2003-074 ' TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development -Building& Codes (518) 761-8256
CERVIvIFICATE-0F OCCUPANCY
Permit Number: P20030074
- _ _ _�- :.'Date'I'ssu.ed: Tuesday, August 12, 2003
This is.to certify that-work requested.to.:be done as shown_by-_Permit Number P20030074
has been completed.
Tax Map,Number: 523400-296-014-0001-029-000-0000
Location: 31 EDGEWOOD Dr
Owner: HAYES CONSTRUCTION GROUP, LLC
Applicant: HAYES &HAYES
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&C de E orcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030074 Application Number. A20030074
Tax Map No: 523400-296-014-0001-029-000-0000
Permission is hereby granted to: HAVES &HAYES
For property located at: EDGEWOOD Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance.., Type of Construction Value
Owner Address: GARY &MARY O'CONNOR Garage-2 Cars Attached
37 EDGEWOOD Dr Single Family Dwelling $80,000.00
QUEENSBURY,NY 12804 Total Value
$80,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
HAYES &HAYES COMMONWEALTH ELECTRICAL I
395 BIG BAY Rd RON MUM 3LO
QUEENSBURY, NY 12804
NY 12804-0000
Plans &Specifications
2003-074
1494 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$221.08 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday, April 04, 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 exp. tion date.)
Dated at the Town Quee s ri 4, 2003
SIGNED BY (� for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury Department of Community Development,742 Bay Rd., Queensbury,NY 12804
(518)761-825-6
A permit must be obtained before beginning construction. Permit No.: 3_ 7
Ll
No inspection will be made until applicant has received a Fee Paid:
valid building permit. Form must be completed. Rec.Fee Paid:
Reviewed By:
Applicant: / Owner:
Address: / (�0 Address:
Phone#: y Phone#:
Tax Map Number: 9
Subdivision Name:
(if applicable)
Lot Number: /House Number: /Street Name
OR
Property Location: e o
e( New Building: ~Residential/Commercial Estimated Market Value of Construction: �� oo
❑ Addition: Residential/Commercial If an Addition,what will use of addition be?
❑ Alteration: Residential/Commercial
❑ No change to
Exterior size: Residential/Commercial
❑ Other work: (describ6 )
Check Below Occupancy Info 1"floor sq.ft. 21 floor sq.ft. Other floor sq.ft. Total Sq.Ft.
Single Family Dwelling 57 D ILIgy
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
2 car attached garage (�
3 car attached garage
Storage Bldg.,Comm. 3
Storage Bldg.,Res,
Otheru
What is the proposed height of the structure: feet inches
Will any second-hand or ungraded lumber be used? If so,for what? �=l
No. of Fireplaces to be installed: _ IlaY ee—
No. of Woodstoves to be installed: O
List below the person(s)responsible for supervision of work in regards to Building Codes:
Name Address Phone No.
Builder
Plumber
Mason i /d ', G ,z,I ( l-�r! - �7 7 1
Electrician ,
Declaration: Please sign elow 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. Further, 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 Director of Building and Codes, an
As Built Survey;by/aice-Za;L to scale,showing actual location of all new construction,
Signature: (circle one: owner,owner's agent;architect,contractor) -
Job Site Address: k--b&C-VIrQ-j-r=vL a-1vl�— Date: dY Dco
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o �Owner: Wycs
� Application No. File No.
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m Natural Light, Ventilation & Emergency Egress Requirements
Habitable Area of Req.Ligbt Actual Req.Vent Actual Sq.Ft. Rtmarks
m Room Rm oo 8%of Room Light 4%of Room f Vet Opening for t
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Square Footage Footage
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Project Name: 141el> ��o BP# c"'" 0 3-07 /
Address:
Building Perri it Submission �� SFD
Checklist 2-Family
All items below must be checked either yes,no or not applicable prior to submission of any building
permit to the Town of Queensbury Building 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 ... ... ... ... ... ... ... ... ... ... .... ... . Q yes ❑no ❑n/a
2. Energy Form or CheckMate Energy Code Compliance Forms Complete .. 2�s ❑no ❑n/a
(2 copies)
3. Energy Code Inspector's Report from CheckMate Program.. ... ... ... ... .. 3'y s ❑no ❑n/a
(2 copies)
4. Septic application completely filled out(if applicable)... ... ... ... ... ... ... ... -yes Vno
❑n/a
5. Solid Fuel Burning or Gas Appliance Form... ... ... ... ... ... ... ... ... ... ... ... .[:]Yes ❑n/a
6. Electrical Inspection Form... ... ... o a
yes ❑n ❑n/
7. Two (2) complete sets of structural drawings... .. ...... ... ... ... ... ... ... ... ... . yes [--]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.... ... ... ... yes Ono ❑n/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure ... ... ... ... ... ... ... ... ... ... .. EOyes Ono []n/a
10. Setbacks to neighboring wells and septic systems,including onsite well... . ❑yes Zno ❑n/a
and septic systems (if applicable)
11. Driveway Permit... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... .. k5LL)hco []n/a
Date:
3I�� 63
Staff Initial:
L:\SueHemingway\BuUding.PermitFORMS\Generic Checkbst.doc January28,2003
05 - 0-7
Residential Plan Review: One &Two Family Dwellings /
Check
;IAI
(2)Full sets of plans
I Over 1,500 sq. ft.—stamped
Design loads on plans: 90 wind Floor Loads 40 psf
✓/ 70 ground snow load Sleeping areas and Attics 30 psf
Calculations:
'O / Window Schedule with glass size 2U'elf f !'V. e
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
t/ Residential Check paperwork compliance and inspectors checklist: OK
i
/`VertivatR aF as r uired q y code/Anchor Bolts %z x 7 6' O.C.
G / �Dampproofmgy Wte roofin materials on plans
Foundation Drainage on plans,if required
p/ 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/Proper Vent,Attic Vent
%Platforms at exterior doors
i
Stairway headroom 6 ft. 8 in. all stairs 36"Width
Stair run and riseVT
Winder run and rise
Spiral not allowed from 2" 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 1 160
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: [�
File Permit N "�
Tax Map No.,2`/lP `
Fee Paid
Owner's Name:
Address: .
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 = RF E I"V ®
1980— 1991 x 130 gal/bdnn =
1991 —present 3 x 110 gal/bdrm = s-7,0AAR 14 2003
Garbage Grinder Installed yes_ / no V/ TOWN OF QUEENS13URY
Spa or Hot Tub Installed yes_ / no BUILDING AND CODE
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Z
a h oil e Ground Water Bedrock or Im ervious Material ome6tiie ter Su 1 an at what depth at what depthng� loam feet feet
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: gallon (min. size 1,000 gal.)
Tile Field: each trench �'0 ft. Total System Length: i lao 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
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of th. �o 7Qu ;rySanitary Sewage Disposal Ordinance.
I VI /
/ J [03
gna re of responsible person Date
• . � ''IOtV11 Uf ��Lil;(:11;4I)llt'y •
5rwca•:I anti 5cwsil:(.. Disposal t:Ilslti){�•s•
Append ix C,
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SFA)A1t/1,'I'ION ILI�t�t.J11tI�itill��N'I';i
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7. SIGNATURE & FOP, rum�xoLs✓rzr owL, u„o„a�.....0 j .' '
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods:Part.5 -Acceptable Practice Method— 1&2 Family Dwellings (only)
Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling;
Multi-Family Dwellings (3 Stories or less)
Part 4*-Design by Component Performance, Commercial Buildings-Hi
Rise Residential
*Requires submission of worksheets
APPL ANT'S NAME: PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
l. Gross Floor Area square feet
2. Type of heat- Electric Oil i Gas Other
3. Is buildin mechanical) cooled? es�No
g Y Y
4. Percentage of area of windows and doors Over 17% V/Under 17%
5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS ,
SHOWN ON PLANS SUBMITTED:
a. Roof R 39 f 30
b. Exterior walls R. !9
C. Glazed areas R
d. Exterior doors R IV.-
e. Floors over unheated spaces R 3 o
f. Edge of slab on grade(heated building) R 10
g. Basement/cellar walls (above grade) R I�
h. Basement/cellar walls(below grade) R I I
i. Heating/cooling-ducts-piping in unheated space R
6. Service (domestic)hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED
Appli Si at a Date Phone Number
V-)
SPECTOR'S REMARKS:
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received: i
Queensbury Building&i Code Enforcement Arrive: am Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: .
NAME: PERvIT#: 4 7
LOCATION: Q R• DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location Q Fresh Air Intake
3 inch Plumb Vent through roof ��r
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
nterior Handrails stairs 2 or more 'sers
Grade away from foundation 6 in.wit 0 ft.
Handrail Termination at Newell Post or W-aS.
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above rade
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 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
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer
Garage re proofing
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 I O(Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
L UM!N KLWMIS f 04s us/-IUJus Iu:se LY :u'I/US IV0:437
"I have seen or observed, or believe I saw evidence of, ;
all objects such as houses; wells, trees;fences,' etc.,
shown on this ocurnent. I also.represent that i have .
person asure e tan es set fortb on the diagram." ( �,
S NATU E DATE i
MAR 4
74-� � �r��•��_ /_��, ; .►�I.t!!- IBC; AND boo„
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Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# ® d INSPECTION ON: ?�
Name: HV J AM PM ANYTIME
Location: C—rr�,�rfA Vdh4Q AR -
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
ASONRY ROUGHIN OK THIS DA ` JFORC NOT OK
F AL
FIREPLACE
FACTORY BUILT ROU H IN INSPECTED BY
FINAL
COMDEV/CHRISJ/WORD/LETTERS2001/F IREMARS HALINS PECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
° Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: t am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: Z—) `
LOCATION: c-->cn> 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
oof 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
tenor Handrails stairs 2 or more risers /� 417Grade away from foundation 6 in.with 10 ft. l!�
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
,ell 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 stairwells safety l
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 t
Floor truss,draft stoppin 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 Tem orar C 10(Cert. Of Occupancy)
Okay to issue Permanent C/0(Cert. Of Occupancy).___
L:\SueHenvngwaylBuilding.Codes.Inspection.FORMS\Res.Final Insp,form 2.doc edited January 28,2003
Residential Final Inspection
Office Nr�. (518) 761-8256 Date Inspection request received: 9/1 o
Queensbury Building&Code Enforcement Arrive: am/p I e rt: . m/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: -- ��_ ' L
NAME: PERMIT#: ,
LOCATION: DATE: G CJ
TYPE OF STRUCTURE: � �
Comments
Y N N/A
Chi 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 V
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 late
Gas Valve shut-off exposed/regulator 18"above grade I�.�api.-e.
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
2�� UrlZ�1 pc��
Low water shut-off boiler
Relief Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight RZ
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 � nL fn A � � �l•s��l�I�
Foundation insulation VI'" I c ✓
Floor truss, draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches ,JG�,�
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 r
Crawl Spaces 18"x 24"access, 1 s .ft.-150 s . ft.vents
Building No./Address visible frorp oa lj(/lj �-LL �OvSC� 5
Final Electrical
ite 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:\SueHemingway\Building.Codes.Inspection.FORMS\Ices.Final Insp.form 2.doc edited January 28,2003
PROPERTY LINE
W
z
J
HOUSE
ry,
SEEPAGE _
PIT�Y ' 1000 GALLON
10'-0" 07 D-BOX SEPTIC TANK
DIAMETER X W-0'
DEEP SEEPAGE
PTf/1
10'-0" EFF. i�
DIAMETER X B'-0"J
DEEP
PROPERTY LINE
FOR PROPERTY LOCATED AT 31 EDGEWOOD DRIVE
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: _
NAME: PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comme is
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: / 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
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
inal 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 Occu arc
Okay to issue Permanent C/O(Cert. Of Occupancy)
L:\SueHeniingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Town of Queensbury Fire Marshall
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory milt Gas Fireplace/Stove Inspection—ReRort
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
spectrications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
C� instructions or spe Lions is allowed.
Permit# � / Schedule Inspection cifi 3 Time amp pm anytime Inspecto
Name 6d Address --�" 7J G C � IN Itiougli In Final
Appliance Manufacturer Model#
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
®� /c2e
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement (if LP)
White—iBidMing Dept. Yellow Cyst er Pink—Tire Marshal
Septic Inspection Report
Office No. (518)761-8256 Date Inspection requegived. 7
Queensbury Building&Code Enforcement Arrive: ?-?�L` a p a in
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
(� 67q
NAME: J' �p'J `� E IT NO.:
LOCATION: j ,fir, c+7J r, f�� PECT ON: ff 3
RECHECK:
Comments and/or diagram
Soil Type and o /Clay
Type of Wa er: unicipa Well Water
Waterline sepa ce ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x C
Stone Size:
Pi in Size
Building to tank r
Tank to Distribution Box t i
Distribution Box to FielcVI Pit
Opening Seale Y ar Ial
Location/Separations v�
Foundation to tank p ft.
Foundation to absorption Z® ft.
Separation of PitsY�6 i
Conforms as per Plot Plan Y
Location of System on Property:
Front Rear Left Side )Right Side �2 _
Middle Fr iddle Rear ���—� ��
System Use Status:
Approved
ZDa8approved
artial Approved and needs to be re-inspected,please call the Building&Codes Office
L:1SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspecti nOpwtd.c January k bv�-C2 V-
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. 3
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 0.7
Permit No........................................Cert. NO 80361 Cut-in Card No....................................
Owner.............. ....... ...... 1 ............
Location.....�r3�....C�..�.........,.�................ ............................................. C�C.C��..
.. .................................... ...................
Installation Consistingof..�J�: .s�! S� �Gl TZ'�
......I.................. ........ .... .............................y.................,
Installed B %..........Lie.No..................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued i!
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 romptly made for inspection.
Inspectors of this Company shall have the privilege of makin in ections at any time, and if it;
rules are violated,the Company shall have the right t r oke this e ' icate.
Date....D..��.�...��..................... INSPECTOR................................................................. .....................
Member N.F.P.A..I.A.E.1.
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit 2), (-)7 INSPECTION ON: _ O
Name: -b AM NYTIME
Location:
APPROVED
N/A YES NO �� COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUI ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGIJ/N OK THIS T K R NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGHIN
INSP CTED
(57'
FINAL
COMDEV/CHRISJMfORDILETTERS2001/FIREMARSHALINSPECTIONREPORT1102 0
WHITE-BUILDING DEPARTMENT COPY YELL W-OCCUPANT COPY
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive:, am/pi �V: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
1
NAME: 'Y' PERMIT#: Q003-0
LOCATION: — q INSPECT ON: — 3 r
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 W5
Connection for 15 minutes
Water Supply Piping i
Copper Co t rcia°1
o -e ,C�PUC;-Pex One&Two Family
�a ion/Residential Check/Commercial Check oel�
'Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air.Supply for Furnace
Duct Work Sealed operly 00
.. C►0K NTS:
�L:1Sueliemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003
Rough Plumbing / Insulation Inspection Report G;
Office No. (518) 761-8256 Date Inspection request recei / 3
Queensbury Building&Code Enforcement Arrive: am/ rt: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initial , y
NAME: PERMIT#:
LOCATION: i ' all, INSPECT ON:
TYPE OF STRUCT 7 G�rS
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
Tough-Plumbing/Nai 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
o per, VC,Pex One&Two Family
Insulation/Residential Check/Commercial C ck `\N
Proper Vent, Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furna
Duct Work Sealed Properly
COMMENTS:
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 c i d:
Queensbury Building& Code Enforcement Arrive: am/ De rt: a p
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
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 in.
Garage Fire Separation
House side %inch or 5/8 rich Type X
Garage side 5/8 inch T e X
Ceiling/wall
Windows Habitable Sp e/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/b ow grade
5.0 sf grade
LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518)745-4437
Fire Marshal's Inspection Report
Request 2 �1`� SCHEDULE _
Received: Permit# 0 ✓- < INSPECTION ON: 9 `��
Name: a 6�o AM PM ANYTIME
Location:
APPROVED
N/A YES NO COMMENTS ���`Q
EXITS
AISLE WIDTHS p(-. -�,5ob c tA k)
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOO
STO E ROUGH IN
FINAL
V,tNTED GAS
PPLIANCE ROUGH IN
FINA
FIREPLACE
MASONRY ROUG IN O7KT D 1E K F CO =NOTOK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN
INSP 71) BY
FINAL
COMDEV/CHRISJIWORD/LETTERS2001/FIREMARSHALINSPECTIONREP 11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Framing / Firestopping Inspection Report
i S
Office No. (518) 761-8256 Date Inspection request received-
Queensbury Building& Code Enforcement Arrive: am/ epart.' _ m/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: G✓5 PERMIT#: .63 -074
LOCATION: INSPECT ON: 2 6
TYPE OF STRUCTURE:
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
Anc r Bolts 6 ft. or.less on center
Ace and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/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:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/ m Depart: m/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: :
NAME: PERMIT#: /
LOCATION: — INSPECT ON:
TYPE OF STRUCTURE: l
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
Anch r Bolts 6 ft. or less on center
ce and snow shield 24 inches from wall j
Fire separation 1, 2, 3 hour / I
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:\SueElemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc JanUa y 28,2003
V
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/ I D art: m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 4PERMIT#:
LOCATION: !eaw��i K>O Q�-r/2 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
chor Bolts 6 ft. or less on center
Ice and snow eld 24 inches from wall
Fire seP aratio 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:\SueHeminmay\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
n Ins
Rough Plumbing / Insulatlo Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: f-�am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT 7
LOCATION: A,;- INSPECT ON: 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 D
Rough Plumbing/Nail Plates
Head or Air Supply Test /
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes q k �1�• �'�vGy
Water Supply Piping /' 1
Copper Commercial J!��,�. C6.'V 1 e,
Copper, CPVC,Pex One &Two Family
Insulation/Residential Check/Commercial Check C6
Proper Vent, Attic Vent
Duct/Hot Water Piping Insulation
If required unheated space's
Combustion Air Supply for Furnace
Duct Work Sealed Properly F-1 -L
COMMENTS:
L:\Suellemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
39/9),l
Foundation Inspection Report
l
Office No. (51-8) 761-8256 Date Inspection request received:
Queensbury Building R Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: -07
LOCATION: — INSPECT ON: — /' 1 — 03
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Mo lithic Slab
enforcement 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
Bacicfill Approval e
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHemingwayTuilding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm D am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON: Q"
TYPE OF STRUCT
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 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.
L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
3P
Foundation Inspection Report
Office No. (51-8) 761-8256 Date Inspection request received: 1
Queensbury Building&Code Enforcement Arrive: am/p ',� Depart: I- din/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ��-C/
NAME: PERMIT#: L) - 7
LOCATION: _ INSPECT ON: �= ? -�
` TYPE OF STRUCTURE:
32
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
Fo tion Dampproofing
>trildation/W fing
Type o ampproofing aterproofirig
Footing In aylight 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.
L:\.SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
-
ll
Foundation Inspection Report
p p
Office No. (51-8)761-8256 Date Inspection request.received- �3
Queensbury Building&Code Enforcement Arrive: arvl pm '�:` Depart ;; :�.., - �rr�pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials.-
NAME: c PERMIT#'
LOCATION: °SEC ON: 6 �
TYPE OF STRUC
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/Wa erproofing
Footing Drain Daylight or ump i
Footing Drain Stone: r/
12 inch width
6 inches above footin
6 mil poly for wet areas under slab
Bacicfrll Approval
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
Foundation Inspection Report
Office No. (518) 761-8256 Date In pe f o�n re e ceiv d:
Queensbury Building&Code Enforcement Arrive: \'.,_VjJ a p epart*
m
742 Bay Rd., Queensbury,NY 12804 Inspectors Initia s.
NAME: }� P RMIT#:
LOCATION: _�%-D!� SPECT ON: J-1 >3
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
t
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
Bacicfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation tenor/Exterior
R-
Rough Grade 6 in drop within 10 ft.
L:\SueHemingway\Bui]ding.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p� J Depart: 6aVVPM
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: t� PERMIT#: _ Q7
LOCATION: -G6--Gv001ZD j01 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 Dampproofmg
Foundation/Waterproofing
Type of Dampproofmg/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.
EIEC
[JAR 1 4- 2003
Permit Number ((TOWN OF OUEENSBUR,
BUILLINO fiND,CODE
MECcheck Compliance Report Checked By/Date
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
Data filename: C:\MECcheck\HAYES-QUEENSBURY.cck
TITLE:HAYES GROUP,INC.
COUNTY:Warren
STATE:New York
HDD: 7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE: 03/14/03
DATE OF PLANS: 03/07/03
PROJECT INFORMATION:
QUEENSBURY,NY 12804
COMPANY INFORMATION:
HAYES GROUP,INC.
COMPLIANCE:Passes
Maximum UA=543
Your Home=450
17.1%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 102 38.0 0.0 21 .
Ceiling 2:Cathedral Ceiling(no attic) 493 30.0 0.0 17
Wall 1:Wood Frame, 16" O.C. 1346 19.0 0.0 81
Wall 2:Wood Frame, 16" o.c. 805 19.0 0.0 29
Window 1:Vinyl Frame,Double Pane 205 0.490 100
Door 1: Glass 40 0.490 20
Door 2: Glass 40 0.490 20
Door 3: Solid 20 0.069 1
Door 4: Solid 20 0.069 1
Basement Wall 1:Wood Frame,8.0'ht/0.0'bg/8.0'insul 256 19.0 0.0 16
Basement Wall 4:
Solid Concrete or Masonry, 8.0'ht/7.0'bg/8.0'insul 880 11.0 0.0 55
Floor 1:All-Wood Joist/Truss,Over Outside Air 32 30.0 0.0 1
Floor 3:Heated Slab-On-Grade,4.0'insul. 128 10.0 88
-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 Proposed New York Stat E gy Conservation Construction Code requirements.
Builder/Designer /' ' Date
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
DATE: 03/14/03
TITLE:HAYES GROUP,INC.
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
[ ] 2. Ceiling 2: Cathedral Ceiling(no attic),R-30.0 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:Wood Frame,8.0'ht/0.0'bg/8.0'insul,R-19.0 cavity insulation
Comments:
[ ] 2. Basement Wall 4: 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,U-factor:0.490
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
Doors:
[ ] 1. Door 1: Glass,U-factor:0.490
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
[ ] 2. Door 2: Glass,U-factor:0.490
#Panes Frame Type Thermal Break? [ ] Yes[ . ]No
Comments:
[ ] 3. " Door 3: Solid,U-factor: 0.069 .
Comments:
[ ] 4. Door 4: Solid,U-factor: 0.069
Comments:
Floors:
[ ] 1. Floor 1:All-Wood Joist/Truss,Over Outside Air,R-30.0 cavity insulation
Comments:
[ ] 2. Floor 3:Heated Slab-On-Grade,4.0'insulation depth,R-10.0 continuous insulation
Comments:
Slab insulation to extend down from the top of the slab to at least 4.0 ft.OR down to at
least the bottom of the slab then horizontally for a total distance of 4.0 ft.
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
Heating and Cooling Equipment:
[ ] 1. Furnace 1:Forced Hot Air,92 AFUE or higher
Make and Model Number
Air Leakage:
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 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°F must be insulated to the
levels in Table 2.
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) U to o 1„ Up to 1.25' 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4"
Heating Systems'
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)
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