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2003-354 r TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5402 (518)7.61-8201 Community Development-,Building&Codes (518)761.8256 CERTIFICATE OF OCCUPANCY Permit Number: P20030354 Date Issued: Friday, October 03,2003 This.is:to:ceify that work requested to be;done as shown by Number P2003034 has,been completed. Tax' Map Number:,,', . , 523400.3.08.008-0001-047-000-0000 Location 41 BURNT HILLS Dr 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 4 Coe Enfor ment TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20030354 Application Number:., A20030354 Tax Map No: 523400-308-008=0001-047-000-0000 Permission is hereby granted to: BURNT HTLLS LLC For property located at: 41 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 Single F QUEENSBURY,NY 12804-0000 Total Vaj ily Dwelling $150, 00. 0 $150,000AO Contractor or Builder's Name/Address Electrical Inspection Agency CTJJTF,F,NTFRPRISF,S ATTF,NTTON: LARRY CLT 1TF P.O.BOX 373, LAKE C"TF.ORC7F.NY 12845-0000 Plans&Specifications BP 2003-354 Construction of a 2,000 sq. ft. single-family dwelling with 2-car attached garage(528 sq. ft.) as per plot plan and specifications. $292.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 09,2004 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the T wn of een ry &Ujune 09,2003 SIGNED BY 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 No. 11a No inspection will be made until applicant has received a Fee Paid $ 'j valid building permit. All applicants' spaces on this Rec.Fee Paid application must be completed and must appear on the Reviewed By k OTJ application form. Applicant: ire ._ s—e -J -` e�-c < owner: U t-, L-t-•C.1 Address: Address: Phone##(mac g)L__ .7_,>-1 Phone.# Property Location: Lot Number: ��--'/ .House Number 141 Subdivision Name: Tax Map Number: wBuilding:�re ae-/commercial 'Estimated Market Value of Construction: $ C , 7c7�.� ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence!com'l ❑ Other work(describe } Check OccupaneyInformation 1` Floor 2" Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling 74(}� ❑ Two family dwelling n Townhouse ❑ Multifamily dwelling #of units o Office ❑ Mercantile Q Manufacturing n 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage � � ❑_ 2 car attached garage ❑ 3 car attached garage ❑ Storagc building- commercial ❑ Storage building- residential ❑ Other What is the proposed height of the structure 2 feet inches Will any second-hand or ungraded lumber be used? If so,for what? hl Type of Heating System:-electric/ oil �-� / ood /forced hot air/ baseboard I other: Number of Fireplaces to be installed "i--' Number of Woodsteves to be installed - List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder l -Plumber. - - Mason. Electrician C.c.J� Declaration: please sign below after you have carefully rJad 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 o emu. .g de,the Zoning Or . 0 d all other laws pertaining to the proposed work shall be complied with,w r specified or bted,and uch rk is a thorized by the owner. Further,it is understood that Uwe shall sub prior to a Ce. c e of Occu c o of Compliance being issued,as requested by the Zoning trator or it r ofBuil g odes,an.4 S iry by.a licensed surveyor;drawn to scale,showing actual location bf co 0, Si e: �„ owner,owner's agent,architect;contractor Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Qwsensbury,NY 12804 (518) 761-8256 .1. OWNER IN-FORMATION: ............... Office Use Location of installation: I File Permit No. r-240- Tax Map No. Fee Paid Owner's Name: ............. ................................... ...................... .......... Address: 2. INSTALLER'S NAME PHONE NO. -7:;P-7 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 I*?< Spa or Hot Tub Installed yes.— no 4. PARCEL INFORMATION: (circle applicable information'&indicate measurements) Too eranhv S-oiLhlature Ground Water Bedrock or Irrvoervious Material Domestic Water Sui),olv Flat sand at what depth at what depth C:-:municipal olling -755—am —feet —feet we Steep slope clay if well; water supply %slope other from any septic-system depth: absorption,is other Percolation Test: (To be completedby 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 S-C), fi. Total System Len _ft. SeepagePit(s): number of size ofeach: 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 I 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 the replu!atx ns with respect to s plication and agree to abide by these and all re ements of the of Queensb San ary Sewage Disposal Ordinance. atui-eof responsible person Date 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-Fariiily 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: 1. Gross Floor Area :Oo 0 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 TOR VALUES AS , SHOWN ON PLANS SUBMITTED: a: Roof R b. Exterior walls R %9 C. Glazed areas R -->a 1 d. Exterior doors R (4. C. Floors over unheated spaces R `--"— f. Edge of slab on grade(heated building) R �--- g. Basement/collar walls(above grade) R i 1 h. Basement/cellar walls(below grade) R i I. i. Heatinglcooling-ducts-piping in unheated space R 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code es No TE TU C MAXIMUM.SETTING 140—WILL-NOT BE EXEEDED App 'c at Date Phone Number INSPECTOR'S REMARKS: } IQ- Residential Final Inspection Office No.(518) 761-8256 Date Inspection request received: Cl Queensbury Building&Code Enforcement Arrive: ani!Tepart: pin 742 Bay Rd., Queensbury,NY 12 Inspector's Initials: NAME: PERMIT#: LOCATION: 'DATE-- TYPE OF STRUCTURE: Comments Y / N N/A Chimney Ht./"B"Vent/Direct Vent Location VI/ Fresh Air Intake 3 inch Plumb Vent through roof /0 Roof Complete Guard 30 in.or more @ stairs,decks,patios 500A-10�-NI DO 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. 01 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 g_rade V Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot'vVater Heater operating -Low water shut-off boiler —Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. .Bathroom/Kitchen waterti& Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom. Outside every bedroom area: Inter Connected: 1 Battery backup: Bathroom Fans,if no window V/ Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping fmished basement 1,000 sf -Emergency eEess below grade V Basement stairs closed rise>4 inches /4hour fire door/door closer Garage fireproofing Duct work Sealed properly J, Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area V Crawl Spaces 18"x 24"aqpes-s, 1 sq,ft.-150 sq. ft.vents Building No./Addres vi i je from road 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 1 0(Cert.Of Occupancy) Okay to issue Permanent C i 0(Cert. Of Occupancy) L:\SueHemin'gway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 29,2003 Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: - Queensbury Building&Code Enforcement Arrive: ajnll m epart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials. NAME: ✓(/'-- PERMIT#: �5 1 LOCATION: ► A N DATE: �} TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete nterior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors terior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Walt 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 � G U v(}s Sc , 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 '/4 hour fire door/door closer Garage fireproofing uct work Sealed pro�erl Attic access 30 in.x 24 in.x 30 in.(fit.)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:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.formIdoc edited January 28,2003 p �1 N x ro C3 CI n h I cn H N � '� W Its i ro n H � x H H C w M H H a t 0 r } : 0 �" x z 0 ►C 0 a z z z z p H H H p 0 h C o r > a 0 d H v�o ro a n z a h C� w d d d h r a C3 C C7 n m z 0 H O r r w H H H x C m H $ H x z rH a ro n n n z ` HU1r � � > a00c� c� 0C c� 00Z � czi ° o z C r ro ro b 7 0 k0 0 H C wcn N z ro ro ro H ro H p W p ro W t� a a H to = n n k �' n C•7 z H z C a 0 n H ro x n H z m H a C x n roHn � � n � � co �n � ru� rya or � � � HnaH � � a rONC a, W � z n [ z � H H 0 Ip H ro n H ro H M ' z � C C � � b nz a vex � r zz0 00 h nxa t� `' pN 0 H a Ho%q BCD <tr4 Nz Nm ti o z z k r Rough Plumbing/ Insulation Inspection Report Office No. (518)761-8256 Date Inspection reque ceiv Queensbury Building&Code Enforcement Arrive: a in art, 742 Bay Road,Queensbury,NY 12804 Inspector's Initi s- NAME: PE=T LOCATION: 13 IN O TYPE OF STRUCTURE: YY 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 Coppe ommercial C er,CPVC,Pex One&Two Family ulation/Residential Check/Commercial Check � Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply far Furnace Duct Work Sealed Properly COMMENTS: L:1SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003 i Rough Plumbing/ Insulation Inspection Repo -. Office No. (518)761-8256 Date Inspection request received:-7- Queensbury Building&Code Enforcement Arn ve: am/ De ar . _ an 742 Bay Road, Queensbuzy,NY 12804 Inspector's Initials: . r ERMIT i NAME. LOCATION: 1 j 5. INSPECT ON: i�'-�� 03 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 per, CPVC,Pex One&Two Family sulatirnfitResidenttal Cheek/Commercial Check < Proper Vent,Attic Vent 175 Duct/Hot Water Piping Insulation = If required unheated spaces Combustion Air Supply for Furnace Duct Work SealedProperlylo� .. 1.'% A)60 L4 CC?�ENTS: (2/L L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Rough Plumbing 1 Insulation Inspection Report .Office No. (518)761-8256 Date Inspection request received: e_.1. Queensbury Building&Code Enforcement Arrive: 1P D part: am/pm. 742 Bay Road, Queensbury,NY 12804 Inspector's Initials:, NAME: PERMIT M. 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 0Ugh Plumbing/Nail Plates Head or Air Supply Test Dfain and Vents 5 PSI or 10 ft. above highest VV 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,\SucHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003 Framing /Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am�J D : alrlJpm ' 742 Bay Road,.Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: - INSPECT ON: TYPE OF STRUCT Y N N/A COMMENTS �g Jack Studs/Headers Bracing/Bridging ll•► �✓ 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 l2 (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 R ing�.— enetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side l2 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 1 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received:. Queensbury Building& Code Enforcement Arrive: am/p rt: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: C:)U , LOCATION: U 1( INSPECT ON: TYPE OF STRUCTLTR� 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 V2 (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center -1,--Tc—e 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 V2 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) 53 sf above/below grade 5.0 sf grade LAS Lie Hemin-Way\B ui Iding.Codes.Inspection.FORM STraming Firestopping Inspection Report.doc January 28,2003 fI. .7 169 Haviland Road, Queensbury,`NY 12804 Phone-518-745-4400 Fax -518-792-8511 July 10.;2003 Job#46145 1W Glenn Bruso New York State Dept. of Health 77 Mohican Street Glens Falls,NY 12801 RE: Burnt Hills Subdivision- Queensbury (T) 41 Burt Hills Drive(Lot#23) - Septic System Dear Glenn: This letter is to inform you that I inspected the completed septic system fot the house at 41 Burnt Hills Drive (Lot#23) in the Burnt Hills Subdivision on July 10 , 2003. The septic system as installed was for a three bedroom,house and consisted of a 1,250 gallon septic tank and 200 lineal feet of absorption trench constructed with stone and perforated pipe. The system conforms to the requirements of the approved subdivision design drawings. Please call me if you have any questions or concerns. Sincerely, Thomas R. Center Jr. cc: Dave Hatin, Town of Queensbury Larry Clute, Clute Enterprises -If Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: a LDepart-:& am/pm 742 Bay Rd.,Queensbuly,NY 12804 Inspector's Initials:�.� NAME: PERMIT NO.: 03 -�5 q LOCATION: INSPECT ON: -0 RECHECK: Comments and/or diagram Soil San�ij-1;oam./,Clay ,-Aof e I . Municip /Well Water Waterline se ration-disfance Well separation -stance Other wells: ft. Absorption Field: Total length Length of each trench .Depth of trenches Size of Stone Seepage Pits: Number Size: Stone Size: Piping Si Type j Building to tank A^ ZO Tank to Distlibuflon Box- Distribution Boxfia-Ae d Pit Opening Seale W Y-kl Partial z Location/Separations Foundation to tank Foundation to absorption Separation of Pits Conforms as per Plot Plan _V)( N Location of Syst on Property: -Front Rear Left Side Right Side Middle Front Middle Rear System Use Statug-.' j4 Approved Part-al Approved and needs to be re-inspected,please call the'Building&Codes Oftce Disapproved L:ISticHemingway\Building.Codes.Inspection.FORMS\Septic Inspection RepoTt.doc January 28,2003 Safe 11 .:.. ... ..... .fiB7 t„ , a � ' t , ) __.......- . j 771 1 C; _.-.......... .... : 1.4 , ..yy �a , t a i : ...._... „_ ..» _....-.._....� ..�, ,.,rM_._..,^.rw:.�•scsausma�r�css.*"x==L^�" .c+r , ...._.._....._.___._-._.....—.__a_»__. .. _.«.—. ) ) Foundation Inspection Report Office No. (5 18)761-82 5 6 Date Inspection request received'Queensbury Building&Code Enforcement Arrive: am/P,4 Depart: ani/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: C--- NAME: YERMIT#: LOCATION: INSPECT ON: T. TYPE OF STRUCTURE:" Comments 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 Fooling Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6-4nil of 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,lnspection.17ORMS1Foundation Inspection ReporLdoc January 28,2003 Foundation Inspection Report Office No, (518)761-825 6 Date Inspection re est r cei Queensbury Building&Code Enforcement Arrive: m/pm epart: a pn 742 Bay Rd,, Queensbury,NY 12804 Inspector's Ini Inspection re est i d's i ial ii�pm In 1 NAME: E T#: SP LOCATION: SPECT ON: 03 TYPE OF STRUCTURE: Comments Y N N/A otings 'P—ier—s 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 of for wet areas un r/slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulati)?1h Interior 1 Exterior R- Rough Grade 6 inch drop within 10 ft. L-.\SueHemingway\Building.Codes,lnspection.FORMS\Foundation Inspection Reportdoc January 28,2003 Job Site Address: Date: V:>4Io3 Owner; _ °, -,,. , �..� L� C. Application Na _ File No. Building Permit— Calculation Sheet Natural Light, Ventilation & Emergency Egress Requirements Habitable IR ill", Req.Light Actual Ell!" Req.Vent Actual �� Sq.Ft. Remarks Room 8%of Room bight a' 4%of Room Vent �' Opening for Area Square Area Square �r Egress Footage , Y Footage ° Feet ; ' ` S.7 BEY x L:1SueHemingwaouilding.Permit.FORMSWat,Light.Ventil.CalculationSheet.doe i Job Site Address � k ,,.. �` Date: La Owner, Application No. File No. WINDOW SCHEDULE ?;i4a;Gti N, 1 i"i.�4r �' A"'�.r,�'xR�'aas£ 'C�" '..�� y, I fiFt '' i•73' r. n, r.rw .t�Ca-' ,��"h4*�£R�fsJ�a ...ttiva+�2�s."'Y;+okbese � .,.��N�, .•, .,n,12 WJ�1Ep w Window Window Mfg. Window Unit or Special Hardware or Number or Name Model Stock G Letter on P �g ,eaten Class tstb t as( 1e Rig pperrt�Hptght instructions Or Type NumberGMIM 4 el r" IC t r�� t t o 1�f11 p r 211�d 1 N 11 IIl�nCbeS Plan L al Size Dtt i t� iy tt�D G� ,v- ,fit 4 7 avpta t &� 1 4r�r v�„ G G a r,� P�..,,.1.,�1 i r.�,'f�..�.E G�¢ �„r,, 17 .-THIS LIFE BIAS EXAMPLES OF SAMPLE ENTRIES �G' t,Nw r"hp�fir;�z a u ...� r«r,e. �"yr •sr.. �+ :ia LD q"* so . .i'+Y ri,"•' a tE v, t a.:: . � 'pV"M w�(J i t'a •i .s 3;.1 tb?M G;^�C.�!� �.R. t:+_ ttw ' ^ +t"", x ',"�G!,"'T '.41J',,a��.:7,°. t�`t .£. x�,f• 1 ,�I,..;, Ip , M�`�.Y, s ,; ;4 t 6 i,t24 t313S Tempered .q,, •a f•y'�n.ys ��i,a+tdu v w ✓,•» 4 r 13oubt a 'f�� `;, lai `t x , .� a , " I,a C�(.16 ; , / I) ¢ aA. 4.� Mt r�'yS•, 5 r r w � , S c # Y�$r'$+� �]{��. ><,t. - '9`: V1aZir)g. '"2{ elf G' `H� ] i � a'.' ro ..tl (C5F4 i �T'i7 4 4m't A� ).'� ,+`ti £.trf��``�^�c��i�:•,t �k„�;. S r �IR � fi t �. , C � ..a?a � ><. +M t Y.•b�`. ,e F, t�rAai t WH `dw'! ,2,: r ,� ,t L:C ueHemingway\Building•Permit,FORMS1WindowSchedule,doc Project Name: BP l# Address: Building Permit SubmissiOH 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 QueensburyBuilding 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.. Q.Y6 ❑no ❑n/a (2 copies) 3. Energy Code Inspector's Report from CheckMate Program... -Qno ❑n/a (2 copies) 4. Septic application co letel filled out if a licable ...... ...... ............ .�,/ no n/a P PP n'P Y ( applicable) �lJ� ❑ ❑ 5. Solid Fuel Burning or Gas Appliance-Form.................. ...... ...... ... ... Elyes Ono Qn/a 6. Electrical Inspection Form... ... ... ......... .............................. ...... .. yes Ono Qn/a 7. Two(2)complete sets of structural drawings..... ............ ...... ...... ... ....(JIG; Ono Qn/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 Qn/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structum......... ...... ................. dyes Ono ❑n/a lo. Setbacks to neighboring wells and septic systems,including onsite well... ,(Jyes Ono Qn/a and septic systems(if applicable) 11. DrivewayPerrut...... ... ......... ... ...... ... ........................... ... ... ... yes Ono Qn/a Date: Staff Initial: L.\SueHeming A\BuRding.PernucFOr\MS\Generic accldist.doc January28,2003 Residential Plan Review: One&Two Family Dwellings Check Y1N/N/ (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 1" Vertical Rebar as required by code/Anchor Bolts%2 x 7 6'O.C. Dampproofing/Waterproofing materials on plans Foundation Drainage on plans,if required 6"Drop in 10'Exterior Grade Framing cross section for each roof line,Vertical Fire Stopping every 10' where required- Ice and Snow shield 24"inside exterior wall/Proper Vent,Attic Vent Platforms at exterior doors Stairway headroom 6 ft. 8 in.all stairs 36"Width Stair run and rise Winder run and rise Spiral not allowed from 2" story moke detectors battery backup and proper location Bathroom Fixtures proper clearance Hall width, 36"min. \/"Handrails more than one riser on open sides ilk j Railing and Guards>30"/Basement Stairs.included'/Closed Risers more than 4"in height Safety Glazing Notes for required areas r 93arage Fire Separation Garage Floor Sloped Attic Access PRO 0 1 h 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 a 'V Permit Number Vel) MECcheck Compliance Report Checked By/Date y 3 E700 Proposed New York State Energy Conservation Construction Codd'OW/V Or MECche'ck Software Version 3.3 Release lb BU1LD11V uk91VSB(f Data filename:Untitled AN CODR Y TITLE:2000 sq.ft.Colonail COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:05/29/03 DATE OF PLANS:5/15/2003 PROTECT INFORMATION: Lot 23 BurntHills Dr. Queensbury N.Y. 12804 COMPANY INFORMATION: Clute Enterprises,Inc. General Contractor 13 Dawn Rd. Queensbury,N.Y. 12804 . FILE COM COMPLIANCE:Passes Maximum UA=359 Your Home=299 16.7%Better Than Code Gross Glazing Area or Cavity Cont. or.Door Perimeter R Value R Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1040 30.0 0.0 36 Wall 1:Wood Frame, 16"o.c. 2080 19.0 0.0 111 Window 1:Vinyl Frame,Double Pane 166 0.490 81 Door 1:,Solid 21 0.230 5 Door 2:Glass 42 OA90 21 Floor 2:All-Wood Joist/Truss,Over Unconditioned Space 960 19.0 0.0 45 Furnace 1:Forced'Hot Air,90 AF COMPLIANCE ST MENT'. he pr posed bujifng represented in this document is consistent with the building plans,specifica' s,and other ul ons sub "th is permit application. The proposed systems ha designed to et the Pro ed or ner nervation Construction Cade requirements. ,SE pF NEw y ��P¢p}tEIT 09 Builde esigner. Date - 2 r rc 066 t G��03 MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE:05/29/03 TITLE:2000 sq.ft.Colonail 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?f I Yes C 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 2: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. a [ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. I 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. [ 1 i Supply ducts in unconditioned spaces must be insulated to R 11. [ ] I 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 (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and Iocking-type longitudinal joints and seams on ducts I operating at less than 2 in.w.g.(500 Pa). [ ] I 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. [ ] I The HVAC system must provide a means for balancing air and water systems. I 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: [ ] I Separate electric meters are required for each dwelling unit. I I Fireplaces: [ ] I 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 I provisions of the Building Code of New York State,the-Residential Code of New York State or r 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 I water heater has an integral heat trap or is part of a circulating system. [ ] I Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I 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. } 1 C ^ Table 1: Minintum 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) Up to I" Up to 1.25" 1.5"to 2.0" Over 21' 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 far HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Pining System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 41" 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 L5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Coaling 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) : I ... I I I A � . i i i I I I .: ( I .� , ..I. i I I •I' I I �, � • I (� 11110�1Mk I i l i 8W� fESe: ISO fC�. ac oa lofth (�..i •.; is lth dia far, . . I ✓ i 11 mob, I I , I c1l: W I I I i I I : ..... ..I �.., I I I I I '•I I r- .1 I I I • i - i sm f ~ . w r ■ 1 7HI3.'.SUBDIVISION MAP WAS PREPARED UNDER THE'SUPERVISION OF'A LICENSED LAND SURVEYOR AND WAS MADE FROM A FIELD SURVEY THIS PLAN IS CONSISTENT WITH THE ZONING ZONING INFORMATION:, ORDINWANCE OF,•THE TOWN OF.QUEENSBURY• ZONE SFR�-20 PROPOSED IRON ROD MARKERS TO BE SET AT , .41N. LOT SIZE-- -20,000 SO. FT. PROPER EACH LOT CORNER OR CHANGE OF DIRECTION. MIN. LOT VND1N, .. 100 FT. QUEE MAX; MEIGHT OF BUILDING 40 FT., g " INDIVIDUAL LOT GRADING SHALL, CONFORM TO, SETBACK .REQUIREMENTS SECTION A3$3-25 OF THE SUBDIVISION FRONT 30 FT REGULATIONS OF THE TOWN OF QUEENSBURY SIDE 10 FT. MIN. 30' TOTAL THE• REAR 20 FT.: •" FIRE MAP REFERENCE: BURNT HILLS SUBDIVISION DKC HOLDINGS, INC. DATED: JULY 23, 2001 LAST REVISED: JANUARY 17, 2002 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC BURNT nILLS DRIVE IS86-13-50-E UTL.ITIES I 110rW ( GRUSTONE D I �S DRIVE O I I � w 22.47' 2 STORY WOOD FRAME . rlaUsE ANT 23.39' 24 22 23 3 W 23,976 sq.ft. QD a } c 0.55 acres m 1 99 N N Z N y I HEREBY GERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL. MD SwVEY. THIS CERTMATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PWARW AND ON T"M BEMAL.F TO THE TMZ GOWANY. GOVERN11MAL. AMOY AND mam iwnu ION USTI:D mamoN. GERTIFlGATIONS ARE NOT TRANSFERABLE TO ADOMONAL. INSTITUTIONS OR SLAT OWNMEL CERT1f1E0 Ta STEPHEN .L + ANWTTE M. 0 931 ; 20` NO ZONE WELLS FARGO HOME MORTGAGE ING- � zQQ3 R'S SUCCESSORS AND/OR ASSIGNS 0 `1 110.67 . • . . • • OLD REPUBLIC NATatAL. Tint NSURANt.il tlow4t.,� • ` i ,ANC.Pill, + � -- ' CER I MM eY• MATTheW G. STEWS, LLS NYS 501W • - DATED AUGUST 7. 2003 ORD n eo AUGUST 7, 2003 D %0AMOM w,mATM ON ADOfipN TO A SAY" Scale 1'=30' OW DEMM A UCCOM wa .K&0 A Map of a Survey made for Ip YM srAD:Mftr • Stever .rersvrem waua.w.«mewo:Anreo, !&rIMLL W wim m A t""=9 OOIRL• S�� •°n"T Stephen J. & Annette M. Duell ,J Doi f1�1Er'Y J�Nm M AOO�DAIICI Ifll1 DE La n.d S u ry ey c� r s Iff DWcmnm=a, ,ale�e> .�.m �Y DIE!EM Y'�(>rMD:AlOgADOM a P11�OIAL wa We "Sw Canoctim wLL AIM aar OWN W Im AM=AM� MW MUP.OW Town of Queensbury, Warren County, New York 169 HavRand Road Queensbury, New York 12804 ,�„�.�...«osuow+wRu�o►� Du>=LL (518) 792-8474 New York Lie. No. 50135 NO, DATE DESCRIPTlpN DWG. No. 99241-23 48.8 48.8 50.02 I50 75 75 50 100 50 150 25 25 150 17 6 150 50.00 60 60 155.97 N I I I I I I _1 I I I I I I . 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T try, `RTC : 49 a T ^' " 6 N 47 m 48 N (26) Ln 42 wEA 43 44 chit91 45 w `L" J U (24)<37) �O 178.70 ; 1.71<'9 (23) 152.11 120.73 <18) (22) 1t0.67 �l.,l V I -• _ 116.0j C21> 50.31 •"�/ (19) (20) 120.73 L/r Pfo 486s 61.36 105.64