2002-821 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12845902 (518)761-8201
Community Development-Building&Codes (518)761.8256
EIRT I F I Cal T E 0 F O C C U I'AN C 1
Permit.Number: P20020821 Date Issued: Tuesday,April 08,2003
This is to certify that work requested to be done as shown by Permit Number P20020821
has been completed.
Tax Map Number: 523400-290-017.0001-025-000.0000
Location;, 67 MASTERS COMMON SOUTH
Owner: MIICHAELS GROUP LLC THE
Applicant: MICHAELS GROUP LLC THE
This structure may be occupied as a:
By Order of Town Board
Garage-2 Cars Attached Town of QUEENS BURY:
Single Family Dwelling
Duector of Building&Co e E ement
a
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020821 Application Number: A20020821
Tax Map No: 523400-290-017-0001-025-000-0000
Permission is hereby granted to: M1CHAET,SCTRO1JPT,LCT14F
For property located at: 67 MASTERS COMMON SOUTH
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.Queensbuty Zoning
Ordinance. Tyke of Construction Value
Owner Address: MICHAELS GROUP LLC THE Garage-2 Cars Attached
10 BLACKSMITH Dr Single Family Dwelling 279,000.00
MALTA,NY 12020 Total Value 279,000.00
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2002-821 67 Masters Common South
Construction of a 3,142 sq ft single family dwelling with a 448 sq ft two car attached garage and one
fireplace per plot plan and specifications.
$421.84 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, October 03,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Offic/r'
of the Town of Queensbury before the expiration date.)
Toursday., 0
sbury;
Dated at the Town of Queen ctober 03,2002
SIGNED BY I for the Town of Queensbury.'
bl-e'oc'tfr of Buildlng ode forcement
Building Permit Application
"Town of Quecnsbuiy-Dept of Comnntnity Develop ment, 742 Bay Road, Qtteensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No. �2
No inspection will be made until applicant has received a Fee paid $4k11_tVL1
valid building permit. All applicants' spaces on this 12cc. lice Paid $ �7
application must be completed.and must appeal-oil the Reviewed .t3
application form.
Applicant: �e�� �� Owner: e
Address: may' Address: 0�� a
z
02
Phone# (5_ ) - C:� Phone
Property Location: Lot Number: lc / House Number (e5l
Subdivision Nan,c: _ Tax Map Number:
� 5 r� l�fry.�� Zq 6 . 1 `7 — t —`z,5�
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
❑ No change to exterior-size: residence/com'l
❑ Other work(describe )
Clieck [77yInforination V Floor 2"` Floor Miler Moor 'Total
Below sq.ft. sq.ft. sq. rt. Square Feet
Single family dwelling
❑ Two family dwelling
o Townhouse -
a Multifamily dwelling
#of units
o Office
o Mercantile
❑ Manufacturing
fl 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ I car attached garage
2 car attached garage 44
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential
o Other
Will any second-hand or ungraded lumber be used? If so, for what? 9 3 .
Type of Ileating System: electric/ oil / gas wood /forced hot air/ baseboard/other:
--- - Number of`Tiret�Puces 1o=ue-inst�z3ied-E�-- ,=_ -Number vf-TT'uurlstotes�io=be-inst�rlled—�r�__---- —._____-------
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
+.� �.aek1 �-4 _ � dc
Pltl,„bet P1� �L�-i�c _;t _C_�kk SIA- '�1 � � 5 z
Mason S', ��`�C rtL Cs.� 3 et c 4-Lt- CN3
Electrician
Declaration: please sign.below after you have carefully read file statement:
To the best of illy knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work sliall be complied
with, whether specified or noted,and that such work is authorized by the owner. Further, it is untlerstood that I/we shall
stibn it,prior to a Certificate of Occupancy or C rtificate of Compliance being issued,as requested by the Zoning"
Administrator or Director of B Hdirtg a t I Cot an ds Built Sarver by a licensed surveyor;drawn to scale,showing actual
location ofall nely13611strk,
cl'�
Signature: _J - owner,owner's agent,architect,contractor
-Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY'
(5118)761-8205
Application for-Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Date
20 Permit No.q
Application is hereby made to the Building& Codes Officefor the issuance,of Building and Use
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable-laws, ordinances, regulations, and albconditions that are part Of
these requirements and also will allow all inspectors to enter premises to peiftwin required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance'Information
(circle appropriate words)
Name: Stove: wood coal pellet gas
Fireplace insert
Address: Fireplace, factory-built: wood gas
Fireplace, 'masonry: wood gas
Furnace: wood gas oil
Phone: EEL,�A_-_t
If non-masonary appl,icance,please provide
Owner: Manufacturer Name-.
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue the Ksl-e—el size: inches
Exact Address: Co-1 IM
of const or'InsWbidon Factory-Built
Manufacturer name:
Model Number:
Note: Listed By:. Number:
Construction I Installation must
conLorm to NYS Fire Prevention &Building Indicate(circle) chimney material: Z
Code. Consult available Town of Queensburji
Handouts regarding required inspections. Double wall Triple wall Insulated Direct venting
Chhnne)!Liner
IA�
Fire Marshal Code#' $Collected $Refunded Received fi-onz (refunded to)./�_V�',. zq"Z,
address,;
A 173 3389 (190) Public Safety
A 233 2655 (230),Minor Sales
DA TE:
White(Applicant) Green(Fire Marshal) I Yellow(Bldg.Dept.) Pink&Goldenrod(Cashier's Dept.)
TOWN OF QUEENSSURY
Hichard MiftHIGHWAY RECENED ghway Superintendent
DPARTMEN ' S E P 3 0 2002 Home(518)798-5127
742 Bay Road - Queensbury,NY 12804 Michael Travis
Off Zce�Phone: (518) 761-8214 TOWN OF QUEENSBURY Deputy Highway'Superintendent
Tax: (518) 745-4466 P'131LDDIG P��N'r)C0FwE (518)798-.0413
DRIVEWAY PERMIT
DATE: 1(. '3J01:rL
APPLICANT NAME: va&
TELEPHONE NO.:
ADDRESS TO BE INSPECTED: Cps
CC mtroyl
RETURN ADDRESS:
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 the 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 male
Size pipe to be used(if necessary)
)12" )15" ( )18" ( )24" ( )36"
Preliminary inspection completed by DATE
Approval by Highway Supt. Deputy Supt
Upon completion,please resubmit this approved permit for a final approval.
STEP 2: )Final Approval
Rejected
DATE:
Richard A. tMissita,Highway Superintendent
Fire Marshal's Office Town of.Queensbury,742 Bay Road,Queen.sbury,NY
(518)761-8205
Application for Fuel BurNng.Appliarices & Chimneys
applicable to sodld'Y 'r'Vvkint'ed—gasappliances
Date 20—CT7— SEP 3 0 Z002 Permit No. 26011—Vd/
-�de
9A_. ' f q Building and Use
Application is hereby made tothe Buildi� " C �obkic�-fior the issuance o
Permit pursuant to'the New York State Fire Prevention and Building Code.. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part Of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: Stove: wood coal pellet gas
Fireplace insert
Address: 10 Fireplace, factory-built: wood as
Fireplace,masonry: wood gas
Furnace: wood gas oil
Phone: 0cNt-(,p'51 X If non-masonary applicance,please provide
Owner: Is Manufacturer Name:
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block _h4r,,k stone
Flue the steel I size: inches
Exact Address: C6 oom tS�A
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction lInstallation must
con Lorin to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbui),
Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting
Chimnej,Liner
Fire Alarshal Code# $Collected S Rtfunded Receivedfi-onz (refunded to): .
address:
A 173 3389 (190) Public Saftety
A 2.33 2655 (230)Ali r Sal S,
DATE:
White(Applicant) Green(Fire Marshal) Yellow(Bldg. Dept.) Pink&Goldenrod(Cashier's Dept.)
Project Name: {&i6 BP# �0 2.'Y L(�
Address: .
Building Permit Submission
S4&fandy dzerllang
Tuofiandy dw&T
Checklist
All items below must be checked either yes,no or not applicable prior to submission of any building
permit to the Town of Queensbury Building Department. If any of the below items are lacking,the permit
will not be accepted until such time as the application is deemed complete for submission.
1. Building Permit Application Completed ... ...
2. EnergyForm or CheckMate Energy Code Compliance Forms Complete. r' n no ❑n/a
3. Energy Code Inspector's Report from C heckl&te Prog . ... ........... ❑no ❑n/a
4. Septic application completelyfilled out(if applicable)..... UJ. . . ❑yes ❑no
S. Solid Fuel Burning or Gas.Appliance Form... ... ... ......... ... ... ............ �P� ❑no rn/a
6. Electrical Inspection Form.... ... ... ...... ... ... ... ... ......... ... ... ... ......... .. ❑yes Ono ❑n/a
7. Two (2) complete sets of structural drawings... .. ... ...
a)floor plan;b) foundation plan;c) cross sections:d) elevations;
e)window and door schedule '
8. Two(2)site plans showing location of the structure to be built. ... ...... ... ❑no ❑n/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure ... ... ......... ... ... ...... ..... fyesQno Qnla
10. Setbacks to neighboring wells and septic systems,including onsite well... . Oyes [--]no ❑n/a
and septic systems (if applicable)
11, DrivewayPermit... ... ......... ... ... ... ......... .. ... ......... ... ... ... ......... [-]yes ❑no ❑n/a
1
Date: "k
Staff Initial:
L:\Sucamingway\Bading.Perrnit.FOFIB\Generic ChecMist.doc
Permit Number
MECeheck Compliance Report Checked By/Date
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
Data filename: C;1Program Files\Check\MECcheck167MastersSouth.cck
TITLE: Savannah Standard 'J E C S V
LLJ
COUNTY:Warren S E P 3 0 2002
STATE:New York
HDD:7635 TOWN OF QUEENSSIURY
CONSTRUCTION TYPE:Detached 1 or 2 Family Af,"In.
HEATING TYPE:Non-Electric
DATE:09/25/02
DATE OF PLANS:June 26,2001
PROJECT INFORMATION:
Perna Residence
67 Masters Common South
Queensbury,NY 12904
COMPANY INFORMATION:
The Michaels Group
10 Blacksmith Dr.
Malta,NY 12020
COMPLIANCE:Passes
Maximum UA=582
Your Home=519
10.8%Better Than Code.
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R:Value. U-Factor UA
Ceiling 2:Raised or Energy Truss 1802 30.0 0.0 58
2nd Story Walls:Wood Frame, 16"o.c. 1872 19.0 0.0 101
Bed 2(E):Wood Frame,Double Pane with Low-E 30 0.340 10
MBath(Q): Wood Frame,Double Pane with Low-E 16 0.340 5
MBed(B): Wood Frame,Double Pane with Low-E 33 0.340 11
MBed(U):Wood Frame;Double Pane with Low-E 30 0.340 10
Bed#4(E): Wood Frame,Double Pane with Low-E 30 0.340 10
Foyer(R):Wood Frame,Double Pane with Low-E 16 0.340 5
Bed#3(S):Wood France,Double Pane with Low-E 34 0.340 12
Bath(K):Wood Frame,Double Pane with Low-E 7 0.340 2
First Floor Walls:Wood Frame, 16"o.c. 1802 30.0 0.0 69
Dining(P):Wood Frame,Double Pane with Low-E 24 0.340 8
Dining(L):Wood Frame,Double Pane with Low-E 15 0.340 5
Living(G):Wood Frame,Double Pane with Law-E 31 0.340 11
Study(M): Wood Frame,Double Pane with Low-E 15 0.340 5
Study(E):Wood Frame,Double Pane with Low-E 30 0.340 10
Kitchen(D):Wood Frame,Double Pane with Low-E 17 0.340 6
Brkfst(S):Wood Frame,Double Pane with Low-E 17 0.340 6
Brkfst(T):Wood Frame,Double Pane with Low-E 33 0.340 11
Brkfst(A):Wood Frame,Double Pane with Low-E 21 0.340 7
Family(N):Wood Frame,Double Pane with Low-E 28 0.340 10
Family(H):Wood Frame,Double Pane with Low-E 11 0.340 4
Family(J):Wood Frame,Double Pane with Low-E 21 0.340 7
Family(F):Wood Frame,Double Pane with Low-E 55 0.340 19
Door Util(6): Solid 33 0.230 8
Door Foyer(dr):Solid 20 0.350 7
Sidelights: Glass 20 0.350 7
Basement Wall 1:
Solid Concrete or Masonry,7.6'ht/6.6'bg/6.0'insuI 1008 0.0 11.0 66
Basement Wall 2:
Solid Concrete or Masonry,7.0'ht/6.0'bg/6.0'insul 420 0.0 11.0 27
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 52 19.0 0.0 2
Furnace 1:Forced Hot Air, 80 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans,specifications,and other calculations submitted with this permit application. The proposed systems have been
designed to meet the Proposed New York State Energy Conservation Construction Code requirements.
Builder/Designer Date
y
E
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
DATE:09/25/02
TITLE:Savannah Standard
Bldg. [
Dept. [
Use
[
[ Ceilings:
[ ] [ 1. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation
[ Comments:
[ Insulation must achieve full height over the plate lines of exterior walls.
[
[ Above-Grade Walls:
[ ] [ 1. 2nd Story Walls:Wood Frame, 16"o.c.,R 19.0 cavity insulation
[ Comments:
[ ] ( 2. First Floor Walls:Wood Frame, 16"o.c.,R-30.0 cavity insulation
[ Comments:
(
[ Basement Walls:
[ ] [ 1. Basement Wall 1: Solid Concrete or Masonry,7.6'ht/6.6'bg/6.0'insul,
[ R 11.0 continuous insulation
[ Comments:
[ Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
[ covers the exposed(above-grade)insulation and extends at least,6 in.below grade.
[ ] [ 2. Basement Wall 2: Solid Concrete or Masonry,7.0'ht/6.0'bg/6.0'insul,
[ R-11.0 continuous insulation
[ Comments:
[ Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
[ covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
I
[ Windows:
[ ] [ 1. Bed 2(E):Wood Frame,Double Pane with Low-E,U-factor:0.340
[ For windows without labeled U-factors,describe features:
[ #Panes Frame Type Thermal Break? [ ]Yes[ ]No
[ Comments: .
[ ] [ 2. MBath(Q):Wood Frame,Double Pane with Low-E,U-factor: 0.340
[ For windows without labeled U-factors,describe features:
[ #Panes Frame Type Thermal Break? [ ]Yes[ ]No
[ Comments:
[ ] ( 3. MBed(B):Wood Frame,Double Pane with Low-E,U-factor:0.340
[ For windows without labeledU-factors,describe features:
[ #Panes Frame Type Thermal Break? [ ]Yes[ ]No
[ Comments:
[ ] [ 4. MBed(U):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] [ 5. Bed#4(E): Wood Frame,Double Pane with Low-E,U-factor: 0.340
[ For windows without labeled U-factors,describe features:
[ #Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
[ ] [ 6. Foyer(R):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type, Thermal Break? Yes No
Comments:
7. Bed#3 (S):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
8. Bath(K):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
9. Dining(P):Wood Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
10. Dining(L):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
11. Living(G):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
12. Study(M):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes[ ]No
Comments:
13. Study(E):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes[ ]No
Comments:
14. Kitchen(D):Wood Frame,Double Pane with Low-E,U-fact6r: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes[ ]No
Comments:
15. Brkfst(S):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes[ ]No
Comments:
16. Brkfst(T):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes [ ]No
Comments:
1 1 17. Brkfst(A):Wood Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
18. Family(N):Wood Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
19. Family(H):Wood Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
20. Family(J):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
21. Family(F):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:.
1. .Door Util(6): Solid,U-factor: 0.230
Comments:
2. Door Foyer(dr): Solid,U-factor:0.350
Comments:
3. Sidelights:Glass,U-factor:0.350
#Panes Frame Type Thermal Break? Yes No
Comments:
Floors:
1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R49.0 cavity insulation
Comments:
Heating and Cooling Equipment:
1. Furnace 1:Forced Hot Air,80 AFUE 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.
Materials and equipment must be identified so that compliance can be determined.
Manufacturer manuals for all installed heating and cooling equipment and service-water heating
equipment must be provided.
Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
Supply ducts in unconditioned attics or outside the building must be insulated to R-1 1.
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.
Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
Duct"Construction:
I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics
(adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
Exception: Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
Cooling ducts with exterior insulation must be covered with a vapor retarder.
Air filters are required in the return air system.
The HVAC system must provide a means for balancing air and water systems.
d
Temperature Controls:
[ ] j Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
j temperature set point of the largest zone.
i
j Electric Systems:
[ ] ( Separate electric meters are required for each dwelling unit.
j
Fireplaces:
[ ] j Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] ( Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction
j provisions of the.Building Code of New York State,the Residential Code of New York State or
the New York City Building Code,as applicable.
j Service Water Heating:
[ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or.is part of a circulating system.
[ ] ( Insulate circulating hot water pipes to the levels in Table 1.
(
j Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
j
j Swimming Pools:
[ ] ( All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
j of the heating energy is from non-depletable sources. Pool pumps require a time clock.
j
Heating and Cooling Piping Insulation:
[ ] j HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the
j levels in Table 2.
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) UP to V 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 HVACPipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Ran e F -2"Runouts 1" and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0. 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)
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Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received- ,
Queensbury Building&Code Enforcement Arrive: am/prn D rt: tt(/ J am/prn
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: !_3w, 1
NAME: P E IUMIT#: oa
LOCATION: 12 DATE:
TYPE OF STRUCTURE:
Comments
Y /N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof Comments
Roof Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30.ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
-Low water shut-'off boiler
Relief Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazing
-Interior Smoke Detectors:
Every level: / Every Bedroom: 7
Outside every bedroom area:
Inter Connected: / Battery backup:
Bathroom'Fans,if no window V
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stop ping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
1/4hour 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./Addrp,59 e froat
V
Final Electrical To
Site Plan Wariaict'rMuired 1z"
Final Survey Plot Plar;
As Built Septic System/Sewer Dept, Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue TLnTorary C 1 0(Cert. Of Occ-upancy)
Okay to issue Permanent C 0(Cert. Of Occupancy)
0 L:\SueHen-ingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January28#
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE 1�
Received: Permit# OQ INSPECTION ON: "�[ '8—D
Name; / to AM PM ANYTI E
Location: (0 n
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS—NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGHIN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGHIN
FINAL
FIREPLACE
MASONRY ROUGHIN OK THITDALTE OK FOR C NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGHIN
INSPECTED BY
FINAL
COMDEVI/CHRISJ/WORD/LETTERS2001/F IREMARSHALI NSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Framing/ Firestopping Inspection Report
Office No. (5 18)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart
am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials
NAME: PERMIT#:
LOCATION: W k75 L-&X, INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMEN
Framing
Jack Studs Headers
Bracing Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in.or more
Headroom 6 ft. 8 in.-
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
I Y2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center
Ice and snow shield 24 inches from wall
Fire separation 1,2,3 hour
ire wall 2, 3,4 hour
V Firestopping <
Penetration sealed PP
16 inch insulation in cavity min.
Garage Fire Separation
House side V2inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above below grade
5.0 sf grade
Rough Plumbing/Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received: �l
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:,Q�Z-
NAME: \ PERMIT#:
LOCATION: 6-7 Mas i INSPECT ON:
TYPE OF STRUCTURE: i
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
Drain and Vents
5 PSI or 10 f1. above highest
Connection for 15 minutes
Water Supply Piping
Coppepeommercial
er,CPVC,Pex One&Two Family
sulation/Residential Check/Commercial Check -tom
Proper Vent,Attic Vent -
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace \�[
Duct Work Sealed Properly
COMMENTS:
L:1PamW\Whiting\Rough Plumbing Insulation Report.doc
L-A 3rA--
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request eceived:
Queensbury Building&Code Enforcement Arrive: a m )Depaff: a m
742 Bay Road,Queensbury,NY 12804 Inspector's Initia
NAME; G S PERMIT#:
LOCATION: 7 -' �Yt INSPECT ON:
TYPE OF STRUCTURE: r
r,
Y N N/A COMMENTS
Framing
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C. G
Headroom 6 ft. 8 in.
Stairwells 36 in.or more
Headroom 6 ft. 8 in.'- ��
Notches/Holes/Bearing Walls r �
Metal Strapping for Notches Top Plate
1 %a(w) 16 gauge(8) 16D nails each sidep� Cif'
Draft stopping 1,000 sq. ft.floor trusses ti
Anchor Bolts 6 ft.or less on center
Ice and snow shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2, 3,4 hour
C-rr
uesto ng
Penetration sealed
16 inch insulation in cavity min. � 1,
Garage Fire Separation ZQC
House side %a inch or 5/8 inch Type X � ='�
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade -�
5.0 sf grade �, ?
tiJ C
Offwe Use
-GENERAL INSPECTION REPORT Inspector:
Town of Queensbury it/46 Ready at time-.-
Dept. of Community Development Request received.- L Meet:
Building& Code Enforcement At time: 3 R M
742 Bay Road
Queensbury, NY 12804 'ARRIVE am/pm: DEPART amlpm Notes:
(518) 761-8256 Inspector's Initials.
NAME: PERMIT 4
LOCATION: -SO-.- INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site f
'FoundatioVwallpour-
R
intorc e m en t in P
lac_e
dati0 pp
ackfi!IApprva1
PI:ngUnder
Slab Plumbing Vent/Vents in Place
tough Plumbing_
eating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
ce-iling 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__
L:\SueHemiiigway\Buildiiig.Codes.hispection.FORMS\GENBRAL INSPECTION REPORT-doc
Office Use
GENERAL INSPECTION REPORT � Inspector:
Town of Queens bury J Ready at time: /30
Dept. of Community Development Request received: C v l0 �Z- Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART ��r m/pm Notes:
(518) 761-8256 Inspector's Initiao
NAME: f-C4� G,149 PERMIT# 2-0 LP t
LOCATION: CQ �1 1��` � INSPECT ON(date): d U�
TYPE OF STRUCTURE:
RECHECK
N/A YES O COMMENTS
ootings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f r
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
Plumbing VentlVents in Place
Rough Plumbing
Heating Rough-Irk__
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
BracingBridging
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:\SueHemingway\Building.Codes.Inspection.FORNiS\GENERAL INSPECTION REPORT.doc
Of Use
.GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time.
Dept. of Community)Development Request received: -2
Meet:
Building& Code Enforcement At time:
742 Bay Road Notes:
Queensbury, AY 12804 ARRIV
E
VE
(518) 761-82.56 Inspector's Ini .*
NAME; PERMIT—
LOCATION: 7 MA-st,
INSPECT ON(date): L
TYPE OF STRUCTURE:
RECHECK
N/A YES i 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 Ptti
"Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofmg_ Q� � ��
,,k6ackfill 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/BridgingJoist Hangers
Jack Posts/Main B cam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
L:\SueHemillgway\Buildiiig.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe