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2001-110
TOWN OF QUEENSBURY IOW 742 Bay Road, Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010110 Date Issued: Tuesday, July 10, 2001 This is to certify that work requested to be done as shown by Permit Number P20010110 has been completed. Tax Map Number: 523400-295-011-0001-021-000-0000 Location: 65 SARA-JEN Dr Owner: GUIDO PASSARELLI Applicant: MICHAELS GROUP This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached Fireplace (-- 4' : Director of Building& Code Enforcement • /r----��._� TOWN OF QUEENSBURY 44_, 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Vet:0 Community Development-Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010110 Application Number: A20010110 Tax Map No: 523400-074-000-0002-086-000-0000 Permission is hereby granted to: MICHAELS GROUP For property located at: 65 SARA-JEN 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: GUIDO PASSARELLI Single Family Dwelling 177,900.00 40 LEHLAND Dr Garage-2 Cars Attached QUEENSBURY,NY 12804 Fireplace Total Value 177,900.00 Contractor or Builder's Name./ Address Electrical Inspection Agency MICHAELS GROUP NEW YORK BOARD.OF FIRE UNDEI SUITE 1 10 BLACKSMITH Dr MALTA,NY 12020 Plans & Specifications 2001-110 lot 86 #65 SARA JEN DRIVE 2321 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $300.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday, March 23,2003 (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 To of Q ens Fri ,;►` 23,2001 SIGNED BY - `Sk, for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbuly - Dept. of Conununiry Development, 742 Bay Road, Queeus/n,ry, NY 12804 /7G1-825O/ (NOT-0 • BUILDING (* . CODE ENFORCEMENT ICE Requirementsprior to issuance 1 ( /�p A permit must be obtained before of this permit: • PERMIT FILE NO, e��—/ beginning construction. No inspections 3ty-O OS Ff will be mnde until applicant has received 7 Zoning Board Action PERMIT FEE PAID 3+ , a VALID BUILDING PERMIT. All Area /Usc fe1% 2) , applicants' spaces on this application RECREATION FEE I LI 3 MUST be completed arid.the signature [l Planning Board Action e of the applicant•must appear cal the REVIEWED BY.' tpplication form. t�,x y. SPR / Subdivision /Other Buildingr,upxanr ,� �II J Recreation Fee Payment Applicant; �l�l t i�1lCY18S G)tie,c)k.. p Owner: SzrnE. -."_.. ' Address: %C8(�11t Da. N6 ,,Aq, pZb Address: Phone \ # (rjl,(_) goaa - ( \,` Phone # ( ) Property Location; (O5 Sa l ) ,�-}•._ L/ �� . Subdivision Name;. Tax Map Number --1-1._/ / Section Black I nt NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE X New Building: CONSTRUCTION: $ %11 residence / commercial Addition to Building: • residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial X , Single Family Dwelling Residence / Commercial Two Family Dwel no change to exterior size . Family Dw.xt4 SCEW`"D Office Other Work (describe below) Mercantile MAR 1 92001 Manufacturing Other �'0�1/NOFG�UEENSBURY /(� GROSS AREA OF PROPOSED STRUCTURE: 74 • BUILDING AND CODE 1st Floor 0,,1A- sq. ft . f/� IP If ADDITION, what will use 2nd .Floor \t y s , ft. of new addition be? ; Other Floors q � sq. ft . S' (not unfinished cellar or base.uentc ACCESSORY BUILDINGS : n Detached Garage 1 , 2 c.r. h TOTAL FLOOR AREA: �j�1 �� 6 X Attached Garage 1 , 410 Private Storage Buy. • ng SIZE OF NEW STRUCTURE : Commercial Storage Building 57. FEET X FEET Other Foundation Type : �cYvm Will any second-hand or ungraded ' Number of Stories : lumber be used? If so, for what? (habitable space only) n Hc, Height (grade to ridge) : A feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove ( circle' all which a.plies ) to be installed: 1 Electric / Oil / ere / Wood Forced Hot ,Air / Baseboard / Other Person responsible for supervision of work as regards to building codes is : 13v,\ LbrnlaGri cw 1?se,\ k L -€\t Nee A.dre s- Phone Builder: I,. ,. . .. 0 t u ►. A .Vt o ,-1 Plumber: r .. - - • ., .. • �«�.:.��c. Win.. . 2 C� A . Mason: 11 . ,�.- - .� - • s � "R�� mil' i� �L C • � 1 ,� � eZ- ----- -----El ctr1c an: _�, . ; ._ ---- - —4 � -- --- _2t . — —.. DECLARATIOZ' 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 I/we shall submit prior to a Certificate of Occupancy''or Certificate of Co pliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; awn to ale, s owi actual location of project on premises. Signature: -0 (o ner, owner's agent, architect, contractor) Application for Permit-Septic Disposal System Town of Queensbttty 742 hay Road Queen bury, NY 12804 (Sill) 761-8256 1. OWNER INFORMATION: t Office. We Location of installation: t'Q`J C •('a, LCL.U.u.; I Tax Ma No File Permit N �i�l/J ��6 p . 7i' / � / 86 • Fee Paid Owner's Name:T'rV 1Vie`5 A72_0� t\ y t Address: `Q la\<< 5\`(\tt�1 .\ ,, A-. l Q (..) 2. INSTALLER'S NAME : \ �a v Y\ PHONE NO. (023-- \CPj 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate #bedroom(s) and multiply 11 of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow' 1980 or older ° ' x 150 gaVbdrm = • 1980- 1991 x 130 gal/bdrm = MAR 1 1991 -present V x 110 gal/bdrm = y fir 0 2001 Garbage Grinder Installed yes / no �' P Whirlpoolyes_ / no X I LDi O�tt��C:O Spa or Installed �, 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) IcaQgraphy Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supper plal� Lrand'') at what depth at what depth municipal) Rolling loam -(' feet feel t--- . Steep slope clay if well; water supply _%slope other • from any septic-system depth: _ _ absorption is __A • Other • Percolation Test: (To he completed by licensed pr architect) engineer or architec -__.-_.__..__._ l Rate: __ L.___..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: •LMCLi gallon (min. size 1,000 gal) Tile Field: each trench ,h ft. Total System Length: 2 ( 0 ft. • Seepage Pit(s): number of_ size of each: fl, by- f[. . Size of Stone to be used: II __� / depth or thickness_ ____ _ feet Bed System Size: x Alternative System:_ , ---------- length and/or size _ -_ _- ---- -- - _- -� • 6, HOLDING TANK SYSTEM: (if required) Number of tanks: N.X, / Size of each: gallons /TOTAL Capacity: gallons --Note:Alarm System and associated electrical work st be-iiispacted bya Town approved __ -- electrical inspection agency. 7. SIGNATURE & INFORMATION FOR RESPONSIBLE PERSON (please read) For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the own of Queensbury nitary Sewage Disposal Ordinance. ./ > / Lam' �!jf Signature of responsible person Date • Fire Marshal's Office ' Town of Quccnsburv. 742 Bay Road,Queensbury, NY (518) 761-8205 Application for Fuel Burning Appliances &.Chimneys.. applicable to solid fuel & vented gas appliances • Date_ aC' e., 20 CO Permit No26 ,'H /0 Application is'hereby made to the/3ui/ding& Codes Office fOr the issuance of a Building and Use Pernut pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinrarrces, regulations, and all conditions that are part of these requirements and also will allow all inspectorsto enter premises to perform required insJiectiorrs. NOTE to applicant: Rough-in and Final Inspections are required. • Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name:I \ g Car..IT Stove: wood coal pellet gas ` k Fireplace,ifacto Address: Fireplace factor}�-built: wood CO " . P_o.,. ) Fireplace, masonry: wood gags a Furnace,: wood oas oil Phone -- '1`k. If non-masonary applicance, please provide Owner: SNilii. Manufacturer Name: Address: • Model Number: Chimney Information . Phone: . (circle appropriate words) ` Masonry block sick stone Flue tile CIO size: inches Exact Address: r . • of construction or installation Factory-Built • i_o-i- 76 Manufacturer name: Model Number: Note: Listed By: Number: Construction /Installation must conform to NYS Fire Prevention & Building Indicate (circle) chimney material: • Code. Consult available Tot>>n of Queensbu y • - Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting Clrinu,ev Liner C`a.ass er',s 1.7epa t-timextt— Tow-xi of Qu�ezzta-bty ivy, Newiir.1?'4c,x- is 1 r • .- Fire Marshal Code# S C , , • ollected S Refunded Receirid.li•ori, (refunded to): A. • * �' — . /��r�^'`�p,_ Q. address. V ' �_^� A 173 3389 (190) Public Safety \ t A 233 3655 (230)Minor Sales 07 _ . a p.ve..1- Go - T w.v 66.44 02 •Del,x1• • White(Applicant) ! Green(Fire Marshal) / Yellow(131de.. Dept.) ,' Pink.(K:Goldenrod(Cashier's Dept.) � TOWN OF QUEENSBURY �twAw�11 BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12©04 • (518) 761-8256 ARRIVE: DEPART: INSP: "`.J FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION R. UEST RE VED' NAME 1^\ k_ / LOCAT'IO DATE PERMIT TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING _ ROUGH PLUMBING _ SEPTIC _ INSULATION • FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO 1 CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGH OTHER FLOORS SWEEPAB E OTHER FLOORS CAR TED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS • BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION 1 • GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PL VARIANCE REO• / F AL SURVEY PLOT PLAN ICJ ' OK TO ISSUE C/O OR C/C FIRE MARSHAL • 4 'an, TOWN OF QUEENSBURY • - QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT# i — I/� NAME Mr: - s 64P, f LOCATION 65 4 \I C'N SCHEDULE INSPECTION ON 7//v/d I AM PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS _ EXIT SIGNS • EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYST:M HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRIN ERS CLEARANCE TO HEATINe UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT -El 1JI\- - REMARKS: [ J OK TO THIS DATE diee INSPSLIP.PUB INSPECTOR if Qo RESIDENTIAL FINAL INSPECTION REPORT /D 04)Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement / Dept.of Community Development Arrive am/pm Depart Town of Queensbury Inspector's Initi s 742 Bay Road Queensbury,New York 12804 NAME Q, \5( C1.9PnG('tV PERMIT#c:=200/ Vi/I2 LOCATION ff YC —'S . DATE —1 p— � TYPE OF STRUC G N/A YES/ NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location of f/ Fresh Air Intake I Plumb Vent through roof • Roof Complete I I Exterior Finish Complete ,/ Interior/Exterior Railings 30"to 36" :/ //, Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate / Gas Valve shut-off exposed/re! ator 18'above grade n// Gas Furnace shut-off within 30 eet or wi ' line of site �, ✓ Oil Furnace shut-off at entran _to furna.e area Furnace/Hot Water Heater oper;ling Relief Valve(s)installed ,/ Headroom,6 ft.6 in.on stairs // Basement stairs,6 ft.4 in. V Handrail exterior stairs both side:more than 3 risers Interior privacy/trim/doors/ya'+ - trance 36" Floor Finish // Bathroom/Kitchen watertight / Interior Handrails Balconies/Landing 8 in.or more ,/ / Railing across window in stairwells Smoke Detectors: every level f every bedroom t// outside every bedroom .1 inter connected ✓/t/ Bathroom fans Plumbing fixtures /' Foundation insulation �/� 3/4 hour fire door/door closer /// Garage fireproofing_Garage penetrations sealed / Furnace in separate room protected(in garage) / - / Light ventilation per room J J Safety glazing 18" 5r less om floor �, ✓ Final Electrical� 1.1 P) Site Plan/Varianceyequired Final Survey Plot Plan :/./ As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: 1 °/ Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm DepartFie)qn/ m Inspector's Initials (� NAME: / am 6 PERMIT# Cf / ��c LOCATION: - ✓� DATE : j '/9r2)/ TYPE OF STRU�TURE: � RECHECK N/A YES NO COMMENTS Footings/Piers �, I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the plac' ent of the concrete. Materials for this purpose on s' e Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P1 Rough Plumbing Hefting sough-In Insulati$ 41 el-- Foundation Walls Interio R- Foundation Walls Exteri r R- Floors Walls - Ceiling Duct work or piping in unheated spaces Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury 1 J U Dept.of Community Development Date inspection request received: I Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive atn/pm Depart r >/ m Inspector's Initials '4 NAME: IAA: c,[n e C S PERMIT# 7f.X.A- C.O LOCATION: r U T . DATE: Sy/7/0 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers r--1 Monolithic Pour Form Reinforcement in Place The contractor is respons .le for providing protection from reezing for 48 hours following the • acement of the concrete. Materials for this purpose on sit. Foundation/Wallpour Reinforcement i I Place ,. Foundation/Damppr. Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In 4 � j"'L1. *Insulation ��5�( - t�bC� j Z Foundation Walls Interior R- GH A-SC: Foundation Walls Exterior R • - Floors R- Walls R- 1 Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent t/ Framing Jack Studs/Headers j i C C K C K. Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping FIRE MARSHAL , „. TOWN OF QUEENSBURY °�r j < QUEENSBURY, NY 12804 .js ••`._ (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME Ott Ci'iq -(t 69f E LOCATION C5 4 -211—,,IC^IPERMIT# /J /C 0 SCHEDULE INSPECTION ON /`f d 6 AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SY TEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKL:RS a . _'TING NITS I INSPSUP.PUB NSPEC1 or( I , GENERAL INSPECTION REPORT ge;;(d (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement qrtt •742 Bay Road �� I Queensbury,NY 12804 Arrive am/pm Depa an , Inspector's Initials dil. NAME: 1 - \ PERMIT# 0 — LOCATION: AYCL `e,lrN. (>�/ DATE: G TYPE OF STR TURE: - Th RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form 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 Backfill Approval Plun ing Under Slab7,,,. Pl bing Vent/Vents in Place d nggRoutsing ,/V Insulation Foundation Walls Interior It- Foundation Walls Exterior R- ..-- Floors -R- Walls R- Ceiling R- Duct work or piping in nheated spaces R- Pro.-r Vent,Attic Vent ric.8ta 9I 1 - ! Ir Jack Studs/Headers Bracing/Bridging Joist Hangers / Jack Posts/Main Beam ✓ Air Infiltration Barrier Fire S: •ration 1,2, 3,hour Pen: ration Sealed Fi Wall 2,3,4 hour / ice res o ing �1 W �` GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road •, Queensbury,NY 12804 Arrive�Z4�am(�_Depart! .':a Inspector's Initia • �6N—.zAar NAME: H lcAARE< 6 v�o v 1 PERMIT • it — • LOCATION: ( 5 c/) pp__ DATE : 4. —' -�► TYPE OF STRUCTURE: 6 F-D RECHECK • N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form 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/Walipour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place • Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R • - Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam VAr Infiltration Barrier e,Scl-},FC 1L EbJ ) M WASP—6'E-t0O lNA Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive7'",5 a',1.y Depart W n \\ Inspector's Initial NAME: \C1\ c \✓ �Y PERMIT# LOCATION: �p 5 G YG��QmC k,� DATE: TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form 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 Backfill Approval Plumbing Under Slab 111 Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers J k Posts/Main Beam Vdf Infiltration Barrier Fire Separation 1,2, 3,hour ��— � � Eixj Penetration Sealed 5C ¢>p,n Fire Wall 2,3,4 hour 'mil AW pp Q E S\°� Fixesto ing l --40/, 4i7 TOWN OF QUEiNSBURY BUILDING &_CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 • (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION kz Name Location &51 .,C%J)(Z.." Date ' ',f,, Permit `//6 SOIL T PE: Sand Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: t ABSORPTION FIELD: Total Lengip '," Length of each trench • 5 5 / Depth of trenches . 3 / Size of stone /40:R 7144 a SEEPAGE PITS: `;Number- . /, Size - ft. x eft. Stone size / PIPING: Size Type Bldg. . to Tank '.., VI 4r3 g-"7'5 Tank to Dist. Box ..y Dist. Box to Field/P;i t 6 to Openings Sealed? No Partial LOCATION/SEPARATIO Foundation to Tank t feet oundation to Absorpti o i 'feet Separation of Pits / , _ reet -'Conforms as per Plot El ana No LOCATION SYSTEM ONE PROP�ERT(circl one N Front - Rear Left Side - Right Side Middle - Mid e Rear COMMENTS: : 6-,c, A — 6111-6-17 Ai} 6 t r ._ SYSTEM USE A''PROVED: YES NO Arrived: '..- Departed: AK 1 . Building Inspector ofil o:t- . „ 0'•(.., ' -• • • yr' -' - •11, --'- '1.-- - --11 - ----->--, .' 4Z • 1 /-2 < c)-• ------- .-13,);-y„ ) -;e: • • . , ••------__ (.2 ......._.) _. w 0 D',3 •, c , . •• • E m . ..: . .•• •.-....____. 0 0 i--1 en •. •,___J \ •. . m z m ••NJ .<:::.........._.. i • : • z CD ! U) 1 0 u) cm mo ftrapa ----C- 0 Oi • —'. ,, •0 '14k:Vi, 0 e- Z \SB . • )•••••"'i • I M„Oc,6M'OS • • ,JV.COOZ , sq- m 4., .• • ..'....i.1. • kl 1 VI ,- - • ... '' - .; •, . I . -si ;: I 1. , •' -•',,.._...., , . . • ' . ••• 'ill f. A A p • • • . -• 1 I :. 1 : ; ,i.,-.li VI • • ' ' 'I, '1 I itA 1,\N !\ l :\ 11\k ill' I . .. • AF, '4 '.,1 A ''.. \ ': \:v i u\i 4'- ,' k '.; ‘i ‘' • • CO n• I .... 1 0 , • In 622 N ' f-•*; t-,, r,:1 -trt 0 -' • \s, 0 ..., •.: " -.1 .1 .1 .. .. . ,. • • 1 : L . .. I • . Zli .. (61.0Z 3„0c,641.i7ON -- • a ,_-0 HSVHd i: . . • "I have seen or observed, or bell:we I !,?...,,' evidence 9 , i all objects such as h;ouses, wells, trees, iences, etc., shown on this Ocaiment. I aisf., rc,pra1t that I have personally _asured the IstancEs set firth on the d •gi • . • / . ,- ----/I?e ., • - S1GNA , DATE • , - ; - • • • - . .._._ ...__ • . . - - • . .._ .____ _ _ _ . .. • . .. . ;',39° GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road (� / n/ Queensbury,NY 12804 Arrive am/pm Depart Inspector's Initials NAME: A-1/d1/4:61-15yPERMIT# — 1 I d LOCATION: CTURE - DATE : 2f' TYPE OF STRU RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this p 8a se on si - Foundation/Wallpour Reinforcement in Pla • Foundation/Damppr ofing ac proval `j um ing Under Slab Plumbing Vent{'en In Place Rough Plumbing Heating Rough-In Insulation Foundation Walls In erior R- Foundation Walls E erior R • - Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping j; o'?) GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart m m Inspector'ss I}}niiti0��alls NAME: l PERMIT 1P. — 1 LOCATIO : )r DATE : TYPE OF STRUCTURE: 0 RECHECK N/A YE NO COMMENTS ootings/Piers —: Monolithic Pour Form Reinforcement in Place 2.--i U/ The contractor is responsible providing protection from free, ifig ' for 48 hours following the p1.cement of the concrete. Materials for this purpose on .ite Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pl.ce Rough Plumbing___ Heating Rough-In Insulation Foundation Walls Iute r R- Foundation Walls Exte 'or R- Floors R- Walls R- Ceiling R- Duct work or piping i unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main B m Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping CONSERVATION CO 8TRU ON CODE PARTS COMPLIANCE FORM a� / _ / /O Building Design by Acceptable Practice ry �� 92,,j - UII.DING _ ��. ���, ®{��UEE�. �t1�Y DDRESS: Gam•_ ��,�W.� ���� - DATE: DCE es►r o� � G AND t;. ' •-- -Dom" ________, z?1 V--E 2 f - COUNTY •L * REN • 7j�]-7---0S.,F)C0 RC HITECr,ENGINEER,OR ONTRACFOR: TNT Nr/G/4A &20UP PHONE: 5 1 8- ERMIT APPLICANT: Shill PHONE: HEATING DEGREE DAYS (Table 2-1) n 5000_6000 n 7000—9000 I. BUILDING DESCRIPTION (Pre-qualifying Conditions)* If the building does not meet all of the following pre-qualifying conditions, Part 5 of the Energy Code may not be used. Ei Building is residential with•one or two dwelling units. - ❑X Building is less than 5,000 gross square feet - Pi Building is three stories or less in height •• xl Ratio of glazing area to gross wall area is equal to or less than 17%. III. PROJECT TYPE - - n New construction n Substantial renovation of existing building ❑ Addition to existing building n Exempt(7810.6c) . aF N EP ' --., IV_ HEATING SYSTEM TYPE '. .0 `� A • Gas-fired ❑ Oil-fired I Heat pump [ 1 Electric h - f ,� x • Joint Sealing: 7814_10(i) Joint Location I Sealant Type Specified Plan/Spec_ Reference Windows 1 Polycell Doors frames I Vleatherstripping Walls at roof/ceiling Poi vrel Walls at floors/found_ Polycell Wall panels N/A Utility entrance weatherstripping • Penetrations Polycell Other Other ' Air Infiltration Barrier: 7814_10(1) Location Required? Specified I Plan/Spec. Reference . Walls yes[no No-Cedar Siding Other yes/no Fireplace: 7814.10(k), (m) Required I Specified Plan/Spec. Reference Outside combustion Yes:- air duct with damper Flue damper with max.20 cfm, or damper.< 20 damper and non-combustible doors • Gas fireplace ignition - VI. HVAC PERFORMANCE: 7814.11 (Table 5-3) Equipment Minimum Performance Specified Performance Plan/Spec.Reference Furnace - 70% AFUE 90% Boiler Heat pump Central air conditioner i I vt1_ t-tvJ U CON l KUL: 7814.12 Temperature Control Required 1 Specified ' Plan/Spec_Reference Thermostat each Yes dwelling unit Shut off at each Yes terminal unit Thermostat Required ' Specified j Plan/Spec_Reference Minimum range Yes 45T-85°F Deadband Yes range Automatic - Yes capability Vlll. DUCT SYSTEMS: 7=814.13 Category Required Provided Plan/Spec.Reference Duct >_ 1"thick N/A in conditioned space insulation • R-33 in uncondtioned space Transverse Sealed Yes joints • • IX. VENTILATION SYSTEMS: 7814.14 System Type Required 1 Specified Plan/Spec_Reference Supply Damper at envelope Yes Exhaust Damper at envelope Ye s Supply on/off switch I YQS i IExhaust - on/off switch Yes • X_ P.IPING INSULATION: 7814.15 Piping Typc Insulation 1 Provided Plan/Spec. Required i Reference Heating distribution" >_ 11/2" N/A Service hot water`` ? 3/4" 1 N/A `Does not apply to runouts_ -"Does not apply to piping with a diameter less than or equal to tea"inch. ' XI. SERVICE WATER HEATING: 7814.21 (Table 5-4) Performance Requirements Water Heaters Minimum Specified I Plan/Spec. Performance Performance Reference Storage EF. > .93 -_00132V I > _93 Instantaneous N/A Pool , N/A Controls Category - Required Control Control Provided Plan/Spec_ • Reference System automatic control Yes System temp_setting range 140 degrees max. • Pool heater IlD N/A Pool heater on/off switch N/A Electric water heater separate switch N/A Gas/Oil water heater separate valve Yes XIi. ELECTRICAL POWER: 7814.31 Category 1 :Required I Specified . • I Plan/Spec. Reference Electric meters Ea. dwelling unit `•e= EXTr.t;IOiR t•.;`LL OFI•CUE FF,AKED CALL: rORKSF:£E- R-Value 4 R-Value insulated Construction 4 Feteed Area _ CotoOnstt t Arast 11411.10.1- '= t I ill 1i11,000114' 0.68 Jct. Air Filn 0.68 �..' .45 .1/2" C�sum Bd. i _45 Ij f �: �' 19.00 .. Yallboara ` .� naulationI. lillir 2x6 @ 16" o_c_ 6.87 1 Studs ,,t • • .54 + 1/2" tiaferwood .54 f� / `-� ! Sheathing i , :- . • _65 : v�]y�idi '65 ng 14 ,'L�� 0 17 Ext, Air Fi'lm i 0.17 • 21_49 1 8-Total. 9.36 U (naulated Fraction* Framed Fraction4r 1* R-Total Insulatec R-Total Fraceo U _R5 .15 R R 21.49 t 9.36 _056 e• Wall Stud Spacing 1 lntulatad Fractico { Framed Fraction f 1 12" 0.C. .83 • • _ 17 16" O.C. .85 . . ] 5 :A" O.C. . 88 . 12 ... .., - . .. -. EASEMENT/CELLAR KALLS z itORKSHEE: @ stairwells R-Velue i 8-Value with Ext. Comitructioo 1 with Int. N Inaulation Cowoonents .! Insulation - •.4- 0- I .- .. 17 i 0.17 ..• ‘•4 •I* ' 1-'11 ENonext. Air Filc I -- f I 1* . 4•.4. r r i o n ri xte E . i sh f .. etoN. • - - .. - ! •• . 1. 8" Poured ••• ; •• I•4 Bloce (Concrete) ; . ..1-J2.....•46. • • •4 : .. .4.4 •• . - . *• 4 1 . . Core Inluistion : . -I 1: • " •4 - 1 ,1 '1,4ill.ilIF I 4: ' WO Insulation -Co. :- •41 " l lVil Ao.g0 D.. ... . .tr-re........m......n„4 . (ext. or int. ) i •• wilt111111111111110. Nome Interior sh —i i;.:41. ••• 4.4•4- - .. .. . .. • - 4 0.68 1 0.68 a 41.• ___•-•• - . - : -- -, . (nt, Air r:14.1 • .--1 -- 4w•: I1 R-Tot /3 -37 s1 . . •1 U •., • . R-Tottl • . . . . 1 e..-. U ... . -07if 13-37- _ 8 ., . . Exposure Above Crade . - • • ,. - . • . , . . AI Depth 8clo. Critoe . 48 • EAS£MEH i/CELLAR KALLS: InORKSHEE- • R—Velue = 8-Value .iith Ext. 1 Ccactructioa i ,Rith tat_ Insulation i Coaoonsnts - lnsulstion c i M:�� Ir - j Ext_ Ai.r File - 0.17 4 _ �! :O . -`. : { None _ - ••�! , • Extericr Finish ° ' �. •• • ' 1 8" Poured - 4�.! • /��!• - = Core (nsuletion - - - 4: •�•�;: - � - Ali ti r- • � •f • •• l '- :' i ..- . .= r -- '. Insulation _.00 , - - t -E ►��° - None - I. : ♦♦ "�♦ Interior Finish F - a ..II=/ • - ` �•N�. - : -1c••-- 0.68 0.68 t 4 4.Int, Lir Vile, -••. • 13.57 . . R-Total ' • • U K R-Total 1 v� 13 _s7 - .C74 Exposure Above Grade 8 « Depth Selo« Grace ' .. • • 48 �� . • • • OPACUE !RAXEJ F:_'".GP: RORKSi'EET !/ �i 't�/,t' i I �j_f t i../ 1") y )7.-- . i . , . - i f 1 R-Value j R-Value ' t 1 • `. Invulatac Construction Fraoec Area Cce- cnents • Area • 0_92* 0.92* 1 I Ext. Air Film _ 19.00 6" Batt • --- . . . . Insulation . ; 11 7/8" TJI's @ 24" o_c; I .... Joists I . 14_,84_ i • 3/4" waferwood I 1 1 _93 i - --- sub-Floor ---:P3• . • 1 1 -negl.... car t yin. Floor - .e.g. - I 1 0.92 0.92 • nt. Air Film 21:02 R-Total • 16.86 • • • U Insulated Fraction*= . Framed Fractions*- - o • • R-Total Insulated R-Total Framed •1 = _95 t - .05 o 21.02 16.86 t''-048 • • • • * For vented crawl :apace, use R = 0.17 for ext. air film. _* Floor Joist Spacing Insulated Fraction I Framed Fractions 12" 0.C_ -- .87 13 • 16" 0.C_ 90 10 - I -e^ 0 -r• o, • ROOF/CEILING ZYENIED: x0RKSIi£r: ._ . \fait « _ !r oof y. ;;;/./1. 4 . . R-Va1uc • - i Insulated 1 Construction Framed Arca Components I :,rer • 0.17 Ext. c;r File 0.17 ' • • 30.00 9" Batt ---- 12.00 Overlap ' • . insulation • 2x4 bottom chord ---- @ 24" cc 1 4.35 Joints - j .45 1/2" Gypsum Bd. -45 • .... wallboard 0.61 0.61 j Int. Air Film • 31.23 17.58 R-Total Insulated Fraction* Framed Fraction* r R-Total Insulated rt R-Total Framed . U .93 .07 • r - .034 • 31.23 17.58 • t Roof Joist Spacing Insulated Fraction Framed Fraction 12" O.C. .87 .13 • • 16" O.C. .90 .10 • 24' O.C. .93 .07 -t N." � / 'i|�O `"""...... � Ae PHASE ONE co ON 19 iillh cc