the Zoning ordinance and all other laws pertaining to the proposed work shall be oomplied
with,whether apeoified or noted,and that such work is authorized by the owner. Further,it is uaderstoo d that I/we shall
submit,prior to a C ate of occupancy or Certificate of Compliance.being issued,as requested by the Zoning
Adminiatratar e-r D e of B g and Codes,an AL figitd Survey by a licensed surveyor;drawn to scale.,showing actual
location of all no co cti .
Signature; owner,owner's agent,aroutect,contractor
H
o (,
Project 1Vame: �,� l�C, �� ��L'%✓. BP# � 0
Address-
RECEIVED
Building Feet Submission SFD .
Checklist 2-Family AUG 3 12004
TOWN OF QUEENSBURY
BUILDING AND CODE
All items below must be checked either yes,no or not applicable prior to submission o any
permit to the Town of QueensburyBuiilding Department. If any of the below items are lacking,the permit
will not be accepted until such time as the application is deerned complete for submission.
1. Building Permit Application Completed ................................. ... [/yes ❑no ❑n/a
2. EnergyForm or CheckMate Energy Code Compliance Forms Complete.. rfyes ❑no ❑n/a
(2 copies)
3. Energyd Inspectors Report from Chedd&te
Coe Ins P P Program...... ......... .. yes ❑no ❑n/a
(2 copies)
4. Septic application completely filled out(if applicable)-..--•-•.......... ... ... yes ❑no ❑n/a
5. Solid Fuel Burning or Comas Appliance Form... ......... ........... ❑yes
0/no Eln/a
6. Electrical Inspection Form......... O............................................. .. yes no []n/a
7. Two(2)complete sets of structural drawings... ... ... ....Oyes Ono On/a
a)floor plan,b)foundation plan;c)cross sections:d)elevations;
e)window and door schedule
S. Two(2)site plans showing location of the structure to be built,-........... Pyes Ono ❑n/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from propertylines to new structure......... ...... ............ ... .. OM Ono On/a
10. Setbacks to neighboring wells and septic systems,including onsite well... . Oyes Ono O/n/a
and septic systems (if applicable)
11. DrivewayPermit............... ... ... ...... ... .................. ......... ... .....• Ono Omr/a
Date: i
Staff Initial:
L_\SueHenung va}\Building-Pernud�'ORMS\Generic(7iecldist.doc januuy Z8,Z003
Check Residential Plan Review: One&Two Family Dwellings
Y/N/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:
Window Schedule With Glass Size a
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.Hei t 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
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 ,
Spiral Not Allowed From T 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.
Safety Glazing Notes For Required Areas
-Garage Fire Separation
Garage Floor Sloped
- - Attic Access _ (�
_ Roof 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
Application for Permit septic Disposal system
Town.of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION'. ..........._.....................................................................................................
Office Use
Location of installation f�� ��'✓��� -� r
File Permit No. -"
Tax Map No. / / .
/ Fee Paid
Owner's Name: rl ............................................ . ..........................
Address::,5—/
2. ]NSTALLER S NAME
�l i%/'o PHONE NO.1
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 ff Bedrooms x Computation = Total Daily Flow
1980 or older x 150 ga1/bdrm =
1980—1991 x 130 gal/bdrm =
1991—present x //110 gal/bdrm = _--- —
Garbage Grinder Installed yes! / no—�
Spa or Hot Tub.Installed yes ./ no-
4: PARCEL INFORMATION: (circle applicable infonnation&indicate measurements)
atwre Ground Wa er Be ock or envious Ma erial D e Wat Su 1
Fiat sand at at depth at at depth municipal
ing In feet feet well
Steep slope clay dwell;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 Construetion: 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: �f gallon (min.size 1,000 gal)
Tile Field: each trench�f t. Total System Length: �t� A
Seepage Pit(s): number of size of each, ft, by ft.
Size/9
1 Stone to be used: # I depth or thickness feet
Best 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 wn of Queensbury Sanitary Sewage Disposal Ordinance,
Signature of responsible person Date
-Towtl 'tit (Illo+»8i)ui•Y
5�;tivt:t�t iind ► awilp'o Disposal f;trsl>>trt•
' � 1�1�'►it)�t,�;''1'I�tk� IrII�I�I.) ,;
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7 SIQQAt4TLW &WO'
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QIIEENSBURY, WARREN COUNTY
9000]HEATING DEGREE DAYS
Compliance Methods:Part 5 -Acceptable Practice Method—1&2 Family Dwellings(only)
Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling,
Multi-Family Dwellings(3 Stories or less)
Part 4*-Design by Component Performance,Commercial Buildings-lei
Rise Residential
*Requires submission of worksheets
APPLICANT'S NAME: PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE-
I. Gross Floor Area- square feet
2. Type of heat- Electric _ Oil Gas Other
3. Is building mechanically cooled? yes No
g 4.
Percentage of area of windows and doors Over 17% /UnderlT/6
5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPONDL TO&VALUUES AS. .
SHOWN ON PLANS SUBMITTED:
a: Roof R
LV
b. Exterior walls R
C. Glazed areas R�_
d. Exterior doors RJ_
e. Floors over unheated spaces R
L Edge of slab on grade(heated building) R
g. BasemeuttmIlar walls(above grade)
h. Basement/mIlar walls(below grade) R J0
i. Heatingkooling-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 it'!gnature Dat ' Phone Number
INSPECTOR'S REMARKS:
r-
Queensbury Building & Code Enforcement - Residential Final Inspection
_A%--
Office No. (518)761-8256 Arrive: am/pm Depart:,([ '{j am/pm
Date Inspection request received: Inspector's Initials:
NAME: L'�N PERMIT#:
LOCATION: —' r DATE:
TYPE OF STRUCTURE-.'
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location /0—/
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 Of
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum ''/z"
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 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"access, 1 s . ft.-150 s . ft.vents
Building No./Addr ss vi ible ro a
Final Electrical —\
Site Plan /Varian6e requlTed I - C
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\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Bldg. Permit File No. (�s`
Final E
Inspect0ion
Approval
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. 85389 Cut-in Card No../... o..�.l..`��.I...
Owner..............Al........ �2../�0.12...r......................................................................................................
Location........,?L.........f.C.&a..A......do./1-....................................GZ.sl..��d..�.r�f?�.........
Installation Consisting of...oZC�.Q.l.-?..u..Crr......,�. .!311.J..0 .Q,..��...��. ...ass',.........................
.17... LL...1..T.,S ,}..... �....... ....1�.C�.YI.,�:......C... ............................................
....................................................................................................................................................................................
Installed By....... .�.....e..F/-4C,.I?L 1..C...................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and'if its
rules are violated,the Company shall have the right to revoke this certificate.
Date.... ................INSPECTOii...4�..:`-..0 sr-l .............................
Member N.F.P.A.,1.A.E.I.
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: an rt: ' am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: (�
NAME: _ r �: .�Q ,� O :PERMIT NO.:
LOCATION: INSPECT ON: 1
RECHECK:
Comments and/or diagram
Soil T e: Sand
Type,of Water: unicipa Well Water
Waterline se aration istance ft•
Well separation distance ft•
Other wells: ft. l
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft•
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Si Type
Building to tank rb D
Tank to Distributico Box OL u
Distribution Bo eld/Pit
Opening Sea d: Y N/Partial
Location/Se arations
Foundation to tank ft•
Foundation to absorption
Separation of Pits ft•N 144_ Q v1G1—AAII
Conforms as per Plot Plan Y y KJ
Location of System on Property:
Fro Rear Left Side Right Side
Middle Front Middle Rear
System 1C7se Sta s:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\Suel4emingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
all ob;ects such as houses, wells, trees,fences, etc.,
shown on ocu.men . ass s�Et ttratfitrave —
ersonal m sured e istances set forth on the iagr m."
AUG 3 2004 QA E
OWN OF QUEEN DF -- —
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Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: , 23
Queensbury Building& Code Enforcement Arrive: am/ epart: �am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: 1U" r?
NAME: , PERMIT #.-0 -l� ll1 t
LOCATION: �_ ,{�- Vc�n no\ 1��,`� INSPECT ON: --d
TYPE OF STRUCTURE: +n
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
I % inch min.Drain Size
Washing Machine Drain 2 inch min.
Bead 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
Cooper; CPVC,Pex One and Two-Famil
sulatign-/Residential Check/ Commercial Check Vs-�_ ,�5oI-
Pro er Vent,Attic Vent
Duct/Dot Water Piping Insulation 3 '� /,.j
If required unheated spaces K ,W f}t.C
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COINIMENTS:
LASueHemingway\Building.Codes.Inspection.FORMSTough Plumbing Insulation Report.doc November 17,2003
' V
Framing / Firestopping Inspection Report )2—
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: _am/p ep am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 1�J
NAME: �C\r' (S - PERMIT#:
LOCATION: _��o•.�. y fl-,i+ INSPECT ON:
TYPE OF STRUCTURE: I
Y N iv/A COMMENTS
�F ariiing
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams l tt
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
;Headroom 6 ft. 8 in. / tp,
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Iee and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
F're wall 2, 3, 4 hour
Firestopping
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 iri. (Ij)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
I_ASueHemingway\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/prAD� part: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: pz
NAME: C, r�'(Zc3 � PERMIT #:
LOCATION: INSPECT ON: /v zz-- d
TYPE OF STRUCTURE: ^
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
JR
L, j ,Tlumbin /Nail Plates
�..
1 1/ inch min. Drain Size
Washing Machine Drain 2 inch min.
e eacl,`®r Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
leanout every 100 feet/chan a of direction
aterSupply 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.Inspection.FORMS\Rough Plumbing Insulation Repoit.doc November l7,2003
v
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: /� Q
Queensbury Building& Code Enforcement Arrive: p ; a m
742 Bay Road, Queensbury, NY 12804 Inspector's Initi 1 -
NAME: Cnhmu, PERMIT#:
LOCATION: 9j INSPECT ON:
TYPE OF STRUCTURE: `_���
Framing Y N N/A COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %a (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ace 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 % inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H) i
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASueHemingway\13uiIding.Codes.Inspection.FORM S\Fraining Firestopping Inspection Report.doc January 28,2003
NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury;NY 12804
Phone-518-745-4400 Fax -518-792-8511
RECEIVED
NOV 2 9 25U November 24, 2004
TOWN OF QUEENSBURY Job#46173
New York State Dept. of Health TOPLANNING OFFICE
77-Mohican Street
Glens Falls,NY 12801 n . r
0 0 l.h
RE: Pmetree Circle Subdivision Queensbury(T)
12 Evanna Drive (Lot# 12) Septic System
i
Dear Sir/Ma'am:
This letter is to inform you that I inspected the completed septic system for the house-at
12 Evanna Drive(Lot#12)in the Juniper Hill Subdivision on November 8, 2004.
The septic system as installed.was for a three bedroom House and consisted of a 1,000 gallon .
septic tank and 162 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 W.Nace, P.E. .
cc: Dave Hatin, Town of Queensbi r'
Xf-Cerrone
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:- •/ S am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: eJL
NAME: _ a L� PERMIT#: d_
LOCATION: — _ INSPECT ON: L�-
TYPE OF STI CTURE:
Comments
_ ----- __ Y N N/A
'NFo tings
;fiers
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._T
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
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASucHemingway\Building.Cod es.Inspection.FURMS\Foundation Inspection Report.doe January 28,2003
e ti n of t Foundation Insp c oRe p
Office No. (518) 761-8256 Date Inspection request received:"
Queensbury Building&Code Enforcement Arrive: anvpr]I Depart: - am/pm
742 Bay Rd., Queensbury,:NY 12804 Inspector's Initials: —
NAME: _ PERMIT#: 900 "
LOCATION: Ia h, FNISPECT ON: D z2
TYPE.OF STRUCTURE:
Comment
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 puT2se on site.__
Foundation/Wallpour-
einforcement in Place
"F uo ndatiorl Danipproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 milT)oly for wet areas under slab
ackfill approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASucliemingway\Building.Codes.Inspection.FORMSU-oundation Inspection Report.doe .January 28,2003
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/ Depart: �C`� am/pm
Date Inspection request received: — Inspector's Initials: _ r
Q�,NAME: PERMIT#:
0 _ (() Q
LOCATION: — DATE: to— V
TYPE OF ST C U :
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake V
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Co m lete
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 alI exterior doors
Interior Handrails stairs 2 or more risers rt/�j L L �2 bN S �
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
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 base ent 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inche
Garage Floor Pitched
Garage fireproofing/1/4 hour fire Oor/door closer G ��
Duct work Sealed properly
Gas Logs in Sealed or Glass E losure
Attic access 30 in.x 22 in.x 30 in (ht.)In accessible area
Crawl Spaces IS"x 24"access, 1 s . ft,150 s . ft. vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&CodesUnspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
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"I have seen or observed, or believe I saw evidence of,
i, ail objects such as houses, wells, trees, fences, etc.,
j shown-on ti ocument. I also represent that I have -
personal ma sured .e istances set forth on the iagr m."
'Vx L— SIGNATURE DATE
M4
AUG 3 — -
TOWN OF QUEENSBURY
BUILDING AND CODE
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MECcheck Compliance Report pecked By/Date
Proposed New York State Energy Conservation Const on Code
MECcheck Software Version 3.3 Release lb
Data filename:Untitled
TITLE: CERRONE BUILDERS, INC.
RECEIVED
COUNTY: Warren AUG 3 2004
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family TOWN OF QUEENSBURY
HEATING TYPE:Non-Electric BUILDING AND CODE
DATE:08/17/04
DATE OF PLANS:04/04/04
PROJECT INFORMATION: '
1543-C
COMPLIANCE:Passes
Maximum UA=342
Your Home=242
29.2%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 864 30.0 0:0 30
Wall 1:Wood Frame, 16"o.c. 2173 19.0 0.0 116
Window 1: Vinyl Frame,Double Pane with Low-E 141 0.350 49
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'bg15.0'insul 380 0.0 11.0 27
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.
BuildetfDesigner - Date a 7
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
DATE: 08/17/04
TITLE:CERRONE BUILDERS, INC.
Bldg. I
Dept. I
Use I
Ceilings:
[ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation
Comments:
I
Above-Grade Walls:
[ • ] I 1. Wall 1:Wood Frame, 16"o.c.;R-19.0 cavity insulation
Comments:
I
Basement Walls:
[ ] I 1. Basement Wall 1: Solid Concrete or Masonry,7.6'ht/6.8'bg/5.0'insul,
R-11.0 continuous insulation
Comments:
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.
I
Windows:
[ ] I 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor: 0.350
For windows without labeled U-factors,describe features:
I #Panes Frame Type Thermal Break? [ ]Yes [ ]No
I Comments:
I
Doors:
[ ] I 1. Door 1: Glass,U-factor:0.350
I #Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] I 2. Door 2: Solid,U-factor:0.100
Comments:
Heating and Cooling Equipment:
[ ] I 1. Furnace 1.:Forced Hot Air,90 AFUE or higher
I Make and Model Number
[ ] I 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher
Make and Model Number
I
I Air Leakage:
Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] I Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC
I rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible
I materials and 3"clearance from insulation.
I
Vapor Retarder:
s
[ ] I Required on the warm-in-winter side of all non vented framed ceilings,walls,and floors.
I -
Materials Identification:
Materials and equipment must be installed in accordance with the manufacturer's installation
instructions.
[ ] I 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
I equipment must be provided.
[ ] I Insulation R values,glazing U-factors,and heating equipment efficiency must be clearly marked on
I the building plans or specifications.
I
I Duct Insulation:
[ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-6.
L l I Supply ducts in unconditioned spaces must be insulated to R-I 1.
[ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
I 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
I (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).
[ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] I Air filters are required in the return air system.
[ ] I The HVAC system must provide a means for balancing air and water systems.
I
I Temperature Controls:
[ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
I temperature set point of the largest zone.
Electric Systems:
[ ] I Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] I Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction
I provisions of the Building Code of New York State,the Residential Code of New York State or
I the New York City Building Code,as applicable.
I
I Service Water Heating:
L l I 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.
L l I Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
I
Swimming Pools:
[ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
I of the heating energy is from non-depletable sources. Pool pumps require a time clock.
I
Heating and Cooling Piping Insulation:
[ ] I HVAC piping conveying fluids above 105°F or.chilled fluids below 55°F must be insulated to the
Table]: 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 RVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pio Sizes
Pipin System Types Ranae(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)