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2002-946 j TOWN OF QUEENSBURY ' 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20020946 Date Issued: Friday,March 12,2004 This is to certify that work requested to be done as shown by Permit Number P20020946 has been completed. Tax Map Number: 523400-226-015-0001-009-000-0000 Location: 140 LAKE Pky Owner: PAUL&ARLENE LOITERS Applicant: DOMERS GOLDEN PROPERTIES,L.L.C. This structure may be occupied as a: By Order of Town Board Garage-2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road;Queensbury,1,Y,12804-5902 (518)761-8201 1� Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020946 " Application Number: A20020946 Tax Map No: 523400-226.-0-15-0001-009 r000-0000 Permission is hereby granted to: DOORS GOLDFN+PROPF,RTTFS- L.L.C. For property located at: 140 LAKE Pky 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: PAUL& ARLENE LOTTERS 6 UPPER LOUDON Rd Garage-2 Cars Attached LOUDONV3�,LE NY 12211-0000 Single Family Dwelling $300,000.00 a Total value $300,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency MICHAEL GARGIUL O 115 WINDSWEPT Dr AMSTERDAM. NY 12010-0000 Plans&Specifications 2002-946 Construction of a 3,067 sq ft single family dwelling with a 504 sq ft attached two car garage and two fireplaces per plot plan and specifications. $418.44 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,November 22, 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 Town of Queensbury; Friday,November 22, 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: P20020946 Application Number: A20020946 Tax Map No: 523400-226-015-0001-009-000-0000 Permission is hereby granted to: DOMF,RS GOLDEN PROPFRTTES. L.L.C. For property located at: 140 LAKE Pky 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. LC TyPe of Construction Value Owner Address: J (,4j \r,c(S e -r- , . G� �' - Garage-2 Cars Attached Single Family Dwelling 300,000.00 12D.1 Total Value 300,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency MICHAEL GARGIULO 115 WINDSWEPT Dr AMSTF,RDAM.NY 12010-0000 Plans&Specifications 2002-946 Construction of a 3,067 sq ft single family dwelling with a 504 sq ft attached two car garage and two fireplaces per plot plan and specifications. $ot$,44 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,November 22,2003 (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 Town of Queensbury; Friday,November 22,2002 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application � � Z-= Town of Queensbury—Dept of Community Development,742 Bay Road, Q 1 � (518)761-8256 A permit must be obtained before beginning construction. Permit File oq No inspection will be made until applicant has received a Fee PaiWOWN valid building permit. All applicants' spaces on this Rec. F R2� application must be completed and must appear on the_ Reviewed B V. application form. Applicant: 3'M�s C-`� �,Qc�E�c :�, L�<-. Owner: .a o Address: Address: Phone# (-�14b a� - `�� Phone#(_) - Email Address: yxNLz� fr,o o\,caw+ Email Address: Property Location: Lot Number: / House Number Subdivision Name: Tax Map Number: New Building: residence /commercial Estimated Market Value of Construction: $ 100,t->Cx�p Addition: residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial - ❑ No change to exterior size: residence/com'l ❑ Other work(describe ) Check Occupancylnformation 1"Floor 2d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling - ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ' ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage O 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage 2 car attached garage S'C3`E SC I C1 ❑ 3 car attached garage ❑' Storage building- commercial - 4 ❑ Storage building- residential d ❑ Other What is the proposed hei*t of the structured 5 feet (v inches W ill any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil ! gas/wood / or d hot air baseboard/othet: \LIkkkI.1' G Number of Fireplaces to be installed O�- Number of Woodstoves to be installed Q List below the person(s)responsible for supervision of work as regards to building codes: -----� Name Address Phone Number Builder \,C\-, ae� c :oru �5 w Gcll SCE �� 5t�� Plumber 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 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. Furthcr;;it is,understood that I/we shall submit,.prior to a Certificate of Occupancy or Certificate of Compliance 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. Signatur ''i/�% /��s� ye owner,owner's agent,architect,contractor Application for Permit Septic Dis ,Town of Queensbury 742 Bay Road_Queensbury,NY 12804 S - 1:''OWNER INFORMATION: N ..Jl....: _................._..... �.m._.Office Use Location of installation: TOWN OFN QUFFNS4 Tax Map N06`� / 1 / k / Owner's Name: �o r.a�� \ .Q c�.�; t�.a Fes Paid h" " ................................................................. __......_........ ............... Address: VS W cwswx Vic. 2. ..INSTALLER'S NAME PHONE NO. 3.. RESIDENCE INFORMATION: (circle year of dwelling,indicate 4 bedroorn(s) and multiply# of bedrooms-with applicable gallons per bedroom to equal total daily flow) Year of House: No of Be ft9ms x Computation = T-Ml Daily Flow 1980 or older x W gal/bdrtn = 1980—1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrrn = S a • Garbage Grinder Installed yes / no �f Spa or Whirlpool Installed yes— '/ no 4:• PARCEL INFORMATION: (circle applicable information&indicate measurements) Soil Nature Ground at r Bedrock or 1mvervious.Material Domestic Water 1 sand at what depth at what depth municipal ollin clam 3''�. feet feet well Steep slope e if well;water supply _°fo slope other from any septic-system depth: absorption is f? other V Ave- Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM; For 1Vew Constructloxt:-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: l 15vv gallon(min.-size 1,000 gal; Tile Field: each trench_T f1 • Total System Length: It Seepage Pit(s): number of size ofeach: ft, by }. Size of Stone to be used.: # / depth or thickness feet Bed System Size: x g G Alternative System: l jen length andlor size 6. HOLDING TANK SYSTEM: Number of tanks:'- / Size of each: _ gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical,work must be inspected by a Town approved electrical inspection AS=cy. 71 SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pxsuantto,Section 136-29 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 of Queensbury Sanitary Sewage Disposal Ordinance. 00 Signattur f respwi�ible person Date - - .. :•1'c�wet<r1' tZtr�;r.�rslrur-v `. � ` si:tut:rs :1110 :ew.-ige i)i�;:c��:tt t;It:1;>t�•r Appt:t}[Iix C A"I.;St)Itt'••I'ION PI FNA) -• SP'llA LA'I'ION Ii:I:QUIitOMIJOI NTS F_t 't'ha•.l j r ./'�^ S�t•tic, I[ '"may . _._..� � �,,.--' �.,,., 1 U.:,IttrL'.:�tlt•1t • ,n�"xntrrx�s 7. SIGNATURE! & INFORMATION FfJFLRXSYsiiyalxsr.�r>✓,c�vs� �.,a..o...�...., ; ant ime: HIGHWAY Richard Superintendent Highway Superintendent DEPARTMENT , Home(518)798-5127 742 Bay Road • Queensbury,NY 12804 Michad E. Travis Offit'ce Phone: (518) 76f-821 f Deputy Highway Superintendent Fax: (518) 745 y466 (518)798-0413 DRIVEWAY PERMIT No V DATE: �12����� I'o�;,N of �U QU APPLICANT NAME: LlLDLNDAlUOCp"FRY TELEPHONE NO.: S lEbr`- �- SS15 ADDRESS TO BE INSPECTED: U� RETURN ADDRESS: Applicant must show exact location and width of driveway(s)to be connected to the highway by placing stakes at the specified location. The,Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP I: ( )Preliminary Approval NEED: ( )Slight Swale ( )Level with the road ( }Deep swale Size pipe to be used(if necessary) ( )I2" ( )15" ( )IS" ( )24" ( )36" Preliminary inspection completed by DATE Approval by Highway Supt. Deputy Supt Upon completion,please resubmit this approved permit for a'final approval. STEP 2: ( )Final Approval O Rejected DATE: Richard A. Missita,Highway Superintendent V . Nov 20 TOWN OF OZ ENERGY CODE COMPLIANCE APPLICATIONBUILA N p�SOBD Y TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS 7_.- Compliance Methods:Part 5 -Acceptable Practice Method- 1&2 Family Dwellings (only) 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 PLICANTt 'S NAME: PROPERTY �L"O, ATION: ®+�Q�S '�`0 �`C��� .t7 �..,�1.�s. � ��• way ` PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area- 40(197 square feet 2. Type of heat- Electric Oil Gas O h r Is building,mechanically cooled?:_.._. yes No 3. g �' 1 g, 4. Percentage of area of windows and doors Over 17% Under 17% ` 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R_ b. 'Exterior walls R \q C. Glazed areas R d. Exterior doors R e. Floors over unheated spaces R f. Edge of slab on grade(heated building) R . . g. Basement/cellar walls(above"grade) R h. Basement/cellar walls(below grade) Rom_ i. Heating/cooling-ducts-piping in unheated space R 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED li nt's 'gnatur -Date Phone Number 8n� INSPECTOR'S REMARKS: Fire Marshal's Office of Queensbury,742 Bay 12aai1,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances .Date • �,"= , 20 Permit No.,72,60 2, Application is hereby made'to the Building& Cocks Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws,ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter pretrtises to pe,form required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: O, S, , � r . � r .ns,.�+,�, Stove: wood coal pellet gas, Fireplace insert Fireplace, factory-built: wood° gas Address: WN Fireplace, masonry: woad'` gas — --�— '^ Furnace: wood gas oil Phone: if non-masonary applicance,please provide pwneat .c Manufacturer Name: Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile,(steel) size: inches Exact Address: V\k) e-t. .,� of construction or installalion Factory-Built Manufacturer nainie: Model Number: Note r Listed By: Number: Construction I Installation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. \Roo le 1+ II / Triple,vcrll I Insulated / Direct ier,tinb Chinmej,Liner ! G7a,�ch�ear-'ter.D�e�rsa�m.�nt �o�x�b+c�,f Qu�•���buz-g-,.New'�®r.H: Fire Marshal Code#' �Collected s�Refunded' �• Received yi onz-(r unc ed to):�^ � }3,� � �•'::�t�T address: _ A 173 338 (190) Public Safety A 233 2655 (230)�Minor Sales DA7G White(Applicant) / Green(Fire Marshal) l Yellow(Bldg.Dept.) ! Pink&Goldenrod(Cashier's Dept.) Fire Marshal's Office- Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimhe' ys applicable to solid fuel & vented gas appliances Date 20 Permit No. Application is hereby made to the Building& Codes Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are'part of these requirements and also will allow all'inspectors to enter premises to pet form required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Stove: wood coal ' pellet gas Name: Fireplace insert Address: ' ` Fireplace, factory-built: wood gas � Fireplace, masonry: wood gas Furnace: wood , gas oil Phone: 4W'1,N If non-masonary applicance,please provide Owner: Manufacturer Name: Address: Model Number: Chimney Infbrmation Phone: (circle appropriate words) Masonry block brick stone Flue tile 6teel size: inches Exact Address: - of or installation% Factory-Built Manufacturer name: Model Number: Note: fx Listed By: Number: ConstWction I'Astallation inust conform to NYS Fire Prevention &Building Indicate(circle) chimniey material: Code. Consult available Town of Queensbui), Handouts regarding required inspections. ( Double­wa l ) Triple wall I Insulated / Direct venting Chininey Liner Nj Fire Marshal Code# $Collected S Refunded Received fi-ot t (?-,e;ftiiidc?iT�to7- p," address.4. A 173 3389.(190) Public Saftij, A 233 2655 (230)Minor Sales li DATE: White(Applicant) Green(Fire Marshal) Yellow(Bldg. Dept.) J Pink R Goldenrod(Cashier's Dept.) Project BP# Address: 146) 4aLe PLrtt—&', Building T Pem�uit Submission S4&fan*dadiig Tveofiandy dwflirg Checklist All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of Queensbury Building Department. If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed ...... ... ...... ... ...... ... ......... . [J yes [-]no [-]n/a 2. Energy Form or CheckMate Energy Code Compliance Forms Complete.. [�Yes EJ no M n/a 3. Energy Code Inspector's Report from CheckMate Program... ... ... ...... .. dyes F]no n n/a 4. Septic application completely filled out(if apph b'l)e ...... ... ...... ... ... dyes F1 no F]n/a Yes []n/a 5. Solid Fuel Burning or Gas Appliance Form... ...... ... . .. ...... ... ....d nno i 6. Electrical Inspection Form...... ......... ... ...... ........ ... ............ ... ... s [:]no [:]n/a 7. Two(2) complete sets of structural drawings... ........ ...... ... ... . (:]no [:Jn/a a)floor plan,b)foundation plan;c)cross sections:d)elevations; e)-window and door schedule I 8. Two(2) site plans showing location of the structure to be built.... ......... Ono []n/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure... ... ... ... ... ... ... ...... ..... QDWs Flno Fln/a 10. Setbacks to neighboring wells and septic systems,including onsite well.... s Flno nn/a and septic systems (if applicable) 11. DrivewayPermit... ...... ...... ... ......... ... ...... ... ...... .I. ... ...... ......... El no Fln/a Date: I/ /()�'— T -1 Staff Initial: L:\SucHeniingway\Budding.Pennit-FOBIZ\Generic Ueckrist.doc . 'aLL`:,•y •.ir . _.u-. ; S;. n .. ..'" .. ��L��C.ri�-L�\�\J Permit Number MECcheck Compliance Report Checked By/Date Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb Data filename:C:\Program Files\Check\MECcheckldomers golden properties.cck TITLE:domers golden properties COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:08/06/03 DATE OF PLANS:6/14/02 PROJECT INFORMATION: assembly point COMPANY INFORMATION: same COMPLIANCE:-Passes Maximum UA Your Home=751, 1.8%Better Than Code Gross Glazing Area or. Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 2:Cathedral Ceiling(no attic) 3905 38.0 0.0 105 Wall 1:Wood Frame, 16"o.c. 3536 19.0 0.0 150 Window 1:Wood Frame,Double Pane with Low-E 823 0.370 305 Door 1:Solid 95 0.100 10. Door 2:Glass 126 0.370 47 Basement Wall 1: Solid Concrete or Masonry,8.6'ht/7.8'bg/8.6'insul 1166 11.0 0.0 71 Floor 1:Heated Slab-On-Grade;4.0'insul. 108 20.0 69 Furnace 1:Forced Hot Air,90 AFUE Air Conditioner 1:Electric Central Air, 10 SEER 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. Blcler/Designer c Q�7 Date Z '�G� MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE.08/06/03 TITLE:domers golden properties Bldg. Dept. Use Ceilings: 1. Ceiling 2-Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments• Above-Grade Walls: 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Basement Walls: 1. Basement Wall 1:Solid Concrete or Masonry,8.6ht17.8'bg18.6'instil, R-I 1.0 cavity insulation Comments: Windows: 1. Window 1:Wood Frame,Double Pane with Low-E,li-factor:0.370 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: 1. Door 1:Solid,U-factor:0.100 Comments: 2. Door 2:Glass,U-factor:0.370 #Panes Frame Type Thermal Break? Yes No Comments• Floors: 1. Floor 1:Heated Slab-On-Grade,4.0'insulation depth,R-20.0 continuous insulation Comments: Slab insulation to extend down from the top of the slab to at least 4.0 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 4.0 ft. Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in.below grade. Heating and Cooling Equipment: 1. Furnace 1:Forced Hot Air,90 AFUE or higher . Make and Model Number 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number Air Leakage: Joints,penetrations,and all,other such openings in the building envelope that are sources of air leakage must be sealed, Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials and 3"clearance from insulation. Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating I equipment must be provided. [ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on I the building plans or specifications. Duct Insulation: [ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R 11. [ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] I Supply ducts in unconditioned spaces must be insulated to R-11. [ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-2. I Insulation is not required on return ducts in basements. I Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts I operating at less than 2 in.w.g.(500 Pa). [ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] I Air filters are required in the return air system. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space I temperature set point of the largest zone. I Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. I Fireplaces: [ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] I Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction I provisions of the Building Code of New York State,the Residential Code of New York State or I the New York City Building Code,as applicable. I Service Water Heating:, [ ] I 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. [ ] I Insulate circulating hot water pipes to the levels in Table 1. I I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/offheater switch and require a cover unless over 20% I of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] { HVAC piping conveying fluids above 105°F or cbilled fluids below 55°F must be insulated to the { levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insub tion Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1_"_ Un 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 A 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 hy.fte Sizes Piping_System'Types Ran e F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature, 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) Permit Number :` NQV ' 2 2oa2 AIECcheck Compliance Report Checked By*p N QU,��NS Proposed New 'fire r°k Ston 3.3 ate asE Energy Conservation Construction Code G N u, Data filename:C:\Program Files\Check\MECcheck\domers golden properties.cck TITLE:domers golden properties COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 10/09/02 DATE OF PLANS:6/14/02 PROJECT INFORMATION: assembly point COMPANY INFORMATION: same COMPLIANCE:Passes Maximum UA=789 Your Home=767 2.8%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 2606 38.0 0.0 78 Ceiling 2:Cathedral Ceiling(no attic) 870 38.0 0.0 23 Wall 1:Wood Frame, 16"o.c. 3782 19.0 0.0 164 Window 1:Wood Frame,Double Pane with Low-E 823 0.370 305 Door 1: Solid 95 0.100 10 Door 2:Glass 126 0.370 47 Basement Wall 1: Solid Concrete or Masonry,8.6'ht/7.8'bg/8.6'insul 1166 11.0 0.0 71 Floor 1:Heated Slab-On-Grade,4.0'insul. 108 20.0 69 Furnace 1:Forced Hot Air,90 AFUE Air Conditioner 1:Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the Proposed New York State Energy Conservation Construction Code requirements. Builder/Designer Date #— MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE: 10/09/02 TITLE:domers golden properties Bldg. Dept. Use Ceilings: 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-3 8.0 cavity insulation Comments: 2. Ceiling 2:Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments: Above-Grade Walls: 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Basement Walls: 1. Basement Wall 1:Solid Concrete or Masonry,8.6'ht/7.8'bg/8.6insu1, R-I 1.0 cavity insulation Comments: Windows: 1. Window 1:Wood Frame,Double Pane with Low-E,U-factor:0.370 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: 1. Door 1:Solid,U-factor:0.100 Comments: 2. Door 2:Glass,U-factor:0.370 #Panes Frame Type Thermal Break? Yes No Comments: Floors: 1. Floor 1:Heated Slab-On-Grade,4.0'insulation depth,R-20.0 continuous insulation Comments: Slab insulation to extend down from the top of the slab to at least 4.0 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 4.0 ft. Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in.below grade. Heating and Cooling Equipment: 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number Air Leakage: Joints,penetrations,and all other such openings in the building envelope that are sources of air J leakage must be sealed. [ ] J Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC i rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible J materials and 3"clearance from insulation. i J Vapor Retarder: [ ] J Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. J J Materials Identification: [ ] J Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] J 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 J equipment must be provided. [ ] I Insulation R values,glazing U-factors,and heating equipment efficiency must be clearly marked on i the building plans or specifications. I J Duct Insulation: [ ] J Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] J Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] I Supply ducts in unconditioned spaces must be insulated to R-11. [ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R 2. J Insulation is not required on return ducts in basements. I Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics J (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. J Exception:Continuously welded and locking-type longitudinal joints and seams on ducts J operating at less than 2 in.w.g.(500 Pa). [ ] J Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] ( Air filters are required in the return air system. [ ] I The HVAC system must provide a means for balancing air and water systems. J I Temperature Controls: [ ] ( Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space J temperature set point of the largest zone. 1 J 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 ofNew York State or J the New York City Building Code,as applicable. i Service Water Heating: [ ] ( Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the ( water heater has an integral heat trap or is part of a circulating system. [ ] ( Insulate circulating hot water pipes to the levels in Table 1. I J Circulating Hot Water Systems: [ ] J Insulate circulating hot water pipes to the levels in Table 1. 1 ( Swimming Pools: [ ] ( All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. j j Heating and Cooling Piping Insulation: [ ] j HVAC piping conveying fluids above 105°F or chilled fluids below 55 OF must be insulated to the j levels in Table 2. Table 1: minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Tem ep rature F� Up to 1" 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(far 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) P .y . DO:MERS, CONSTRUCTION CO . March 11,2004 Town of Queensbury Fire Marshall 724 Bay Rd' Queensbury,NY 12804 Pursuant to the Fire Marshall's request on March 5, 2004 I am providing the following statement. With regard-to_the Lennox wood burning firebox installed on 140 Lake Parkway under permit#2002 94"6, I,have and read and followed the manufacturer's instructions regarding installation of the product."-1Before covering the raised hearth with.4.5 inches of granite r stone we did the following: Installed a"Z" safety strip as directed in figure 9 on page 6 of the instruction manual. Above that we installed,the proper underlayment provided by the Fireplace Company of Lake George for use on a combustible surface. Sincerely, Domers Construction Co. ' - 1 Michael Gargiulo 16 HAROLD HAR-RIS ROAD --QUEENSBURY, NEW YORK 12804 PHONE: 518.424-8895 FAX; 518-384-0715 i- Septic.Inspection Report r Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p D,ep rt: t am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: , (' U' PERMIT NO.: 0 2 (� LOCATION: ��; ,9rlJ��ti! 9 INSPECT ON: 1 Z RECHECK: Comments and/or diagram Soil Type: Sand 1 Loam J Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other.wells: ft. Absorption Field: Total length Length of each trench ft. Depth of trenches ft. • Size of Stone Seepage Pits: Number f Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field 1 Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Location of System on Property: Front Rear Left Side Right Side Middle Front fiddle Rear System Use Statu Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\,SucHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: I Queensbury Building&Code Enforcement Arrive: am/= Depart: j �m 742 Bay Rd., Queensbury,NY 12804 Inspector's lnitials;:� r11-- NAME: PERMIT NO.: LOCATION: INSPECT ON: r4 x d 0,5 RECHECK: Comments and/or diagram Soil Type: Sand l Loam Clay Type of Water: Municipal/Well Water V9 . Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length 7tA,,J ft. Length of each trench Depth of trenches ft. Size of Stone See pagePits: Number or Size: X- Stone Size: Piping Shp,/ Type Building to tank e-* YP PC)wf Tank to Distribution Box Distribution Box to Field Pit I Opening Sealed: Y/Ni Partial Location/Separatio4 so , f) Foundation to tank ft. Foundation to absorption Separation of Pits ft. Conforms as per Plot Plan V Y N Location of System on Property: )4e, (, �";=-- tt /G d( k,0 Front Rear Left Side Right Si 4P '7/V Middle d Stle Front iddle Rear t System at Approved pproved 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 A-11 f Septic Inspection Report Office No. (518)761-8256 'Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p ne rt: _am/pm 742 Bay Rd,,Queensbury,NY 12804 Inspector's Initials: NAME: 26 i,CiI 0 PERMIT NO.: LOCATION: INSPECT ON: C RECHECK: Comments and/or diagram Soil TykI.Sand/ (m/ T e of Water: Municipa 1 ater Waterline separation distance ft. `� �� Well separation distance ft. Other.wells: ft. r Absorption Field: Total length ft. Length of each trench ft. `A) Depth of trenches ft. Size of Stone ;— See a e Pits: Number Size: x Stone Size: Piping Size Type Building to tank �� v Tank to Distribution Box Distribution Box to Field 1 Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan VY N Location of System on Property: Front Rear Left Side Right Middle Front Middle Re Wo AV S stem Use Status- Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office -.Disapproved L:\SueHenungway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Town of Queensbury Fire Marshal 742 Day Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory Built Gas Firenlace/Move Inspection ReRort Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. (� j 3 V Permit#�od 2 q 0 Schedule Inspection 12"7)pp0`5 Time I (am---)pm anytime Inspector Name 4 V-_Ct}u 1 Address j`7 y l� IG ti �l/Gw`a Rough In_ Final Appliance Manufacturer M8'3 S-S 41 L— Model# D�Q-`r -6(,% R_F? Direct Vent Factory Built Chimney /< Flue Size Double Wall Triple Wall Insulated , L yvt Yes No N/A Comments Floor Protection Clearances to Combustibles(all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel � ��� �5 �� �'�&0 Height above f/p opening Witness Operation \A/ Tank Placement(if LP) _ S'1�.►r A0 White—BulldingDept. Yellow er Finn—Fire Marshal Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory Built Gas Fireplace/Move Inspection Agiort Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. 3J Permit# CQaQZ C) Schedule Inspection Time �I' � n anytime Inspec�ta��� Name lQ b)NQ Address �V L�'e, jilt iA�, ' Finalk--- 5 Rough In— Appliance Manufacturer ��-���� `_ Model# L S 5 C P ]Direct Vent Factory Built Chimney � Flue Size Rouble Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wail Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration,2 feet above any combustible X construction within 10 feet Gas Shut-Off Valve X Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—BtdldingDept Yellow \CYV\Custmer Pink—Fire Marshal Town of Queensbury ire Marshal 742 Bay][load Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning /Stove Ins eection Resort Notice:New Fork State requires that all OF Fisted,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# a(3 n-1- 9 H� Schedule Inspection Time ran pm anytime Inspector #47 Name ^A9-P, IJ 1 Address Rough In Final Appliance Manufacturer Llzi 0 Al t�1� Model# L 01 j1j Masonry Chimney Factory Built Chimney� Flue Size/0"' Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection }� Clearances to Combustibles (all sides) Safety Strip Installation(Fireplaces only) x �� `� y���' `c Qj,2 eL_0 Firestop(s) Vertical Chase �t Wall Penetration�� Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet ` Combustion Air X Hearth Extension — i2�-�`�� r iy'v D Mantel(height above f/p opening) X K,.`=iv Nv`� .Fireplace Doors/Screen(required) White—BW1ding IDepL Reno —cm rater Pins—Fire Marshal Town of Queensbury Fire Marshal 742]Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory B �Gs ire lace/Stove Inspection Rego Notice;New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's (� instructions o;770� Time tions is allowed. ` + Permit# `"! Schedule Inspection b 3 G—am p nytim Name 6d ,Lk�_ Address 7 O Lh ! GAY t1Gs.�t hough In/Final,__ Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated 'des No N/A Comments Floor]Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase C l Wall Penetration rL X ¢' ) Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible l construction within 10 feet Gas Shut-Of Valve Combustion.Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. Yellow f oast er Fink—Fire Manbal Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory Buile ,errning Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# 0O��" Schedule Inspection 1121LO3Time am pm any'#ime sp�ector v'' j �f/i�Name t 40 Address -M (o611t eParkWa Rough in Final Appliance Manufacturer Model# Masonry Chimney Factory Built Chimney Flue Size Double Wall Triple Fall InsulatW___ Yes No N/A Commentf Floor]Protection i Clearances to Combustibles (all sides) Safety Strip Installation(fireplaces only) Firestop(s) Vertical Chase Wall Penetration ca,r1�� Chimney Clearances to Combustibles t 1 �/✓�� ��� Chimney Termination Vlb S/4V 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension Mantel(height above f/p opening) Fireplace Doors i Screen (required) White—Budding Dept. WHOM—Gust mer Pink—Fire Marshal Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Facto mw Builf Gas YireRlace/Stove Inspection Report Notice:New York State requires that all[]L Listed, factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's q / instructions or s eci cations is allowed. Fermi## y9" l�(p Schedule Inspection �1 15 D Time ! am pm a vnspector f ® Address A 1� ll Rough in ��Final \ Name 0 — Appliance Manuf acturer Model# Direct Vent Built Chimney Flue Size Double Wall Triple Wall Insulated 0 Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) I+irestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut Offf Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) Whfie—BuNing(Dept. Yellow C'ud er Pink—Fire Marshal Rough Plumbing /insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p De art: m/pert ♦' 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME. ,n PERMIT#: . �`" LOCATION: -' INSPECT ON: TYPE OF STRUCTURE: N N/A PVC: R-1,R-2,R-3,R-4 Drain!Vents Cast Iron, Copper Drain/Vent/Comm.. 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 " opper Commercial etCP�N�iC,Pe One Two Family & s lati©n R d ntra 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 WWWAMIPS , r*-�C ' COMMENTS: -L:\SueHemingway`,Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ epart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ] �� NAME: Cri,OVA, : "`) PERMIT#: 0 z� r LOCATION: INSPECT ON: 7 ?a TYPE OF STRUCTURE: Y" N N/A F xn n g COM�. S Jack Studs J Headers ,�y Bracing J Bridging ��U L n�-' �• it7- 1� f'/�.�Vtf Joist hangers Jack Posts J Main Beams Exterior sheeting nailed properly ' U�' 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 %rests: in� c4uAl�- Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 'lz 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:\SueHemin-,Way\Building.Codes:Irisp cttio'AFORMS\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing 1 Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive:—am/pm arl:,—n5m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: la, PERMIT#: OZ 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 Rough Plumbing/Nail Plates Head or Air Supply Test Dfain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes ter 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 COAMENTS: L-.tSucHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insula6on Report.doc January 28,2003 Framing 1 Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: e7 Queensbury Building&Code Enforcement Arrive: am/ M epart: L/am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:��w W- I.G*Mrm/10 NAME: PERMIT#: ( I— cm LOCATION: lCa Ya K,k INSPECT ON: TYPE OF STRUCTURE- Y N / N/A fiLi`am-�in g COMMENTS aaci Vur-fl Headers77racin7g/Bridging Joist hangers Jack Posts/Main Beams 1)7 Exterior sheeting nailed properly 12"O.C. 2--Z— 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 Z7 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 XW Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side Y2inch 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 e-5 7 -jE- MW @-,t16`TkP1"j LASucHcrningway\BuiIding.Codes.Inspection.F01WSTrarning Firestoppin.-Inspection Report.doc January 28,2003 Framing 1 Firestoppihg Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: any/ in . epart.Z- am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. NAME: /j PERMIT#: i LOCATION: e- 6A-AV INSPECT ON: : TYPE OF STRUCTURE: Y N N/A V'Framing COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. t Headroom 6 ft. 8 in. (C Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate I V2 (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses U L, 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 1/2 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 PRoo I L:\SueHemi.ngway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 t Framing 1 Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: hfo _ Queensbury Building&Code Enforcement Arrive: am/pm Depart:0 am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: 00/v Ef `3 (--)o Ti e%�IT#: AGO".-- LOCATION: P10 Lam- P4/V—LL-1wf INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS Jack Stu ..eazl�rs Bracing/Bridging Joist hangers ��u Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. .--� Headroom 6 ft. 8 in. C�4,1-evr6i 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 Falrl 2;3,4 ho hh l{ opptng U � V 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) a 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection ReportWIN ! " Office No. (S1"S)761-8256 Date Inspection request received: , Queensbury Building&Code Enforcement Arrive: am/n Depa 1- G ` am/pm 742 Bay Rd., Queensbury,NY 12844 Inspector's Initials: 9�__ NAME: U PERMIT#: LOCATION: Or,LS1_1 .p a-y- INSPECT ON: (1-P 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 6,mi1poly-for wet areas u/erslab Ba cfill Approvallong Bing T_Jnde R tab- WON Weast/Capper orarld tion u on Irate for�xterior R �l , , L 64 Rough Grade 6 inch drop within 10 t. L:1SueHemingway�Building.Codes,Inspection.FORMSIFoundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: ' Queensbury Building&Code Enforcement Arrive: am/p Depart/ am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: )—O%�—UA/-S PERMIT#: LOCATION: O­rk SPECT 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 6 mil poly for wet areas under slab Backfill Approval umbing Under Slab T f1v PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch.drop within 10 ft. L;1SueHemingway\Building.Codes,Inspection.FORMSIFoundation Inspection Reportdoc January 28,2003 Rough oug hm ibing/ Insulation Inspection rt Office No. (518) 61-8256 'Date Inspection reque e 5�eceived: lJ Queensbury Building&Code Enforcement Arrive: ay�pm pm )Depa; a in 742 Bay Road, Queensbury,NY 12804 Inspector's lhitii s: NAME: PERMIT M LOCATION: INSPECT ON: /-I Z/A TYPE OF STRUCTURE: Y N N/A. PVC: R-1,R-2,R-3,R-4 Drain Vents Cast Iron, Copper Drain/Vent Comm. Plumbing Vent Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Dfain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commergial Copper, CPVC,PeYOne&Two Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping insulation If required unheated Taces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: �L,\SucHemingway\Building,Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Foundation Inspection Report Office No.(518)761-8256 Date Inspection reque eceivVd. Queensbury Building&Code Enforcement Arrive: a;in. Depart:ZL.XjS aii-_ 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initia NAME: G R #: cig LOCATION: VftQ, �,M SPECT ON: S:3 —J�A TYPE OF STRUCTURE: Coinments 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 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. n `(Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: 40 Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: LO PERMIT#: Q2�� LOCATION: eQCZ C- by DATE: 1L TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railiri s 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in,with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade, Gas Furnace shut-off within 30 ft. or within line of site it Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut'-off boiler Relief Valves installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: ! Batterybackup: Bathroom Fans,if no window Carbon Monoxide detector ' Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Em!�rge!jcy egress below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer Garage fireproofing Duct work Scaled properly Attic access 30 in.x 24 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 Final Electrical . Site Plan /Variance required_ Gi Final SurveyPlot Plan l Its As Built Septic System/Sewer Dept,Inspection Sticker Flood Plain Certification,if required Okay to issue C/C Cert.Of Compliance) Okay to issue Temporary C 1 O Cert. Of Occupancy) let .Okay to issue Permanent C L O(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Fnspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)Z6.1-8 256 Arrive: -amas art: ARM Date Inspection request received: Inspector's Initials: NAME: Cl r' k PERMIT#:�o LOCATION: DATE: TYPE OF STRUCTURE: Comments -Y-N N/A Chim'hey-,Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish CoLnplete Guard 30 in.or more 0c,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 '/" 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 Z Furnace/Hot Water Heater operating Riw t' tJ7 Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp, 110 A,� 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 backup: Carbon Monoxide Detector Bathroom Fans,if no window Plumbing fixtures z Foundation insulation Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched L✓v0 Garage fireproofing/'/4hour 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, I sq. ft.-150 sq. ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required ff Final Survey Plot Plan �(j(���jl P� �eJ>��" As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification,if required Oka yto issue C/CorC/O [Temporary/Permanent ] L:\PamW\BuildinR&CodesUrisvection Forms\Res.Final Insr>. form 2,docLast vrinted 2/12/04 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory Built Gas Fireplace/Stove Inspection Report Notice;New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# �� _ Schedule Inspection 3 "�'0 Time 1 �'t< am in anytime Inspector v Name �o��t���� Address 6L hough In Final Appliance Manufacturer MLT* Model# `1)������� Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles(all sides) Fiirestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construed on within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—BuMing Dept. Yellow Cbst er Pink—Fire Marshal Town of Queensbury Fire Marshal 742 Say Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factor,y Built Wood Burning Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed, Permit# 0 Schedule Inspection ` Time �� am pm anytime Inspector 5-5 Name t��01� Address Rough In Fiinal Appliance Manufacturer U �a� Model# t'D� fo?@ O �/&�'. �.� Masonry Chimney Factory]built Chimney Flue Size Double Wall Triple Wall Insulated____ Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) J 1\1 91, 441 0 Safety Strip Installation (fireplaces only) ,1 o4a,Iiwik, will Firestop(s) Vertical Chase Wall Penetration Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet } Combustion Air f Hearth Extension Mantel(height above f/p openings Fireplace Doors/Screen (required) Wttdte—BWIding Dept. Yelle — mer Pink—Fire Manhal Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Ideport Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's / instructions or spec_ifi�+cations is allowed, Permit#t P'��' �0 Schedule Inspection, t Timej. 'n am pm anytime Inspector Name ( 1Z 'L� Address ' pC.l Rough In Fina)k Appliance Manufacturer X Model# Direct dent Factory Built Chimney Fine Sue Double Wall Triple Nall Insulated Yes No NIA Comments Floor Protection Clearances to Combustibles(all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles V Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. Yellow Cost er Pink—Fire Marshal a Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/ppm Depart: pm { l Date Inspection request received: Inspector's Initials: ��y j� J1f_ tf NAME: �� PERMIT#: lam`` — LOCATION: DATE: - 3 — G l.t-6) �1 TYPE OF STRUCTURE: � Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location rl� �f —mL b Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Com lete Guard 30 in.or more cb stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete Y\ t Interior/Exterior Railings 34 in.to 38 in. ��`il/ �'� V\ Platform at all exterior doors �r Q Interior Handrails stairs 2 or more risers ( `V C (�l�5<5r 7 j j�� 0-F Enclosed Stairs Sheetrock Underside minimum %" � �\ 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 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/'/4 hour fire door/door closer 4G-A-1- 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 2 "ac ess, 1 s . ft.-150 s .ft.vents ,Building No./Addre visblefr4<road final Electrical Site Plan /Variance re u' e Final Survey Plot Plan , tr1v As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent] L:\PamW\Building&CodesUnsUection Forms\Res. Final Inst). form 2.docLast printed 2/12/04 Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbuq Ready at tirne.�.W-1 Dept. of Community Development Request received.' Meet: Building& Code Enforcement At time: 742 Bay Road Notes: Queensbury, AT 12804 ARRIVE am/pm: DE AR ✓ am/pm (518) 761-8256 Inspector's Initials�,� Pill ttt ca e PERMIT# (Dc, 9 LOCATION: p 4c INSPECT ON(date):TYPE OF STRUCTURE: RECHECK N/A YE/NO' COMMENTS vt6lggs/piers �F, - Monolithic Pour Form Reinforcement in Place The contractor is responsible Sr 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/Danipproofing_ Backfill,Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In_ Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing_ Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHerningway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT-doe Offlce Use .GENERAL INSPECTION REPORT Inspector: i Uri Town ofQueensbury Ready at time:: Dept. of Community Development Request received: Meet: Inspector:Mt Building& Code Enforcement I At tim—e- 742 Bay Road Queensbury, AT 12804 ARRIVE am/pm: DEPARTpj�!mlpm Notes: (518) 761-8256 Inspector's Initials NAME: &gkotk,11;0 PERMIT# Cl— I LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK 10 N/A NO COMMENTS �otingslPiers, Monolithic'Pour Form f Reinforcement in Place The contractor is respo ible for 's e 0 ible for providing protection fi- ezing t em e 0 I fitl for 48 hours following t e pl ement of the concrete. Materials for this purpose o i site 'Poundation/Wallpl purpose ou Reinforcement in Place Foundation/Dampproo Backfill Approval fing)a (— Plumbing Under Stab Plumbing Vent/Vents i P) Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in . unheated spaces R- Proper Vent,Attic Vent Framing__ Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppmg_ L:\SueHemiiigway'auilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time:.-. Dept. of Community Development Request received: f - d Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, .NY 12804 ARRIVE a m: PA � a Notes: (518) 761-8256 Inspector's Ini 'a NAME: T &rotl j tO PERMIT# Z002,— LOCATION: PG� INSPECT ON{date): f Zi �. TYPE OF STRUCTURE: RECHECK 4d N/A YES NO COMMENTS Footings/Piers // ``- Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose t n s e "Foundation/Wallpour_ Reinforcement in Place i Foundation/Dampproofm Backf ll Approval_ Plumbing Under Slab_� ^ Plumbing Vent/Vents in Place ' Rough Plumbing i Heating Rough-In l Insulation Foundation Walls Interior R-�� Foundation Walls ExteriorlR- Floors R _ Walls R-� Ceiling R-1 Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:tSueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe Offwe Use 'c .GENERAL INSPECryIO REPORT Inspector: Town of Queensbury Ready at time* Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: I 742 Bay Road Queensbury, AT 12804 ARRIVE am1p EP R amlpm Notes: (518) 761-825d Inspector's Initia NAME- PERMIT# c?4 JA / 0 LOCATION: Ntau j at-v- INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES N COMMENTS ootingsiE�ers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Reinforcement in Place Foundation/Dampproofmg_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In_ Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in . unheated spaces R- Proper Vent,Attic Vent Framing__ Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Bearn Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour_ Firestopping L:\SueHemiiigway',Building,Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe (Efface Use -GENERAL INSPECTION REPORT Inspector: Town of Queensbury I II Read, y at ntime. Dept. of Community Development Request received: Meet': Building'& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE amlpm: DEPART amlpm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT LOCATION: -I Lto IL-41t PAv-L]A-7 INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site FoundatioilVallpour Reinforce . Place V n3ppn V Backfill Approval rofi ol Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Coiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemiiigway\Building.Codes-Insl)ection,FORMS\GENERAL INSPECTION REPORT.doc �T 7�T Office Use GENERAL INSPECTION 1REPO 1 Inspector: To-wn of Queensbury Ready at time: Dept. of Community Development Request received. Meet: 4 7� Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART - am/pm Notes: (518) 761-8256 Inspector's Initials NAME: 6�?�� U y--l� PERMIT# 0 LOCATION: LA-v� '��r2Kw t INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Fo dation/Wallpour i R iforcement in Place oundation/Dampproofmg Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Hearing Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:1SueHemingway\Buiiding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc ofrke Use .GENERAL INSPECTION REPORT Inspector: Ready at time: Town of Queensbuty Dept, of Community Development Request received.- U Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am R A��m Notes- (518) 761-8256 Inspector's N NAME: �0 # LOCATION: NO INSPECT ON(date): TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place wc,Lcs�k 2rnlntlatinn/I3am�oofi�n � Backfill Approval 6 Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbing-_ Heating Rough-In,. Rk k Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping Mi . unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracinoridging Joist Hangers Jack Posts/Main Beana Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemiiigwayTuilding.Codes.Inspectio,i.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building do Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPAR m/pm Notes: (518) 761-8256 Inspector's Tnitia�� NAME: L_ PERMIT# D �� LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES N COMMENTS • Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/W allpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beare Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMStGENERAL INSPECTION REPORT.doc Office Use .GENERAL INSPECTION REPORT inspector: Town of Queensbury Ready at time. Dept. of Community Development Request received: 2, Meet: Building& Code Enforcement At time: fm- 742 Bay Road t-0 6-M ARRIVE am/pm: DEPAJ -fZ Notes: -Y 12804 Queensbut3, A7 -Apm (518) 761-8256 Inspector's Initials NAME: rqr, .1f,6 PERMIT LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: ll�/ 1 lam/ > �� 0 RECHECK N/A YES O COMMENTS ,*Ootings/Piers Monolithic Pour Form Z: 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_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in . unheated spaces R- Proper Vent,Attic Vent Framing_ Jack Studs/Headers Bracing/Bridgmig-- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier. Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,41our Firestopping L:\SueHemingway\]3uildiiig.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe LAKE GEORGE 50' SETBACK LINE 20' SETBACK LINE 97 24"0 BIRCH TREE (SAVE) Q LEGEND -99 9g. EXISTING CONTOUR PROPOSED LAKE WATER SUPPLY LINE EXISTING HOUSE 20' SETBACK LINE PROPOSED 3 BEDROOM HOUSE APPROXIMATE PROPERTY LINE (TYPICAL) SITE LOCATION EXISTING GARAGE EXISTING SHED PROPOSED STONE DRIVE 30' SETBACK LINE goo PROPOSED 4" PVC SDR 35 HOUSE SEWER 1/4" PER FOOT MINIMUM SLOPE PROPOSED PRECAST 1500 -GALLON PRECAST CONCRETE SEPTIC TANK _ 01 -- PROPOSED 4" PVC..S P 35 EFFLUENT SEWER 1/8" PER FOOT MINIMUM SLOPE • ' /' PROPOSED PRECAST CONCRETE EFFLUENT PUMP CHAMBER r PROPOSED 2° PVC SCH 40 (OR SIMILAR 100 PSI RATED) FORCE MAIN ' \O EXISTING STONE DRIVE PROPOSED PRECAST CONCRETE DISTRIBUTION BOX p►� PROPOSED SHALLOW ELJEN IN -DRAIN ABSORPTIOf-FIELD AR 3 LATERALS @ 28' EACH = 84 LF L i SITE PLAN 10' NOTES: - PLACE FILL GRANULAR FILL (24"1) IN AREA PROPOSED FOR IN -DRAINS - CONSTRUCT IN -DRAIN TRENCHES WITH TRENCH BOTTOM 6" MAX BELOW EXISTING GRADE NOar TOWN SUJ DING r'F fk LOCATION:..MAP MAP REFERENCE :r.. FOR COMPLETE PROPERTY L�14 INFORMATION SEE "MAP OF A SURVEY MADE FQR MICHAEL GARGULIO" BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC DATED: OCTOBER 10, 2002 f` I SOIL TEST DATA 11-1-02 TEST HOLE 0-2" BROWN SANDY TOPSOIL 2-32" BROWN SAND, LITTLE GRAVEL, SOM r SILT 32-72" LIGHT BROWN TO GRAY SAND, SOM SILT, LITTLE GRAVEL, COMPACT GOOD ROOT PENETRATION TO 42" BEDROCK Q 72" SEASONAL HIGH GROUND WATER 0 42" PERCOLATION 0 34" - 111/ 4 MINUTES "I have seen or observed, or believe I saw evidence of, all objects such as houses, wells, trees, fences, etc., l shown on this document. I also represent that I have personally measured the distances set forth on the T a l- VLrI II - IJ-VC. VL.('qL�RPII VI1L rL.M'I 9Y: DATE: NOTE: WASTEWATER SYSTEM' SCALE: 1" =10' MICHAEL GARGIULO DRAWN: Z.N.M. � CHECKED: TOE OF QUEEtSBURY J.E.H. WARDEN COUNTY, NEW YORK DRAWING No.: 02-165 J"ES E. HUTCHINS P. E. T P.O. ADX220, 12 CWLF. AM SHEET 1�JDATE PRINTED: / '- ji • b NORM CRBF. N. Y.K. 12853 OF —= -- 11-8-02 TO'�"` ' S" MIN 60" r 6" OF SAND, PEA 6" MIN WALL GRAVEL OR 3 & TO i..... TWCKNE FOR 1-1/2' AGGReGATE POURED IN. PACE - WATERTIGHT SEAL ALL COVERS, JOINTS A 7 PENETRATIONS T . ' I NOTE;` USE 1500 GALLS FOR 5 BE OPtS NOTE: - IINSTA , ZAWL A►I , IDS . TIAL WASTEWATER EFFLUENT FILTER 04 OUTI T TME - GARBAGE GRIN R SEAL. C ' E{UrIVALENT TO AN AIDIDMI01MAL WOROWFOA W.tNO SEPTIC TANK. AN 0UTLET OAS L CTMN UFFlA- 00 A TWO C+ A "EW SWM TAB IS - JM: *IMEN A GARBAGE GARAW IB STALLED, SUITABLE BACKFILL (COBBLES, ROCKS TO BE TOPSOIL 4" 0 PERFORATED PIPE GE:O-TEXTILE COVE BANDING STRAF IN -DRAIN UI CONCRETE SAID ury cc r, Q '7 A'CLOCK FINISHED GRADE 1 10-17" i a. .�;��. t;, ,:r `. ,�, ...R�Ss " •:}. t• �+.z ' "MIN. 4, CONCRETE SAND SHALL " - '`' .`` -✓ `'` CONFORM TO NYS©OT }-------- — 36" SPECIFICATION 703-07 6" MIN. , 3 MIN. 3' TO IMPERVIOUS STRATA, BEDROCK, OR SEASONAL HIGH GROUND WATER ELJEN IN -DRAIN SECTION (N. T. S. ) 2" FORCE MAIM '.�•,.` GATE VALVE UWON BLOCK Pvw AS REQUIRED DESIGN DATA ASSUME 5 BEDROOMS (BR) AND A DESIGN PERCOLATION RATE OF I" / 4 MINUTES ASSUME 1.6 GALLON / FLUSH TOILETS AND 3.0 GALLON / MINUTE FAUCETS / SHOWER HEADS RETROFIT RESIDENCE AS NECESSARY DESIGN FLOW = 5 BR X 110 GPD / BR DESIGN FLOW = 550 GPD ABSORPTION RATE = 1.2 GPD / SF ABSORPTION AREA = 550 GPD / 1.2 GPD / SF ABSORPTION AREA = 459 SF USE ELJEN IN -DRAIN TRENCH DESIGN TRENCH LENGTH = 459 SF / 7 SF / LF TRENCH LENGTH = 66 LF USE 3 LATERALS 0 28' ---'T" WITH VALVE AND DRAIN COVER 2' 0 EXTENSION TO GRADE EXPLOSION PROOF JUNCTION BOX, INSTALL CONTROL PANEL IN HOME INLET PRECAST CONCRETE S SEPTIC TANK -- --- PUMP ON 6" PUMP OFF 6" MINIMUM 6" GRAVEL a� - SEALALL OPENINGS WATERTIGHT - SET ALARM W ABOVE "PUW ON' - INSTALL POWER AND CONTROL WIRES TO CONTfftLER LOCATED IN HOUSE - USE t000, GALLON SEPTIC TANK FOR PUMP CHAMBER - PUMP 'SSA L K G'tXLkDS W 05f2H , 230VOLT, 3500,RPM SUBMERSIBLE TO PUW Gf" 0 20 ' TDH' - INSTALL: GOULDS SMIS CONTROL WITH ALARM LIGHT AND FLOAT SWITCHES AS IWI PRMIX Or .WI'i H GATE VALVE TO DRAIN COIF*kT'OR' SKA L VERIFY EXISTING ELECTRICAL SERVICE PRIOR TO PURCHASING SING PUMP(S) EFF�AIT PUMP DETAIL EXISTING GRADE 30" MAX �y h 0"-6"ly, b - 3' MIN. -NOTE- 4" TOPSOIL AND SEED 15% MAX SLOPE —� 4" PERF. PIPE 10-17" 2' TO IMPERVIOUS STRATA, BEDROCK, OR SEASONAL NIGH GROUND WATER PRECAST CONCRETE DISTRIBUTION BOX THIS DESIGN UTILIZES SHALLOW ABSORPTION TRENCHES(ELJEN IN -DRAIN). CUT ALL TREES, STUMPS AND OTHER VEGETATION AT GRADE AND REMOVE. REMOVE ALL LEAVES, LIMBS AND BOULDERS ABOVE GRADE, DO NOT SCARIFY, ROTOTILL OR REMOVE ROOT STRUCTURE BELOW GRADE. NO HEAVY OR RUBBER TIRED EQUIPMENT ALLOWED IN ABSORPTION FIELD AREA. CONSTRUCT DIVERSION DITCH OR BERM UPGRADE OF FIELD TO ROUTE SURFACE RUNOFF AROUND THE FIELD. PLACE FILL WITH PERCOLATION RATE EQUAL TO OR GREATER THAN IN SITU USEABLE SOIL IN THE ABSORPTION FIELD AREA. MAXIMUM DEPTH OF FILL = 30'. STABILIZE FILL WITH TRACKED GRADING EQUIPMENT. CONSTRUCT IN -DRAIN IN PLACED FILL WITH CONCRETE SAND BOTTOM AS SHOWN., SEE DETAIL. PROVIDE: SOIL AS NECESSARY FOR COVER OF GRAVITY SEWERS, SEPTIC TANK, EFFLUENT PUMP CHAMBER, FORCE MAIN AND DISTRIBUTION BOX 24-30" USABLE FILL WITH A PERCOLATION RATE NOT GREATER THAN 1" / 5 MINUTES SUITABLE BACKFILL GEO TEXTILE COVER FABRIC 10-17" .. 4' MIN. STABILIZED SOIL 1 ' - 6" MIN. ELJEN IN -DRAIN FIELD SECTION (N. T.S. ) Ct)^M ccei I I &A'r ei MAD ABORPT I ON FIELD - PLAN (N.T.S.) 6" MIN. EXISTING GRADE f