2003-582 TOWN OF"QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (5I8)761-8201
Community Development-Building&Codes (518)761.8256
CERTFKATE
OFOCCUPANCY,
Permit Number: P200305$2 Date Issued: Friday,December 19,2003 ,
This is to certify that work requested.-to be done as shown by Permit Number P20030582
has been'coffpleted . r .� ..a.
Tax Map Number: 523400.297.01.0'-0001-022-'000-0000
Location: 17 TERRACE Rd
Owner: LISA PEOPLES
Applicant:-- LISA PEOPLES
This,structure may be occupied as a;
By Order of Tom Board
Fireplace TOWN OF QUEENSBURY
Garage-2 Cars Attached
Single Family Dwelling
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030582 Application Number: A20030582
Tax Map No: 523400-297-010-0001-022-000-0000
Permission is hereby granted to: LISA PROPUS
For property located at: 17 TERRACE Rd
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: LISA PEOPLES Fireplace
122 ROCKHURST Rd Garage-2 Cars Attached
GANSEVOORT,NY 12831-0000 Single Family Dwelling $240,000.00
Total Value $240,000.00
Contractor or Builder's Name Address Electrical Inspection Agency,
Plans&Specifications
2003-582
2500 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$360.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,August 15,2004
(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 a wn of ee sbZu ; Friday August 15,2003
SIGNED B for the Town of Queensbury.
V. 1�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. 0,3—,S,S9
No inspection will be made until applicant has received a Fee Paid $.3LC0.+fit,
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
Applicant: L:i .P / [�t~� �Y Y �'�_ ert
Address: Address:
Phone#O - Phone#
Property Location: Lot Number: 1 House Number t 0
Subdivision Name: VY-�j I � Tax Map Number: YL4 . /C>
New Building: resident commercial Estimated Market Value of Construction:$ Gl -A
Cl sx.Addition: re euce/ commercial If an Addition,what yAll use of new addition be?
o Alteration: residence/ commercial
a No change to exterior size: residence/com'1
a Other work(describe )
Check. OccupancyInformation I Floor W'd Floor Other floor Total
Below sq.ft. sq.ft. sq.ft, Square Feet
E3. Single family dwelling
a Two family dwelling
❑ Townhouse
o Multifamily dwelling
#of units
a Office
a Mercantile
o Manufacturing
CI 1 car detached garage
u 2 car detached garage
❑ 3 car detached garage
a 1 car attached garage
❑ 2_car attached garage
CI 3 car attached garage
a Storage building-
commercial
a Storage building-
residential
CI Other
What is the proposed height of the structure LP feet _inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil gas wood / breed hot / baseboard/other:'
Number of Fireplaces to be installed �_ Number of Woodstoves to be installed ,
- -=-------
List below the person(s)responsible for supervision of work as regards to building codes:`Y`
Name Address Phone Number
Builder — - `
Plumber
Masan
Electrician NV
Declaration please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,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 1/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
.Administratojor e or of Building and Codes,an As Built Survey by a licensed surveyor-,drawn to scale,showing actual
location ns tioIlkn
Signature: .. owne;owner's agent,architect,contractor _
Job Site Address; 17 Terrace Road pate;
Owner: Lisa M. Peoples&David J. Hogan Application No. File No.
Building Permit•Calculation Sheet
Natural tight,Ventilation&Emergency Egress Requirements
Habitable Room Area of Req.Light 8% Actual Req,Vent Actual Sq,Ft, Remarks
Room in of Room Area Light 4%of Room Vent Opening for
Square Square Area Square Egress
Feet Footage Footage
Family Room I 442 35.36 41.86 17.68 23.6 23.51 Doesn't take into consideration the sliding
Kitchen glass door
Dining Room 156 12.48 25,99 6.24 14.90 14.83
Living Room 397 31.76 69.06 %88 38.46 38.30
Master Bedroom 267 21.36 31.26 10.68 17,36 17.27
Sitting Room 119 9.52 12.61 4.76 6.93 6.90
Bedroom#2 163 `' 13.04 16.21 6.52 6,93 6,90 '
Bedroom#3 200 16.00 36.08 8.00 20,02 =. 19.93
Application for Permit-;-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (-518) 761-8256
OWNER IN-FORMATION:
..........Office Use
Location of installation: TUWM
1 File Permit No.
Tax Map No..q
Fee Paid
Owner's Name:
�l-�
Address: 19 f9 '- 128- C'51
1'2. INSTALLER'S NAME _3D) (eA—> 00,aL&lifi�Q 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 Flo
1980 or older x 150 gal/bdrm =
1980- 1991 x 130 gal/bdrm =
I —1--—pr—es—e-n-jt> x 110 gal/bdrm =
Garbage Grinder Installed y6s no
Spa or Hot Tub Installed yes no
PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography . Soil Nature Ground Water Bedrock or Impervious Material Domestic Water SupplyFlat sand at what depth at what depth municipal
feet feet
Rolling
Q�� J�'e
Aep slope clay well; water supply
CML%Slope other from any septi'c-system
depth: P�Ln absorption is--2b��jt.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: 3,6- 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: A-2-M-9,11on (min. size 1,000 gal.)
Tile Field: each trench ft. Total ystem Length:--<E9n> fit.
LCD f�
Seepage Pit(s): number of size of each: fl. by_ft.
Size jf Stone to be used: # depth or thicknessfeet
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
Nate: 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 the Town of QueenSanitary Sewage Disposal Ordinance.
'Snature�of responsible arson Vate
Fire Marshal's Office Torun of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205.
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas .appliances.
Date Peiniit 20 No. -
Application is hereby made to the Building d'c Codes C7ffice far the issuance of a Building and Use
Permit pursuant to the New York State I ire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enter premises to petfortn required inspections.
NOTE to applicant Rough-in and Final Inspections are required.
"Applicant Information. Fuel Burning Appliance Information
(circle appropriate wards)
Name: X Stove: wood coal pellet gas
Fireplace insert
Address:
Fireplace, factory-built: ;fWood)� gas
_
• Fireplace,..masonry: wood gas
Furnace: wood gas oil
Phone: '
If non-masonary applicance, please provide
Manufacturer Name: 6-r-
Owner: fe' ffi ;�; ,if ate' %� ► r 3 4 p'it` 1 d�
Model Number:
1i i149
Address: N f t 1, iI r yt, {..,I t 1 i
Chimney Information
Phone: ✓i 1 ! :{circle appropriate words)
- Masonry block brick stone
Flue tile steel size: inches
Exact Address: i` 1
of constrticiii ii of u1stallatioll Factory-Built
Manufacturer name:
Model Number: t �k"lam
Note: Listed By: Number:`
Construction Ilnstallation must '
con grin to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbur31 „u
Handouts regarding required inspections; ("Dortlale wall I Triplenvall / Insulated / Direct venting
Chimney Liner
. r .
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f
Fire Marshal Code,# S Collected x Refianded Received from(refian.ded
address.,
A 173 3389 (190) Public Safety
A 233 2655 (230)Minor Sales
DATE:
White(Applicant) J Green( 'ire Marshal) / fellow(Bldg.Dept.) / Pink R Goldenrod(Cashier's Dept.)
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-Farnily Dwellings(3 Stories or less)
Part 4*-Design by Component Performance,Commercial Buildings-Hi
,Rise Residential
*Requires submission of worksheets
APPLICWM'STAIN PROPERTY LOCATION-
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area- square feet
2. Type of heat- Electric . oil. Gas Other
3. Is building mechanically cooled? yes No
4. Percentage of area of windows and doors Over 17% Under 171/o
5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R_--3F—
b. Exterior walls R Iq
C. Glazed areas R o
d. Exterior doors R.�
e. Floors over unheated spaces, R
f. Edge of slab on grade(heated building) R
g. Basement/cellar walls (above grade) R]j
,w__
h. Basement/cellar walls(below grade) R -�
i. Heating/cooling-ducts-piping in unheated space R`�
6. Service(domestic)hot water heating device
Conforms to minimum efficiency per code V Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140-WILL NOT BE EXEEDED
c is i na Date Phone Number
INSPECTOR'S REMARKS:
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Town of Queensbury
Fire Marshalls,Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshalls, Inspection Report
Request SCHEDULE Z,// �6-S
Received" Permit# INSPECTION N:
Name: AM PM ANYTIME'
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 BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
F)REPLACE
MASONRY ROUGH IN
OK THIS DATE OK FOR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUG IN
INSP
FINAL
COMDEV/CHRISJNVORDILETTERS2001/FIREMARS HALT NSPECTIONREPORT1102200i
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/
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: -- r
17EL=am/pm
NAME: PERMIT#:
LOCATION: DATE: t 0
TYPE OF STRUCTURE: f
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
EmMency egress below grade
Basement stairs closed rise>4 inches
/4hour fire door/door closer
Garage fireproofing
Duct work Scaled properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, I sq.ft.-150 sq. 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/0(Cert.Of Occupancy)
Okay to issue Permanent C 10(Cert.Of Occupancy) V
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received*
Queensbury Building&Code Enforcement Arrive: a p Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials,
C��l'� `
NAME: An,"q�, PERMIT M
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chinmey Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3_inch Plumb Vent through roof
/Roof Complete
uard 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
InLeriorffixte 'or 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
it Furnace shut-off at entrance to furnace area
-64 Ehimacefflot Water Heater operating
/Low water shut-'off boiler AAA
V Relief Valve(s)installed
Interior privacy/tilm/tinn-,/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Findow in stairwells safety glazing
(Interior Smoke Detectors: 01
Every level: / Every Bedroom:
Outside every bedroom area: - V/
Inter Connected: / Battery backup:
Bathroom Fans,if no window Y r
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor miss,draft stopping finished basement 1,000 sf
Kjne�rency egress below grade
Basement stairs closed rise>4 inches
M4 hour fire.door/door closer
Garage fireproofing
Duct work Scaled properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
/Crawl Spaces 18"x 24"access, I sq.ft.-150 sq. 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 Te!pporary C 1 0(Cert.Of Occupancy)
Okay to issue Permanent C 1 0(Cert.Of Occupancy VL
L:\SueHen-ingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761.8205/761-8206
fax 745-4437
Factory Built Gas Fire lace 1 Stove hisipection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or sp.mfi ations is allowed
Perini:# ` iJ _e dule Inspection U3 Time am pin anytime Inspector
Name 1 G'y ��� Address I �� �J'�. hough In Final
Appliance Manufacturer Model#
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No NIA Comments
Floras Protection V
Clearances-to Combustibles (all sides)
Fir°estop(s) 'Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent 1 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 flp opening
Witness Operation
Tank Placement(if LP)
White—Building Dept. ~_ Yellow C. er Pink—Dire Marshal
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received: jr /
Queensbury Building&Code Enforcement Arrive: am/p PDDeJpart: in/pm
742 Bay Rd., Queeilsbuiy, 12804 Inspector's Initials:
M NAME: S.� ���� PERMIT#: S
LOCATION: " DATE:
TYPE OF STRUCTURE:
._ Comments
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. V ,V��a-LL (?4 1 L CA'
Platform at all exterior doors \, _ , leJ S �-tr\ 2k f.`>(N u us
Interior Handrails stairs 2 or more risers W�
Grade away from foundation 6 in,with 10 ft.
Handrail Termination at Newell Post or Wall / C�
8 inch clearance to sill plate 0,0 N t15 ,
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site ��� -,q-t:� /��.��2RP o n1a?"Gf
Oil Furnace shut-off at entrance to furnace area YI j
Furnace/Hot Water Heater operating U� �T ' `�"'K
Low water shut-off bailer
Relief Valve(s)installed b U
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight 1
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 i 0�-� t'
Foundation insulation �1
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade ��f�/f'u— �rLL-'S � (Se(Z
Basement stairs closed rise>4 inches
3/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"acc ss, 1 s .ft,-150 s , ft.vents
Building No./Addre vis• le from o d
Final Electrical .
Site Plan /Variance kequifed
Final Survey Plot Plane-r
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 I O(Cert.Of Occupancy)
Okay to issue Permanent C I O(Cert. Of Occupancy)
L:\SueHeming-,vay\Building,Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Town of Queenebury
Fire Marshei's Office
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
Dire Marshal's Inspection Report
Request � � SCHEDULE
Received, Permit# ,� INSPECTION QN.
Name: L C AM Ili IME
L.o+catio6t: fYC�` ..
PPik Il
N/A YES NO OCJMMENTS
EXITS _ \
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY -- - -
EMERGENCY LIGHTING
FIRE EXTINGUISHERSFIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED CaAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO IDEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGNTN
CHIMNEY
MASONRY ROUGH
FINAL
CHIMNEY
FACTORY BUILT ROUGH lid .
FINAL t 1 M c
WOOD
STOVE' ROUGHIN
FINAL
VENTED 43AS `��
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS O K 0R CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN I EOTElD BY
FINAL -
oalu DEVICHRIs.uwoRDILETTER$2001/FIREMARSHALIN ECTIONREPORT1102200i
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
a
Town of Q�ueensbury
4
Fire Marshall's mice
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Receive 03 S
CHEDULE r �
Received: L1 ON:
Name: Alit! I'M ANYTIME
APPROVED
MIA YES NO T 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
MAS NRY MUGH
CHIMNEY ��A309, 10'3 Z-1` I��22"-'
FACTORY BUILT Q
• FINAL
Ool�
STOVE• ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN K THIS DATE OK FOR CO K
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN IRSPECTED BY
FINAL -
COMt)EVICHRISJIWORDJLETTERS20oliFiFtEMARSHALINSPECTIONRIEPOR 11022001
YELLOW--OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: amlp art ' am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME:
:-, PERMIT
C d�
LOCATION: fz+,-C v� , �_ INSPECT ON: LL G
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/
j 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:
I
-L:\SueHemingway\Building.Codes.Inspectian.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: am3/ 1Depart: am/pm
742 Bay,Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N- -NIA
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 3 6 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
Ice and snow shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2,3,4 hour
Westopping
Penetration sealed
16 inch insulation in cavity min,
Garage Fire Separation
House side V2inch 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:\Suellemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report,doc January 28,2003
Septic Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: arn/m�part: arn/pm
742 Bay Rd., Queensbury,NY 04 Inspector's Initials.
r 1
NAME: PERMIT_NO.:
LOCATION: INSPECT ON:
RECHECK-
Comments and/or diagram
Soil Type: Sand/ o Clay
Type of Water: Municipal/=WW1XWatei1_-
Waterline separation distance ft.
WZell--spparation-di:stance _ft.
Other.wells: ft,
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone rA
-Seepage Pits. Number
Size: x
Stone Size:
Piping Sip Type,,
Building to tank
Tank to Distribution_Box u
Distribution Box a F ld/Pit r' a
Opening Sealed /Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Se aration of Pits ft.
Conforms as per Plot Plan Y N
Location of System on Property:
Front Rear (e2ftSide) Right Side
Middle Front ddle Rear
S stem Use Statt .
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
CM
TE � c ice . , .41: �
' J603
S6 •-�. r7.3i S ��v
s V'
ETH CL�4�,t'F.. /E7of 27S'
�- Deed Dated .- May 1- 20021
Joseph P.-Helen C.-Paul W.
Menaidino
and H.Catherine Johnson
to .
P LISA M. PEOPLES E?°OtK
141111,41 -17_ h'�is/� T r Re lo- PFE o 86 4-3a5 -�---'- M
t i Qa y� ,. •7' •t
er.s Title Insurance Corporation iY
pod��®
i an actual survey, on the o c'� t• 04
Descriptions and shows the �°, ,GiC 'ivs.�n xfttr�a :SU.pY.Eyoc?s
fnd that there are no C � a
3173 ���►.o° !'''='d k�J�� I"i/.�"�' rG rIC ,:/Y.c`11J�}!G7,ej�
Andrew T. McCormack P.L.S. m ">
N.Y.S. L"EC. NO. 31739
Framing Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
eD Queensbury Building&Code Enforcement Arrive: am/pm art: pm
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials:
NAME: 04,,u-i�5--—It PERMIT#:
LOCATION: A<C,-- INSPECT ON: —e:3
TYPE OF STRUCTURE:
Framing Y N N/A COMMENT
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
I 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
Ice and snow shield 24 inches from wall
Fire separation 1,2, 3 hour
?!wall 2, 3,4 hour
Firestopping u U
Penetration sealed
16 inch insulation in cavity min,
Garage Fire Separation
House side V2inch or 5/8 inch Type X 7Z
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. M
5.7'sf above/below grade
5.0 sf grade
LASueHerningway\Bui1ding.Codcs,Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003
CD
Rough Plumbing /Insulation Inspection Report ' 1
Office No. (518}761-8256 Date Inspection request received: 11-3-94 .3
Queensbury Building&Code Enforcement Arrive: am/p D�ee�ppart: ` m/
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N VA
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing-Vent 1-Vents in Place
gll lambing "ail Plates
ead or Air Supply Test
, Dram and Vents
nSPSI or`'10 ft. above highest
Connection for 15 minutes.
Water Supply Piping
Copper Commercial
Copper, CPVC,Pex One&Two Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
ct Work Sealed Properly
DPP
•L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: a7��Depart: arn/pm
742 Bay Rd., Queensbury,NY .12804 Inspector's Initials: , L
NAME: PERMIT NO.:
LOCATION: INSPECT ON:
RECHECK:
Comments and/or dia am/
Soil Type: Sand kLoafh C1
Type of Water: Municipal �Re�I�IW4 !r
Waterline separation distance' ft.
Well separation distance ft. I
Other wells: ft.
Absorption Field: Total length
Length of each trench ft.
Depth of trenches
Size of Stone
-Seepage Pits: Number C)OAJ
Size:
Stone Size:
0
Piping Si 7,e Type
Building to tank IL 0 YO
Tank to Distribution Box
Distribution Box AField Pit
Opening Sealed:(YY NI Partial
Location/Separations
Foundation to tank
Foundation to absorption ft.
Separation of Pits
Conforms as per Plot Plan Y N
Location of System on Property:
Front (Rear LeftSide Right Side
Middle Front Middle Rear
System Use Status:
/roved
tial Approved and needs to be re-inspected,please call the*Building&Codes Offic6
Disapproved
L:\Su-,Flemingway\Building-Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
Framing /Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received: /04-7/0 g
Queensbury Building&Code Enforcement Arrive: a 1 /p art: I Wpm
742 Bay Road, Queensbury,NY 12804 Inspector's Et—ia
0
NAME: S PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N/ N/A
-- 7- COMMENTS
amin V
—YT65-Studs/Headers PRO Lj t t7&—
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. Un.
Notches Holes/Bearing Walls
A)A�L(A) Cc�
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
Ice and snow shield 24 inches from wall'
Fire separation 1,2, 3 hour
Fire wall,2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2inch 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:\SueHemiiigway\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: f
azv
Queensbury Building&Code Enforcement Arrive: am/ AD*part:t2-,�')am/prn
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials.
NAME: PERMIT#:
74
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
COMMENTS
Framing
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 3 6 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
Anch •Bolts 6 ft. or less on center
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. (1-1)
20 in. (W)
5.7.sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMSTraming Firestopping inspection Report,doc January 28,2003
Framing /Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received: �Q
Queensbury Building&Code Enforcement Arrive: am/prrrt part: pm
742 Bay Read,Queensbury,NY 12804 Inspector's Initials: �
NAME: �L PERMIT#: �—
LOCATION: e,( a ce— INSPECT ON: c;3
TYPE OF STRUCTURE:
Y N /A COIDMENTS
Framing .
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 f - 1 r (� �
'
ce an w shield 2 i es from wall
Fire separation 1,2,3 hour Aim
m �r
Fire wall 2,3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 11/2 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
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ����
NAME: PERMIT#: \
LOCATION: INSPECT ON: —
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofin
Footing Drain Daylight or Sump.
-� k -
1.
�Fo�tuigID a n'�Sfone' .
"2 inch idth
6 i es above footing
mil of for wet areas under slab
ackfillgApprovagq _
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\Foundadon Inspection Reportdoc January 28,2003
LAB
Foundation Inspection Report
Office No. (5 18)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: —am/p Depart- am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: -1, J?L
NAME: PUS'S PERMIT#:
LOCATION: INSPECT ON: Ck 11 -7to-5
TYPE OF STRUCTURE: L I
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/Waterpro Ping
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width V/
/-6 inches above footing \
-4 6 mil poly for wet areas under slab \1
Backfill Approval N
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough-Grade 6 inch drop within 10 ft.
L;SueHemingwaylBuilding.Codes.Inspection.rORMSTouildation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection es e Ins
pection" 'd rj;
Queensbury Building&Code Enforcement Arrive- Depart: �0 am
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi
RMIT
NAME: IT#:
LOCATION: p INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Tootingi
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 Danipproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil 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:\SucliemingwaylBuilding,Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
0Dc.31 �
Permit Number
REScJteck Compliance Certificate checked By/Date
1995 MEC .
REScheckSoftware Version 3.5 Release 1d
Data filename:C:\Program Files\Check\REScheck\Lisa Peoples.rck
PROJECT TITLE:Lisa Peoples
CITY;Glens Falls
STATE:New York
HDD:7635'
CONSTRUCTION TYPE:Single Family' -JUL
�vc73
DATE:07128/03: Tows Op( j,, 1qS1;
DATE OF,PLANS: 9/24/02 SUILI)I�G AIVO O 1'
CQtJ�.
PROJECT DESCRIPTION:
Rolling Ridge
Queensbury,New York
DESIGNER/CONTRACTOR:
Collette-Constructi Inc.
on,. J�ott•asre����s, �.;
a.+ Of fll�(y
PROJECT NOTES: •`° ��. j H.
Q•••°°••:
n �.'�g-°• 0 rC!
COMPLIANCE:Passes 2
i •ti �a9 30••* ��e� .
Maximum UA=457 ��'�+'c�•�;0 5''o�•\. e
Your Home UA=419
8.3%Better Than Code(UA)_
Gross Glazing
Area or Cavity Cont., or-Door
Perimeter R-Value R Value' U-Factor UA-
Ceiling 1:Flat Ceiling or Scissor Truss 1258 38.0 0.0 38
Wall 1::Wood Frame; 16' o,c. 3463 19.0 0.0 456
Window-1:Wood Frame:Double Pane with Low-9 332 0.340 113
Door L Glass 54 0.340 18
Door 2:Solid 81 0.100 8
Basement Wall l:Solid Concrete or Masonry '1253 11.0 0.0 86
Wall-height:7.6' _..
Depth below grade:6.0'
Insulation depth:TO -
Floor la All-Wood Joist/Truss:Over Outside Air 12 30.0 0.0 0
Furnace 1:Forced Hot'Air,78-AFUE.
Aix Conditioner 1:Electric Central Air;10 SEER
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications,
and other calculations submitted with the permit application. The proposed building has been designed to meet the 1995 MEC
requirements it REScheckVersion 3.5 Release Id (formerly MMCchec,�and to comply with the mandatory requirements listed in
the 1lrjESchecklnsgection Checklist.
BuilderlDesi,er Date
F
c
Permit Number
REScheck Compliance Certificate Checked By/Date
1995 MEC
REScheckSoftware Version 3.5 Release ld
Data filename: C:\Program Files\Check\REScheck\Untitled.rck RECEWMILDINJ
'
PROJECT TITLE:Lisa Peoples
CITY: Glens Falls STATE:New York
. I 7635 `C
CONSTRUCTION TYPE: Single Family
DATE:08/10/03
DATE OF PLANS:9/24/02
PROJECT DESCRIPTION:
Rolling Ridge
Queensbury,New York
DESIGNER/CONTRACTOR:
Collette Construction,Inc.
PROJECT NOTES:
n
COMPLIANCE:Passes
Maximum UA=457
Your Home UA=419
8.3%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R Value U Factor UA
Ceiling 1:Flat-Ceiling or Scissor Truss 1258 38.0 0.0 38
Wall 1:Wood Frame, 16"o.c. 3063 19.0 0.0 156
Window 1:Wood Frame:Double Pane with Low E 332 0.340 113
Door 1:Glass 54 0.340 18
Door 2:Solid 81 0.100 - . 8 -
Basement Wall 1:Solid Concrete or Masonry 1253 11.0 0.0 86
Wall height:7.6'
Depth below grade:6.0'
Insulation depth:7.6'
Floor 1:All-Wood Joist/Truss:Over Outside Air 12 30.0 0.0 0
Furnace is Forced Hot Air,78 AFUE
Air Conditioner 1:Electric Central Air, 10 SEER
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications,
and other calculations submitted with the permit application. The proposed-building has been designed to meet the 1995 NEC
requirements in REScheckVersion 3.5 Release ld (formerly MECchec4 and to comply with the mandatory requirements listed in
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) Up 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 RVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(F) 2"Runouts l"and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressurefremperature 201-250 1.0 1.5 1.5 2.0
Law 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)
t
r'
r�
r
1
the REScheckInspection hecklist.
{
BuilderlDcsigner Date
r
BP# ��
Project Name: ,' -� � U � _
Address: �7 6e—
Buildsng _
' 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. `
t
1. Building Permit Application Completed ...... .. ... ................... D no ❑n/a
2. EnergyForm or Checkidate Energy Code Compliance Forms Complete.. ❑no ❑n/a 1
(2 copies) 1
3. Energy Code Inspector's Report from C$eckMate Program.. ... ......... .. ❑"no []n/a '
(2 copies)
4. Septic application completely filled out(if applicable).,...,..
... ............ ❑no []n/a
5. Solid Fuel Burning or Gas Appliance Form...4.�
.. ... .jw . (Qno Qn/a
6. Electrical Inspection Form... ... ... .................. ... ...... ❑no ❑n/a
7. Two(2)complete sets of structural drawings........... ... .....4 ... .. Ono [Qn/a
a)floor plan;b)foundation plan,c)cross sections:d)elevations;
e)window and door schedule
S. Two(2)site plans showing location of the structure to be built............. Ono ' E]n/a
location of wa 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 6nsite well... ❑no Qn/a
and septic systems (if applicable)
11. Driveway Permit............... ... ... ...... ... .................. .................. ❑no Dn/a
Date: 3
Staff Initial-
L.\SueHemiagwAy\BuildingTerautFORMS\Generic Checklistdoc January23,2003
Check Residential Plan Review: One &Two Family Dwellings
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 Beeping Areas and Attics 30 psf
Calculations:
Window Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
Emergency Escape Or'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 e-erl code-(.jav
Dampproofing/ aterproofing Materials On Plans
-Foundation Dt�q
- n Plans, if required /0
p &
ro-p—1n-1 0' Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where
Required
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors "'&k St,der
Stairway Headroom 6' 8' All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
Spiral Not Allowed From 2 d Story
Smoke Detectors Battery Backup and Proper Location iv1,orc alovec4l
Bathroom Fixtures Proper Clearance
Hall Width, 36"min.
Handrails More Than One Riser On Open Sides
Railing and Guards>30"/Basement Stairs Included 1 Closed Risers More Than 4"in Ht.
Safety Glazing Notes For Required Areas
Garage Fire Separation rf (Z , ZVI
Garage Floor Sloped
Attic Access 30/4 1-
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
Door Schedule ��
17 Ter-race Rd ,'Queensbury
Family Room / Entry Kitchen / Dinette
Door Location T. e Qt t Descri "tion "`
Door to Bonus Stairs ' Internal 1 3'.0" 6-Panel, Smooth, Pre-Finished White
Entry from Garage External 1 3'-0" 6-Panel, Fire Door 37" x 81 3/8" opening)
Bathroom Internal 1 2' 6" 6-Panel, Smooth,.Pre-Finished.White
Door to Baserhent.Stairs Internal . 1 3' 0" 6-Panel, Smooth; Pre-Finished-White
Closet in Entryway BkFold 1 4' 0"'6-Panel, Smooth, Pre-Finished White
Dining Room
Door Location T e� Qt rt# ; . . , R%O Len th R
.r _Pa _ ,.
French Door between Living & French
Dining Rooms Internal 1 ???•
Living Room / Entry
r t
Door,Locat1on �x� T: e ., Qt D,escri4'tion ....4 nos
,659=1T Fiberglass (Texture)
Front Door Exterior 1 General Millwork Corp.
SL694-IT Fiberglass (Texture)
Side.Lights next to Front Door SL `2 General Millwork Corp.
Closets in Entryway Bi-Fold 1 2 4' 0" 6-Panel, Smooth, Pre-Finished White
Garage
r'DaorxLocat�ona T: e; , Qt Descri` tion y A f
Rear Door I Exterior 1 1 . 3' 0" Premium Steel, 236, Grilled Glass
NOTES:
Interior Doors a), Sol id-Core`hy'PREMDOR.
b) Solid Wood French Doors.in Dining.Room & Master Suite
Exterior Doors a) 'General Millwork Corp. Front Door and Side Lights
b Therma Tra Doors Rear Gara a and:Gara a/House
LMP 7/23/03 1st Floor-
Door Schedule
17 Terrace Rd., Queensbury
Master Bedroom / Sitting Room / Bath
r ° Door Location _ Ty e Qty. Descri' tion
Bedroom Door_ Interior 1 2' 8" 6-Panel, Smooth, Pre-Finished White
Bathroom Door Interior 1 2` 6" 6-Panel, Smooth, Pre-Finished White
Walk-in Closet Door Bi-Fold 1 TO" 6-Panel, Smooth, Pre-Finished White
Closet in Sifting Room Bi-Fold 1 6' 0" 6-Panel, Smooth, Pre-Finished White
French Doors between MB &
Sifting Room Interior 1 ???
Second Bathroom
Door.Location T` `e � `Qt Descri' tior�
Bathroom Interior 1 2' 6" 6-Panel, Smooth, Pre-Finished White
Bedroom 2 Front
Door Location `` T ;e Qt. Descri ton _
Bedroom Door. Interior 1 2' 8" 6-Panel, Smooth, Pre-Finished White
Closet Bi-Fold 1 . 4' 0" 6-Panel, Smooth, Pre-Finished White
Bedroom 3
Door Location Type e� Qt , Descri``otion
Bedroom Door Interior 1 1 . 2' 10" 6-Panel, Smooth, Pre-Finished White
Closet Bi-Fold 1 1 5' 0" 6-Panel, Smooth, Pre-Finished White
Hallway
Door Location ' y w T' e: Qt Descri tion;
-- st
Linen Closet Bi-Fold 1 4' 0" 6-Panel, Smooth, Pre-Finished White
Washer/Dryer Closet Bi-Fold' _ 1 6' 0" 6-Panel, Smooth, Pre-Finished White
AMP 7/23/03 2nd Floor
04
Job Site Address; 17 Terrace Road Date:
Owner: Lisa M, Peoples&David J. Hogan Application No. File No.
WINDOW SCHEDULE
Opffi spec;fc�ion5
Window Window Mfg. Window Unit or Rough ` Rough SQ,FT. SQ.FT. ' $Q.FT, Clear Clear. Special Hardware o
Number or Name Model or Stock Opening Opening Glass/ Vent Egress/Clear Opening Opening Instructions
Letter on Type Number Call Width Height Visible e ,Opening, Width in Height In
Plan Size Light .' 'Inches Inches.
1.1 Andersen Tilt-Wash TW21052 2'115/8" 64 7/8" 11,25 6.28 6.25 317/8" 281/4" High Performance
Double Hun Glass
1.2 Andersen Tilt-Wash TW21052 2'115/8" 5'4 7/8" 1125 6.28 615 317/8" 281/4" High Performance
Double Hung Glass
1.3 Andersen Gliding G336 TO" 3'6' 5.78 3.58 3.58 14 9/32" 361/8" High Performance
Window Glass
1.4 Andersen Tilt-Wash TW2052 2"21/8" 64 7/8" 7.37 4.31 429 217/8" 281/4" High Performance
Double Hung Glass
1.5 Andersen Tilt-Wash TW21052 2'115/8" 64 7/8" 11,25 6.28 625 317/8" 281/4" High Performance
Double Hung Glass
1.6 Andersen Tilt-Wash TW2052 2'21/8" 64 7/8" 7.37 4.31 4,29 217/8" 281/4" High Performance
Double Hung Glass
1.7 Andersen Tilt-Wash TW2052 2'21/8" 64 718" 7.37 4.31 4,29 217/81' 281/41' High Performance
Double Hung Glass
1.8 Andersen Tilt-Wash TW2052 2"21/8'" 5'4 718" 7.37 4.31 4.29 217/8" 281/4" High Performance
Double Hun2 Glass
1.9 Andersen Tilt-Wash TW3452 3"61/81' 64 7/8" 13.58 7.46 7.43 37 7/8" 281/4" High Performance
Double Hung Glass
1.10 Andersen Tilt-Wash TW3452 3'61/8" 5'4 7/8" 1158 7.46 7,43 37 7/8" 281/4" High Performance
Double Hung Glass
1.11 Andersen Tilt-Wash TW3452 3'61/8" 64 7/8" 13,58 7.46 7.43 37 7/8" 281/4" High Performance
Double Hung Glass
1.12 Andersen Tilt-Wash TW3452 3'61/8'" 5'4 7/8" 13,58 7.46 7.43 37 7/8"' 281/4" High Performance
Double Hung Glass
1.13 Andersen Tilt-Wash TW3452 3'61/8" 5'4 7/8" 13.58 7.46 7.43 37 7/8" 281/4" High Performance
Double Hung Glass
2.1 Andersen Tilt-Wash TW21052 2'115/8" 5'4 7/8" 11.25 628 6,25 317/81' 281/4" High Performance
Double Hung, Glass
2.2 Andersen Tilt-Wash TW21052 2'115/8"' 514 7/8" 11,25 628 6,25 317181' 281/4" High Performance
Double Hung Glass
Job Site Address: 17 Terrace Road Date:
Owner: Lisa M. Peoples Imes&_David J. Hogan Application Na File No,
WINDOW SCHEDULE
. . ff n ng 5pea"s�ca6ons.;
Window Window Mfg. Window Unit or Rough ' Rough SO,FT, SQ,FT. SQ;FT. .,; Clear Clear Special Hardware or
Number or Name Model or Stock Opening Opening Glass/ Vent Egress/Clear Opening Opening Instructions
Letter on Type Number Call Width.. Height .,,Visible ;„Opening Width in Height in,,
Plan Size 'Light Inches Inches
2.3 Andersen Tilt-Wash TW210310 2'11518" 410 718" 8.03 4.51 4,48 31718" 20114" High Performance
Double Hung Glass
2.4 Andersen Tilt-Wash TW210310 2'11518" 4'0 7l8" 8,03 4.51 4.48 31718" 20114" High Performance
Double Hung Glass
2.5 Andersen Tilt-Wash TW3452 T 6118" 5,4 71' 13.58 7,46 7.43 3771811 28114" High Performance
Double Hung Glass
2.6 Andersen Tilt-Wash TW21042 TO 1/8" 414 718" 8.84 4.95 4,92 31718" 22114" High Performance
Double Hung I Glass
2.7 Andersen Tilt-Wash TW21042 TO 1/8" 4'4 718" 8.84 4.95 4.92 31718" 221/41' High Performance
Double Hun Glass
2.8 Andersen Tilt-Wash TW21042 TO 1/8" 4'4 718" 8.84 4.95 4.92 31718" 221/4"' High Performance
Do I Glass
2.9 Andersen Tilt-Wash TW34410 T 6118" 60 7l8" 12.61 6.93 6.90 37 7l8" 261/41" High performance
Double Hung Glass
2.10a Andersen Tilt-Wash TW34410 3'6118" 51071811 12.61 6.93 6.90 37 7l8" 26114" High Performance
Double Hung Glass
2.10b Andersen Arch Top CTN34 T 6118" 1'"113/4" 3.6 NIA N/A NIA NIA High Performance
Glass
2.11 Andersen Tilt-Wash TW3452 T 6118" 64 7l8" 13.58 7.46 7.43 37 718'" 28114" High Performance
Double Hun Glass
3.1 Andersen Tilt-Wash TW3452 3'6118" 51471811 13.58 7.46 7.43 37 7l8'" 28114" High Performance
Double Hung Glass
3.2 Andersen Specialty SP802 8'0112" 610 5l8" 36.46 NIA NIA NIA NIA High Performance
Glass
3.3 Andersen Tilt-Wash TW3452 3'6118'" 64 718" 13,58 7.46 7.43 37 718" 28114" High Performance
Double Hung I I Glass
3.4 Andersen Tilt-Wash TW3452 3"6118" 64 7l8" 13.58 7.46 7.43 37 718" 28114" High Performance
Double Hun Glass
LEGEND
O I.R.F. IRON ROD FOUND
o I.P.F. IRON PIPE FOUND
o I.R.S. IRON ROD SET
`a> UTILITY POLE
o STONE WALL
- -►� - BARBED WIRE FENCE LOT 2.3
o POINT BorroM LANDS N1,Y OF
W.F.P. WOOD FENCE POST I.P.F. STEVEN V. SCALIA
—�++w— OVERHEAD WIRES n/f NOW OR FORMERLY BOOK 883 PAGE 287
c1` S6.p.
ooF
DEED REFERENCE.- o°
JOSEPH P. MENALDINO, et of ry�
TO
LISA M. PEOPLES O�
DA TED MA Y 28, 2002 LOT 21
BOOK 1270 PAGE 276 2 LANDS N/F OF
BENTE L£HINE
6y. BOOK 877 PAGE 35
MAP REFERENCE. cp
MAP EN7777-ED 'MAP OF SEC77ON NO. 2 OF � \
ROLLING RIDGE ESTATE'S"
DATED FEB. 11, 1963
PREPARED BY COULTER & MCCORMACK, LLS �o
FILED IN THE WARREN COUNTY CLERK'S OFFICE A
MAP ORA 14ER 12, FILE 8
.. ........ GARAGE 7FL£PHONE ,
PEDESTAL so
DM��y LP.F.
GRAIL
LOT 24
AREA
HOUSE 1.18E ACRES
4
ry�
I HEREBY CERTIFY TO:
1) LISA M. PEOPLES
2) GLENS FALLS NATIONAL BANK AND TRUST COMPANY,
10> ITS SUCCESSORS AND/OR ASSIGNS
3) LAWYERS TIE6p , THAT THIS M P� URANCE WAS S PREPARED FROM ANOACTUAL FIELD
SURVEY COMPLETED ON DECEMBER 16, 2003.
THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE
VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND
+ LANDS NIP- OF ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
ROBYN TRUST SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR
�6 BOOK 1293 PALE 273 EXPRESSLY STATED HEREON.
DAVID J. B R
()`jam. - g DATE : DE MBER 17. 2003
LOT 25
NOTES: LANDS N/F OF LP.f.
R09ERT KENNETH CLARKE
BOOK 1192 PAGE 95
1) THIS SURVEY WAS PREPARED WITHOUT THE
BENEFIT OF AN ABSTRACT OF TITLE AND IS
THEREFORE SUBJECT TO ANY EASEMENTS. MAP OF A SURVEY OF LOT 24 ROLLING RIDGE ESTATES
COVENANTS OR RESTRICTIONS OF RECORD
ANY STATEMENT OF FACTS SUCH DOCUMENT MADE FOR
WOULD DISCLOSE. i4ll3tltsa:a�
-Arj� �kxt ISA
L
MAP RI A LTCRASED
2) UNAUTHORIZED OR ADDITION
TSURVEYORS A SURVEYM. F'.EPOPES
SEAL IS A - c 0
LVIOLATION OF SECTION 7209, SUB—DIVISION 2, OF THE � �:f
NEW YORK STATE EDUCATION LAW.
A so TOWN OF QUEENSSURY, COUNTY OF WARREN, STATE OF NEW YORK
3 ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY ��1 ��� �� i� ��� J.
�O�����
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS .� � � •j�j
SEAL SMALL BE CONSIDERED TO BE VALID TRUE COPIES. t�1dl141d�� I+ICENSaD LAND SURYIYD1
342 MAIN STREET, HUDSON FALLS, NEW YORK 12839
AVID J. BOLVER, LLS DATE: DECEMBER 17, 2003 SCALE: 1'• 30' N.Y.S. LIC. NO. 49534
0 —0 C
2
DATE SEALED 121171" QUEENISSM 297.10-1-2
1
zl O
Al 29-
AAj
!�
S6 —� l 7.3 S ��
.1611../72oo0 70 i/yz/9s� 3 33 6&'
/POBE.PT �fNN \
ETH C1.4e4'C iz7� 27S
Deed Dated
YVV May i- 2002,j
Joseph P.—Helen C. —Gaul W.
Menaldino ,p s 1 saN Y;pence
and H. Catherine Johnson =_ V� can e�vS2fo�i'U�= o C � ���
p 4 1� �t err ,� ?fit.
LISA M.
to .
al; ,� t� �`aC� 5 h1
PEOPLES
3 ,
O r
he
Q a ES 0� QL 5 �, t = o r c �` {'�(� ovi4 !� �aCCI.
?ti
.e eio - V�E v B6 4-3a5 —�-- M
A�
[ DAB
s ! ri `Y' ±.J L
Ui
.JU1. 2 8 2003 - PVC
I HEREBY CERTIFY TO: eeo�oo6��` .!'u.PVEX �orl.�P By
Lisa-M. Peoples and to Lawyer's Title Insurance Corporation,' op q�� LAND
L '
that this Map was made from an actual survey, on the ' e° 4�4�,,1. the
c�9 �� CodIzTE� 1!``10A*Af.4CX
ground, according to record descriptions and shows the , �° o --- --- - .^ F iV�4-L C1-7� �
locations of the boundaries and that there are no Q ;, R �' ; .��CEN,1'.ED :C st.VO ;S'U.PYEyo es To
encroachments.
' �@ �'2_1`?e Cow r!!9c� DPI►/E . ' -
June 5 200Z
Date c `�i�sl 0 44,- 3i739 Q��o v
d✓E��l r Gv Y,�E�v yoei�_ 7o�v v o�QuE. .vsBv�? , LtJ.9,P.e,E�%Cau o.R A�
Andrew T. McCormack, P.L.S. m __ .r_ y � y
0
N.Y.S- LIC. NO. 31739 'e� ,�E96m 29?/10 Z2 na