2001-463 TOWN OF QUEENSBURY
F75vA5 2 8 742 Bay Road, Queensbury,.NY 12804 90 (51 ) 761-8201
Community Development - Building.& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010463 . Date Issued:. Tuesday, March 05,,2002
This is to certify that work requested to be done as shown by Permit Number P20010463
has been completed.
Tax Map Number: 523400-296-008-0001-009-001-0000
Location: 77 WAVERLY PLACE
Owner: MICHAELS GROUP LLC THE
Applicant: MICHAELS GROUP.LLC THE
This structure may be occupied as a:
By Order of Town Board
Townhouse TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Fireplace
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010463 Application Number: a20010463
Tax Map No: 523400-296-008-0001-009-001-0000
Permission is hereby granted to: MICHAELS GROUP LLC THE
For property located at: 77 WAVERLY PLACE
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: MICHAELS GROUP LLC THE Townhouse 145,000.00
10 BLACKSMITH Dr Garage-2 Cars Attached
MALTA,NY 12020-0000 Fireplace
Total Value 145,000.00
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
2001-463 LOT 34 HSE#77 WAVERLY PLACE
1667 SQ FT TOWNHOUSE WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$277.38 PERMIT FEE PAID THIS PERMIT EXPIRES: Thursday,July 18, 2002
(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 of Qu sb ; e nesday,July 18,2001
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
•
Building Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518) 761-8256
•
A permit must be obtained before beginning construction. Permit File N '7 1 411�3
No inspection will be made until applicant has received a Fcc Paid $ AM
valid building permit. All applicants' spaces on (his Roe. Ik:c Paid �
application must be completed and must appear)ear on the n
PP p 11 Reviewed By:���!
application form. y. ;::'_
Applicant:ThE.1" Re\S Conaap Owner: mr.
Address: 1C, Z\; ne( t\n Address:
-t"- t�1; iRC LO
Phone# 8cicc - Co3‘ i Phone# (_) -
Property Location: Lot Number: Sik / House Number / ` � P\ - Q
Subdivision Name: a\)skr\v� c\--o Tax Map Number: 096 ,0g !—/'�" /a 1
X New Building: residence /commercial Estimated Market Value of Construction: $
❑ Addition: residence/ commercial If an Addition, what will use of new addition be?
❑ Alteration: residence/ commercial
Cl No change to exterior size: residence/com'I
o Other work(describe ) ca,5/(p,, V/'W— �_9 /
OW—
Check Occupancylnforination 1° Floor 2" Floor Other floor Total
Below sq.ft. sq. ft. sq. ft. Square heel
❑ Single family dwelling
❑ Two family dwelling
`p( Townhouse \c)‘ 1 -
❑ Multifamily dwelling ;T33,3
#of units
❑ Office
o Mercantile
o Manufacturing
o 1 car detached garage
o 2 car detached garage
❑ 3 car detached garage
❑ I car attached garage
O 2 car attached garage GC
❑ 3 car attached garage —777-04-
❑ Storage building- ;?
L commercial
❑ Storage building- .f25` OL
residential ) ,
❑ Other � _ `7
Will any second-hand or ungraded lumber be used? If so, for what? IA,1'. . 300 3J
Type of Heating System: electric/ oil /40 wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed ORE. Number of IVoodstoves to be installed No,.
List-below-the person(s)_responsible-for-supervision-oflwo!:k-as rcgards_to building codes;__- _---
Name Address Phone Number
Builder T tE iAieh \s CclttAp V4 ? P-QPs--(4A�
Plumber CAC P`\bchck I 1L . )41"-)�rLN 4 "2' ek
Mason , c5 3 C.1. 14,3 421- `39
Electrician Foie cx- l.aC. \c.. Azt4c, it{ S- �"11-
Declaration: please sign below afler 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 he 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 Buildin 7 a d C des,an its Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new c i•troche .
Signature:_ owner,owner's agent,architect,contractor
Fit•c •ia'`sha's 6111cc Town of(luccnsbur}'. 742 !3a}' Road,Qucensburv, \1'
(518) 761-8205
' Application for Fuel Burning Appliances & Chimneys:.
applicable to solid fuel & vented gas appliances •
Datejtj E\ 14, .•, 20 CA Permit No c200 j 110
Application is hereby made to the Building&'Codes Office for the issuance ofa Building and Use
Permit pursuant to the New York State Fire Prevention and 13ui/din I Code. The applicant or owner
agrees to comply with all applicable laws, ordinances regulations, and till conditions that are part of•
these requirements and also will allow all inspectors to enter p1-causes to perform required in pections.-
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name:ITVtv/cA.e..,,,SASA, 0. Stove: wood coal pellet gas
% Fireplace insert
Address:jic '1/4� r IF,4114, p Fireplace, factory-built: wood
^ › q,�1, 1`° Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone: ‘k
If non-masonary applicance, please provide
Owner: . ..- Manufacturer Name: •
r,v •
Address: r'%` - Model Number: •
•
Chimney Information'
•
Phone: . • (circle appropriate words)
Masonry block brick stone
Flue tile eteel size: inches
Exact Address: t ��j `� �
of construction or itrstallatior Factory-Built .
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 wall / Triple wall / Insulated / Direct venting
•
Chinnner Liner
i 40E•aLbuie.''ist 3:10epca,a4tmexzt— Toxasrax of Qzaeen,®tbuiy, .2\Toxrsr Yorlx- i
9 i
Fire Marshal Code# 5 follecrell S Refunded Received livm trclirnded to):\r\
l'
•
adclress
.4 173 33$9 (190) PirUlic Safest• , ;) ____—'----
P •.4 23.3 2655 (230)Minor Saks /
. 7-5)k" '''''. --"-&,,,A
„4)ri.G4-wLc - Tw rt (/Critlu 02 0ty,nZ F^.
White(Applicant) ; Green(Fire Marshal) / Yellow(t31dg. Dept.) / Pink&Goldenrod(Cashier's Dept.) !!
THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO.
- DO NOT WRITE HERE-FOR OFFICE USE ONLY
BUILDING PERMIT NO.
TEMP.1 DDATEi f�/ 1 = /l �) 1 1 1 1 (9,3
CITY OR VILLAGE Th I ZIP CODE TOWNSHIP - COUNTY
Qt nns I I ZaO4 W�tzX�m
STREET AND NO OR ROAD �y POLE NUMBER
W�v eel V\x E
BETWEEN WHAT TWO CROSS STREETS IS EMISE LOCATED? SECTION BLOCK LOT_
OCCUPANTS NAME �\c1 �`� BUILDING OCCUPANCY `^j�
OWNER'S NAME ANREk- '�� HOME TELEPHONE NUMBER
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
.11 1 al o
BUILDING IS
NEW OLD ❑ I WORK IS NEW PK. ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
lion Side Anach'I H.P. Watts A.W.G. INSPECTION
Ceiling Wall Recepls Switch Pendant Bracket No. Type Each No. Each No. Gauge
OUT-
SIDE
SUB-
BASE
BASE-
MENT _
1st
FL.
2nd
FL.
3rd
FL.
REMARKS'LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
CC!
APPLICATION IS INTEND D TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS ' � -FEEDERS
orAlpApplicant affirms that there is not an application for electrical
CHARACTER OF WORK ❑EXPOSED
0 CONCEALED inspection pending with a qualified electrical inspection
DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein.
This application is valid for a period not exceeding one year
SERVICE ENTERS BUILDING from the date received by the Board.
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS I O I �I �I
IDENTIFICATION NUMBER)- I'4
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF APPLICANT DATE OF APPLICATION' XSIGNATURE OF APPLICANT
1--CA2-ONSUr
STREET ADDRESS TELEPHONE N
. -� 3a� fir, '371- 92-L
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
0..6nem.J2 C. - - 1 2.309 203
❑40 Fulton Street 111 Washington Ave. ❑ 3291 Lake Shore Road ❑ 803 West Avenue ❑ 202 Arterial Road
NEW YORK, NY 10038 UITE 704 BUFFALO, NY 14219 SUITE 106 SYRACUSE. NY 13206
(212) 227-3700 ALBANY,NY 12210 (716)827-1155 ROCHESTER,NY 14611 (315)463-8552
(518)463-2122 (716)436-4460
THE NEW YORK BOARD OF FIRE UNDERWRITERS
• 3(AT,"\
FIRE MARSHAL
• TOWN OF QUEENSBURY
` j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT''
REQUEST RECEIVEDR PERMIT#��c�L���J(✓ 0-
' 4
NAME \\ C NCASO
LOCATION L f a ---
SCHEDULE INSPECTION ON ,jam—SO2c9C0 __
IZ'-f�p At WTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT 0\'- ./
17.
REMARKS: !EKE-CO HIS DATE
INSPSLIP.PUB .INSP
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
n ; � 742 BAY ROAD
F QUEENSBURY NY 12804
'"1,,,.(N. (518) 761-8256
C
ARRIVE: DEPART: INSP: $"--
FIN L INSPECTION REPORT
I, O
(hotel, motel, apt. complex)
• DATE INSPECTION REQUEST RECEIVED:
NAME 1 c\ �Q(-- pQ^ GY-d.A. `
/�
LOCATION 7 l L )e Y ' /0C-R____.
DATE --C144-(--?Mci._ PERMIT N (o3
• 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 WALLSIPENETRATION
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. C°4-1H
L SURVEY PLOT PLAN, IF REO
OK TO ISSUE C/O OR C/C .
RESIDENTIAL FINAL INSPECTION REPORT J: A7ijNi
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive t2-% a r„ Depart /
Town of Queensbury Inspector's Ini'r,,, r�
742 Bay Road
Queensbury,New York 12804
NAME 1/4\. & c -- -,CY�- PERMIT# iLOCATION o-l>erkC\v� DATE —S—cL CYD-
TYPE OF STRUCTURE C;--�% -
N/A YES NO COMMENTS
Chimney Height/"B"Ve irect Vent Location ;/ 7
Fresh Air Intake �•. ✓
Plumb Vent through roo 4
Roof Complete \ ✓
Exterior Finish Complete \
Interior/Exterior Railings SO"to 36"
Exterior Handrails,balconi s,landing 18 in.or more !
Interior Handrails stairs boil sides 3 or more risers ✓
Grade 2%away from foundat�pn ;),ZK (Z. ,r
8"clearance to sill plate \ r- ✓
Gas Valve shut-off exposed/regulator.l above grade ✓
Gas Furnace shut-off within 30 fet or w 'thin line of site ✓
Oil Furnace shut-off at entrance to fiu/ace area f
Furnace/Hot Water Heater operating\ V/
Relief Valve(s)installed /
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in. \
Handrail exterior stairs both sides more th*3 risers ✓
Interior privacy/trim/doors/main entrance 3\6"
Floor Finish \ ✓
Bathroom/Kitchen watertight ` ,/,
Interior Handrails Balconies/Landing 18 in.oil more ,//
Railing across window in stairwells V
Smoke Detectors: I ✓
every level i V. •
every bedroom 1 ✓
outside every bedroom I .../
inter connected
Bathroom fans /
Plumbing fixtures ✓�
Foundation insulation
3/4 hour fire door/door closer ✓i
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 , /
v
Site Plan/Variance required V /
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif of Compliance)
I
Okay to issue temp.C/O(Certif.of Occupancy).
Okay to issue permanent C/O(Certif.of Occupancy)
L t
C.) o C
GENERAL INSPECTION REPORT "` ' `'
( 518 ) 7 61-8 2 5 6 _ v ,,-...,x;:,: „.,r..
Town of Queensbury
6 Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY I2804 Arrive am/pm Depart ,\ap /p
Inspector's Initials U KK��II//
NAME: 1;`K ACx-\J !. 1 (?: PERMIT# 01 0
LOCATION: Uvso c _Ly . DATE : 1 i 2 )
TYPE OF STRUC 1
RECHECK_
N/A YES NO COMMENTS
Footings/Piers 1-1-- 1
Monolithic Pour Form
Reinforcement in Place
The contractor is respons..le for
providing protection fro freezing
for 48 hours following thi placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing /
Backfill Approval /
Plumbing Under Slab /
Plumbing Vent/Vents i Place
Rough Plumbin
eating Rougln /
�IiisulationL ' W ✓ SC!k L b2 5 - ,})1 Nb oz.v
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls
Walls R- (1V
Ceiling R- ;,
Duct work or piping in
unheated spaces R-
oper l t F Attic Vent f'
a 'ng - ✓ ,
�ack Studs/Headers 1/
Bracing/Bridging ,
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Are
netration Sealed
Wa112, 3,4hour / /�/
ng- ✓ %J�0 1 � �,
1,E4, 7;__,,,,,,,-, : ��°tom �-•__te__
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road 03.
Queensbury,NY 12804 Arrive am/pm Depart ) am/pm
Inspector's Initials ,--1 v
NAME: UJ.A t ak l 'tf> Co RC . PERMIT# I-- 3
LOCATION: .11/40-C.2`u 0- DATE, : z. 0
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I T I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours foil. •• 1 h placement
of the concrete.
Materials for this•.urpose on sit
Foundation/Wall..ur
Reinforcement in ° ace
Foundation/Dampp,00fing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i Place
Rough Plumbing \
acing Rough-I /
n`sulatiofi' _ _` 1 Z-. it-Ls 6RS _ ZU l d o i
Fbundation a s Interior R-
Foundation Walls Exterio3\ R-
Floors R-
Walls R-
Ceiling R- ___._
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent I
Framing t
Jack Studs/Headers I
Bracing/Bridging I
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fir Separation 1,2, 3,hour
P etration Sealed
ire Wal 2;3,_4 hour
rest upping=_,/
•
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_ • II Inspector's Initia s
NAME: ‘S\t( PERMIT# r! l LAO3
LOCATION: DATE : ) 'a —c9-0d
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contract r is re Ronsible for
providing pr tection fr\O freezing
for 48 hours fo lowing th lacement
of the concrete.
Materials for this p se on to
Foundation/Wallpour
Reinforcement in Plac
Foundation/DampprgofiiT,
Backfill Approva
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing 1
Hefting Rou h- n
.17
sulation
Foundation Walls Interior `R-
Foundation Walls Exterior �t-
Floors R- 1
Walls R-
Ceiling R
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
FIRE MARSHAL
TOWN OF QUEENSBURY
� j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST ECEIVED) -31-C) ` PERMIT#0)- �ii)3
NAME VO O C5Y0140
LOCATION 3I-k LOM vY ) �Q-
SCHEDULE INSPECTION ON
AM ' ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLE' SYSTEM
FIRE SUPPRESSION I
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE `r 1`
CHIMNEY 'DI{ZLGI 11C A
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT A'6 Lib((- (4)
1444100 C Z. (die, W/
REMARKS: 0/�6/3/5 ❑ OK TO THIS DATE
INSPSLUP.PUB INSPECTOR
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 Depa4�' �„-am/pm
Inspector's Initials-. V —(03
NAME: �� (�� (, PERMIT# I
LOCATION: l.1 L} �C,`Up8- C,_C� s DATE : -
TYPE OF S'I UC
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Farm
Reinforcement in lace
The contractor i responsib - for
providing protec 'on from eezing
for 48 hours follo ving the ilacement
of the concrete.
Materials for this pu rse o site
Foundation/Wallpour \
Reinforcement in Place
Foundation/Damppro.
Backfill Approva
Plum ' g i Slab
PI bing4Vent/Vents in Pl.ce Y
uglIumbing- l
Heating Rough-In
Insulation
Foundation Walls Interior -
Foundation Walls Exterior -
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
nheated spaces R-
Pao e r Vent;_Attic Vent
- A-cK_ r d 6Jack Studs/Headers ✓ 1 Nay ��L
Bracing/Bridging ! ' ri �$��.. J -C.(< �C �'j1,2J)C2
Joist Hangers i I
Jack Posts/Main Beam
Air I ration Barrier
Fire paration 1,2, 3, hour
Pen tration Sealed
F. e Wall 2, 3,4 hour
restapp ✓ C jft L`;�[ F C�.� Cr ,G'— �?e46
/(1:7j)1
GENERAL INSPECTION REPORT
( 518 ) 761-8256 l�
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement /
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart I Foy
GjInspector's Initials (f NAME: )�i\ 1 rr PERMIT# aOC ( 3
LOCATION: Ll U3'? 1 `P {j f 1G CQ ,DATE : /,2 c� r 2 ) (
TYPE OF STRUCTURE: U
RECHECK
N/A YES O COMMENTS
ooti gs/Piers "I 'I
Mono 'thic Po Form
Reinforcement in Place
The contractor is responsible f I
providing protection from freezlin
for 48 hours following the plat:me t
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
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 f
Joist Hangers 1
Jack Posts/Main Beam_ f
Air Infiltration Barrier
Fire Separation 1,2,3,hour I
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
(164_3
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury Dept.of Community Development Date inspection request received: i /
3 v
Building& Code Enforcement
742 Bay Road D"
Queensbury,NY 12804 Arrive am/pm Depart1
Inspector's Initials
NAME: l ' PERMIT#v'�"���` 3
LOCATION: 3
'Ve � DATE : f
TYPE OF STRUCTURE: -)L
RECHECK
N/A YES NO COMMENTS
Footings/Piers � I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the r, .cement
of the concrete.
Materials for this purpose on .ite
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing I
Backfill Approval i
Plumbing Under Slab /
Plumbing Vent/Vent&inPface
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior -
Foundation Walls Exterior '-
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 Po ' RP�m /
'any l(
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
I\�
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 pm
Inspector's Initials 1.4
NAME: �c‘ x 0 CSC(j PERNIIT( —i
LOCATIO : , • - � C3� ,DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is r- ••nsible fo
providing protection mu freezi g
for 48 hours followin�the placetnent
of the concrete.
Materials for this purpo - on site
Foundation/Wallpour
Reinforce nt in Place
Fours ion/Dampproofin
ckfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior '-
Foundation Walls Exterior '-
Floors R-
Walls R-
Ceiling R
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
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road f
Queensbury,NY 12804 Arrive am/ Depart ' �I orm
spector's Initial _L
NAME: PERMIT it O .I �Q 3
LOCATION: l DATE : fIIL�"'.__lli J
TYPE OF STRUC CYL9OS1 c
RECHECK
N/A YE}O:' NO COMMENTS
ootings/Piers V I
onolithic Pour Form
Reinforcement in Place
The contractor is - .. ible for
providing protection f i e .freezing
for 48 hours followin: the . acement
of the concrete.
Materials for this purpos- on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi
Backfill Approval
Plumbing Under Slab
Plumbing Vs_ Nents i '..cc
Rough Plumbing
Heating Rough-In
Insulation
,Foundation Walls Interio R-
Foundation Walls Exterio. R-
Floors Rr
Walls R-
Ceiling Rr
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
z '
CONSERVATION CONSTRUCTION CODE . ...• .
PART S COMPLIANCE FORM 0a151:-
Building Design by Acceptable Practice
JUN 2 6 2001
mimicw TOWN OF QUEENSBUFW
DDRESS: 6 l.��C�.1�4�`Q' \�G�G - DATE: J(...MSL 14: LNG AND CODE
QU IS y . COUNTY •l. 1R�l
RCHITECT,ENGINEER,OR 6-7-7-OS-EA-0
011IRACTOR: THE /-1I&HAi j &2ouP PHONE: 518-.
ER.MIT APPLICANT: 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 S of the Energy Code may not be used.
129 Building is residential with-one or two dwelling units. _
nX Building is-less than 5,000 gross square feet
® Building is three stories or less in height_
❑i, Ratio of glazing area to gross wall area is equal to or less than 17%.
III. PROJECT TYPE
'X New construction n Substantial renovation of existing building
❑ Addition to existing building ❑ Exempt(7810.6c) o,
0_. 'per
* "Wf
IV. HEATING SYSTEM TYPE • =
•X I Gas-fired LI Oil-fired I Heat pump Electric h -_
_�51j• C
•
Joint Sealing: 7814_10(i)
Joint T.ocaiion , Sealant Type Specified I Plan/Spec_ Reference
Windows I Polycell 1
Doors frames I Weatherstripping 1
Walls at roof/ceiling ,
Polvrel 1 l
Walls at floors/found. Polycell
Wail panels - N/A
Utilityentrance
weatherstxipping �. .
Penetrations Polycell
Other
Other
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-
air duct with damper
•
Flue damper with max.20 cfm,or clanper (20 c.f.m.
damper and non-combustible doors
Gas fireplace ignition NO
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-
j
conditioner
L. tiVAG gut\ I Hut__ 7814.12
Temperature Control
Required Specified { Plan/Spec_ Reference
Thermostat each Yes
dwelling unit ,
Shut off at each Yes
terminal unit
Thermostat
Required I Specified I Plan/Spec.Reference
Minimum range I Yes
45T-85°F
Deadband Yes
range z 5°
Automatic - Yes
• capability
VIII. DUCT SYSTEMS: 7_814.18
Category Required Provided PlanfSpec.Reference
Duct z 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 Specified Plan/Spec_Reference
Supply Damper at envelope Ye s •
Exhaust. Damper at envelope Ye s
Supply on/off switch ( Y P
Exhaust - on/oft switch I
Yes
•
•
_ PIPING INSULATION: 7814:15
Piping Type Insulation I _Provided .P13n/Spcc.
Required I Reference
Heating distribution" ? 11/2" I N/A
Service hot water—
N/A
N/A
'Does not apply to runouts.
"Does not apply to piping with a diameter less than or equal to 3/4"inch_
•
XI. SERVICE WATER HEATING: 7814.21 (Table 5-4)
Performance Requirements
Vvacer Heaters Minimum Specified I Plan/Spec_
Performance Performance Reference
Storage EF. > _93 —_00132v 1 > _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 LW WA • .
Pool heater on/off switch N/A
Electric water heaier • separate switch N/A t:.
Gas/Oil water heater separate valve Yes
Xii_ ELECTRICAL POWER: 7814.31 .
•
Category I :Required Specified I Plan/Spec_ Reference
Electric meters I Ea. dwelling unit =•"e=
E.Tt1:IoR WALL
GPA.CuE cR/,KED kALL: wORKSN_£E
R-Va 1 ve 1 i R-Yalu•
inaulatad Cona=ruction - Framed -
Ar424 _ 1 Cd000nent t Ar44
:: .i:3
~ 0.68 i 1 1 il 1 ?�lf j-
�y ;; :
t Air Film 0.68
1 •!111
.45 um Bd. - .45 1 11 Ili!!I
m \/I: -
:;;:;z:
.
. . . �_
2x6 @ 16" o_c_ ; 6.87 =
--- Studs t
i _54 I 1/2" Wafer wood - -54 I1 l t-\
I /� - Sheathing
i
) i
`Z .' _65
V 5
IP 1.� - - y2-iding .6 .. _ 1
0.17
•��"'—
f x t i(i r m i 0.17
21.49 I R_Total 9.36
U Inauiated Fraction Fraeea Fraction.'
R-Total lnsuiat4C R-Total Fraceo
v R� .15 -
21.49 T "
9.36 .056
Wall Stud Spacing Intulatad Fraction i
Framed Fraction
1 2" O.C_ .83
1 _ 17
- 1G' O.C. .85 .
. 15
�4" O_C_
. .88 . .12
•
EASEMENT/CELLAR CALLS_ tORKSH££_.
@ stairwells
R-Value a R-YaIce l
with Ext_ Construction I, with1nt. N
(asulation Conoon�nts ! insulation
•�•� •• ( I
I �' 0.17 1 0.17 - ♦♦t
14r 1-4-111
Ext- Air Fi 1 c I .
• • - Exterior 'r i ni 5. **.4•
►♦ 1:L. i 8.. Poured =_ - -144.`-
♦♦ ♦♦
�♦:♦; t Blocs (Concrete) __1._7�---_ _- - _ ,
♦4, ! I 4 , �♦,O
•�! ; = Core lasviation - -t •♦♦�:
(�f �n71 i � 1 •
j♦�:
tom . - ► �
-^��.:.` j-1/Z��R-tt�x �f��a �A
`1` .. ,. Insulation /o"$fl _ ' -
.tP4-4 ( ext. or int.) I '1 �. ♦'♦t_ ►♦
` I��♦11=4fit-. .` interior Finish - (t~ •�♦�j; :♦:�
�►♦♦+ ' -. :r� 0.68 . - j (at, J.ir FCie- 1 .0.68 __n �-•
R-Tot:1 l �3 .37 --
f
1
(1
.e R-Tota1
e.-
u w 1 - -D7
iv13-37. -
•
8 «
Expo:ore Above Cra6e -
•
Al
Depth 8c1or( Grada . 48 _
EASEH£HT/CELLAR KALLS: tORKSH££-
. R-Value R-Valet
with Ext. ' Constroctioa with Int.
lnsul•ti.on Coaooneots l (nsulttion
1 .Ak. -�. _ _
a .- WExt Air -i1a •
t►
.
• •
•
None
/ 1-41.- -- 4�� �_ Exterior Finish
8. £cured �e :.: 'i .4.4
-
- •�i1t . r Slott (Concrete)J _ __L?Z___ '-" �� _
•t►�! : Core (asulation 1-.
`444r
= ��t( _ (if any) 1 "•. 4:
44
♦♦
` AA"-I
lnful ati.n ---i0. .•fit►.
•
E ♦�<�- -'-«-- None - - tl t• ( . �•-
�)��S4 Interior Finish
►�i� - -II — 0-68 t 1 0.65 a.• �0'
cat, f.ir Filn . -t i -*41 ' .
13.57
R-Total
•
•
- ,/ R-.Total - -.
1
• U m .C74
w 13 .57
•
Exposure Above Grade 8
Depth Belo,/ Graoa 48 -
•
OPACU£ £RAttEJ FLJLGR- c0RKSi-!EET
!I - i>'/,-//',' �j
-,-,_
.1___-,_
- i !• , 1 1 ir
- -\ / .-..
_____,
I ' : ...
R-Value 1 R-Value ,
( 'Intulatao 1 Construction Fracec
: ' Area Ccrtcnents - Area
1 0_92* I
I Ext. Air Fiim ! 0.92
I
Batt .
19.00 ' 6" ----
Insulation
__-- 11 7/8" TJI's @ 24" o_cl
. ... Joists 1 . )..4.84_
i _93 •
3/4" wafexw��od
Sub-Floor ....-- I
. n?9�:_._ carpet6`nyl . negl__
In. Floor
0.92 0.92
Int. Air Film
21_02 R-Total f :16_86 •
•
insulated Fraction** Frawed Fraction** -
U• o
• R-Total Insulated R-Total Fraw•d
•
- AI .95 + - .05
•
0
21.02 16.86 t''.048
•
•
* For vented cram space, use R w 0.17 for ext. air film.
tt. Floor Joist Spacing (naulat'.d Fraction Framed Fraction {
• iii
12" 0.C. .87 1 . 13
16" O.C. _90 _ 10
ROOF/C£lL1NG ZVEHTEC: 'ORKS1?££: .
•
:1 . :\xiiirf: �' 1i -",
( 0i0f I X X ‘,.. 1
felt. kK 1k J . - _ {‘kL--
i
. R-Value ue : I R-Ya 1 ue =
t _ : Insulated i Construction 11i . Fraaed -
t 1 •
i Urea I -
CompOnenLs i ..ter -
0.77 i Ext. hit file 0.77 ' 1
• . ' 30_00 9" Batt ! ---- 12_00 Overlap : _
Insulation t
2x4 bottom chord'
---- i @ 24" cc I 4.35
Joists
•
I _45 1/2" Gypsum Bd.. .45 1
• .... Wallboard
1 0.61 0.61
Int. Air Film
31.23 R-total 17_58
U lnsulatod Fraction* Framed Fraction
r
R-Total Insulated R-Total Framed
. U .93 .07 _ •
r ` _034
• 31.23 17.58
* Roof Joist Spacing Insulated Fraction j Framed Fraction•
12" O.C. .E7 .73
16" 0.C. .90 .10
21 " 0.C. .93 .07
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