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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`;; ' POND OUSE- �, L'($Lt- IN T/�iTtT.'Tf+ � _- ���•�,�/Wf_L t, Lt're.t . • •tu+�.LtT C/l5t•tr� �-��...�..-" . j•. - ( r "�� Sc t•t lc. w,,�y 1. �);.-` . ��.� \,•� �- r `--`- 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 ■ MEN mm mimmmmm mmmmmm mm Immmmmmmmm mmm mmmm mmm NEW mm mm mm immm i m mm mm mm 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 1-ha v"een Dr-obsej ve or elif ve-11-S-am--e--vvi en e o R-Qt Lec A"u.-h hc -w(d1s#--ree 4-fe ice,.c-,et(,—., -a s.,hc s�ow"I AM-., wocum. t WN a-pesont that-1-hi-ve- _._ _ _v , . -�Osdfor h oil the diurain.'r Ifa u s 1�-:rlG IA