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2002-968 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-8902 (518)761-8201 Community Development-Building&Codes (518)761-8256 Ea) ,I'IFI CA Permit Number P20020968 Date Issued:: Wednesday;May 28,2003 This is to certify that work requested to be done as shown by Permit Number P20020968 has been completed. Tax Map Number: 523400-296-015-0001.007-000-0000 Location: 63 COUNTRY CLUB Rd (homer: HAYES CONSTRUCTION,LLC Applicant: WESTERN RESERVE,LLC This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage-2 Cars Attached Single Family Dwelling Director of Building&C de 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: P20020968 Application Number: A20020968 Tax Map No: 523400-296-015-0001-007-000-0000 Permission is hereby granted to: WFSTFRN RFSFRVF- T.T.0 For property located at: COUNTRY CLUB 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: FREDERICK&BARBARA HARDT Fireplace PO BOX 90 Garage-2 Cars Attached CLEVERDALE,NY 12820 Single Family Dwelling 110,000.00 Total Value 110,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency WFSTFRN RESERVE- HE 395 BTG BAY Rd OTJFFNSBIJRY- NY 12804-0000 Plans&Specifications 2002-968 Construction of a 2,052 sq ft single family dwelling with a 528 sq ft attached two caN`garqgcn er plot plan and specifications. $299.04 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,November 25,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To November 25,2002 SIGNED BY - 7f i z ------jor the Town of Queensbury. 1V- 111,4 Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. 02.-- No inspection will be made until applicant has received a Fee Paid $ �=Q valid building permit. All applicants' spaces on this Rec.Fee Paid $ . application must be completed and must appear on the Reviewed By: application form. A ,c44c. ! s. IA'71J 0 1 Applicant: Owner: _ l"r-�C �Tcv^ �✓'rfkir�e .�ZtJ�'-��� Address: ��:....... Address:_4 s` eF,j./ ..._..._ f LC ass ��- / 11 Phone#(-5aj") q Phone#(_)-&A, Email Address: Email Address: Property Location: Lot Number: f House Number I .�'� G� C c,,- Subdivision Name: / �j�- Tax Map Number: ' tf New Building: residence /commercial Estimated Market Value of Construction: $ Z4a. d of C..)❑ Addition: residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence f com'1 , ❑ Other work(describe ) Check Occupancylnformation I"Floor 2 Id 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 ❑ "Manufacturin 1 ❑ 1 car detached garage ❑ 2 car detached garage $(/�- IAIG Eli! g ❑ 3 car detached garage DE ❑ 1 car attached garage 2 car attached garage Y ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other r� What is the proposed height of the structure_a feet inches Will any second-hand or ungraded lumber be used? If so,for what? � Type of Heating System: electric/ oil / a wood / orced host air% seboard/othet: Number of Fireplaces to be installed 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 !v"-ti -7,92- 9/c/2 Plumber �3,1! r.cG,v 0- Y 3-1 9j--y Mason n 77 I Electrician a sn, cDC-\si' - -Declaration::please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that 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. Signature: / /� owner,owner's agent,architect,contractor f Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. ONVNER INFORMATION: ............................. ................................... ............................. Office Use Location of installation: cj,� File Permit No. Tax Map No. :7 Fee Paid Owner's Name: ............................... ............................... ...................... Address: 3 �l -7(- /C/- 3 2. INSTALLER'S NAME : J A' k 9�W I PHONE NO. 101V,2. 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 Bedrooms x Computation = Total Daily Flow 1980 or older x 150 galibdrm = 1980- 1991 x 130 gal/bdrin = 1991 -present x 110 gal/bdrm = Garbage Grinder Installed yes no Spa or Hot Tub Installed yes no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) To a hv Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Iat ,..<an^ at Wk9t depth at what depth 77i�Ua loam feet feet well Steep slope if well; water supply %slope other from any septic-system depth: absorption is_ft. other Percolation Test: 190 be completed by licensed professional engineer or architect) Rate: ��-Z' 4 /-,5 minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: 1 '25'-6 gallon (min. size 1,000 gal.) Tile Field: each trench_<0 ft. Total System-Length: RECEIVED"t Seepage Pit(s): number of size of each: _j?. by_fl- NOV 1 9 2002 Size of Stone to be used: # depth or thickness TOWN OF QUEENSBURY BUILDING ARID CODE Bed System Size: X Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if requi%ed) Nurnber'of tanks: Size of e gallons'/TOTAL-Capacity: gallons Note: Alarm System and associate el, �p el trical 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 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. - Signature of�esoonsible person Date ill of {�uc�i:it tliiziw �it:tvt:rs :tlttl :�t:tv:ij�t: I>i::i>a:t:t1 {,ItslZtit•i• ApImittli x { i . AI.�.-►t?�L��'•i'I(>.�1. I�'II�;I,I} SI;Pn ItA'I'It,)N ILI�CZl.J1 ILI;I�I I;'.i�3'I`:; pQij D i r ra tit+,ur CA5 i t I ric G1 . upay, r+„" t t'1r1�tCIS/l tit�t C A;'yatJRPt�! A 7. SIGNATURE &INFORMATION FOR �,>v„-...,.-- �� - Richard A.1Glissitu . Highway Superintendent DE PARTMEN Home(518)79&5127 742 Bay Road • 4ueensbury,NY 12804 Michad F. Travis Office Phone: (518) 761-8211 Deputy Nil9hwaY Superintendent Fax: (518) 745-4466 (518)798-0413 DRIVEWAY PERMIT DATE: APPLICANT NAME: C c TELEPHONE NO.: �/ _M_za ADDRESS TO BE INSPECTED: 63 wb:�, P X 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 1: ( )Preliminary Approval . RECEIVED NEED: ( )Slight Swale NOV 9 2002. ( )Level with the road ( j Deep swale TOWN OF QUEENSBURY BUILDING AND CODE Size pipe to be used(if necessary) ( )12" ( )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 ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS - 3r ., 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 APPLICANT'S NAME: PROPERTY LOCATION:Wlej r G� PARRT 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRAcTIRWECEIVED 1. Gross Floor Area 6? square feet N O V 1 9 2002 2. Type of heat- Electric Oil Gas_Other TOWN 13UILDING AND CODE 3. Is building mechanically cooled? yes__D( No 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 3 b. Exterior walls R_-� C. Glazed areas R d. Exterior doors R e. Floors over unheated spaces R=�1� f. Edge of slab on grade (heated building) R '� g. Basement/cellar walls (above grade) R —all h. Basement/cellar walls (below grade) R- 11 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 Applicant's Signature �,,.- Date Phone Number /%� /I- _jar // 7,I�' INSPECTOR'S REMARKS: Project Name J L r li '� BP# ' , Y— Address: ram r Building Permit Submission - 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... ... ...... ......... ... ... ... ... ..... Zye5/ [:]no ❑n/a 2. Energy Form or CheckMate Energy Cade Compliance Forms Complete ... Qno Qn/a 3. Energy Code Inspector's Report from Checkmate Program... ... ...... ... Mno ❑n/a 4. Septic application completely filled out(if applicable)... ... ... ...... ... ... �s Flno ❑n./a S. Electrical Inspection Form... ... ... ... ... ... ... ... ... ......... ... ... ... ... Q jes Qno ❑n/a 6. Two(2)sets of plans showing the following: ... ... ... Oye s s Ono ❑n/a 6a. Floor plan(s)... ... ... ... ... ......... ... ... ... ... ... ... ... .... ... ... ... ... Oyes' Ono ❑n/a 6b. Foundation plan... ...... ... ... .. . ... ............ ... ... ...... ... ........Ayes Qno ❑n/a 6c. Cross section(s)... ... ... Des ❑ ❑no n/a 6d. Elevations ... ... ... ... ... ...... ... ......... ... ... ... ... ... ...... .... i Qyes Qno Qn/a 6e. Design loads including floor,snow load.,and wind load... ... [Qyes Qno Qn/a 1 6f. Seismic design(required after Jan. 1,2003)... ......... ...... ... ... ... Oyes ❑no Qn/a 6g. Plans signed by registered architect or engineer,signed... ....... Elyes Qno Qn/a and sealed by a registered architect or engineer 6h. Window and door schedule...... ... ... ... ... ...... ... ...... ... ... ... Oyes ❑no Qn/a 7. Two(2)site plans showing location of the structure to be built,... ... ... � yes Ono ©n/a location of well or water lines,location of septic sys tem or sewer line with all setbacks and separation distances shown,and all improvements to the property. Ir 8. Solid Fuel Burning or Gas Appliance Form(if applicable)... ... ......... . Oyes [:]no Qn/a I+'- 9. DrivewayPernut... ... ......... ... ... ... ... ... ...... ... ...... ... ... ... ...... ..... [Qyes Qno Qn/a ��r,d°' Date: �� {� Staff Initial: ' �~ L:\SueHemingway\BuiBingYem it.FORMS\Generic Ghecl&t.doc ermit 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:\MECchecklHAYES MODEL.cck TITLE:HAYES GROUP DEVELOPEMENT COUNTY:Warren STATE:New York HDD: 7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 11/15/02 DATE OF PLANS:09-16-02 PROJECT INFORMATION: MODEL @c019V1'IsW COMPANY INFORMATION: RECEIVED �f HAYES GROUP DEVELOPEMENT NOV 11 9 2002 COMPLIANCE:Passes TOWN OF QUEENSBURY Maximum UA=532 BUILDING AND CODE Your Home=412 22.6%Better Than Code' Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:FIat Ceiling or Scissor Truss 957 38.0 0.0 29 Ceiling 2:Cathedral Ceiling(no attic) 250 30.0 0.0 9 Wall 1:Wood Frame, 16"o.c. 1128 19.0 0.0 68 Wall 2:Wood Frame, 16"o.c. 1758 19.0 0.0 105 BasementWall 1:Wood Frame,8.0'ht/7.0'bg/8.0'insul 962 11.0 0.0 38 Door 1: Solid 20 0.069 1 Door 4:Glass 18 0.490 9 Door 3:Glass 40 0.580 23 Door 2:Glass 40 0.490 20 Window 1:Vinyl Frame,Double Pane with Low-E 204 0.490 100 Floor 1:All-Wood Joist/Truss,Over Outside Air 308 30.0 0.0 10 Furnace 1:Forced Hot Air,92 AFUE COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the Proposed New York State Energy Conservation Construction Code requirements. Builder/Designer Date MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE: 11/15/02 TITLE:HAYES GROUP DEVELOPEMENT Bldg. Dept. Use Ceilings: [ ] 1 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: [ ] 2. Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] ( 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] ( 2. Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation 1 Comments: Basement Walls: [ ] 1. Basement Wall 1:Wood Frame,8.0'ht/7.0'bg/8.0'insul,R-11.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor: 0.490 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: Doors: [ ] 1. Door 1:Solid,U-factor:0.069 Comments: [ ] 2. Door 4:Glass,U-factor:0.490 #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] ( 3. Door 3:Glass,U-factor:0.580 #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] ( 4. Door 2:Glass,U-factor:0.490 #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss,Over Outside Air,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] ( 1. Furnace 1:Forced Hot Air,92 AFUE or higher Make and Model Number Air Leakage: [ ] ( Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed.. Recessed lights must be Type IC rated and installed with no penetrations,or Type IQ or non-IC rated installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3"clearance from insulation. Vapor Retarder: Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: Materials and equipment must be installed in accordance with the manufacturer's installation instructions. Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on 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. Duct Construction: I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. Cooling ducts with exterior insulation must be covered with a vapor retarder. Air filters are required in the return air system. The HVAC system must provide a means for balancing air and water systems. Temperature Controls: Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: Separate electric meters are.required for each dwelling unit. Fireplaces: Fireplaces must be installed with tight fitting non-combustible fireplace doors. Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of York State or the New York City Building Code,as applicable. Service Water Heating: Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depl,etable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105°F or chilled fluids below 55°F must be insulated to the levels in Table 2. Table 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 F) U_ to 1" Up to 1.2Y' 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 IIVACPipes 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 Coaling 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) � � I z a I rn U 0 a OAcd za m N t� W•: a M©<� H aa+ WWa 0 v�1 z p Z, 00 F�OM;� W I ON H z 0 0 N� - a IOW a H w H z r"-M- z I a N x O z, 'Z z H I Z rn z w 0 z U E� 4. 0 W Q W a 49 A a H x 0 a w z a a U N ' A HH W H F H a a m w W z W a ] au w a z 0 w a a rn H U F 0 r a t H H W a s 0 w a 0 w x W a z 0 W W wF 0v� 0a Fv, HFUFa � 40 O O A U U H a H U A > F H z H U a ? A a H U O F A z z W H z W U 4 W a 4 �+ u U �j W H F 5 H w W x rn 4 p p p F > W W F z A > W 0 91 z 14 N W H 0 t~ w W W w U� > w a rn 0 W �C 0 z H a. w H a a a W z w z U)H U > H a 0 0 0 4 a a a a ] w w z 0 w0F >1z000 F00w u00 � � � UwacnH O z+� W z z I� cn 4 A A z p p cn 0 U > W Ha z A H H H H H a a 0 H w W W w F p z z w w F H 0 z W U W W a w a x U p a 0w *+ O 0 F 4 a 0 A F 0 Z H H H 4 z z z z ' x zH w wl x N Wz u Ww x 0A HH w x ' 1 CIRF CIRF R �rr""rr N Oi L1 DRIVE'"' �... f" CONCRETE 04 g CIRF SQ � a 457, Nal b6 1 w AREA 44,964 sq.ft. 1.03 acres C.M. I . "*ffdt�w. CIRF ■ON" CIRF LEGEND: IPF = IRON PIPE FOUND IRF = IRON ROD FOUND Mi = UTILITY POLE CM = CONCRETE MONUMENT V : FIRE HYDRANT 'S Steves Land Surveyors 169 Haviland Road Queensb ury, New York 12804 518 792--8474 New York Lie. No. 50135 W' M'A� tM . � 4 A " "M ow auU M IM, ' M Vona W wE a� ar ,M. su M rM� � wr owoRw. a< arc tMo �erVie �` "` °°�° > w` VAUD sm. * °�• 11O !/lYtY yll MI�IMa M ALOOOMM "" Oa1M0" 4L fMO�CL /OI Im 7UIpwc M101Itl1 r+r we rctir coat s"nt MUOONIION a nlaa�aMM. IMO NOhlYCl4. fop co"WMI oin W'" MM SLY 10 1lIE �n1fOi MR am we ww" O Flv� MO ow N! �E1Mtt W �' wttt OO�Al1Y. �ONJMI!lRM. M� Mo tmm. ""'"" w � � "� ,b � MlSp® aF At �. .' Map of a Survey made for HAVE S &HAVES Town of Queensbu Warren Count r'Y'� y► New York wM YG• 1 4.JJ f�VVJ Scate 1'=501_ S --1 �.� HAYES DWG. No. 02354 NO. DATE DESCRIPPON C-792 Residential Final Inspection Office No. (518)761-8256 Date Inspection request ceive :- Queensbury Building&Code Enforcement Arrive: a m t: ; a m 742 Bay Rd., Queensbury,NY 12804 InspectM�2jlitia' -' r NAME; P IT#: Z' Z� LOCATION: DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimne 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 Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation drhy.�n ll-€#. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed I regulator 18"above Eade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut'off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: l��W Every level: / Every Bedroom. rY�r�1 Outside every bedroom area: }f Inter Connected: ! Battery backup: J Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Q 16 Floor truss,draft stopping finished basement 1,000 sf Emergency e ess below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer Garage fireproofing Duct work Scaled pwperly 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 Final Survey Plot Plan 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/O(Cert. Of Occupancy) Okay to issue Permanent C/O(Cert. Of Occu anc L:\SueHemingNyay\Building.Codes.Inspeetion.FORMS\Res.Final Insp,farm 2.doc ed',U,6d January 28,2003 Residential Final Inspection 01V I Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm fiDepart: . am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: xr-) Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake rz C tz, Vz 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 (e) Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers V Grade away from foundation 6 in.with 10& 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 Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating —74 -Low water shut-off boiler Relief Valve(s)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: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector ol Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency eEess below grade Basement stairs closed rise>4 inches 01 3/4 hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spacbs 18"x 24"access, 1 sq.ft.-15 0 sq.ft.vents f Building No./Addre vioible from road Final Electrical Site Plan /Variance tqdred Final Survey Plot Plan 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 0(Cert.Of Occupancy) Okay to issue Permanent C 0(Cert. Of Occupancy) L:\SueHemingNvay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 Septic-Inspection Report Office No.(518)761-8256" Date Inspection�r st,. e Queensbury Building&Code Enforcement Arrive: art: .f X a in 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi Is. Q NAME: ° P NO.: OR — LOCATION: '�j SPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Munici al/,Well Water -�l Waterline separation distance ft. . Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: k Piping Size Type Building to tank Tank to Distribution Boxy J� Distribution Box field 1 Pit Y Opening Seale Y /Partial Location/Separations Foundation to tank ft. Foundation to abso tion ft. Vj Se aration of Pits ft. Conforms as per Plot Plan Y N Location of System on Property: Front Rear Left Side Right Side Middle F ont Middle Rear 5 stem Use S tus• Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved Septic Inspection Report Office No. (518)761-8256 Date Inspection request ceive Queensbury Building&Code Enforcement Arrive: 0D a p e 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial - — NAME: PERMIT NO.: LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand/Loam/Clay or 7dia ram Type of Water: Municipal/Well Water Waterline separation distance Well separation distance ft. Other wells: Absorption Field: Total length Length of each trench Depth of trenches Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank \4 0 Tank to Distribution Box L-10 Distribution Box to Field 1 Pit Opening Sealed: Y 6&artial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. 0-z_ Conforms as per Plot Plan Y N— Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: roved C,Pri-1— Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved Septic Inspection Report Ph Office No. (518)761-8256 Date Ins DeQt�req st e Quee'nsbury Building&Code Enforcement Arrive: 1 42V part: a pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial NAME: ERMITNO.: LOCATION: INSPECT ON: RECHECK Comments and/or diagram Soil Type:(Sand a la Type of W���i �ell Water Waterline seDard-riun-Ti—stance V2 ft. Well separation distance ft. . 4L6�F a Otherwells: ft. Comments diagram Absorption Field: Total length 4,00 A. 7 Length of each trench Depth of trenches Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank 6-�- Tank to Distribution Box C-- Distribution Box to Field Pit G, -T Q OpeningSealed: Y/N/fa A al Location/Separations Foundation to tank Foundation to absorption J ft. Separation of Pits ft. - Conforms as per Plot Plan Y_N Location of System on Property: Front ear(!eft Sid fight Side Middle Front Middle Rear System Use Stat s: Approved Use Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved i "I have seen or observed, or believe I saw evidence of, i all objects uch as houses, wells,trees, fences, etc., shown on his ocu nt. "'also represent that I have person y easur d the. istances set fort;On he gra - AT EC as , o j NOV i 9 2002 t� TOWN OF QUEENSBURY BUILD Allp CODE iI3D- p sa tj r i F,: 4 i I Rough Plumbing 1 Insulation Inspection Report "Office No. (518)761-8256 Date Inspection request receive Queensbury Building&Code Enforcement Arrive: -am/ D a in 742 Bay Road,Queensbury,NY 12804 Inspector's Initia- NAME: -9� -,PERMIT#: LOCATION: o-:1) INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain Vents Cast Iron, Copper Drain/Vent Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial g,�2fTer,CPVC,Pex One&Two Family M'sula —si ential cTc f 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: LAParnW\Wbiting\Rough Plumbing Insulation Report.doe Framing 1 Firestopping Inspection\Report Af Office No. (518)761-8256 Date Inspection request received: �- Queensbury Building&Code Enforcement Arrive: am/p epa z. d11W 742 Bay Road,Queensbury,NY 12804 Inspector's Initials• NAME: C� "� G - PERMIT#: _'d LOCATION: INSPECT ON: D ' TYPE OF STRUCTURE: Y N N/A COMMENTS Wa;ktuds/Headers _ 1`J Bridging - k , Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly - 12"O.C. Headroom 6 ft. 8 in. Stairwells t � Stairwells 36 in.or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/z(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 - Firestoppin Penetration sealed �! 16 inch insulation in cavity min. Garage Fire Separation House side lx inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pmi Depart: ; am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: N NAME: `- C';. @ r PERMIT#: l J C� LOCATION: c ' r,,N INSPECT ON: ��_} -r) TYPE OF STRUCTURE: SF� Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents ` Cast Iron, Copper Drain/Vent/Comm. Plum ' g-Vent/Vents in Place ugh Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft.above highest Connection for 15 minutes Water Supply Piping Copper Commercial Copper, CPVC,Pex One&Two Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: LAPamW\Whiting\Rough Plumbing Insulation Report.doc Framing/ Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: .7 Queensbury Building&Code Enforcement Arrive: am/pm - &epart. am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: W INSPECT ON: LOCATION;,,,, ?Q) C I n- X ry (i 'b . 'TYPE OF UjCT ------------------------------- Y N N/A COMMENTS 'Jack Studs Headers -ri C) cf , 4eAx-,,P, Bracing Bridging e:.- rz-�: oz D 6' 1 A) Joist hangers 'Jack Posts/Main Beams 1Z d it 1.9 - (,.,,5 5 Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. A- Stairwells 36 in.or more L Headroom 6 ft. 8 in.' Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate I Y2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft.floor trusses Anchor Bolts 6 ft.or less on center Ice and snow shield 24 inches from wall Fire•separation 1,2,3 hour Fire wa112, 3,4 hour i ng- i7 QW`Penetration sealed .16 inch insulation in cavity min. Garage Fire Separation House side V2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade V�o Ir RAM"KI-Or! Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE am' T a P, -Notes: (518) 761-8256 Inspector's Initials L NAME: PERMIT# -7_0'D7,_ m EP Initials Pr T# 7_0 LOCATION: INSPECT ON(date): -2-H rjj3 TYPE OF STRUCTURE: RECHECK N/A YES AO COMMENTS �ootin s C2 INX JAV IV I - oRrForrn 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 V/r 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/Bridging- Joist Hangers Jack Posts/Main Bearn Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppin L:\SueHemingway\Building,Codes.Inspection.FORMS\GENERAI,INSPECTION RFPORT.doe r ter% Foundation Inspection Report --Office No. (518)761-8256 Date Inspection requesprecei fed• Queensbury Building&Code Enforcement Arrive. amJpfn / Depart: 's 4fD-6 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:�� LI NAME: P4 #: LOCATION: INSPECT ON: — 1._l TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab ` �5t!' j 01F- Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. , Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready a time: Dept. of Community Development Request received: et: Building& Code Enforcement [At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART1 r 1 am/pm Notes: (518) 761-8256 Inspector's Initials��- NAME: PERMIT# 0? � LOCATION: C RA INSPECT ON(date):2.2o)AliLx Q XX TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is resp nsible f providing protection fr m freez ng for 48 hours following e plac ment of the concrete. Materials for this purpose o site Foundation/W allpour Reinforc ent in Place F=kfill ion/Dampproofing Approval Plumbing Under Slab Plumbing Vent/Vents i ace Rough Plumbing _ Heating Rough-In _ Insulation Foundation Walls Interior R11 _ Foundation Walls Exterior R11 Floors R- i Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridgimg 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:\SueHemingway\Building.Codes•Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time.. 11 Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbutl; AT 12804 ARRIVE amlpm: DEPART il anilpm Notes-, (518) 761-825d Inspector's Initials NAME: Omm r PERMIT# 02�- LOCATION: LOVA?--rAll (1,--t),n leb INSPECT ON(date): I 2 to� TYPE OF STRUCTURE: RECHECK N/A i YES 1 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 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 2,3,4 hour - Firestopping- L:\SueHemingway'Ouilding.Codes.Inspection.FORMS\GF,NERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Ton of Queensbuty Ready at time:---` (.J w Dept. of Communit))Development Request received: Meet: Building& Code Enforcement X At time: 742 Bay Road I I Queensbury, NY 12804 ARRIVE am/pm: DEPAR T41 am/pm Notes: (518) 761-8256 Inspector's Initials NAME: _ 11PERMIT# LOCATION: pv) INSPECT ON(date): 2� TYPE OF STRUCTURE: REC CK N/A i YES 0 COMMENTS ootingspier§ k Monolithic Pour Ani I V X 'Reinforcement in Place The contractor is responsible fb�i V 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/Bridging- Joist Hanger Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppin L:\SueHemingway\Biiilding.Codes.Ingpcction.FORNIS\GENERAL INSPECTION REPORT-doc Office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time::' .Dept. of Community Development .Request received: Meet: Building& Code Enforcement' At time: 742 Bay.road , Queensbur}; AT128�4 ARRIVE amlpm: DEPART c�.�mlprn Notes: (518) 761-82M Inspector's Initials NAME: PERMIT# 7 LOCATION: Ce5,, ,5�i tz- ct. VQO, INSPECT ON(date): 3 TYPE OF STRUCTURE: RECHECK e 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/Wallpour__ Reinforcement in Place Foundation/Dampproofing Backfill Approval_T 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 BracingBridgmg 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:\SueHemingway'Suilding.Codes.Inspection.FORMS\GENIERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT � Inspector: Ready at time::' Town of Queensbuiy _ 'Dept. of Community Development Request received: Building& Code Enforcement At ' e: 742 Bay Road - ' Queensburl, NY 12804 ARRIVE am/pm: DEPART f�amlpm Notes: (518) 761-8256 Inspector's Initials 3 NAME: Ik-td 7L Aulfs.� J��S. PERMIT# 26 0 2- - LK LOCATION:_ e 3 �.� � • INSPECT ON(date): W TYPE OF STRUCTURE: S f4b V 1 C7 l'1 RECHECK N/A YES iii N COMMENTS ` - ,j Footings/Piers Monolithic Pour Form t Reinforcement in Piave '1 N`~•J U ti��' T 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 Foundatlon/Dampproofing Backfill Approval fr Plumbing Under Slab + Plumbing VentlVents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Y Floors' R Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Frarning 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:\SueHemingway`,Building.Codes.Inspection.FORMS\GENBRAL INSPECTION REPOR.T.doc �v NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 November 15,2002 Job#49094 Mr.Dave Hatin Town of Queensbury 742 Bay Road Queensbury,NY 12804 RE: Septic System Hayes,Country Club Road Dear Dave: At the request of Mr. Michael Hayes I have performed soil testing(deep test and percolation test) at the site of the 4 bedroom house he is proposing to construct at 63 Country Club Road(tax map #296.15-1-7) in Queensbury. The tests were performed in the front center of the lot, approximately 40 feet from Country Club Road. The results of the testing are as follows: Deep test 0-7" topsoil 7-42" very fine loamy sand w/some silt 42-60" very fine sand w/some silt no mottling—roots to 48" Percolation test Stabilized percolation rate— 1"in 2 minutes, 15 seconds Based upon these tests, 1 recommend constructing the proposed septic system as a shallow trench system with the bottom of the trenches about 12 inches below the existing grade. Based upon a 4 bedroom house_and a percolation rate of 1 to 5 minutes, the system will require a total of 184 lineal feet of 2 foot wide trench. V _ Please call me if you have any questions. Sincerely, Thomas W.Nace,P.E. cc: Mickey Hayes : : --.- �Y I have seen or observed, or.believe I saw evidence of, all objects uch as houses, wells,trees, fences, etc., ' shown on his ocu nt,listances'set also represent that I have person y, easur d the forth on the ' gra ." AT t00. - TO ;.. - RECEIVED . j NOV i 9 2002 Tu n� (J �� TOWN OF QUEENSBURY BUILDINGAaD CODE Lea j Q�'�