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2003-080 All TOWN OF Q UEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20030080 Date Issued: Wednesday, July 09, 2003 This is to certify that work requested to be done as shown by Permit Number P20030080 has been completed. Tax Map Number: 523400-308-008-0001-055-000-0000 Location: 12 BURNT HILLS Dr Owner: BURNT HILLS LLC Applicant: CLUTE ENTERPRISES This structure may be occupied as a:. By Order of Town Board Garage - 2 Cars Attached T OF QU ENSBURY Single Family Dwelling Director of Building&Code Enforcement �r TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20030080 Application Number: A20030080 Tax Map No: 523400-308-008-0001-055-000-0000 Permission is hereby granted to: CLUTE ENTERPRISES For property located at: 21 BURNT HILLS 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: 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 CLUTE ENTERPRISES COMMONWEALTH ELECTRICAL I 13 DAWN Rd RON MUMBLO OUEENSBURY.NY 12804 NY 12804-0000 Plans&Specifications 2003-080 lot#2 HSE#12 BURNT HILLS DRIVE 1236 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $196.72 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 02,2004 (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 t]ie To ',n of ns ,ury; ednesday,April 02,2003 /j 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)761-8256 A permit must be obtained before beginning construction. Permit No.: 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: r Owner: ��.r.z•- c- _�. =� �c_ �.�-ram:-� .1 � L.�,C-... Address: Address: �� Oc- Phone it. 1 Phone#:' Tax Map Number: C�� 1— Subdivision Name: (if applicable) Lot Number_ /House Number: /Street Name OR s�� \ flc=•+�` RECEIVED Property Location: MAR 0 2003 New Buildin • ommercial Estimated Market Value of Construction: AQQCQ ❑ Addition: Residential/Commercial If an Addition,what will use of addition be'? URY `NS6 BUILDING ,y�CODE �. E ❑ Alteration: Residential/Commercial ❑ No change to Exterior size: Residential/Commercial ❑ Other work: (describe ) Check Below Occupancy Info 1"floor sq.ft. 2'd floor sq.ft. Other floor sq.ft. Total Sq.Ft. Single Family Dwelling Two Family Dwelling Townhouse Multifamily Dwelling #of units Office Mercantile Manufacturing 1 car detached garage 2 car detached garage 3 car detached garage I car attached garage 2 car attached garage 3 car attached garage Storage Bldg.,Comm. Storage Bldg.,Res. Other What is the proposed height of the structure: ��l feet inches Will any second-hand or ungraded lumber be used? If so,for what? �Q No. of Fireplaces to be installed: v No. of Woodstoves to be installed: C List below the person(s)responsible for supervision of work in regards to Building Codes: Name Address Phone No. Builder o. Plumber ` 7 Mason Z_ . Electrician v` Declaration: Please sign below after you have car fully 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'ha11"be complied with, whether specified or noted, and that such work is authorized by the owner. F er, it is derstood that I/we 1 submit,prior to a Certificate of Occupancy or Certificate of Complk ce being is ed,'as r c ested b the Zoning Administrator or Director of Building and Codes,an As,B�unt Survey by a cen e e to scale,showing actual location of all new construction. Simatur (circle one: owner,owner's agent,arehi ct,contractor) Project Name: �� L�, BP# U —Q& Address: Building Permit 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 ... ... ... ... ... ... ... ... ... ...... ... . yes ❑no ❑n/a 2. EnergyForm or CheckMate Energy Code Compliance Forms Complete.. ❑no ❑n/a (2 copies) 3. Energy Code Inspector's Report from C heckh4ate Program.. ... ... ... ... .. yes ❑no ❑n/a (2 copies) 4. Septic application completely filled out(if applicable)... ... ... ... ... ... ... ... yes ❑no ❑n/a 5. Solid Fuel Burning or Gas Appliance Form... ... ... f" ... ...... ... ... ... ... ... ... ❑yes ❑no 6. Electrical Inspection Form... ... ... 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.... ... ... ... Ir []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/a Date: 4 3 Staff Initial: L:\SueHemingway\Building.PemutFORMS\Generic Caecklist.doc Janua728,2003 f Residential Plan Review: One&Two Family Dwellings Check Y/N/N/A (2)Full sets of plans Over 1,500 sq. ft.—stamped Design loads on plans: 90 wind Floor Loads 40 psf 70 ground snow load Sleeping areas and Attics 30 psf Calculations: Window Schedule with glass size 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 Vertical Rebar as required by code/Anchor Bolts %z x 7 6' O.C. . Dampproofmg/Waterproofing materials on plans Foundation Drainage on plans,if required 6"Drop in 10' Exterior Grade Framing cross section for each roof line,Vertical Fire Stopping every 10' where required Ice and Snow shield 24"inside exterior wall/Proper Vent,Attic Vent Platforms at exterior doors Stairway headroom 6 ft. 8 in. all stairs 36"Width Stair run and rise 1� Winder run and rise Ila 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 u�V Attic Access S 1 }Zoof over 30"—22"x 30" 1 d 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: ��—o�, - 5 File Permit No. Tax Map No. Owner's Name: Fee Paid Address: 2. INSTALLER'S NAME PHONE NO. .��3 `7 a7 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/bdrm = 1980— 1991 x 130 gal/bdrm = 1991—present x 110 gal/bdrm = Garbage Grinder Installed yes_ / no Spa or Hot Tub.Installed yes` / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) To a h Soil,Xature Ground Water Bedrock or Im ervious Material Domeadc Water Su 1 Flat at what depth at what depth rnunici al Rolling loam feet feet we 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: W O—u gallon(min. size 1,000 gal) Tile Field: each trench S�O ft. Total System Length: r� 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 re t e regulation w'th respect to this lication and agree to abide by these and all require ents of the To o Queensbury S itary-Sewage Disposal Ordinance. Sure �respon6ible person Date ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS(Z)w JX 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 APPLICANT'S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: l. Gross Floor Area- square feet 2. Type of heat- Electric Oil ��Gas Other 3. Is building mechanically cooled? yes`_>eNo g 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 3� b. Exterior walls R \9 C. Glazed areas R a,5 d. Exterior doors R 1q,S' e. Floors over unheated spaces R 1` f. Edge of slab on grade(heated building) R .� g. Basement/cellar walls (above grade) RAg h. Basement/cellar walls(below grade) R i i i. Heating/cooling-ducts-piping in unheated space R q,55 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code Yes No TEM TU CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED pplic nt's ' a Date Phone Number i INSPECTOR'S MARKS: r C� Residential Final Inspection Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ m epart: r am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: If' NAME: L,& PERMIT#: .�° LOCATION: I 2 -0,,ei W r c, DATE: TYPE OF STRUCTURE: Comments Y N/A Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof 01 Roof Complete 0. 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 VA 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. 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 !1f 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 C-A_Pe_e-*- vuol Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area �e��sS Crawl Spaces 18"x 24"access, 1 s ,ft.-150 s . ft.vents v t Building No./Address visible from road Final Electrical . ,��• Df a�9�� C—�-CMG. 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 Occiz anc ) 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 Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a pm epa m am/p 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials NAME: V/� PERMIT#: O3 doh LOCATION: 12— -a ! DATE: -7 0 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: / 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/<hour fire door/door closer Gara e fireproofing Duct work Sealed properly Attic access 30 in.x 2 in. x 30 in. (ht.)In accessible area Crawl Spaces 18"x 24"Iccess, 1 s . ft.-150 s . ft.vents Building No./Addre s v sible from ro d Final Electrical Site Plan /Variance e fired 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/0(Cert. Of Occupancy) �u Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a pm epart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:� . NAME: g> PERMIT#: LOCATION: DATE: _ — TYPE OF STRUCTI t. 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 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 %hour fire door/door closer Garage fireproofing Duct work Sealed properly i 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 re uir Final Survey Plot Plan -L 0 As Built Septic S stem/Se er Oept.Inspection Sticker Flood Plain Certification,if required ' Okay to issue C/C(Cert. Of Compliance) n, Okay to issue Temporary C/O(Cert.Of Occupancy) _4� Okay to issue Permanent C/O(Cert. Of Occupancy) AJtr I L:1SueI-Iemingway�3uilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 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, motel, apt. complex) DATE INSPECT• ON REQUEST RECEIVED: NAME Y LOCATION 1/ L DATE L --��C.Q� PE�jRMMIIT TYPE OF STRUCTURE �s- 1 FOOTINGS _BACKFILL_ FRAMING_ PLUMBING_ INSULATION N/A YES NO CHIMNEY/"B" VENT HEIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING f{OT 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 - IALAN VARIANCE REO. FINAL SURVEY PLOT PLAN IF RE v'l 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/p�n epart: am/pm y� 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: U7-?r PERMIT LOCATION: (,5 Aw T /u S /?, INSPECT ON: S TYPE OF STRUCTURE: ; Y N N/A PVC:. R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial u epz- Copper, CPVC,Pex One&Two Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent c.. �� )fj �z5 Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:\PamW\Whiting\Rough Plumbing Insulation Report.doe Rough Plumbing / Insulation Inspection Report V Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/prll,_,Depart: m/pm 742 Bay Road, Queensbuiy,NY 12804 Inspector's Initials: �J((�� NAME: e- PERMIT#: 77' D� LOCATION: y.QAj/ ! c.C. INSPECT ON: 15 TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents _ 6i Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place o r Rough Plumbing/Nail Plates Head or Air Supply Test �oU64 w Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping IC pper Commercial Co per, CPVC,Pex One &Two Family lInsulation./Residenti Check Commercial Check ("J Arr —S 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 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: amho part: pm 742 Bay Road, Queensbury., NY 12804 Inspector's Initials: �J�V�-�7 NAME: '` -`�l;" °� �- PERM IT#: �,} J LOCATION: t✓l !ter\ I-; , INSPECT ON: TYPE OF STRUCTURE: -' Y N/A COMMENTS am�img ack 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 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 0 sf4 ad If PC U 6—191) L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report �(z Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/ epa ni/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: olae bP n PERMIT#: �' V LOCATION: , Q— ri,-<____1XSPECT ON: I �G TYPE OF STRUCTURE: C � r 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 wa 1 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\BuiI ding.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report PTO Office No. (518) 761-8256 Date Inspection request received: ' Queensbury Building&Code Enforcement Arrive: am/p /j D Depa e am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: �'f`� NAME: YERMIT#: LOCATION: - INSPECT ON: TYPE OF STRUCTURE: Comments Y N/A Footings rs 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 tinder slab Bacicfill.Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Glade 6 inch drop within 10 ft. L:4SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 v' Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: s i Queensbury Building&Code Enforcement Arrive: am/p a ' A 742 Bay Rd., Queensbury,NY 1,2804 Inspector's Initials: 22 7 NAME: PERMIT NO.: C)J — d OQ LOCATION: , K INSPECT ON: �� RECHECK: fir- Comments and/or diagram Soil-Type: a oan I lay T e of W Munici /Well Water Waterline sea istance 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 Stone Size: Piping Si 7,e, Type Building to tank 174 b Tank to Distribution Box H K Distribution Box to Field/Pit �l Opening Sealed: Y/N/Partial Location/Separations Foundation to tank Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan V Y N � — (A L� Location of SDRear n Property: FrontLeft Side Right Side Middle Front Middle Rear System Use Stat4 Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:1SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 S _. ------ -.--------- ------------ - - - -- .._. _......_._. _..............._ --------=--- ._. .. - -- -- - -_---. rt q� C-- It Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: _ ( INSPECT ON: - TYPE OF STRUCTURE: / .�� Comments Y N N/A Footings Piers I . i 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 4 mil poly for wet areas under slab acicfill 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 J Foundation Inspection Report Office No. (51-8) 761-8256 . Date Inspection r uest eceiv Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/ 742 Bay Rd., Queensbury,NY 12804 Inspector's Initi NAME: n RMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Z Comments Y N N/A Footings Piers Monolithic Slab Reinforcemen in Place t? responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour �O Reinforcement in Place r ,Q. 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 Foundation Inspection Report Office No. (51"8) 761-8256 Date Inspection requ r c ' e ^V � Queensbury Building&Code Enforcement Arrive: a pm Depart:'' ' 742 Bay Rd., Queensbury,NY 12804 Inspector's Initi s- r NAME: RMIT#: 7C)D72 LOCATION: INSPECT ON: TYPE OF STRUCTURE: � Co ents 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. LASueHemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003 "I have seen or observed, or believe I saw evidence of, all objects such as houses,.vvells, trees, fences, etc., shown on thi �cume, t. I also represent that I have � person me sured �' distanres set f h on the diagram.'' 1 ti DATE v �O 3 RECEIVE -- ----- :----t ; ----'--TOWN OF QUr;ENSBURY BUILDING AND CODE a - ---- - _ - s s { 7 i , 71 . � V -- - - -- - - ---------- - ------------ �,-CAN d,00 3 - as APe ber MECcheck Compliance Report ed By t Proposed New York State Energy Conservation Constr tion Code MECcheck Software Version 3.3 Release lb Data filename:Untitled COUNTY: Warren STATE:New York HDD:7635 CONSTRUCTION TYPE: Detached 1 or 2 Family RECEIVED HEATING TYPE:Non-Electric DATE: 03/18/03 MAR 2 0 2003 DATE OF PLANS: 3/18/2003 TOWN OF QUEENSBURY PROJECT INFORMATION: BUILDING AND CODE Lot#2 12 Burnt Hills Drive Queensbury,NY 12804 COMPANY INFORMATION: Clute Enterprises,Inc. 13 Dawn Road Queensbury,NY 12804 COMPLIANCE:Passes Maximum UA=236 Your Home=224 5.1%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 1236 30.0 0.0 43 Wall 1:Wood Frame, 16"o.c. 1312 19.0 0.0 66 Window 1:Vinyl Frame,Double Pane 126 0.490 62 Door 1: Solid 42 0.230 10 Door 2:Glass 42 0.490 21 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 468 19.0 0.0 22 Furnace 1:Forced Hot Air,90 AFUE COMPLIANCE STATE The pr p sed building represented' his document is consistent with the building plans,specifications,a other calculat'on submitted with is pe t pplication. The proposed systems have been designed to meet rop d New ate Energy a io Construction Code requirements. Builder/Desi er Date �c7 Y MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE:03/18/03 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 without 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,90 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 OF or chilled fluids below 55 V 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) PR 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 Pining System Types Ran e F 2"Runouts 1"and Less , 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 'NOTES TO FIELD(Building Department Use Only) MAP REFERENCE: BURNT HILLS SUBDIVISION DKC HOLDINGS, INC. DATED: JULY 23, 2001 1 LAST REVISED: JANUARY 17, 2002 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC S78 052142"E 20p. 86 �0 'n [O 08 LU cD LANDS N/F OF � u.Z HERBERT JOR5USHED`�— '�' ,, !! Zo W 2 ONE LU O m RIVE V- i. 30,362 sq.ft. f� � 0.70 acresW 7 CO 3 I h 9 I 126.64' - # 41.22' 3q.03' I N86013 50'W 1 200. 12' y NIAGARA MOHAWK POWER CORPORATION , I ,".ipF NEfyy a•' SEW C. r I • , � s i } atei MAY 23, 2003 Dus •UNAUrAOR D ALTERATION OR ADDITM TO A SURVEY Scate 1'=30' '� a• & YAP BE..~A LOOM LAND SURVE"M SEA.IS A Map of a Survey made for MAIM OF SECTION 7209.�e-DI�IDN,.OF THE + MEW YOM(STATE EDUCATION LAW Steves -OI<Y M =m anawL Or 9LWVE M Summ MAIFm 1wTI1 AN OIYOOIAL Of M IAIO BIAIVHOU' SEAL 94ALL BE CONSIDERED TO BE VALID TRUE COPIES.' �R,�ATN,AS VVICATED NTH CLUTE ENTERPRISES INC . TrEs sllRver WAS PREPARED M ACCDRDANfi wTN THE Land Surveyors °°�"=W�"`�`�`��"°��°P� ' BY iNE NEW Y'DKK STATE ASSOCU17N7N OF PaoFT:s98IIAl LAND SURVEYORS.SAID CERTMAYIQNS SHALL RUN ONLY TO THE PERSON FM wNIN➢IE SURVEY IS PREPARED.AND ON IDS BENALf TO 1YE RTLE COWANY.OOYERNIENTAL 169 Haviland Road Queensbury, New York 12804 ""' "`Y SIO`SOFTI wBnTWIMI"s'E°'�� ANo Town of Queensbury, Warren County, New York mmAeerrleeDrmu:IalN: .• GLUTS (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIP77ON DWG. NO. CA241-LOT-2