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2001-898 TOWN OF QUEENSBURYF4 T 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building& Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010898 Date Issued: Tuesday, May 21, 2002 This is to certify that work requested to be done as shown by Permit Number P20010898 has been completed. Tax Map Number: 523400-290-013-0001-023-000-0000 Location: 28 MASTERS COMMON NORTH 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 r. Y t ZAK Director of Building&Code Enforcement TOWN OF QUEENSBURY oi 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20010898 Application Number: A20010898 Tax Map No: 523400-290-013-0001-023-000-0000 Permission is hereby granted to: MICHAELS GROUP LLC THE For property located at: 28 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 279,000.00 10 BLACKSMITH Dr Garage-2 Cars Attached MALTA,NY 12020 Fireplace Total Value 279,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency MICHAELS GROUP NEW YORK BOARD OF FIRE-UNDEI 10 BLACKSMITH DRIVE DRIVE MALTA,NY Plans &Specifications 2001-898 1631 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $424.64 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,December 12,2002 (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 e of ee sbu ednesday,December 12,2001 BY for the Town of Queensbury. SIGNED Director of Building Code Enforcement ., ,.. • . ..:, . .., . . • ,,-,_ ,- ' ., , .Marshal's Fire Office Tom) of Queensbury, 742 Bay Road,Queensburv, NY (518) 761-8205 • •Application for Fuel Burning Appliances & Chimneys . e,.., applicable to sOlid fuel & vented gas appliances Date%)efilty 20 C.)Iv . Permit No. 440 I '2 qg . , Application is hereby made to the Building&Codes Office for the issuance of a Building and Llse Permitpursuant to the Nei%) York State Fire Prevention and Building-Code. The applicant or owner agrees to comply with all applicable laws, ordinances-, ;:egulations, and till conditions that ai-e part of these requirements and also will allow all in:sPeCtor.sentef premises.to pelfOrm required inspections. • . .*"' • NOTE to applicant: Rough-in and Final Inspections are required. . . Applicant Information Fuel Burning Appliance Information . _ (circle appropriate words) -1(rt.10 '' Name:MA,Vic14, • . .• . Stove: - wood coal 'pellet gas r Fircplace,insert,. . Address: te) tkett StgArkh IIN249 ', Fireplace, factory-built: wood Ilei pmt+,ft' —'QV_ • Fireplace, masonry: wood gas • ..... A r Furnace: wood. Cpoil . - Phone: If non-masonary applicance, please provide • . . Owner: .?4th41 Manufacturer Name: . • . .• Address ,.. . . . Model Number: . .• Chimney Information Phone: . (circle appropriate words) • ' Masonry block brick stone — •84.4 Flue , tile eel. size: • inches - . Exact Address: 14(66 GalrlittlerS , . . , of construction or installation. Factory-Built . . . • 4,0‘T: " -Z. Manufacturer name: . . . 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 / Direct Venting.. , . Channel,Liner • , - . 1 Castisrli_Lex-sis..Eivteipicteixt— 2-vexyrilcrxi. ®f Qszietezugxburit--5r, l'ir -risr V"-c,.z-1-3c iel i Fire Marshal Code 4 S Collected • S Refinided Received front(rc:film-led to): ;sr.ICA'Citil je)(76111 • . -address: A 17$ 3389 (190) Public Safety .4 233 2655 (230)Minor Sales . f--- ' f i ...D..----, ., .• • • ' • • White(Applicant) ; Green(Fire Marshal) / Yellow(Bldg,. Dept.) 1 ,Pink&Goldenrod.(Cashier's Dept.) Building Permit Application Town of Qucensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY . (518)761-8256 • • A permit must be obtained before beginning construction. Permit File No., ).Q)Q 1-ria No inspection will be made until applicant has received a Fee Paid $ (sue valid building permit. All applicants' spaces on this Rec. Ice Paid $/ � y `,� � .application must be completed and must appear on the Reviewed B l / application form.. Applicant: `f�- E ' e s Owner: Sorer. Address: 10 `g a.V...2 nrt ' r am Address: 1,A 1-1- T►.\/• \-aN7 n Phone# ( 1B)ffIci - (03\ I -Phone# ( ) - Property Location: Lot Number: (c / House Number 9. / Mze,ke v ><Yrc!VtS\\VUdL j Subdivision Name: a' Y\N Tax Map Number: 2.q0 P l3-_ J -,ail X New Building: residence /commercial . Estimated Market Value of Construction: $ .1(:) °CCM , o Addition: residence/ commercial If an Addition, what will use of new addition be? o Alteration: residence/ commercial ❑ No change to exterior size: residence/cont'l❑ Other work(describe ) F iNiFD DEC 0 7 2001 Check OccupancyInformation I" Floor ToOki DFiO C':LEAM$ oor Total Below sq. rt. Square Feet Single family dwelling 1.(- \ le(\ S`49 ❑ Two family dwelling o Townhouse , o Multifamily dwelling #of units o Office o Mercantile o Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage • ❑ 3 car detached garage ❑ 1 car attached garage 2 car attached garage 4-1eo ❑ 3 car attached garage • o Storage building- commercial o Storage building- residential ❑ Other • Will any second-hand or ungraded lumber be used? If so, for what? &.� . Type of Heating System: electric/ oil / wood /forced hot air/ baseboard/other: Number of Fireplaces to be installed O'1"E Number of Woodstoves to be installed Wk. List below the person(s) responsible for supervision of work as regards to building codes: Name Address 1 Phone Number Builder E. VA1C.Ir►cc`S w kD Kzcksn *- -t1C.. lAck}e . --(0. * � C Plumber `�l�r`r�bi�(1C, lam__—C ,l kk' --1-- - '"VVozury oE-1 -2'T Mason _' 51� sr�ru 5+43 c 42-1— 53 • Electrician Foat_k>eir t ks_. 9.4 14, ,3Z-f!o St all—%2Z 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, arc 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 outer 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 Di rector of Buildin j and codes,an its Built Survey by a licensed surveyor; drawn to scale,showing actual location ol'all um rostra• 'on. 10" 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: ----•--- -•-••••-- / A Office Use Location of installation: !-0 1 z� //445�C 5 CA. A , C�Q -iO. L 3 File Permit No. U Tax Map No. / l. / Zy Fee Paid Owner's Name: VA\C 6-(4-&(-S (o2P• Address: l D IJr.,Ativ_5(A O . /y 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 Whirlpool Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply 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) (Cx.)(k) JC et)6- z Tile Field: each trench ft. Total System Length: ft 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 the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person Date FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED /f_ PERMIT# (� NAME At cueo V AP' LOCATION SCHEDULE INSPECTION ON 2_ b A PM ANYTIME APPROVED N/A YES NO EXITS 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 CHIMNEYcfyi WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT rtdtikL REMARKS: VI-OK TO THIS DATE INSPSLIP.PUB INSPECTOR 111111. RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 1 Building&Code Enforcement ti Dept.of Community Development Arrive am/pm Depart ` alpmm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 J NAME 9 Nti v d , PERMIT# (`�v O LOCATION 4er(S JY1 .)''vx.-ewe DATE �j-,9-(-C�r)-� TYPE OF S'1' S FC- N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location /' Fresh Air Intake r//" Plumb Vent through roof ✓/ Roof Complete l'/ Exterior Finish Complete lirz V Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,Ianding 18 in.or more ✓/ Interior Handrails stairs both sides 3 or more risers ✓f Grade 2%away from foundation �// 8"clearance to sill plate ✓ ,a Gas Valve shut-off exposed/regulator 18"above grade 1t//f Gas Furnace shut-off within 30 feet or within line of site / Oil Furnace shut-off at entrance to furnace area J Furnace/Hot Water Heater operating /r Relief Valve(s)installed �/ Headroom,6 ft.6 in.on stairs . Basement stairs,6 ft.4 in. / Handrail exterior stairs both sides more than 3 risers ‘/f Interior privacy/trim/doors/main entrance 36" �/ Floor Finish / Bathroom/Kitchen watertight V Interior Handrails Balconies/Landing 18 in.or more I/ Railing across window in stairwells `, Smoke Detectors:every level every bedroom 1/7. outside every bedroom Vz inter connected ✓/ Bathroom fans r�/ Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing `` Garage penetrations sealed V Furnace in separate room protected(in garage) f Light ventilation per roo / Safety glazing 18"pal s floors / Final Electrical 6 /5 p /!t 6. l�f42,. Site Plan/Variance require y Final Survey Plot Plan J 56�g<—As Built Septic System layout required Zj _}1— _ 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) TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT ' K 742 BAY ROAD 4 � � s.� QUEENSBURY NY 12804 ' •."--WV (518) 761-8256 ARRIVE: DEPART: INSP: 2 FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING (hotel, motel, apt. complex) DATE INSPECTION REQUEST RECEIVED: NAME rr LOCATION ` VI - rna'n �10 DATF4 _ / I J(J PERMIT # anD/ -8 TYPE OF STRUCTURE ScO FOOTINGS _BACKFILL_ FRAMING PLUMBING_ INSULATION (.. N/A YES NO CHIMNEY/"B" VENT/HEIGHT _ PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/HOT WATER RELIEF VALVES FLOORS / \\/1 FOUNDATION INSULATION INTERIOR STAIRS/RAILINGS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRATION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE /1__ EXIT STAIRS/RAILS PLATFORM/ELEVATOR • HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL EL RICAL SIT LAN/VARIANCE REQ. INAL SURVEY PLOT PLAN, IF REQ a OK TO ISSUE C/O OR C/C • Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road // • Queensbuiy, IVY 12804 ARRIVE am/pm: DEPAR12O /C)am/pm Notes: (518) 761-8256 Inspector's Initials NAME: CArVcsL2/J PERMIT# / LOCATION: t ' �'l-G/ MTh NO INSPECT ON(date): 3 - D,7- (� TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is resp nsible or providing protection fwm free ing for 48 hours following 4 e plac rnent of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place F oundation/D amppro ofmg Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Roug Plumbing Hea g Rough In • ation roc__1 6 C(Al r.3 U 6 Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- 1(A Ceiling R- Duct work or piping in unheated spaces R- 7 Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc • Office Use GENERAL, INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: ) ; Building& Code Enforcement / At time: 742 Bay Road • Queensbury, NY 12804 ARRIVE am/pm: DEPAR , 05 am/pm Notes: (518) 761-8256 Inspector's Initials N)dl' NAME: \6�kG-k Ace,-- C S (:)(?-V - PERMIT# CS( - 67(3 LOCATION: -2--- \T\K4sC r 6c3W,, c ) ,. INSPECT ON(date): /27/O2 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour FoIm Reinforcement in Pl ceN.. The contractor is r pohs,ble for providing protection romreezing for 48 hours followin the p acernent of the concrete. Materials for this purpose o site Foundation/Wallpour I Reinforcement in Place _ Foundation/Dampproofing A ____ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rgugh Plumbing eating Rou -In Insulation •—CJ C _ 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 1 Framing •1 . Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc FIRE MARSHAL TOWN OF QUEENSBURY V?j� QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT 8��JJqq REQUEST RECEIVED PERMIT## o/` NAME fl4 06C 5 6Wr . LOCATION rf- - /i) SCHEDULE INSPECTION ON /2=7/02 AM PM ANYTIME APPROVED N/A YES I NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTE FIRE SUPPRESSIONsSY TE HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKL:RS CLEARANCE TO HEATING NITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT �d 6I•4,1 REMARKS p20&2e 14, OK TO THIS DATE INSPSLIP.PUB INSPECTOR • 2-, A`iO?� 1 D1� Office Use GENERAL.INSPECT f ®` o-e la JØ Inspector: Ready at time:f Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE C, , a #,' : DPI ' .I a / ; Notes: (518) 761-8256 Inspector's Ini als . NAME: M, C _V\Q .'4. 7, j PERMIT# _0 / — U I9 K LOCATION: �"� s CONVVJA J INSPECT ON(date): 1� J a-, TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo ible for providing protection fro fieezing for 48 hours following t e pi cement of the concrete. . Materials for this purpose o si e ' Foundation/Wallpour Reinforcement in Place F oundati o n/D amppro o fing Backfill Approval / Plumbing Under.Slab P1 .:•+.ing Vent/Vents in act .,/ s gh Plumbing �, eating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling It- Duct work or piping in unheated spaces - Pro er Vent,Attic Vent - nung . Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltr tion Barrier Fire Se aration 1,2, 3,hour Pene tion Sealed Fir all 2,3,4 hour F estopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc • Office Use GENERAL INSPECTION REPORT Inspector: t Town of Queensbury Ready at ' • e: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE 37-3D a pm• A ai' Notes: (518) 761-8256 Inspector's Initials .. NAME PERMIT#_ p�(2)o )' RR R. LOCATIONa (%1Zy S INSPECT ON(date): 3-Qa'Col-. TYPE OF STRUCTURE: �� RECHECK N/A YES NO COMMENTS • Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection “o. .eezing for 48 hours followi g the acement of the concrete. Materials for this p ..se on sit. • Foundation/Wallpour Reinforcement in Place Foundation/D amppro ofin Backfill Approval11,Plumb' g Under Slab Pl ing Vent/Vents i n ' e il ough 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- Pro r Vent,Attic Vent / anung ✓ . Jack Studs/Headers Bracing/Bridging --r-e0yl� Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Pen tration Sealed Fir Wall 2,3,4 hour F' estopping R L oc MO L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc 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 Arrive am/pm Depart, pm i Inspector's Initials NAME: .A`` c,�kC—Ci-5 Cc, PERMIT# 0/ -- E) LOCATION: 'Z� Va�r�-E�)Q' ' ctT• P !0_ DATE : ///i p TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers -7- I Monolithic Pour Form Reinforcement in Place \ The contractor is responsible for `\ providing protection from freezing \ for 48 hours following the placement \ of the concrete. ti Materials for this purpose on site ; Foundation/Wallpour Rei s.'orcement in Place\ Fri ndation/Dampproofing 11///' ackfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place 1 Rough PIumbing 1 Heating Rough-In l Insulation 1 Foundation Walls Interior R- 1 Foundation Walls Exterior R- t 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 /i1< 213 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road ej Queensbury,NY 12804 Arrive am/pm Depart ' Inspector's Lniit aals/' 1J! NAME: � PERMIT# lam!( U Q�qg LOCATION• N`'L`' W y I W DATE : `/7— TYPE OF S UCTURE: v-n RECHECK N/A YES NO COMMENTS Footings/Piers � I l Monolithic Pour Form , Reinforcement in Place \ The contractor is responsible for providing protection 'om freezi for 48 hours followin_ the place ent of the concrete. Materials for this purpos- on site Foundation/Wallpour I Reinforce ent in Place Foun ion/Damppro g c 11 Approval ' +; Plumbing Under Slab Plumbing Vent/Vents in l iac; 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 -342t— 1 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road /6', Queensbury,NY 12804 Arrive am/pm Depart" �amJpn�r Inspector's Initials �- NAME: PERMIT# 44114. LOCATION: mor l r o, DATE : - - J TYPE OF STRUCTURE: S { RECHECK N/A YE O COMMENTS otings/Piers I \/ I Monolithic Pour Form ` .-" � �,� /'QO�� J, Reinforcement in Place - rf - (.{,t5 ``"6-- The contractor is respon i for providing protection fro free 'ng for 48 hours following e place_ ent of the concrete. Materials for this purpos on site / Foundation/Wallpour Reinforcement in Place / Foundation/Dampproofi g / Backfill Approval / Plumbing Under Slab Plumbing Vent/Vents in face _ Rough PIumbin Heating Rough-In Insulation Foundation Walls Inte or R- , Foundation Walls Exte or R- Floors - Walls - Ceiling - 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 • - CONSERVA:1'0N CONSTRUCTION CODE • PART COMPLIANCE FORM � Ir " `S Building Design by Acceptable Practice DDRESS:U AL IDS I CY h(1 5 e ` DATE 0.0,'146/i ' 2C1 ,a £LISP, t1 . coum Y: -Cl *Re/ .RCHITECT,ENGINEER,OR —OSE5C0 brmTRACTOR: THE M(& 1AEj, G2oUP PHONE: 518- ERMIT APPLICANT: ShrJG 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. 13 Building is residential with-one or two dwelling units. X Building is-less than 5,000 gross square feet {i Building is three stories or less in height. 'l Ratio of glazing area to gross wall area is equal to or less than 17%. • III. PROJECT TYPE • n New construction n Substantial renovation of existing building n Addition to existing building Exempt(7810.6c) rce • �Q��OF Nat 'o` HEATING SYSTEM TYPE = X Gas-fired E; Oil-fired ( I Heat pump Electric ,h - Jbint Sealing: 7814_10(i) Joint Loc:nion I Scal2_ni Typc Specifed l Plan/Spec_ Reference Windows 1 Polycell Doors frames I weatherstripping Walls at roof/ceiling I • I P�ys-el1 • I Walls at floors/found_ Polycell Wall panels N/A Utility entrance Weatherstripping Penetrations Polycell Other Other _ I Air Infiltration Barrier: 7814.10(j) Location Required? I Specified , Plan/Spec. Reference . Walls yes/no No-Cedar Siding i 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 C 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 900 Boiler Heat pump Central air i conditioner ' vii_ t-iVAU GUN I tNUL_ 7814.12 Temperature Control Required Specified Plan/Spec_ Reference Thermostat each Yes dwelling unit • Shut off at each r Yes terminal unit Thermostat Required Specified q � � Plan/Spec_ Reference Minimum range I Yes 45T-85°F Deadband Yes range ? 5° Automatic - Yes capability VIII. DUCT SYSTEMS: 7814.13 Category Required Provided Plan/Spec.Reference Duct a 1'thick N/A in conditioned space insulation - R-33 in uncondtioned space Transverse Sealed Yes joints IX. VENTILATION SYSTEMS: 7814.14 System Type Required I Specified 1 Plan/Spec. Reference Supply Damper at envelope Yes Exhaust Damper at envelope Ye s • Supply on/off switch I YQc Exhaust - on/off switch I Yes • X- PIPING INSULATION: 7814_15 Piping Type Insulation Prodded Plan/Spec. Required Reference Heating distribution" >_ 11/2" N/A I l 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 314"inch. XL SERVICE'WATER HEATING: 7814.21 (Table 5-4) Performance Requirements Water Heaters Minimum Specified Plan/Spec. • Performance Performance Reference Storage lam' > _93 -_00132v I > _93 Instantaneous N/A Pool N/A - - Controls Category - Required Control Control Provided Plan/Spec_ Reference System automatic control Yes System temp.-setting range 140 degrees max_ Pool heater 1112 N/A Pool heater on/off switch N/A Electric water heaier separate switch N/A Gas/Oil water beater separate valve Yes XII. ELECTRICAL POWER: 7814.31 Category I :Required I Specified - . I Plan/Spec_ Reference Electric meters { Ea. dwe11ino unit ti . L.'1'r.FIO� [�I: GFA.GU£ r cj ED WALL_ 'ORKSf-EE R-Value I"zvlaLad . R-Value Construction . f �(raa Fraasad - . i�� - Cdadonant f Arta (�-�,.41111111 11111111.g-: 0.681/n2t-" Gkyaiplrs lbF oi l mr d .,4;. 0.68 1 , � 71�f t7. .... , Ltt]laBa. : .45 1 �r t �� 19.00 6".E�t ---- i{J �;� l. i�1 __ _ - nelation . I(I , _ . '- -. 2x6 C 16" c.c. 6.87 Ili Ir ��. Stud: � - `" 54 j 11 ��� . 1/2" hTaferi.��od • .54 `-� _ Shetthing 7 ! 1111111111 _— _65 Virly�l :65 !iding 0.17 �� £z t /�i t Film i 0.17 21.49 R-Total 9-36 U Inzulated F R R raction Fraced Frectionc P-Total lnzulateC + R-tctt] Fraaeo U. R� " ` .15 21.49 9 36 _056 r Wall Stud Spacing I Insulated Fraction { Framed Fraction . 17 16" 0. C. .@5 . 15 :1" 0—C. .Bb . . iZ • °IISEH£t(T/C£LLAR KA.LLS: ,ORKSH£ET @ stairwells R-Value = R-Valet with Ext. ' Construction . with int. N Insulation Coaoonaats insulation 0.17 017. ' - ♦. ♦♦♦4 . 1-411 ! Ext. Air F i l c . . ♦` None - `� 1: Exterior r i ni s ♦�. ; 8" Poured - `.�;�. •♦; _ '- i Blocs (Concrete) -.J.._72. . .- _ . -`♦, : ♦♦4 ° - 'a'- Core lnaul scion 44 t ♦4: 44 - •1 i (;f any) 1 � . ! :.4: ,•♦! •- `.-J I-1/2�R-mix ��� ` e��= E�. ♦�( Insulation �o. •,-`♦4- • 14�� (ext. or i nt.7 /0.gj0 -0- `►�< - t ♦♦�VA 4 4— interior��� Finish 1 - (� ' •464' ♦ - _ • ►♦< ♦♦+ . :1r— 0.6 8 t 0.6 8 _n ♦� (ntr Air pilot •-♦.♦: R-Tot= l /3 -37 U - 1 w R-Total • U - 07-i K i3- 7- - • Exposure Above Grade - 8 « • • • 41 Depth Below Graaa - 48 EASEHEHTJCELLAR KALLS: hORKSHEE- . R-Value R-Value with Eat. • Ccnstructioa I with Int. ' • Insulation Cowoonants I Insulation I ♦� I ! 1 I 0.7 7 ( 0.17 '.' _ ..�.. Est Air File ♦_ None :: - 1:--1-1 Exterior Finish t1�: . . 8" Poured - • - = - -. ♦.4 4-4 Core Insulation .,: t � ! • ♦♦ ('f inanytiyt. i �.•�_ t N 4 .. ♦��- J Insulation //_.00 c. -_ :� ♦♦ .. (•xt. or.. i nt. ) :L .��f E"•04•.4 - • None - ( :��� I4t =►♦ �V 4 - int•cioc Finish • _ -a Ir.. � 4. —; 4 -. - .,__ 0.68 0.68 ° �- e �'♦♦ - - (nt, Air F.ilr 13.57 R-Total 1 • U . .( R-Total -- 1 c: U ` .C74 • K 15 .57 • Exposure Above Grade . 8 Depth Belo.( Grace 48 . • • OPACUE RAE] F:_CGR• 'ORKSHEST • 1, 1 • -'(\_ . . 1 R-Value 1 R-Value , IInsulated .Construction Fraoec Area Ccrycnents • Area - ' 1 0.92* ! I Fxt. Air Film 0.9Z , 6" Batt 19_00. .. . . . . . Insulation ---- . __-- ; 11 7/8" TJI's @ 24" o_c • Joists 1 14.84_ I 3/4" waferwood i .93 - Sub-Floor 3 i .negl_--- C tFlo lyFtoor - Heal..- I J0.92 0.92 Int. Air Film 21.02 R-Total + :16.86 • U Insulated Friction Framed fraction:w - . o • R-total Insulated R-Total Fra•w.d • ll _95 + - .05 - 0 21.02 16.86 r''_048 t For vented crawl space, use R - 0.17 for ext. air film. • !R Floor Joist Spacing (nsulat'ed Fraction Framed Fraction { 12" O.C. .87 _ 13 16" 0.C. _90 . 10 • ROOF/CEILING <VENTEC; : tORKSH£E: 1 I - 1 -• ! 11( _. 7 . R-Value : R-Value Insulated Construction Fraacd Area CoRponents .:ccr { • ! ' 0.77 Ext. Air File 0.77 ' 1 30_00 9" Batt ---- 12.00 Overlap - . . insulation 2x4 bottom chord ---- @ 24" oc 3 4.35 Joists . I _45 1/2" Gypsum PA. .45 •......-• Wallboard 0.61 int. Air Filar 31_23 17_58 R-Total • Insulated Fraction* Framed Fraction* r R-Total :nsulatad rt R-Total Framed • u .93 .07 r ` • -034 31.23 17.58 * Roof Joist Spacing Insulated Fraction Framed Fraction 12" O.C. .87 .73 16" O.C. .90 .10 • 24" O.C. • .33 .07 MAP REFERENCE: MASTER'S COMMON NOR1 DATED: AUGUST 26, 198 BY: VAN DUSEN & STEM FILED: MARCH 10, 198E DRAWER 17 FOLDER 1 I HEREBY CERTIFY THAT M M FROM AN ACTUAL FIELD SURVr THIS CERTIFICATION SHALL RUN FOR WHOM THE SURVEY WAS BEHALF TO THE TITLE COWAN AND LENDNG NSTITUTION LIST© CERTUICATIONS ARE NOT TRAN' INSTITUTIONS OR SUBSEQUENT CERTIFIED TOd WILLIAM S. LAUR GNA—MARIE MAR M580 MORTGAG AND/OR ASSIGN CHICAGO TITLE CERTMD BY, MATTHEW C. 5 DATED AM& 2G. 2002 .v an D us en Steves Land Surveyors, LLC 169 HavUand Road Queenebury, New York 12804 ;518) 792-8474 New York Lie. No. 50135 vIR UTIff= A`TWrM A OR #W 10N 10 A Y YMap of a Survey made for AP BEARNO MOM L40 SURVEYORS SEAT. IS A NOLATM OF SEC" ROB. SUB -DIVISION ]. OF IRK NEW MW STATE MM71 N VICY rwm ORAML WILLIAM S . LAURAIN rv�AUD wam AN ORIpNK or me LAND 7l1RVEi'OR7 SEAL SHALL K CONSI IM 10 K VALID ORIE COPKS.' BY SUMP 1W PREPARED N MM THE GINA- MARTE MARAS C - LAURAIN DOSTNO CODE OF PRACTICE FOR RAND SUMIQRS 0"M BY 1NE NEVR YOISR STATE MOM" d PRCFE9lIONAL 61r1D 9URVEYGRS. SAD fflRiFM.M10N5 StIMI RUN diY TO THE PERSON MR IBRON ME SUMP IS PREPARED. AM ON RRS ON" TO W I1LE COWANY. OOVERR IMTAL AOEWY AM LOOM 00TUTH>~ LISM HEREON. AM Town of Queenebury, Warren County, New York M THE A9WIGNe9 OP THE ifWW MMTRU'M.' Scale 1'=30' S-1 SHWT10P1 LAURAN DWG. NO. MCN-2G NO. I DA TE DESCRIPTION