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2003-691 r.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes,(518)761=8256
CERTIFIhCATE _.OF_
:.00CUI'ANCY
Permit Number. P2003069�t, .. w..,Date Issued w. Monday,August 30;2004
Thi's=is to:certify that work requested.to-be�done as shown by Permit Number P20030691
- has been completed.
Tax Map Number,
:._ _.. 523400-289-013-0001-029.000-0000
Location,.: 51 BIRCH Rd
er :: :. . . KENNETH&LEIGH'SEARLES
A hcant:
_. p :. ti KENNETH&L'EIGH SEARLES
This structure may be occupied as a:
By Order''f Town Board
Fireplace' w - TOWN OF QUEENSBURY
Single Family Dwelling .
Ditectot of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5962 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030691 Application Number: A20030691
Tax Map No: 523400-289-013-0001-029-000-0000
Permission is hereby granted to: KF,NNF,TTT&T,F.TCTH SEARLES
For property located at: 51 BIRCH 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: KENNETH&LEIGH SEARLES
30 L�']V1AN Rd Fireplace -
Single-Family Dwelling $200,000.00
EAST PATCHOQUE,NY 11772 Total Value
$200,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
JOHN WELLS
644-5756
872 TROT IT LAKE Rd
BOLTON LANDING. NY' 12814-0000
Plans&Specifications
2003-691
2128 SQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS
$255.36 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, September 05, 2004
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Qu6cusbury before the expiration date.)
Dated at the T �7ueen ZFy., Septeulber 05, 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)7614256
A permit must be obtained before beginning construction. Pentnit File No�j /
No inspection will lie made until applicant has received a Fee Paid
valid building permit. All applicants'_spaces on-this Rec.Fee Paid
application must be completed and must appear on the Reviewed B .s
application form.
Applicant: Owner: V-WLJe 4 Lak-A
Address: 13 72 i ro IL&LA. tt k Address: So I44AL-1 r4oA0
$o (era qj'- Xgowoc oe , Q-r 11"7-7'2... .
Phone#(51 e 64f'Y- 9177 t Phone#{{0 3j_)29 - -I
Property Location: Lot Number: House Number 5i I 131PC • ?'at.%AJ OF fLF.ZL.rU,2- rj""r
Subdivision Name: ! l� !. Tax.MapNumber: 209. IS -1 2.cf
New Building: residence /commercial Estimated Market Value of Construction: $ .lae,? ow,
o Addition: residence/ commercial If an Addition,what will use of new addition be?
0 Alteration: residence/ commercial
0 No change to exterior size: residence/com'l
o Other work(describe )
Check Qecupancylnformation 1` Floor 2" Floor Other floor Total
Below sq.ft. sq.ft., sq.ft. Square Feet
XSingle family dwelling
.0 Two family dwelling
0 -Townhouse
a Multifamily dwelling _
#of units At!
o Ofce
0 mercantile", - EF-NSBURY
t,
O Mani7faCtutin -`r 21
01 car detached garage ®��
0 2 car detached garage
0 3 car detached garage
Q 1 car attached garage
0 . -2 car attached garage
0 3 car attached garage
0, Storage building-
commercial
o Storage building-
residential
d Other
What is the proposed height of the structure 12'1 feet _inches
Will any second-hand or ungraded lumber be used? If;so,for what? Ije)
aC -Type of Heating System: electric/ oil gas/wood. forced hot air baseboard!other:
Number of Mroplacesto be installed el Number of Woodstayes to be installed'
- ii -_. . �_ �.—___ —
Lisf
_ -- :- -
- below the persons)responi ible_-for supervision of_._work as regards to tUuilding codes:
Name Address Phone Number
Builder JOu0 2-I&L53 872 29CVT t-&)eF— EQ- WLTO "I'-126
Plumber
Mason
Electrician
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,area 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 Ilwe shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as-requested by the Zoning
Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.r�
Signature: t/le owner,owner's agent,architect,contractor
Application for Permit—Septic Dispos6l System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518)-761-8256
1. OWNER INFORMATION:
........................I................................... .................... -------
Location of installation: 13,v-r,4 C61ae, ilCe
Office Use
File Permit No6lm-3—
Tax Map NOAM 13
Fee Paid
Owner's Name:'<e"*O-�4 saae 40"V 1
................................................. ..................................... ..................
Address: 30 4-Xpe4asi R&pe awgy-p�fe'4
-To k t-V 15
2. INSTALLER'S NAME :—C &-iC . PHONE NO. G ;?-F
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrin =
1980- 1991 x 130 gal/bdrm =
1991 -present x 110 gal/bdrm =
Garbage Grinder Installed yes no' X A U G 2 0 2003
Spa or Hot Tub Installed yes_ no
TOWN OF C)UL-ENS61jRy
PUItAnING M-ID CODE
4.' PARCEL INFORMATION: (circle applicable information&indicate measuremerifs)'
Too graphy Soil h�jt—ure Ground Water Bedrock or Impervious Material Domestic Water Supply
<22a7>1 sand )at what depth at what depth municipal -
Rolling loam 7 jj feety, ;Ze' jeet'K well
ee clay if well; water supply
Yosslope other from any septic-system
depth:> o�ttabsorption is
(-Ti- e--c�omj�let4id-b)�--
P67i-censedprofessional--enginee;--or-,engineer
rcolationZD st:= b
Rate: minuteper 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. C5 ff, k
Septic Tank: 1.15-00 gallon(min. size 1,000 gal.) -UT5 C-1
Tile Field: each trench ft. Total System Length: ft. e-- a 4!cp t-
Seepage Pit(s): number of size of each: —ft, by_j?.
j V gC9,W4
Size of Stone to be used: # depth or thickness feet
Bed System Size: x
Alternative System: 6 V C, 4-VV length and/or size 5.82 4
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 13 6-29 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 Queensbury Sanitary Sewage Disposal Ordinance.
0009 01 6z A,6& 021/6-�ir
SigV"re of responsible person Dbte
• . . ` . • - . ' •'i`otvit•cif �2ttec�ttalttti•y •
st:-mars situ! Sewitima DiAl asal (.11 titter.
AI�Itt'tltti x t: t
SVIN'P RATION Itlrs2t.}�Itt t�ll�:t�l'I`:'V
POND
L•jE.LL. tN �I�.TR'IL+ tit Lt't4•t .
IX
't1t}ttT CliSt•IC;
I 1. � �'' 1r.t sx,. � 7•
�+27�+ttRPItG1 t
• •..�- Tyr ���,,,,,,, ...:..r--- _ +�*« M�
-
•7. SIGI�I A."1 LTI� &•INFOPIAATION Fit F�
,.
r`
� Q3�`
ENERG)(CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 BEATING 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=Farxfily Dwellings(3 Stories or less)
Part 4*-Design by Component Performance,Commercial Buildings-Hi
Rise Residential
*Requires submission of worksheets — 4736f, Afoclaao kao C.44ZV_.
APPMCANT'S NAME; PROPERTY LOCATION:
L-4 ir 61 F�JaO4 ROAQ o (5;Le�J L.4a_.
V jo�VLJ or ouaeLr-,,wwrxr, LJ6.r
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area 1211b square feet
2, Type of heat- Electric Oil Gas Other
3. is building mechanically cooled?_Lyes_X__No
4. Percentage of area of windows and doors Over 17% Under 17%
5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPONDt TO RVALUES AS
SHOWN ON.PLANS SUBMITTED:
a: Roof R
b. Exterior walls Rom_
C. Glazed areas R '9
d. Exterior doors R I I
e. Floors over unheated spaces R
f. Edge of slab on grade(heated building) R
g, Basement/cellar Walls(above grade) R 10
h. Basement/cellar walls(below grade) R _LO
i. Heating/cooling-ducts-piping in unheated space R
6. Service(domestic)hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED
Applicant's Signature Date Phone Number
INSPECTOR'S REMARKS:
Fire Marshal's Office Town of'Queensbury,742 Bay Road,Queensbury,NY'
(518)761-8205
Application for Fuel Burn,in*g Appliances & Chimneys
applicable to solid fuel. & vented gas appliances
�-
Date 20 Pernift No.
Application is hereby made to the Building&,,Codes Offi
ce the issuance of a Building and Use
Permit pursuant to the New.York State.Fire Preve0ion and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part Of
these requirelnents and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and :Final Inspections are required.
App I licant Information Fuel Burning Appliance Information
(circle appropriate words)
wood . coal pellet gas
Name: Stove:
'Fireplace-insert
2 Ciep lace fact-_o_r_yb_u-ilt. woo
d asAddress: L--Le V,S 1p I
Fireplace, masonry: wood gas
(FUrnke.Ve wood gas (10
Phone: Sl qq - 2 T1
If non-masonary applicance, please provide
acturer Name:
Owner: el'i A-,, Man uf
Address: Model Number:
4 4 V
Chimney Information
Phone: 2 '1;0 1, (circle appropriate words)
Masonry block brick stone
Flue tile steel size: inches
Exact Address: CO3
of construction or installation Factory-Built
Manufacturer name: 17"4� j
Model Number: 's
Note: Listed By: LA.L Number:
Construction lInstallation must
con:f Indicate(circle) chimney material:
orin to NYS Fire Prevention &Building
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall Triple wall f Insulated Direct venting
Chimney Liner
Fim Marshal Code 9 $Collected S Rejitiided, Received fi-om (refunded to):
address:7-
,41733389 (190) Public Safety
A 233 X 261-� (1 230)Minor Sales
DA7 w,5�71
White(Applicant) Green(Fire Marshal) I Yellow(Bldg.Dept.) I Pink&Goldenrod(Cashier's Dept.)
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials: (�
NAME: PERMIT#:
LOCATION: i Y— DATE: - --
TYPE OF STRUCTURE: �cs �
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Co m fete
Guard 30 in.or more @ stairs,deckspatios
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
Enclosed Stairs Sheetrock Underside minimum %z"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 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/Heat Trap/Water Temp 110
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:
Carbon Monoxide Detector
Bathroom Fans, if.no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/1/4 hour fire door/door closer W
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, I s . ft.-150 s . ft.vents
Building No./Address visible from road
Final Electrical
Site /Variance required
al Survey Plot Plan '
As Built Septic S stem/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:1PamWlBuilding&Codes\lnspection FormslRes, Final Inso.form 2.doeLast printed 2/12/04
2R
UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP
BEARING A LICENSED LAND SURVEYOR'S SEAL IS A
VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE
NEW PORK STATE EDUCATION LAW.
ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED
WITH AN ORIGINAL OF THE LAND SURVEYOR'S EMBOSSED
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.
THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN
ABSTRACT OF TITLE OR TITLE REPORT AND IS, THEREFORE,
SUBJECT TO ANY EASEMENTS, COVENANTS, OR RESTRICTIONS
OF RECORD OR ANY STATEMENT OF FACTS SUCH DOCUMENTS
WOULD DISCLOSE.
DEED REFERENCE
ROY J. PETTIT AND KAREN L PETTIT TO KENNETH ALM SEARLES
AND LEIGH WELLS SEARLES DATED 19 OCTOBER 1988 AND
RECORDED IN THE WARREN COUNTY CLERK'S OFFICE ON 31
OCTOBER 1988 IN UBER 731 OF DEEDS AT PAGE 249.
MAP REFERENCES
MAP OF A SURVEY MADE FOR MIRIAM E. do GEORGE H. ROOKE, JR.
DATED 2 MAY 1979 PREPARED BY JOHN B. VAN DUSEN, LAND
SURVEYOR.
MAP OF LAND OF ROY do JEANNE TONNESEN DATED 4 SEPTEMBER
1986, AMENDED 9 SEPTEMBER 1986 PREPARED BY COULTER do
McCORMACK, LAND SURVEYORS.
TAX MAP REFERENCE
TOWN OF QUEENSBURY: 289.13-1-29
lands now or formerly of
Dean E do Daphne D. unborn
deck
b
fD
v
i
C p
o �
0 3 paved
o drive
\ o/
lands now or formerly of
Neil G. McPhillips =
John C. McPhillips
Paul R. McPhillips O
do Z
Joseph W. McPhillips
O.... ..
..:.'.'.. � ..'_ . _"_ .'..: _ ..:..'�`• . tine
"..... ..::........................... ... �� ``.. tree row ...
...... .--.---• -••-- ..._.....'_ --- overhead wires
-------------------------------
- -- --------------------------------- a--
......_.-.-...... _ .....
utilityOle---....�...--•---...---•-•----•-•-•--.....--•-------------------••------••-
•-•--•-----••--•----•-•--........- -- ------------------•----- 'ran pipe found
.....
----- ------------- -- --
............
..............
' crushed stone drive \ Q
paved drive'`•'-
/ guy �>� large rocks
Q d w're
building wall 0.4' over line — — ( lamp
roof 1.3' over line ` guy
building
cone. wall
roof corner
1.1' over line
2' wood cover
over conc. block wall
1 electric
panel
concrete do
o stone building
u 34.5'
.o
o,
v
0
n
0
u
c
0
0 20" pine
0 drain
concrete
cap on stone m030nrJ' wall
cone. walk
cone. steps
w/ rail
conc.
shed
fence
ston�taining wall
stone retaining wall
dock
propane tanks
conc. wall
concrete walk
house
wood steps
7.1 '
oh
10 I
M
lands now or formerly of
David R. do Marianne McGowan
c
1� \
a \
0
a utility
30" oak pole
wood steps
— block wall
6" oak
concrete block
wall remains
concrete
9 30" pine
36" pine
0 filler pipe
/K texture concrete patio
0
N iron pipe found
Concrete
cap on stone mosonr), woll
Glen Lake
1'q t 'q1
iron pipe found
�4
DAVID F. BARRASS
L.S. # 49363
qG0 '�'6 1�
RECEIVED
AUG 2 0 Z004
TOWN OF QUEENSBURY
BUILDING AND CODE
C>--,
% Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive a pm e iti
Date Inspection request received: Inspector's In s:
NAME: IT#: t A,"
LOCATION: ATE: C./,g jj-6
TYPE OF STRUCTURE: Sf D. V I If
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Co!ppfete
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
Enclosed Stairs Sheetrock Underside minimum 1/2"
Gypsum
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade —N-0 kA.) 0CL
Gas Furnace shut-off within 30 ft. or within line of site 7—�4-4 � 1j?,6NjbtA
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s) installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors I 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: I / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3, /4hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 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 or C/0 [Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res.Final Insi). form 2.docLast printed 2/12/04
eensbury Building & Code Enforcement - Residential Final Inspection
Office No.(5 8)761-8256 Arrive: _` _brF, --
LOCATION: am/pm
Date Inspection request received: Inspector's lnitiaNAME: SL
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Com lete
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
Enclosed Stairs Sheetrock Underside minimum '/_"
G surn
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill$late
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp, 110 \
Interior privacy/trim/doors/main entrance 36 in. t'�
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safetygl in
Interior Smoke Detec rs:
Every level: / Eve Bedroom:
Outside every bedroom a:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Gara e Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Ductwork Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent]
L:\PamW\Building&Codesllnsuection Forms\Res.Final Inst3. form 2.docLast printed 2/12/04
Town of,Queensbury
Fire Marshal's Office
742 Bay Road
Queensb,ury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Irispection Report
Request SCHEDULE
Received: Permit# INSPECTION ON:
Name: 3 LP
Q— AM ANYTIME I
Location:
APPROVED
EX N/A YES NO COMMENTS
AISLE WIDTHS
EXIT SIGNS-NORMAL
BATTERY
EMERGENCY LIGHTING
FIRE EXTINdit)ISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM§YSTEM
FIRE SUPPRESSION SYSTEM
HOODINSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED
.CLEARANCETO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE fO—
REQUIRED SIGNAGE
EMERGENCY PLAN_
MAXIMUM OCCUPANCY SIGN
--
CHIMNEY
MASONRY ROUGH IN I
-7dH-IMNEY FINAL
FACTORY BUILT ROUGH IN
FINALWOOD
I
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN 0,K I DA OR --OK
FIREPLACE FINAL
FACTORY BUILT ROUGH
.-y— —7 INS 1CTED13Y
- 1 77
FINAL I
COMDEViCHRISJIWORDILETTERS200I/FiREMARSHALINSPECTION /PORT1102200I
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
i
Main office 176 Doe Run Road - Manheim,, A 1754
MUNICIPAL CERTIFICATE
- ELECTRICAL APPROVAL
j'y NO
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The conditions following governed the issuance of this certificate, and any certificate previously issued i�
cancelled:
This certificate only covers the electrical equipment and installation conditions as of dare. Upon th(
introduction of additional equipment or alterations, application shall he promptly made for inspection{
Inspectors of this Company shall have the privilege of4malinpectwns' at any time, and if it�
rules are violated, the Company shall have the right r kte}
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Member NAP A,, LALL
Septic Inspection-Report
Office No. (518)761-8256 Date Inspection req st c I'Ve
r
Queensbury Building&Code Enforcement Arrive: - p part: pi
742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initia
NAME: V'E, C, P T NO.: 3
CT 01�.
LOCATION: #SPECT ON:
RECHECK:
Comments and/or diagram
Soil T _-e=and r
Type of
Waterline separation distance
Well separation distance
Other,wells:
Absorption Field: Total length
Length of each trench ft.
Depth of trenches
-§17ze of—Stone
Seepage Pits: Number
Size: x
Stone Size: �v \
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Fiqld Pit
Opening Sealed:(Y W11 Partial
Q
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 Left Side Right Side
Middle Front Middle Rear
System Use S
pp V
YParti Approved and needs to be re-inspected,please call the'Building&Codes Office
—AQ pproved
LASuel-lernj gway\Buil g./Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
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rop a
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enclosed stair
ose
Property line
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34' SEPT C p
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1 TANK SEPARA ION 1 o i " � � i � J � —. 2g'SIDE LIME `� / ; �
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concrete: -1• - .;ti: i 1 / �. +�
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o x
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SEPARATION
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h Town of Queelsbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Wood Burning Fireplace/Stove Inspection 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 iZecifications is allowed.
Permit# C } chedule Inspection 3 Q Time � a pnz zaytizne Inspector
Name t) Address I 1 k, Rough InX Final
Appliance Manufacturer L,-L Model#
.Masonry(Chimney Factory Built Chimne& Flue Siae.._] /A (Double WalIxTriple Wall Insulated
Yes No N/A CO en
Floor Protection x � G N y2- Z
Clearances to Combustibles(all sides) X/
Safety Strip Installation(fireplaces only) X
Firestop(s) Vertical Chase
Wall Penetration
Chimney Clearances to Combustibles
Chiaamey Termination
3 feet above roof penetration;2 feet above
any combustible construction within 10 feet
Combustion Air
Hearth'Extension !�
Mantel (height above f/p opening)
Fireplace boors/Screen(required)
White--Building Dept. WHO — nner Pluk—Fire Marshal
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request eived:
Queensbury Building&Code Enforcement Arrive: aml De
742 Bay Road,Queensbury,NY 12804 Inspector's Initi
NAME: PERMIT#:PECT ON:0
LOCATION: r5A I!V.
TYPE OF STRUCTURE: V
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
Dfain and Vents
5 PSI or K1ft. above highest
Conn,Ocoon for 15 minutes
Water Soply Piping
CopOer Commercial
Vpper, CPVC,Pex One&Two Family
lati Residen is Check/Commercial Check
"h Proper Vent,Attic Vet V/
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMEN S
-L:\SueHemingway\Building.Codes.Inspection,FORMS\Rougb Plumbing Insulation Report.dor, January 28,2003
Framing /Firestopping.Inspection Report _
AM '
Office No. (518)761-8256 Date Inspection request received: -
Queensbury Building&Code Enforcement Arrive: am/p ep i pm
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: SPECT ON: 1
TYPE OF STRUCTURE:
Y •
Y. N N/A C MENTS
Framing
Jack Studs/Headers
Bracing/"Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12'Q.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 O C� vd �
1 12(w 16 gauge(8) 16D nails each side 2
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%z 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 1 below grade
5.0 sf arade
L:1SueHemingway\Building.Codes.Inspection.FORMS\F'raming Firestopping Inspection Report.doc 3anuary 28,2003
4 — 1
Rough Plumbing/Insulation Inspection Report 1�
Office No. (518)761-8256 Date Inspection request received:
ueensb g � �
Building&Code Enforcement Arrive: am/ e rt:
Q t am/p
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
40.
1
LOCATION: INSPECT ON: 3
TYPE OF STRUCTURE:
e
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
m h a' Plates
Tlead-.Or:Air Supply Test
--Drain-and Drain-aid Dents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
Copper,CPVC,Pex One&Two Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace,
Duct Work Sealed Properly
U'5 PA
COMMCENTS. /
L:\SueHemingway\Building.Codes.lnspection•FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (5 18)761-8256 Date Inspection request rec . d: .3 )6
Queensbury Building&Code Enforcement Arrive: M D
742 Bay a , ueensbury,NY 12804 Inspector's �Itiz
am .
NAME- 41�4 PERMIT #: -62
LOCA'PION: INSPECT ON:
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
I % inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction-',.,
Water Supply Piping
Cooper Commercial
VC,Pex One and Two-Fa!!!a
-�—Lsulatioin�/ sidential Check,/Commercial Check\
Proper Vent,Attic Vent
Duct/Hot Water Pipingliniulation.
If required unheated spaces
Combustion Air§u/poly for Furnace
Duct work seal_ed_-properly No duct tape
COMMENTS.
L:\SueHeiningway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003
Framing/Firestoppmg Inspection Report
Office No. (518)761-8256 Date Inspection requereceive, 131j
Queensbury Building&Code Enforcement Arrive: aml r De rt: ,n rq,----
7 Bay Road,Queensbury,NY 12804 Inspector's Initial
N E: c� PERMIT#: 3—
LOCATION: INSPECT ON: .
TYPE OF STRUCTURE: C
N/A CON[MENTS
Framing ON-1-A,.
Jack Studs/Headers
Bracing/Bridging "1
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.``,''
l
Fire wall 3,4 hour
Irestopping•'' ; .
k�VL`vIAV
Penetration sealed I
16 inch insulation'in.cavity min.
Garage Fire Separafion
House side '/Z inch or 5/8 inch Type X
Garage side,5'8 inch Type X
Ceiliri°/wall
Windows Habitable Space/Bedrooms
24 in, (H.)
20 in.(W)
5.7 sf above/below grade
5.0 sf grade
L:\Suel-Iemingway\Building.Codes.Inspection.PORMSTraming Firestopping Inspection Report.doo January 28,2003
Framing /Firestopping Inspection Report j�Jl
Office No. (518)761-8256 Date Inspection request eceived: xi7 o
Queensbury Building&Code Enforcement Arrive: amGp Depa
742 Bay Road,Queensbury,NY 12804 Inspector's Initials
NAME: t' ?// PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA Fra COMMENTS
mi g 1 - .
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 m
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate '
1 %2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft..floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall-2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min,
Garage Fire Separation
House side 't/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitab,1e Space/Bedrooms
24 in. (H)
20 in. (W)r'
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Repprt.doc January 28,2003
Framing /Firestopping Inspection Report
V
Office No. (518)761-8256 Date Inspection reques ceived.- .__.
Queensbury Building&Code Enforcement Arrive: a eP, atil am
742 Bay Road, Queensbury,NY 1.2804 Inspector's Initial..
NAME: PERMIT#: Q3 4()
LOCATION: 51-�&(,ch k C_-21 e-n I�2 INSPECT ON:
TYPE OF STRUCTURE: 0
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 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
AZnor Bolts 6 ft. or less on center
Xce and snow shield-)4 i es fiom 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 V2ineh 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
LASueHcmingway\Buflding.Codcs.Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
1 �
Office No. (518)761-8256 Date Inspection request received-
CZ
Queensbury Building&Code Enforcement Arrive: a p Depart: in
742 Bay Rd., Queensbuiy,NY 12804 Inspector's'&7ti-a
NAME: PERMIT#:
LOCATION: PECT ON: 0
TYPE OF STRUCTURE:
Comments
Y N N/A
ootings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
P��j.2 C
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 wetareas 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.hispection.FORMS\Foundation Ihspection,Reportdoc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection re est e iv
Queensbury Building&Code Enforcement Arrive: a P Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi S'.
ki )
ko
NAME: RMYr#:
LOCATION: L SPECT ON:
TYPE OF STRUCTURE: r V---'
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 th oncrete.
7erials for this PuTose on site.
undation/Wall
Reinforcement in Place
Foundation Danipproofing
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 under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueMemingway\Building.Codes,lnspection.FORMS\Foundafion Inspection Reportdoc January 28,2003
Foundation Inspection Report ,
Office No. (S 1$)761-8256 Date Inspection reque ecei 1 t7k '13
Queensbury Building&Code Enforcement Arrive: a Depart: 21
742 Bay Rd., Queensbury,NY 12804 Inspector's InitiNAME: fir'' : RMIT#:LOCATION: 131f'c' INSPECT ON:
TYPE OF STRUCTURE:
��.• ��, toen
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
,Reinforceme in Ply T
oundation m roo ing I
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump.
Footing Drain Stone: f
12 inch width
6 inches above footing , �,��
6 mil poly for wet areas under slab
Backfill Approval \;1 �
Plumbing Under SIab
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
Residential Final Inspection
.'Office No. (518)761-8256 Date inspection re e t recei 6
Queensbury Building&Code Enforcement Arrive: am/ part:
742 Bay Rd., Queensbury,NY 1280.4 Inspector's Initi 1
NAME: P T
-LOCATION: W e.
TYPE OF STRUCTURE: {-�
Comments
Y N NIA - .
Chimne Ht./"B"Vent/Direct Vent Location f e
Yrdsh:Air Intake v
. , 3 inch Plumb Vent through rooftjYq 5 m r
R66f CO3Tplete
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 14
Grade awa from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill' late
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30-ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut=off boiler
Relief Valves installed -
Interiorprivacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazing
Interior Smoke Detectors:
Ev Every Broom:NIL/
Outside every bedroom ea: , /
Inter Connected:- tL /' Batter backup.
Bathroom Fans,if no window "
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stoTping finished basement 1,000 sf
'Emergency egress below grade
Basement stairs closed rise>4 inches '
'/hour fire door/door'closer .
Garage fire roo4
Duct work Sealed ro erl .
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible.area
Crawl Spaces 18"x 24"access, 1 s :1-150 s .ft.vents
Building No./Address visible from road
Final Electrical .
Site Plan /Variance requited l
Final Survey Plot Plan
As Built.Septic S. stem/Sewer Dept.Inspection Sticker
Flood Plain Certification;if required
Okay to issue C/C(Cert.Of Compliance)
Okay to issue Temporary C 10 Cert.'Of Occu anc
Okay to issue Permanent C/O Cert. Of Occu anc
L:\SueHemirigway\Building.Codes.Inspection.FORMS\Res.Final insp.form .doc edited January 28,2003
Residential Final Inspection
Office No. (518)761-8256 Date Inspection re e t recei r G
Queensbury Building&Code Enforcement Arrive: am/ part:
742 Bay Rd., Queensbuty,NY 12804 Inspector's Initi 1
r°
NAME: t P IT#: .
LOCATION: `r-rA. ATE: p
TYPE OF STRUCTURE: i
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location 1 S 4 j`ZG%,
Fresh Air intake
`3"'ch Plumb Vent through roof d �
Gdafd 30 in.or more @ stairs,decks,patios
ward at stairwell at'34 in.or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Rail in s 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 ex used/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 1 main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
.Window in stairwells safety glazing
Interior Smoke De 6ctors:
Every level: V 1 Everyrom:
Outside every bedroom ea:
Inter Connected: / Batter backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3�4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht,)In accessible area
Crawl Spaces 18"x 24"access, 1 s .ft.-150 s . ft.vents
Building No./Address visible from road JT
Final Electrical .
Site Plan [Variance re wired
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker -41
Flood PIain Certification,if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Tem-or C/-O'-(Cert-Of-Occu anc ) �a
Ok k,, ,too i!isue Pei Tian'enfQ7/,fJ� Cert Clf,()ceia anc eIM
L.1Suellemii gway)auilding.Codes:If'specf&FORMS1 es.F,inal!Ji7�fo"n--n�,I"dbc•'edited January 28,2003
Framing/Fires topping Inspection Report //
Office No. (518)761-8256 Date Inspection request-,re5c ived:
Queensbury Building&Code Enforcement Arrive: am/pm Depff a de
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initialk�^,,
NAME: r—-.42rK1',,A PERMIT#: (0911 11 -
LOCATION: :isT— C-� INSPECT ON: �47 >
TYPE OF STRUCTURE:
Y N N/A
Framing COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 V2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft, floor trusses
Anchor Bo ft. or less on center
;oe and snoT*eld 4 Ynch6F*om wall
C1.
Fire separate 1,2,34h'our
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)
5.7.sf above/below grade
5.0 sf grade
L:\SueHemitigway\Building.Codes.Iiispection.FORMS\FramingFirestopping Inspection Report.doe January 28,2003
may, J;
Foundation Inspection Report J
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm epart• 6 am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
�0� --_�
'NAME: PERMIT#: 03 -&q )
LOCATION: INSPECT ON: _1 a
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
Fo dation 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
!B`ackfill Approval
Plumbing Under Slab
VC/Cast/Copper
Foundation-Insulato Interior Exterior
Rough Grade 6 inch drop within 10 ft.
L:\SucHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ �epart/ m/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial
NAME: r,C(--s PERMIT#:
LOCATION: INSPECT ON: /0 (2,!y 6725-
TYPE OF STRUCTURE:
Comments
A
N N/A
Footings
Piers
Monolithic Slab
"Reinforcement in Place
The contractor is resknpsiblb for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this put pose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Darapproofing
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 under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
1,:\SucHenungway\Building.Codes.hispection.FORMS\Foundation Inspection Report.doc January 28,2003
Project Name: GGACL I09& BP#
Address: 61 1'_;i ao a
TO\e10 0p 0oV.�t'2Jt" A 01",
Building Pen-nit Submission SFD
Checklist 2-Farnily
All items below mast 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 ...... ... ............... ............. Oyes O no ❑n/a
2. EnergyForm or CheckMate Energy Code Compliance Forms Complete.. W yes ❑no ❑n/a
(2 copies)
3. Energy Code Inspector's Report from Clue&14ate Program... g yes ❑no O n/a
(2 copies)
4. Septic application completely filled out(if applicable)............ ...... ... ... ©yes ❑no ❑n/a
5. Solid Fuel Burning or Gas Appliance Form... ......... ......... ... ...... ... ... .�X[yas Ono On/a
6. Electrical Inspection Form... ...... ... ... ................................. ... ..... Oyes Ono On/a
7. Two 2 complete sets of structural drawings
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,...... ... ... Qk_ eyes Ono On/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure......... ..................... .. Wyes Ono On/a
10. Setbacks to neighboring wells and septic systems,including onsite well.... QX yes Ono On/a
and septic systems(if applicable)
11. DrivewayPermit...... ......... ...... ...... ... ... ...... ..................... ... ... Oyes Ono Wa
Date:
Staff Initial: �/ 1
L.\SueHeming«ay\Bading.PemutFORW\Geueric Checklist.doc January 28,2003
.V
Cheek Residential Plan Review: One&Two Family Dwellings
Y/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 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.Hei t above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofing/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10' Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
Required
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors -
Stairway Headroom 6' 8'All Stairs 36"Width 1tJt0: y
Stair Run and Rise
Winder Run and Rise ,+
Spiral Not Allowed From 2� Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall Width,36"min.
Handrails More Than One Riser On Open Sides
Railing and Guards>30"1 Basement Stairs Included/Closed Risers More Than 4"in Ht.
Safety Glazing Notes For Required Areas
P, Garage Fire Separation
Garage Floor Sloped
Attic Access
Roof over 30"—22"x 30"1 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
4'r
7- "e4 t)
�*tW
MECcheck Compliance Report Checked By/Da
2000 IECC
MECeheck Software Version 3.3 Release lb
Data filename:D:\Old Computer\Program Files\Check\MECcheck\SearIes Residence eck.cck
CITY-Glens Falls
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Single Family
DATE:08/20/03
DATE OF PLANS:August 15,2003
PROJECT INFORMATION:
Residence for
Kenneth&Leigh Searles
51 Birch Rd.,Town of Queensbury,NY
COMPANY INFORMATION:
Dwellings by Dybas
COMPLIANCE:Passes
Maximum UA=391
Your Home=361
7.7%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter "ue R-Value U-Factor UA
Ceiling 1:Raised or Energy Truss 1176 38.0 0.0 29
Wall 1:Wood Frame, 16"o.c. 2502 21.0 0.0 113
Window 1:Wood Frame,Double Pane with Low E 472 0.340 160
Door 1:Solid 39 0.093 4
Basement Wall 1:
Solid Concrete or Masonry,5.7 htt4.0'bg/5.7 insul 761 0.0 10.0 55
Boiler 1:Other(Exept Gas-Fired Steam),85 AFUE
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 2000 IECC requirements in MECcheck Version 3.3 Release lb and to comply with the
mandatory requirements listed in th ck Inspection Checklist.
designer
er Date 8AZOL
4
'R
MECcheck Inspection Checklist
2000 IECC
MECcheck Software Version 3.3 Release I
DATE:08/20/03
Bldg. I
Dept. I
Use I
I
I Ceilings:
[ ] I 1. Ceiling 1:Raised or Energy Truss,R 38.0 cavity insulation
Comments:
I Insulation must achieve full height over the plate lines of exterior walls.
I
Above-Grade Walls:
[ ] I 1. Wall 1:Wood Frame, 16"o.c.,R 21.0 cavity insulation
I Comments:
I
{ Basement Walls:
[ ] I 1. Basement Wall 1:Solid Concrete or Masonry,5.7`ht/4.0'bg/5.7'insul,
I R-10.0 continuous insulation
Comments:
I Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
I covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
I
I Windows:
[ ] I 1. Window 1:Wood Frame,Double Pane with Low E,U-factor:0.340
I For windows without labeled U factors,describe features:
I #Panes Frame Type Thermal Break?[ j Yes[ ]No
Comments:
E
I Doors:
[ ] ( 1. Door 1:Solid,U factor:0.093
I Comments:
I
Heating and Cooling Equipment:
[ ] I 1. Boiler 1:Other(Exept Gas-Fired Steam),85 AFUE or higher
I Make and Model Number
(
Air Leakage:
[ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air
I leakage must be sealed.
[ j Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC
I rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible
I materials and 3"clearance from insulation.
I
(, Vapor Retarder:
[ j Required,onthe warm-in-winter side of all non-vented framed ceilings,walls,and floors.
1
Materials identification:
[ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions-
[ ] I Materials and equipment must be identified so that compliance can be-determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
- ._.- .. .�'f''
• .k .. ..
t
.{
f
j ] { Insulation R values,glazing U factors,and heating equipment efficiency must be clearly marked on
{ the building plans or specifications.
{
E Duct Insulation:
] { Ducts in unconditioned spaces must be insulated to R 5.
{ Ducts outside the building must be insulated to R 8.0.
{
[ Duct Construction:
[ ] ( 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).
[ J { 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.
[ ] E Air filters are required in the return air system.
[ J ( The HVAC system must provide a means for balancing air and water systems.
E
{ Temperature Controls:
[ ] { Thermostats are required for each separate HVAC system. A manual or automatic means to
E partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.
I
# Service Water Heating.-
Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
{ water heater has an integral heat trap or is part of a circulating system.
[ ] { Insulate circulating hot water pipes to the levels in Table 1.
E `
{ 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.
E
{ Heating and Cooling Piping Insulation:
[ ] { HVAC piping conveying fluids above 105 T or chilled fluids below 55 T 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 UP to 1" W 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 byPipe Sizes
Piping System Types Rana F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low PressarelTemperature 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)
Job Site Address: 001411�k 9 Date:
Owner: 4UUI'6jr4 46'(4 4�41V�) ApplicationNo. File No, � �� l
Building Permit— Calculation Sheet
Natural Light; Ventilation &Emergency Egress Requirements
Habitable Area of Req,Light Actual Req,Vent Actual Sq.Ft,
Remarks
Room Room r 8%of Room Light 4%of Room Vent Opening for
in "Area Square Area Square Egress
Square Footage I Footage
N
Feet
v
9 U- 'O
S,t7
r � .tip
M
Mi
1''Till 0
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L:\SueHemingwaylBuilding.PermitFORMSWatUght.ventil.Calculadon,Sbeet.doe
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Job Site Address: 0 � Date:
Owner: 4W H l W� '°� Ap
plication pplzcat>on No, File No.CR 67 3 --L9f
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L;15ueHemingway�Building,Permit.FORMS\Window Schedule.doc