2002-1039 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CE RT IFICATE OF OCCUPANCY
Permit Number: P20021039 Date Issued: Monday, October 20,2003
This is.to certify that work requested to.be done as shown by Permit Number P20021039
has been completed.
Tax Map Number: 523400-290-013-0001-004.000.0000
Location: 43;'MASTERS COMMON NORTH
Owner: MBS ENTERPRISES,LLC
Applicant: ROGERT&MICHELE SPRINGER
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage'-3 Cars Attached
Single Family Dwelling
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: P20021039 Application Number. A20021039
Tax Map No: 523400-290-013-0001-004-000-0000
Permission is hereby granted to: *ROGERT& MIC14FLE SPRTNG-FR
For property located at: 43 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. T Value
jVe of Construction
Owner Address: KELLY& KAREN RANDALL Fireplace
5 IROQUOIS Dr Garage-3 Cars Attached
QUEENSBURY,NY 12804 Single Family Dwelling 180,000.00
Total Value 180,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
MBS ENTERPRISES- LLC COMMONWEALTH FUCTRTCAT, A
26 CROWNWOOD LANE
OIJF,FNSBIJRY-NY 12804-0000
PO BOX 706
-HAG1JF_NY
Plan's&Specifications
2002-1039 LOT#14 HSE#43 MASTERS COMMONNORTH
2344 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$353.28 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,December 30,2003
(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 tie To of e; ury day,December 30,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury Department of Community Development,742 Bay Rd., Queensbury,NY 12804
(518)761-8256 = .
A permit must be obtained before beginning construction: Permit No.:
No inspection will be made until applicant has-received a Fee Paid:
valid building permit. Form must be completed. Rec.Fee Paid:
Reviewed By:
Applicant: �-y� l 1 Owner: .15
Address: l f� � Address• % f
Phone#: .�iv! S Phone#:
Tax Map Number: ->
Subdivision Name:
(if applicable)
Lot Number: /Hause Number: ����t Street Name
OR
Property Location:
a New Building: Residential/Commercial Estimated Market Value of Constru
co Addition: Residential/Commercial If an Addition,what will use of add�ri e?
u Alteration: Residential/Commercial
a No change to
Exterior size: Residential/Commercial -TOWN OF OUS C 0.U%)
a Other work: (describe ) 81)1LD1T�1G A 1®--flD�
Check Below Occupancy Info 1"floor sq.ft. 24 floor sq.ft. Other floor sq.ft. Total Sq.Ft.
Single Family Dwelling ax/; ,)--R
Two Family Dwelling a Cp
Townhouse
Multifamily Dwelling
#of units
Office
Mercantile
Manufacturing
I car detached garage
2 car detached garage
3 car detached garage
1 car attached garage,
2 car attached garage'
3 car attached garage
Storage Bldg.;Comm.
id
Storage Bldg.,Res.
Other
What is the proposed height of the structure: !7 feet _inches n
Will any second-hand or ungraded lumber be used? If so,for what? flit]
No.of Fireplaces to be installed:
No. of'Woodstoves to be installed: '
List below the person(s)responsible for supervision of work in regards to Building Codes:
-Name - — Address-- - -- -PhoneNTo.---
Builder ,iI jajtG. riT and 7121A - uC
Plumber $ 7 7" —6_ S"1
Mason
Electrician
Declaration: Please sign below after you have carefully read the statement: ---
To the best of my knowledge the statements contained in this application, together with the plans and
specifications submitted, are a true and complete statement of all proposed work to be done on the described
premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to
the proposed work shall be complied with, whether specified or noted, and that such work is authorized by
the owner. 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 Bnilt Snry a licensed su eyor. drawn to scale,showing actual location of all new construction.
Signature: {circle one: owne owner's agent,architect,contractor)
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road QueensbuM NY 12804 (518) 761-8256
1. OWNER INFORMATION:
Location of installatij-r 4�, Office Use
-3q
File Permit No. Lo
Tax Map No.
Fee Paid
Owner's Name:
............................ .......................... .......................
Address:
PHONE NO.
I�P)2�w
2. INSTALLER'S NV4� .
Z
3. RESIDENCE (circle ye dwelling, ind�i ate#bedroom(s) and multiply#of
TI ;ol be ooms with applicable gallon per bedroom to equal total daily flow)
Year of Hous r: No of Bedrooms x omputation = Total Daily Flow
1980 or older x J50 gal/bdrni =
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)
Topography Soil Nature Ground Water Bedrock or impervious Material Domestic Water SUPI
Flat sand at what depth at what depth municipal
Rolling loam feet —feet well
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 sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: gallon(min. size 1,000 gal.)
Tile Field: each trench_ft. Total System Length:
Seepage Pit(s): number of size of each: ft. by_ft.
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 of o Queensbury Sanitary Sewage Disposal Ordinance.
Sig dafire- of re,WonsibI4/person /Date--"
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7. SIGNATURE Si INFOKIviATIDIri FOR Yt7raixs�. Irt: vs-c .�,,..,•��.:;
-1� 3
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
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
AP LICANT'S NAME: PROPERTY LOCATION:
Z�9e_
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area-— ;`3#--square feet
2. Type of heat-—Electric Oil �Gas L<:�__Other
3. is building mechanically cooled? yes 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: R V
a. Roof
b. Exterior walls
C. Glazed areas R
d. Exterior doors R
e. Floors over unheated spaces R
f. Edge of slab on grade(heated building) R_
9. Basement/cellar walls (above grade) R.
h, Basement/cellar walls(below grade) R
i. Heating/cooling-ducts-piping in unheated space R
6. Service(domestic)hot water heating device Yes No
Conforms to minimum efficiency per code
TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED
P rc is Si natu Date
Phone Number
INSPECTOR'S REMARKS:
Porch, Deck, Dock, or Boathouse 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. No Permit File No..S4�m - o39
inspection will be made until applicant has received a valid Fee Paid $
building permit. All applicants'spaces on this application must be Reviewed By:
completed and must appear on the application form.
Applicant: �/,642-owner:
A
Address: Address:
da I -
Phone#CrZf�
Phone#
Email Address: Email Address: 7
Person R onsible for Supervision of Work as Regards to Building Codes:
Name 106) Address:R/e 2Phone
V- k
Property Location: Lot Number House NumV-11�ber
Subdivision Name: /J/ Tax i1ap Number:
Estimated Market Value of Construction: $ 402
u Porch
VDeck
u Dock
Ei Boathouse
L3 Other work(describe
Size of structure to be built square feet
Submit along with this application:
1. Two plot plans drawn to scale,preferably using a survey map. Indicate proposed
structure showing setback dimensions from all property lines. Show location of
water supply and location and configuration of septic disposal area.
2. Two sets of structural drawings. Indicate size of posts or studs, floor joists,
decking or flooring material to be used. Show how the porch or deck will be
fastened to the building. If a roof will be constructed,indicate the size of posts or
studs,roof rafter spacing and span. Indicate type of roof. sloped, flat, shed,or
other. Indicate the type of material being used for the roof.
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 vuilh,whether specified or noted,and that such work is
authorized by the owner.
Applicant's signature: Date:
I.;:\SueHeming4vay\Building.Permit.FORMS\PorchTorch.Permitdoe 8/13/02 revised per DH
I
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,,NY
(518)761-8205
App ication for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances ,.-
Date bkr�F N? j`__ I e Al �° , 20 r,)::2 Pet-mit No
Applicatitjz is hereby made to the Building& Codes Office for the issuance ref a 13ullding and Use
Permit pursuant to the New York State fire Prevention and Building Code. The applicant or owner
agrees to comply yvith all applicable laws, ordinances, regulations, and all conditions that are part of
these requirement I and also will allow all inspectors to enter premises to perform required inspections_
NOTE to applicant: Rough-in and Final Inspections are required.
Applican Information Fuel Burning Appliance Information.
(circle appropriate words)
Name: Stove: wood coal . pellet gas
r {.s Fireplace insert
Address: `' Fireplace, factory-built: wood gas
Fireplace, masonry: wood gas
T� Furnace.: wood gas oil
i fa '2
Phone;
3 If non-masonary applicance,please provide
Owner: %+�. " j ( �' '1,�"_ ;� ~,st l Manufacturer Name: .
r..1_ * Model Number: 1
Address r {` .. t
-' Chimney Information
(circle a ro riate words
pp P )
Masonry block brick stone
Flue tile. steel size:, inches
Exact Address:
of C'nstruction or installation Factory-Built
Manufacturer nat11e:
Model Number:
Note: Listed By: Number:
Construction IJInstallation must
conform to NYS Fire Prevention chi Building Indicate (circle) chimney material:
Code. Consult availake Town of Oueensbury
Handouts regarding required inspections. Double wall / Triple wall / Insulated 1 Direct venting
Chimney Liner
ETa.,erls.ier'�r Z��`2na�tme�t-�o�rz� of'Queen�rbuz�, 3V'e��orl3:
Fire Mnzshttl Coyle# $Collected $Refunded Received from (refunded to) l
A 173 3 389 (190) Public Safi ty
A 233 2655 (230)Minor Sales
DATI
D-P--
r White(Applicant) ! Green(Fire Marshal) ! Yellow(Bldg.Dept.) / Pink K Goldenrod(Cashier's Dept.)
c 6b
Project Name: BP# 103�
Address: 6p& 010
Building Permit Submission
Sb fiangy dze&g SFD
Tuofiangy du&U
Checklist OM.
All items below must be checked either yes,no or not applicable prior to submission of any budding
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 ... ... ... ... ... ... ...... ... ... ... ... . eyes n no ❑ n/a
2. Energy Form or Checkl&te Energy Code Compliance Forms Complete.. Eyes El no El n/a
3. Energy Code Inspector's Report from Checklffite Program.. ... ... ... ... .. 9-yes El no EJ of
4. Septic application completelyfilled out(if applicable)... ... ...... ... ... ... ... n yes n no [In/a
5. Solid Fuel Burning or Gas Appliance Form... ... ... ... ... ... ... ... ...... ... ... .6�s Ono [:]n/a
6. Electrical Inspection Form... ... ... ... ... ...... ... ...... ... ... ... ... ... ... ... ... .. Ks nno Eln/a
7. Two(2) complete sets of structural drawings... .. ...... ... ... ... ... ...... ... ... .[Ks El.o [:]./a
a) floor plan;b) foundation plan;c) cross sections:d) elevations;
q) window and door schedule
8. Two(2) site plans showing location of the structure to be built. ... ... ... ... _t�r�Sono Fln/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure... ...... ... ... ... ... ...... ... .. W5-s'nno E]n/a
10. Setbacks to neighboring wells and septic systems,including onsite.well-,;.. nyes Flno VDIa
and septic systems(if applicable)
11. DrivewayPermit... ... ... ...... ... ... ... ... ... ... ... ... ... ... ...... ... ... ... ... ... [:]Yes no nn/a
Date-
Staff Initial..
L:\SueI-kmingway\BuRding.Pennit.FOBAB\Generic CheckUstdoc
Permit Number
MECcheck Compliance Report Checked By/Date
Proposed New-York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
Data filename: C:\My Documents\springer4 .1cck"
TITLE: custom three bedroom home
COUNTY:Warren
STATE:New York
HDD: 7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE: 12/23/02
DATE OF PLANS:dec:23,2002
PROJECT INFORMATION:
springer
COMPLIANCE:Passes
Maximum UA=495
Your Home=,447
9.7%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 2344 38.0 0.0 70
WWI 1:Wood Frame, 16"o.c. 2071 19.0 0.0 105
Window 1:Wood Frame,Double Pane with Law-E 122 0.320 39
Window 2:Wood Frame,Double Pane with Low-E 17 0.300 5
Window 3:Wood Frame,Double Pane with Low-E 76 0.320 24
Window 4:Wood Frame,Double Pane with Low-E 12 0.320 4
Door 1: Solid 20 0.150 3
Door 2: Solid 13 0.260 3
Door 3: Solid 18 0.150 3
Door 4: Glass 40 0.300 12
Basement l:Wood Frame, 10.0'ht/0.0'bg110.0'insul 630 19.0 0.0 36
Window 5:Wood Frame,Double Pane with Low-E 23 0.320 7
Door 5:Glass 40 0,300 12
Basement 2:Wood Frame, 10.0'ht/7.5'bg/l0.0'insul 1650 11.0 0.0 101
Door 6: Solid 18 , 0.150 3
Basement'3:Other,4.0'ht/3M bgAff insul 252 0.100 20
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
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
AMCcheck Software Version 3.3 Release'lb
DATE: 12123/02
TITLE: custom three bedroom home
Bldg.
Dept.
Use
fi
Ceilings:
1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:r-38
fi
Above-Grade Walls:
1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments: 1 ST floor walls
Basement Walls:
1. -Basement 1:Wood Frame, 10.0'bt10.0'bg1l0.0'insul,R-19.0 cavity insulation
Comments:above grade inc.rim jst.
2. Basement 2:Wood Frame,10ff ht/7.5'bg/10.0'insul,R-1 1.0 cavity insulation
Comments:below grade ine.rim jst.'
3. Basement 3:Other,4.0'ht/3.4'bg(4.0'insul,U-factor:0.100
Documentation must be submitted verifying the overall assembly U-factor.
The U-factor must be developed in-accordance with accepted engineering practice.
Comments:ridgid foam @ slab above grade
fi
Windows:
1. Window 1:Wood Frame,Double Pane with Low-E,U-factor: 0.320,
For windows without labeled U-factors,describe features:
9 Panes Frame Type Thermal Break? Yes No
Comments:M210410-2.
2. Window 2:Wood Frame,Double Pane with Low-E,U-factor:0.300
For windows without labeled U-factors,describe features:
9 Panes Frame Type Thermal Break? Yes No
Comments: et6/c/pd/nl
3. Window 3:Wood Frame,Double Pane with Low-E,U-factor: 0.320
For windows without labeled U-factors,describe features:
#Panes Frame Type. Thermal Break? Yes No
Comments:WC10410'
4. Window 4:Wood Frame,Double Pane with Low-E,U-factor:0.320
For windows without labeled U-factors,describe features:
#Panes - Frame Type Thermal Break? Yes No
Comments:tw283 10
5. Window 5:Wood Frame,Double Pane with Low-E,U-factor: 0.320
For windows without labeled U-factors,describe features:
9 Panes Frame Type Thermal Break? Yes No
Comments:tw28310
fi
Doors:
1. Door 1: Solid,U-factor:0.150
Comments: ent.door
[ ] { 2. Door 2: Solid,U-factor:0.260
Comments: sidelights
[ ] 3. Door 3: Solid,U-factor:0.150
{ Comments:314 hr.
[ ] { 4. Door 4:Glass,U-factor:0.300
{ #Panes Frame Type Thermal Break?[ ]Yes[ ]No
I Comments:fwg6068
[ ] { 5. Door 5:Glass,U-factor: 0.300
{ #Panes Frame Type Thermal Break?[ ]Yes[ ]No
{ Comments:fwg6068
[ ] I 6. Door 6: Solid,U factor:0.150
Comments:3/4 hr.
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 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:
[ l 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.
[ ] I Materials and equipment must be identified so that compliance can be determined.
[ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating
{ equipment must be provided.
[ ] I Insulation R values and glazing U-factors must be clearly marked on the building plans or specifications.
{ Duct Insulation:
[ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] { 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).
[ ] I 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.
I
Temperature Controls:
[ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone. .
1
{ Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
I
{ 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.
}
( Service Water Heating:
[ ] } Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
j 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 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.
A • . q
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) lb to 1" lip 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 LWAC Pipes
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes.
Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 4.5 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 L5 1.5
NOTES TO FIELD(Building Department Use Only)
designed to meet the Proposed New York State Energy Conservation Construction Code requirements.
Builder/Designer �? �y — Date 22c . Z✓? , -cpa 2
r _
c+
N
Q6895rs 4�,
02
Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code.Enforcement ' Arrive: 1013-' a / Depart: am/pm
742 Bay Rd.,Queehsbury,NY 12804 Inspector's Thitials.7w
NAME: LV.041IA050 PERMIT ff: N 9
LOCATION: 0AaS4e1-11L 5(21 DATE: -71:11
TYPE OF STRUCTURE:7
Comments
Y N NIA
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railhigs 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/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 safet lazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: J Batter 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
1/4hour fire door/door closer Ol-
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, I sq.ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan Wariance required-
Vinal Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,,if required
Okay to issue C/C(Cert.Of Co liar ce) 10'Okay to issue Temporary C t 0(Cert.Of Occupancy-)
Okay to issue Permanent C J 0(Cert. Of Occupancy)
L.\SueHerrdng%vay\Buildin.-.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
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MAP REFERENCE:
MASTER'S COMMON NORTH
BY VAN DUSEN & STEVES
DATED AUGUST 26, 1987
HIGHLAND
GOLF
COURSE
LOT 13
s
o o.
W
h \
}
1� a �
o \
z
�o-
1 STORY �4ti4�
WOOD FRAME \ F
' HOUSE
e° LOT 14 \ Fyr 56.61- V
31,098 sq.ft.
0.71 acres
CRUSHED
STONE
DRIVE � I 8S
490
3, O
�J
O
WALL OVER v
LINE 0.5G'
UTILITIES
r7P1I
LOT 15
Of
v t,
Date: JANUARY 28, 2003
D'UNNINOMM
u ►�'
_
Steves
L a is d S u r v e J ors
169 Haviland Road Queensbury, New York 12804a,„E,"•°�°M
AL7EI AIM Olt i ADD11 TO A SUW,"
MAP ,E�«, A „CE„� LAND „A,EYMVAL a A
WWI M OF SEC" r^ sus--aM810M x OF nle
NM YW STATE MXMY M LAW.'
XM WrrH AN 0M 7Ml OrWMMLO SURV OW
WM
11MOfm N7R1 M OItlQ1MiL QM WO'JU111N010
SEAL SHALL K CGMWERED 70 K VAUD IM COPIES.'
WS SURVEY MMS RMPMm Sl ACCd1 Na WN M
EXMYM = W � SMA ORS ADOPM
SV THE iAW VE R& STALE AVft11 a PROPESSCMAL
7oM M: R WMW n �w�%V 6 P EPOWL �"MEe" wo
A X � ro > WS71MM UM >M COMPANY. '"`
A"°
MB S
Town of
Map of a Survey made for
ENTERPRISES,
Queensbury, barren County,
-
LLC
New York
Scale 1 "=30'
-
1
i 1
II��VVI
FEET 1 OF 1
2
10-2-03
FINAL SURVEY
1
2-27-03
NAME CHANGE
SFMGER
NO.
DATE
DESCRIPTION
(518) 792-8474 New York Lie. No. 50135
DWG. NO. MCN-14
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection requ ec v 1,0 lo,3
Queensbury Building&Code Enforcement Arrive: P art: W__W<a?Ri
742 Bay Rd., Queensbury,NY 12804 Inspector's iti s:
Inspection re qu ec
epa
iti#
NAME: P IT C) -A/93 9
M
T
LOCATION: na Ma—Ye TE:��k,1w
TYPE OF STRUCTURE:
0;7
/t H Comments
Y N N/A
Chimney Ht.f"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in. or more @ stairs,decks,patios
'0
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.
Ce Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6Anj_w44LAt*,--
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
Relief Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight � \
Safety glazing
Window in stairwells safety gl z n
Interior Smoke Detyetors:
V
Every level; V Bed(OOM:
Outside every bedroom 0 J ver-
,,,n e ea.
Inter Connected: - _ / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation (2—D
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches V/
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 Spaces 18"x 24"access, 1 sq.ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System ,Sewer Dept. Insgection Sticker
Flood Plain Certification,irr-tr��
Okay-tq-iss.up C/C Wert. Of Compliance)
Okay to issue Torn ors C/0(Cert. Of Occupancy)
Okay to issue Permanent C/0(Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
9 Farmington Drive
Shrewsbury,MA 01545
October 16,2003
Mr, Dave Hatin,Director
Building and Codes
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Dear Dave:
Re: 43 Masters Common North,Queensbury,NY 12804
Per to our conversation this morning regarding delivery of appliances to comply with the
Town's requirement for a certificate of occupancy for 43 Masters Common North,the range,
refrigerator, dishwasher, and microwave will be delivered to the referenced premises on Saturday,
October 18.
.9inqrely yours,
Donald and Vaieri Krebs
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MAP REFERENCE:
MASTER'S COMMON NORTH
BY VAN DUSEN & STEVES
DATED AUGUST 26, 1987
HIGHLAND
GOLF
COURSE
LOT 13
s
so, F
W
o \
h h
�o o
o �
o �
� 20-
U�O
1 STORY
WOOD FRAME \ CF
1 HOUSE
I
56.61' Q° LOT 14
31,098 sq.ft.
0.71 acres
GRU5HED
5TONE
DRIVE eS
�1
r0
WALL OVER �✓
LINE 0.5G'
1 D u s E?
i
v
Steves .
Surveyors
169 Haviland Road Queensbury, New York 12804
oUNMIMMM KTERAIM OR A00FIM TO A SLOWY
MAP BEAR M6 A UCiNSW LAID SURVEYORS SEAL IS A
MOLAT M or SEOIiON T200. SUB -ON" ; OF THE
NEW YORK STATE MWATION LAW
,OILY MM A OPOO K ORIORML W SLN SURVfl'
LNRKm NTIM AN OIBOIIIAL OM LAND SIALVlYORD
SEAL WALL BE MWEIM 70 BE VALID TNUE COPIES.'
'CERIFICATOMS 90ICATED HEREON SIONVY 1NAT
V IS "VEY WAS PREPARED IN A00MAMM NITM It
BYTHEMEW M OWE�'" `a° `� PROFESSIONAL
8Y lilE NEW YORC STATE ASSOCIAl10N OF PROPE490NAL
EXILand
LAND SURVEYOR& SARI CERVICATOIS 9W1 RUN ONLY
70 THE PERSOM FOR WHOM THE 91RVEY 6 PWAREO. AND
ON IFS BEHALF 70 THE TITS COMPANY. 00YERI604TAL
TO MM ASSI0NMCrTUDVM 040"WIM'W AM
(518) 792-8474
New York lAc. No. 50135
LOT 15
UTILITIES
..1
Map of a Survey made for
MBS ENTERPRISES, LLC
Town of Queensbury, Warren County, New York
2 10-2-03
1 2-27-03
NO. I DATE
Scale 1" =30'
S-1
FINAL SURVEY BEET 1 OF 1
NAME CHANGE SPRINGER
DESCRIPTION DWG. NO. MON-14
TRI AD INSPECTIONSERVICE, INC,
OMM�N�`EA�T� � �
Mule Ofte 176 Doe Run Road z Manhelm, PA 17545
MUNICIPAL CERTIFICATE a ELECTRICAL APPROVAL
Penit Not tlllin11f111111g111141111111fuliNft f8 117 3 cutain Card Noi lillliilllgii111!llllilli IN
on V,
Aille
ownerIIIIIIIIIIIIIIII P111IIIIIIIIIIISIN
lllNiH11141 111 11111111 i111111u1uflld111Hiil1Mi11 flllNlllilllfl114 iilt 111 fill
1
lip ra 66;44
Location1111Htt1111tiliiliiiliitii41i11f1411u4iilllflll«Iliilililliilliililllill! liluill114ilillillililiiiiillf111itallli4 111i1lliiilliillll IIIINiIIlfllinq
f� Q � G` " i1•
Installation Consisting oflia N 14411 i 11i11 f11411 11f li it uifalllilu ililiillili 4i11 I1111 lHilif1111111u1111u111111n1! IIIiI41fi1Nili1
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Installed ByIIIIIlIlIIPgl1flfi Lie, No, 11111uilliilllillf111111f11f114iliiillt�ilililli
The conditions following governed the issuance of this cortif cafe, and any certificate previously issued il,
cancelled:
This certificate only covers the electrical equipment and installation conditions as of date. Upon thi
introduction of additional equipment or alterations, application shall he promptly made for inspection.
Inspectors of this Company shall have the' privilege of making ' boas at any time, and if ill
rules are violated, the Company shall have the right t rev e t VIIIIII
tic of
Datelf.
INSPECTORM ill 11111ti111 Ilfililll111ni11111f1i11f11N1 i11ff1i llUfli111i1ii1i1111ififiluillillillfi11141iulgllilllilililil411
Member NAPA,14LI,
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 Q's
Request �t SCHEDULEnJ
Received: Permit#/ 06-Z/ INSPECTION OBI:
Name: K AM M 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 Irk
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGHIN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGHIN Off(THIS D E O FOR CO NOT OK
FINAL
FIREPLACEEFACTORY BUILT ROUGHIN CTED BY
FINAL
COMDEV/CHRISJ/WORD/LETrERS2001/FIREMARS 1NSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
r; 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 SCHEDULE
Received: Permit#. Log INSPECTION ON:
7 -
Name: 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
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROJJGH IN /Off(THIS DATE OK FOR CO NOT 0
FIREPLACE ROUGH IN FACTORY BUILT INSPECTED BY
FINAL
COMDEV/CHRISJ/WORD/LETTERS2001/FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
67�y\_
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 J SCHEDULE
Received: Permit# 1 INSPECTION ON: La
Name: 2�2-r.- AM P ANYTIME
Location: m
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 j}U
CLEARANCE TO SPRINKLERS
{ p
CLEARANCE TO HEATING � �'�
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGHIN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGHIN
FINAL
FIREPLACE
MASONRY ROUGHIN OK THIS DATE OK FOIE CO COTOK
FINAL FIREPLACE ELFACTORY BUILT ROUGH IN
INSPECTED BY
FINAL
COMDEV/CHRISJNVORINLETTERS2001/FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
_fl
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
Factory)wilt Gas Fireplace/Stove Inspection Report
\v)
Notice:New York State requires that all 1.1L Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufactur
instructions or specifications is allow d.
Permit# r Schedule Inspection 3 J 03Tnme am' pm anytime Inspe
Name Address A/ .�J ,Rough In in�I
Appliance Mann rer ��----Model#
�t
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase _
Wall Penetration
Vent Clearances to Combustibles / � -
"Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
Wiidte—Building Dept. Yellow C-40a. Pink—Dire Marsbal
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection reque ved: T 3 a 03
Queensbury Building&Code Enforcement Arrive: pm ; D art
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial .
NAME:
LOCATION: � DATE:
TYPE OF STRUCTURE:
Comments �d
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 Rail iri s 34 in.to 3.8 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above gradeC
Gas Furnace shut-off within 30.ft.or within line of site
Oil Furnace shut-off at entrance to furnace area -
Furnace/Hot Water Heater operating
Low water shut=off boiler \/
Relief Valve(;)-installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight (�
Safety glazing
ter.
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 j
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf -
Eaergency egress below grade
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(hQ 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)
94y to issue Temporary C/O(Cert.Of Occupancy)
Okay to issue Permanent C/O(Cert.Of Occupancy)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003
V S
Foundation Inspection Report
Office No. (51-8)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: aml >� /Depart: m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
"} / r-
NAME; � PERMIT#: �J`-�=/� lJ
LOCATION: Yv,--N-�-MPECT ON: 7 —
TYPE OF STRUCTURE:
Comments
Y N N/A
gs
'rats "
Mon ithic 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 r
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
Back fill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L,\SueHemingway\Building,Codes,lnspection.FORMS\Foundation pection 1 eport.doc January 28,2003
r POMP,
ry
Rough Plumbing /Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received: I
Queensbury Building&'Code Enforcement Arrive:' am/ m part: O 1 '1 J am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: �� TF
NAME: P/V l o PERMIT#: ��
LOCATION: (UD INSPECT ON:
TYPE OF STRUCTURE:.
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
'Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply.Test
Drain andVents
5-PSi or fa A. above highest
Connection for 15 minutes
Water Supply Piping ..
Copper Commercial
c � er, CPVC,Pex.One&Two Family
u a .a W" /Co ercia e
'Proper Vent,Attic Vent.
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace''
Duct Work Sealed Properly
/ *
:L:\SueHemingway\13uilding.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
1p6 t/(
Foundation Inspection Report
Office No. (51-8)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm / Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: t�
NAME: _ `'Y1Y r PERMIT#: lJ 103
LOCATION: 113 Ylillz, INSPECT ON:
TYPE OF STRUCTUR
Comments
Y N N/A tI
ootings 'P' n�� I �
C 1, .x o
Piers [�
7-0
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
t
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
Back fill Approval Q
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior 1 Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:1SueHenungway\Building.Codes.Inspeetion.FORMS\Foundation Inspection Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received: 12'- -7
Queensbury Building&Code Enforcement Arrive: am/p Ppart:G7 ,11-Jam/prn.
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: tz I w6C--9— PERMIT
LOCATION: -J - INSPECT ON: t
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 1 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
ater 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:
!L:\SucHemiiigway\Buildin,-.Codes.Inspection,FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Rough Plumbing Insulation Inspection Report
Office No. (518)761-8256 Date Inspection requ ceived;
Que=sbury Building&Code Enforcement Arrive: a p Dep
742 Bay Road, Queensbury,NY 12804 Inspector's Init* Is:
NAME: ERMIT 4:
LOCATION: i INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain I Vents
Cast Iron,Copper Drain/Vent/Comm.
Plu�bing Vent/.Vents in Place
\V Aough Plumbing/Nail Platei�.,,.
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:
!L:\Sueliemiiigway\Building,Codes.inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
G
Rough Plumbing / Insulation Inspection Report
-Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p D )art: Al. wam/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: �r PERMIT# 03
LOCATION: Azo r=;:tffi INVIA I V INSPECT ON:
TYPE OF STRUCTURE: 02 1)
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iron, Copper Drain/Vent Comm. Z.
Plumbing Vent/.Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Drain and Vents
5 PSI or 10 ft. above highest toe
Connection for 15 minutes
Water Supply Piping
Cvper Commercial
,5o9per, CPVC,Pex One&Two Family
a:T,7t7TWe'sTeTtii1 Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping insulation
If required unheated spaces
Combustion Air Supply for Furnace
uct Work Sealed Properly
()A)011 7 70
C ENTS:
11V 5-j_A-e_e_
4 tt q 5 q-q.
,L:\SueHemingway\Building.Codes.Inspection,FORMS\Rough Plumbing Insblation Report.doc January 28,2003
V
Framing / Firestopp n n ib ort
Office No. (518) 761-8256 Date Inspection re st cel ed:
Queensbury Building&Code Enforcement Arrive: a pm a
742 Bay Road, Queensbury,NY 12804 Inspector's Initia s:
0 C',
NAME. PERMIT#:
LOCATION: Ank ae-64, A INSPECT ON:
TYPE OF STRUCTURE: W9�9
Y N/A COMMENTS
� Framing
Jack Studs Headers
Bracing Bridging
Joist hangers
Jack Posts/Main Beams V/
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 wall 2, 3, 4 hour
Firestopp ing
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side V2inch 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:\SucHemin-.Way\13uildin.-.Codes.Inspection.FORMS\Framing Firestoppin.-Inspection Report.doc January 28,2003
g4-?L
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date inspection e requ re ei ed: 6110-7
Queensbury Building&Code Enforcement Arrive: aj a pi3/
742 Bay Road,Queensbury,NY 12804 Inspector's Initia A
VRMIT#:
NAME:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
N N/A
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iron,Copper Drain/Vent Comm.
Plumbing Vent/.Vents in Place
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:
,L:\SucHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection requ recei Inspection
QueensbUry Building&Code Enforcement Arrive: a p art:JVWarr m
742 Bay Road, Queensbury, NY 12804 Inspector's Initi
NAME: L(�o PERMIT#:
LOCATION: XA?b b INSPECT ON:
TYPE OF STRUCTURE:
Y N A
COMMENTS
raminR
Jack Studs/Headers
Bracing/Bridging
Joist hangers t"s P'A�LD
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 V2(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
Firestopping
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
L:\SueHemin.-way\Buildin-..Codes.Iiispection.FORMS\Framin-.Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (5 1S)761-8256 Date Inspection request received- 11 All
Queensbury Building&Code Enforcement Arrive: am/ VV am/pm
742 Bay Rd,, Queensbury,NY 12804 Inspector's Initials:� Part,
NAME: PERMIT / 03
LOCATION: INSPECT ON:
TYPE OFSTRUCTUVE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 l of for wet areas under slab
ill Approval _ `
Plumbing Under Slab
L\C
PVC/Cast/Copper
Foundation Insulation Interior Exterior 4)
r4
R-
Rough Grade 6 inch drop within 10 ft.
C�,�
7.
L:\SueHemingway\Building.Codes.Inspection.FORMS\Fouiidation Inspection Report.doc,-January 2003
Foundation Inspection Report 0--
Office No. (518)761-8256 Date Inspection request received: 3 I
Queensbury Building&Code Enforcement Arrive: am/ m Depart:Z am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: `��
NAME: '� PERMIT#: �
` LOCATION: INSPECT ON: le 0
x
J TYPE OF STRUCTURE:
t Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place 7f
The contractor is responsible ar
providing protection from ing
for 48 hours following the p ce enf
of the concrete.
Materials for this purpose on s e.
Foundation/Wallpour \
Reinforcement in Place
t
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
Bacicf`tll Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L-.\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doe January 28,2003
9 Farmington Drive
Shrewsbury,MA 01545
October 16, 2003
Mr. Dave Hatin,Director
Building and Codes
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Dear Dave:
Re: 43 Masters Common North, Queensbury,NY 12804
Per to our conversation this morning regarding delivery of appliances to comply with the
Town's requirement for a certificate of occupancy for 43 Masters Common North,the range,
refrigerator, dishwasher, and microwave will be delivered to the referenced premises on Saturday,
October 18.
rely yours,
Donald and Valeri Krebs
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