2002-959 TOWYOF QUEENSBURY
742 Bay Road;Queensbury,NY 12804-5902 (518)761-8201
Community Development-,Building&Codes (518)761.8256
ATCERTIFICE.__ F OCCUPANCY
:. Perrri t Number: -P2002,0959 Date zssue : Fi day,Feb 'ua�'y.11,2405
. .rThisls:to certify that work requested'.tor:be~done as shown
by Permt Number P20620959
has been completed.
Tax Map Number,' . . 523400-308-011-0001-031-000-0000
Location:
462 LUZERNE Rd
Omer: . . � . .._._.�.,.. 'PATRICIA LA BELLE L.E.
Applicant: LARRY CLUTE
This structure may be occupied as a:
By Otdet bf Town Board
Single Family Dwelling - : TOWN OF QUEENSBURY
/)j
Director of Building&69 Enfot went
TOWN:OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Cod6 (518) 76168256
BUILDING PERMIT
Permit Number: P20020959 Application Number. A20020959
Tax Map No: 523400-308-011-0001-03 1-000-0000
Permission is hereby granted to: TARRY C1 J JTF '
For property located at: 462 LUZERNE Rd
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
Ordiriance. T c Type of Construction Value
Owner Address: PATRICIA LA BELLE L.E. Single Family Dwelling $85,000.00
COLBY LABELLE Total Value $85,000.00
456 LUZERNE Rd
QUEENSBURY,NY 12804-0000.
Contractor or Builder's Name/Address Electrical Inspection Agency
CTITTE ENTERPRISES INC.
Plans&Specifications
2002-959 462 Luzerne,Road
Construction of a 1,232 sq ft single family dwelling per plot plan and specifications.
k- g 2)
$147.84 PERART FEE PAID- THIS PERMIT EXPIRES:
bur 20,2005
(If A longer period is required,an application for an extension must be made to the code Enforcement c
of the'town of Queensbury before the expiration date.)
Dated at the T4 Of ee ry y,November 20,2002
SIGNED BY for the Town of Queensbury.
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: P20020959 Application Number: A20020959
Tax Map No: 523400-3 08-011-0001-03 1-000-0000
Permission is hereby granted to: LARRYCLUTF
For property located at: LUZERNE Rd
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: PATRICIA LABELLE Single Family Dwelling 85,000.00
456 LUZERNE Rd Total-Value 85,000.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
CI UTE FNTERPRTSF.S INC
Plans&Specifications
2002-959
Construction of a 1,232 sq ft single family dwelling per plot plan and specifications.
N
$147.84 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 20,2003
0
(If a longer period is required,an application for an extension must be made to the c dc\�-Enforc` ent Officer
of the Town of Queensbury before the expiration date.)
Dated at the To r NY d=d ,November 20,2002
SIGNED BY for the Town of Queensbury.
Director of Building& ode forcement
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. 2 L1—
No inspection will be made until applicant has received a Fee Paid
valid building permit. All applicants' spaces on this Rec. Fee Paid $
application must be completed and must appear on the_ Reviewed By:
ooll
application form.
Applicant: k--�1,1 �`v _ Owner:
Address: Address:
Phone#15LV )Z�#S - -�a,,-7 7 T Phone#
Email Address: Email Address:
Property Location: Lot Number: / House Number f �-7 e��,r•�.
Subdivision Name: Tax Map Number:
12 New Buildin resideac�,,,Gdommercial Estimated Market Value of Construction: $ �rULR
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'I
❑ Other work(describe )
Check Occupancylnformation I`Floor 21 Floor Other floor Total
Belofv sq.ft. sq.ft. sq.ft. Square Feet
single family dwelling
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units -
o Office
o Mercantile
❑ Manufacturing
❑ 1 car detached garage -
6 2 car detached garage ki jr
BUILDtN
❑ 3 car detached garage
❑ 1 car attached garage
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial -
❑ Storage building-
residential
❑ Other
What is the proposed height of the structure�� 7 feet inches
Will any second-hand or ungraded lumberZbe used? If so f
Type of Heating System: electric/ oil gas w(d�f-�,easeboard/othet:
Number of Fireplaces to be installed Q.1T Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder
Plumber- �7
Mason -
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 Boil the Zoning Ordinance d all other laws pertaining to the proposed work shall be complied
with,whether s led or noted,and that such work' a thorized by the owner. Further,it is understood that I/we shall
submit,.)V o a Certificate of ccupancy o Ce cat of Coragliance being issued,as requested by the Zoning
Admini ator or Director of ding and ode an A BuIlt Sure by a licensed surveyor;drawn to scale,showing actual
loca' n of all new cons
ignature: i owner,owner's agent,architect,contractor
Application for Permit—Septic Disposal System
Town Of Queensbu?y 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
.........................................................................................................
Location of installation: Office Use
Tax Ma File Permit No.
p o.
Fee Paid
Owner's Name:
Address:
CA
2. INSTALLER'S NA
ME_:. PHONE NO.
3. RESIDENCE INFORMATION:
(circle year of dwelling, indicate#bedroom(s) and multiply# of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedr,o=s x Computation = T(,&aI Daily Flow
1980 or older x 150 gal/bdrm =
1980-1991 x 130 gal/bdrm =
1991 —present -7 --'Z 75
2, x 110 gal/bdrm.
Garbage Grinder Installed yes
Spa or Whirlpool Installed yes J
4:- PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topogra hy agglia—ture Ground Water Bedrork or hm—pervious Material Dpim=t=Water SURRIV
Q�at -, < at what depth. at what depth —1 a 4 ai=gf P�
�g It 777 feet feet we zz
Steep slope clay tf well;water supply
slope other
from any septic-system
depth: absorption is_j?.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. PROPOSED SYSTEM: For blew done_U:gS4on: All Individual sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add250 gallons to the size
of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub.
:
_�CXO- Qgallo� (min. size 1,000 gal.) RECEIVE
Septic Tank: D
Tile Field: each trench 157C) Total System Length- 00 1R NOV 1 4 2002
SeepagePit(s)-. number of sizoofeach: ft. by_ft.TOWN OF QUEENSBURY
BUILDING AND CODE
Size of,Stone to be used: # l depth or thickness feet
Bed Sy#tem.Size: x
Alternative System: length andlor size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: /'Size of each: gallons t 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 13 6-29 ofthe 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
circumsta by or on behalf of an applicant, shall be void.
I have i the regulations respect to this apPji5dti0h and agree to abide by these and all
reTu ants of the Town o ueensb An' ewage Disposal Ordinance.
kC3 -
Sig re ofV4asronsible person Oate
•:ir�vt;r:s ::tul :it;wsil;cs [)i:;;tcr.::t1 t:Itst;tit e•
,Apimmlix C +
A I.iSUILI'TION. Ii'I I I,,I.)
• SI;I'!1 ft11'I'1L)IN ItI:�21.71 ILI:ItiI I�:N'I`;; '
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OUSE-
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`--`- AIY3r�RPtfo1 L
7. S,4aNATURE &INFORMATION FOR, Sk'VN 11CSLC rc .j1. tit•a���• •••••••�
Z-60
ENERGY CODE COMPLIANCE APPLICATION RECEIVE
TOWN OF QUEENSBURY, WARREN COUNTY Nov NOZ
9000 BEATING DEGREE DAYS-
)UEENsBURY
TONNNOFC r_
DING AND GODR
Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings(onlog�g���
Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling;
Multi-Family Dwellings (3 Stories or less)
Part 4*-Design by Component Performance, Commercial Buildings-Hi
Rise Residential
*Requires submission of worksheets
APPLICANT'S NAME: PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCErTAfLE`P0ACT_10E;
1. Gross Floor Area- L�_D_ square feet
2. Type of.heat-—Electric oil Gas Other
3. Is building mechanically cooled? yes No
4. Percentage of area of windows and doors Over 17%_>S/, Under 17%
5. R-VALUES FOR MULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS
SHOWN ON PLANS SUBMITTED:
a:. Roof R 3-i3
b. Exterior walls R k
C. Glazed areas R a.-5
d. Exterior doors R
e. Floors over unheated spaces R�
f. Edge of slab on grade(heated building) R
9. Basement/cellar walls (above grade) R
h. Basement/cellar walls(below grade) R
i. Heating/cooling-ducts-piping in unheated space R� -T
6. Service(domestic)hot water heating device s No
Conforms t, minimum efficiency,per code
TEMPERA C TROL IMUM SETTING 140—WILL NOT BE EXEEDED
ppi
I is ture Date Phone Number
SP R) MARKS:
-q
Im.
Richard HIGHWAY � SuperintendentY
EPA RTM EN T Home(518)798-5127
OF QIIEE DE
RI
742 Bay Road + Queeasbury,NY 128oji 1OW14 A4("j0,- --- B'ichad F. Travis
BllllDiNG Deputy Highway Superintendent
Off-cc Phone. (5�8) 761-8211 � (518)�798-{�4i3
Fax: (518) 745-4466
DRIVEWAY PERMIT LC
DATE: '� 1 ► ri�APPLICANT NAME: C �t�-� CA J le-TELEPHONE NO.: �t :ADDRESS TO BEINSPECTED: Q-L�7-e- - e
—
RETURN ADDRESS: r t^+. CA Q%°�
Applicant must show enact 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)
( )17" ( )15" ( )IS" ( )24" ( )36"
Preliminary inspection completed by DATE
Approval by Highway Supt. Deputy Su
Upon completion,please resubmit this approved permit for a final approval.
STEP 2: ( }Final Approval
( )Rejected
DATE:
Richard A. Missita,Highway Superintendent
Project Name:
BP# 2.1)W
Address:
L) Building Pqnnit Submission
Singlefiandy duelling
Tvofianily duAng
Checklist
All items below must be checked either yes,no or not applicable prior to subm%sgion of any building
permit to the Town of Queensbury Building Department. If any of the below items'a.re lacking,the permit
will not be accepted until such time as the application is deemed complete for submission.
1. Building Permit Application Completed ... ... ... ... ... .......... ... ......... s n no F1 n/a
2. Energy Form or Checkhdate Energy Code Compliance Forms Complete .. �s EJ no El n/a
3. Energy Code Inspector's Report from CheckMate Program.. ...... ... .... s [:]no D n/a
4. Septic application completely filled out(if applicable)... ...... ... ... ... ... ... s r]no F1 n/a
5. Solid Fuel Burning or Gas Appliance Form... ... ... ... ...... ... ...... ... ... ... .Dyes [-]no>av
6. Electrical Inspection Form... ... ... ... .. ... ...... ... ... ... ... ... ... ... ... ......L
� Flno nn/a
7. Two(2) complete sets of structural drawings... .. ...... ... ... ... ...... ... ... ... Dyes [:]no [:]n/a
a) floor plan;b) foundation plan;c) cross sections:d) elevations;
e)window and door schedule
8. Two(2) site phuu showing location of the structure to be built.... ...... ... W nno Fln/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure... ... ... ... ... ... ...... ... ... .. Ono nn/a
10. Setbacks to neighboring wells and septic systems,including onsite well... . s f-Ino f-In/a
and septic systems (if applicable) 0
11. Drivewaypern-iit...... ...... ... ... ... ... ... ... ...... ...... ... ...... ... ... ... ...... s E]no E]n/a
Date:
Staff Initial:
L-.\Suelien-ingway\Bdding.Pennit.FOM\Genen'c Check6t.doc
26 o a,-
Permit Number
MECcheck Compliance Report Checked By/Date
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
Data filehame:A:\Clute Ranch 1232-Luzern Rd.cck
TITLE:Clute Ranch 1232 28 x 44
REC""EIVED
COUNTY:Warren
STATE:New York NOV 14 2002
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family TOWN OF QUEENSBURY
BEATING TYPE:Non-Electric BUILDING AND CODE
DATE: 11/13/02
DATE OF PLANS: 11/13/2002
PROJECT INFORMATION:
Luzerne Road
Queensbury,NY 12804
COMPANY INFORMATION:
Clute Enterprises,Inc.
13 Dawn Road
Queensbury,NY 12804
COMPLIANCE:Passes
Maximum UA=235 '
Your Home=220
6.4%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 1232 30.0 0.0 43
Wall 1:Wood Frame, 16"o.c. 1152 19.0 0.0 60
Window I:Vinyl Frame,Double Pane 66 0.490 32
Window 2:Vinyl Frame,Double Pane 8 0.490 4
Door 1: Solid 41 0.069 3
Door 2:Glass 41 0.490 20
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1232 19.0 0.0 58
Furnace 1:Forced Hot Air,82 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/DesigneK....... Date
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
DATE: 11/13/02
TITLE:Clute Ranch 1232 28 x 44
Bldg.
Dept.
Use I
I
( Ceilings:
[ ] ( 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30A cavity insulation
I Comments:
I
Above-Grade Walls:
[ ] ( 1. Wall 1:Wood Frame, 16"o.c.,R 19.0 cavity insulation
{ Comments:
(
( Windows:
[ ] ( 1. Window 1:Vinyl Frame,Double Pane,U-factor:0.490
I For windows without labeled U-factors,describe features:
( #Panes Frame Type Thermal Break?[ ]Yes[ ]No
( Comments:
[ ] ( 2. Window 2:Vinyl Frame,Double Pane,U-factor:0.490
( For windows without labeled U-factors,describe features:
( #Panes Frame Type Thermal Break?[ ]Yes[ ]No
( Comments:
I
( Doors:
[ ] ( 1. Door 1: Solid,U-factor:0.069
( Comments.
[ ] ( 2. Door 2:Glass,U-factor:0.490
#Panes Frame Type Thermal Break?j ]Yes[ ]No
Comments:
(
( Floors:
[ ] ( 1. Floor 1:All-Woad Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation
( Comments:
1
( Heating and Cooling Equipment:
[ ] ( 1. Furnace 1:Forced Hot Air,82 AFUE or higher
( Make and Model Number
I
( 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.
I
Vapor Retarder:
[ j ( Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
I
( 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.
[ J ( 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-11.
[ ] ( Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] ( Supply ducts in unconditioned spaces must be insulated to R 11.
[ ] [ Return ducts in unconditioned spaces(except basements)must be insulated to R 2.
Insulation is not required on return ducts in basements.
3
[ Duct Construction:
[ ] ( 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.
[ j [ Air filters are required in the return air system.
[ J [ 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
J provisions of the Building Code ofNew York State,the Residential Code of New 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.
[ j [ Insulate circulating hot water pipes to the levels in Table 1.
[
[ Circulating Hot Water Systems:
[ j [ 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 OF or chilled fluids below 55 OF must be insulated to the
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 HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe 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)
1E7►qpt- of ('-,ornxxl-unitY IE)I-,-Vt--,Ic)pxylc,-Iit
r4D-Vvrl 'OF QllcollSl:>urY
742 IB.-ty 1R-' c).-Lcl
T*-IY 12804
Date received
Final Survey`Plc�t Plan
A roved ]De-imie-cl
The attached final
survey has been
received by the
Dept_ of I
Community
TJp<3ri review tfic
sl3x-,Voy Has been
Cjr.aip, IE3-rc),NNm, 2—'c3rxi-rYa -Aclxxiiiiistrzatcor-
Notes:
Sur-vo--y
aucs. I I -1-,)I C 1359
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(51$)761-8256 Arrive: am/pm
I . S lam/pm
Date inspection request received: /q Inspector's Initials:
14
NAME: PERMIT#: "1�
LOCATION: 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 l
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 silt 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
Lain,water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety lzin /Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every.Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
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/'t 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"acc ss, I s . ft.-150 s . ft.vents
Building No./Address PjsifLe frpm ra d
final Electrical
Site Plan /Variance re ui e
Final Survey Plot Plan 'I 111910
As Built Septic System/Se er a t.inspection Sticker 10,
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:1PamW\Building&CodeslInsvection FormstRes,Final Instil.form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement Residential Final Inspection
F
Office No.(518)761-8256 Arrive: am/ art,
Date Inspection request received: Inspector's Initials:
NAME: I, PERMIT#:
LOCATION: —C3 Z_6A TV G- RQ DATE: a. 4 C S--
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 atios
Guard at stairwell at 34 in. or more
Gpard at deck,porches 36 in.or more
xterior Finish Complete
V Interior/Exterior Railings 3
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
-Enclosed Stairs Sheetrock Underside minimum V2"
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-it entrance to furnace area
Furnace/Hot Water,Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors I main entrance 36 in.
Bathroom/Kitchen watertight
Safety slating/Window in stairwells safer y glazing
Interior Smoke Detectors:
Every level: I Every Bedroom:
Outside every bedroom area:
Inter Connected: _ / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
mergency e ress below grade
%sement stairs closed rise>4 inches
(Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Seated 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, I sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical 7t�
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 I
L:\PamW\Building&Codes\Inspection Forms\Res.Final Insv.form 2,docLast Printed 2/12/04
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: �' -7
Queensbury Building &Code Enforcement Arrive: am/ art: l am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: _
LOCATION: INSPECT ON:
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 Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
mil poly for wet areas under slab
,7. w,'ackfill Approval
4e,
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Btsilding.Codes.Inspection.FORMS\roundation Inspection Report.doc January 28,2003
ju
'roc)-NN-iri <>f
7,42 Bay Ito ad
-
Qxx<--4--x-3Lsl3ixx-y_, IN4-Y 12804
Date received
NAME
Firial Survey Plot IPI.-trx
survey rias beers
CorrLmunity
LJpor� review the
sure has beeia
Craig IE3x7c>vv-ri, 2—'4c>xiixx,4z-- -A,-clxxii-udstir-.-xtc)ir
LANDS N/F OF
DEBORAH HUNT
CIRS
GARAGE
100.
GARAGE CORNER I
OVER BY 1.77'
v
cB❑
12.2
CIRS
19.284 sty. ft.
I o I
I � I
I N I
CIRS I I
A
Du
%INAU7NOPogD ALTERATION OR ADDITION TO A SURVEY
MAP BEARIN A LICENSED LAID SURVEYORS SEAL IS A
VIOLATION OF SECTION 720% SUB -DIVISION 2. OF THE
NEW YDNL STATE EDUCATION LAW.'
S
Land Surveyors
169 Haviland Road Queensbury, New York 12804
ONLY VATHCOPIES 1 RDM [7E Or THE L N 5UI wrcvLv
rAnxxto vnm AN oRlWwv. or THE vJ+o wNLvcroNcs
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES
'CERIEICATIOS INDICATED HEREON SWNEY THAT
TARS SURVEY WAS PREPARED M ACCORDANCE WITH THE
°°�'°���� PRACMOE LSURVEYORS AND
BY THE NEW MONK STATE A390OAliON OF PROFESSIONAL
LAD SURVEYORS. SAD CERIEICAMONS SNAIL RUN MY
TO THE PERSON FOR WHOM THE SURVEY Is PREPARED. AND
ON HIS NNW TO THE TITLE COI&ANY. OOY470R/ENTAL
AD
ToTneAsslr,N�s L ameI"sL.w"""'n"NcINsnLJnmsTEo oN.IETEOII. AND
•
(518) 792-8474
New York
Lic. No. 50135
LANDS N/F OF
PATRICIA & COLBY LABELLE
\ �S•�`9�c. BOUNDARY LINE
ADJUSTMENT WITH OTHER
LANDS OF LABELLE
I \5N
\" 226 sq. ft.
\ 0.01 acres
3
M
N•)
lGo
U)
1
N 226 sq. ft.
0.01 acres
IPF
LUZERNE ROAD
Map of a Survey made for
CLUTE ENTERPRISES
Town of Queensbury, Warren County, New York
S
LEGEND:
OIPF = IRON PIPE FOUND
OCIRS = CAPPED IRON ROD SET
ccL = UTILITY POLE
cB❑ = CATCH BASIN
3 1\12\05 BOUNDARY LINE ADJUSTMENT
2 1\7\05 BOUNDARY LINE ADJUSTMENT
1 12\31 \04 HOUSE LOCATION
NO. DATE DESCRIPTION
Scale
Zc�z - 959
0
S-1
SHEET 1 OF 1
CLUTE
DWG. NO. 04306
el. ��..
I
1
D
308.11-1-31 k.ivvi
l
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 ` Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm D t: r AV am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:. __ ��
Va+'
NAME: CIL-L) PERMIT#: ;Z-
LOCATION: INSPECT ON: 7
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
# Ro gl;Mumb' g/Nail Plates y
Head or Air Su
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:
L:\SueHemingway\Building.Codes.Inspection.PORMS\Rough Plumbing Insulation Report.doc January 28,2003
Roughs Plumbing 1 Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: �,�
Queensbury Building&Code Enforcement Arrive: am/ m part: a ,
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT #: -;Z CZ��
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: . .
Y N N/A
-PVC: 'R-1,R-2,R 3,R4 Drain I Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
oi'f `Pluml�ii"l Nail Plates V
1 Y2 inch`>Eiiin;Drain Size -�
Was in _Machine Drain 2 inch min.
plead o Air Supply Tes
Drain and Vents
5 PSI or 10 feet above hi est
minutes
Cleanout every 100 feet_ !change of direction
0 FN,iv Iy Piping
Cooper Commercial
Cooper, CPVC,Pex One and Two-Famil
Insulation/Residential-Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
ct work sealed propeft/No duct tape
jjV
COMMENTS:
L:\Suel-lemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November I7,2003
Rough Plumbing / Insulation Inspection Re ort
Office No. (518)761-8256 Date Inspection request received:
ueensbu Building&"Code Enforcement Arrive: am/% art: am/pm
Q ry g -
742 BayRoad ueensbu NY 12804 Inspector's Initials:-. J
3 Q rY} (J,
NAME: c2 _ PERMIT#: C}do�
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.
Plu Zg Vent/Vents in Place
tough Plurnbigj/Nail Plates G jt1
ea°d.or'`Air.Supply Test
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Ij ,terSuplyPipingp
C -'er Commercial alo p -
Copper,CPVC,Pex One&Two Family L�
Insulation/Residential Check/Commercial Check L l AJ6- -;>
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L:1SueHemingway\Building.Codes.Inspection.FORMS\R.ough 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/ Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials
NAME: I PERMIT#: �`
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N/A
(� i
.In
COMMEP 4S
ack 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 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 , , 4 hour
Penetration sealed
16 inch insulation in cavity min. ckj�' �S
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
L:\SueHemingway\Building.Codes.Inspection.FORMSTratning Firestopping Inspection Report.doe January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received
Queensbury Building&Code Enforcement Arrive: a �pDepartA am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initia
NAME: ka PERMIT#:
LOCATION:
INSPECT ON:
TYPE OF STRUCTU :
Y lv IN/A 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
e 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
LASueHemingwayiBuiIdin-.Codes.Inspecti on.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received
Queensbury Building&Code Enforcement Arrive: a7/ .art.---
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initiais: ZO ,P pm
/17�f4
NAME: PERMIT NO.:
LOCATION: INSPECT ON: IZEZ4
In
RECHECK:
Comments and/or diagram
Sail Type: Clay
jy2e of WateK Municijj ell Water
Waterline sepa?a�ion distance
Well separation distance
Other wells:
Absorption Field: Total length ft
Length of each trench
Depth of trenches
Size of Stone _d4?/
-
See page Pits: Number
Size: -X
Stone Size:
Piping Si7A_ Type.
Building to tank\ lip 70
Tank to DistributiNi Box it rc 7-42'
Distribution Bo ield Pit
Opening Sealed i Yj/N/Partial
Location/Separations 4
Foundation to tank
Foundation to absorption ft.
Separation of Pits ft.
L Conforms as per Plot Plan
Location of Sys on Property:
Front ear Left Side Right Side
Middle Front Middle Rear
System Use Statz.-
Approved
Partial Approved and needs to be re-inspected,please call the*Building&Codes Office
Disapproved
L:\SueHemingway\Buflding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
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Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection requpst receivcd:
Queensbury Building&Code Enforcement Arrive: an-1/1 Depart: avpm
l
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials.
NAME: PERMIT#:
INSPECT ON:LOCATION:
TYPE OF STRUCT
Comments
Y N/A
ti ngs
Pie
3zlnolithic 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/WallpOLir
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.
L:\Suellemingway\Building.Codcs.Inspection,FORMS\Foundation Inspection Report.doe January 28,2003
Septic Inspection Report
Office No.(518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: 1,10 am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials,
NAME: PERMIT NO.: 67,
LOCATION: INSPECT ON: Sr
RECHECK:
Comments and/or diagry
Soil Type: Sand Loam Clay
_Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distance
Other wells:
Absorption Field: Total 1MV4
Length of each trench
Depth of trenches ft.
Size of Stone
See Me Pits: Number
Size: x
L Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field Pit Iley-
O Sealed: Y/NI Partial I
Location/Separations
Foundation to tank
Foundation to absorption ft.
Separation of Pits ft.
Conforms as er Plot Plan —Y.—N
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use Status:
Approved
Partial Approved and needs to be re-inspected,please call the'Building&Codes Office
Disapproved
L:\SueHemingway\Building-Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-82.56 Date Inspection re ue re ei� d:
Queensbury Building&Code Enforcement Arrive: a i/p Depart: a pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
NAME: P IT#:
LOCATION: Z167 a- `Z.2�,,,-z-. INSPECT ON: // D
TYPE OF STRUCTURE:
Comments
Y N N/A t}
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
oundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
J-Plu6 inches above footing
__fi-nq�j( of for wet areas under slab
mbingUnder
ackfill pproval Slab
PVC/Cast/Copper
Foundation Insulation-Interior/Exterior
R-
Rough Grade 6 inch drop within 14 ft.
L:\SucHemingway\Building.Codes.Inspection.FORMSIPoundation Inspection ReporLdoe January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Daie Inspection request received:
Queensbury Building&Code Enforcement Arrive: ain/p Depart: am/pm
742 Bay Rd., Queensbury,N. Y- 12804 Inspector's initials:
NAME: PERA41T#:
LOCATION. Kf� INSPECT 1�;: AJ
6b
TYPE OF STRUCTURE:
Comments
Y
Piers
Monolithic Slab
Reinforcement in Place
The contractor is respRnsib ikor
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purposeon site.
Foundation/Wallpour
Reinforcement in Place
Foundation Danipproofing
Foundation/Waterproofing
V
Type of Dampproofing/Yaterproofing
Footing Drain Daylight4or Sump
Footing Drain Stone
12 inch width
6 inches abov footing
6 mil poly for wet areas under slab
Backfill Appr6al
Plumbing U"der Slab
PVC/Cash/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASucHerni ngwa y\Bu i Id ing,Codes.Inspection,FORMSToundation Inspection Report.doe January 28,2003
IY
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