2003-027 TOWN OF QUEENSBURY
_s
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20030027 Date Issued: Monday, April 28, 2003
This is_t6certify thatwork requested-to be done•as shown by Permit Number-- < P20030027-
has been completed.
Tax Map Number: 523400-308-008-0001-066-000-0000
Location: 18 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: P20030027 Application Number: A20030027
Tax Map No: 523400-308-008-0001-066-000-0000
Permission is hereby granted to: BTJRNT MLLS LLC
For property located at: 18 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
UEENSBURY,NY 12804-0000 Single Family Dwelling 100,000.00
Q Total Value 100,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
CT,TJTF, F,NTF,RPRTSF,S COMMONWF,ALTH ELECTRICAL T
13 DAWN Rd RON MUMBLO
OUF,F,NSBURY.NY 12804
NY 12804-0000
Plans&Specifications
2003-027
1248 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$189.76 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, February 12,2004
(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=ap
bum; d day,February 12,2003
SIGNED BY �Pr for the Town of Queensbury.
Director of Building&Code 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 N
No inspection will be made until applicant has received a Fee Paid $ �'7
valid building permit. All applicants' spaces on this Rec. Fee Paid
application must be completed and must appear on the. Reviewed By. �'y
application form. v�' 1,4ti
o ® 2aa
Applicant: (a� v� - -� �L Owner: :�_: �,<l- .�\ �— CB��O�QU 3
Address: Qz1 VC4:_.>1 1, Address: ��GANp Co®�Ry
Phone#(_)'�;3- `7.❑?7 Phone#
Email Address: y.—,-\e- e ._-v -cam; o; Email Address:
Property Location: Lot Number: k: / House Number '(
Subdivision Name: �`�,,�# :1 � Tax Map Number:
` New Building: esidence commercial Estimated Market Value of Construction: $ \ZQ a-3 t y
❑. Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Aiteration: residence/ commercial
❑ No change to exterior size: residence/com'1
❑ 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 9
❑ Two family dwelling
❑ Townhouse
o Multifamily dwelling
#of units '
❑ Office
❑ Mercantile
o Manufacturing
❑ 1 car detached garage
0 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
2 car attached garage -
❑ 3 car attached garage
❑' Storage building-
commercial
❑ Storage building-
residential
❑ Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: .electric/ oil / gas/ ood forced hot air/ seboard/othet:
Number of Fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder _ 042
Plumber - -- -
Mason _ !0D
Electrician
Declaration: please sign below after you have carefully read-the statement:
To the best of my knowledge the statements contained in s pplication,together with the plans and specifications
submitted,are a true a�nd.complete statement of all prop sed+rk to be done on the described premises and that all
provisions of the Building Code;the Zoning Ordinanc and all other laws pertaining to the proposed work shall be complied
with,whether specified or note a,and that such w,r s authgfized by the owner. Further,it is understood that Uwe shall
submit,prior to a Certificate o OSg�upancy or e ' icate9gf Comisliance being issued,as requested by the Zoning
Administrator or Director of B II g and odds an AsBuilt Surve by a licensed surveyor;drawn to scale,showing actual
loc tion 6�all new c ctao
ignature/ owner,bwner's agent,architect,contractor
.7
RECEIV60 tja)
r
FER l 1 2003 Clute Enterprises, Inc.
7'0WN OF QUEENSBUR '
BUILDING
AND CODE
WINDOW AND DOOR SCHEDULE
QTY MODEL# ROUGH CLEAR GLASS U- DESCRIPTIONS
OPENING OPG SQ. FT. FACTOR
6 3050 36"x 60" 25"x 313/4" 11.80 .049 Modem View
r
1 3050-2 72"x 60" 25"X 313/4 20.60 .049 Single Hung
1 Bench. 38 3'4"x 813/4" 20 Sq.R. n/a .069 Benchmark
1 Bench. 36 f4"x 80 3/4" 20 Sq.Ft n/a .069 Benchmark
c= -
a Town of Queensbury 742 Bay Road, Queensbury, NY 12804
Building & Code Enforcement Building Permit# !�r3 -0z,9
Phone:(518)761-8256 Date: 2 6/a;
Fax: (518)745-4437
Email: codes@queensbury.net
Dear 4f- C/U�
Your building permit application has been reviewed and found to be deficient in the following areas:
S�joe✓ �✓s�� Los 4� yd IolW 76
SAIMU Saw SCA c��c_
k �S GGv � � l�iEid/c�o/�+ O� � irs on Crdsf- Jecv`Tol�
/b sew
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N S u� APB /ad&�v ,JYna e We ec'r4e-r
67
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el
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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.
Sincerely,
BUILDING&CODES OFFICE
L:\SueHemingway\Building.Permit.FORMS\deficient building permit Jan 2003.doc
- ' ' /9 4
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
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
Stairway headroom 6 ft. 8 in. all stairs 36"Width
Stair run and rise
Winder run and rise
N 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 height
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
!6P d6'i' �A-0�- ei�.p �G R s Ci
f
Project Name: n BP#
Address:
ding Pemut Submission
Sangle fanuly
Tvafandy dudling
Checklist
All items below must be checked either yes,no or not applicable prior to submission of any building
permit to the Town of QueensburyBuilding Department. If any of the below items are lacldng,the permit
will not be accepted until such time as the application is deemed complete for submission.
1. uilding Permit Application Completed ... ... ... ...
sl no ❑n/a
e Form or CheckMate Energy Code Compliance Forms Complete.. yes ❑no ❑n/a
Code Inspector's Report from CheckMate Program.... ... ... ... ..... ❑no ❑n/a
4. Septic application completely filled out(if applicable)... ..
5. Solid Fuel Burning or Gas Appliance Form... ... .. ... ... ... .
6. Electrical Inspection Form... ... ...
[:]no -]n/a
7. Two(2) complete sets of structural drawings... .. ... ... ...... ... ... ... ... ... ... . [:]no [-]n/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.......... ... s ❑no ❑n/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure... ... ... ... ... ... ... ...... ... .. yes [:]no ❑n/a
10. Setbacks to neighboring wells and septic systems,including onsite well.. ❑no ❑n/a
and septic systems (if applicable)
11. DrivewayPermit... ... ... ... ... ... ... ... ... ... ...... ... ... ...... ... ... ... ... ... ... o ❑❑n n/a
Date: 30,
Staff Initial:
L:\SueHemingway\ i ing.Pennit.FORMS\Generic ChecUst.doc
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS RECEIVED
Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings (only)!Q N 3 0 2003
Part 6*-Thermal Rating—Component trade Offs 1&2 Family D W88 Q�EENSBURI'
Multi-Family Dwellings (3 Stories or less) BUILDING AND CODE
Part 4*-Design by Component Performance, Commercial BuiI rugs-
Rise Residential
*Requires submission of worksheets
[/APPLICANT'S
7NAME:
� PROPERTY LOCATION:,
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: /
1. Gross Floor Area 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 FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS ,
SHOWN ON PLANS SUBMITTED:
a. Roof R
b. Exterior walls
C. Glazed areas R
d. Exterior doors R_j_�-J_
e. Floors over unheated spaces R �y
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
Co to minimum efficiency per code_ Yes No
TE RATU CONTROL MUM SETTING 140—WILL NOT BE EXEEDED
Applic 's t re Date Phone Number
i 7 D77
INSPE R' ARKS:
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 ,
1. OWNER INFORMATION: -
Location of installation: ...................................
Office Use
........._............,....'......,................
�
Tax Map No7 �'7.�T ( ��lob
File Pe
Owner's Name: . - - (.� ....Fee.Paid.............,Jul... �..2Q .....
��....E.. 03..
Address: TOWN OF Q'kJ � ivSBURY
BUILDING A CODE
2. INSTALLER'S NAME PHONE NO. � S �-7
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/bdrin =
1980—1991 x 130 gal/bdrm =
1991 —present x 110 gal/bdrm =
Garbage Grinder Installed yes / no
Spa or Whirlpool Installed yes_ / no
4:- PARCEL INFORMATION: (circle applicable information&indicate measurements)
TgRo Ground ater Bedrqr,k or Impervious Material Dom is at Sijpply
lat sand at what depth at what depth unici al
olling zrm— feet feet we
Steep slope clay - tf well; water supply
T%slope other from any septic-system
depth: absorption is fl.
other
Percolation Test: (To be completed by licensed professional engineer'or architect)
Rate: minute per inch
5. PROPOSED SYSTEM: For New Boni tMo2n: 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 eagh Garbage Grinder,Spa or Whirlpool Tub.
Septic Tank: Qgallon (min. size 1,000ga.1)
Tile Field: each trenches ft. Total System Length: 00 ft
Seepage Pit(s): number of size of each: f3. 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 ageztcy.
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 misrepresontatiori or failure to make a material fact or
circumstance kknnown-by gr on behalf of an app 'c t, shall be void.
I have read the egulations th respect is ap cati and agree to abide by these and all
requireme s of the Town o Quee � Se a Disposal Ordinance.
natur bf r po 'ble berson Date
c,tiill of (Illowitwbui•y
5r�vcr;t :tntl 5cwilme Disvosal (:its, per
APpelidix
SEPARATION Iti':tll.!1 it1,,a]I.N'1';i
o t i PONI)
t1(+rttT CA5010; ft lc'n•,,
7
tr ��
t •,. ' Sct•c1c, I y
r (,i��f-sue".• � �'�;'
AMAP t,c%t
i ...._. nano �.-----__�-
7. SIGNATURE &INFORMATION FOR-USL'VNvbwLz rrroviv wLopa%o..•...:; :r
Residential Final Inspection
Office No. (518) 761-8256 Date InspectionF
���Queensbury Building&Code Enforcement Arrive: art: r a m742 Bay Rd., Queensbury,NY 12804 Inspector's Initi
NAME: % _ d-7
LOCATION: J4---��3
TYPE OF STRUC `- ���\
Com s
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location Vj
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 i1 j
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 late
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 Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwelIV safety glazing
Interior Smoke De ctors:
Every level: / very Blroom: '
Outside every bedroom -ea: y
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
Basement stairs closed rise>4 inches
'/a hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
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./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 Occupancy)
Okay to issue Permanent C/O(Cert. Of Occupancy)
L:1SueHeming�vay\Bttilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
- . Residential Final Inspection 30
'Office No. (518) 761-8256 Date Inspection request re i 'ed.
Queensbury Building&Code Enforcement Arrive: _ L> a m m/ m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: y
v
NAME: 1IIT#: t J-7
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Yj N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete �Q t ► ` �
Guard 30 in. or more P,stairs,decks,patios � CJD �q
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 Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in. to C
Bathroom/Kitchen watertight
Safety glazin
Window in stainvells safety glazing
Interior Smoke Det tors: �ff
Every level: ra,evaory
Bec}foom:
Outside every bedroo : ,,//
Inter Connected: / Battery bacim
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
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
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./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 Temporal y C/0(Cert. Of Occupancy)
Okay to issue Permanent C/0(Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.Hispection.FORMS\Res.Final Insp.form 9.doc a ited January 28,2003
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
ct 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP, -lam
FINAL INSPECT-ION-REPORT'
(hotel, motel, aptp—'e-c)
DATE INSPECTION REQUEST RE IVED:
NAME
1
LOCATION
DATE _ PERMI N V �
TYPE OF i�RCT RE
FOOTINGS _BACKFILL_ FRAMING_ PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT 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
SITE N VARIANCE REO.
INAL SURVEY PLOT PLAN IF RE
OK TO ISSUE C/O OR C C
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection requ rece ed:
Queensbury Building&Code Enforcement Arrive: a pep a
742 Bay Road, Queensbury,NY 12804 Inspector's Initia�'
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUC RE: QJ
Y
ing N N/A COMMENTS
Jack Studs/Headers
Bracing/Bridging 1
Joist hangers 1
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2 (w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
F opping
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
LASueHemin-way\BuiIding.Codes.Inspecti on.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL v2Q-\
Panel Board No................... Cert. 52945 Cut-in Card No.A.1P.3J.?'.;L-
Owner............... ..1.tt..T e,.r........�=.!t.!�.(�,/�?.4.�.S.S..............................................
Occupant............................................................................................................................
Location .... .. '.....L�)4L1A-n3....W.K9 ......................
Installation Consisting of... .....�.... ?tc.l... �L..S.w.t../.........
1..�1...z7.S.,.....5.. .!n.c?1.44..i� T.....1.../=.�4.n.i....
............................................................................................................................................
InstalledBy....1,.,..�.4.V.. C............................................. Lie. #.....................................
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.
..6 Date.....�cj.."..a�3..'� J......... INSPECTOR /W& . ............
ember N.F.P.A.,I.A.E.I.
Rough Plumbing / Insulation Inspection Report < /�
Office No. (518)761-8256 Date Inspection request received:-17
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: �-
A
PERMIT#: 03
NAME:
LOCATION: Ici t INSPECT ON: �� /cf
TYPE OF STRUCTURE:
v
Y N N/A ,
PVC: R-1,R-2,R-3,R-4 Drain/Vents
lc�
Cast Iron, Copper Drain/Vent/Comm.
Pl bia`Q nngg en Dents in Place
crumbing/Nail Plates6�e
n
Head or Air Supply Test +
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Co per Commercial
o ej, ex One &Two Family
sulation 111&dential Check/Commercial Check
FP oiler Vent,Attic Vent
Duct/Hot Water Piping insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
o. DNTS:
L:1SueIieminglvay\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pnip art( of pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: C-L,u i cam' PERMIT#:
LOCATION: l'�i�I�i-�S � (' INSPECT ON: 13 075
TYPE OF STRUC
i
Y N -N/A Framing 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 %z(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft.floor trusses
Anchor Bolts 6 ft. or less on center
V 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
Rough Plumbing / Insulation Inspection Report r
Office No. (518)761-8256 Date Inspection reques cei , d:
Queensbury Building&Code Enforcement Arrive: a �m D p a ./p
742 Bay Road,Queensbury,NY 12804 Inspectors InitiaJ ,+v
NAME: PERMIT#: 03
LOCATION: `cvv�,o \ INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents f
Cast Iron, Copper Drain/Vent/Comm.
Plumbin t/Vents in Place
gh 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
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
COMMENTS:
L:\SueHemingway\Building.Codes.InspectionTORMS\Rough Plumbing Insulation Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: amA in Depart: aAVPA
742 Bay Road,Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON: /
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
CPVC,Pex One&Two Family '
sulation esidential Check/Coxnmercial Check
Proper Ve—h'Aftic ent---- _- -y
Duct/Hot Water Piping Insulation
If required unheated s aces.. --
Combustion Air_Supply of r-Furnace
Duct r-k�Sealed Properly
COMMENTS: C�L
L:\PamW\Whiting\Rough Plumbing Insulation Report.doc
Framing / Firestopping Inspection Report ! L� ' ll.Al rq
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm2 pepart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#: y c-)-7
LOCATION: INSPECT ON: 5 —/ 1 —0-3
TYPE OF STRUCTURE: L
Y N N/A �
Framing 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
'Vice and snow shield 24 inches from wall ; �0,I�-V�i
Fire separation 1, 2, 3 hour 1
Fire wall 2 3 4 hourLC
�� 7
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
LASueHemin-Way\Building.Codes.Inspecti on.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm epart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �a
Cap NAME; PERMIT NO.:
LOCATION: INSPECT ON:- 0-=C3,
RECHECK:
Comments and/or diagram
Soil Type: an" o , slay
Type of Wa unici a k Well Water
Waterline se o ce ft.
Well separation distance ft.
Other wells: ft•
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size T e
Building to tank �c
Tank to Distribution Box �.
Distribution Box ield/Pit
Opening Sealed YJ N/Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft. ^ �.�—
Conforms as per Plot Plan Y". N �—�— ✓'�
Location of Sys on Property:
Front . Rea Left Side Right Side
Middle Front iddle Rear
S Is Use Sta s•
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
Foundation Inspection Report
-Office No. (518)761-8256 Date Inspection request received: --a'. 0 3
Queensbury Building&Code Enforcement Arrive: am/p Depart: jU
m/pm
17
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
7
NAME: u PERMIT#:
LOCATION: INSPECT ON: 0
TYPE OF STRUCTURE: ( ,
Comments / f
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 Dampproofmg/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mi r 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 1.Z�ilj
/ Office No. (518)761-8256 Date Inspection request received: /°
Queensbury Building&Code Enforcement Arrive: am/ a . ',% pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials
NAME: PERMIT#: —' U`, 0�- T
LOCATION T x2— INSPECT ON:
TYPE OF STRUCTURE:
Comments
P.
Y N N/A \�
Footings
Piers
Monolithic Slab
Reinforcement in Place ?y
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 Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
i
�l have seen a s
. . .all object s'haGses.ve«s,
u�nent. also re;r2 i
' so ail
i ed the
ea-n
ate°
Permit Number
MECcheck Compliance Report Checked By/Date
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
Data filename:C:\Documents and Settings\Larry Clute\Desktop\Meccheck\1242 27 x 46.cck
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE:02/11/03
DATE OF PLANS:02/11/03
PROJECT INFORMATION:
Lot# 12
18 Kylian's Way
Queensbury,NY 12804
COMPANY INFORMATION:
Clute Enterprises,Inc.
13 Dawn Road
Queensbury,NY 12804
COMPLIANCE:Passes
Maximum UA=278
Your Home= 178
36.0%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 1252 30.0 0.0 44
Wall 1:Wood Frame, 16"o.c. 1332 19.0 0.0 72
Window 1:Vinyl Frame,Double Pane 72 0.049 4
Window 2:Vinyl Frame,Double Pane 21 0.049 1
Door 1:Solid 20 0.069 1
Door 2: Solid 19 0.069 1
Basement Wall 1:
Solid Concrete or Masonry,8.0'ht/7.0'bg/5.0'insul 740 0.0 10.0 55
Furnace 1:Forced Hot Air,90 AFUE
COMPLIANCE STATE The p op ed building represent in this document is consistent with the building
plans,specifications, other calcula' s ubmitte . this .t application. The proposed systems have been
designed to meet opose New Y to Co on Construction Code requirements.
Builder/Desi er Date
c7
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
DATE:02/11/03
Bldg. J
Dept. J
Use J
J
Ceilings:
[ ] J 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation
Comments:
I
Above-Grade Walls:
[ ] J 1. Wall 1: Wood Frame, 16"o.c.,R 19.0 cavity insulation
Comments:
I
Basement Walls:
[ ] ) 1. Basement Wall 1:Solid Concrete or Masonry, 8.0'ht/7.0'bg/5.0'insul,
R-10.0 continuous insulation
Comments:
J Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
J covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
I
Windows:
[ ] 1. Window 1:Vinyl Frame,Double Pane,U-factor:0.049
For windows without labeled U-factors,describe features:
J #Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] J 2. Window 2:Vinyl Frame,Double Pane,U-factor:0.049
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
I Comments:
I
Doors:
[ ] I 1. Door 1: Solid,U-factor:0.069
J Comments:
[ ] I 2. Door 2:Solid,U-factor:0.069
J Comments:
I
Heating and Cooling Equipment:
[ ] J 1. Furnace 1:Forced Hot Air,90 AFUE or higher
J Make and Model Number
I
Air Leakage:
[ ] J Joints,penetrations,and all other such openings in the building envelope that are sources of air
J leakage must be sealed.
[ ] I 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
J materials and 3"clearance from insulation.
J
Vapor Retarder:
[ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
I
J Materials Identification:
[ ] I 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.
[ ] f Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
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.
[ ] I 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.
I
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).
[ ] 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.
[ ] The HVAC system must provide a means for balancing air and water systems.
I
Temperature Controls:
[ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
I
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] 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
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
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.
i
I Circulating Hot Water Systems:
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
I
Swimming Pools:
[ ] 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 OF or chilled fluids below 55 OF must be insulated to the
I levels in Table 2.
L
Table l: Minunum Insulation Thickness for Circulating Hot Rater Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
TemRerature(F) Up t0 1„ Un to 1.25" 1.5"to 2.0" Over 2"
170-ISO 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Ran e F 2"Runouts I"and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)
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BURNT HILLS SUBDIVISION
DKC HOLDINGS, INC. `
DATED: JULY 23, 2001
LAST REVISED: JANUARY 17, 2002
BY: VAN DUSEN & STEVES f
LAND SURVEYORS, LLC
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RECEIVED
APR 14 2003
TOWN OF QUEENSBURY
BUILDING AND CODE
r•
.{ DDate: MARCH119, 2003
u 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY Scale 1 =30
i ���..JJJ MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
a Map of a Survey made for
VIOLATION OF SECTION 7209,SUB-DIVISION 2,OF THE
NEW YORK STATE EDUCATION LAW.-
'ON
'ONLY WITHOOFIE5A FROM THE ORIGINAL OF SURV PNE
MARKED WITH AN ORIGINAL OF THE IAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. DORIS L. & TH 0 MAS H. QUINLANq III S 1
'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
Land Surveyors EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
HE
BY'ONE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS.SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND
ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL m County,
AGENCY AND LENDING INSTITUITION LISTED HEREON,AND Town of Queensbury, Warren Counl.y, New York QUILAN
169 Haviland Road Queensbury, New York 12804 TO THE AS5IGNEE50f THE LENDING INSTITUTION.'
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 99241-12