2002-910 FILE
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518):761-8201
Community Development;Building&Codes (518)761.8256
u'h"LRV'.Lr1F1CATE
FOCCUPANCY
Pennit Number, a20020910 Date Issued: Thursday, May 01,2003
This is to certify that work requested to be done as shown by Permit Number a20020910
has been completed'.
Tax Map Number. 523400-296-008-0001-032-001-0000
Location: 5 MAYFIELD Ct
Owner: MICHAELS 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 QUEENSBURY
Townhouse
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: a20020910 Application Number: a20020910
Tax Map No: 523400-296-008-0001-032-00 1-0000
Permission is hereby granted to: M1C14AFLSGR01JP1.T.CTHE
For property located at: 5 MAYFIELD Ct
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 Garage-2 Cars Attached
10 BLACKSMITH Dr Townhouse 152,900.00
MALTA,NY 12020-0000 Total Value 152,900.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2002-910 Lot 44, House No. 5 Mayfield Court-Waverly Place
Construction of a 1,310 sq ft townhouse with a 400 ssq ft attached two car gar4g
None fireplace per plot,
plan and specifications.
0
i' , '
$223.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, 4 i'k' M er 07,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Offic
of the Town of Queensbury before the expiration date.)
Dated at the To eensb ovember 07,2002
SIGNED BY for the 'Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Quccnsbury-Dept of Conuniinity Development, 742 Bay Road, Queensbury,NY
(518)761-5256
A permit must be obtained before beginning construction. Permit File No.
No inspcetion will be made until applicant has reccivcd a Fee Paid $� �T
Valid btlildillg permit. All applicants' spaces oil this- Rcc. Uoe Paid
application must be completed and must appear on the Reviewed By:
application form.
Applicant: 1`r F- "0 s Cc- nt Owner: rW� EIVED
Address: _ic, _ \\14�1 �..y-- Address: OrT j 2002
ICE A v[ )kac Z 7 _
Phone#(►5_._.1`�)ESM - X"i_ Phone#(�) - TOWN OF QUEENSBURY
BUILDING AND CODE
Property Location: Lot Number•:+ - _/ House Number '5 / -
Subdivision Name: _ Q r Lcnc\= Tax Map Ntunbe-r-
New Building: residence /commercial Estimated Market Value of Construction: $ 11�;plil.`N!_.
❑ Addition: residence/ commercial If an Addition, what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/conl'I
❑ Other work.(describe )
Check OCC[tp3)I1(7y1(ItfOI'l[latlOtt 1"Floor 2"' Floor Other floor 'Total
Below sq.ft. sq. fl. sq. ft. Square Feel
❑ Single family dwelling
❑ Two fan-iily dwelling yd
X Townhouse �� /F3'
❑ Multifamily dwelling
#Of Units
❑ Office
❑ Mercantile
❑ Manufacturing
❑ I car cletached garage
❑ 2 car cletached garage
❑ 3 car cletached garage
❑ 1 car attached garage T d G7 G
2 car attached garage
❑ 3 car attached garage
❑ Sloragc building-
commercial
[a Storage building-
residential _
❑ Other
Will any second-hand or ungraded lumber be used? If so, for what? 1�
Type of I leating System: electric/ oil / gas wood /forced ]lot air t baseboard/other:
Number of F-ire thices to be installed C�fAC-_ .Number of 1!'oodsttr)res to be installed
List hclow the hersctn.(s)_rest�-onsibIc OUSLIper_uisi oil-,of wortvas-regards-lo-bui#ding-codes:
Name Address P1701-1e Number
Phunbcr - �,,�k�'1. � -• �i'c1c�_�[�_C.� :��_'��- �'S,��'Yt.�_ _��� -Z`�c�
Electrician
j2—CCtarC)lip1i: please sign below alter you b,ive c;u•cfiilly rear](Ile slalenicnt:
To the besl.of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true aucl complete statement orall 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 specilied or noted,and that.such work is authorized by!lie owner. Further, it is understood that I/we shall
submit,prior to a Certificate Of Occupancy or Cei-ti cafe of Compliance being issued,as requested by the 7_otling
Adnliilistrator or Director of Building and Codes, li As lTt(ilt Srar•l,et..by a licensed stirveyot;drawn to scale,showing acitial
location of all flew ,) strut c i.
Signature:_ C— — owner,Owner's agent,architect,contractor
Fire Marshal's Office r Town of'Qudensbury,742 Bay Road,'Queeilsbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel.& vented gas appliances
Date . 14 20_0L Permit No "��
Application is hereby made to the Building& Codes Off
ice the issuance of a 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'lc ordinances, regulations, and all conditions that are part of
these requirements-and also will allow all inspectors to enter preinises 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
f—
Address: Fireplace, factory-built: wood as
4 1 1 A— �,
Fireplace, masonry: wood a
Furnace: wood gas oil
Phone: L
I If non-masonary applicance,please provide
Owner: Manufacturer Name:
Model Number:
Address:
Chimney Information
Phone: (circle appropriate words)
Masonry block � brick stone
Flue the teel'\size: inches
Exact Address: A ICA-
;f'Con_strix71o4 04rNiilit Zion— Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction lInstallation inust
con onn to NYS Fire Prevention &Building Indicate(circle)chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall 1 Triple wall I Insulated I Direct venting
Chiinney Liner
AN d-
Fire Marshal Code# $Collected S Refunded Receivedfi-oon (i:efundc cLtv):
address;
A 173 3389 (190) Public Safety
A 233 2655 (230)Minor Sales
DATE.._ () 2
White(Applicai'it) Green(Fire Marshal) I Yellow(Bldg.Dept.) I Pink&Goldenrod(Cashier's Dept.) .
TOWN OF QUEENSBURY
Rickard A.Aiissita
HIGHWAY Highway Superintendent
DEPARTMENTHome(518)798-5127
742 Bay Road - Queensbury,NY 12804 kichael F'Travis
Offt'4�Phone:. (518) 761-8211 Deputy Highway Superintendent
Fax.1 (518) 745-4466 (518)798.0413
DRIVEWAY PERMIT
RECEIVEI
DATE: Ukd—�co- tA-.
OCT Y, z) 2002
APPLICANT NAME: TOWN OF QUEENSBUF
BUILDING AND CODE
TELEPHONE NO.:
ADDRESS TO BE INSPECTED:
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 I: Preliminary Approval
NEED: Slight swale
Level with the road
Deep swale
Size pipe to be used(if necessary)
)12" )15" ( )18" ( )2411 ( )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. Missita,Highway Superintendent
Project Name: q !C BP# ,2JZ,2
Address: ,Lof
Building Permit Submission
Multiple•Dce Ev g & Ga wrraal Project
Checklist
All items below must be checked either yes,no or not applicable prior to submission of any building
permit to the Town of QueensburyBuilding 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......... Flno ❑
2: Energy Form or.CheckMate EnergyCode Compliance Forms.Complete FEles
Qno Qnla
3. Energy Code Inspector's Report from Checkmate Program..... ........ Ono Onla
4. Septic application completelyfilled out(if applicable)....... ...... ...... ... Oyes 'Ono Ya
5. Electrical Inspection Form... ... ......... ............. .......:. .....:.......: Ayes (On/a
6. Two(2)sets of plans showing the following:.::... ...... ... ................ ...... no ❑n/a
6a. Floor plan(s):.. ...... ... ......... ... ...... .:. ...... ... .....:... ... ... ... Ayes Qno Qnf a
6b. Foundation plan......... ............... :.. ......... ......... ......... .....Oyes Ono On/a
6c. Cross section(s)... ... ... ... ...... ... ............... ... ................ ... ... Oyes Qno: Qn/a "
6d. Elevations ... ......... ......... ....... ...... :.. ......... ......... .... ❑yes , Qno ❑ri/a
6e. Design loads including floor,snow load,and wind load... ... Oyes -ono On/a
6f. Seismic design(reguired.after Jan. 1,2003).................. ... ... ... Qyes Ono ❑n/a
6g. Plans signed by registered'architect or engineer,signed... Oyes Ono On/a'
and sealed bya registered architect or engineer
6h. Window and door schedule......... ....... ... ... ... ...... ... ......... Qyes Ono On/a
7. Two(2)site plans showing location of the structure to be built;......... Ono ❑n/a
location of well or water lines,location of septic system or sewer line with
all setbacks and separation distances shown,and all improvements to
the property.
8. Solid Fuel Bunning or Gas Appliance Form(if applicable)...... . . no
9. Driveway Permit... ... ... ... ... ... ......... ... ...... ... ...... ... ............... ❑yes ❑no On/a
Date. /1/doh
Staff Initial:
L:\SueHemingway\Bugding.PernutYOBMS\Generic Gieck6t.doc
2-z 6 2,,
Permit Number
MECcheck Compliance Report Checked By/Date
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
Data filename:C:\Prograrn Files\Check\NMCcheck\5Mayfield.cck
TITLE: WP320 Chickory R?,E C E %V'E
COUNTY: Warren OPT
STATE:New York
HDD:7635 TOWN OF QUEENSBURY
CONSTRUCTION TYPE:Multifamily BUILDING AND WCOODE
HEATING TYPE:Non-Electric
DATE: 10/21/02
DATE OF PLANS: October 21,2002
PROJECT-INFORMATION:
N,Iayfiel,__ Court
COMPANY INFORMATION:
The Michaels Group
10 Blacksmith Dr.
Malta,NY 12020
NOTES:
Base House
COMPLIANCE:Passes
Maximum UA=335
Your Home=273
18.5%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Raised or Energy Truss 1331 30.0 0.0 43
Wall 1: Wood Frame, 16"o.c. 1227 19.0 0.0 58
Window-L:Vinyl Frame,Double Pane with Low-E 120 0.380 46
Window-N:Vinyl Frame,Double Pane with Low-E 6 0.380 2
Window-K:Vinyl Frame,Double Pane with Low-E 20 0.380 8
Window-F:Vinyl Frame,Double Pane with Low-E 6 0.380 2
Window-AJ:Vinyl Frame,Double Pane with Low-E 8 0.380
Door 17: Glass 61 0.350 21
Door SL: Glass 8 0.570 5
Door 1A: Solid 20 0.230 5
Door 20: Solid 18 0.230 4
Basement Wall 1:
Solid Concrete or Masonry,7.6'ht/6.6'bg/6.0'insul 1140 0.0 11.0 74
Window 2:Vinyl Frame,Double Pane 4 0.560 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—.
tti i
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
DATE: 10/21/02
TITLE:WP320 Chickory
BIdg.
Dept.
Use
I
Ceilings:
[ ] I 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:
[ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
I
Basement Walls:
[ ] I 1. Basement Wall 1: Solid Concrete or Masonry,7.6'ht16.6'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.
I
Windows:
[ ] I 1. Window-L:Vinyl Frame,Double Pane with Low-E,U-factor:0.380
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] I 2. Window-N:Vinyl Frame,Double Pane with Law-E,U-factor:0.380
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
L ] I 3. Window-K:Vinyl Frame,Double Pane with Low-E,U-factor:0.380
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] I 4. Window-F:Vinyl Frame,Double Pane with Low-E,U-factor: 0.380
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] I 5. Window-Ah Vinyl Frame,Double Pane with Low-E,U-factor:0.380
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
[ ] I 6. Window 2:Vinyl Frame,Double Pane,U-factor:0.560
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
I
Doors:
[ ] I 1. Door 17:Glass,U-factor:0.350
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
2. Door SL:Glass,U-factor: 0.570
#Panes Frame Type Thermal Break? Yes No
Comments:
3. Door IA: Solid,U-factor: 0.230
Comments:
4. 'Door 20:Solid,U-factor:0.230
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
I the building plans or specifications.
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-1 1.
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.
Temperature Controls:
Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
Electric Systems:
Separate electric meters are required for each dwelling unit.
Fireplaces:
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
provisions of the Building Code of York State,the Residential Code of York State or
the New York City Building Code,as applicable.
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.
Circulating Hot Water Systems:
Insulate circulating hot water pipes to the levels in Table 1.
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:
HVAC piping conveying fluids above 105'F or chilled fluids below 55*F must be insulated to the
levels in Table 2.
Table I: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Nan-Circulating Runouts Circulating Mains and Runouts
Temperature(F) Up to 1" U12 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 Pine Sizes
Piping System Types Range 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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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
Received: Permit# INSPECTION ON:
Name: WIMA05 Cp2 AM PM ANYTIME
Location: &-L-e)
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 ROUQWIN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MAgONRY ROUGHIN OK THIS ATE OKFOR CO NOT OK
FINAL
IREPLACE
WFACTORY BUILT ROU001IN INSP
FINAL
COMDEVICHRISJNVORD/LETTERS200WIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Residential Final Inspection
Office No. (518)761"8256 Date Inspection request received:
Queensbury Building&Code Enforceffient Arrive: arnApin Depart: :f—Wl
f )am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT ?,0CFtP-- �/o
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location A
Fresh Air Intake V/,
3 inch Plumb Vent thro-ugh roof V 7-
Roof Complete
Guard 30 in.or more P,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 z
8 inch clearance to sill plaie
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site V
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 stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom: V
Outside every bedroom area:
Inter Connected: i Battery backup:
Bathroom Fans,if no window -V
Carbon Monoxide detector
Plumbing fixtures ve
Foundation insulation
Floor truss,draft stopping fmished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
hour fire door/door closer
Garage fireproofing
Duct work Scaled pEoperly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, I sq.ft.-150 sq. ft..vents
Building No./Add Keis viskle fro ad
Final Electrical . W—Vo/95
Site Plan /Variaiicbreqdir4
Final Survey Plot Plan '5 Ulb'9
As Built Sept c Systern/ Dept.Inspection Sticker V NI
Flood Plain Certification, if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary_CIO(Cert. Of Occupancy)
Okay to issue Permanent C J 0(Cert. Of Occupancy
L:\SueHeniifig�vay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,
Rough Plumbing/ Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request ,pa a
received/1
Queensbury Building&Code Enforcement Arrive: am/prn rnm./p
p n
742 Bay Road,Queensbury,NY,12804 Inspector's Initials:
NAME: �Iqt� Coil'
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
Drain and Vents
5 PSI or 10 ft.above highest
Connection for 15 minutes
We Supply Piping
or
opper Commercial
CoC Cor
opper, CPVC,Pex One&Two Family
/Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping.Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L:\PamW\Wbiting\Rough Plumbing Insulation Report.doc
Framing / Firestopping Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm. De art�. - vam/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials;
NAME: PERMIT#: 2
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Jack Studs Headers
Bracing Bridging COMMENTS
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
1 V2(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
F* e separation 1,2,3 hour
ire wall 2,,3,4 hour
Firestopping
Penetration sealed
16'inch insulation in cavity min.
Garage Fire Separation
House side V2 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
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: .
r
NAME: PERMIT#: (5§9 -,' —
l
LOCATION: INSPECT ON-
TYPE OF STRUCTURE:
N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm. t�
Pl bing Vent I Ve
cough Plurn• ng/ ai�I 'I�.t�ayts—�� ��
Head or Ail' Supply Te
Drain an eats
5 PSI or 10 ft. above highest
Connection for 15 minutes,
Water Supply Piping
Copper Commercial
C . r,ZLVC,.Pex One &Tv�o'Famil _
W_u11MT5wnT1 Eiden C ieek/Commercial Check
Proper Vent,Attic VentI� � �1�
Duct/Hot Water Piping Insulation U o�{
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
•LaSueHeming%vaylBuilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003
Town of Queensbury
Fire Marshal's Office
742 Say Road
Queensbury, NY 12804
Phone (518)761-8205 Fax (518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# C;2--Cj J 0 INSPECTION ON:
Name: AM PM ANYTIME
Location:
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 d,
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
QUIRED SIGNAGE
gMERGENCY PLAN
(MAXIMUM OCCUPANCY/SIGN
CHIMNEY
MASONRY ROUGH IN
A)
CHIMNEY FINAL
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
REPLACE
MASONRY ROUGH IN OK THIS D E OK FOR CO NOT OK
FINAL
f RREPLACE P-L/
FACTORY BUILT-TROUGH IN
INSPECTED BY
FINAL
CoMi)EVICHRISJ/WORDILETTERS20OI/FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart:
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: 0z—TIb All
LOCATION: INSPECT ON: 3 1
TYPE OF STRUCTURE: T
Y N -N/A
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iron, Copper Drain/Vent Comm.
P mbing Vent lace-\,
VRough Plum m /Nail Plates V
Head or Air Suppl���
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
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
LAPamW\Whiting\Rough Plumbing Insulation Report.doc
Framing / Firestopping:Inspection Report
Office No. (5,18) 761-8256 Date Inspection request received: / 0 3
Queensbury Building&Code Enforcement: Arrive: z/1' �� pm
742 Bay Road, Queensbury,,NY 12804 Inspector's Initia °
NAME: PERMIT#:
LOCATION: ,L6 INSPECT ON: O 3
TYPE OF STRUCTURE:
Y IN N/A COMMENTS
a , ng
ack Studs/Headers
Il/a l�cv
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
1 Vl (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 arid,snow shield-24 inches from wall
Fire separation'1,2,3 hour
Fire wall 2, 3; 4 hour
Fire to, �irf �
n'etration sealed r
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X.
Ceiling/wall
Windows Habitable Space/Bedrooms
Z,- l
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: ani/p�s Depart:/(-J- am/P
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: t
Comments
Y N N/A
Footings
Piers
Monolithic Slab f r �A
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/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
A
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
Foundation Inspection Report /65_Vn
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building*&Code Enforcement Arrive: am/13irn Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:'
LOCATION: E5 QDa ' INSPECT ON: 2�--Q 3
TYPE OF STRUCTM
Comments
,om en's
Y —N N/A
Xotings
\J Piers — Z
Monolithic Slab
Reinforcement in-Place.
The contractor is responsible 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
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil of for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
Foundation Inspection Report
OffieeNo.(5 18)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: . am/pin Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: tJ r PERMIT#:
LOCATION: INSPECT ON: I
TYPE OF STRUCTURE:
Comments
Y N N/A
V Footings
Piers
Monolithic Slab
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
Foundation/Waterproofing.
Type of Dampproofmg/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
'6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm ,,Depart: Am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
NAME: PERMIT#:
LOCATION: C), INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
/Pootings ✓ 4�
Piers
Monolithic Slab
Reinforcement in Place z-
The contractor is responsible for c/(-
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
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
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