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2003-867 • .41011a TOWN OF QUEENSBURY ET 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20030867 Date Issued: Tuesday, April 20, 2004 This is to certify that work requested to be done as shown by Permit Number P20030867 has been completed. Tax Map Number: 523400-308-008-0001-060-000-0000 Location: 46 BURNT HILLS Dr Owner: BURNT HILLS LLC Applicant: BURNT HILLS LLC This structure may be occupied as a: By Order of Town Board Garage - 1 Car Attached TOWN OF QUEENSBURY 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: P20030867 Application Number: A20030867 Tax Map No: 523400-308-008-0001-060-000-0000 Permission is hereby granted to: RTTRNT HTT,T,S T,T.C, For property located at: 46 BURNT HILLS Dr in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: BURNT HILLS LLC • 15 F BIRDIE Dr Garage- 1 Car Attached QUEENSBURY NY 12804-0000 Single Family Dwelling $110,000.00 Total Value $110,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2003-867 LOT #6 HSE#46 BURNT HILLS DRIVE 1466 SQ FT SINGLE FAMILY DWELLING WITH 1-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $211.12 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, October 22, 2004 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the T°o of Qtsb ; ednesday, October 22, 2003 SIGNED BY IC; for the Town of Queensbury. V Q r . Y Director of Building&Code Enforcement Project Nameat,- P`SA-kpfs1`- " BP# ?C Address: Building,Permit Submission SFD Checklist 2-Family All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of Queensbury Building Department If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed ... ...... ... .................. . .yes ❑no ❑n/a 2. Energy Form or(iieckMate Energy Code Compliance Fore Complete .. no ❑n/a (2 copies) 3. Energy Code Inspector's Report from CheckMate Program... .. Eyes ❑no ❑n/a (2 copies) 4. Septic application completely filled out(if applicable)... ... ... ... ...... ... ... ,121 yes ❑no ❑n/a 5. Solid Fuel Burning or Gas Appliance Form... ...... ... ... ... ... ... ... ... ... ... . yes Ono��'�/a 6. Electrical Inspection Form... ... ... /O j2rires 7. Two(2) complete sets of structural drawings..... ... ... ... ......... .... s ❑ ❑ .. ... ... . no n/a a) floor plan;b)foundation plan;c) cross sections:d)elevations; e)window and door schedule 8. Two (2) site plans showing location of the structure to be built,... .. s Ono ❑n/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure... ...... ... ... ...... ...... ... .. yes Ono ❑n/a 10. Setbacks to neighboring wells and septic systems,including onsite well... . yes Ono ❑n/a and septic systems (if applicable) 11. DrivewayPermit... ... ...... ... ... ... ... ... ... ... ...... ......... ......... ... ... ... yes ❑ o ❑ a • Date: 4 ` ` Staff Initial: , L:\SueHemingway\BuildingJ'ernutFORMS\Generic Checklist.doc Januuy28,2003 • 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. ) ✓�' No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on this Rec.Fee Paid $ �2) application must be completed and must appear on the Reviewed By: �tl�® application form. • • Applicant: 0,. Owner — ,\ � 1" ;��� Address: l ( CS Address: Phone# Phone#(_) - o! . 2003 Property Location: Lot Number: / House Number1o, / Subdivision Name: ( u - •-mooLLs Tax Map Number: . M — l Cevz _ New Bull ' : resid commercial Estimated Market Value of Construction:$ r N0,00 Ci O Addition: ence/commercial If an Addition,what will use of new addition be? O Alteration: residence/ commercial O No change to exterior size: residence/coital O Other work(describe ) • Check Occupancylnformation 1"Floor 214 Floor Other floor Total Below sq.ft. sq.ft sq.ft. Square Feet Single family dwelling ((® ( 5 o \. t I / O Two family dwelling o Townhouse O Multifamily dwelling • #of units o Office O Mercantile O Manufacturing O 1 car detached garage O 2 car detached garage O 3 car detached garage 18( 1 car attached garage 3 S-] 0 2 car attached garage O 3 car attached garage O Storage building- commercial O Storage building- residential • O Other • What is the proposed height of the structure 2 S feet inches Will any second-hand or ungraded lumber be used? If so,for what? _ Type of Heating System: electric/ oilC' stood /forced hot air/ baseboard/other: Number of Fireplaces to be installed Number of Woodstoves to be installed a List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Plumber Mason Electrician Declaration: please sign below after you have carefully read the statement .«- - 1---t a..at.. re...-«a ....«+e;.,o.i;..+lM;e srnlinatinn tnae-tlier with the plans and specifications Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road oiueensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: Location of installation: , (Z- , Office Use •�'�'� �- File Permit No. Tax Map No. / / a . L` Fee Paid Owner's Name: —�- `-mil. Lc_` Address: C 1 _ < � 1 2. INSTALLER'S NAME � ..)- ` cr 5ca-, gP\-L- PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total {atlyilw) Year of House: No. of Bedrooms x Computation = Total Daily Flow C^T7C2003 1980 or older x 150 gal/bdrm = 1980— 1991 x 130 gal/bdrm = i.JVVN Oi` ,, ` ;:i:; :__.iJF1Y 1991 —present 3 x 110 gal/bdrm = 0 3- ''_'"_�"' `r:' _'_'_°,,; ,`_� Garbage Grinder Installed yes / no Spa or Hot Tub Installed yes_ / no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography ature Ground Water Bedrock or Impervious Material es c Supply s at what depth at what depth ` a lling loam feet feet we Steep slope clay if well; water supply _%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: (35b gallon (min. size 1,000 gal.) Tile Field: each trench Sb ft. Total System Length: alp ft. Seepage Pit(s): number of size of each: ft. by ft. Size/of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure „AMMAN ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY —84„HEATING DEGREE DAYS Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings (only) Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings(3 Stories or less) - � � Part 4*-Design by Component Performance, Commercial Buildings-Hi Rise Residential OCT 1 C *Requires submission of worksheets ) 2003 vskd �."',i�`(.;`�;lipi 4'b8 In v APPLICANT' NAME: PROPERTY LOCATION:— = '#”` -� PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area- t'((4Q 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 1 % I‹ Under 17% ' 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS SHOWN ON PLANS SUBMITTED: a: Roof R '30 b. Exterior walls R_x c. Glazed areas R d. Exterior doors R t`f.5 e. Floors over unheated spaces R f. Edge of slab on grade(heated building) R — g. Basement/cellar walls (above grade) h. Basement/cellar walls(below grade) R t. i. Heating/cooling-ducts-piping in unheated space R 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code -Yes No TE A' RA I' CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED App .ant •i t.na Date Phone Number 61i INSPECTO REMARKS: Residential Final Inspection • . Office No. (518) 761-8256 Date Inspection request received: �f r Queensbury Building&Code Enforcement Arrive: am/� 7epart�j L V`�am/pm .4( 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: C../ ,Uj PERMIT#: C) LOCATION: "�,", ip , i' 0D , DATE: ,/j,�M7 TYPE.OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof -Roof Complete • ✓ Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete • Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers c./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 fmished 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 sq. ft.-150 sq. ft.vents 1J //Build ng No./Address vis'b fro 'road Final Electrical / �9 O C t✓� • Frte Plan /Variance re ed JJJ inal 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/0(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc ited January 28,2003 0)--dier--*/ ._.i . Residential.Final Inspection Office No. (518) 761-8256 Date Inspection request received: i ' o Queensbury Building&Code Enforcement Arrive: arn/p Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 '� /�, 0 Inspector's Initials: NAME: C724.1e -r4- ' PERMIT#: c J `(.f &7 LOCATION: 7 f��y the 1)%,-,--c SATE: 17,:/ !v,42 o / &TYPE OF STRUCTURE: 1 *' ALcrf:t Comments x. /N N/A C�- • Chimney Ht./"B"Vent/Direct Vent Location �// afl, 9 r Fresh Air Intake ✓ ` (n 4C C/ 3 inch Plumb Vent through roof ✓/ Roof Complete I V ' Guard 30 in. or more @stairs,decks,patios / totih-��� . CCU _/r' Pdrisi" Guard at stairwell at 34 in. or more - 1025 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 / ��� -� /� � � ��/J. Grade away from foundation 6 in. with 10 ft. �0 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 Y Ari• 4{k Dk et6-It IC/i f Cu`' 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: / /N 51/�G L de,N�G�A)P r U Bathroom Fans,if no window ✓/ Carbon Monoxide detector // eR:ve._ C_escc-- Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf J Emergency egress below grade Basement stairs closed rise>4 inches 1:,-"" %hour fire door/door closer VV/ 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 sq. ft.-150 sq. ft.vents Building No./Address visible from road //�` Final Electrical � _U .4/ CSC.-E, , Site Plan /'Variance required / Final Survey Plot Plan 7 4/6 Cj /yP evil-!i 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/0(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 TOWN OF QUEENSBURY BUILDING;& CODE ENFORCEMENT .< 742 BAY ROAD ..� QUEENSBURY ;NY 12804 (51.8)745,-4447 • ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING (hotel, motel, apt cum lex) DATE INSPECTION REQUEST RECEIVED: L NAME 11 LOCATION �T�Pf G j� s ( ' -'15'2 42> DATE /7 /Ye 9.40) PERMITT # TYPE OF STRUCTURE i d�2( c // ®"3 '(Q7 FOOTINGS BACKFILL FRAMING PLUMBING_ INSULATION N/A YES NO CHIMNEY/"B" VENT/HEIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/HOT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION INTERIOR STAIRS/RAILINGS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRATION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS • HANDICAPPED PARKING FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN, IF REQ OK TO ISSUE C/O OR C/C MAP REFERENCE: BURNT HILLS SUBDIVISION DKC HOLDINGS, INC. DATED: JULY 23, 2001 LAST REVISED: JANUARY 17, 2002 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC 0 • BURNT HILLS DRIVE al an D u s e Steve s Land Surveyors 169 Haviland Road Queensbury, New York 12804 518) 792-8474 New York Lic. No. 50135 NIAGARA MOHAWK POWER CORPORATION EASEMENT u, o c 7 taa �" 2 UTILITIE5 i "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209. SUB -DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW." 'ONLY COPIE5 NIOM THE ORIGINAL O/ TM15 51JRVEY MARKED WITH AN ORIGINAL Or THE LAND 5UKVMRS SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES," 'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE NTH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUITION LISTED HEREON, AND TO THE A55IGNMS OF THE LENDING INSTITUTION .' i 2812' L S86013'50"E Di I 1 20,000 sq ft a 0.46 acres "- i 2 STORY WOOD FRAME HOU5E PORCH —bi T- C� 100.00, ° 13�— 50' W 0 0 N1 c O UTILITIES 5 a 0 0 a 0* 22 23 � Map of a Survey made for LAURIE J. FITZGERALD Town of Queensbury, Warren County, New York ,L t NO. I DATE 4 N pR 1 2004 TOWIV CF �p }BURY iKen I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TOe LAURIE J. FITZGERALD CHARTER ONE BANK. N.A.. ITS SUCCESSORS AND/OR A55IGNS STEWART TITLE INSURANCE COMPANY Y• i CERTIFIED BYs---------------------------- MATTHEW C. STEVE5. LLS NYS 501W DATED, MARCH 2G. 2004 DESCRIPTION Warn: I-Ir1K 1w Scala 1"=50' S-1 SHEET 1 OF 1 FITZGERALD DWG. NO. 99241-G Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: 3 . asdz • Queensbury Building&Code Enforcement Arrive: am/p epart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: N NAME: ' PERMIT#: 3-P LOCATION: -4 ,/ 4, 7• /0k%'r- NSPECT ON: fr k_. /ti g,2 6qil/ 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 36 in. or more Ze\i‘k00(.7- /l-)6 O Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 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 ce and siiow'abield 24 inches from wall Fire separation 1, 2,3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation • House side V2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade • L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 • /./ 0 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request; eI ed: 3 Queensbury Building&Code Enforcement Arrive: p De a / v a m 742 Bay Road, Queensbury,NY 12804 Inspector's Initi ! • NAME: PERMIT #: t Q 3-C16 gYS LOCATION: �� �'►—� INSPECT ON: 3 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 1 'A 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 Coo er, CPVC,Pex One and Two-Family CInsulation esidential Check/Commercial Check Proper Vent, Attic Vent —1(// Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape lam cx .-- COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing / Insulation Inspection Report /7. Office No. (518)761-8256 Date Inspection request re I ed: v D - Queensbury Building&Code Enforcement Arrive: am/i Dep r-t( ' am/.� 742 Bay Road, Queensbury,NY 12804 Inspector's Initial : ,r � NAME: • �Il� PERMIT #: D- LOCATION: 5I„ c LD INSPECT ON: C 9//lloy < - TYPE OF STRUCTURE: r 1 Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents ,J Cast Iron, Copper Drain/Vent/Comm. Plumbe t/Vents in Place Cfitigh Plumbi Nail Plates ✓� ; ( tail 1 inch min. Drain Size -- ,- 1 YJ r Washing Machineain 2 inch min. � � bo ` /'Ijeator A><r Supply Test Drain and Vents 5 PSI or 10 feet above highest nection for 15__ inut Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial oope. PVC,Pex One and Two-Family Insu a on/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/No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 pit"Framing /Firestopping Inspection Report Office No. (518)761-8256 Date Inspection req e t recei c : 3 1 d T _ //a Queensbury Building&Code Enforcement Arrive: m/,„III cart: I ' 742 Bay Road, Queensbury,NY 12804 Inspector's Inz9 . ,)NAME: LAC' PERMIT#: O -0477 LOCATION: /-2 0 ( (JZ S INSPECT ON: �G TYPE OF STRUCTURE: / / \9-' Y Iol N/A V Framingl I COMMENTS Jack Studs/Headers 0 .)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 f Metal Strapping for Notches Top Plate / 1 %2(w) 16 gauge (8) 16D nails each side J 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 Drestoppjg Fire wall 2, 3,4 hourPenetration sealed / 16 inch insulation in cavity min. L/ • Garage Fire Separation • House side '/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above ove/below grade 5.0 sf grade L:\SueHemingway\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: ani„ Depart: I 1 /25 am/pi 4 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: �� ` NAME: LU 1 e- PERMIT NO.: 5 v7 LOCATION: r jv ANT t t.L--:S INSPECT ON: -2-- CS RECHECK: • Comments and/or 'a ram Soil Type: Sa / /Clay Type of Water: ipa Well WaterWaterline separcc/Iuni • d' ce ft. _ Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches Size of Stone t�j Seepage Pits: Number - Size: x • Stone Size: • Piping r "Type • Building to tank - rib / Tank to Distribution ox cc l� Distribution Box eld/Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption �� ft Separation of Pits . ,/' Conforms as per Plot Plan N ` /'t�i '"60(6-'1 Location of Syst• 's'sin Property: Fron Rea Left Side Right Side Middle Fron Middle Rear System Use Stat : 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 ACE ENGINEERIN I - .C. 169 Haviland Road, Queensbury, NY 12804 • Phone-518-745-4400 Fax -518-792- } • 0O 3_go7 • February 10, 2004 Job #46145 New York State Dept. of Health 77 Mohican Street Glens Falls, NY 12801 RE: Burnt Hills Subdivision - Queensbury(T) Lot# 6—46 Burnt Hills Dr. Septic System Dear Sir/Ma'am: This letter is to inform you that I inspected the completed septic system for the house at 46 Burnt Hills Drive(Lot#6) in the Burnt Hills Subdivision on February 11 ,2004. The septic system as installed was for a three bedroom house and consisted of a 1,250 gallon septic tank and 200 lineal feet of absorption trench constructed with stone and perforated pipe. The system conforms to the requirements of the approved subdivision design drawings. Please call me if you have any questions or concerns. Sincerely, Thomas R. Center Jr., EIT cc: (Dave.Hatin,:Town_of-Queensbury Larry Clute, Clute Enterprises Septic Inspection Report • Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: akn/Vi epart: • m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:! Y� NAME: (11' %�� PERMIT NO.: 3 t)7A LOCATION: s/_317,�li�T /�/C6.S INSPECT ON: Z-Migfig- RECHECK: • Comments and/or diagram Soil Type. Sa o Clay Type of Water Munici 1/Well Water Waterline sepa 'o stance ft. Well separation distance ft. Other wells: ft. I &) K ON Absorption Field: Total length ft. Length of each trench ft. I Depth of trenches ft. I Size of Stone 64- Seepage Pits: Number Size: x Stone Size: • Piping Si , 1 Type • • Building to tank �jL t`� Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial Location/Separations • Foundation to tank ft. • • Foundation to absorption ft. • Separation of Pits ft. Conforms as per Plot Plan Y N Location of System Property: Front Rear Left Side Right Side Middle rout Mi dle Rear • S stem Use Status: pproved .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 • 4:,r • Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: ; Queensbury Building&Code Enforcement Arrive: am/p�n�(epart: l am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: `� NAME: PERMIT NO.: l LOCATION: (_c.,; (C) -);2 Kg INSPECT ON: 1 Z 7 RECHECK: • Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length _ ft. Length of each trench ft. _ Depth of trenches _ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank T `r) fiA)1L L Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial • /A �-L'T j A F F L C — �S Location/Separations Foundation to tank /10 ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N • Location of System on Pro erty: Front Rear Left Si"e Right Side . Middle Front i dle Rear System Use Status: proved /Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:'sSueHemingway\fuilding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a m Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial . ��.L NAME: L u 4 C _ PERMIT#: o, It LOCATION: L /0 .)R 1 lcs, INSPECT ON: / �`7 t y TYPE OF STRUCTURE: Comments Y �N N/A Footings Piers onolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump • Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 • Foundation Inspection Report )01/1(11. Office No. (518)761-8256 Date Inspection requ st received: ' Queensbury Building&Code Enforcement Arrive: am/ Depart: ' am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: 0 3 ERMIT#: tc.7 LOCATION: t Q �v�t k . ASPECT ON: /-0-7 TYPE OF STRUCT : Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast per E dation I7Aatioxi\Interior Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report • Office No. (518) 761-8256 Date Inspection request received: 1t Queensbury Building&Code Enforcement Arrive: am/p (� L fepart: l • am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ` T • NAME: (...._6-6" PERMIT#: b Cj LOCATION: 02J•Y (c5 {� INSPECT ON: c*} TYPE OF STRUCTURE 2 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. Founiion/Wallpour / Ijt(inJJforcement in Place Nifi Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 of-81 Foundation Inspection Report Office No. (518) 761-8256 'Date Inspection t � ' Queensbury Building&Code Enforcement Arrive: am/pm Depth: 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: " *•. fs NAME: ,, vtRMIT#: LOCATION: _ , �(, / 2.�74f&{INSPECT ON: � / v TYPE OF STRUCTURE: Comments N lit/A oting Piers Monolithic Slab Reinforcement in Place ; ! The contractor is responsible for rJ providing protection from freezing 1, for 48 hours following the placement of the concrete. / Materials for this pu ose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump • Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Job Site Address: C� �� S,r���� Date: c ( Owner: C - �L� n c` c a Application No. File No. (20 WM Gs( WINDOW SCHEDULE Window Window Mfg. Window Unit or Rough Rough SQ'FT SQ FT SQ FT, Clear: Clear, Special Hardware or Number or Name Model Stock Opening Opening Glass/Vsib Vent Egress/Clear Opening Opening Height Instructions Letter on Or Type Number Width _ Herght le r e ng Width ru In Inches Plan Call Size tght °n a Inches 1 SS tAL4, • ® (��� - -1 t�,f "..... +ram t � •�C RacctSmO4Q.44) `t�6� �utit° %-4 (0(" 1D-• 5� ��. L3 "'Se-7� sue .e' --THIS LINE HAS EXAMPLES OF SAMPLE ENTRIES *A � Atdersens= ' Narrohne `< 3062 3t,2 1/3', � � 24-1"5/35 empered . D7 5 Z Y 'v; "'M �.. x TL 2 P ':c{ rs F I.rt;ry_.`'� r.:4x �.„.Double ... a' w+ kr ,.' f tj ,.zt $'445. "+'� uz.n... .' '`{ 9:1 I'%16 a - _ • hw. �,�t s �a � � y j. t4Glazing L:\SueHemingway\Building.Permit.FORMS\Window Schedule.doc .:-.. ... (-ha G -1,4 -4-C-LV:_. Or- Job Site Address: \ t. e"1 - (a:, cS...%--,,.....k 4--T,lk,_ i_.S... Date: Owner: . i;--,„,.‘r -fi"---, tk..,_ LLC Application No. File No. ee CA...J.V Building Permit — Calculation Sheet Fi'ltr_t, coT 1 6 2.5n Natural Light, Ventilation & Emergency Egress Requirements Habitable Area of 1 Req.Light Actual tp Req.Vent Actual 4, Sq:Ft. Remarksiolgis Cir Room Room ;TA 8%of Room Light w 4%of Room Vent FC; Opening for ; _1,-.. ------ in Area Square 41 Area Square 11 Egress AO Square 1: Footage ,-:'6 Footage 1,,U. Feet !!.44 7 ,1 t :7 La1/41 v-tw 11 t Li 2 !M CC.eS ( 157 A 1 --S -2-' G o 1 i l'o 'c2x.c.c 3 t k 0 FrA ci gat (0 ig,', ..7 to. ttil ltiqr 410. al gm 611 a 0 '01 ,,,; Isl Oi'. • i3O r,4., ,,-,5,: ..,x,g. ft :*ii LAsueHemingway\Building.Permit.FORMS\Nat.Light.Ventil.Calculation.Sheet.dOc OCT-4- L„Ji. 3-06 7 1 6 2Q03 Permit Number TOM 0:1 � Hai iri il'�iQ! � . MECcheck Compliance Report 4 Checked By/Date Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb Data filename:A:\Lot#6.cck COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 10/16/03 DATE OF PLANS:04/23/03 PROJECT INFORMATION: Lot#6 46 Burnt Hills Drive Queensbury,NY 12804 COMPANY INFORMATION: Clute Enterprises,Inc. 13 Dawn Road Queensbury,NY 12804 COMPLIANCE:Passes Maximum UA=278 Your Home= 178 36.0%Better Than Code Gross Glazing Area or Cavity Cont. . or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1252 30.0 0.0 44 Wall 1:Wood Frame, 16"o.c. 1332 19.0 0.0 72 Window 1:Vinyl Frame,Double Pane 72 0.049 4 Window 2:Vinyl Frame,Double Pane 21 0.049 1 Door I:Solid 20 0.069 1 Door 2: Solid • 19 0.069 1 Basement Wall 1: Solid Concrete or Masonry,8.0'ht/7.0'bg/5.0'insul 740 0.0 10.0 55 Furnace 1:Forced Hot Air,90 AFUE COMPLIANCE STATE 1 proposed building represented in this document is consistent with the building plans,specifications, .1: other calc ons submitted wi • . permit application. The proposed systems have been designed to meet ' opose•.Ne F'ork State,! •• •:tion Construction Code requirements. Builder/Desi y:er ��/ Date k.,,I t 40 6.3 "I 1VY Ccheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE: 10/16/03 Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Basement Walls: j ] 1. Basement Wall 1:Solid Concrete or Masonry, 8.0'ht/7.0'bg/5.0'insul, R-10.0 continuous insulation Comments: Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in.below grade. Windows: [ ] 1. Window 1:Vinyl Frame,Double Pane,U-factor:0.049 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 2. Window 2:Vinyl Frame,Double Pane,U-factor:0.049 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: Doors: [ ] 1. ' Door 1: Solid,U-factor:0,069 Comments: [ ] 2. Door 2: Solid,U-factor:0.069 Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials and 3"clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ )? Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R 11. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: [ ] All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [ ] Separate electric meters are required for each dwelling unit. Fireplaces: [ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: [ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105°F or chilled fluids below 55°F must be insulated to the levels in Table 2. 1 Tale 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 HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and k3rine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) - � �I a:3 1` 7 Check Residential Plan Review: One&Two Family Dwellings Y/N/N/A (2)Full sets of plans m, / 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: indow 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. 4"(h)x 20"(w)min. 44"Max.Height above floor 7sidential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofmg/Waterproofmg Materials On Plans Foundation Drainage On Plans,if required ver 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 V Stairway Headroom 6' 8'All Stairs 36"Width /Stair Run and Rise , ,/Winder Run and Rise } SSiral Not Allowed From 2nd Story moke Detectors Battery Backup and Proper Location ✓Bathroom Fixtures Proper Clearance /Hall Width,36"min. /Handrails More Than One Riser On Open Sides /Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. ISafety Glazing Notes For Required Areas s n/ Garage Fire Separation Floor Sloped J(1Garage ttic Access 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 • Town of Queensbury 742 Bay Road, Queensbury, NY 12804 Building & Code Enforcement Building Permit# none:(518)761-8256 Date: Fax: (518)745-4437 Email: codes@queensbury.net Dear ' . Your building permit application bas been reviewed and found lobe deficient in the following areas: These details need to be added to or noted on both sets ofplans. Please.feel fiee to contact this office with any questions regarding this matter. Sincerely, BUILDING&CODES OFFICE L:\SuellemingwayNBuildingitimiLFORMS1delicient building permit/all 2000.doc I l ' + ' f ' I ,Y 39' ,A.TAIP!,aN"'..[a., :4t r,t-I ,,,,,ACE ...t .....*••' .camas.. 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