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2003-025 TOWN OF QUEENSBURY 4EaL . 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20030025 Date Issued: Thursday, June 26, 2003 -This is to certify that work requested to be-done as shown by Permit Number P20030025 has been completed. Tax Map Number: 523400-308-008-0001-065-000-0000 Location: 14 KYLIANS Way Owner: BURNT HILLS LLC Applicant: BURNT HILLS LLC 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: P20030025 Application Number: A20030025 Tax Map No: 523400-308-008-0001-065-000-0000 Permission is hereby granted to: BURNT HILLS LLC For property located at: 14 KYLIANS Way 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: BURNT HILLS LLC 15 F BIRDIE Dr Garage-2 Cars Attached Single Family Dwelling 90,000.00 QUEENSBURY,NY 12804-0000 Total Value 90,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency CLUTE F,NTFRPRTSF,S COMMONWEALTH FLF,CTRTCAT,T 13 DAWN Rd RON MUMBLO OIJF,F,NSBIJRY-NY 12904 NY 12804-0000 Plans&Specifications 2003-025 1040 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $164.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 13,2004 (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 T f Que bu T ursday,March 13,2003 7 SIGNED BY e for the Town of Queensbury. Director of Building&Co e 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 No. '() 10Ai �y 0 No inspection will be made until applicant has received a Fee Paid $ d•.' 1 �NOF 1?0z valid building permit. All applicants' spaces on this Rec. Fee Paid application must be completed and must appear on the Reviewed-,,By: OgNQ NS�U�y application form. CO®F Applicant: Owner: Address: \"zI Address: CD� :j Y Phone#(_)724 3- 7 7 Phone#(_) - Email Address: C`.-�.� rr, rQ r, Email Address: Property Location: Lot Number: House Number Subdivision Name: � 4— (.�y Tax Map Numb Jr: ?,iz�, ,. 0%— New Building: r esidence commercial Estimated Market Value of Construction: $ 00, ❑ Addition: / commercial ❑ Alteration: residence/ commercial If an Addition,what will use of new addition be? ❑ No change to exterior size: residence/com'1 f ❑ Other work(describe ) Check Occupancylnformation I"Floor 2 Id Floor Other floor Total Below sq.ft. sq.ft, sq.ft. Square Feet Single family dwelling o Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage 'Zq' 2 car attached garage L-(v`, ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed height of the structure - `So feet inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil / gas wood / orced hot air aseboard/othet: Number of Fireplaces to be installed _ Number of Woodstoves to be installed List below the-persons)responsible-for supervision of work as regards to building codes: Name Address Phone Number Builder Plumber Mason d Electrician -Declaration: 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;t5e Zoning Ordinance all otherplaws pertaining to the proposed work shall be complied with,whether specified o noted,and that such work is th 1Su by the owner. Further,it is understood that Uwe shall submit,prior to a t;�ficate of Occupancy or Certifi to of iancQ being issued,as requested by the Zoning Administrator ovDirector of Build' g and Co,es,a As Buil .by a licensed surveyor;drawn to scale,showing actual _location of alldew constructio Signatur . / ��r,owner's agent,architect,contractor Residential Plan Review: One & Two Family Dwelling Check Y/N/N/A (2)Full sets of plans Over 1,500 sq. ft.—stamped Design loads on plans: 90 wind 70 ground snow load Calculations: Window Schedule with glass size Door Schedule/Main Entrance 36"Door -� Emergency escape for 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 .3 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 Platforms at exterior doors L Stairway headroom 6 ft. 8 in. all stairs 36"Width Stair run and rise LIM-�_ o Winder run and rise , E _ Spiral not allowed from 2" story Smoke detectors battery backup and proper location Hall width, 36"min. Handrails more than one riser on open sides 7 Railing and Guards>30"/Basement Stairs included/Closed Risers more than 4"in height Safety Glazing Notes for required areas Garage Fire Separation I '` oP— " t� J FD LU !1 MEN-% 1v Attic Access . �7 N Roof over 36"—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: Z� •f - — Cp File Permit No. Tax Map No. `.� QUENS� Owner's Name: ��,�-- � L : Fee Paid AND cO��HY Address: 2. INSTALLER'S NAME :C y im ' - `� Cam'��. PHONE NO. --N 3 7 o*� 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 gallbdrm = 1980- 1991 x 130 gal/bdrm = 1991 -present x 110 gal/bdrrri = 3, Garbage Grinder Installed yes_ / no Spa or Hot Tub Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Toi)oP-ra-Dhv Soil Nature Ground Water Bedrock or Lp ervious Material DomesfisWater Supply F sand at what depth at what depth municipal Iling oam - feet feet -- Steep slope clay if well; water supply _%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: W010 gallon (min. size 1,000 gal) Tile Field: each trench '56 ft. Total System Length: C30 ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons _ Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circ�nce-known by or on behalf of an applicant, shall be void. I have read the regulati7 s w th respec . o thi ppl cation and agree to abide by these and all requ'�ments of the To o Quee s u nitary Sewage Disposal Ordinance. Sic n„ atu�e of r sp6nsible person Date .., 'lisw'ie of Q uc;rltwbili•y ._.►:_.:;.'�.,a :wcrs and SCW$1J;C I)ist>as;:tl (.l:stjsle=. Appmulix (: A-11;;ORI''VION I11ti'l-oI.) S1;I'11'1tA'I'IW1N 1tI:t�1.?11L1�[�11��NTS POND w� Hl�Lt_ ui t�tirF•st- .. '' - rt \ ,/�,.,•- (.ram OrN tSttiS►!ltr•f i ' t��YmRPttc�t 7. SIGNATURE &INFORMATION FOR USrUMi sLZ 4—W � C.EJ . ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY TOWN"�d�� 0 2003 9000 HEATING DEGREE DAYS � L F Y EIVSBURy CpOe 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-Hi Rise Residential *Requires submission of worksheets �A^PPLICANT'S NAME: t--� PROPERTY LOCATTION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: I. Gross Floor Area- ` D square feet 2. Type of heat- Electric Oil Gas Other 3. Is building mechanically cooled? yes No 4. Percentage of area of windows and doors Over 17% Under 17% ` 5. R-VALUES FORMULATION GIVEN BELOW MUST CORRESPOND TOR VALUES AS , SHOWN ON PLANS SUBMITTED: a. Roof R 0 b. Exterior walls R C. Glazed areas R d. Exterior doors Rom_ e. Floors over unheated spaces Rya f. Edge of slab on grade(heated building) R •--- g. Basement/cellar walls (above grade) R h. Basement/cellar walls (below grade) R ---- i. Heating/cooling-ducts-piping in unheated space R. 6. Service (domestic)hot water heating device Conforms to minimum efficiency per code >Yes No /Appl�ican MPI ERATU CON T AXIMUM SETTING 140—WILL NOT BE EXEEDED ig' Date Phone Number-75 3 -7S 4 TOR' MARKS: l� Permit Number 7c, MECcheck Compliance Report CheckedBy/Date TOWN ,y 02003 Proposed New York State Energy Conservation Construction Code e��Opy�vEENse Alyp ARV MECcheck Software Version 3.3 Release lb CQp Data filename:Untitled TITLE: 1040 COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:01/30/03 DATE OF PLANS: 1/30/2002 PROJECT INFORMATION: Lot 9 11 14 Kylian's Way Queensbury,Ny 12804 COMPANY INFORMATION: Clute Enterprises,Inc. 13 Dawn Rd Queensbury,NY 12804 COMPLIANCE:Passes Maximum UA=207 Your Home=207 0.0%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 1040 30.0 0.0 36 Wall 1:Wood Frame, 16"o.c. 1056 19.0 0.0 54 Window 1:Vinyl Frame,Double Pane 80 0.490 39 Door 1: Solid 41 0.230 9 Door 2:Glass 40 0.490 20 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1040 19.0 0.0 49 Furnace 1:Forced Hot Air,82 AFUE - COMPLIANC ATEMENT: a proposed building esented in this document is consistent with the building plans,speci ations,and other atio submitted th s permit application. The proposed systems have been designed meet the opo e Y State E ervation Construction Code requirements. Bui er/Des' Date (o C MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE:01/30/03 TITLE: 1040 Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R 19.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Vinyl Frame,Double Pane,U-factor:0.490 For windows withdut labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: Doors: [ ] 1. Door 1:Solid,U-factor:0.230 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 Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,82 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 Type IC rated and installed with no penetrations,or Type IC or non-IC rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials and 3"clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R-11. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] 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°F or chilled fluids below 55 OF must be insulated to the levels in Table 2. Healed Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Uyn 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 lypes 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) MA/ 0 2D03 rBUI D/Noft OFG q SENSBURY Electrical Inspectors �oCo®E The following are Electrical Inspection Agencies, Certified by the Town of Queensbury to do,inspections. We cannot recommend an inspector,however,please ask your Constractor who he pNO refers to inspect his wo ` vlr� Commonwealth Electrical s ection Services Inspects Do d Loveland 357 Elwyn Te Local Off umber: 1-800-562-9934 eirrrPA 17545 Main Office hers: (717) 664-2347 1-800-732-0043 --------------------------------------------------------------------------------------------------------------- Middle Department Inspector: Joseph Holmes 143 Troy Schenectady Road Local Office Number: 1-800-479-4504 Watervliet,NY 12189 (518)273-0861 NYS Main Office Numbers: 1-800-873-6432 1-800-479-4504 ------------------------------------------------------------v York Board of Fire Underwriters 111 Washington Avenue, Suite 704 Inspector: Terry Colvin Albany,New York 12210 Main Office Number: (518)463-2122 ---------------------------------------------------------------------------------------------------------------- The Inspector, Inspector: Richard Moon 4755 McConchie Road Local Office Number: (518) 882-6140 Galway,NY 12074 Cell Number: (518) 857-6233 Main Office Number: 1-800=487-0535 (518) 497-9918 L:\SueHemingway\Building.Permit.FORMS\Electrical Inspectors.doc Revised: July 31,2002 Residential Final Inspection Office No. (518) 761-8256 Date Inspection request received: Queen Building&Code Enforcement Arrive: a pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials ��—C/ NAME: 0 L(p G— PERMIT#: 0 > LOCATIONT: !([a Ant!S DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs, decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall . 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Batter backu : Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emersency egress below grade Basement stairs closed rise>4 inches '4 hour fire door/door closer Garage fireproofing ct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area awl Spaces 18"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(Cert. Of Compliance) Okay to issue Temporary C/O(Cert. Of Occ-b anc ) Okay to issue Permanent C/O(Cert. Of Occupancy L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.fornf1doc edited January 28,2003 •--� Residential Final Inspection �l Office No. (518) 761-8256 Date Inspection request received: i Queensbury Building&Code Enforcement Arrive: am/p Depart/� •`✓' am/pm 742 Bay Rd., Queensbuty,NY 12804 Inspector's Initials: -, 47— NAME: PERMIT#: 0_ O LOCATION: DATE: TYPE OF STRUC Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs, decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in. to 38.in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler - Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade ,.� p/Al� Basement stairs closed rise 4 inches '/4 C%�rr �� t 4 hour fire door/door closer Garage fireproofing ` Duct work Sealed properly %6AL_ t>vG'r 1Aj15 Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft,vents Building No./Addre s visible from r ad Final Electrical to Q D� Site Plan /Varianck re red Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C Cert. Of Compliance) Okay to issue Temporary C/O(Cert. Of Occupancy) Okay to issue Permanent C/O(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 . y TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 .BAY ROAD QUEENSBURY NY ' 12804 (518) 761-8256' ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT COMMERCIAL ------ MULTIPLE DWELLING (hotel,moteI, apt. complex) DATE INSPECTION REQUEST RECEIVED: NAME LOCAT/I'ON ` DATE--�. 5-a3 PERMIT # TYPE OF STRUCTURE FOOTINGS _BACKFILL_ FRAMING PLUMBING INSULATION NIA YES NO CHIMNEY/"B" VEN/1EIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/}IOT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION INTERIOR STAIRS/RAILINGS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRATION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SIT' LAN VARIANCE RE . INAL SURVEY PLOT PLAN IF RE OK TO ISSUE C/O OR C C Rough Plumbing /Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ inDepart: T7F�amlpm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials. ' t NAME: PERMIT#: yC) LOCATION: INSPECT ON: C; TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial Copper, CPVC,Pex One &Two Family -ins u ti /Re dential Check/ gniniercial Check Proper Vent, Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:\SueHemingway\Building.Codes.inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Rough Plumbing /Insulation Inspection Report l Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/prA Depart: I ' am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: Lu�C� PERMIT#: LOCATION: INSPECT ON: T1 7— TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping opper Commercial Co per, CPVC,Pex One &Two Family Insulation/Residential Check/Commercial Check D RS t nJ YJ J ' Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:GSueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 V Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pn ep an.Vpm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: ,�.v � C PERMIT#: CO—S LOCATION: INSPECT ON: � , J _,0� TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping ( (� Copper,Commercial !�( CopXr, CPVC,Pex One &Two Family i atiom/Rlesiclential Check/Commercial Check Proper Vent, Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace uct Work Sealed Properly f (::: CON MENTSo L:\SueHemingway\Building.Codes.Inspection,FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection reque received: Queensbury Building&Code Enforcement Arrive: am/pm rt: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: \ U� PERMIT#: 03 Jt LOCATION: L ' v \ INSPECT ON: TYPE OF STRUCTURE: r\ Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. a Plumbing Vent/Vents in Place g Plumbing/Nail Plates Head or Air Supply Test Drain and Vents �C�,r `1 j2�i CrjGGZ� 5 PSI or 10 ft. above highest 7 V Connection for 15 minutes Water Supply Piping Cw U�J� Copper Commercial Copper, CPVC,Pex One&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 COIINWNTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received• Queensbury Building&Code Enforcement Arrive: an/p Depart am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: L—J PERMIT#: LOCATION: L y INSPECT ON: TYPE OF STRUCTURE: Y N N/A Framing COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers C—Jack Posts 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 chor Bolts 6 ft:or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side % 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 Framing / Firestopping Inspection Report l O l Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive-: am/pm� ep am/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 Bolts 6 ft. or less on center and sno ie 2 'nc.es from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection req est received: j Queensbury Building&Code Enforcement Arrive: anr/ m. D part: am/pm I ' " 742 Bay Road, Queensbury,NY 12804 Inspector's Initials. �G- -- � NAME: t`a'�r`�Y,� �� —� PERMIT#: � LOCATION: INSPECT ON: TYPE OF STRUCTURE: .,r 1 .: Y IN N/A COMMENTS ramirig 7 Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1;,-2- 3 hour Fire 112, , 4 hour stopping Venetration 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.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 I � i Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/n��Depart:/ am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: C?3 —0 5 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y ,I- N/A Footings ers R Monolithic Slab \)Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval e Plumbing Under Slab PVC/.Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: l Q Queensbury Building&Code Enforcement Arrive: am/p epart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspec or's Initials: `► NAME: 44710 PERMIT NO.: 0�z Qd- LOCATION: Iq L 4 'Cut INSPECT ON: v RECHECK: Comments and/or diagram Soil Type: and a ,Clay Type of Wate . unici /Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches `Z ft. Size of Stone �✓ Seepage Pits: Number Size: x Stone Size: Piping Si e Type Building to tank h Il I - - Tank to Distribution Box to '1 Distribution Box ield/Pit Opening Seale . Y N/Partial Location/Separations Foundation to tank ft. Foundation to absorption t. Separation of Pits ft. Conforms as per Plot Plan Y N Location of System on Property4)e Front ea Left Side Middle Front Middle Rear System Use St us: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved 1 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �� NAME: PERMIT#: c2=no 3 '0 LOCATION: G INSPECT ON: TYPE OF STRUCTURE: F v Comments Y N N/A Footings Piers Monolithic Slab of Reinforcement in Place The contractor is res Lsible r providing protection om fre zing for 48 hours followin the pl cement of the concrete. Materials for this purpo e site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 i?1il es above footing 6 poly for wet areas under slab ckfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. Foundation Inspection Report Office No. (51-8) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: 4s am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: - NAME: C6�z 11 PERMIT#: o- LOCATION: I OVY,-0 INSPECT 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 Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 m,jkpoly for wet areas under slab cfill Approval ` Pp � /Y� A Plumbing Under Slab ' PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report V V Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Depart: V am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: C�-� �� PERMIT#: 0 LOCATION: ( J INSPECT ON: 3 6`5-- TYPE OF STRUCTURE: Comments 10 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 Dampproofmg 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. Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pnk) Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: +`— NAME: JCA _— `- PERMIT#: LOCATION: 4 INSPECT ON: �, �C TYPE OF STRUC . Comments Y N N/A F tings 91 Piers Monolithic Slab Reinforcement in Place The contractor is respo sable 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 Dampproofmg 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. Town of Queensbury 742 Bay Road, Queensbury, NY 12804 Building & Code Enforcement Building Permit# 7 003-oz Phone:(518)761-8256 Date: Fax: (518)745-4437 Email: codes@queensbury.net Dear 4Zir2� Your building permit application has been reviewed and found to be deficient in the following areas: -tk- �1 13 N3 PL-RI)6c) G L ►oJ003�) A ZE- F, C - o Q - � Rb Pt3 i o' - T k-,to 0 v Cal L� 1 R L— — % 61 o O ►►J �L C 1� i 1 vJ � Lfl F ► C LC) iR E o L%2�► 22►'Y-3pt% DI MC bO These details need to be added to or noted on both sets of plans. Please feel free to contact this office with any questions regarding this matter. #ince < E CE L:\SueHemingway\Building.Permit.rORMS\deficient building - wMo Wo �Q _ - M W 0(.) OW e 00 CAW m 13 i T j s _ r MAP REFERENCE: BURNT HILLS SUBDIVISION DKC HOLDINGS, INC. DATED: JULY 23, 2001 LAST REVISED: JANUARY 17, 2002 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC A MODIFICATION TO AN APPROVED f SUBDIVISION MADE FOR I DKC HOLDINGS, INC. DATED: APRIL 9, 2003 BY: VAN DUSEN & STEVES k 12 LANDS N/F OF ALFRED W. GREEN, II w AREA CONVEYED TO LOT 12 & a DONNA L. GREEN 721 N$3o34 19BE 89. S75O3ti I s2 E ORIGINAL LOT LINE -M r w 208.ej 15 1 c AREA CONVEYED TO LOT 11 L AREA CONVEYED TO GREEN �- 11 3 0 27,981 sq.ft. 1 �3� N 0.64 acres E�N NE to o GRUSH St O 203.60' C4 Zz I � � 266. 19' N86D13'50"W 1 C� NIAGARA MOHAWK POWER CORPORATION i I 1 7 { Du Date: MAR H 19, 0 3 s v AUTNOR ED KhRAIM OR SWIM TO A smYer Scale 1"=30' & NO BEARING A U ND LA SURVEYORS SEAL IS A Map of a Survey made for VI°LAr"of SECTION 7M.SUB-DIY"2 OF THE NEW YORK STATE EDUCATION LAV "LY CORED MOM T"E OltlfOKOFTWOUPWL/ S teve s AGRKEDAU.BECONSWALOrTMEINDDIAO/HRU ��HOMAS B . RAMSEY, JR. S- i SEAL SNAU.BE WN90OItD TO BE VAUO 1RtK.OOPIEi' 'C[Ri"1CA1N1NS IND"TED MOWN SON"THAT TMB SURVEY WAS PREPARED IN ACCORDANCE WIN THE I Land Surveyors ~ MMN & PAULA H. RAMSEY TO THE PERSON FOR WNW THE SURVEY IS PRWARE0.AND ON NO BENAIF W THE WU COMPANY,OOVOMMENTAL I 169 Haviland Road Queenabu New York 12804 AGENCY NO LENDW PMT%41M USM"MCN,AND '.down of Queenebury, Marren County, New York 1 ry, TO THE ADDIC"EmOr THE LCO"GOwn"AL. 1 G/24/03 UPDATE SURVEY/CERTII=ICATION5 CLUTE DWG. No. 99241-i1 (518) 792-8474 New York Lie. No. 50135 N0. DATE DESCRIP77ON 1