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1988-735 •• • -• •. •,:`t • .• . • CERTIFICATE .01q.: OCCUPANCY TOWN OF QUEENSBURY • • WARREN COUNTY, NEW YORK • January 18 89 Date • 19 301• , 3 This is to certify that work requested to be done as shown by Permit No. 88-735 has been completed. This structure may be occupied as a TWO FAMILY DWELLING • • - location 4 QUEEN MARY DRIVE MODEL D • • . Owner GUYER BUILDERS • • , • • By Order Town Board • TOWN OF QUEENSBURY • • / ;./7 • \/ _1a1/ Building & Zoning Inspector . . . . • ••• .. . . . .• - BUILDING PERMIT TOWN OF QUEENSBURY No. 88-735 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to QUEEN VICTORIA'S GRANT OWNER of property located at 4 QUEEN MARY DRIVE Street, Road or Ave. in the Town of Queensbury,To Construct or place a TWO FAMILY DWELLING at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is GUYER BUILDERS 119 DUNNING STREET BALLSTON SPA, NEW YORK 12020 2. CONTRACTOR or BUILDER'S Name GUYER BUILDERS tii 3. CONTRACTOR or BUILDER'S Address SAME H 0> 4. ARCHITECT'S Name cn 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) MN Wood Frame ( ) Masonry ( )Steel ( ) .0 7. PLANS and Specifications LT1 No. 28'x5OT z Two family dwelling as per plot plan,specifications, and application, including septic and attached one car garage. Model D 8. Proposed Use t7 I Two Family Dwelling 0 5.00 C/O $ 68.00 PERMIT FEE PAID —THIS PERMIT EXPIRES MAY 1 19 89 t7 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) , H Dated at the Town of Queensbury this 17th Day of October 19 88 0 �yy SIGNED BY GL. c...--)L., for the Town of Queensbury Building and Zoning Inspector, 1-4 C-J tii H rtult. ofQuea4aty APPLICATION FOR SEPTIC DISPOSAL-PERMIT Ref• SPEDS DATE 10-20-87 / • permit # • New York -7 0202525' MODEL 1D 1 of MD/ID LOCATION OF PROPERTY FOR INSTALLATION 4 Queen Mary Drive • Owner's Name: Guyer Builders, Inc. Telephone: (518) 899-9161 • Address: 119 Dunning Street, Ballston Spa, New York 12020 Installer's Name: Guyer Builders, Inc Telephone: (518) 899-9161 2 A, C, E, I, J, E, L, M Number of bedrooms (residential only) 2 3 F, G, H Total daily flow (compute @ 150 gal per bedroom) 300 , • ." Topography: circle_one: an)Rolling Steep Slope % of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: . 8' •feet + • Ground Water: At what depth? unknown 8 feet + Bedrock or impervious Material: At what depth? unknown feet . . Percolation test: circle one: 6:ot require required / rate min. inch. • Domestic water supply: circle one:Qttunicipa_DWell Other • • IF domestic water supply is a Well: Separation: Watersupply from Septic.absorption N/A feet * PROPOSED SYSTEM: Septic Tank gal. (minimum size. 1,000 gal.) • • TILE FIELD: Each Trench N/A • feet*/ Total system length N/A feet • ' * SEEPAGE PIT(S): Number of / Size each feet by fee * Size of stone to be used # / Depth& Thickness feet * * * * *,* * * * * * * * * * * * * * * * * • * * * * * * * * * * * * * * * * • IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached • ** ** * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * map. ,r (over) • Section II Septic System Inspections: • A. All applications for septic system installation, alteration or repair, as • required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start • of construction and shall include a plot plan showing: 1.) the proposed,location of the system 2.) location and distance to lot lines 3.) location and distance to stru5tures 4.) location and distance to any'it+hter supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the building . Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation. alteration or repair of an approved system, a new proposal must:be submitted to the Queensbury Building Department before further construction. • • I have read the regulations above and agree to abide by these and all requirements . .. . of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of.res o nsible pe • rson: Date: p`a©- i • ►►. • Town of Queensbury Building and Code Department • • Bay at Haviland Road • Queensbury, New York 12801 (518) 792-5832 . • SCTTI En 1763 . . . HOME OF NATURAl BEAUTY . . . A COOp.PLACE TO 1 TO BE COMPUTE) SY SLOG. linrl. - A Application No. _ -loom of Queeni4ur, Permit Issued 19 _ OF OUE,�'N" .. BUILDING and ZONING DEPARTMENT Permit Expires 19 8 1 r r� cV rl j ." u 0 ,6 Bay and Haviland Road, R.D. 1 Box 98 • • Zoning.Designation n Queensbury, New York 12801 Variance No. / n Site Plan ev'ew o. SEP 25 e98 /2/--/2- Approve BUILDING & CODE APPLICATION FOR f� P� 7/ BUILDING AND ZONING PERMIT Co oc/&d * * * * * * * * * * * * * * * * * * * * * * * * * * * *' * * * * * * * * * * ..* A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and Such special conditions as may be indicated on the Permit. The owner of this property is: Guyer Builders, Inc. P.O. Address 119 Dunning Street Ballston Spa, New York 12020 Tel. (518) 899-9161 Property Location: 4 QUEEN MARY DRIVE Tax Map No. 121 /44-499 Street number or building lot number Subdivision name (if applicable) Queen Victoria's Grant THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Richard H. Guyer III (518) 899-9161 Name P.O. Address Tel. No. Name of builder Guyer Builders, Inc.Address 119 Dunning Street Tel. (518) 899-9161 Name of plumber Guyer Builders, lnc.Address 119 Dunning Street Tel. (518) 899-9161 Name of mason Guyer Builders, Inc.Address 119 Dunning Street Tel. (518) 899-9161 NATURE OF PROPOSED WORK: * ZONING INFORMATION: X Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, Addition to a building * drawn reasonably to scale and attached hereto, --Alteration to a building * showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) * set-back dimensions from property lines. Give * street and number or lot number and indicate * whether interior or corner lot. Show location FOR DEMOLITION PERMIT, STATE SIZE AND * of 'water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. * of septic disposal area. * e .,k.,�o FETE .I.NFORMATION REQUIRED BELOW. c . seen plot 120 ''4. *`,S ze ror, property 100± p ft X ft. yj �.:.:**, .� , N/A N/A ft. Existing: uildings) Size ft X Model De' *; • - .-;) PROPOSED BUILDING AND USE: of D * Existing building(s) Use N/A Size of new structure 28 ft X 50 ft * Foundation-pier sla�b'crawl/partial/full * Proposed building, distance from property line circle one) * see plot plan * Front yard 30+ ft Rear yard 30+ ft. No. of stories (habitable space) 1 * Side yards 15+ ft and 15+ ft Height (grade to ridge) 17-0 ft. * If on corner, setback from side street 30+ ft If residential, no. of families 1 of 2 No. of rooms(excluding baths) 2 * OCCUPANCY INFORMATION No. of bedrooms .2 * * PRIMARY BUILDING - U Ob. of bathrooms 1 One family dwelling This -p�if beiim for rimary heating system Baseboard electric* * -x-Two family dwelling one s wilding. type of fuel Electricity * Multiple dwelling / Number of units No. of fireplaces to be installed OPT. Permanent occupancy Will a wood stove be installed? No * Transient occupancy Central Air conditioning? No * * Business r:_. BUILDING STYLE, PRIMARY STRUCTURE * Industrial 's=r' Other Ranch Contemporary Los cabin *` If addition, what will use be? Raised ranch Mansion Duplex 4. Split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row ' Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * y Attached garage/one car/ two car/ one car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * !Other CONSTRUCTION * INFORMATION ON .BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET; TO BE COMPLETED! Form BPA 4/86 and-vl lei i T BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. wood frame Will any second-hand or ungraded lumber be used? If so, for what? no Foundation wall material concrete block Thickness 8" Depth of foundation below grade (to bottom of footing) 48" minimum Will there be a cellar? no Heated or unheated? Floor sq. footage sq ft Will there be a basement? no Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped flat/shed/other Material of roof Fiberglass shingles TYPE A Size, wood studs "X 6 " spacing 24 "o.c. length 8 ft. exterior walls Joists(floor beams) 1st. floor N/A "X " spacing "o.c. span ft. Joists (floor beams) 2nd. floor N/4i "x 10 " spacing T6 "o.c. span ft. Overlays(ceiling beams) 2 "X 6 " spacing 24 "o.c. span 12 ft. Roof rafters 2 "x 8 " spacing 24 o.c. span 12 ft. Roof trusses (pre-engineered) spacing 24 "o.c. span 34 ft. Exterior wall finish stained Of what material? 5/8" x 4' x 8' texture 111 Interior wall finish paint 1/2" sheetrock If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 1/2" type "X" sheetrock Is there to be an opening between garage )and dwelling? yes If so will a Fire-rated door, enclosure, and self-closing device be provided? yes Will a flue-lined chimney be installed? No Height above roof N/A ft. Depth of chimney foundation below grade N/A ft. Depth of fireplace hearth N/A ft. in. Water supply - Municipal or private well municipal SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties N/A ft. (A separate application is necessary for any repair or new installation of septic system) See S.P.E.D.S. permit # 0202525 Town of Queensbury AFFIDAVIT County of Warren STATE OF NEW YORK I swear that to the best of my knowledge and belief 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 not, and that such work is authorized by the owner. A4°.;111 SWORN TO BEFORE ME THIS Signature Y. Owner, owner's a t,arcnitect,contractor �v day of J 'Q Z-19 ADRIENNE J.PINDER Notary Public,State of New lb* y�ice- Qualified in Saratoga County No.4907692 Notary Public, , N.Y. Commission Expires Oct.13,19 Pg * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Square feet living � 2SZ Square foot garage - one stall @ $7.00/100'4or part of One stall garage C/O permit • Total By cr . ;.; TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work. ANSWER ALL of the following: 1 . Gross floor area SEE PLAN • 2 . Type of heat Baseboard electric 3. Is the building mechanically cooled? No 4 . Percentage of area of windows and doors SEE PART 6 A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions Fi}? n^pT 6 2 . Floor over heated spaces YES 64 a. Are foundation walls insulated? ES NO 1 . If YES , what is the R value? 3 . Slab on grade (YES NO a. If YES , what is the R value of insulation around perimeter of floor? SEE PART 6 4 . Is basement heated? YES NO a . R value of insulation /(//A 5. Type of insulation SEE PLAN 8. Under 16% Only 1. R value of roof and floors exposed to ambient conditions - R-38 2 . R value of exterior walls R-20 3 . R value of glazed area LOW E GLASS 4 . R value of doors R-14.9 5. R value of floors over unheated spaces R=19 6. R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - heated slab 12.5 8. R value of heated basement/cellar walls (above grade) N/A 9. R value of heated basement/cellar walls (below grade) N/A 10 . Type of insulation Fiberglass C. Controls 1 . Thermostat maximum heat setting N/A D. Duct Systems N/A 1 . Is duct system installed in unheated spaces? YES NO a. If YES , R value of duct installation b. . R value of duct in other areas E. Piping Insulation N/A 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F. Service Water Heating 1 . Performance efficiency N/A 2 . Temperature control setting maximum ' • G . For Swimming Pool Only 1 . Maximum heating N/A Telephone No. (518) 899-9161 (applicant ', signature) SELECT BUSINtSS I-UHMS (bU9) 8411-D2U.1 - • APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 'APPLICANT COMPLETES THIS SECTION Date: 9-20-88 $own or Txa tQuee_ nsbur County Warren State NY Location/Address 4 Queen Mary Drive (If Located in Rural Area -Please Attach Directions) Pole # Owner GUYER BUILDERS, INC. Permit # Occupied As Building: New X❑ Old El Occupant Work Area in Building (Floor#,etc.): App. for: Wiring® Service® or: Ready for Inspection: Fee Remitted-$ Cash n Check n M.O. n Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches Lighting Amp. Service _ Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven _Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 142 2 3 5 742 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Applicant's - Signature License # Permit # T/A GUYER BUILDERS, INC. Utility: Applicant's Address: 119 Dunning Street (NAME) (OFFICE LOCATION) (City) Ballston Spa (State) New York (Zip) 12020 Service Request # Phone # 899-9161 Electrician: GUYER NTT-MFRS, INC MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as AboveP or: Red Notice Label n Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 142 2 3 5 742 10 15 20 25 30 40 50 75 100 Mark Number of Each Size 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat CORRECT: CERTIFICATIONS- • . USE FOR INITIAL VISIT,ONLY. ' •.NOTIFIED DATE, FEE „ FEE PAID • ❑ RW • - Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ I-I L/A Owner CASH ❑ n L/A Fee. CHK # nMunicipal IPA ' Due MO # INV # Applicant ❑ Date: Other Side❑ Utility Owner ❑ Cut in Card I-1 Temp # Date .—. nIcoc/•-rnpc CI(_rI ATI IPC ,-13 MIDDLE DEPARTMENT INSPECTION AGENCY, INC, Ilectrical-Building-Pltimbing=Fire Inspections //L1er., • Date • m I lector Tf > consti tes certification that the L•— above installation, but not the equip- co ment itself, has been visually inspected oO as of this date pursuant to the applic- di ' able, codes. If additional equipment should be introduced or alterations made to the existing system or struc- ture, application for inspection should 0 be submitted promptly to this Agency. z TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801-- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME _ ,t) LOCATION / ( i 2 71 x`/ .L0-e DATE / L 5 PERMIT it APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS. i C ING I F AL INSPECTION: \ / CHIMNEY HEIGHT ROOFING ``, SIDING I/ EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS V PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM%PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING ++ DOOR CLOSER(S) ✓� SMOKE DETECTORS FINAL ELECTRICAL INSPECTION ' v FINAL APPROVAL OF CONSTRUCTION \, A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: kiC20 INSPECTOR , TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED hi-A) NAME LOCATION ���"' U.-e (J J / / J?1,J DATE //-/1 PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR\ FORMS FOUNDATION/DAMP`PROOFING BACKFILL APPROVALL ROUGH PLUMBING FRAMING 4,LEtTRICAL ROUGH-IN NSULA TION: FOUNDATION FLOORS ` X WALLS CEILING \ f < FINAL INSPECTION: \ / CHIMNEY HEIGHT ROOFING SIDING \I EXTERNAL PORCHES/STEPS' STAIRS-CLEARANCE & RA L PLUMBING FIXTURES/RE EF VALVE INTERIOR TRIM/PRIVAC ' DOO S FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL IN.PECTION FINAL APPROVAL OF ONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST E OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR • TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADSC'l.kCif/\;/ QUEENSBURY, NEW.YORK 12801 TELEPHONE (518) 792-5832 • BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /o NAMELLL� J ,y LOCATION � (� '/ -`' J ' ' 2,L J -7 DATE �/D PERMIT # �� APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING // BACKF LL APPROVAL /� vt PLUMBING t RAMING / ELECTRICAL ROUG "-IN " . " • INSULATION: FOUNDATION FLOORS WALLS CEILING " FINAL INSPECTION CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S EPS STAIRS-CLEARANCD & ''ILS PLUMBING FIXTU' S/R LIEF VALVE INTERIOR TRIM/•RIVAt',Y DOORS FINISHED FLOG S GARAGE FIREP OOFING DOOR CLOSER S) • SMOKE DETEC ORS FINAL ELECTR CAL INSPEC ON . ' ' • " • FINAL APPROV L OF CONSTRICTION ' A SIGNED CERTIFICATE OF O.CUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!" REMARKS: • • • INSPECTOR " TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTIONI / RECEIVED /0 /7- NAME �f' a/�2) LOCATION / 7 J/-�.tiee..C./z'Ei' ' G DATE /0-Ili / PERMIT # � -7 3 S APPROVED I 75,,,NO MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING t ti: BACKFILL APPROVAL )(ROUGH ROUGH PLUMBING I u 5 L ,1 41...--` FRAMING ELECTRICAL •OUGH-IN / INSULATION: i : ( FOUNDATION 1' �✓ FLOORS d''� • WALLS , '' CEILING ` e Gr • FINAL INSPECTION: i CHIMNEY HEIGHT f7 ROOFING SIDING AV EXTERNAL PORCHES/S/ EPA STAIRS-CLEARANCE A RAIL`\ PLUMBING FIXTURES/RELIEF LVE INTERIOR TRIM/ IVACY DOOR FINISHED FLOG'; GARAGE FIREPR >•FING ‘ DOOR CLOSER(') SMOKE DETEC I"DRS �44 FINAL ELECTRICAL INSPECTION , FINAL APPROVA OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ' le 1 )cc pet. ti 1-3L L` ut, mat L4o (eve Djzjc 1N-S Uat-6 i j(,--y____ciivarrIS 012, (n I.( \L, o ML—s-\ CA6i/No, _DoaLs INSPE TOR sown of Queeni1ur y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME ' v LOCATION 41 Q k o c -Y—s. LD k..6 Q DATE 0)9)/0 6 PERMIT NO. R— —J3 j SOIL TYPE - Sand - Loam - Clay - 'Percolation Test Required? YES - NO/ Percolation rate - Min/Inch J F s� l. TYPE of SYSTEM: /. Absorption field, total length Length of each trench- / Depth of trenches / Size of gravel. if SEEPAGE ITS4Number of!)` ' 41 Size- ft. ry fit. a Gravel size , \, / PIPING: ``` ' Size Type Bldg. to tank i,� •\ 1/—.6 //mac Tank to dist. box `--, 6, // Dist. box to fi/eld/pit Ci Openings sealed? NO Partial LOCATION/SEP1ARATIONS: \ Foundation /to tank � tf. Foundation to absorpti ri ` ft. Absorption to lot lin `, ft. Separation of pits ft. LOCATION OF SYSTEM ON PRO e one) Front - ear - Left side - Right side - COMMENT : p 6,0_, /JC � i �✓4 }L/dzc'T G am' -- /7 /7 5--J2 • SYSTEM USE APPROVED YES NO Building Inspector 91/86 and vl ep, Jown of Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME 6Lyec Aug LOCATIONta_C/ Puy / , r " l ,, Date 1o�.� / OS Permit No. . '� Ei _ * * * * * * * * * * * * * * * * * * *J * * ' * ✓ = APPROVED - YES / NO Footing/Pier Forms VPbundation „_. Waterproof, ng / Backfill N, J Framing % ir Roofing v�, _.e Siding a; /f Masonry Veneer, f Rough Plumbing 1,k I Relief Valves Ext. Porches Finished Floors N, / Interior Trim , / Stairs & Railings , / Cellar Drain Tile / Concrete Floors Plbg. Fixtures \a, Gar. Fireproofing Door Closers / Smoke Detectors Chimney IN,undatioN: oundation \\Ns\ Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- OV TO e-lG r--1 k..(-- '4 k CA,c4 Buil ing In ctor 6/86 and-vl 4 CC77 // gown of Queeniarcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME /' ( *-2-r.�,Or LOCATION G7 Date n, Permit No. � 3 G /, / S- -73 t4) * * * *7* * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES// NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches - Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- • Btril i/ng Inspector 6/86 and-vl cc77 // • gown of Queeniurcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME �7a/ LOCATION , ,,/ (5.7 7- taw /71i); Date 7 7/_ Permit No. -1 -'7.�6`' * * * / * * * * * * * * * * * * * *K* 3 ✓ = APPROVED - y/ NO oting/Pier Forms l Foundation 1 Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Air Relief Valves ,F Ext. Porches a Finished Floors Interior Trim Av Stairs & Railings /. Cellar Drain Tile lif Concrete Floors d Plbg. Fixtures Gar. Fi.reproofir' 1 Door Closers / ! Smoke Detects li Chimney . INSULATION• Foundatio/ 1 Floors ,�' Walls 1 Ceiling 1 FINAL ELECTRICAL INSPECTZeN DRIVEWAY APPROVAL ` Final Building Survey Next scheduled inspection (call when ready) Remarks- • / r / Z/1/: B Inspector d6 and-vl • NEW YORK STATE ENERGY.CONSERVATION CONSTRUCTION CODE • PART- 6 .WORKSHEET THERMAL RATING METHOD • ONE- AND TWO-FAMILY BUILDINGS BUILDING /l / — .2-=) %° GROSS FLOOR AREA ADDRESS ', /tc4', / , '41 NUMBER OF STORIES.. I DEGREE DAYS ' gem CONTRACTOR, ARGITRIZI OR ENGINEER Ly/• 7�-,9-wl� TELEPHONE f8-7 ) 66". .2) If the building does not meet ,the' following -pre—qualifying conditions; Part 6 of the Energy Code may not be used. YES NO Building is one— or two—family residential.' ✓ - Building is detached. ✓ Building is less than 5,000 gross square feet. • Building is three stories or less in height. Entrance doors have a storm door • or certified U value of .40 or less. Glazing area/gross wall area is equal to or less than: 24% if 5,000 degree days 23% if 6,000 degree days 20% if 7,000 degree days 18% if 8,000 degree days 16% if 9,000 degree days If all of the above conditions are not met, either PART 3,- PART 4 or PART 5 of the Energy Code must be used. DIRECTIONS: For each component of the proposed building design enter the design- information requested such 'as Areas, "U" or "R" Values. Additional lines are provided for. designs with more than one component construction type. Obtain thermal ratings for each. item by consulting the appropriate Tables. A. ROOF/CEILING Obtain Thermal t,tings from -Table 6-1, -6-2, 6-1E or 6-2E depending upon degree _..,. days and hea ing type. . Area: Roa U-Value: D.O0. . -r .7 Square Ft. Thermal Rating • Area: . U-Value: Square .F:t. - .- . . Thermal_ Rating • B. - NET WALLS ain Thermal Ratings from Table 6-1 or . 66- depending upon heating type. Area: 01A U-Value: ®.e 4 -- 4 • .Square Ft. Thermal Rating Area: U-Value: _ . Square Ft. . Thermal Rating • Note: Net Wall Area = Gross Wall Area minus Basement/Cellar - Walls, Glazing Areas and Door Areas. C. GLAZING Ob .in Thermal Ratings from Table 6-3 or • - 4g19) depending upon heating type. WINDOWS Area of Glazing: q4 A,-Value: ©.8O a Square Ft. Thermal Rating • Area of Glazing: U-Value: Square Ft. Thermal Rating • SKYLIGHTS,, _ Area of Glazing: U-Value: Square Ft. ;Thermal Rating ' ` ' � Dq. FLOORS Obtain Thermal Ratings fromTable O-1, . . 6-1E or 6-4Edepending upon degree�days' ^ and heating type. � Floor, Area:: '^ . U-VuTue: .` ' So. Ft,. Thermal Rating ' D2. BASEMENT/CELLAR WALLS ' '� Obtain Thermal Rutings 'frmm ` Table 6-4, 6-5, -8-6 or 6.-5E '- depending upon. �jegraedays and heating type. Wall Perimeter: Linear Feet Expbsure Above 'Grade: - ` Feet-' ^ U-Value of Wall: ` Depth of Wall U-Value _ � ~�Below Grade: Inches Thermal Rating � ' Note: Use the above grade U-Value of the wall. The Thermal ' Rating Tables have been designed to take into account the insulating effect of the earth. ' --~~ D3. SLA& TNSULATTON Obtain Thermal Ratings from Table 6-7 � or��-�� epend `ngupon heating type. �J Slab Perimeter: Linear Feet ` 1 ' Insulation B-Value: � �� � �� Thermal Rating ` . . ' ` E.• INFILTRATION CONTROL Obtain Thermal Ratings from Table 6-8 or 6-7E depending upon heating type. ' - If the building does not meet the ,following conditions, enter NA (Nct Applicable) for Thermal Rating. • - YES NO All windows have an air leakage rate of 0.35 cfm or less per linear foot of operable sash crack; • . ' - - _'Al ' net` wall areas- have an infiltration barrier; and • A heat recovery ventilator, which transfers heat between the outgoing airstream and the airstream . entering from 'the outside, is installed. . Conditioned Floor Area: • (Shall not include - Square Ft. herm Rating basement/cellar floor area) F. SOUTH FACING GLAZING 'Obtain Thermal Ratings from Table 6-9: . or 6-8E depending upon heating type. • If the building does not meet the -following- conditions, . enter NA (Not Applicable) for Thermal Rating. . . YES NO - 7 The building is no less than 1,250 square feet in . conditioned floor area; At least 45 percent of all glazing faces within 30. degrees of true-. south;: . All glazed areas in .buildings are no more than. U(glazing) = 0. 58; South' facing glazed areas are free of. any site • obstructions during- the heating season; and An area of four-inch thick concrete or masonry • is exposed to direct sunlight 'from south facing glazing. The area of this concrete or masonry ' shall be no less than three times the area of - south facing glazing. . Conditioned South Glass/Total Glass: % Floor 'Area: Square Ft. (See Above)Glass Area/Gross Wall Area: % r;�1� - Therm I1 Rating • • • SUMMARY OF TOTAL. THERMAL RATING If the Total Thermal Rating is zero (0) or greater, the proposed design for the building envelope complies with the Energy Code. THERMAL TABLE • AREA U-VALUE RATING USED • A. ROOF/CEILING Type 1 6lov 6- Zir Type 2 B. NET WALLS Type 1 Bq8 0•04S •-- e;-IE Type 2 • C. GLAZING o.30 Window Type 1 9 Q- o (p --ta Window Type 2 • Skylights Dl . FLOORS N/A. D2. BASEMENT/CELLAR WALLS Wall Perimeter Feet Exposure Above Grade Feet • - Wall U-Value Depth of Wall U-Value Below Grade Inches' t4/A" D3. SLAB INSULATION Slab Perimeter 9 D Feet Insulation R-Value _La__ E. INFILTRATION CONTROL Conditioned Floor Area Sq. Ft. KVA. F. SOUTH FACING GLAZING South Glass/Total Glass Percent Gl. Area/Gross Wall Area Percent Conditioned Floor.Area • Sq. Ft. TOTAL THERMAL RATING • -i A:40a1.040 .411y j� 1` ',,`, 063` c\ HE ST A.‘c('� • NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE PART 6 COMPLIANCE FORM THERMAL RATING METHOD. ONE- AND TWO-FAMILY BUILDINGS BUILDING GROSS FLOOR AREA . ADDRESS NUMBER OF STORIES _ DEGREE DAYS CONTRACTOR, ARCHITECT OR ENGINEER { TELEPHONE'. . • PRE-QUALIFYING CONDITIONS All pre-qualifying conditions for use of Part 6 have been net. /'Yes -_ No TOTAL THERMAL RATING • The total Thermal Rating for this building design is 4 . The Worksheets that developed this Thermal Rating- are attached. A Thermal • Rating of zero or greater indicates that the building envelope complies with the Energy Code. PRESCRIPTIVE REQUIREMENTS INSULATION: 7815.5 Element Required Specified Vapor Barrier - where capable of Yes 1,7 absorbing moisture Continuity - at plate lines, sill . Yes V lines and corners 47 • AIR LEAKAGE:- 7813.5 • INFILTRATION``RATE • • Element Required Specified • Windows . .5 cfm/linear foot , 0_18 Sliding Glass Doors .5 cfm/square foot Swinging Doors , 1.0 cfm/square_ foot • .CAULKING, WEATHERSTRIPPING AND SEALANTS Location Required Specified _ • Exterior Joints — Windows : Yes Exterior Joints — Doors . • Yes ' , . Openings ,at Walls..—;Roof/Ceiling : Yes . ✓.. Openings at Wall Panels Yes Utility Service Protectors • Yes . FIREPLACE Element Required Specified Outside Combustion Air - Yes • • Infiltration Control: • Yes 20 cfm flue damper, or /or non—combustible doors • 48 . HVAC CONTROLS: 7813.13 • THERMOSTAT Type Required Range Specified Heat' lily 45 - 75 degrees min. Co. 1 !kb nly 70 - 85 degrees min. H �fi and Cooling 045 - 8�t g 5 degr s min. bi.�ti P‘ ppTAT \\11\ ic;1) quired Speci ied • pe ?é1ative Humidi Pty fj,.H. J. Add Moistur 30% maximum Ir '}} Remove re 60% minimum k / • t • 4LATUR4NG • Type Re• -d Specified Thermostat AIX h System Thermostat ach Dwell ' Unit Shut-off- Each Zon • Shut-off • EachFle • CONTROL SETBACK • Type Required Specified Switch, or Clock, or Manual Yes 49 8'-0 DIAMETER C O.T G 9'-0 DEPTH (CLEANOUT TO GRADE') ^� 1 i ,!t f 9G.00' "3 QUEEN VICT©RIA'S GRANT QUEENSSURY , N.Y. TOWN OF QUEENSBURY, ' SAY AT HAVILAND RDS. BOX 98 gUEENSBURY, NEW YORK 1284 , 2000 9a1. C, 0. T, G. REFERENCE DRAWINGS 5 SITE UTILITIES SEPTIC 4 WATER VanDUSEN t STEVES SURVEY PLAN