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2002-988 TOWN OF QUEENSBU.RY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CE RT IFICATE OF OCCUPANCY Permit Number: P20020988 Date Issued. Weduesday,February 05,2003 This is to certify that work requested to be done as shown by Permit Number P20020988 has been completed. Tax Map Number: 523400-309-005-0001-044-000-0000 Location: 4 ARBUTUS Dr Owner: MARK&DOROTA LEWIS Applicant: MARK&DOROTA LEWIS This structure may be occupied as a: By Order of Town Board Residential Addition OWN OF EENSB X 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: P20020988 Application Number: A20020988 Tax Map No: 523400-309-005-0001-044-000-0000 Permission is hereby granted to: MARK &DOROTA LEWIS For property located at: 4 ARBUTUS Dr 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. Twe of Construction Value Owner Address: MARK&DOROTA LEWIS Residential Addition 9,000.00 4 ARBUTUS Dr Total Value 9,000.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency HANNA CONSTRUCTTON Plans&Specifications 2002-988 Construction of a 150 sq ft residential addition per plot plan and specifications. $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: _,-Wednesday,December 17,2003 (If a longer period is required,an application for an extension must be made to the code Eti ' went Officer of the Town of Queensbury before the expiration date.) Dated at the Tow Q ueens r' y� December 17,2002 SIGNED BY P". r the Town of Queensbury. 9V NQ Director of Building&Code Enforcement Building:Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY a M1 (518)761-8256 A permit must be obtained before beginning construction. Permit File No.'�60 — No inspection will be made until applicant has received a Fee paid $ _�S.00 valid 1;idlding permit. All applicants' spaces on this Rec. Fee Paid application must be completed and must appear on the_ Reviewed By: application form. Applicant: H&,IL jeal Owner: 1>040 S,_ a �f&vL Levi c Address: If (z �/ Addresses ��y `l t Phone:# .�6��t Phone# 74S-! " Email Address: Email Address: / .Property Location: Lot Number: / House Number Sub(lyisionName: Tax Map Number: SQq ❑ New Building: reside ial Estimated Market Value of Construction: $ Addition: re ice5/ �11=1,ercal If an Addition,what will use of new addition be? ❑ Alteration: e/ commercial ❑ Na change to exterior size: residence 1 com'i ❑ , :tither work(describe Check ®ecu�pancylnformation 1st Floor 2° Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling n Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ' 4 Office a R i3 Mercantile ,� VED ❑ Manufacturin - ❑ 1 car detached garage 4 2002 ❑ 2 car detached garage 3 car detached.garage TOWS!OF Q Ji-L1,46501M, ❑ 1 car attached garage —=---�- ❑ 2 car attached garage ❑ 3 car attached garage ❑ Storage building- commercial - R, Storage building- residential o Other U r What is the proposed height of the structure��feet inches Will any second-hand or ungraded lumberZbe used? If so,for what? I i30 Type of Heating System: electric/ oil / gas I wood arced hot air 4Jbaseboard/other: 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: ame Address Phone Number Builder IlkQec, U p p(p� /7a Z Plumber it t Mason:`::: t Mee tri6ian t� -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 1/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 ne co traction. �'-^" Signature:* I - — b�vner-,owner's agent,architect,contractor TIC Lo Permit Number MECcheck Compliance Report Checked By/Da 2000 IECC V MECcheck Software Version 3.3 Release lc o Data filename:C:\Program Files\Check\MECcheck\mudroom.cck DEC 9 ZQjj2 TITLE:Mudroom/porch T$U�O��U��NSBU AfVp CpA1 Y CITY:Glens Falls STATE:New York HDD:7635 CONSTRUCTION TYPE: Single Family DATE: 12/06/02 DATE OF PLANS:December 16th,2002 PROJECT INFORMATION: A mudroom addition 15'X10'with a roof-covered porch. COMPANY INFORMATION: Kevin Hanna and Quality Building COMPLIANCE:Passes Maximum UA=40 Your Home=35 12.5%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Cathedral Ceiling(no attic) 150 38.0 0.0 4 Wall 1:Wood Frame, 16"o.c. 80 19.0 0.0 5 Wall 2: Solid Concrete or Masonry:Exterior Insulation 120 19.0 0.0 6 Window 1:Wood Frame,Double Pane with Law-E 25 0.238 6 Wall 3:Wood Frame, 16"O.C. 80 19.6 0.0 4 Door 1: Solid 20 0.200 4 Floor 1:All-Wood Joist/Truss,Over Outside Air 150 26.0 0.0 6 COMPLIANCE STATEMENT- a proposed building design described here is consistent with the building plans,specifications,and o r F c lations submitted with the permit application. The proposed building has been designed to meet th C requirements in MECcheck Version 3.3 Release 1c.and to comply with the mandatory requirem st d,i MECcheck Inspection Checklist. 0Builder/Designer Date Gar r MECcheck Inspection Checklist 2000 IECC MECcheck Software Version 3.3 Release 1e DATE: 12/06/02 TITLE:Mudroom/porch Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1:Cathedral Ceiling(no attic),R 38.0 cavity insulation Comments: I ` Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] I 2. Wall 2: Solid Concrete or Masonry:Exterior Insulation,R-19.0 cavity insulation Comments: [ ] I 3. Wall 3:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: I Windows: [ ] I 1. Window 1:Wood Frame,Double Pane with Low-E,U-factor:0.238 For windows without labeled U factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Doors: [ ] I 1. Door 1: Solid,U-factor:0.200 Comments: I Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss,Over Outside Air,R-26.0 cavity insulation Comments: I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] I 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. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R values and glazing U-factors must be clearly marked on the building plans or specifications. y I Duct Insulation:. [ ] I Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R 8.0. 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' 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 Thermostats are required for each separate HVAC system. A manual or automatic means to I partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Service Water Heating: [ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the I 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 Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. Swimming fools: [ ] 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. Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105 V or chilled fluids below 55 T must be insulated to the I levels in Table 2. r Table 1: Minimum Insulation 77tickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature F) Up to 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 RVAC Pipes. FIuid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(D 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) RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request receivedtai Building&a Code Enforcement Dept.of Community Development Arrive��pm DeparTown of Queensbury Inspector's Initi742 Bay Road Queensbury,New York'12804NAME �{ � PE C LOCATION Lk DATE — — TYPE OF STRUCTURE 2� An N/A YES NO COMN=S Chimney Height/"B"Veni/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposedtregulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish BathroomMitchen watertight Interior Handrails Balconieshmding 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Complianee) Okay to issue temp.C/O(Certif.of Occupancy)_, Okay to issue permanent C/O(Certif.of Occupancy} $ ---------- Office Use FGENERAL INSPECTION REPORT Inspector: Ready at time: Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbuq, NY 12804 ARRIVE am/pm: DEPAR Vamlpm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# LOCATION: e 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 Foundation/Wallpour�._ Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab 7 Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- R- Z"CItIngork or piping in / unheated spaces R- roper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hotir Penetration Sealed Fire Wall 2,3,4 hour__ Firestoppin L:\SueHemingway\Building.Codes.hispection.FORMS\GF,NERAL INSPECTION REPORT.doc Qjfxe Use .GENERAL INSPECTION REPORT Inspector: Ready at time: Town of Queensbury a Dept. of Community Development Request received: ��— Meet: Building& Code Enforcement At time:_ 742 Bay Road t Queensbur}, AT 12804 ARRIVE amlpm: DEPART anI/pm (518) 761-8256 Inspector's Initials--�)—� NAME: �1 p r4 4- /e SPERMIT aO LOCATION: &i 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 'Foundation/Wallpour_ Reinforcement in Place FoundatiowDampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place _ Rough Plumbing _ eati h-In noun ation ells Interior R- Foundation Walls Exterior R- Floors R- Walls R- _ Ceiling R- Duct work or piping in unheated spaces R- oper Vent,Attic Vent -71 Frarr�ing ck Studs/Headers �raein 'Jaridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour AirePneZ;tration Sealed Wall 2,3,4 hour 'ng� L:\SueHerningway\Building.Codes.hispection,FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPRT O Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building chi Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE Tj am ni tes: Us e (518) 761-8256 Inspector's Init als NAME: PERMIT# LOCATION 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 Foundation/Wallpour Reinforcement in Place Foundati on/Damppro ofing 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 vi unheated spaces R- CA Pro Vent,Attic Vent t ZO, ng Jack Studs/Headers Bracing/Bridging_ Joist Hangers L-1V\V 1-:9 Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour LL- C-5Z>k (J� Penetration Sealed Fire Wall 2,3,4 hour Firestopping L,.\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe lQt— CA'\ Offwe Use GENERAL INSPECTION REPORT Inspector: Town qfQueensbury Ready at time: Dept. of Community Development Request received: Meet.- Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPARIZ jam/pm Notes: (518) 761-8256 Inspector's Initials NAME. PERMIT#L602,- qV-gl LOCATION: ILl 112 INSPECT ON(date): TYPE OF,STRUCTURE: RECH N/A YE NTS !oo * s/Pier /,"6Z C>.--) Mono 'thic ur Form Reinforc ew in Place NTS FXT1\ 10 ur 4oregent intic Ile contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Cc 'Materials for this purpose on site 0' 6 '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 Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:1SueHemingwayl3uildiiig.Codes.Iiispectio-i.FORMS\GENERAL INSPECTION REPORT.doc C)LONOVW 096E N"31 44 OP!jS',VjaujquO de,,0 N6,2Z/6 q,,%6t/qZ/Cpgjep UOISI AjpqnS sll!H UOPPIH CA L. 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