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2003-1001 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20031001 Date Issued: Friday, August 13, 2004 This is to..certify.that wor-k.requested.to be done as shown by Permit Number P20031001 has been completed. Tax Map Number: 523400-290-000-0001-061-000-0000 Location: 20 BROOKFIELD Run Owner: T & B ASSOCIATES L.L.C. Applicant: T &B ASSOCIATES L.L.C. This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 3 Cars Attached Single Family Dwelling Director of Building&Code LynforceAnt TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20031001 Application Number: A20031001 Tax Map No: 523400-290-000-0001-061-000-0000 Permission is hereby granted to: T &B ASSOC;TATF,S T-L.C. For property located at: 20 BROOKFIELD Ruts 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: T &B ASSOCIATES L.L.C. 677 STATE ROUTE 9 Fireplace Garage-3 Cars d GANSEVOORT, NY 12831-0000 Single FamilDwelling $320,000.00 Total Value $320,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2003-1001 3392 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE $489.96 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, December 19, 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 Quee b r' ay,December 19, 2003 SIGNED BY for the Town of Queensbu ry. ry. Director of Building&Code Enforcement Building Permit Application Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY. (518)761-8256 A permit must be obtained before beginning construction. Permit File No.0 Q(� No inspection will be made until applicant has received a Fee Paid $ 1 valid building permit. All applicants' spaces on this Rec.Fee Paid $ application must be completed and must appear,on the application form. Reviewed B.Q. Applicant: ::]EA e Assoc— Owner' .,n i. Address: tie\1 81 s�D7 Address: U ' -- 3 Phone#( YY) e�j -.Lj-�k Phone# — CO Ry Proporty Location: Lot Number: 2C) / House Number Zz, Subdivision Name: �'r lc�� \9 2 Tax Map Number: j 3 Yo3 d d J or- �3 New Building: . residence /commercial 'Estimated Market Value of Construction: $ C a Addition: residence/ commercial 0 Alteration: residence/ commercial If an Addition,what will use of new addition be? 0 No change to exterior size: residence/com'1 o Other work(describe ) Check OccupancyInformation i' Floor 2"Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling o Two .. ' dwellin a Townhouse 0 Multifamily dwelling #of units o Office o Mercantile o Maaufacturin a 1 car detached garage , 0 2 car detached garage 0 3 car detached garage 0 1 car attached garage a 2 car attached garage 3 car attached garage 00 o Storage building- MID commercial 0 Storage building- residential a Other What is the proposed height of the structure,. :5 feet inches w - Will any second-hand or ungraded lumber be used? If so,for what? 3v C> Type of Heating System; electric/ oil / gas/wood /forced hot ' /.baseboard/ ther: Number of Eke,�vl_aces to be installed , Number of Foodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes; Name Address Phone Number C eA1Q— Builder -1 CI&I(, �1S -- �s o �� It Plumber ��U 'T7T Mason -. Electrician I)eclarafion: please sign below after you have carefully read the statement: To the'best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code,the Zoning ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner, Further,it is understood that Uwe 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 Butil Survey by a licensed surveyor,drawn to scale,showing actual location of all ew cons a, Signature: or,owner's agent,architect,contractor Project Naive: BP# - Address: 3re o k it iotak ?UV V-J Building Permit Submission SFD RECO V rm Checklist 2-Family l 'nn.1 �Vvv TOWN OF 0LT imNS:3ijp1y BUILDING AND CODE All items below must be checked either yes,no or not applicable prior to submission of any bull - -_ permit to the Town of QueensburyBuilding Department. If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit ApplicationL�JY�Completed ............... ..................... . ❑no ❑n/a 2. EnergyForm.or CheckMate Energy Code Compliance Forms Complete .. U 3; ❑no ❑n/a (2 copies) 3. Energy Code Inspector's Report from CheckMate Program...... ......... .. [/ yes ❑no ❑n/a (2 copies) 4. septic application completely filled out Cd applicable)..................... ... yes ❑no ❑n/a S. Solid Fuel Burning or Gas Appliance Form... ......... ............ ...... ... ... .2<11no ❑n/a 6. Electrical Inspection Form... ...... ... ...... .............................. ........ zJ ❑no ❑n/a 7. Two(2)complete sets of structural drawings... 0, ❑no ❑n/a a) floor plan;b)foundation plan;c)cross sections:d)elevations; e)window and door schedule g. Two(2)site plans showing location of the structure to be built....... ...... ❑yes Ono ❑n/a location of well or water lines,location of septic system or sewer line. 9. Setbacks frompropertyluies to new structure......... ...... ............ ... . yes ❑no ❑n/a 10. Setbacks to neighboring wells and septic systems,including onsite well... . Byes ❑no ❑n/a and septic systems (if applicable) ,- ' 11, DrivewayPermit...... ......... ... ... ...... ... .................. ............ ... ... L�5 ❑n o ❑n/a Date: Staff Initial: L:\SueHeming�'a>\Bugding.Pernur. R= RMS\Gen 'c�ecklist.doc January(Z8,2003 l Chec➢� Residential Plan Review: One&Two Family Dwellings Y/N/N/A Akl)'Full sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans:90 Wind Floor Loads 40 psf 1 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: indow Schedule With Glass Size Door Schedule/Main Entrance 36"Door mergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq.ft. 24"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK D�mpproofing/Waterproofing Materials On Plans F undation Drainage On Plans,if required 6"Drop in 10' Exterior Grade ,'Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where equired Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors a irway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise , i Winder Run and Rise Sp' al Not Allowed From 2' Story Stxioke Detectors Battery Backup and Proper Location athroom Fixtures Proper Clearance ZH 11 Width,36"min. tirails More Than One Riser On Open Sides ailing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas Garage Fire Separation arage Floor Sloped tfic Access of 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 Application for Permit=Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (S18)"761-8256 1. OWNER INFORMATION: (n� :.......... ... Location of installation: �� 10�t�1 �CY PucJ S..............:.. .................. Office Use....,.......,.......,,,,.....,.........,....... File Permit No. 3-/D Tax Map No. j Owner's Name: .5,5 C,C ; Fee Paid Address: - PAI qO C 2� 2. INSTALLER'S NAME PHONE NO. q -5 to� 3. RESIDENCE INFORMATION: (circle year of dwelling,_indicate#bedroom(s) and multiply #of bedrooms with applicable gallons per bedroom to equal to 1y o Year of House: No. of Bedrooms x Com utation = Total Dail Flow 1980 or older x 150 gal/bdrm = TjEC 11 ?00, 3 1980- 1991 x 130 gal/bdrm = TOWN OF QUEFNSBURY 1991 -present L74, x 110 gal/bdrm = y QWi G AND CODE Garbage Grinder Installed yes_ / no Spa or Hot Tub Installed yes— / no / 4.' PARCEL INFORMATION: (circle applicable information&indicate measurements) TQP_o_gra1)hv Soil Nature Ground Water Bedrock or Im envious Material Domestic Water Su 1 Flat sand at what depth at what depth municipal o ling - oam Beet feet we Steep slope clay a well; water supply _/o slope other from any septic-system depth: absorption is'I yL 1 t. other ` •f Percolation T st: (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: 1250 gallon (min. size 1,000 gal) Tile Field: each trench S� ft. Total System Length: 3� ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # Z / depth or thickness 2 y �� feet (� Bed System Size: x Alternative System: length and/or size 6. I•iOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: 12 gallons /TOTAL Capacity: !alsogallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. f 7. SIGNATURE & INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. lam"" .�/ �� - ''—•p Signa u e of responsible person Date o St;tivta•s atul SOW1,1ge Dimposa.l (:1131j)iet•. Apj ondix C t r IMI+�1,I.) ' SBA'(1tt/1.'MON ItI��Zt,3tILI�t�ll��i�1'I`:� ' PoN o n IAfF-ttr IN l/(►TR'tZ• •i •` ./� fit Lt'N••t . • 'ttit�tt� CJ�1•IC; �� 00, ., Ibua� G AS �ta�'. IIr iVSa: (� St vl lG • 11�1 tY, . h I 7. SlQ4N.,►"SURE &]riFORIviATIS 1 FM USrUN$Xwar-�rxwvi` �"�►.�•.,..�, l Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY l t ( (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to soli ented gas.appliances �[ "t691VIED I Date - , 20 Q nLE� Permit No. n "I } inn 2000 0 — 1G61 Application is hereby made to they � Ry Codes Office for the issuance o�f�5 1 9g tl ��U Permit pursuant to the New York State Fire��v ��i�iUMC�1IpWCode. The applic ip Re);NF`; y: .DE agrees to comply with all applicable laws, or tnm &I-74i and all conditions t at' a part of these requirements and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: �d �SS� Stove: wood coal pellet Fireplace insert Address: \ ��\ � Fireplace, factory-built: wood gas Fireplace,.masonry: wood gas IS 1 Z 3 Furnace: wood gas oil Phone: n��'� b$ If non-masonary applicance, please provide Owner Manufacturer Name:(-?( t Pr3�i' Model Number: �V91 Address: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue the steel size: inches Exact Address: • of construction or installation ry-Built , gt4Se Ow Manufacturer nam/,fig qe�l odel Number: Note: Listed By: Number: Construction IInstallation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wa / Triple wall /\ Insulated / Direct venting Chimney Liner I C�,schfer'�er Department—X%0VR2X of 4Psa[eCUM"bXXWW, 14'eAW Xoz-'K i Fire Marshal Code# Collected S Refunded Rec ed F'ejunded tq): ad _ A 173 3389 (190) Public Safety A 233 2655 (230)Mi or Sales DATE: r White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink K Goldenrod(Cashier's Dept.) 1 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Facto Built Gas FirMlace/Stove Infection Remort 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 fro the manufactur s instructions or,specifications is allowed. Permit# �� ( Schedule Inspection / U/ Time m anytime Ins y 1 Name C/'" Address_ �lE��o � Rough 'nal� Appliance 1Vianu ctilrer � Model Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase / Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 Beet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. �V_ YeAtow C1ast er Pink—Tire Marshal Fire Marshal's Office "Town of'Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to.solid fuel & vented gas .appliances Date � ! , 20 Permit No. t Application is hereby made to'the Building& Codes Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicableslaws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information. _ (circle appropriate words) Name: >, �r1 y ' ` .` - . Stove: wood coal pellet (gam — Fireplace insert ; Fireplace, factor built: wood (� as Address: �- .�� : �.��:>�i.�`,. �r,;'�. .....r'. p Y- .,g_, w - 5 Fireplace,-masonry: wood gas �? =, `"t : 1 . Furnace: wood 1 as Phone: }oil If non-masonary applicance,please provide _ r , Owner: Manufacturer Name: w' t Model'Number: Address: l Chimney4nformation Phone: `°' (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address: (N, of construction or installation Factory-Built Manufacturer name: % IV3ode1 Number: 0)�.! `;: X: Note: Listed By: Number:` Construction/Installationn must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. {�Double a all / Triple wall / Insulated / Direct mitnig Chimney Liner �d- Ca�ifer'�r.Departmexnt—To�x=;,of Queesi;erbury, 3�T8�yorls: - ; Fire Nfir-steal Code# $Collected $Refunded Recgi;+ec from (�'efc�ndczif to): I A 173 338,91 (190) Public Safety A 233 2655 (230)Minor Sales DATE: — • �' ,'' '{' — yi�st.�uti�— Tww✓(7i�iit�o 02 � 4"'. White(Applicant) / Green(hire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) r� Queensbury Building & Code Enforcement - Residential Final Ins ectio pr Office No. (518)761-8256 Arrive: am/p De rt:J pm Date Inspection request received: _ Inspector's Initials: ttt NAME: r he PERMIT#: LOCATION: 2=p 6&0e--,k )=I L Lim ; [> DATE: TYPE OF STRUCTURE: Comments {p Y N N/A �®r Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish 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 Enclosed Stairs Sheetrock Underside minimum %" 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 , [r Garage fireproofing/'/a hour 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 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\Buildin.R&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 1 J " Residential Final Inspection Office No. (518) 761-*8256 Date Inspection request received:/ m L 1(� (�(}�qy� Queensbury Building&Code Enforcement Arrive: am epart: pm I q 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: � ' J i NAME: PERMIT#: — ool LOCATION: DATE: Fry 0 O TYPE OF STRUCTURE: FIB Comments A lot N/A Chimney Ht./"B."Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/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: G In 5 1C Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emer.gency 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"acce s, 1 s .ft.-150 s . ft.vents Building No./Addre5;jisjilip,from ad G y 5 Final Electrical . Site Plan /Variance re ui ed Final Survey Plot Plan EWZ010 /� 10 As Built Septic S stem/Sewer e . Ins ection Sticker Lr' l• Flood Plain Certification, if required &A17 Okay to issue C/C(Cert. Of Compliance) 9-1'- Okay to issue Temporary C/O(Cert. Of Occupancy) Okay to issue Permanent C/O(Cert. Of Occupancy) ✓- 1 L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 r rp i a_:7{—•}, li.,-, ` y,,, .,. .. ... 1 rr:ry ii ;.`f.,,,,aa,,. } t'� . ':'.,1�{cad,-•.:.i'�i',`N' y.✓'u:'r-... . . Mahoney Notify-Pius Inc. P.O.BOX 767 GLENS FALLS,NEW YORK 12801 518/793-7788 FAX:51 817 93-0 6 0 2 INSPECTION COMPLETION DATE CUSTOMER: ADDRESS: ,�O Orock Field Avn r i THE FOLLOWING FIRE ALARM DEVICES",-WERE TESTED DURING OUR INSPECTION OF THE ALARM SYSTEM: FIRE ALARM"CONTROL BATTERIES FIRE ALA_RM CONTROL CHARGE CIRCUIT SMOKE DETECTORS _ HEAT DETECTORS MANUAL PULL STATIONS HORN STROBES t , DUCT SMOKE DETECTORS t: STROBE DEVICES FIRE DOORS OTHER: TRANSMISSION TO CENTRAL STATION ` AT THE TIME OF THIS INSPECTION, THE;SYSTEM-WAS;FOUND TO BE IN OPERATING ORDER. ?h'gneY dG F lf/ DATE: a ` INSPECTOR ;F DATE: CUSTOMER Town of Queensbury Fire Marshal 742 Day Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all U L]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 specifications is allowed. Permit# CQ�_ �Q _ Schedule Inspection I O Time _a�aa anytime Inspector Name `� �( � Address_ � Rough In__Final / Appliance Manufacturer Model# Direct Vent Factory:Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-®ff Valve 410 / 4—*D Combustion Air Hearth Extension (if airy) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Bndlding Dept.. ��- Yellow Cwt er 1 Pink—Dire Marshal TOWN OF QUEENSBURY BUILDING '& CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518)745-4447 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT COMMERCIAL ------ MULTIPLE DWELLING (hotel, motel, apt. complex) DATE INSPECTION REQUEST ECEIVED: NAME LOCAT )� DATE nou PERMIT A I TYPE OF STRUCTURE 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. F L SURVEY PLOT PLAN IF RE OK TO ISSUE C/O OR C C Q COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Q Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No........................................Cert. m Cut-in Card No.............................�® 75943 � Owner............... .. .y....� _�J. °..e..................................................................................................../ Location. �1""z' � � C�L�D ..........................! � .... Installation Consisting of.5�� 7. f.. ... }. ...........................;........... . '��f..,t .�P... ..,rs�f....s c�..... ... '��...................... ...... ......... ....... : ° d......... ........................................................................... Installed By...........`......' ...... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of makin ' spections at any time, and if its rules are violated,the Company shall have the right to re ke thi cert' icate C(f�i Date.....kn..G...�. ........... INSPECTOR. .. Memher N.F.P.A..1.A.E.1. Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ m )Depart: am/pin 742 Bay Rd.,Queensbuly,NY 12804 Inspector's Initials: NAME: �� PERMIT NO.: LOCATION: INSPECT ON: RECHECK: Comments and/or diaEram Soil Type.' d/Lo Clay— Type of Water: Municipal fWell 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 -A. Size of Stone Z� -Seepage Pits: Number Size: x Stone Size: Pipin2 SizP T Building to tank Tank to Distribution Box Z-0 Distribution Bo ld/Pit Opening Seal : Y /Partial Location/Separations Foundation to tank ft. Foundation to absorption Separation of Pits ft. Conforms as per Plot Plan VY N Location of System on Property: oFrontRear Left Side Right Side Middle Front Middle Rear S stem Use Statu l Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LASueHerningway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Aug 09 04 09: 12p Michael Cha 518-696-2047 p. 2 olop 077� ECE ado AUG 1 0 Z004 7 TOWN OF QUEENSBURY q it LI -I 7 t 1 < / Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: 4VIa-m1p .- Queensbury Building&Code Enforcement Arrive: am/ m epart: m 1 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: �� _ PERMIT NO.: 0o LOCATION: 0 INSPECT ON: 0 RECHECK: Comments and/or diagram Soil T Sand%Loam Type of Water: u—nicipalQ 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 2� Seepage Pits: Number Size: x Stone Size: Piping size, Typel Building to tank �. Tank to Distribution Box w t• �N��L �C�J � ��'� Distribution Box to Field/Pit a PDv l opening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Col.,-f-ne-T6 (&L> Foundation to absorption ft. Separation of Pits ft. A koA-4— Conforms as_per Plot Plan N Location of System on Property: Fion Rear Left Side Right Side Middle Front Middle Rear System Use Status: pproved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:'eSueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspetion Report 1P Office No. (518) 761-8256 Date Inspection reques a ive ads o ueensbu Building&Code Enforcement Arrive: 'Q ry g p art: a 742 Bay Road, Queensbury,NY 12804 Inspector's Initi s: NAME: l3 4ad(f- PERMIT #: LOCATION: ram" + -- 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 1 % 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 C CPVC,Pex One and Two-Family nsulatih"esidential Check/Commercial Chec 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.luspection.FORMS\Rough Plumbing Insulation Repoit.doc November 17,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection re est ec ve Queensbury Building&Code Enforcement Arrive: m/p art: ": '� ai� 742 Bay Road,Queensbury,NY 1.2804 Inspector's Init' Is- ion NAME: 17 PERMIT#: LOCATION: G INSPECT ON: TYPE OF STRUCTURE: Y N :lip/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 t/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 fiom wall Fire separation 1, 2, 3 hour Fire w 2, 3,4 hour Frzs r 7s pp Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 11/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\Suel-Iemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Za Office No. (518) 761-8256 Date Inspection re ue;t ec ived: Queensbury Building&Code Enforcement Arrive: a p epart: - 742 Bay Road, Queensbury,NY 12804 Inspector's Initial NAME: 1 C)C, PERMIT#: 0 LOCATION: INSPECT ON: S- —0� 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 Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %z 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 Fir all 2, 3,4 hour irestopping 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/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 i Rough Plumbing / Insulation Inspection Report ] Office No. (518) 761-8256 Date Inspection reque re eiv d: Queensbury Building&Code Enforcement Arrive: p art: 742 Bay Road, Queensbury,NY 12804 Inspector's Initi s• ' NAME: PERMIT #: 0)77 `� LJ LOCATION: INSPECT ON: ---O t-O C\ TYPE OF STRUCTURE: s� 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 1 % inch min.Drain Size Washing Machine Drain 2 inch ndn. 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 Coope5_Gommercial CqpKer,CPVC,"Pex One and Two-Family jm`Qlation/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 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection requ re eived: ei Queensbury Building&Code Enforcement Arrive: a pm e 742 Bay Road, Queensbury,NY 12804 Inspector's Initi s- NAME: , PERMIT#: boa 3 — l0 o LOCATION: INSPECT ON: '9 A, TYPE OF STRUCTURE: V Y N ' N/A COMMENTS Framing Jack Studs/Headers �✓� Bracing/Bridging (f/ Joist hangers ` Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 3 6 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate �! 1 %2(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses ` J 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 irl� e op`ping �,�G°�"�, �_� iC;✓/ Penetration sealed ��- 16 inch insulation in cavity min. 5�,� ' Garage Fire Separation House side '/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall ` � �� ,'�!>✓ Windows Habitable Space/Bedrooms \ � 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Building.Codes.Inspecti on.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing /Firestopping Inspection Report Office No. (518) 761-8256 Date Iri ection reque eceiv d Queensbury Building&Code Enforcement Arrive: '—a n ep 0 a in 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials NAME: 1 r-� ��= PERMIT#: �l LOCATION: ab � s > >r-i INSPECT ON: TYPE OF STRUCTURE: L� Y N N/A CONTENTS Framing Jack Studs/Headers t Q C5 CAT-k\ Bracing/Bridging Joist hangers �a�'��'q �3�'� Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. `—C> C 6_, k__1 Stairwells 36 in. or more ti�1\�� u=`N Lib 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 w 2, 3,4 hour estopping 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 �'�5� J-t> Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20'in. (W) _ 5.7 sf above/below grade 5.0 sf grade C \_1 LASueHemingwayV3uilding.Codes.Inspection.FORMS\Framing Firestopping inspection Report.doc January 28,2003 J f. d� I" I Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request c ive o Queensbury Building& Code Enforcement Arrive: p part: yin 742 Bay Road, Queensbury,NY 12804 Inspector's Ini ' F NAME: 8 61tcK - PERMIT #: 3-!aO LOCATION: ,:PL6 47(elll -- INSPECT ON: /l TYPE OF STRUCTURE: ` Y N N/A R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/ Comm. Plumbin t/Vents in Place R u h Plumi > /Nail Plates 1 % 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/chan a of direction Water Supply Piping Cooper Commercial Cooper, CPV �ex d-Two-Famil 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/No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Repoit.doc November 17,2003 Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request ceived: Queensbury Building&Code Enforcement Arrive: a in De, ; a pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initia NAME: 0 PERMIT#: Zlm-2) 1� LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test "SZ Drain and Vents 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 COMMENTS: L:\SueHemingwayll3uilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Repori.doc January 28,2003 Framing /Firestopping Inspection Report } Office No. (518)761-8256 Date Inspection reque ce, e Queensbury Building&Code Enforcement Arrive: a pn 742 Bay Road, Queensbury,NY 12804 Inspector's Initi s: r NAME: k PERMIT#: V Q LOCATION: I df INSPECT ON: TYPE OF STRUCTURE: Y N /A ®IVEVIEIVTS arcing Jack Studs/Headers Bracing/ ridgin 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 %z(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 scaled 16 inch insulation in cavity min. Garage Fire Separation House side %inch or 518 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date lnspectio rrr e st e ei ed: Queensbury Building&Code Enforcement Arrive: \ -\ p Depart: �;�am/pm 742 Bay Rd., Queensbuiy,NY 12804 Inspector s Ini I s: NAME: V P RMIT#: no LOCATION: U SPECT ON: TYPE OF STRUCTURE: I Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 12 inch width 6 in s above footing mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc,January 28,2003 f Y� 4 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: U Queensbury Building&Code Enforcement Arrive: am/pr f epaa` 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: ( - PERMIT#: — u LOCATION: INSPECT ON: U 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 e 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 Bacl fill Ap oval ing.Under'Slab PVC/ ast/-Copper -- e Pb'Undation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L: eHemingway\Building,Codes.Inspection.FORMS\Fo datio ispection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p e art: am/pm 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials: NAME: PERMIT#: U(J LOCATION: INSPECT ON: --� TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %(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 snow shield 24 inches from wall �LC-� Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour �• �j v ( _ U CCU Firestopping 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/below grade 5.0 sf grade LAS ueHemingway\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Deport Office No. (518) 761-8256 Date Inspection reque t received: Queensbury Building&Code Enforcement Arrive: am/p Depart: m 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: l PERMIT#: LOCATION: aft/1= INSPECT ON: 7✓ s TYPE OF STRUCTURE: Y N 'N/A COMMENTS Framing Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 3 6 in. or more Headroom 6 ft, 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %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 t 6 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Building.Codes,Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: + . Queensbury Building&Code Enforcement Arrive: am/pm Depart: a pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials• NAME: PERMIT#: C)3 I o o LOCATION: INSPECT ON: ' fG TYPE OF STRUCTURE: Co ents Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing oundation/ aterproofing 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 IV Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L\SueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report % Office No. (518)761-8256 Date Inspection re t re eive . Queensbury Building&Code Enforcement Arrive: am/pm part: a 742 Bay Rd., Queensbury,NY 12804 Inspector's Initia s: c NAME: PERMIT#: LOCATION: INSPECT ON: — TYPE OF STRUCTURE: omme/ts 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 s 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 a Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.InspectionTORMS\Foundation Inspection Report.doc January 28,2003 �l Foundation Inspection Report Office No. (518) 761-8256 Date InspectiIrcecei e V J Queensbury Building&Code Enforcement Arrive: e Depart: a pm 742 Bay Rd., Queensbury,NY 12804 Inspector's InNAME: (� #: �1 LOCATION: U 'e, INSPECT ON: / TYPE OF STRUCTURE: 4 — 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 t� of the concrete. M ials for this purpose on site. s undation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request,receiyed: Queensbury Building&Code Enforcement Arrive: ,y V am/.pm � '' Depart: �arn/p - 742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials: C)3---/-00 NAME: VV PERMIT#: LOCATION: 1 ! INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A tings 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/Wallp our 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 Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code R CO VED REScheckSoftware Version 3.5 Release la nEC 11 Anna Data filename:Untitled.rck �°•..; TITLE:TB200.DGN- "THE CONLON" YC"WN OF QU1FFNS13URYkU1LD,1N(3 ND CODE COUNTY: Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 12/04/03 DATE OF PLANS: 12/03 PROJECT INFORMATION: #20 BROOKFIELD BROOKFIELD ESTATES TOWN OF QUEENSBURY,NY T&B ASSOCIATES COMPANY INFORMATION: DANFORTH H. CHRISS ,��QF "1'YO #27 ELECTRIC AVE. C�Q'4i�V- J.C{�, EAST GREENBUSH,NY 12061 , . COMPLIANCE:Passes ��=�`�- Maximum UA=695 Your Home UA=601 `'" 13.5%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 10 30.0 0.0 0 Ceiling 2:Flat Ceiling or Scissor Truss 130 30.0 0.0 5 Ceiling 3:Flat Ceiling or Scissor Truss 18 30.0 0.0 1 Ceiling 4:Flat Ceiling or Scissor Truss 638 30.0 0.0 22 Ceiling 5:Flat Ceiling or Scissor Truss 1588 30.0 0.0 56 Wall 1:Wood Frame, 16"o.c. 2387 19.0 0.0 119 Wall 2:Wood Frame, 16"o.c. 1505 19.0 0.0 80 Basement Wall 1: Solid Concrete or Masonry 1981 11.0 0.0 120 Wall height: 8.6' Depth below grade: 7.6' Insulation depth: 8.6' Window 1:Vinyl Frame:Double Pane with Low-E 286 0.340 97 Window 2:Vinyl Frame:Double Pane with Low-E 22 0.350 8 Window 3:Vinyl Frame:Double Pane with Low-E 63 0.340 21 Window 4:Vinyl Frame:bouble Pane with Low-E 65 0.350 23 Window 5:Vinyl Frame:Double Pane with Low-E 36 0.300 11 Window 6:Metal Frame:Double Pane with Low-E 20 0.370 7 Door 1: Solid 18 0.160 3 Door 4: Solid 20 0.160 3 Door 2: Solid 39 0.320 12 Door 3:Glass 40 0.310 12 Floor 1:All-Wood Joist/Truss:Over Outside Air 10 19.0 0.0 0 Floor 2:All-Wood Joist/Truss:Over Outside Air 18 19.0 0.0 1 Boiler 1: Other(Except Gas-Fired Steam), 86 AFUE COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code. /n� t Builder/Designer J l Vb Date l A '(EOF NEIVY CD PEES J.C�O,p� G F� cc * .i w C? 041133 �Ofi�5S10NP REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release la DATE: 12/04/03 TITLE: TB200.DGN-"THE CONLON" Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R 30.0 cavity insulation Comments: 1 ST FLR.FIREPLACE CEILING W/ 10"F.G. [ ] 2. Ceiling 2:Flat Ceiling or Scissor Truss,R 30.0 cavity insulation Comments: 1ST FLR.LIVING ROOM CEILING W/ 10"F.G. [ ] 3. Ceiling 3:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: 1ST FLR.WALKOUT BAY CEILING W/ 10"F.G. [ ] 4. Ceiling 4:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: 1ST FLR.MASTER BEDROOM&BATH CEILING W/ 10"F.G. [ ] 5. Ceiling 5:Flat Ceiling or Scissor Truss,R 30.0 cavity insulation Comments:2ND FLR.CEILING W/ 10"F.G. Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R 19.0 cavity insulation Comments: 1ST FLR. 9 FT.WALLS W/FLR.RIM&W/6"F.G. [ ] 2. Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments:2ND FLR. 8 FT. WALLS W/FLR.RIM&W/6"F.G. Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry, 8.6'ht/7.6'bg/8.6' insul, R-11.0 cavity insulation Comments: 8"POURED 9 FT.FOUNDATION WALLS W/3"F.G. Windows: [ ] 1. Window 1:Vinyl Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: 1ST FLR SIMONTON PROFINISH VINYL SH&OTHERS LOW E/ARGON WINDOWS [ ] 2. Window 2:Vinyl Frame:Double Pane with Low-E,U-factor: 0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments:1ST FLR SIMONTON PROFINISH VINYL ROUND TOP FIXED LOW E/ARGON WINDOW [ ] 3. Window 3:Vinyl Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments:2ND FLR. SIMONTON PROFINISH VINYL SH LOW E/ARGON WINDOWS [ ] 4. Window 4:Vinyl Frame:Double Pane with Low-E,U-factor: 0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments:2ND FLR. SIMONTON PROFINISH VINYL ROUND TOP FIXED LOW E/ARGON WINDOWS [ ] 5. Window 5:Vinyl Frame:Double Pane with Low-E,U-factor: 0.300 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments:2ND FLR SIMONTON PROFINISH VINYL CASEMENT LOW E/ARGON WINDOWS [ ] 6. Window 6:Metal Frame:Double Pane with Low-E,U-factor: 0.370 For windows without labeled U-factors, describe features: �1 #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments:BASEMENT 5 FT.X 4 FT.LOW E WINDOW AS PER CONTRACTOR I Doors: [ ] I 1. Door 1: Solid,U-factor: 0.160 Comments: 1ST FLR THERMA TRU 2868 FIREDOOR [ ] I 2. Door 4: Solid,U-factor: 0.160 Comments:BASEMENT THERMA TRU 3068 FIREDOOR [ ] I 3. Door 2: Solid,U-factor: 0.320 Comments: 1ST FLR.THERMA TRU FRONT DOOR W/SIDELITES [ ] I 4. Door 3: Glass,U-factor: 0.310 I Comments: 1 ST FLR SIMONTON PROFINISH VINYL 6068 LOW E/ARGON PATIO DOOR I Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss:Over Outside Air,R-19.0 cavity insulation Comments: 1ST FLR.FIREPLACE FLOOR W/MIN. 6"F.G. [ ] I 2. Floor 2:All-Wood Joist/Truss:Over Outside Air,R-19.0 cavity insulation Comments: 1ST FLR.WALKOUT BAY CANTILEVER W/MIN. 6"F.G. Heating and Cooling Equipment: [ ] I 1. Boiler 1: Other(Except Gas-Fired Steam), 86 AFUE or higher Make and Model Number We(L. M C-L N k 11J — (L_ 1-k j L()ATU51(_ I i 4A (2t Air Leakage: I [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls, and floors. I , 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. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I 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. [ ] I Supply ducts in unconditioned spaces must be insulated to R-11. [ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. I Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. I Exception:Continuously welded and locking-type longitudinal joints and seams on ducts I operating at less than 2 in.w.g. (500 Pa). [ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] I Air filters are required in the return air system. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: f 1 I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [ ] Separate electric meters are required for each dwelling unit. Fireplaces: [ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: [ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55 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(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 i 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 Brine Below 40 1.0 1.0 1.5 1.5 " tT S TO FIELD (Building Department Use Only) LOT 18 54 acres rA LOT 20 Its 22 DECEIVED DEC 12 'MC-3 TC)WN OF QUEF.NSBURY BUILDING AND CODE -o5 -t O N O r) 00 zw MAP REFERENCES: PHASE II BROOKFIELD E5TATE5 DATED DECEMBER 7. 1987 LAST REVISED JUNE 7. 1988 BY VAN DU5EN + 5TEVE5 LAND SURVEYORS MAP OF A SURVEY MADE OF LOTS 20 AND 22 IN BROOKFIELD ESTATES SHOWING A PROPOSED BOUNDARY LINE ADJUSTMENT DATED MARCH 9. 2004 BY VAN DUSEN + 5TEVE5 I IIt/ll 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 TO- CNDY A. CERRO-CONLON HUDSON RIVER BANK + TRUST COMPANY. IT'5 5UCCE55OR5 AND/OR ASSIGNS CHICAGO TITLE N5URANCE COMPANY CERTIFIED BYl—,---------------N------�-- MATTHEW C. 5TEVES. LL5 NY5 50135 DATEDi MARCH 9. 2004 JUNE 29. 2004 � an Du s eh Steves Land Surveyors 169 Haviland Road Queensbury, New York 12804 (518) 792-8474 New York Lic. No. 50135 UTILITIES LOT 16 S84°49'54'E 200.00' LOT 20 REVISED I 64,626 sq.ft. J v' 1.48 acres N � b N HOUSE _ 159.66' N86°49— 2-- W ASPHALT DRIVE 94.42 BROOKFIELD RUN '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 FROM THE ORIGINAL OF TH15 5URVEY MARRED WTH AN ORIGINAL OF THE LAND 5VKVLYORS SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES.' 'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE KITH THE E JSTING 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 A551GNEE5 OF THE LENDING INSTITUTION.- R,2y. Map of a Survey made for CINDY A. CERO -- C ONLON Town of Queensbury, Warren County, New York SS 19 2� BOUNDARY IV 2g,F LINE ADJUSTMENT • Ste, WELL CO Cli -51 O ,� CO � N I G-29-04 NO. DATE b FINAL UPDATE DESCRIPTION LOT 22 Ec�,v ED R AUG 10 Z004 TOWN OF QUE p CO EY BUILDING AN E. 46 c o e. 0 atel MAl< UH ti, CfUUq cale 1'=30' S-1 SFEET 1 OF 1 CERO-CONLON DWG. NO. 8GG71-20