2002-1025 r
TOWN OF QUEENSBURY
742 Bay Road,Queea&T,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
:�RTIFICATE''OPOCCUPANCY
C
Permit Number: P20021025 Date Issued: WeMnesday,.July 02,2003
This is to certify that work requested to be done as shown by Permit Number P20021025
has been completed:
Tax Map Number: 523400-290-017-0001-024-000-0000
Location: 61 'MASTERS COMMON SOUTH
Owner: MICHAELS.GROUP LLC THE
Applicant: MICHAELS GROUP LLC THE
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage-2 Cars Attached
Single Family Dwelling
Duecto ``'` g& ode to of
TOWN OF-QUEENSBURY
4
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20021025 Application Number: A20021025
Tax Map No: 523400-290-017-0001-024-000-0000
Permission is hereby granted to: M1CHAFT,S GROUP TJ,CTffF
For property located at 61 MASTERS COMMON SOUTH
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. Tve of Construction Value
Owner Address: MICHAELS GROUP LLC THE Fireplace
10 BLACKSMITH Dr Garage-2 Cars Attached
MALTA,NY 12020 Single Family Dwelling 259,900,00
Total Value 259,900.00
Contractor or Builder's Name Address Electrical Inspection Agency
MICHAELS GROUP
SUITE I
10 BLACKSMITH Dr
MALTA_NY 12020
Plans&Specifications
2002-1025 Lot 20, House No. 61 Masters Common South
Construction of a 3,089 sq ft single family dwelling with a 529 sq ft attached two-car garage and one
fireplace per plot plan and specifications.
$423.58 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,January 03,2004
(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 tlio`ow f VQ ST b X January 03,2003
SIGNED BY for the Town of Queensbury.
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. £ f'
No 'inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Rec. Ucc Paid $
application must be completed and must appear on the Reviewed By:
application form.
� �t �_ �w � r�.
Applicant: ITi AIE 1 ts1� Owner:
Address: Address:
Phone# (5_$) - Cy3_�_j_ Phone# ( ) - rU111A/O 2Qp2
* � ��--ii
Property Location: Lot Number: a� / House Number CO iI / t�1��5s�m�Yklhs
Subdivision Name: ��c�tl�Y-� , Tax Map Number: 4 6- old
-Zqo, /-7 - 1 -
New Building: residence l commercial Estimated Market Value of Construction: $ 2ScV606
_
0 Addition: residence/ commercial If an Addition, what-,vill use of new.addition be?
0 Alteration: residence/ corrunercial
0 No change to exterior size: residence/coni'l
0 Other work(describe
Cheek Occupatzcylnforlination I" Floor 2"` floor Other 11oor 'Total
13clow sq.ft. sq.fl• sq. ft. Square Feet
Single family dwelling
o Two family dwelling
a ToNvtlhouse
0 Multifamily dwelling _
#of units
0 Office
0 Mercanti le
0 Manufacturing _
a I car detached garage
0 2 car detached garage
0 3 car detached garage
0 1 car attaebed garage
2 car attached garage SZe�
0 3 car attached garage
0 Storage building-
commercial
0 Storage building-
residential
o Other
Will any second-hand or ungraded hunber be used? If so, for what?
Type of Heating System: electric/ oil ,/ gas wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed (�n R_ Number of Woodrtot es to be installed -
- --- List below-the person(s)-respon sib le ror supervision-ofwork as regards-to bttildinb codes:--
Name Address Phone Number
Pltnnbcl'IM-1-C1�i<riC � -2.�-�
Mason + S _ ( _3
Electrician - G fie_ Lj��? 3 .� li-��'12Z
Declaration: please sign below after you have earefhlly read the statement:
To the best of niy 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(Iie described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other taws pertaining to the proposed work shall be complied
with,whether specified or noted,and that shell 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
Administralor or Director of Building ail t ',de n As Bitilr Sari=ev by a licensed surveyor-,drawn to scale,showing actual
location ofall ucw o slruclir
Si natille: `
1; _ owner,owner's agent,architect,contractor
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION: .................................................................................•............................
Office Use
Location of installation:
File Pe
rmit No.
Tax Map No.
Fee Paid
Owner's Name:
........... ................................................................................. ............................
Address: L,,r- 7-o LAA",,,es
2. INSTALLER'S NAME PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroom(s) and multiply#of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrm =
1980- 1991 x 130 gal/bdrm =
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)
Too pxaphy Soil Nature Ground Water Bedrock or Impervious Material --Domes ter SuT)Dly
Flat sand at what depth at what depth municipal
Rolling loam et feet we
�
Steep slope clay if well; water supply
%slope other from any septic-system
depth: absorption is_ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewa §- 's osal s ste g-- be designed by a licensed
professional engineer or architect(unless installed in a Planning_�3o a proved subdivision -d gallons to the size
of the septic tank and leach field for each,Garbage Grinder S error W1iirlpool Tub.
Septic Tank: gallon (min. size 1,000 gal. /,?
Tile Field: each trench_ft. Total System Lengt ft-
Seepage Pit(s): number of size of each: _ft. by_j?.
Size of Stone to be used: # depth or thickness feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
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 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.
I.
Signature of responsible person Date
ry
st-wcr:s and sewilpte I)is;>n::>1 {:1�sl;ldo:•
Ahht-tttii x
• 9I:PARA'I'ION ItI:�Zl.J11II t�IIr:N'I`:3
PoNo
�•..�'�' Hf�tt.. iN jlt►TF'i�` ..ir - ���,/ &1 LS'ry./
WrOT G151,1<';
Vpjv
j
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x
' f'1 RLA
7. SIGriATUIiJE & II,IFopj"TIOrT FOp•R l vrt xxsx. r>✓,c t+va� �.>o�....��.:, '
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning'Appliances & Chimneys
applicable to solid fuel & vented gas appliances '4
Datc ,, a" , 20 W Permit No.�✓�� ��
Application is hereby made to the,6 i ilding Codes Office for the issuance of a Building and Use
Permit pursuant to the New York State Fine Prevention and Building Code. The applicant or oia1ner
agrees to comply with all applicable laws; ordinances, regulations, and all conditions that arc part of
these requirements and also will allow all inspectors to enter premises to per form required inspections_
NOTE to applicant: Rough-in and Final Inspections are required.
-Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: Stove: wood coal pellet gas
Fireplace insert
Address: , Fireplace,factory-built: wood gas
1 t ~ f Fireplace, masonry: wood ga
Furnace: wood gas coil
Phone: l
if non-masonary applicance,please provide
` ,�, ,,
acturer Name:
Owner: Manuf
Address: !' Model Number:
If -
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue tile (steel' size: inches
Exact Address: $ , -1 .,,. c ,
o_f onstrtk a a orcnsfa lation Factory-Built
t Manufacturer name:
Model Number:
Nate.' Listed By: Number:
Constniction l Installation must
core: orrn to NYS Fire:prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Trij)le wall I Insulated / Direct venting
Chimney Liner
O�,srh�[ x-',®c F�e�partmt—Tcicrzz +oaf+Que�zi�rbuz�, 3�TeVivsorb
Fire Minarhal Code'## $Collected $Rc uuled Received fionr (refunded to)
address: V
19 173 3389 (Iy0) Aublie-,Safiaty 0)`', _
A Z.?3 2655 (.234)Minor•Stiles 'm
dr l
White(Applicant) / Green(fire Marshal) _1 Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.)
Project Name: BP
Address:
Building Permit Submission
Sing&fanily du&g
Turrfarrply dm d1ing
Checklist
All items below must be checked either yes,no or not applicable prior to submission of any building
pen-nit 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 ... ... ... ...... ... ......... ......... . s El no E]n/a
2. Energy Form or CheckMate Energy Code Compliance Forms Complete.. no r]n/a
3. Energy Code Inspector's Report from Clieckb6te Program ..... ... ... ..... yes ❑no ❑ n/a
4. Septic application completelyfilled out(if applicable).. no
5. Solid Fuel Burning or Gas Appliance Form... ...... .. Ono [:]n/a
. ... ...... . s Ell
6. Electrical Inspection Form......... ... ...... ... ... ......... ... ... ... . ... ........ s nno [-]n/a
7. Two(2) complete sets of structural drawings........... ... ... ... ... ... ... ..... Ono Fln/a
a)floor plan;b)foundation plan;c) cross sections:d)elevations;
e)-window and door schedule
8. Two(2)site plans showing location of the structure to be built.... ...... ... s E]no [:]n/a
location of well or-water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure... ......... ... ...... ...... ..... E]no Rn/a
10. Setbacks to neighboring wells and septic sp,t ms,including onsite well... nno Fln/a
"s and septic system (if applicLabl Y . ......... ... ... ......... ... ... s
11. DtivewayPennit... ...... ... ... ..... yes Flno nn/a
Date: 2—
Staff Initial:
L:\SueI-leniingway\BuMing.Permit.FOFIE\GencTic Cliecklist.doc
Permit Number
MIECcheck Compliance Report Checked By/Date
Proposed New York State Energy Conservation Construction Cod
MECcheck Software Version 3.3 Release lb %
Data filename: C:\Program Files\Check\MECcheck\completed works\61 Masters Common South.cck C 4zl
TITLE:61 Masters Common South DFn
1
ro 1 6200
COUNTY:Warren U/A/op-
STATE:New York Q
HDD:7635
CONSTRUCTION TYPE:Detached I or 2 Family C QdLtz
HEATING TYPE:Non-Electric
DATE: 12/12/02
DATE OF PLANS: 12 DECEMBER 2002
PROJECT INFORMATION:
Hiland Park
COMPANY INFORMATION:
The Michaels Group
10 Blacksmith drive
Malta N.Y. 12020
NOTES:
Pella Proline Series Custom Windows
COMPLIANCE:Passes
Maximum UA=744
Your Home=592
20.4%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door,
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Raised or Energy Truss 1938 30.0 0.0 62
Wall 1:Wood Frame, 16"o.c. 1999 19.0 0.0 99
Ix Dining-T:Wood Frame,Double Pane with Low-E 31 0.340 11
lx Kitchen-J:Wood Frame,Double Pane with Low-E 17 0.340 6
Breakfast#12: Glass 40 0.630 25
2x Breakfast-C:Wood Frame,Double Pane with Low-E 26 0.340 9
2x Family-V:Wood Frame,Double Pane with Low-E 10 0.340 3
2x Family a-Q:Wood Frame,Double Pane with Low-E 34 0.340 12
lx Family-W:Wood Frame,Double Pane with Low-E 14 0.340 5
1i Family H:Wood Frame,Double Pane with Low-E 33 0.340 11
Laundry#11: Solid 20 0.230 5
2x Study-P:Wood Frame,Double Pane with Low-E 24 0.340 8
lx Study-A:Wood Frame,Double Pane with Low-E 15 0.340 5
Foyer#1:Solid 37 0.450 17
3x Living A:Wood Frame,Double Pane with Low-E 45 0.340 15
Wall 2:Wood Frame, 16".o.c. 1865 19.0 -0.0 101
1x Bed#3-E:Wood Frame,Double Pane with Low-E 25 0.340 9
lx Main bath-R:Wood Frame,Double Pane with Low-E 6 0.340 2
1x Bed#4-F:Wood Frame,Double Pane with Low-E 22 0.340 7
lx Master Bath-S:Wood Frame,Double Pane with Low-E 32 0.340 11
lx Master Bath-R:Wood Frame,Double Pane with Low-E 6 0.340 2
lx Bonus-D:Wood Frame,Double Pane with Low-E 44 0.340 15
1x Master suite-,G:Wood Frame,Double Pane with Low-E 14 0.340 5
Ix Upper Foyer-U:Wood Frame,Double Pane with Low-E 19 0.340 6
lx Bed#2-G:Wood Frame,Double Pane with Low-E 14 0.340 5
Basement Wall 1:
Solid Concrete or Masonry,7.6'ht/6.6'bg/6.0'insul 1470 0.0 11.0 92
Basement E170:Glass 19 0.230 4
3x Basement window:Wood Frame,Double Pane 36 0.560 20
Floor 1:All-Wood Joist/Truss, Over Unconditioned Space 432 19.0 0.0 20
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: 12/12/02
TITLE:61 Masters Common South
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
Above-Grade Walls:
[ ] i 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] i 2. Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls: .
[ ] i 1. Basement Wall 1: Solid Concrete or Masonry,7.6'ht/6.6'bg/6.0'insul,
R-11.0 continuous insulation
Comments:
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.
Windows:
[ ] 1. lx Dining-T:Wood Frame,Double Pane with Law-E,-U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ '],Yes [ ]No
Comments:
[ ] 2. lx Kitchen-J:Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ .]Yes [ ]No
Comments:
[ ] i 3. 2x Breakfast-C:Wood Frame,Double Pane with Law-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 4. 2x Family-V:Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] i S. 2x Family-Q:Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 6. lx Family-W:Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] i 7. lx Family-H:Wood Frame,Double Pane with Law-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
] 8. 2x Study-P:Wood Frame,Double Pane with Law-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
[ ] 9. 1
x Study-A:Wood Frame,Double Pane with LoY-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
10. 3x Living A:Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type L_Thermal Break? Yes No
Comments:
[ ] i 11. lx Bed#3-E:Wood Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features: .
#Panes Frame Type._Thermal Break? Yes No
Comments:
[ ], i 12. Ix Main bath-R:Wood Frame,Double Pane with Low-E,U-factor:-0.340
For windows without labeled U-factors,describe features:
#Panes . Frame Type Thermal Break? Yes No
CommCnii�
13. lx Bed*4-F:Wood Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-Tactors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
[ ] i 14. Ix Master Bath-S:Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type�_Thermal Break? Yes No
Comments:
15. lx Master Bath-R:Wood Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type�_Thermal Break? Yes No
Comments:
[ ] i 16. lx Bonus-D:Wood Frame,Double Pane with Low-E'U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
OommCn—ts-
17. lx Master suite-G:Wood Frame,Double Pane with Low-E,U-factor:0.340�
For windows without labeled U-factors,describe features:
#Panes . Frame Type� Thermal Break? Yes No
Comments:
18. lx Upper Foyer-U:Wood flame,Double Pane with L _E,I U-factor: 0.340
For windows without labeled U-factor's,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
[ ] i 19. Ix Bed#2-G:Wood Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes . Frame Type Thermal Break? I Yes No
Commen—ts—.
[ ] i 20. 3x Basement window:Wood Frame,Double Pane,U-factor:0.560
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
1. Breakfast#12:Glass,U-factor:0.630
#Panes Frame Type L-_Thermal Break? Yes No
Comments:
2., Laundry#11: Solid,U-factor:0.230
comments:
3. Foyer#1:Solid,U-factor: 0.450
Comments:
4. Basement H170: Glass,U-factor:0.230
#Panes Frame Type Thermal Break? Yes No
Comments:
Floors:
[ ] i 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation
Comments:
Heating and Cooling Equipment:
[ ] i 1. Furnace 1:Forced Hot Air,92 A.FUE 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. .
[ ] I 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:
[ ] 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.
] i 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:
[ ] All joints,seams,and connections must be securely fastened with welds,gaskets,mastics
(adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not pernutted.
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.
[ ] i 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 New York State or
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.
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-depletable sources. Pool pumps require a time clock.
Heating and Coaling Piping Insulation:
[ ] HVAC piping conveying fluids above 105 T or chilled fluids below 55°F must be insulated to the
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) U1)to 1" Up to 1.25" 1.511 to 2.011 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 0.5 110
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Piping System Types
Temp. Insulation Thickness in Inches by Pipe Sizes
ating Systems Range(F) 2"Runouts I"and Less 1.25"to 2" 2.5"to 411
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)
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
Factory]'milt Gas Fireplace/Stove Insaection Report
Notice:New Fork 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 cations is allowed.
Permit# n Schedule Inspection Time G 06 (�' pm anytime Inspector
Name Address CP ,{ilL hough In Final
Appliance Manufacturer Model#
Direct Vent Factory Built Chimney FIue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (ail 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
Height above Vp opening
Witness Operation
Tank Placement(if LP)
White—Building Dept. I'Yellow C`ust er Pink—Fire Marshal
Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received: 7///6
V q S�a L
Queensbury Building&Code Enforcement Arrive: arn/pip- -Depart: pin
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: 40z_-:_ :
NAME: PERMIT#: 6?�D,_)_
LOCATION: Q I Al 60 DATE:
TYPE OF STRUCTURE: 611�
Comments
Y /N N/A
Chimney Ht./"B"Vent/Direct Vent Location
V11, I-T
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 V�r
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
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler A
Relief Valves j 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
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches A..
'/hour fire door/door closer
Garage.fire proofing
Duct work Scaled properly V
Attic access 30 in.x 24 in,x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq.ft.-150 sq. ft.vents
Building No./Add;ess/.yisibV from row
X� -
Final Electrical . 60 jr
Site Plan Variance ieguited
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Stickerq/L�`63 V,
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:\SueHen-tin'gway\Building.Codes.Inspectioii.FORMS\Res.Final Insp,form 2.doc edited January 28,2003
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Rough Plumbing/ Insulation Inspection Report �f
t
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pn am/pm f -
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME:' t �� "(�'SGi? ' . PERMIT#: 0
LOCATION: 1A5 . _ INSPECT ON: O i
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 i
Coppe sp ercial
Ca_-er CPVC,Pex One&Two Family
Ins 17a 'r/Residential Check/Commercial Check s
Mr Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed aperly
LVJ
}13�TENTS: j I> Z�'r* �i j •� '
L:\PamW\Whiting\Rough Plumbing Insulation Report.doc
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: 1 IM
742 Bay Road,Queensbury,NY 12804 Inspector's
NAME: e., PERMIT '17 D 2-
LOCATION: INSPECT ON: bZ'
TYPE OF STRUCTURE:
Y NN/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
opper Commercial
Copper,CPVC,Pex One&Two Family
'Insulation/Residential Check/Commercial Check
-Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L.\Sueliemingivay\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Rough Plumbing / Insuldtion Inspection Report PM
Office No. (518)761-8256 Date Inspection request received:.—
Queensbury Building&Code Enforcement Arrive:—am/pm. De art 1 am/pm
742 Bay Road, Queensbuly,NY 12804 Inspector's Initials: -70
NAME: \\N PERMIT#
INSPECT ON: 5-
LOCATION: c 3
TYPE OF STRUCTURE:
Y NN/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
Clipper Commercial
opper, CP,VAQ,, Pex One&Two Family
ential.Check/Commercial Check
U)
0F?o"pe-r Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
F_7
cur
A,-
*wo
:L:\SueI-lemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 2g,2003
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury,NY 12804
Phone (518)761-8205 Fax(518)745-4437
Fire Marshal's Inspection Report
Request 12� SCHEDULE 0 X
Received: Permit# � _ INSPECTION ON.
Name: ����i�A-��- ��il AM PM ANYTIME
Location:
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE ^
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASO RY ROUGH IN
FINAL CHIMNEY
j,
FACTORY BUILT ROUGH IN
FINAL
WOOD .
STOVE ROUGH IN
FINAL ,
VENTED GAS
APPLIANCE ROUGH IN
FINAL OOKTHISDAT
FIREPLACE
MASONRY ROUGH IN O FOR CO NOT OK ;
FINAL _
FIREPLACE
FACTORY BUILT ROUGH IN MPECM BY
FINAL
COMDEVlCHRISdIWORDILETTERS20011FIREMARSHALINSPECTIONREPORT11022001
WHITE--BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY -
Framing I Firestopping Inspection Report,
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement- Arrive: am/pm epart. am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: "a
NAME: PERMIT#oz- Z,
LOCATION: ,{ dW-. INSPECT ON:
TYPE'OF STRUCTURE:
Y N N/A COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in-
Stairwells-36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq,ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation.1,2,3 hour
Fire wal 2;3,4 hour
pin -7 ��� � --
Penefration sealed;
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in.(H)
20 in. (W)
5.7 sf above 1 below grade
5.0 sf grade
L:\SueHamingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: 07�. m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: l ' , —LS �{ l PERMIT#: ���
LOCATION: Q,t INSPECT ON: S
TYPE OF STRUCTURE:
I
Y N %N/A
wing COMMENTS
10 aek Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls t=- �
Metal Strapping for Notches Top Plate
1 f2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
lee and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fil wall 2, 3,4 hour
ires og,J Ong -
netration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHeming�vay\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
O N 15
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received: 2�
Queensbury Building&Code Enforcement Arrive: am/pm D part: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
i.012 �
A
NAME: . PERMIT#: 17.,oO2- a
LOCATION: cll -a5 INSPECT ON: 5
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
1oug�la�Plurrbin.g/Nail Plates
_ i �
Head or Air 5-�" I'~'`I`est
Pp � .
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Comiercial
Co per,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
CONMENTS:
Cn
,�--
71"
L:\SucHemingwayl3tiilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Framing 1 Firestopping Inspection Report M6 0 tt#c- 3
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ f art: a
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: tsS f PERMIT#:
LOCATION: illra, INSPECT ON: 3 d
TYPE OF STRUCTURE: 5r p
- _ Y N N/A COMMENTS
AN V Jack Studs/Readers
Bracing/Bridging
Joist hangers u
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
I %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_wgr2er344ihour
Vpi lopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
I_:\SueHeming-,vay\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (5 IS)761-8256 Date Inspection request received: 121)
Queensbury Building&Code Enforcement Arrive: am/p Depart: m
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: �o A PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRU 'URE:
Comment
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in-Place
The contractor is responsible for
providing protection fiorn 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
Bacl Approval
Oumbing Under-Slab
PVC 1 ast/Copper Gb
—boufidation Insulation Interior/Vxterior
R-
Rough Grade 6 inch drop within 10 ft.
L-.\SueHenn ngway\Building.Codes,lnspection,PORMS\F-oundation 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: Qj1da PERMIT C� --
LOCATION: INSPECT ON: C) 0 cfi
f TYPE OF STRUCTURE:
Comments
Y N N/A `Y
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
Backfilll- pprova
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:4SueHemingway\Building.Codes,Inspection.FORMS\Foundation Inspection ReporLdoc January 28,2003
C-77)
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ m1 Depart:/
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: (9 V- PERMIT#: oz -J
LOCATION: INSPECT ON. '2-6
TYPE OF STRUCTURE:
Comments
Y N N/A j1jents/,
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
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior Exterior
R-
Rough Grade 6 inch drop within 10 ft.
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pip Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 0
NAME: PERMIT#: "
LOCATION: INSPECT ON:
TYPE OF STRUAW
Comments
Y N NIA
ootings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement u
of the concrete.
Materials for this purpose on site.
Foundation 1 Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation t Waterproofing
Type of Dampproofmg 1 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 1 Cast 1 Copper
Foundation Insulation Interior I Exterior
R-
Rough Grade 6 inch drop within 10 ft.
MAP REFERENCE:
MASTER'S COMMON SOUTH
DATED: AUGUST 26, 1987
N08*58'50"E
BY: VAN DUSEN & STEVES
FILED: MARCH 10, 1988
DRAWER 17 FOLDER 1
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