2001-129 ., TOWN OF QUEENSBURY
2 Ba Road ueensb NY 12804-5902 518 761-8201
wow 74 v ,Qv, ( )
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010129 Date Issued: Thursday, July 26, 2001
This is to certify that work requested to be done as shown by Permit Number P20010129
has been completed.
Tax Map Number: 523400-308-018-0002-040-000-0000
Location: 6 MC DONALD Dr
Owner: ROBERT MC DONALD
Applicant: MICHAELS GROUP
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Single Family Dwelling (":.:01)J 4 . J
\.
Director of Building&Code Enforcement
1
TOWN OF QUEENSBURY
VA 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010129 Application Number. A20010129
Tax Map No: 523400-150-000-0001-006-035-0000
Permission is hereby granted to: MICHAELS GROUP
For property located at: MC DONALD 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: ROBERT MC DONALD Single Family Dwelling 168,000.00
C/O THE MICHAELS GROUP, LLC Garage-2 Cars Attached
10 BLACKSMITH Dr Fireplace
SUITE 1 Total Value 168,000.00
MALTA,NY 12020
Contractor or Builder's Name/Address Electrical Inspection Agency
NEW YORK BOARD OF FIRE UNDER
Plans &Specifications
BP 2001-129 Lot 23, House No. 6 McDonald Drive
Southern Exposure Subdivision
For construction of a single family dwelling, 2 car attached garage, and one fireplace as per plot plan and
specifications.
$275.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,April 03,2003
(If a longer period is required, an application for an extension must be made to the code Enforcement
Officer
Dated at the Town nsbu Juess ., ,A pril 03, 2001
SIGNED BY4 for the Town of Queensbury.
Director of Building&Code E •rcement
Building Permit Application
Town of Queensbuty - Dept. of Community Development, 742 Bay tRoad
.o BUILDING do . C O D E ENFORCEMENT
tc�carslnu;v, NY12S0•J /76I S25G/
NOTICE Requirements prior to issuance ,
A permit must be obtained before 1 of this permit: . PERMIT FILE N )�X,V
beginning construction. inspections �� 1J `
will be made until applicant has received [D Zoning Boar tt,�E. �y PERMIT FEE PAID $ �7�
a VALID BUILDING PERMIT, All Area /Use 1I ,
applicants' spaces on this application APR 0`2 2001 RECREATION FEE PA D S ik A...
MUST be completed and•the signature El Planning Board Ac
of the applicant must appear on the �Otr �t � UEEN EVIEWED ICY.
i:pplication form. n SPR / Subdivie 1fNG AND C DE- • Building &Terror
y ) Recreation Fee.Rryrnerr
Applicant: 714E t'�11�1c"85 CAos.n p Owner: G ''i t. _..--..
' Address: 1O%C4�&11t . , ` , k21::-.2.b Address:
Phone # (51 ) aaa - ( \l Pltone # ( ) -
Property Location: ,_ _ c sy\��b i� i tzio-il. .Li5 23 6,33-
. Subdivision Name:. SURR��J Ckr.A S,khLTnr� v '1'ns Map Number /� ! 1 _/
t Section Block I nl
NATURE OF PROPOSED WORK: - ,51t
X New Building: A • MATED MARKET yILUE OF THE
/ CONSTRUCTION: $ ti.aff?,)tCOO
residence / commercials
Addition to Building:
residence / commercial OCCUPANCY INFORMATION :
Alteration to Building: Primary Building -
residence / commercial X Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
• Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
•
1st Floor \gSc6 sq. ft . W If ADDITION, what will use
2nd .Floor sq, ft . �` O of new addition be? :
Other Floors sq. ft . `d` -
•
(not unfinished cellar or basement)
ACCESSORY BUILDINGS :
��JC
Q Detached Garage 1 , 2 car
TOTAL FLOOR AREA: � ) SQ. FT. X Attached Garage 1 , ► 33
Private Storage Buil.ing
SIZE OF NEW STRUCTURE : Commercial Storage Building
FEET X 5to FEET Other
•
Foundation Type : ?�.Nc Will any second-hand or ungraded
' Number of Stories : e _ lumber be used? If so, for what?
(habitable space only) \Ata
Height (grade to ridge) : 25" feet TYPE Of HEATING SYSTEM:
Number of fireplaces and/or woods.tove ( circle' all which a•plies )
to be installed: 6(U.. Electric / Oil / dip / Wood
Forced Hot .,Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : r QR ?se_vzx l a€\'
•- Na e^ _. .Addre s- - -P
hone P one - -
Builder: 1�. ,. . :.:- - O L u ►t A •�Y O -• ..
. Plumber: ... .i .. ._. .r �....• t. 2 C) - '..- - ..`M.
. Mason: ti arkl bnC. - 3 1 ,tk.>_ T,zoL\ 'Zlf�o '�-�
Electrician: zz��h.- , a ,.\?sf'rt ., Li._ l?,30e ' ll - 2Z • •
DECI4RATION' 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, arc a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the Building Code, the Zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is authorized by the owner. Further, it is understood that 1/we shall submit prior to a
Certificate of Occupancy''or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor• awn to scale, s iowi •:. ctual location of project on premises.
Signature: ��� ,
owner, owner's agent, arcl tect, contractor) .
•
Application for Permit — Septic Disposal System
Town of Qucc'n•sbtuy 742 Bay flood Qiuen.rbuq, NY I280./ (5/8) 76/.8256
1. OWNER INFORMATION:
I
ri \ ..1)
Location of installation; r-1 `Y1dn ` . 4 ' e
b(.) L6 " 2. File Permit No. n _ --` , `_"Tax Map No. / / / o�� 1
Owner's Name: T4�E �G) `5 ' r Fee Paid �, � y
Address: �1�c� �rlE. , 1c11-C� �:, Zv APR 0 2 2001
lb
1 ` TOWN OF QUEENSBURY
BUIL
2. INSTALLER'S NAME : \�1`��z) � vYY PHONE NO DING
AND
C` E
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate II bedroom(s) and multiply !! of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdnn = •
1980 - 1991 x 130 gal/bdrrn
1991 -present x 110 ga1/bdrin = 0
Garbage Grinder Installed yes / no X .
Spa or Whirlpool Installed yes / no X
d, PARCEL INFORMATION: (circle applicable information & indicate measurements)
•
Tpa9graphy Soil Nature Ground Water Bedrock or Impervious Material Domestic•Watcr Supper
l l/_ (a•and�') at what depth at what depth
Ilvlling loam �QJe" et municipal)
Steep slope clay —
__ if we!!; water,supply
%slope other
depth: _`_ from anv septic-systelll
nbso,'pi/un ix _ /i,
ili oer --
Percolation Test: (To ha completes!by licensed•pro/bssiulra/engineer(1'architect) _.__..._..
1Putc•; _._••J.._•__._._, minute per Inch
S. PROPOSED SYSTEM: For New Constr•rrction: 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 lank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: 'O gallon (min. :size 1,000 gal)
Tile Field; each trench , 411i, Total System Length: j&j� I?,
Seepage Pit(s): number J
of_ ___ size of each: ^.Ji. by__ i.
Size of Stone to be used: 1/ .__-_. ___ / depth or thickness____ __ _.JL'ut
Bed System Size: r
Alternative System: 14,A.2 length and/or size
6. HOLDING TANK SYSTEM:. (if required)
Number of tanks: NA, / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
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 T n of Queensbury S ,nitary Sewage Disposal Ordinance.
V 4011 A.10/ .
Signature of responsible person Date
r,
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
uyDate ` �-0 Y.—l?e1 t»i t N
Application is hereby made to the Bit ddin CC.'' Cncles Office Jor the issuance qt a Building card Use
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, al:dinances•„ regulations, and all conditions that are part of 1;f c;) r"t -
these requirements curd also will allow all inspectors id enter premises to pel fbr7tr required inspections.
NOTE to applicant: Rough-in and Final Inspections are required. .
• Applicant Information Fuel Burning Appliance Information '
(circle appropriate words)
Name: i+J.,: �,C, \g Stove: wood coal pellet gas
Fireplace insert
Address: to leke %, 4 . .i,, Fireplace, factory-built: wood o-as
MbItZt. IAN. '123 Fireplace masonry: wood gas
Furnace: ivood :as. oil
Phone: SCA 4511,`
• - • If non-masonary applicance, please provide
Owner: Manufacturer Name: .
Address: Model Number: .
•
•
Chimney Information
Phone:
(circle appropriate words)
-4,6 Masonry block 4 ick stone
• Flue the stern/) size: inches
Exact Address: MIL INita>111tAkt)
of construction or installation Factory-Built ,
jOri Manufacturer name: . .. ,
Model Number: .
Note: Listed By: ' Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double,call Triple wall / Insulated / Direct venting .
Cltimner Liner
j C'$�ie.',�.713p tm.c tit® 2'oirrr� of Qzzeca�baxuc-gam Ive�asr you--k I.
r . I
Fire Marshal Code# S Collected S Re/iarded Received from (refiinded to): .
address:
A173 3359 (190) Public Safety G cal
—�� -- — -
.4 233 2655 (230)Alinor Sales
WY
a4:2 ,,, ,-- - /O w ii VG.e.NL 02 gyve,,u.nx a.
White(Applicant) Green(Fire Marshal) ! Yellow(Bldg. Dept.) Pink&Goldenrod(Casiiier's Dept.) /
TOWN OF QUEENSBURY
rt. BUILDING & CODE ENFORCEMENT
a _ 742 BAY ROAD
QUEENSBURY NY 12804
v` (518) 761-8256 �I
ARRIVE: DEPART: INSP: 0/3
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE IN'SPPECTIO REQUEST RECEIVED:
n
NAME V h aa, 5 Guy
LOCATION ►MCA#,t) lAit/t
DATE 1(2-4(# PERMIT # 2-"(- 1Z7
• TYPE OF STRUCTURE 7CD
FOOTINGS BACKFILL FRAMING_ PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
C\ ,______
HEATING/HOT WATER 4
RELIEF VALVES
FLOORS •
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSU
FIRE/DEMISE WALLS PENETRATLON
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.
•.._.i ( 6
/FINAL SURVEY PLOT PLAN, IF REO
OK TO ISSUE C/O OR C/C
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: 'DJo anO
Building&Code Enforcement
Dept.of Community Development Arriva�/p>)Depart s'fi a
Town of Queensbury Inspecf is Initials
"py
742 Bay Road
Queensbury,New York 12804 U/_/L 9
NAME i(-14, S e PERMIT
LOCATION DATE
TYPE OF STRUCTURE
,,t-e3 f a3 N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location , 74_
Fresh Air Intake '/4
Plumb Vent through roof
Roof Complete
Exterior Finish C m. ete
Interior/Exterior ' ,ilia: 30"to 36"
Exterior Handrails, .4'es,landing 18 in.or more
Interior Handrails s . s s oth sides 3 or more risers
Grade 2%away from;o s dation
8"clearance to sill pla
Gas Valve shut-off e' •sed/regulator 18"above grade
Gas Furnace shut o i'wi hin 30 feet or within line of site
Oil Furnace shut at e,trance to furnace area
Furnace/H. •ater Heat: operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on s +irs
Basement stairs,6 ft.4 in.
Handrail exterior stairs bo sides more than 3 risers
Interior privacy/trim/doors/ ain entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconie :Iding 18 in.or more
Railing across window in s ells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
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
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
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)
IP
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RESIDENTIAL FINAL INSPECTION REPORT .-
4 "M
Office No.(518)761-8256 Date inspection request received: .! r
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart° to
Town of Queensbury Inspector's Initials ((✓✓
742 Bay Road
Queensbury,New York 12804
NAME 1 PERMIT#� I —Ic77
LOCATIO C 1 �L �� DATE
TYPE OF STRUCTURCE
N/A YES, NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location j.
Fresh Air Intake
. 1/Plumb Vent through roof
Roof Complete t�Exterior Finish Complete
Interior/Exterior Railings 30"to 6" ✓Exterior Handrails,balconies,I ' g 18 in. r more !/
Interior Handrails stairs both side 3 or more 'sets ✓/
Grade 2%away from foundation �,
8"clearance to sill plate ;
• Gas Valve shut-off exposed/regul or 18"ab ve grade
Gas Furnace shut-off wi 30 fee or wi ' line of site
Oil Furnace shut-off at entr ce to area
Furnace/Hot Water Heater opera
Relief Valve(s)installed /
Headroom,6 ft.6 in.on stairs V �✓/
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides mo e than 3 risers �,/�
Interior privacy/trim/doors/main entr ce 36"
Floor Finish „ /
Bathroom/Kitchen watertight // t7 �
Interior Handrails Balconies/Landing 1 in.or more I A 1 kLl• 14 kAr6 , j"r l R -4
Railing across window in stairwells .J /
Smoke Detectors: ✓ 0 Pb� - J 416f 0 ,/06.- c14(
every level /
every bedroom '//
outside every bedroom / ,
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation ., /
3 hour fire door/door closer ./r/
Garage fireproofing
Garage penetrations sealed /
Furnace in separate room protected(in garage) ,/
Light ventilation per,roo
Safety glazing I$ le s o floo v
Final Electrical 14 J ,,,
Site Plan/Variance equ• d
Final Survey Plot Plan V Nkr 447 - 60(.7
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 CIO(Certif.of Occupancy) ✓
. FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-820,, , ,717
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT#
NAME It a_ • •
LOCATION ( 0 4 1Y\C
SCHEDULE INSPECTION ON 7
AM ');NYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTE
FIRE SUPPRESSION SYVEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO P INKLERS
CLEARANCE TO EATING UNITS
REQUIRED SIGNAL
CHIMNEY ✓
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUI T
REMARKS: TO THIS DATE
INSPSLIP.PUB INSPECTOR
7 : c1)
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 ii/.3 am/pm Depart am/pm
Inspector's Initials
NAME: ft6 (7c - PERMIT# r - I
LOCATION: e a/&1£- fl kJ R. DATE: "MO
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1
Monolithic Pour Form
Reinforcement in Place
The contractor is respo sible for
providing protection fr.. freezing
for 48 hours following e placeme t
of the concrete.
Materials for this purpose n site
Foundation/WaIlpour
Reinforcement in Place
Foundation/Ddmpsproofin
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pla e
Rough Plumbing
H ing Rough-In
%/Insulation
Foundation Walls Interio R-
Foundation Walls Exterio R-
Floors -
' go's,- aWalls - "7
Ceiling i'- 3 fl
Duct work or piping in
unheated spaces R-
oper Vent,Attic Vent
raming 171.0
JA Studs/Headers
racing/Bridging C�
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
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depai O,�m Inspector's Initials q.
71
NAME: �k j ') aif-\ - PERMIT# 6.. c>
LOCATION: e LAF-0,,,A 1-0 oit- DATE: Z 1 C
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible or
providing protection from fr- ing
for 48 hours following the placement
of the concrete.
Materials for this puwe on site
Foundation/Wallpour f
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-
iling R-
uct work or piping in
u eated spaces R-
ope Vent Attic Vent �^ ,
ra to C-10 96cU" �'' 6/1- •
hack Studs/Headers
Bracing/Bridging ''62.04`C:
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
P netration Sealed
ire Wall 2,3,4 hour
Vaf Firestopping,-•>
FIRE MARSHAL
f TOWN OF QUEENSBURY
` j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# ® I -12-9
NAME 1 G 44FW6-4,
LOCATION
SCHEDULE INSPECTION ON /10 / s
AM PM ANYTIME
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTr
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNI
REQUIRED SIGNAGE
V CHIMNEY VC-' �
WOOD STOVE
FEPLACE-MASONRY /�
FIREPLACE-FACTORY BUILT '`�i, .
REMARKS: OK TO THIS DATE
g(7
IN5PsuP.PUB INSPECTOR
GENERAL INSPECTION REPORT -� C
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: V/ 0(
Building&Code Enforcement
742 Bay Road `
Queensbury,NY 12804 Arrive am/pm Depart ' `a m
Inspector's Initials
NAME: ln'1-1 Cv 4--e- (S Gra PERMIT# -2—CO
LOCATION: G ,Mebcc4 A(, - f)1- DATE: 51)go(
TYPE OF STRUCTURE:
RECHECK L�
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protectio freezing
for 48 hours folio ing th placement
of the concrete.
Materials for this pu •se on ite
Foundation/Wallpour
Reinforcement in Plac•
Foundation/Dampproo i g
Backfill Approval
Plumbing Under S .
Plumbing Vent/Vents in "lace
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-
o Vent-A Attic Vent 'To4se&
Ja u /Heaters
B cingBridging V
oist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Sealed
Fjl�re Wall 2,3 houk // -
I/�b
irestoppmg C
NAk
GENERAL INSPECTION REPORT( 518 ) 761-8256
Town of Queensbury —
Dept.of Community Development Date inspection request received: S //7/0
Building&Code Enforcement
742 Bay Road :7 A
Queensbury,NY 12804 Arrive am/pm Depart
Inspector's Initi s
NAME: 1'►^ . �. .� e 4l S oye PERMIT It ZCoC) ta-c(
LOCATION: IAAc I)GN (6 O C DATE : CP Yi o ( y�j tiM
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers l I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from free ing
for 48 hours following the p :ceme t
of the concrete.
Materials for this purpose on •to
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approvak
Plumbing Under Slat
Plu Bing Vent/Vents in Plac•
>Jet
xough 1plunlb - f',,'
I eating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls Ra
Ceiling R-'
Duct work or piping in
unheated spaces R- ,/�
opey Vent, tic Vent !/0 S%4-L 14 A/O&Gt.iZ `�e"t„�(/� ' `'S j`
amine e 01 t2 Jlt A
Jack Studs/Headers
Bracing/Bridging Joist Hangers /f A-\(— - H• (O 0
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2 3<r i our t// �
• 21 irestopping is/0i� -G l'(P,764z_ ( %�
' 'I
GENERAL INSPECTION REPORT , 1,
( 518 ) 761-8256 �` A.,,,in
Town of Queensbury
Dept.of Community Development Date inspectiart request.reeeived:
Building&Code Enforcement � f
742 Bay Road in
Queensbury,NY 12804 Arrive- i/ ;• Dep rt
j. Inspector's I itia
:/
NAME: • PERMIT€,
LOCATIO : �P S )1/ DATE% 1
TYPE OF STRUCTURE E'=
RECHECK s /
\ ./
N/A YES NO/ COMMENTS
Footings/Piers \ I I
Monolithic Pour Form 1.
Reinforcement in Place '1/41 '
The contractor is responsible fors .,,
providing protection from freeziriga /''`
for 48 hours following the placement ,v
/
of the concrete. > i
Materials for this purpose on site �A ,
Foundation!Wallpour I
Reinforcement in Place ; �\
Fo ndation/Dampproofing ,
ackfill Approval
I
I ,,,l•
Plumbing Under Slab ,/� `�t
Plumbing Vent/Vents in PlacI
Rough Plumbing
Heating Rough-In /
Insulation
Foundation Walls.Iiterior R-
Foundation Wall Exterior R-
Floors 7 R-
Walls 1 R-
Ceiling ,/ R-
Duct worl br piping in
unheaSd spaces R-
Proper Vent, Attic Vent \\
Framing
Jac tuds/Headers
B$ing/Bridging •
Joist Hangers `.,
Jack Posts/Main Beam
Air Infiltration Barrier ,s,
Fire Separation 1,2, 3,hour '
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
d" C:4115A(
TO OF QUEENSBURY .
/02 '41
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518)761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ç\ç\\
VrAL r3Y-40 ".
Location Cp rnoAlk, , Cx1 d `�/
Date 14-'I(9 )co1Permit # l ) i ---i R
SOIL TYP . Sand- am-Clay-
Results of Percolation :Test-
(if applicable) Rite-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total ' Length I-TC
Length of each tre ch I Cam? (c U tTS i 70t
Depth of trenches \ / 71-[e rr, ',t_oP
Size of stone �__N(N)FIL-NVAMP..'7
SEEPAGE PITS: Numb r-
Size - ft. x ft.
Stone size
PIPING: Type
T e
Bldg. to Tank 4"5c Uo ci '2D335
Tank to Dist. Box 1 ,i-/l' NC,
Dist. Box to Field/Pit
Openings Sealed? es1 No Partial
LOCATION/SEPARATION .
Foundation to Tank ID feet
Foundation to Absorption Z) feet
Separation of Pits _ eet
Conforms as per Plot Plan Ye No
LOCATION OF SYSTEM ON PROPS •
(circle one)
Front - Rea of t Right Side
Middle Front - Middle Rear
COMMENTS:
SYSTEM USE APPROVED: �NO
Arrived: Z L
Depar d:
B lding In for
\ . Li 1 1
1
1,3
o
1 1
I *--..1 • •
• )- \
I ;
; • .
-----.----------- 1
. :
I
0 T 20
.
\
i Lo._ ,
; ... .... •••-• .., ,-.
_ ,..... : ,..... (.-...-. --4-
.... . ..„ , ....., ..::,. ....„.
_, --
- • :
•
- ......7.6,.
rit„.„.•,,,-. -_,-
I
; .
. [
1.___ __
23 ,
, i
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I 1
r Z ) 1 0. ft.
....____......
i 1
1I
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. .
..,-..
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-_-_-_---
1
)
----
-...... ..--.-_-_--
ID
I ) I 1\7 lini
I ,i-,-I
0 tt-Ayi
1 ;' I\
.11.f -I. V v -ti__J .
------_.------..--________
.-____
1 = 3 u
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 /04).6
` Inspector's Initials /`
NAME: \N�,G1k C��--5 v IP• ✓� PERMIT# 6 — 29
LOCATION: (, C-n ru p-c-Q ✓f- - DATE : i/f►]rt
TYPE OF STITURE:
RECHECK
N/A 440 COMMENTS
ootings/Piers
Monolithic Pour Form / I
Reinforcement in Place
The contractor is respo znle for
providing protection r.m Teezing
for 48 hours followin the placement
of the concrete.
Materials for this pu •o se on 4ite
Foundation/Wallpour
Reinforcement in Pla • l
Foundation/Damppr••fing;
Backfill Approval
Plumbing Under Sta. /
Plumbing Vent/Ven On 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/Heac ers
BracingBridgirag
Joist Hangers sk
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestoppin
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury � ter/
Dept.of Community Development Date inspection request received: `7'" / 0/4
Building&Code Enforcement
742 Bay Road 3 ,OL)
Queensbury,NY 12804 Arrive am/pm Depart a p n&
Inspector's Initials ()
/-'//NAME: de-,/s PERMIT#
LOCATION: Cp �' r Am/ Pia DATE : /6/ 1
TYPE OF STRUCTURE: /G
RECHECK C 1-7
N/A YES NO�� COMMENTS
f
00.mgs/Piei s� 1
Monolithic Pour Form D j
Reinforcement in Place V
The contractor is responsible for P. \6
providing protection from freezin 1✓
for 48 hours following the plac e t I`J 6 n Q
of the concrete. �7
Materials for this purpose on site,
Foundation/Wallpour ! / S-V-S'j p -io C-4- i rI -
Reinforcement in Place, I
Foundation/Dampproo f ng /
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
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
- CONSERVATION CONSTRUd OI- ODEn H 7 !; ,
- J
PART 5 COMPLIANCE FORM ��" ._ � •• -
Building Design by Acceptable Practice
ToWaN OF QUEEIs j_j aRy
DDRESS: DATE: -FC\ I r c�Z
•QGP0VSP,0/2 y - coUNrY: -C 1Z:RE/
RC1-3ITECT,ENGINEER,OR
ONTRAGTOR: -rife mi61-02 G20UP PHONE: 5 18-
•
ERMrT APPLICANT: Shr] PHONE:
HEATING DEGREE DAYS (Table 2-1)
1 5000-6000 X 7000-9000
•
(. 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.
I Al Building is residential with•one or two dwelling units. -
QX Building is less than 5,000 gross square feet -
{1 Building is three stories or less in height.
X, 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
n Addition to existing building Exempt(7810.6c) aF Nat—
<<\0-"Wf
Ff(la
IV. HEATING SYSTEM TYPE •
•
Gas-fired rj I Heat pump I ,Electric h y
Joint Sealing: 7814_10(i)
Joint Location j Sca3ant Type Spcci6cd ! Plan/Spec_ Reference
Windows Polycell _ I
Doors frames I Weatherstripping
Walls at roof/ceiling
Po}vc'el 1
Walls at floors/found. Polycell
Wall panels N/A
Utility entrance Weatherstripping
Penetrations Polycell
Other
Other _ I 1
Air Infiltration Barrier: 7814.10(j)
Location Required? I Specified I Plan/Spec_ Reference
. Walls yes[no No-Cedar Siding
/ Other yes/no
Fireplace: 7814.10(k), (m)
Required { Specified Plan/Spec Reference
Outside combustion Yes-l-
air duct with damper
Flue damper with max_20 cfm, or damper ( 20 c_f_m_ •
damper and non-combustible doors ,
Gas fireplace ignition No
VI. I-iVAC PERFORMANCE: 7814.11 (Table 5-3) "•
Equipment Minimum Performance Specified Performance Plan/Spec.Reference
Furnace 70% AFUE 90a
Boiler
Heat pump
Central air
conditioner
vtr_ t-tvAL, GUN t NUL_ 7814.12
Temperature Control
Required , Specified 1 Plan/Spec_ Reference
Thermostat each yes
dwelling unit - .
Shut off at each Yes
terminal unit
Thermostat
Required ' Specified I Plan/Spec. Reference
Minimum range 1 Yes
45T-85°F
Deadband Yes
range >_ 5°
Automatic - Yes
capability
Val. DUCT SYSTEMS: 7.844.18
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 I Required I Specified Plan/Spec. Reference
Supply Damper at envelope Ye s
Exhaust Damper at envelope Ye s
Supply on/off switch 1
YeS •
Exhaust on/off switch I Yes
C P.IP1NG INSULATION: 7814.15
Piping Type Insulation 1 Provided Plan/Spec.
Required I Reference
Heating distribution" >- 11/2"I I N/A
Service hot water`` >_ 3/4" I N/A
'Does not apply to runouts_
"Does not apply to piping with a diameter less than or equal to 3'4"inch. '
XL SERVICE'WATER HEATING: 7814.21 (Table 5-4)
Performance Requirements .
Water Heaters Minimum Specified 1 Plan/Spec.
Performance Performance Reference
Storage EP > _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 HD N/A .
Pool heater on/off switch N/A
Electric water healer • separate switch N/A e.
Gas/Oil water heater separate valve - Yes
XIi_ ELECTRICAL POWER: 7814.31
Category 1 :Required f Specified I Plan/Spec_ Reference
Electric meters I Ea_ dwelling unit 1 `e= I 1
ir
£.Thi JIOR N72_1 I,
OFf•CUE FRAKED *ALL: yORKSIEE-
R-Value l R-Vslu.
insulated Construction Fetmee •
Area - Comoonant I AC44
•
% 1�� �Nf _
0.68 irt_ Air film I 0.68
t
< it3 fir { -
• .45 1/2" Gypsum Bd. _45 IU i b t'`�: -
19.00
:;;:;::: .
1 - 2x6 @ 16" o_c. • 6.87 i�1
Studs t
Iil_54 1/2" Waferwood .54 . ( ��
E
MI -
.. Sheathing
- ( % .:
_65 Vinyslidin :65 ! 1
IRINA '
.17 0.17 h) :
Ext, Air Film 1
•
- 21_49 R-Total 9.36
•
Uef
insulated Fraction< Fraeee Fraction",
-
R-Total lnsulatac R-Iotal Frame()
U AS .15 •
K
21.49 9.36 K _056
e• Wall Stud Spacing 1 insulated Fraction
Fram<a Fraction
12" 0_ c_ b]
_ ] 7
16" 0.C. .CS
. ] 5
<<" 0_ C_
88 . ] Z
•
- EASEHEN7/CELLAR wALLS: ,ORKSH££-
@ stairwells
R-Value i
1 R-Value
•
with Ext. Construction with Int.
•
. Insulation 1 Cowoonents ! Insulation
• 0.17 I ] 0.17 �♦4
1-'111
Ezt. Air file . :�:.
None , - _ t♦•:
Exterior rinizti
::•' IjJ ! ; 8" Poured . . �,♦�
♦♦♦4 - 81oct (Concrete] : _ . �..7Z . . _ - ♦♦ '
• t ,j
♦. 44
4 < ; - Core haul ation . 1 4:
—. , ♦•�- •• �• ~— (;f any) , ♦•-
••♦j -4 1-1/2 R-zl>ax It.=-' ' -•
. •♦ '-� = Insulation o. -•♦♦.
� .•.! (.xt. or i nt. ) . 'ti
t VA .. .- Interior ::::
sh�ir I 0.68• ��s .=�
R-Tota1 I
f3
-37
1 .
U -�
w R-Total
1 `='
U - - -07�
Exposure Above Crade w •
8 «
Depth 8cio.c Craoe 48
°ASEH£t{T/CELLAR KALL5: KoRKSH£E:
. R—Yaluc R—Valce
with Ext. Ccnctructio� i with Int.
• Insulation Cowoonents - Insulation
♦• • ( 1.-.t_ 0.17 ( 0.1 7 �_ �.�
♦.� Ext. Air Filc .f , ��4
♦4 ! IA j None I :♦:.
• . . t Exterior Fi ni sh ' . S Ø.
.
♦j'a ` 4 I 1. 8' Foured �.. . ,
- ♦♦ 6loct (Concrete) ; - ..L 72_ - . _ •• .
•
4- ! . il . 44
4 < ) _ Core lnsvl ation ♦ •
= 4.
�♦:� ( * (if an- 1 .. t Ny) 1 = . :i. 4:
ajj •♦•( Insulation o• ‘♦:
♦��t (axt. or int. ) f( 0� ".,V4.
I11.-.0 a4 . None • - ( a .- �i♦�.
.♦t interior ::::
sh0.68 �in 0.68
rr> I 1 •♦
13.57
R-Total
• i if -
1
- w R-Total
1 e.
UK w 13 .57 .C74 •
•
•
Exposure Above Grade 8 «
Depth Selo.. Grade < • 48
•
OPACUE F2As<EJ F. GR: RORKSP.EET
l/ �i -'r'/1--L,�-"-
f I LI-7- r r
I I\ q 1.) :IL
R-Value I R-Valuc ' •
I 'Insulateo Construction Framec
' Area Ccczcncnts - • Area
f . l _
' { , '
l 0.92*.
0.92Y
.
Ext. Air Film
19.00 6" Batt •
----
- - - - - - - -
. . . . Insulation
---- ; 11 7/8" TJI's @ 24" o_cf.
. ... Joists I . 14.84_ I ,
I 3/4" waferwood •
1 _93
i . . .. Sub-Floor .._: . I
4
. negl_. .. carpet vinyl . e 1.. I
J in_ Floor
0.92 + 0.92
Int. Air Film
21.02 R-Total i :16_86. . •
Insulated Fraction='" Framed Fractions
U +.
0
• R-Total Insulated R-Total Fram•d
- •U .95 .- - .05 -
0
21.02 16.86 t''_048
* For vented craKl space, use R - 0.17 for ext. air film.
•
v't Floor Joist Spacing Insulated Fraction Franao Fraction !
. 1 111
12" 0.C_ _87 73
16" O.C. .90 _ 10
1 __
•
•
ROOF/CEILING ZVE.NTEC) = 'ORKSH£E.
• 1=.
1 •• 4 R-Value { R-Value • -
: insulated ' Construction l . Fraaed j
Area 1. Components l :.rce -.
-
•
1 . t 0.17 -Ext. Air Film 0_17
• 30.00 ? 9" Batt ---- 12.00 Overlap -
insu( ation i
2x4 bottom chord
• ---- @2C" oc 4.35 ` -
.. Joists -
_45 1/2" Gypsum Bd. • .45 I
.... wallboard
.0.61 0.61
•
Int. Air Film
31.23 17.58
R-Total •
•
insulated Fraction* Framed Friction*
r
R-Total :nsulatod R-Total Framed
u -93 .07
r .034
31.23 17-58
•
* Roof Joist Spacing insulated Fraction Framed Fraction- •
12" O.C. _a7 .13
• 16" 0.C.. .90 .10
•
•
244" O.C. .93 .07
•
20
J
�6T -)_3 "t
I j I _- -3-0 (
,-d, or believe I saw, evider,t o
as houses, viells, ti
in this document. 1 aisr
-ISO 6 F!
It
I
.t
RECEIVED
APR 0 2 2001
TOWN OF QUEENSSUPY
--- BUILDING AND CODE
SHERMAN ISLAND ROADown
0 u 14 100 100 i00 zoo 98.88 42 02 180.16
co
p p \ O 6 �5r '1
6.3 0 0 6�2 0 6.23 0 6.5 6,17 6 `
N a o o a 200 (22)
' --, (26) Q5) (24) J
Q3) 0 8 'vim 6k
�r� O
250 140 !t?0 100 100 200 99.78 i . o
181.04 68.96 9 100 199.78 (21)
�+ 3 / ~
�
6.6 200
,k dam; pd jp0�^� 6.18 6 6.i5� ���7�5
0 2 "r•� t' t7 t+T
a ' 46 6.37 ^ m i aar o o 6
0 �'� 6.22J'k/ `� N �$ co in (h �Y
�2228 Me�R (28) ;v �o v 186,38 (20)
�Y 200 (19) id i3 9b C �Oj /06 S4 ,' (30) � Z fi 0 (35) pip
a /Cb r 98 V.4 6 2
ti 62 N, L Q NE 1 .4T Zt
ai�O �00
` ' 292.67
6.38 n
f/�.,-� . 3 ! 6 6 ,...r ao
4.1 /O� (33) `, 6' 0 j�V 3t� n �` Cjj 1n"�.�r ��I
1.09AC(S) '_�� O� so T F/'Aj%me (A) � r6
32 M N 6" ' �-
5 F c )
6.1 f 6.613
147.76 �6
\oo / .614
iR 80
8,
3.67AC (S)
� 6.6,2 �
s ti� 7 p �-y °o (w) co
�bti 9 �
0
�js p • ��1
s �O ` Q 110. 23 66.32
m
tK
ti
MAP REFERENCE:
M AP OF
SOUTHERN EXPOSURE
A SUBDIVISION OF LANDS OF
ROBERT E. McDONALD
DATED: APRIL1981
BY: RAYMOND J. BUCKLEY
LOT 18
LOT 20
McDONALD
I MWMY =n" THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FELD "VEY.
TH15 CERT1 "TION SMALL RUN ONLY TO THE PERSONS
FOR WHOM THE SlJRVEY WAS PREPARED: AND ON THEIR
NNALF TO THE TRLE GOWANY. GOVERNMENT& AGENCY
AND LENIANG INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERAME TO ADDITIONAL
NSTITUTIONS OR GWGEQL9NT OWNERS.
C 9tTPED TO@ he1M" y R. ♦ Summ H. ho"Wk
GWAQO Tltle kOWMs COMPmy
LOT 19
CERTPED DYE -
MATTHEW G. STLW5. LLS NYS 501W
DATED July 2G. 2001 --
�►.n D us
Steves
Land Surveyors, LLC
169 Haviland Road Queensbury, New York 12801
,518) 792-8474 New York Ue. No. 50135
STORY WOOD
FRAME HOUSE
W LOT 23
1 °D 22,568 sq.ft. -- --
r PORGH
� � 0.52 acres
o _ ten'
UTUTIEE
DRIVE
' NAVTHO I ALTMIM ON ADOMON TC A SUSM'Y
WM WARM A UCO LA S SUFAO IS SM 13 A
MA" OF SO M 7=k SLD-01111M % Of THE
NOT IOISL SCAN IDUCATAX LAIN'
'ONLY GORE ROIL 1K coo" 0/ *0 SUIKY
MAA® SIIM AN cow" 0/ 1K LAM S(KM *
SOIL WAIL K CMm 11 K MALD TNAT QVW
'RSIAICATLMS IWAIM INN WMrY VAT
IM WAW WA RFTMD M A00MMU MM WE
08MM OW OF RACOC[ FM LAID &M MAIt AD0
h W NEW V= STAX ASOMAION OF /NOIS1 MX
LAND 9AV4rOC SAD COMICAIM MALL NIM ONLY
TO THE P191 m ►OIL "m W WA1EY W FmAmm ND
ON m mw low 11L CD~. aOYGNSIOITAI
AOMCY AID LOMM9 OWNR N LOW NWAK NO
TO w 460tl6f or TR LOO & ME11U1 k,
173.42'
N74'25'51 "W
LOT 21
Map of a Survey made for
ASPHALT
LOT 22
HENRY R. & SUSANN H. HOSSACK
Town of Queensbury, Marren County, New York
3
NO. I DATE
DESCRIPTION
Date: JULY 23, 2001
Scale 1"=30'
S-1
S'EEr 1 OF 1
HOSSACK
DWG. NO. SE-23