2001-719 �_ TOWN OF QUEENSBURY
2 Ba ueensb NY 128 4-5902 518 761-8201 74 y Road, Q ury, 0 ( )
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010719 Date Issued: Monday, March 25, 2002
This is to certify that work requested to be done as shown by Permit Number P20010719
has been completed.
Tax Map Number: 523400-290-013-0001-010-000-0000
Location: 67 MAS I ERS COMMON NORTH
Owner: MICHAELS GROUP LLC THE
Applicant: MICHAELS GROUP LLC THE
This structure may be occupied as a:
By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Garage - 2 Cars Attached /
Fireplace 4
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
V742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
icV
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010719 Application Number: A20010719
Tax Map No: 523400-290-013-0001-010-000-0000
Permission is hereby granted to: MICHAELS GROUP LLC THE
For property located at: 67 MASTERS COMMON NORTH
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: MICHAELS GROUP LLC THE Single Family Dwelling 239,900.00
10 BLACKSMITH Dr Garage-2 Cars Attached
MALTA,NY 12020 Fireplace
Total Value 239,900.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
MICHAELS GROUP NEW YORK BOARD OF FIRE UNDE1
10 BLACKSMITH Dr STE 1
MALTA,NY 12020
Plans &Specifications
2001-719
2622 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$363.04 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, October 04,2002
(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-T of Q ensbury T ursday, October 04,2001
SIGNED BY t 4 for the Town of Queensbury.
Director of Buil g& ode Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518) 761-8256
A permit must be obtained l efore beginning construction. Permit File N4...Ti I — / r -. ; �j
No inspection will be made until applicant has received a Fee Paid $ r,. l 1 ,�. �/ v
valid building permit. All applicants' spaces on this Rec. Fee Paid
application must be completed and must appear on the Reviewed By'
application form.
Applicant:ME -teiS � Owner: m� ---1VED
Address: 1O 'g1t� Address: ,SEp
1,A�1.-t°a 1• . i" es-zr 4 20o/
Phone# (►IIB)of - 1 1 Phone# ( ) - i 0W iv FQU EPdSgURY
t D CODE
Property Location: Lot Number: 4 / House Number (D1 / -&-6- ��rn r0.6.
Subdivision Name: 1' -ey- Comm \S Tax Map Number: ' ,900 13- 1- (0
XNew Building: residence /commercial Estimated Market Value of Construction: $ 2,,S` ��
O Addition: residence/ commercial If an Addition, what will use of new addition be?
❑ Alteration: residence/ commercial
.0 No change to exterior size: residence/cont'l
❑ Other work(describe ) •
•
•
Check Occupancylluformation I"Floor 2"Floor Other floor Total
Below sq. ft. sq. ft. sq. ft. Square Feet
X gfamily t� � � 0X 3/`:Single dwelling '�
❑ Two family dwelling
o Townhouse
❑ Multifamily dwelling
#of units
❑ Office
o _ Mercantile
o Manufacturing
o 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage _
❑ I car attached garage
2 car attached garage -A- )13❑ 3 car attached garage '
❑ Storage building-
commercial
O Storage building-
residential
O Other
Will any second-hand or ungraded lumber be used? If so,for what? 14,3\ ,
Type of Heating System: electric/ oil /0 wood /forced hot air/ baseboard/other:
_______,t
Number of Fireplaces to be installed Number of IVoodstoyes to be installed . 4
List below the person(s) responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder 'NE l' iic \S CQe •kD iat''c_c..VSYitm1- D Vtz`-k'E Ire .-�
Plumber coke pkt �jir„„ 1 \` _it. , wry 5 -24 A
Mason fit. ?d. 3 `�. _P — 42.1— 99kei
Electrician Focze_kyz,c ss v_ ge444, 3z.-ebict . W B 11-g52Z
. Declaration: please sign below aficr 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 he 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 ;odes/in/ABuilt Survey by a licensed surveyor;drawn to scale,showing actual
location of all ncw0 structior
Signature: - c / ' �.•� owner,owner's agent;architect,contractor
•
Fire Marshal's Office Town of Queensbury, 742 Bay Road,Queensbury,NY
(518) 761-8205 •
Application for Fuel Burning Appliances &.Chimneys.:
applicable to solidi v;.--IVE Z .liances
Date At •, 20 (31 SEP 2 4 2001 Permit N - 7
Application is hereby made to the Bail i itOIRQUERSSORlythe issuance of a Building and Use
Permit pursuant to the New York State Fire Pr AMC() ode. 77w applicant or owner
agrees to comply with all applicable laws, ordinances•, regulations. and all conditions that are part of
these requirements curd also will allot'all inspectors to enter premises to pet form required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
. q
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: 1-T 1 a1 a1 Stove: wood coal pellet gas
Fireplace insert
Address: IC) ae. Sr &r Y2J Fireplace, factory-built: wood CO
N \a .3m \ ‘. , acciri . Fireplace, masonry: wood °as
Furnace: wood gas oil
Phone: 7S5—(40'?,1
. If non-masonary applicance, please provide
Owner: '-aykk_• Manufacturer Name: .
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block brick� stone
Flue tile CIO inches •
Exact Address: CI1 I4421r Q.CtAcnon1 .
of construction or installation Factory-Built
• Lei- Manufacturer name:
TA-Y MA f -qp,l3_ l_lo Model Number:
Note: Listed By: Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate (circle) chimney material: •
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall / Insulated I .Direct venting . .
Chimney Liner
i Carsrhier'rst,Ue,,pz r•tzni t—Toicazzz of Qxzeezzogbzzi-3r, 1S7'ewrsr York I .
•
Fire Marshal Code# S Collected S Refirnded Received d/i om lrefinrded o . ! /i -���c
address:
a 173 3389 (190) Public SafetyO� •
A 233 2655 (230)Minor Sales
IV) .
li
. /3 Cif l
dM1�..a wtc - nu.,,,, 04.1.4 o2 Dep.vT� .
White(Applicant) 1 Green(Fire Marshal) / . Yellow(Bldg. Dept.) I Pink&Goldenrod(Cashier's Dept.)
y)
‘.
F MARSH L
TOWN OF QUEENSBURY
�7► QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIV D 11
PERMIT# r� :
NAME c-
LOCATIONLA 3 'WO( y\l VD
SCHEDULE INSPECTION ON `) - a-S- O_
AM(2fi,ANYTIME
APPROVED
N/A YES NO
EXITS
\v,
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
W OD STOVE
F EPLACE-MASONRY _
FIREPLACE-FACTORY BUILT V1/3A''-
REMARKS: OK TO THIS DATE
INSPSLIP.PUB INSPECTOR
c ,
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart % am/pm
Town of Queensbury Inspector's Initials f/ 6
742 Bay Road 0/ _ 7 j
7
Queensbury,New York 12804
12804
NAME C iSY_iSWc PERMIT# 97;;:rtC2. .
�,
LOCATIOO >5�``�,' _> ( rr 'rw ') (7 DATE 3 6-3._______
TYPE OF STRUCTURE n
N/A YES/ NO COMMENTS
Chimney Heightf"B"Ven P - t Vent Location f//
Fresh Air Intake ✓/
Plumb Vent through roof ✓/
Roof Complete ✓
i Exterior Finish Complete ✓
IZ
Interior/Exterior Railings 3 1"to (6"Exterior Handrails,balconi•.,la4ding 18 in.or more
Interior Handrails stairs both •• s 3 or more risers /
Grade 2%away from foundati• ✓/
8"clearance to sill plate ✓
Gas Valve shut-off expos-• reg i ator 18"above grade f
Gas Furnace,shut-off '. ' 30 fe;t or within line of site /Li/
Oil Furnace h .' at entrance to •.ce area
• Furnace/Hot Water Heater operatin_ ✓
Relief Valve(s)installed �i
Headroom,6 ft.6 in.on stairs //�
Basement stairs,6 ft.4 in. ✓�
Handrail exterior stairs both sides more , . 3 risers V
Interior privacy/trim/doors/main entrance 6" V Floor Finish /
Bathroom/Kitchen watertight �/�
Interior Handrails Balconies/Landing 18 • 1 or more
Railing across window in stairwells ,//
Smoke Detectors:
,V;
every level
every bedroom ,/
outside every bedroom �` .
inter connectedBathroom ✓
Plumbing fans
fixtures
Foundation insulation /
3/a hour fire door/door closer //
Garage fireproofing (. `
Garage penetrations sealed / �/
Furnace in separate room protected(in garage) �1
Light ventilation per room / 7
Safety glazing 18"oilless from floors
Final Electrical a I l l 6`-- I it& (v51'.
Site Plan/Variance required
Final Survey Plot Plan ✓✓✓
As Built Septic System layout required
. Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy) VI/ 4u,w 0 /I'f'/64 6 VA-
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, NY 12804 ARRIVE am/pm: DEPART ` am/pm Ncit9s; ."--
101 '
(518) 761-8256 Inspector's Initials - KRw4`Jf
NAME: Oicg,„66 �'RP PERMIT# 0/ 7/
LOCATION: I RAA 05 at, .71/ INSPECT ON(date): I ZZ)O7--
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form \
Reinforcement in Place_
The contractor is responsibly for i
providing protection from fr'ezing !
for 48 hours following the pl cements
of the concrete.
Materials for this purpose on site
Foundation/Wallpour 1 i -
Reinforcement in Place \ /
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plum-ing Vent/Vents in-dace
Ro gh Plumbing
' /
eatin Rough-I
Insulation - rz-ed—C--0c7,J"5
- oundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- 1
Walls R-
Ceiling 1
R-
Duct work or piping in
unheated spaces R-
Irma
per Vent,Attic Vent
ing 41/57ha, 4j/1,a/1 ( &i 'rS
cStudSGTieacleis
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
P,netration Sealed
r ir- Wall 2 4 hour
__Z____
"Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
AT�+ �7 �+ Office Use
GENERAL L INSPECTION REPORT',PORT Inspector:
Town of Queensbuiy Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road1--(-
Queensbury, NY 12804 ARRIVE am/pm: DE AR -' am/pin Notes:
(518) 761-8256 Inspector's Initials
•
NAME: �f"& /14- -6j COW PERMIT# 0/— 7/
LOCATION: lAk lk5'TG�{25 Cch,v.- A/ r INSPECT ON(date): '22—/ ZZ/d2.--
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS .
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi le for
providing protection from fr zing
for 48 hours following the lac ment
of the concrete.
Materials for this purpose on Ate ,
Foundation/Wallpour \ 1 .
Reinforcement in Place
Foundation/Dampproofing I
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-
R-
Wailing R-
iling R- ,
uct work or piping in
u eated spaces R- f // .
roper ent,Attic Vent ////
Fra ' g
ck 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\GENERAL INSPECTION REPORT.doc
•
1 Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbug
Ready at time:,37p::__I--
Dept. of Community Development Request received Meet:
Building& Code Enforcement / At time:
742 Bay Road ;�� )
Queensbuiy, NY 12804 ARRIVE am/pm: DEPART,, am/pm Notes:
(518) 761-8256 Inspector's Initials
(-/'%.�Cel ( 7j /
NAME: /l�f ���;�' /� 1c PERMIT#
LOCATION: ��� 1�-f'S( , C G .-� - /V-512-G(E1— INSPECT ON(date): (..)-- -
TYPE OF STRUCTURE: C?�
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/Wa llpour
Reinforcement in Place
Foundation/Dampproofmg `
Backfill Approval
Plumbing Under Slab /
PlumbirrntritY4ents,in Place
4- bh Plutnifi i
'°a,nor ugh-In
Insulation
Foundation Walls Interior R- ✓ G / 5,4Z:(4)C,
Foundation Walls Exterior R- / C� _P6 -- L I�- Y V / /
Floors R- /
Walls R-
Ceiling R- // J A GA,v n IrDuct work or piping in `/ [�= ,�
unheated spaces R- % / IA)SrAl-C_ �� �`"
Pr ' ent,Attic Vent /
411Lru ng -- �; f
c Studs/Headers / t t f{t1/+k.- �. (16-/-i'J C&'
Bracing/Bridging
Joist Hangers �v�L /1-)A 1� i�4/�C ��S
* I"Uan
lack Posts/Min�-Beam / n
"� Infiltration Barrier /V p f'<6- V — c_1(/ pLC�I C R --mc
Fire Separation 1,2, 3,hour
Penetration Sealed
F' 112,3,4 hourA Firesto—,ai m t' ciliA , c-r- e Ckukt./v-G'/( GK '
,-ete(q-c,- -- --7-a-i-/----6`,9L
L: eHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe
FIRE MARSHAL
461111pook TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED ERMIT# c
NAME `.'; t
LOCATION 07! G- i
SCHEDULE INSPECTION ON Q` -�co g-
A CANYTIME
6- APPR.VED
NIA Y,S NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARAN TO SPRINKLERS
CLEARA CE TO HEATING UNITS
REQUIRED SIG AGE
CHIMNEY / ✓
WOOD STOVE
FIREPLACE-MASONRY
FIREPLA E-FACTORY BUILT A-
�
bvR n T3 i R
REMARKS 017,2 2 ` in OK TO THIS DATE
Cd/
INSPSLIP.Ple INSPECTOR
wk. .
D O - 3f
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: a'13
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arriv m . pgp_arit.(11filliall,pm _
an T�pector's Initia 11+
P64S
14
\
NAME: C / �ERMIT# 1 I )
LOCATION: h-N /� DATE : .AI` _ DL
TYPE OF STRUCTURE: / _‘ -�
RECHECK
N/A YES NO CO I I . .S
Footings/Piers 7-1-- I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the pla ment
of the concrete.
Materials for this purpose on site
Foundation/Wallpour \
Reinforcement in Place
Foundation/Dampproofing \ /
Backfill Approval /
Plumbing Under Slab
Plumbing VentNents in Place /
Rough Plumbing /
Heatin Rough-In /
nsulation /
j foundation Walls Interior R- / CL Vp
Foundation Walls Exterior R- / b-�JV L, t
Floors R- i`�� ✓ / � 9 .,`�E �Q
Walls R- i /
Ceiling R ,/ _ ��t/�
Duct work or piping in ;
�'c��,�v a
unheated spaces /R- 2--` \
Pro r Vent,Attic Vent
ra g C /,
tuds/Headers
Bracing/Bridging 7 %
Joist Hangers/ t\fiNt (j -V-- 13A,‘\--b VA‘ 12 % b
Jack Posts/Main Beam Air Infiltration Barrier b—\-- 1—Dt]\R— � St��,
Fire Separation 1,2,3,hour M� C7
Penetration Sealed l'INA 41 t3 0c-r \C)
Fi - . • 4 hour 1
Fi restoppin. thec e<'-l.,_ I
,,...«: , TOWN OF QUEENSBURY
,: BUILDING„&'.CODE ENFORCEMENT
742 BAY ROAD
"NO'it QUEENSBURY NY 12804
t .4'.7"'.'.; 4` (518) 761-8256
ARRIVE: DEPART: INSP: CJ
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, t )mplex)
DATE INSPEC IONIREQQ ST RECEIVED:
:: .ION'
' S (�1
/-4 ✓✓
DATE ( �' RMI H ��
TYPE O ST UCTURE L
FOOTINGS BACKFILL_ F MING_ PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT W`TER
RELIEF VALVES
FLOORS
FOUNDATION INSU►, ION
INTERIOR STAI '/ ,ILINGS
STOCKROOM NCLOSU.E
FIRE/DEMISE WALLS •ENETRATION
FIRE DAMPERS
CEILING FIRE STOPPI G
FIRE DOORS/CLOSERS ,
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
N,J FINAL SURVEY PLOT PLAN, IF REQ
OK TO ISSUE C/O OR C/C
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement �7�
742 Bay Road 43
Queensbury,NY 12804 Arrive am/pm Depar / m
Inspector's Initials
NAME: \,� C,2 Q PERMIT# (2' / 1
LOCATION: (Q 0�C�� DATE : 02 O
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-7-1
Monolithic Pour Form
Reinforcement in Place
The contractor is re •i nsible for
providing protection "om freezing
for 48 hours following the place ent
of the concrete.
Materials for this purpose •n site
Foundation/Wallpour
Reinforcement in Place
Foution/Da .•ng
> ck ill 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
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive3^�j an m Depar '
Inspec or's
NAME: H.a C t-1AE1 A (v P PERMIT , 7
LOCATION: (07 N1 A5TEE <_c>P1tlevA6 Aga DATE : ..1 l--)3-[)/
TYPE OF STRI ("TURF:
RECHECK \
N/A YE�NO COMMENTS
Footings/Piers \ \ �� i
l �C- Pb`.)
t
Monolithic Pour Form\ \ V\(11bE _F V ,
Reinforcement in Place , \ DBE--1-6 key �,C`
The contractor is respotnsible for y� �r �,��� p
providing protection from freezing O�� Epp�, A1 �Et..
for 48 hours following the placeme 6 R-bL} 7 ,1
of the concrete. jZ �F , % nC� y ZjpT`006
Materials for this purpose o site �`� t \-\p�� Fb01`l fi i
Foundation/Wallpour E17 \ �j �fl6� _
Reinforcement in Place �C�\ 1i�
Foundation/Dampproofing .
Backfill Approval
Plumbing Under Slabs
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
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 ArriveZ= () an>f i I9epart3-'
Inspector's Initial
NAME: IA‘C F s� C�R-aO? PERMIT#
LOCATION: { � "-F�C 0MM0 R)p DATE : d I _C L1
TYPE OF STRUCTURE: 3 I-9
RECHECK
N/A YE/NO COMMENTS
1(ootings/Pie I �'
Monolithic our rm
Reinforceme tin ce
The contra tor is esponsible for
providing p otecti n from freezing
for 48 hours ollo •ng the placement
of the concre .
Materials for thi` p se on site
FoundatiO all r
Reinforceme ' lace
Foundation/Dampp oofing
Backfill Approval
Plumbing Under Sla
Plumbing Vent/Vents'n Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Int rior R-
Foundation Walls E erior R-
Floors R-
Walls R-
Ceiling R-
Duct work or pip' g in
unheated spaces R-
Proper Vent, At&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
GENERAL INSPECTION REPORT
( 518 ) 761-8256 t1.2 //,,
Town of Queensbury Q ( CJ
Dept.of Community Development Date inspection request received: /7 7 /lk)/
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart I Mam/pm
Inspector's Initials
NAME: MLLL4 PERMIT# p"`�ls /-9/
LOCATION: v- DATE : yrd-ezy
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
CFootin ier/Pier/P -1-71/4/ O\ ( "
Monolithic Pour Form
Reinforcement in Place
The contractor is respo • e for
providing protection fr.) --zing
for 48 hours following - •!.cement
of the concrete.
Materials for this purpose i .ite
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo• g
Backfill A:• • al
Plumbing Under Slab
Plumbing Vent/Vents in Plac-
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior -
Foundation Walls Exterior '-
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
-
•
- CONSERVATION ao1io • •
DS .
c -061--- 7
• PARTS COMPLIANCE FORM RECEIVE
Building Design by Acceptable Practice
SEP 2 4 2001
TOWN OF QUEENSBURY
buILUIN j AND COTE -
UIIDING
DDRESS: ��. ,"1� �f' C YCOMCM . DATE Xo cs�` k pcok
LX
—.--. - COUNTY: -N4 fZ: /
.RCEIITECT,ENGINEER,OR 57-7-C�S�C�
:ONTRACroR: G20UP PHONE 518-
ERMIT APPLICANT: ShnJG PHONE •
. HEATING DEGREE DAYS (Table 2-1)
n 5000—6000 x 7000—9000
I. BUILDING DESCRIPTION (Pre-qualifying Conditions)- •
If the building does not meet all of the following pre-qualifying conditions,
Part 5 of the Energy Code may not be used.
3 Building is residential with•one or two dwelling units.
X Building is-less than 5,000 gross square feet.
L Building is three stories or less in height.
•
Ratio of glazing area to gross wall area is equal to or less than 17%.
•
III_ PROJECT TYPE
n New construction Substantial renovation of existing building
n Addition to existing building I Exempt(7810.6c) F NES?
IV_ HEATING SYSTEM TYPE •
=
-X Gas-fired Oil-fired n Heat pump Electric h. Y•� ' •
? f
-•r �
�`'�.� ' :•;1 i c••''`_'!
Joint Sealing: 7814.100)
Joint Locotion I Sealant Type Speciflied I Plan!Spec_ Reference
Windows j Polycell
Doors frames I Weatherstripping i
Walls at roof/ceiling 1 •Pal vicel •
] • I
Walls at floors/found_ Polycell
Wall panels N/A
Utility entrance weatherstripping
Penetrations Polycel l
Other
Other _ f
Air Infiltration Barrier: 7814.10(j)
Location Required? ff Specified q I P I Plan/Spec.. Reference
_ Walls yes[no No-Cedar Siding •
f Other yes/no
Fireplace: 7814.10(k), (m)
Required I Specified Plan/Spec Reference
Outside combustion Yes-
air duct with damper
Flue damper with max_20 cfm, or
damper and non-combustible doors damper 20 c_f_m_
Gas fireplace ignition • No
VI. HVAC PERFORMANCE: 7814.11 (Table 5-3)
Equipment Minimum Performance Specified Performance Plan/Spec.Reference
Furnace 70% AFUE 90%
Boiler
Heat pump
Central air
conditioner I
4
_.
•
vit: t-1VAC; UUN t NUL: 7814_12
Temperature Control
Required I Specified Plan/Spec_ Reference
Thermostat each ves
dwelling unit .
Shut off at each Yes
terminal unit
•
Thermostat
Required I Specified 1 Plan/Spec_ Reference
Minimum ranRe ' Yes
45°F 85°F '
Deadband Yes
range
Automatic - Yes
capability • • -
•
VEIL DUCT SYSTEMS: 7.814.13
Category Required Provided Plan/Spec.Reference
Duct ? l' thick N/A in conditioned space
insulation • R-33 in uncondtioned space
Transverse Sealed Yes.
joints .
IX. VENTILATION SYSTEMS: 7814.14 •
System Type Required 1 Specified Plan/Spec.Reference
•
•
Supply Damper at envelope Ye s
Exhaust Damper at envelope Ye s
Supply on/off switch 1
YPS
Exhaust • onfoff switch I Yes 1
•
?C PIPING INSULATION: 7814.15
Piping Typc Insulation I Provided Plan/Spec.
Required I Reference
Heating distribution" >_ 11/2" N/A
/
Service hot water`` 3/4" 1 N/A •
`Does not apply to runouts.
"Does not apply to piping with a diameter less than or equal to 3'4"inch.
XI. SERVICE WATER HEATING: 7814.21 (Table 5-4)
Performance Requirements
Water Heaters Minimum
Specified Plan/Spec.
Performance Performance Reference
Storage > _93 -_00132v > _93
Instantaneous N/A
Pool WA
•
•
Controls
Category - Required Control Control Provided Plan/Spec_
Reference
System automatic control Yes
System temp.'setting range 140 degrees max.
Pool heater 1.11) •
N/A
Pool heater on/off switch N/A
Electric water heaier separate switch N/A
Gas/Oil water heater separate valve Yes
XII. ELECTRICAL POWER: 7814.31
Category I :Required I Specified I Plan/Spec. Reference
Electric meters ( Ea. dwelling unit i `'eE
EXT.t.E.DOi2 WALL
OF/.CUE FRAKED *ALL_ "ORKSf-E£
R-Value
i R-Yalu.'
inaulat<d Construction
Frtasad - .
Arai - Coroon.snt !
Ar<4
1111.111.P111.......'4411t-le .
0.68 fct- l;ir Film 0.68
11011,--
' 45 1/2". Gypsum Bd. , .45 I (III! ! 1{`'1_ .
tailboard
\ '4111111r
I 19.00 . .`.Bftt ---- -
ntulaLic� illi.i:A.
��. ---- 2x6 @ 16" o.c. 6.87 11f,�'.
•
Studs
•
�� - -- if 1:7- -
...._541/2" k'afe>woo3 _54 ( `�'Sh<athing \r 11
I •
lrill."..-
_65 Viny.1 :651. .... iding
0.17
r� --��— £z t Air F:1 m 1 0.17 1
21.49 I R-Total j
9.36
•
U In:ulated Fraction*
Fracea Frectionw
P,-Total Insulat<C -
R-Iottl Fracao
U R5 -
R ` .15
21.49 9.36 .056
•
I
• Wall Stud Spacing lntuiatad Fraction
Framed Friction
12" 0. C. .aS
. 17
16" O. C. .85
. 15
:A" O. C_ .88
.12
1 .
.
•
•
•
EASEMENT/CELLAR CALLS_ noRKSH££-
@ stairwells
R-Value i R-Value
with Ext_ - Construction with int. t
. Insulation i Co*oonsnts Insulation
0.17 l 0.17 '. _
�♦4 _ Ext. Air Fi 1 c • `
• . Fzterior r ini sh •`. •�
♦. ~ ' j 8" Poured .. . `.i e4•44.
•
•••4 - 8loct (Concreted ...1._72 . - . - -
4 :41 J :4
• Core Inaul azion - -1 •.:
r-,••4 . I I-11ZR-max ice_. : _��::::�4- Insulation /0-80 . -•-'-
011111111H
13,4 (axt or i nt.) - �, •74 .
"'�• 4 1 l~ ,�L
t1 1140 ` .►— _ ::::;:
::::
sh 1111
0.68
- _ -1 •- ♦'•.
R-Total /3 -37
if1 • .
.c R-Total
•
e:.
u - 1 . - -07
w 13- 7- -
•
Ezpo:urc Above Grade 8 « . -
•
•
II
Depth Bclo.c Graoa - 48 •
•
°ASEHEt1T/CELLAR KALLS: KORKSHEE-
- R-Value R-Valet
with Ext. • Ccnstructioa ( with tnt_
i nsul ati-on Costoonwnts - i nsul.tion
I I
�.� 141
Ext. Air Filc • 17 �_- , ��.;1.� - { None - ‘4
.4 Exterior Finish °, -- L*�
►:�: $" Poured ' •.
.4 El Oct (Concrete) - _--L_2 _ -- �,,:
►����_
•
•° + Core Insctl anon -� _ •�4
. • ; 4•
=t ►1��_ (.f any] 1 _���
�2 IN ►��
.s►mil _ k
-►;.;� i [el:
- � mil. -•4:.
. (.xt. or i nt. ) AP.
��4 ��� - � j 0.
► *< - • None . - ( .= .
EE��.._. snt*rior Finish - ►mot
0.6 8 I ::,.
►�4�.. - : _1t— 0.68 _ a
l tnt, Air File, _
13.57
R-Total
•
• (.1 - ,
- .c R-Total • ••
1
uw 13 .57 .C74 •
Expo cure Above crane e, 8 «
Depth Below Grade 48 .,
•
•
OPACUE !RA+4ED F OR: RORKSi'r=-
R -----„\\\ • . • -:\ -- -,-- -
/ i\ r
I i.•
-i -i 1 _____- i____-- ----
:. .
4 I‘ Wit '
�f.
I,--
R-Value I R-Value =
1 ' -
(nsulated 1 Construction Framed •
Area Ccctcnents - • Area
•
1 I
` ,
1 0.92* i 0.92*
•
- Ext. Air Film
19.00 6.. Batt •
• ----
. . . . Insulation
__-- 11 7/8" TJI's @ 24" o_c
•
Joists i . 14.84_
t
• i _93 3/4`� waferwood t
. ._ . Sub-Floor . ..:P . I i
I carpet/vinyl e l.. ; (
•n --- - •- _ .. FFln. Floor n i
0_92 0_92 `
(nt. Air Film
21.02 R-Total ! :16.86. . •
U insulated Fraction** Framed Fraction,=* -
0
• R-Total Insulated R-Total Fraud
•
- Iv - .95 f - .05
0
21.02 16.86 ''_048
•
* For vented cries space, use R 4= 0.17 for ext. air film.
•
_= floor Joist Spacing (nsulat'td Fraction Franed Fraction '
12" 0.C_ .87 i 13
•
16" 0.C_ _90 _ 10 1
•
00F/CE1LlUG ZVEKTEOi : 'ORKSH£E: .
j � 1
, y ---.././...- .%%=:=-L-----
,- ..4. . r_______ -
. .A -: :\--4,1 1,-,, - I-
t !xi ‘: _ _ ...„....
\\ L J2k1;T( !I!
i
- R-Valve R-Valve • -
1 : Insulated 1 Construction • Fraaed
Co
! Area i Components a e -..ree .
(
- 1 ' 0.17 I Ext. Air File 0.17 ' 1
- - 30_00 1 9" Batt _--- 12.00 Overlap -
• Insulation i - '
2x4 bottom chord
---- ; @ 24" cc I 4.35
. .._. Joists -
i .45 1/2" Gypsum Bd_ _45
• .... Wallboard
1 0.61 0.61
• r Int. Air Film
31.23 1 R-Total 17.58
cz
tl Insulated Fraction* Framed Fraction*
r
R-Total Insulated R-Total Framed
. U .93 .07 - .
r _034
• 31.23 17.58
* Roof Joist Spacing Insulated Fraction Framed Fraction
12" 0.C. .87 .13
16" 0.C. .90 .10
24," 0.C. .93 .07
1
i
MAP REFERENCE:
MASTER'S COMMON NORTH
DATED: AUGUST 26, 1987
BY: VAN DUSEN & STEVES
FILED: MARCH 10, 1988
DRAWER 17 FOLDER 1
c0
C`J r
m�
s
oNO
1"I have seen or observed, or believe I saw evidence of,
all objects such as houses, wells, trees, fences, etc.,
shown on this document. I al o represent that I have
!!�
W ces set forth on the diagram.,,
SIGNATURE-41��--�'
DATE
N- 0'1p»E
24p• 74`-
�• S3S 3 ` r
9 40
f
(a
s-1