2002-960 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20020960 Application Number: A20020960
Tax Map No: 523400-308-012-0002-005-001-0000
Permission is hereby granted to: DAVID LEARY
For property located at: 44 MINNESOTA- Ave
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.
Tie of Construction Value
Owner Address: COUNTY OF WARREN Residential Addition 2,500.00
1340 STATE ROUTE 9 Total Value 2,500.00
LAKE GEORGE,NY 12845-0000
Contractor or Builder's Name J Address Electrical Inspection Agency r_5.
DAVID LFARY
35 SAGAMORE St
CITYNS FALLS-NY 1280.1-0000
6
Plans&Specifications
2002-960
288 sq ft residential addition per plot plan and specifications.
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,November 21,2003
(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 4 n of S *q—,N0' vember 21,2002
� en 14
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No. �o 0-�?!�
No inspection will be made until applicant has received a Fee Paid $-" ..0—L) (,6/ s �1
valid building permit. All applicants' spaces on this Rec.Fee Paid $ I }
application must be completed and must appear on the Reviewed By
application form.
Applicant: /)gvi'd Owner: /l,
Address: c_ (c f t� r rl�i ktti 5 fc�/�tz- Address: t-(c{
�u
6A ,��cis � _ � ��yc RECEIVED
Phone#Q+ L} - 32 LI.51 ��( Phone
Email Address: Email Address: NOV 0 6 2002
Property Location: Lot Number: 1 House Number -7 -r- 'mod?'�;` TOWN OF QUEENSBURY
Subdivision Name: /t/ Tax Map Number; BUILDING AND CODE
❑ New Building: residence /commercial Estimated Market Value of Construction: $ zps b
Addition: < residenc� commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'1
❑ Other work{describe )
Check OccupancyInformation I"Floor 2° Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling
❑ Two family dwelling
❑ Townhouse
y,4 ❑ Multifamily dwelling
< #of units '
❑ Office
❑ Mercantile /
❑ Manufacturing '
pviK--1 car detached garage
❑ 2 car detachWgarage
❑ 3 car detached garage
o 1 car•aftached garage
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residenti
cN Other
What is the proposed height of the structure_� feet C inches
Will any second-hand or ungraded lumber be used? If so, for what?
Type of Beating System: electric oil . gas/wood /forced hot air/ baseboard/othet: Cat
Number of Fireplaces to be installed tL6S' Number of Waodstoves to be installed
List below the person(g)responsible for supervision of work as regards to building codes:
- Name Address Phone Number
Builder 4�-,c.ti
Plumber ,
Mason , er cA' c,-- T. 67 '—
Electrician
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,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 shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall
submit,prior to a Certificate of Occupancy or Certificate of CompliancQ being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature:66Grl� "/✓ — owner,owner's agent,architect,contractor
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION: ................................................................................................................................
e Use
Location of installation: Nt 6-0
o.
Tax Map No. I / 2Q02
Fe d 3
Owner's Nam ............................... ...........
s:Addres `Q�
2. INSTALLER'S NAME PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#o
bedrooms with applicable gallons per bedroom to equal total daily flow
Year of House: No, of Bedrooms x Computation = Total Daily glow
1980 or older x 150 gal/bdrm =
1980— 1991 x 130 gal/bdrm, =
1991 —present x 110 gal/bdrm =
Garbage Grinder Installed yes_ / no
Spa or Hot Tub Installed yes / no
�
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
Flat sand at what depth at what depth municipal
Rolling loam feet feet well
Steep slope clay if well; water supply
_%slope other from any septic-system
depth: absorption is ft.
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 must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub.
Septic Tank: gallon (min. size 1,000 gal.)
Tile Field: each trench ft. Total System Length: ft.
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # / depth or thickness feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each:_ gallons I 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 j 36-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town o Queensbury Sanitary Sewage Disposal Ordinance.
ignature of responsible person Date
• _ � '1'ntiv'a af txta;cAtt;ai,tti-y '
tittil Sewlige. Disjms.tl t:listpUer..
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A'IWORI''VI(I1.`J. I;'I
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7. SIGNATURE &.INFORMATION FOR�=�Yv1��u�i•����•,j��••p" "••••..,
Project Name: 1 2—X 2-q BP# _
Address: Q,- RECEIVED
Building Permit Submission
Sk&fandy du&?g NOV 0 8 20OZ
Tvafam7y duelling.
Checklist TOWN OF 01-JEENSBURY
BUILDING AND CODE
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 f0'r submission.
1. Building Permit Application Completed ... ... ... ...... ... ... ... ... ......... . &yes ❑no ❑n/a
2. Energy Form or CheckMate Energy Code Compliance Forms Complete.. Oyes ❑no ❑n/a
3. Energy Code Inspector's Report from CheckMate Program... ... ...... ..... Ayes ❑no EJ n/a
4. Septic application completely filled out(if applicable)...... ... ... ... ... ... ... n yes no Knla
5. Solid Fuel Burning or Gas Appliance Form... ... ... ......... ... ... ...... ... ... .[:]yes [:]no Kn/a
6. Electrical Inspection Form,... ... ............ ... ... ... ......... ... ... ......... ... .�kyes Flno nn/a
7. Two (2)complete sets of structural drawings... .. ... ......... ... ... ...... ... ...Ayes Elno nn/a
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 bat, ..... ... Ws Fluo nn/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure... ... ......... ... ... ... ... ... .. Cyes Elno Fln/a
10. Setbacks to neighboring wells and septic systems,including onsite well... . nyes nno Fln/a
and septic systems (if applicable)
11. DrivewayPerntit... ... ......... ... ... ... ......... ... ... ......... ... ... ... ... ... ... E]yes Elno I Zn/a
V—)
0
Date:
Staff Initial:
L:\Suel-lemingway\Bading.Perniit.FORIZ\Geii'etic Checklist.doc
2/cro
Envelope Compliance Report
Proposed New York State Energy Conservation Construction Code
COMcheck-EZ Software Version 2.3 Release I
Data filename:Untitled
Section 1: Project Information RECEIVED
Project Name: add an addition to existing home
Designer/Contractor: a-z construction NOV 0 6 200Z
Document Author: david leary
Notes: 12 x 24 addition TOVVN OF OUEENSBURY
BUILDING AND UCUODUE
Section 2: General Information
Building Location: Warren,New York
Climate Zone: 15
Heating Degree Days(base 65 degrees F): 7635
Cooling Degree Days(base 65 degrees F): 380
Building Use Method of Compliance: Activity Type Method
Activity Twe(s) Floor Area
Other 288
Project Description(check one):
—New Construction —Addition —Alteration Unconditioned Shell(File Affidavit)
Section 3: Requirements Checklist
Air Leakage,Component Certification,and Vapor Retarder Requirements
Inspection Approved Initial
Date (Y/N)
All joints and penetrations are caulked,gasketed,
weather-stripped,or otherwise sealed
Fireplaces installed with tight fitting
non-combustible fireplace doors
Dampers integral to the building envelope are equipped
with motorized dampers
Cargo doors and loading dock doors are weather sealed
Recessed lighting fixtures are sealed or gasketed
Windows,doors,and skylights certified
as meeting leakage requirements
Component R-values&U-factors labeled as certified
Vapor retarder installed
Climate-Specific Requirements
Gross Cavity.. Cont. Proposed Budget
Component Name/Description Area R Value R Value U-Factor U Factor
Roof 1:All-Wood Joist/Rafter/Truss 0 0.0 0.0 0.690 0.051
Exterior Wall l:Solid Concrete or Masonry<=8"
Furring:None 0 --- 0.0 0.505 0.074
Window 1:Wood Frame,Single Pane,Clear,shgc 0.00 0 --- --- 0.000 0.520
Door 1:Solid 0 =-- --- 0.000 0.120
Interior Wall 4:Other,HC 1.0 0 --- --- 0.000 0.120
Floor 1:All-Wood Joist/Truss 0 0.0 0.0 0.282 0.042
(a)Budget U-factors are used for software baseline calculations ONLY,and are not cede requirements.
Envelope Compliance: UNKNOWN (Insufficient Data)
Section 4: Compliance Statement
The proposed envelope design represented in this document is consistent with the building plans,specifications and other
calculations submitted with this permit application. The proposed envelope system has been designed to meet the Proposed
New York State Energy Conservation Construction Code requirements in COMcheck-EZ Version 2.3 Release 1.
Principal Envelope Designer-Natne Signature Date
Mechanical Compliance.Report
Proposed New,York State Energy Conservation Construction Code
CONfcheck-&Software Version 2.3 Release 1
Data filename:Untitled
Section 1: Project Information
Project Name: add an addition to existing home
Designer/Contractor: a-z.construction
Document Author: david leary
Notes: 12 x 24 addition
Section 2: General Information
Building Location: Warren,New York
Climate Zone: 15
Heating Degree Days(base 65 degrees F): 7635 ,
Cooling Degree Days(base 65 degrees F): 380
Building Use Method of Compliance: Activity Type Method
Project Description(check one):
New Construction —Addition - Alteration —Unconditioned Shell(File Affidavit)
Section 3: Mechanical Systems List
Quantity System IvDe&Description
HVAC System 1: 'Heating:Duct Furnace,Oil/Single Zone
Section 4: Requirements Checklist
Generic Requirements: Must be met by all systems to which the requirement is applicable
1. Load calculations per 1997 ASHRAE Fundamentals
2. Plant equipment and system capacity no,greater than needed to meet loads
Exception:Standby equipment automatically off when primary system is operating
Exception:Multiple units controlled to sequence operation as a function of load
3. Minimum one temperature control device per system
4. Minimum one humidity control device per installed humidification/dehumidification system
5. Automatic Controls:Setback to 55 deg.F(heat)and 85 deg.F(cool);7-day clock,2-hour occupant override, 10-
hour backup
-Exception:Continuously operating zones
-Exception:2 kW demand or less,submit calculations
6. Outside-air source for ventilation;system capable ofreducing OSA to required minimum
7. R-5 supply and return air duct insulation in unconditioned spaces
R-8 supply and return air duct insulation outside the building
R-8 insulation between ducts and the building exterior when ducts are part of a building assembly
-Exception:Ducts located within equipment
-Exception:Ducts with interior and exterior temperature difference not exceeding 15 deg.F.
8. Ducts sealed-.longitudinal seams on rigid ducts;transverse seams on all ducts;UL I SIA or 181B tapes and mastics
9. Mechanical fasteners and sealants used to connect ducts and air distribution equipment
10. Operation.and maintenance manual provided to building owner
II. Balancing devices provided in accordance with 603.15 of Mechanical Code for Now York State
Y
Requirements Specific To:HVAC System 1
Section 5: Requirements Description
The following section provides a more detailed explanation of the requirements listed in Section 4.
Generic Requirements: Must be met by all systems to which the requirement is applicable
1. Design heating and cooling loads for the building must be determined using procedures equivalent to those in Chapters
27 and 28 of the ASHRAE Handbook of Fundamentals or an approved equivalent calculation procedure.
2. All equipment and systems must be sized to be no greater than needed to meet calculated-loads. A single piece of
equipment providing both heating and cooling-must satisfy this provision for one function with the capacity for the other
function as small as possible,within available equipment options.
-Exception: The equipment and/or system capacity may be greater than calculated loads for standby purposes.
Standby equipment must be automatically controlled to be off when the primary equipment and/or.system is operating.
-Exception: Multiple units of the same equipment type whose combined capacities exceed the calculated load are
allowed if they are provided with controls to sequence operation of the units as the load increases or decreases.
3. Each heating or cooling system serving a single zone must have its own temperature control device.
4. Each humidification system must have its own humidity control device.
5. The system or zone control must be a programmable thermostat or other automatic control meeting the following
criteria:a) capable of setting back temperature to 55 degree F during heating and setting up to 85 degree F during
coolingb) capable of automatically setting back or shutting down systems during unoccupied hours using 7 different day
schedulesc) have an accessible 2-hour occupant overrided).have a battery back-up capable of maintaining programmed
settings for at least 10 hours without power.
-Exception:A setback or shutoff control is not required on thermostats that control systems serving areas that operate
continuously.
Exception: A setback or shutoff control is not required on systems with total energy demand of2 kW(6,826 Btu/h)
or less.
6. The system must supply outside ventilation air as required by Chapter 4 of the Mechanical Code for New York State.If
the ventilation system is designed to supply outdoor-air quantities exceeding minimum required levels,the system must
be capable of reducing outdoor-air flow to the minimum required levels.
7. Air ducts must be insulated to'the following levels:a) Supply and return air ducts for conditioned air located in
unconditioned spaces(spaces neither heated nor cooled)must be insulated with a minimum of R 5.Unconditioned
spaces include attics,crawl spaces,unheated basements,and unheated garages.b) Supply and return air ducts and
plenums must be insulated to a minimum ofR 8 when located outside the building.c) When ducts are located within
exterior components(e.g.,floors or roofs),minimum R 8 insulation is required only between the duct and the building
exterior.
-Exception: Duct insulation is not required on ducts located within equipment.
=Exception: Duct insulation is not required when the design temperature difference between the interior and exterior
of the duct or plenum does not exceed 15 degree F.
8. All joints,longitudinal and transverse seams,and connections in ductwork must be securely sealed using weldments;
mechanical fasteners with seals,gaskets,or mastics;mesh.and mastic sealing systems;or tapes.Tapes and mastics must
be listed and labeled in accordance with UL 181A or UL 1818.
9. Mechanical fasteners and seals,mastics,or gaskets must be used when connecting ducts to fans and other air distribution
equipment,including multiple-zone terminal units.
10. Operation and maintenance documentation must be provided to the owner that includes at least the following
information:a) equipment capacity(input and output)and required maintenance actionsb) equipment operation and
maintenance manualsc) HVAC system control maintenance and calibration information,including wiring diagrams,
schematics,and control sequence descriptions;desired or field-determined set points must be permanently recorded on
control drawings,at control devices,or,for digital control systems,in programming commentsd) complete narrative of
how each system is intended to operate.
11,. Each supply air outlet or diffuser and each zone terminal device(such as VAV or mixing box)must have its own
balancing device.Acceptable balancing devices include adjustable dampers located within the ductwork,terminal
devices,and supply air diffusers.
Requirements Specific To:HVAC System 1
Section 6: CompHance Statement
The proposed mechanical design represented in this document is consistent with the building plans,specifications and other
calculations submitted with this,permit application., The proposed mechanical systems have been designed to meet the
Proposed New York State Energy Conservation Construction Code requirementsin COMcheck-EZ Version 2.3 Release 1.
The design professional shall provide to the code enforcement official a written certification that the required HVAC tests,
system balancing,etc.,have been performed and the system is operating as designed. The design professional shall retain
copies of the test reports to be provided to the code enforcement official,if requested.
Principal Mechanical Designer-Name Signature Date
Lighting Application Worksheet
Proposed New York State Energy Conservation Construction Code
COMcheck-EZ Software Version 2.3 Release 1
Section 1: Allowed Lighting Power Calculation
A B C D
Total
Floor -Allowed Allowed
Area Watts Watts
Area Categn (ft2) (watts/ft2) (B x C)
Other 288 1 288
Total Allowed Watts= 288
Section 2: Actual Lighting Power Calculation
A B C D E F
Fixture Fixture-Description/ Lamps/ #of Fixture
ID Lamb Description/Wattage Per Lamp 1 Ballast Fixture . Fixtures Watt. Dix E)
1 Incandescent SOW 1 3 75 225
Total Actual Watts= 225
Section 3: Compliance,Calculation
If the Total Allowed Watts minus the Total Actual Watts is greater than or equal to zero,the building complies.
Total Allowed Watts= 288
Total Actual Watts= 225
Project Compliance= 63
Lighting PASSES: Design 22%better than code
Lighting and Power Systems Compliance Certificate
Proposed New York State Energy Conservation Construction Code
COMcheck-EZ Software Version 2.3 Release 1
Data filename:Untitled
Section 1: Project Information
Project Name: add an addition to existing home
Designer/Contractor: a-z construction
Document Author: david leary
Notes: 12 x 24 addition
Section 2: General Information
Building Location: Warren,
New York
Climate Zone: 15
Heating Degree Days(base 65 degrees F): 7635
Cooling Degree Days(base 65 degrees F): 380
Building Use Method of Compliance: Activity Type Method
AqMV_Tne(s) Floor Area
Other 288
Project Description(check one):
New Construction —Addition —Alteration Unconditioned Shell(File Affidavit)
Section 3: Requirements Checklist
Inspection Approved Initial
Date (Y/N)
Controls,Switching,and Wiring
Independent controls for each space(switch/occupancy sensor)
Exceptions. Security lighting,building lobby/retail store/mall
Master switch at entry to hotel/motel guest room
Individual dwelling units separately metered
Two switches,dimmer,or occupancy sensor in each space providing
a uniform illumination pattern
Exceptions--
Only one luminaire in space;
An occupant-sensing device controls the area;
The area is a corridor,storage,restroom,or lobby
Automatic lighting shutoff control in spaces greater than 250 sq.ft
in buildings larger than 5,000 sq.ft
Photocell/astronomical time switch on exterior lights
Exceptions:
Large covered areas requiring lighting during daylight hours
Tandem wired one-lamp and three-lamp ballasted luminaires
Exceptions:
Electronic high-frequency ballasted luminaires not on same switch
Transformers meet minimum efficiencies listed in Table 805.6.1 or 805.6.2
Interior Lighting
Total actual watts must be less than or equal to total allowed watts
Allowed Watts Actual Watts Complies(Y1N)
288 225 YES
Exterior Lighting
Type(s)of exterior lighting sources:
_Fluorescent Metal Halide High-Pr. Sodium
Exceptions:
Specialized signal,directional,and marker lighting;lighting highlighting exterior features of historic buildings;
advertising signage;safety or security lighting;low-voltage landscape lighting.
Section 4: Compliance Statement
The proposed lighting design represented in this document is consistent wi&the building plans,specifications and other
calculations submitted with this permit application. The proposed lighting system has been designed to meet the Proposed
New York State Energy Conservation Construction Code requirements in COMcheck-EZ Version 2.3 Release 1.
Principal Lighting Designer-Name Signature Date
Queensbury Building & Code Enforcement - Residential Final Inspection
Pffice No.(518)761-8256 f Arrive: am/pm Depart: 161,�am/pm
Date Inspection request received: Inspector's Initials:
NAME: ' PERMIT#: � —
LOCATION: Va 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 minimum 6"
Roof Complete/Exterior Finish 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
Enclosed Stairs Sheetrock Underside minimum %Z"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 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 Valves installed/Heat Trap/Water Temp 110
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:
Outside every bedroom area.
Inter Connected: / Battery backu :
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/a hour Fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s .ft.-150 s . ft.vents
Building No./Address visible from road = n
Final Electrical �rJ�5V`�� Jr"�'1�
Site'Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C 10 Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection rl
Queensbury Building&Code Enforcement Arrive: Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initir
NAME: , --A S `{ten,
LOCATION: -e-i INSPECT ON: S' 6
TYPE OF STRUCTURE:
Comments
Y N N/A
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 Dampproofin
Foundation/Waterproofing
Type of Darnpproofing/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 4P
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch.drop within 10 ft.
L:LSueHemingway\Building.Codes.Inspectim.FORMS\Foundadon Inspection Report.doc January 28,2003
Framing / Firestoppipg Inspection Report
Office No. (51.8) 761-8256 Date Inspection request received: 60 L17 /1 3
Queensbury Building &Code Enforcement Arrive: an Depart.-1---M.fam/ m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: Uz
NAME: PERMIT#-.
LOCATION: INSPECT ON: ro -S
TYPE OF STRUCTURW Ad
Y N N/A COMMENTS
a M.,�17,
TT V
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
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
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4,hour
mP-eiketration sealed
16 inch insulation in cavity in.
Garage Fire Separation
House side Y2inch or 5 inch Type X
Garage side 5/8 inc-/hype X
Ceiling/wall
Windows Habitable pace/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf Habitable pace
below grade
5.0 sf de
owm.1�, tw& � -30
L:\SueHemingway\Building.Codes.Inspection.17ORMSTramin estoppin.-Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: i
Queensbury Building&Code Enforcement Arrive: am/ m epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: W_C� .
Pir
q /n_
NAME: .l t PERMIT#: ta lu
LOCATION: INSPECT ON: � .._'-(
TYPE OF STRUCTURE:
Y N N/A COMMENTS
i-n
-Jack Studs 1ieaders
Bracing/Bridging 6 (}v A.vp(t 7 d A)Ac-{--
Joisthangers SU PP4, `r
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 'l2(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
Fire 12, 3, 4 hour
�,resopping ve y M
Penetration wale "
16 inch insulation in cXtymin.
Garage Fire Sepa/* h
House side %2 /8 inch Type X L-4ral
Garage side 5ype XD
Ceiling/
Windows Habit le Space/Bedrooms
dG�
24 in. (H) `+
20 in. (W
5.7 sf abbve/below grade
5.0 sf grade
L:\SueHeniingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection-request received: tn�
Arrive: am/ DepajV 'am/i
Queensbury Building&Code Enforcement pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initial za4:7-P
NAME: &Tj A) ce 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 1 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
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 s2aces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
!L:\SucHemingway\Building.Cades.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received-
Queensbury Building&Code Enforcement Arrive: am/p De art: -)am/pm
-U-
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: -V
NAME: PERMIT#:
LOCATION: INSPECT ON: LD
TYPE OF STRUCtTjRI1:'
Y N N/A COMMENTS
r ac Studs-/Headers
acing/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 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
Fye separation 1, 2, 3 hour
/ire wall 2, 3,
4 hour
_4
Penetration sealed
16 inch insulation in cavity min. (Zvq
Garage Fire Separation
House side V2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X �l
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above below grade
5.0 sf grade
�A Mi,
4o0AS.,Herningway\I3uiI ,,.Code .."nspcSin.FOR S\Fr gmng Fi�resto ping Inspection Report.doe January 28,2003
p
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Datie Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/Rm Depart: an//pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: l IG 1 i PERMIT#: 9&0
LOCATION: 4�z au�43,� INSPECT ON: 3 o To 3.
TYPE OF STRUCTURE:
Y N N/A COMMENTS
raming 6. el-
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stair-wells 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
Fire wall 2, 3, 4 hour
Firestopping
Penetration scaled
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type
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
LASueHerni n-way\B u i Win.g.Codes,Inspection.170 RM S\rrarni ng Firestopping Inspection Report.doc January 28,2003
4�j 4,9,4-P C
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/pm e rt: { am1 m f '
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: rt7 (04 L i:� = PERMIT#:
LOCATION: INSPECT ON: Q
TYPE OF STRUCTURE: „
. aming
Y N COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams "tJ LL ' / V41�--
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 %2 (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
Fire wall 2, 3)4 hour
Ires oppir� r �� X/
Penetration sealed''`
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
24 in. (H)
20 in. (W) "'''b
5.7 sf above/below grade
5.0 sf grade
L:1SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection ort.doc J ry 28,2003
Framing 1 Firestopping Inspection Report � I u '
Office No. (518) 761-8256 Date Inspection r e receiv /
Queensbury Building& Code Enforcement Arrive: in Abt arUVm
742 Bay Road, Queensbury,NY 12804 Inspector's Ini a s•
NAME: PERMIT#: _C)
LOCATION: LA INSPECT ON: -- --
TYPE OF STRUC URB:
Y N NIAC)" COMMENTS
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
1 %2 (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
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
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
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASueHemingway\BuiIding,Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date InspectionFERMIT
' e : 1 O
Queensbury Building&Code Enforcement Arrive: Depart: �aml
742 Bay Rd., Queensbury,NY 12804 Inspector's InitiNAME: 5t°lK� �L'l
LOCATION: c PECT ON: 0
TYPE OF STRUCTURE:
Comments
Y N NIA
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.
a'1445our
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Damppraofing/Waterproofing ���
Footing Drain Daylight or Sump P ,� �
Footing Drain Stone:
12 inch width
6 inches above footing FV�
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.
L:\SueHemingway\Building.Codes.Inspecrion.FORMS\Foundarion Inspection ReporLdoc January 28,2003
Office Use
.GENERAL INSPECTION REPORT Inspector:
Town of Queen sbury ±
D l 2-1/6 Ready at thue-- ��
.Dept. of Community Development Request received: t Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE i0fj?am1pm: DEPART am/pm Notes.
(518) 761-8256 Inspector's Initials
w
NAME, PERMIT LOCATION: it� INSPECT ON(date): i 7-11 -6-2--
TYPE OF STRUCTURE:
RECHECK S 4-o 4i"SCILSS isjq<
N/A YES COMMENTS
)too 0�g Piersu JiL7 cP0 r 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
Toundation/Wallpour
Reinforcement in Place
Foundatioriffiarripproofmg
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
Heating Rough-Ink__
Insulation
Foundation Walls Interior R-,,
Foundation Walls Exterior.-i, f
Floors R-
Walls R-
Cr,iling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing__
Jack Studs/Headers
Bracing/Bridgig-
Joist Hangers
Jack Posts/Main Beam
Air'Infiltration Barrier
Fire Separation t,2,3,hour
Penetration Sealed t 0410 1610) J(113
Fire Wall 2,3,4 hour
Firestopping
L.\SueH,emiligway\Duilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doo
Framing / Firestopping Inspection Report V/
Office No. (518)761-8256 Date Inspection request ived:
Queensbury Building&Code Enforcement Arrive: am/ D pa
m
pa In
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: zonz—c(op
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Framing 6�'Qoq, COMMENTS
Jack Studs/Headers V/ kvv
Bracing/Bridging4s!m,,�A
Joist hangers N--* —Vb
Jack Posts/Main Beams 7-07, C�:-
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
Fire separation 1,2,3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
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 I below grade
5.0 sf grade