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2004-860 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 U P Y Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20040860 Date Issued: Tuesday, February 22, 2005 This is to certify that work requested to be done as shown by Permit Number P20040860 has been completed. Tax Map Number: 523400-301-019=0001-028-001-0000 Location: 17 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 Dwelling 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 BUILDING PERMIT Permit Number: P20040860 Application Number. A20040860 Tax Map No: 523400-301-019-0001-028-001-0000 Permission is hereby granted to: C;ERRONE BT R DERS TNC; For property located at: 17 EVANNA Dr m 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. Tyne of Construction Value Owner Address: CERRONE BUILDERS INC 66 SUNSET Trl Garage-2 Cars Attached 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 2004-860 Lot 3, House No. 17 Evanna Drive Pintree Circle Subdivision 1506 SQ FT SINGLE FAMILY DWELLING $221.42 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,November 04, 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; Thursday, November 04, 2004 SIGNED B for the Town of Queensbury. ire or o uil ode Enforcement Building Permit Application Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File Na. No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants'-spaces on this Rec.Fee Pai . $ application must be completed and must appear on the Reviewed B . `I pplication form. Applicant: o ��4 Owner. . ` ss: ..fii + Address• . L C_,C C�' V E E Addre Phone#(•�) L—� Phone#( I ) CT 4 7 2004 T0YJ1q OF QUELIIBBUR1 Property Location' Lot ber: / House Number /LQ //,. ,2�-�'�- i'`1L'F'i°C3C�'C�E Subdivision Name: -' ` Tax Map Number 07 ilence commercial 'Estimated Market Value of Construction:S �' New Builduig: res —L-�--� CI Addition: resi once J commercial 'lion e If an Additions�l}at will use of new addition C Alteration: residence/ commercial m No change to exterior size: residence/com'1 �— o Other work(describe } Check -occuponeylnformation 169Floor.. 2° Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet 0 Single fandly dwelling o Two fim3ily dwelling m Townhouse o . Multifamily dwelling #Of units o Office i c Mercantile m Man facturin a 1 car detached arage a 2 oar detached gamp e 3 car detached garage .. 0 1 car,attached garage a 2 oar attached garage ® (J 7� o 3 car attached garage e Storage building- commercial o Storage building- residential m Otherl � fracture �a feet inches 1-0 `�G What is the proposed height of the s Will any second-band or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil gas wood /forced hot air/ baseboard/other: • I Number of MmWaces to be installed -�' Number of Food& to be installed L ftbelow the person(s)responsible for supervision of work as regards to building codes: Name Ad s- Phone Number Builder 7 r Plumber Mason i - t0 Electrician A-o f Declarati please sign below after you have carefully read the statement:- 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. Luther,it is understood that Uwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or e r o ' ding and Codes,an.s But1t Survey by a licensed surveyor;drawn to scale,showing actual location of all ew co n. Signature: owner,owner's agent,architect,contractor Check Residential Plan Review: One&Two Family Dwellings Y/N/N/A / (2)Full sets of plans y Over 1,500 sq. $.—Stamped Design Loads On Plans:90 Wind Floor Loads 40 psf / 70 Ground Snow Load Sleeping Areas and Attics 30 psf J Calculations: Window Schedule With Glass Size w 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 Required 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 Winder Run and Rise- Spiral Not Allowed From 2d 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"/ s Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results,if required Septic To Well Or Water Line Separation All Paperwork Signed Project Namea !/,;i 7 6 !r f2fi6 BP# -� a Address: ��7 -, lfi0,X,/ , /2 Building Permit Submission SFD Rcz C Checklist 2-family z .. tc, �0�T � � 2004 All items below nwst be checked either yes,no or not applicable prior to subi; s' oaQf an47,- `�' 1}?Y permit to the Town of QueeasburyBuAding Department If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed ............... ...... ................ �]Yes Ono Q n/a 2. EnergyForm or CheckMate Energy Code Compliance Forms Complete_ e),es Ono Q n/a (2 copies) 3. Energy Code Ins ecto?s Report from CheckMate P [ El no Ej n/a (2 copies) 4. Septic,application completAyfiilled out(if applicable)...... ......... ...... ... [/ yes Q no Q n/a 5. Solid Fuel Burning or Gas Appliance Form... ............... ...... ...... ... ....Qyes [�no ❑n/a b. Electrical Inspection Form....................................... ......... ... ..... yes Ono Qn/a 7. Two(2)complete sets of structural drawing... ........................ ....[/yes Ono On/a a)floor plan;b)foundation plan;c)cross sections:d)elevations; e)window and door schedule 8. Two(2)site plans showing location of the structure to be built,...... ...... 4 Ono Qn/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property Dues to new structure......... ...... ............ ... .. Vyes Ono On/a 10, Setbacks to neighboring wells and septic systems,including onsite well... . Oyes Ono On/a and septic systems (if applicable) 11, Driveway Permit.................. ... ...... ... ...... ............ ......... ... ...... V(Ys Ono Qu/a Date- i Staff Initial: L_\SueHeming-�vay\Badingl'ernucl--ORMS\Generic Clieddist.doc january28,2003 V^ • rQ ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 BEATING DEGREE DAYS Compliance Methods:Part S -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-Hi Rise Residential *Requires submission of worksheets LICANT'S N PF�RTY L TIONj� 1 PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1, Gross Floor Area.- 15'O square feet Type 2. T of heat- Electric . Oil "Z/Icyas Other 3, is building mechanically cooled? yes No 4. Percentage of area of windows and doors Over 17% /Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS. . SHOWN ON PLANS SUBMITTED: a: Roof R /-70 b. Exterior walls R Z C. Glazed areas R:�.9 - d. Exterior doors R—A2 _ e. Floors over unheated spaces R ;10_ L Edge of slab on grade(heated building) R g. Basement/cellar walls(above grade) R // h. Basement/cellar walls(below grade) R d i. Heatinglcooling-ducts-piping in unheated space R 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMIUM STETTING 14D—WILL NOT BE EXEEDED pp ignature Date Phone Number INSPECTOR'S REMARKS: 1 Application for Permit=Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ��....................................................................................,..............,.........,........... ... � r Office Us® Location of installation:� � ,©iGO��,f %�'� Tax Map No. File Permit No. CN-ADO / / 'Owner's Name: �� �' ," C Fee Paid �� ......V...........................................................................,....,..-..............,.,.,....,....... Address: 7 � 2, INSTALLER'S NAME PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s)and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980—1991 x 130 gal/bdrm �' 1991—present :� x 110 gal/bdrm = L� v ' D Garbage Grinder Installed yes_ 1 no OCT 2004 Spa or Hot Tub Installed yes_,/ no—7e TOVIm Or r Pull a� BURY 4.' PARCEL INFORMATION: (circle applicable information&indicate measurements) Toography SgiLNature GroundWater Bedrockorl=ervious Material Domestic MLateS 1 Flat sand at what depth at what depth municipal Rolling am feet feet well steep slope clay f well;water supply %slope other from any septic-system depth: absorption is_...._—t, other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch S. PROPOSED SYSTEM: For N'ew Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: ��� gallon(min. size 1,000 gal) Tile Field: each trench •7 S fl, Total System Length: t ft. Seepage Pit(s): number of size of each: fl, by ft. Size/9f Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity:- . -gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Quee'nsbury,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 requirementaignealture ofwn of Queensbury Sanitary Sewage Disposal Ordinance, of responsible person Date �� � . , , •,.. . ' r'I'awtt tif t�tst;t+sl�I�tie•�r ' ' �c;rvt:1•:t to►t1 ►'IC�v�I�;� I>i,�l�<r+st1 (:1ts►I�tt�r . � 11'1�,�UII►x;°'1'Atk� IrII;)IaI.� n C �) 1 .WQN ) 1Aj�1.t. IN t�(�!!S'f�• r: �" � .ft't IR'I+V•t • • 't1l�u! CJ�f i►iC# Tom.. '•- w �.• ' m ►SOU.3E l� �� � �� qp • SCf'l1G I1�t tY. MOND w • 1�s+cxRP'tK13 . r r 7, SlQlq 1#•V= W JJ.`!:DA1rK►1i�1`` 4ti4►�A°V 1•. a++�"+ '�`��Vi`I �JOA�w.w...J Fire Marshal's Office Town of Queensbury,742 Bay Road,Qu�bury,NY� (518)761-8205 � Application for Fuel Burning Appliances & Chimneys pp 9 PP applicable to solid fuel & vented gas appliances Date , 200L�_ Pa,' --N, 1171-11 Application is hereby made to the Building GodeJ' Of CL'for IllefvBdildirrg anc se Permit pursuantto the New York State Fire Preventiona and Building Codeteatrt-or-�rwrtc agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are f 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) Name: . Stove: wood coal pellet gas Fireplace insert Address: �� �V �1 l'�0—� r Fireplace, factory-built: wood (,was ,�K-k Fireplace, masonry: wood gas —,-- Furnace: wood ® oil Phone: CTV� _ ` If non-masonary applicance, please provide Manufacturer Name: Address: `� � ( ��n_ �\� '� .Model Number: Chimney Information Phone: �Q 2 L�S � 1 a v� (circle appropriate words) Masonry block brick stone / Flue tile steel size: inches Exact Address: `\ � 'of construction or installation Factory-BuiltN� Manufacturer name: •1 Model Number: Note: ��� Listed By: Number: ` Construction/Installation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbur)) Handouts regarding required inspections. Double wall / Triple ivall / Insulated / Direct venting Chimney Liner Fire Marshal Code# Ss Collected S Rcf rnded Received from (refunded to) address: A 173 3389 (190) Public Sa e l A 233 2655 (230)Minor Sales DATE: A � White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod( ,ashier's Dept.) Town of Queensbury Fire Marshal 742 Day Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireglace/Stove Inspection 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. Permit# �� 71 _� Schedule Inspection Time am pm anytime Inspector Address Rough In __Final Appliance Manufacturer Y 1) S-0 Model#3Cf�[) I C Direct VentFactory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) 'Vertical Chase Nail Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height mast be 3 feet alcove roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Value Combustion Air Hearth Extension (if any) Mantel Height above Vp opening Witness Operation Tank Placement(if LP) White—Bnuding Dept, J Yellow Cmtoner Pink—Fire Marshal Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205 761-8206 fax 74 - 43 Facto B_ l as Fire is e/ toy section Report Notice:Nev,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. Permit# 'O lit J Schedule Inspection LcY U itme 4,, ane pan nytinae lnspector P 5 . NameRl �tke� Address l 7 (`✓ '�- �G� Hough In__Final_ Appliance Manufacturer�// —- ic- Model J Direct Vent %� Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Terminntion Chimney height must be 3 feet above roof penetration;2 feet above"y combustible construction within 10 feet Gas Shut-Off Valve Combustion Air �(y� Hearth Extension if any) Mantel Height above f/p opening Witness Operation Tank Placement(if 1.F) Whiite—Bullding Dept, fellow cast er Pink—Fire Marshal Queensbury Building & Code Enforcement - Residential Final Inspection �v Office No. (518)761-8256 — Arrive: am/pnj Depart: ?,, am/pm Date Inspection request received: 0 �� inspector's Initials: NAME: C FL g-t4&j _ PERMIT#: LOCATION: C ()j / 1=ty•q N}U v4- l'�)2 DATE: TYPE OF STRUCTURE: Comments Y N N/A 1 Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake (i 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete �/ p6 Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more 1 / Exterior Finish Complete cy 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 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 41 Bathroom Fans, if no window el Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches VA :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 S aces 18"x 24"jacce4, 1 s . ft.-150 s . ft.vents Building No./Address is" 1 fr2 Final Electrical Site Plan /Variance&quirdd Final Survey Plot Plan As Built Septic System/Sewer De pi.Inspection Sticker - D Flood Plain Certification, if required ka to issue C/C or C/O Temporary/Permanent L:\PamW\Building &Codes\Inspection Forms\Res. Final Insv. 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: -, O5r NAME: C tom. LOCATION: 17 C—VA A yA .1::>2 , PERMIT Final Survey Plot Plan Approved Denied The attached final survey has been received by the - Dept. of Community Development. Upon review he survey hats e n: U fk�) Crklg Bvly, Zoning Administrator Notes: L:\SueHemingway\Building.Codes.Inspection.FORMS\Fina]Survey Zoning Administrator.doc MAP REFERENCE: MAP OF A SUBDIVISION MADE FOR MICHAEL DICKINSON DATED: JANUARY 15, 2003 LAST REVISED SEPTEMBER 17, 2003 BY: DAVID J. BOLSTER FILED IN THE WARREN COUNTY CLERK'S OFFICE ON OCTOBER 7, 2003 IN PLAT B MAP NO. 238 LOT 4 S78 52 48"E 276.02. 4, a s 4 Go 20J.0. 7 O ti w ;O Z N LOT 3 27,905 sq. ft. O'j co N p= 42 0' N O co 282.09, N N78 52 48"w N W LOT 2 TC_` w, ,Y - Date, DECEMBER 23, 2004 ` •t*AUTHMzm ALTERATON OR ADDITION TO A SURVEY Scale 1'=30'a.n• Z.Z S e YAP SEAL"A LICENSED LAND SueYErO"SEAL IS A Map of a Survey made for &D„ M XAT"OF SECTION rma.sue-mASION z OF,TIE NEW YM STATE MICATION LAW S t e v e s •DICEY own"AEMIT TIE OF THE T,s VEMI%NnY YAPoED MTN AN .�,� SEAL SNALL&WNSDEl"TO BE VALID TNIE CMM" S- 1 Land Surveyors SY MEWW NEVI OF SATE ASSOCIATION FOR uN "YET�IONAL 01 ADMTED CERRONE BUILDERS 8Y TE NEM'YONIC STATE OF PROFE390NAL LAND SURVEYORS.SAID CERTMATIONS SHALL RUN ONLY TO THE PERSON FM MIDI TIE SURVEY IS PREPARED.ANDSHEET ON NIS 9DWF To ME THE COMPANY,WVERMYEMTAL 1 OF 1 169 Haviland Road Queensbury, New York 12804 'ICY NO L�INSTITUTIONT LISTED MIEON.AND Town of Queensbury, Warren County, New York THE,O E ASSWNEES OF THELENDRIO E .IS,ITU,IDN.- CERRONE (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 03283-3 Rough Plumbing / Insulation Inspection Repo Office No. (518) 761-8256 Date,Inspection request received: _ Queensbury Building&Code Enforcement Arrive: am/ art: a� pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initia �. L4 NAME: PERMIT #: . LOCATION: INSPECT ON: TYPE OF STRUCT : Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iro o er Drain/Vent/Comm. Plu ><n Vent/Vents in Place ou h Plumbing/Nail Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents ���i Al G 5 PSI or 10 feet above highest L connection for 15 minutes A ��Gr'��� Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial Cooper, CPVC,Pex One and Two-Family nsulation/Residential Check/Commercial Check '. Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: L:\SueHemingway\Building.Codes.inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pert: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: INSPECT ON: —� TYPE OF STRUCTURE. Y N N/A COMMENTS amiilg71 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 % (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 wal 3, 4 hour DiTei-fopping 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 LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 / � lq Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection req est ece'v d.} Queensbury Building&Code Enforcement Arrive: U, �ei�a/ rt. 1, a prr�r' 742 Bay Road, Queensbury, NY 12804 Inspector's rtI NAME: PERMIT #:c:;r)02/ LOCATION: ) INSPECT ON: — TYPE OF STRUCT i Y N N/A PVC: R-1, R-2, R-3,R4 Drain/Vents Cast Iron _opper Drain/Vent/Comm. PlumVent/Vents in Place ✓ ►�� `'��`� ou h•Plumbin /Nail Plates I % inch min.Drain Size f 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 Coo er Commercial C er CPVC,Pex One and Two-Family Insula on/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: LASueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: alTV3 �, epa pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: // NAME: PERMIT#: LOCATION: 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 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor . olts 6 ft. or less on center -r� I 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:\SucHemingway\Building.Codcs.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 113 17A N�0� �oa� NP 141 have seen or obsl-,i' believe I saw evidence of, objects -SUCh as 11s, trees, fences, etc., sl own on dils GocL!!- represent that I have easur�2 p,,r ou me ices set forth on the diagram." o��o L /diagram. ff�l /4/zoA/ SIGNATURE- — DATE k 727-IOU 7-7-7-, , JO r7- -d NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 November 24, 2004 Job#46173 New York State Dept. of Health 77 Mohican Street Glens Falls,NY 12801 RE: Pinetree Circle Subdivision- Queensbury(T) I 17 Evanna Drive (Lot# 3) Septic System Dear Sir/Ma'am: This letter is to inform you that I inspected the completed septic system for the house at 17 Evanna Drive(Lot#3) in the Juniper Hill Subdivision on November 23,2004. 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. Si cerely, Thomas W.Na=_P.E. cc: ` Dave Hatin;Town ff Queensbury_; Al Cerrone o \. ._..__-..._.-- J IF 'r .'s Al vV C--7 F4 w. Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: 2 L L Queensbury Building&Code Enforcement Arrive:' am/p a art: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: i NAME: C /-CA e. 1� ( d PERMIT NO.: _20a —k66 LOCATION: V AN N n Q,f INSPECT ON: RECHECK: Comments and/or diagram Soil T a Cla Type of Wate( Municipa.2 Well Water Waterline sepa Istance ft. Well separation distance ft. Other wells: Absorption Field: Total length t) Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x -Stone Size: Piping S' Type Building to tank G Tank to Distribution Box 0 Distribution Box t ield/Pit $1 as Opening Sealed: Y N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits f �j Conforms as perPlot Plan Y N �G4`�L1kf �S— EJU C-J �/��• A 0Vl&- Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: pproved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\SueHemingwayU3uilding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection e es ce" ed- Queensbury Building&Code Enforcement Arrive: ;'� 11 1n Depart: a� 742 Bay Rd., Queensbury,NY 12804 Inspector's Iriiti NAME: —�� - � t� ,RMIT#: � L t — LOCATION: _ >> (� P,\�,E TSPECT ON: TYPE, OF STRUCTURE: Comments _ _—--- Y N N/A Footings — > Piers — Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing oundation/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 J Plumbing Under Slab PVC/Cast/Copper Foundation Insulation~Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 !r . Foundation Inspection Report c � Office No. (518) 761-8256 Date Inspection request received: � !�-2 � Queensbury Building&c Code Enforcement Arrive: am/p ( Depart"✓ ' —am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: bc- NAME: _CV--0 P PERMIT#: — LOCATION: _ �R< _ _ INSPECT ON: 1t 0 TYPE, OF STRUCTURE: Comments Footings _ Y N/A Piers Monolithic Slab Reinforcement in Place 2/ %.— 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 Backfill Approval Plumbing Under SIab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SucHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-82.56 Date Inspection request received: � Queensbury Building&Code Enforcement Arrive: an-dap (_'.(_'. Depart: 1- am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERDZTT#: LOCATION: _ _ - .� _ IN ON: — TYPE OF STRUCTURE: Comments _—_------- __ Y N N/A Footings _ T Piers Monolithic Slab � -A0 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_pr 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 Backfill Approval Plumbing Under Slab PVC/Cast/Cropper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASucHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 t " 4 t er ked BD toMECcheck Compliance Report hec New York State Energy Conservation Construction Co MECcheck Software Version 3.3 Release lc Data filename: C:\Program Files\Check\MECcheck\CERRONE-LOT#3.cck TITLE:NEW CONSTRUCTION COUNTY:Warren STATE:New York HDD:7635 OCT Z 7 2004 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric TO'.f iN of C%'iL- .iVS8URY DATE: 10/15/04 DATE OF PLANS: 09/30/04 PROJECT INFORMATION: LOT#3 QUEENSBURY,NY 12804 COMPANY INFORMATION: CERRONE BUILDERS COMPLIANCE:Passes Maximum UA=428 Your Home=303 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 882 38.0 0.0 26 Wall 1:Wood Frame, 16" o.c. 1296 19.0 0.0 78 Wall 2:Wood Frame, 16" o.c. 918 19.0 0.0 43 Window 1:Vinyl Frame,Double Pane with Low-E 122 0.490 60 Door 1: Solid 40. 0.069 3 Door 2: Glass 40 0.490 20 Basement Wall is Solid Concrete or Masonry,8.0'ht/7.0'bg/8.0'insul 1136 11.0 0.0 72 Floor 1:All-Wood Joist/Truss,Over Outside Air 24 30.0 0.0 1 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 attesting that to the best of his/her knowledge,belief, and professional judgment,such plans or specifications are in compliance with this Code. PKateBuilder/Designer U-TAV-d Gil.) pF NEII/ [L fN >> w vo OAR 667M F g CN g om I Y H-ECcheck Inspection Checklist -,New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lc ' DATE: 10115104 TITLE:NEW CONSTRUCTION Bldg. Dept. Use 1 Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16."o.c.,R-19:0 cavity insulation Comments: [ ] ' 2. - Wall 2:Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry,8.0'ht/7.0'bg/8.0'insul, R-11.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor:0.490 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: Doors: [ ] 1. Door 1: Solid,U-factor: 0.069 Comments: [ ] 2. Door 2:Glass,U-factor:0.490 #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss,Over Outside Air,R-30.0 cavity insulation Comments: " 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: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g. (500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] 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/offheater 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°F or chilled fluids below 55'F must be insulated to the levels in Table 2. i Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pine 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 HVACPipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Ran e 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)