2002-837 TOWN OF' QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&,Codes (518)761-8256
ERTIFICAT�E OF OC,CUPANCYC
Permit Number: P20020$37 Date Issued: Tuesday,May 06,2003
This is to certify that work requested to,be done as shown by Permit Number P20020837
has been completed.
t
Tax Map Number: 523400.308-010-0002-066-000-0000
Location: 13 ROSE Ln
Owner: GUIDO PASSARELLI
Applicant: TERRE MAJESTIC,INC.
This structure may be occupied as a:
By Order of Town Board
Garage-2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020837 Application Number: A20020837
Tax Map No: 523400-308-010-0002-066-000-0000
Permission is hereby granted to: TERRE MA.TFSTTC. TNC.
For property located at: ROSE Ln
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 Garage-2 Cars Attached
465 LAKE Ave Single Family Dwelling 200,000.00
LAKE LUZERNE,NY 12846-0000 Total Value 200,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
LAMOTT- MTCHAFT,
Plans&Specifications
2002-837 Lot 139, House 13, Rose Lane
Construction of a 2,222 sq ft single family dwelling with a 660 sq ft attached two car garage and one
fireplace.
$332.64 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, October 09,2003
(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 n of ee October 09,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
A' ilding Permit.Application 23�10Z --
L'owll oI'Qucensbury—Dept of Comtiuulily Developnlcilt,742 I3ay Road, Queellsbury, NY
(518)761-8256
A permit must be obtained before beginning ConStructioll.
No inspection will be male"iultil nppliciult has received a � O. r
valid building permit. All applicants' spaces oil this 'ec I ate ; S
application must be counplctcd and Must appear oil the IZcc. l ee I'itid $
application form. Reviewed Lay:
Applicant: 1�T,�. � Owner:
Address: _—`�k.5'j /TT Q-�r� , Address:
Phone It(tS'L '1 7//5-��yo? Phone it (_ _ T O 2 2002
TOWN OF QUEENSBURY
Property Location: Lot NUnlber: _ 139/ I-Iouse Number
Subdivision Nanie: ��.., j �.>� y Tax Map Number:
tilt•" New Building: 4re iclencc 1 commercial Is'stimated Market Value of Construction: .$ �p
U Addition: residence/ commercial
t_t Alteration: residence/ conlnlercial If an Addition, what will use of new addition be7
•
❑ No change to exterior size: residence t colliq
❑ Other work(describe —)
Clicel; Ucc up wcyinl'ortnaliotlL
z" moor Other floor Total
Below sq. R. sq.ft. Square Feet
Z�Z
Single family dwelling
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
It of units
❑ Officc ��
❑ Mercantile
❑ Mail uftcturing
LI I car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ I car attached garage Qb
Ce" 2 car attached garage �K.'0 �,
❑ 3 car attached garage _
u Storage building-
commercial 3•)10 II-/- ( C
Storage building -
residential
❑ Other
Will any second-hand or ungraded lumber be used? If so, for what?
Type of Beating System: electric/ oil'/ gas/wood / breed.hot ai-I baseboard/other: r—
Number of Fireplaces to be iInstal led Number of F ooirlslo yes to be installed /
List below the person(s)responsible for supervision of work as regards to building codes:
Name / 77.
Address 1'>ttonc Nulrl�ibct
L3t1i1dCl' In.! la
Phunbcr
Mason 1s a-e—, "60127 ,— C
Electrician
lledaratiou: please sign below attar you have caregilly read the statenlcut:
To the best of my knowledge the statenlellis contained in this application,together with the plans and specifications
submitted,are a true and complete sta ue tcrnt ofall fn'oposcd work to be done on file described premises and that all
provisions ol'the Building Code, file Zoning Ordinance and all.other with,whether speci laws pertaining to tJle proposctl work shall be complied
submit,prior to a fied noted,and that such work is authorized by the owner. Further, it is undel:stood (flat I/we shall
Certificate of Occupancy or Certificate of'Cmupliance being issued,as requested by the%onin g
ndminisn'alor cn Director of 13uihling and Codes,an its Built Sill-rer by a licensed surveyor;drawn to scale,showing actual
location of all liew coils Iruction.
'Signature: ! 1•`'; •
owner,, wnel^s agen architect,contractor
Application for Permit—Septic Disposal System ECOVED
7 iAil-11 Qf Queensbuly 742 Bay Road Queensbury, NJ' 12804 (518) 761-8256
1. OWNER INFORMATION: OCT 0 2 2002
01JEENSEURY"
Location of installation: 4,0-r 1,3 C/ %oll-WINI'G, A 10 rCCE
Tax Map No. File Permit No.
Owner's Name: Fee Paid
e v os-es Z le'_
Address:L_T,,
%
2. INSTALLER'S NAME
PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, inclicale#bedroom(s) and multiply It of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of I-louse: No. of Bedrooms x Computation- = Total.Daily Flow
1980 or older x 150 gal/bdrin =
1980- 1991 X 130 gal/bdrin =
1991 —present 3 x 110 gal/bdrin =
Garbage Grinder Installed yes_ / no
Spa or Whirlpool Installed yes— / jlo :,
4. PARCEL INFORMATION: (circle applicable information &indicate measurements)
iowngrop Y It jigiLNgure Ground Water . Bedrock or Iii—p—A,--- Doniqsitic Water Supply
fit what depth at what depth `=P�C7
0 ling loam —ftel well
Steep slope clay if well; water supply
Yo slope other fi-0111 ally septic-system
depth: absorption is_J1.
other
Percolation Test: .(To be completed by licensed professional engineer or architect)
Rate: —minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems most be designed by a licensed
professional ctigitieer or architect(unless installed in a Piaiuiing Board approved subdivisioti). Add250 gallons to the size
of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: lWeg gallon(min. size 1,006 gal.)
Tile Field: each french J1. Total System Length:
Seepage Pit(s): number of size oj'each: —fi. by
Size of Stone to be used: # depth or thickness-
Bed System Size:. x
Alternative System:
length andlor size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: I Size of each: gallons /TOTAL Capacity:_gallons
Note: Alarm System and associated electrical work must be inspected by"a Town approved
electrical inspection agency:
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of all applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature",6Wosp-o4-0*ns1bl9�person at
Fire Alal-slial's()I I ice TO%vil ol'(l Uee list) ry, 742'BnY Rawl,Q)tiee list)(I rv, N Y
(51 3) 76-1-8205
Application .for Fuel Burning Appliances &.Uh.!mn,(;-ys,
applicable to solid fuel & vented gas applia' A
n
Date 20
Pern�it No, •
Applicati0ii Is kereb),maek,to Offi
fin, the llance qf US
PeOO lP111-sualitt to the New YorkStqte rille J811h.oil ai,I,d'Bullding(.-ode.
irTIVC-Y 10 C0111121y frith all applicable iaw�,'ordinallc6" reglitaliolls, and till conditions that are pieceQf
these requirements and also will(111011'all ins/nectars loperlbrm required hv;peefiomi".
•
MOTE to applicant: Rouah-In and Final Inspections are required.
Applicant Information Fuel Burning Appr1'i'4' n'c' 6.1nformatioi)
(Circle appropri'itte words)
Name:
Stove: It"Ood coal Pellet gaS
Fireplace insert
Address: ,Flreplace� factory-built: woo' d �gas
Fire] lace, masonry.' Ivood GrCJS
Furnace'. wood gas oil
Phone:
If non-masonary applicance,please provide
Owner:
Manufacturer Narne:
Address: Model Number:
Chimney Infoquation
(circle
il appropriate words)
Masonry block--, brick- Stolle
Flue file -S' el : size:
te Inches
Exact Address:
iicm W sil
of CO,11 sir 011 o. ,in allation Factory-Built
Manufacturer name:
Model'Number:
Note: Listed By:
Construction I Installatioti niilst Number:
con Lorm to NYS Fire Prevention &Building Indicate (circle) chininey material:
Code. Consult available Town of Queensbio),
Handouts regarding required inspections. Poitble ivall THPle mall Insulated Direct ve1jjjjj(,
Chhnneiy Lin ell,
Fire Alarshal Code# S Collected S Re
.4 173 3389 (190) pItblic Safetj'
A 233'2�55 (230)Alindl.Sailc?v
White-(Applicant), (ril-e Mlrsllal-) 1 Yetlox\, (Pldg- Dept:)� 'phik&Lioldettrcld(Casliier's Dept.)
�o L--? 3
IIEGEIVED
CODE CotIPLIANCE APPLIcjjXjo,j
uW0 OF QuEr'.'NSBURY, WARREN COMITY OCT 0 2002
9000 HEATING DEGREE
TOWN OF 0, v :11JRY
ColllpllquS;�cj,IeLhotl.s : PART 5
- Acceptable 'Practice Methad
1&2 Fc-uti1ly Dwellings (Only)
PART 6* - Thermal Rating - Component Trade offs
1&2 T'diiii-ly Dwellings; Multi-Family
Dwellings ( 3 stories or less)
PAR']! 4* - Design by Component PerfOrillaiice
Coltutiercial Buildings-11i 'Rise Residential*
*Requires submission Of worksjeets
11P P L 1C J-Upj!7, PROPERTY LOCATIOH:
MET1101) OF COMPLIMICE BY ACCEPTABLE P11ACTICE:
1 . Gross Flog : 1re;! scluake feet .
2 . Type Of 11c ElecLric Oil Other
3 . is buildi "Y 1110challiCally cooled? Yes 1,10
4 . Pe::-centage Of a.-I-ea of windows and doors Over 17%
_ZUnder 17%
5 . R-VALUES FOR I11SUF,AT1Ot1 'GIVEN BELOW MUST CORRESPOLM TO R-VALUES AS
SH-OViN ON PLAiIS SU131.11TTED:
a . Rouf
Exterior walls It
C . G 1,-:u;e d areas
d . Exterior do.)us R
e . Floors Over unheated spaces
Edge of slab oil grade (heated building)
Z ` `-
g. Baseilielit/cellar walls (above grade ) R
1i Bnseilleiit/cellar walls (below gracle) R
11, a t ing/coo limi-duc ts-piping in unheated space
6 . SeZ-vi('e (dumestic) hot water heating device
con-IC01:1115 to 111iiiI'MUM efficiency per code -Yes Vo
TE141.,E:ATU1u-', C00TH01, I-JAXII-juM SETTING 140c) WILL 110T BE EXCEEDED
D I ;A r
:� -L ilaL iy:e Da te Phone Humber
V
I bi S P C--' 0_R' S REMAJJIcs .
. . HIGHW'
Richard A.Missita
�� Highway Superintendent
DEPARTMENT
RECEIVED Home(518)7MS127
742 Bay Road * Queensbu
`y .113i OCT 0 2 2002 chaeiR Travis
O f#ce Phone: (518) 761-8211 Deputy Highway Superintendent
Fax: (518) 745-4466 TO"I'M OF ("':F1JSBURY (518)798-0413
DRIVEWAY PERMIT
DATE. _ 141,2 ,
APPLICANT NAME:
TELEPHONE NO.:
ADDRESS TO BE INSPECTED: *7' 13Q RpAe, 21 ,
RETURN ADDRESS: ` � q
Applicant must show exact location and width of driveway(s) to be connected to the highway by
placing stakes at the specified location.
The Superintendent of Highways of die Town of Queensbury has reviewed this application. The
following action has been taken: .
STEP 1: { ,} Preliminary Approval .. .
NEED: ( )Slight swale
{ )Level with the road
{ ) Deep swale .
Size pipe to be used(if necessary). .
Preliminary inspection completed by DATE
Approval by Highway Supt. Deputy Supt
M '
Upon completion,please resubmit this approved permit for a final.approval.
STEP 2: ( }-Final-Approval
O Rejected
DATE:
Richard A. Missita,Highway Superintendent
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection re est ei d:
Inspection r ope.e i v.,
Queensbury Building&Code Enforcement Arrive: am/p epart. aZ pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi
NAME:
IT M
LOCATION: k3 ATE:
TYPE OF STRUCTURE:
Comments
Y / N N/A
ChinmeyHt./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in,or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railiu s 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away.from foundation 6 in. with 10 ft. 4L—
Handrail Termination at Newell Post or Wall
8 inch clearance to sill late
Gas Valve shut-off exposed/regulator 18"above gride;--�,'/'
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
-Low water shut'-off boiler
Relief Valve(s)installed V/
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwell 4 safety glazing 9 V
Interior Smoke Dot ctors:
Every / Every B room: V
Outside every bedrooi - V
Inter Connected: gattery backup: P,
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
1/4hour fire door/door closer
Garage firepLoofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents V/
Building No./Address visible from road
Final Electrical V
Site Plan Wariance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue TeLnporary C 0(Cert.Of Occupancy)
Okay to issue Permanent C 0(Cert. Of Occupancy)
L:\SueHernifigNvay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection prequesce' d:p
Queensbury Building&Code Enforcement Arrive; a p part: a
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial I
P MIT 4.
NAME: p
ATE:
LOCATION: ATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railini s 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft. V71—
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30.ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
-Low water shut-off boiler
Relief Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in. v/1
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazing
Interior Smoke De ctors:
Every level: )�, / EveryBe orn: N/
Outside every bedro 'Y
area:
Inter Connected: 7 / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector-
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
/4hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq,ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan Wariance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary C/0(Cert. Of Occupan
r Y
Okay to issue Permanent C/0(Cert. Of Occupanc I V I I
L:\SueHen-dfigway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
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LOT 140 MAP REFERENCE:
MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION
MADE FOR HERALD SQUARE SUBDIVISION LAYOUT
AND UTILITY PLAN", DATED 5/29/96 LAST REVISED
10/2/96, PREPARED BY VANDUSEN & STEVES, LS.
FILED IN THE WARREN COUNTY CLERK"S OFFICE ON
LOT 146 ODEC. 31, 1996 IN PLAT CABINET B, SLIDE 85,
MAP #185.
R ?OH0-
LOT 139
20,573 SO. F-T
tele.
elec. �7
GARAGE
HOUSE RF-rl
LIGHT
LOT 13 Ns� 2003
TOWN OF QUE0qSBURy
—AUALOAlp AND COD2
LOT 12 9LE
NOTES: LOT 11 MAP OF A SURVEY OF LOT 139 HERALD SQUARE
MADE FOR
1) THIS SURVEY WAS PREPARED WITHOUT THE
BENEFIT OF AN ABSTRACT OF TITLE AND IS TERRE MAtifV T
THEREFORE SUBJECT TO ANY EASEMENTS, MAJESTIC, INC.
COVENANTS OR RESTRICTIONS OF RECORD o'
ANY STATEMENT OF FACTS SUCH DOCUMENT
WOULD DISCLOSE. TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK
2) UNATHORIZED ALTERATION OR ADDITION TO A SURVEY
MAPU BEARING A LICENSED LAND SURVEYORS SEAL IS A DAVID J. BOLSTER
T
STATE EDUCATION LAW.
VIOLATION OF SECTION 7209, SUB—DIVISION 2, OF THE LICENSED LAND SURVEYOR
NEW YORK 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839
3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS DATE: APRIL 29, 2003 'SCALE: 1" = 30' N.Y.S. LIC. NO. 49534
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. DWG. NO. 03-059 B
Rough Plumbing/ Insulation Inspection Report
Office No.(518)761-8256 Date Inspection request r ived
Queensbury Building&Code Enforcement Arrive: art = an4g j
742 Bay Road, Queensbury,NY 112804 Inspector's Initials
NAME: P-Jeu-t PERMIT-#: _ ''ZoOZ--?37
LOCATION: .._ �T t''� � _ INSPECT ON: �� Q�
TYPE OF STRUCTURE:
/'
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain!Vents -
Cast Iron,Copper Drain/Vent 1 Comm. i
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Drain and Vents
5 PSI or 10 ft. above'highest
Connection for 15 riminutes
Water Supply Piping
Copper Commercial
Copper,CPVC,`Pex One&Two Famil r
Insulation/Residential Check./Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If re uired unheated spaces Q^� ,
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L:1PamW\Whiting\Rough Plumbing Insulation Report.doc
` i � }t V!C"V
Rough Plumbing Insulation Inspection Report
C>�
t
Office No. (518)761-8256 Date Inspection request re d:
spectio
Queensbury Building&Code Enforcement Arrive: De am/pra
tj
742 Bay Road,Queensbury,NY 12804 Inspector's Initi s.
NAME: PERMIT
LOCATION:
INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iron,Copper Drain/Vent Comm.
Plumbing Vent/.Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Dfain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping -7
Copper Commercial
CAper,CPVC,Pex One&Two Fan-lily �
su5-lation/Residential Check/Commercial Check
le
Proper Vent,Attic Vent
Duct/Hot Water Piping insulation
If required unheated spaces
/13ombustion Air Supply for Furndce
Duct Work Sealed Properly
COMMENTS:
�L:\SueIiemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.dod January 28,2003
Office Use
-GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
'-Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVED' In Notes:
(518) 761-8256 Inspector's Ini
NAME: PERMIT#
LOCATION: INSPECT ON(date):
In D nW itz
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
lumbing Vent/Vents in Place
H ugh Plumbing (CPO
rj oeating Rough.
Insulation
Foundation Walls Interior R
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping mi
unheated spaces R-
V/roper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging-
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
ire Separation 1,2,3,hour_
ViPenetration Scaled
`�('ire Wall 2,3,4 hour
Firestoppmg_
L:\SueHemingway\Building.Codes.Inspection.rORMS\GENERAT,INSPECTION REPORT.doe
Rou_ j 1 Ction Report
Office No. (518)761-8256 ceived:
Queensbury Building&Code En'orcement Arrive:
742 Bay Road,Queensbury,NY. 12804 Inspector's Initials-
NAME: PERMIT#: ( 7
LOCATION; c_ INSPECT ON: O
TYPE OF STRUCTURE: `C1
1
l
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
Plum ing Vent/Vents in Place
ough Plumbing./Nail Plates
Head or Air Supply Test
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
Copper,CPVC,Pex One&Two Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent 1�
Duct/Hot Water Piping Insulation
tivv
If required unheated spaces
Combustion Air Supply for Furnace ` v
Duct Work Sealed Properly
COMMENTS: r,
A(
L:\SueHemingway'Building.Codes.Inspection.FORMS\Rougb Plumbing Insulation Report.doc January 28,2003
TOWN OF QUEEKSBURY
BUXUDING &.--CODE ENFORCEMENT
742. Bea-V Rconct
12SO4
MY
(518) 761-82,545
SEP-rXC DYSPOSAU SYS-TEM INSPECTION
Name lie
D at t-- ZI Zf ZJK -----P e- r-rn 1 t; # 2-
Y1
SOY E TYPE: art Qan -- L c:oam-C 1 a_y-
cc
Rtasul is o i-cala-tion Te- s-t-
( i -F applicable ) Rate-Minuft-e-/Inch
TYPE OF SYS-rEM=
ABSORPTION FIEUD: Total Le_200-4-h
Length o-F each trench i
Dept;h, o-F trenches
Size o-F stone
SEEPAGE PITS : N um b7 e--y--
Size _F t__ x -Ft_
Stone Size
PIPING : T
_y]
Bldg . to Tank
Tank.- -to Dist; _ Box
Dist _ Box to Field,/
Openings Se-aled? . e No P a r-t,i al
I-OCAFIOJWZSEPARA7FXOH
Found a-t! on to Tank C7 -Fee-t
Founda-tion
to Absot-pt_-ian
Sopai-at:ion of' P i -t s Yet
Con-For-ms as per Plo-t Plan es No U/
LOCA-VION SYSTEM ON PROP ER-r
S'
( ci r-cl e, 0 )
-Fvon t ear LTt� i
a Sde - Ri t-,gh Side
Middle F5n!bn!P�- Middle Rea r-
COMMEN-IrS
SYSTEM USE APPROVED -
,PPRO YES . no
A w-r-1%#t-_4cf
D t--pia
"izo2, ��
�E i
OCT o 2 2002
TOWN OF QUBBNSBURY
..._.... ----
l
a i
_
4 �
l7
/7
�tK
OSE
"f have seen or observed, or believe I saw evidence of,
all objects such as houses; ,,:ells, frees, fences, etc„
shown on :his docu~ent. I a;so represent that I havepersonally nneasured the distances set forth on the diagram."
GNATURE ATE —
Offke Use
,GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
De received: 0 - 6
Dept. of Community Development Request re —5 1 2, Meet:
Building& Code Enforcement At time:
Bay'Road —Queensbuij; AT 12804 ARRIVE am/pm: DEPAR3, In In Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT#6 J 3:7
LOCATION: LE /30/ -'13 S-P-- 4*' � INSPECT ON(date):
f
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 ng Foundation,/Dampproof
*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/Bridgm' g--
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4-hour
Firestopping
L:\SueHemingwa)ABuildiiig.Codes.Inspection.FORMS\GENERAL INSPECTION REPORTA00
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready At time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVEa otes:
A
mE P�?T
(518) 761-8256 Inspector's Initial
c.
NAME: PERMIT#
LOCATION: 141137 K) INSPECT ON(date): 16117 6 2--
\11
TYPE OF STRUCTURE: b
RECHECK
N/A Y I ES40 COMMENTS
Footings;E�ers I/V
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/Dampproofmg_
Backfll Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
RoughPlumbing_
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
JackStuds/Headers
Bracing/Bridging.
Joist Hangers
Jack Posts/Main Bea
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppig
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
RECENED
Permit Number OCT 0 2 2002
TOWN OF QUEENSBURY
AND CODE
MEECckeck Compliance Report Checked By/Date
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
Data filename:C:\Program Files\Check\MECcheck\73102.cck
TITLE:7/31/02
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached I or 2 Family
HEATING TYPE:Non-Electric
DATE: 10/01/02
DATE OF PLANS:7/31/02
PROJECT INFORMATION:
lot 139
COMPANY INFORMATION:
herald square
COMPLIANCE:Passes
Maximum UA=379
Your Home=315
16.9%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factar UA
Ceiling 1:Flat Ceiling or Scissor Truss 1128 38.0 0.0 34
Wall 1:Wood Frame, 16"o.c. 2434 19.0 0.0 131
Window 1:Vinyl Frame,Double Pane with Low-E 194 0.370 72
Door 1:Solid 42 0.100 4
Door 2:Glass 20 0.370 7
Basement Wall 1:
Solid Concrete or Masonry,7.6'ht/6.9'bg/7.6'insul 1068 11.0 0.0 67
Furnace 1:Forced Hot Air,78 AFUE
Air Conditioner 1:Electric Central Air, 10 SEER
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans,specifications,and other calculations submitted with this permit application. The proposed systems have been
designed to meet the Proposed New York State Energy Conservation Construction Code requirements.
Builder/Designer OAu Date
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
DATE: 10/01/02
TITLE:7/31/02
Bldg.
Dept.
Use
Ceilings:
1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
Above-Grade Walls:
1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
1. Basement Wall 1: Solid Concrete or Masonry,7.6'ht/6.9'bg/7.6'insul,
R-11.0 cavity insulation
Comments:
Windows:
1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor:0.370
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
1. Door 1:Solid,U-factor:0.100
Comments:
2. Door 2:Glass,U-factor:0.370
#Panes Frame Type Thermal Break?f I Yes No
Comments:
Heating and Cooling Equipment:
1. Furnace 1:Forced Hot Air,78 AFLTE or higher
Make and Model Number
2. Air Conditioner 1:Electric Central Air, 10 SEER or higher
Make and Model Number
Air Leakage:
Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC
rated.installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible
materials and 3"clearance from insulation.
Vapor Retarder:
Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] f Materials and equipment must be identified so that compliance can be determined.
[ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications.
f
f Duct Insulation:
[ ] ( Supply ducts in unconditioned attics or outside the building must be insulated to R 11.
[ ] ( Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] ( Supply ducts in unconditioned spaces must be insulated to R-11.
[ ] f Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
I Insulation is not required on return ducts in basements.
1
Duct Construction:
[ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics
f (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
I Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
[ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] j Air filters are required in the return air system.
[ ] ( The HVAC system must provide a means for balancing air and water systems.
I
I Temperature Controls:
[ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
(
( Electric Systems:
[ ] I Separate electric meters are required for each dwelling unit.
I
Fireplaces:
[ ] I Fireplaces must be installed with right fitting non-combustible fireplace doors.
[ ] f Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction
provisions of the Building Code of New York State,the Residential Code of New York State or
f the New York City Building Code,as applicable.
f
I Service Water Heating:
[ ] f Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system.
[ ] ( Insulate circulating hot water pipes to the levels in Table 1.
I
Circulating Hot Water Systems:
[ ] ( Insulate circulating hot water pipes to the levels in Table 1.
I
I Swimming Pools:
[ ] ( All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
{
Heating and Cooling Piping Insulation:
[ ] f HVAC piping conveying fluids above 105°F or chilled fluids below 55°F must be insulated to the
I levels in Table 2.
c t?y
6 `
r
Table]: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Tpmperature(F) UP to 1" Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
��System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4"
Hohting Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)