2010-527 TOWN OFQ UEENSBURY
4to 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100527 Date Issued: Tuesday, November 29, 2011
This is to certify that work requested to be done as shown by Permit Number P20100527
has been completed.
Location: 20 HOLLY Ln
Tax Map Number: 523400-239-012-0002-059-000-0000
Owner: WILLIAM CROWELL III
Applicant: WILLIAM CROWELL III
This structure may be occupied as a:
Residential Addition By Order of Town Board
Residential Alteration TOWN OF QUEENSBURY
� �
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
Temporary Certificate of Occupancy
90 Day
Building Permit No. : 2010-527
Property Location : 20 Holly Lane
Approved for the following uses: Residential Addition /Alteration
Conditions of approval : 1) site plan certification required
$100 fee received on: August 2nd 2011
90 Day Temporary CO expires on: November 2nd 2011
*A final inspection for this project must be scheduled before the expiration
of this Temporary Certificate of Occupancy—if your project is not complete
within this 90 day period you will be subject to additional fees*
Director of Building & Codes:
TOWN OF QUEENSBURY
goo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100527 Application Number: A20100527
Tax Map No: 523400-239-012-0002-059-000-0000
Permission is hereby granted to: WILLIAM CROWELL III
For property located at: 20 HOLLY Ln
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: WILLIAM CROWELL III
20 HOLLY Ln Residential Addition $250,000.00
LAKE GEORGE, NY 12845 Residential Alteration
Total Value $250,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-527
1162 sq ft alteration&921 sq ft addition
$226.72 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,November 22,2011
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T of-Queen(iuryf / 4dnçNovember 22,2010
SIGNED BYE"
•-/
;,/ for the Town of Queensbury.
Director of Building&Code Enforcement
Ilk
r r _s�1a71 I
� `°-'-:;; --) -) �...-.f�FFICE USE ONLY k
'
CEOWEI
TAX MAP NO. ' / PERMIT NO. 1 ) j.._
FEES: PERMIT 422-‘7 RECREATION ENGINEERING DCI 2 9 2010
(If applicable)
TOWN OF QUEENSBURY
PRINCIPAL STRUCTURE: APPLICATION FOR ZONING A 'PR 0.1).:' I i., ';i`? 'i" . -
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: Brian Hogan/Doug McCall OWNER: William Crowell
ADDRESS: 33 Holly Lane, Lake George ADDRESS: 20 Holly Lane, Lake George
PHONE NOS. 377-4057 / 251-3619 PHONE NOS. 656-3038
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: Brian Hogan PHONE: 377-4057
LOCATION OF PROPERTY: Assembly Point
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ® YES ❑ NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: 12-2010 Approved 8/17/10
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR Z O CC uw
O Q O O cn
PROJECT O O J O = _
_z
z a < � U) NU) Ou O- L d2oz
SINGLE FAMILY X X 1162 587 286+48 2083 27'
Nt} Abp iP.l'›s‘
TWO-FAMILY v '/0
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3) '
OTHER
1
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
• Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL— NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: 250, 000 FUEL TYPE: Oil
HEAT TYPE: Hot Air *HOW MANY FIREPLACE(S): 1 AND/OR WOODSTOVES(S):
ZONING CATEGORY: WRA1 ARE THERE WETLANDS ON THIS SITE? No
IS THIS A HISTORIC SITE? No
PROPOSED USE OF BUILDING OR ADDITION: Single Family Residential
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? No
ARE THERE EASEMENTS ON PROPERTY? No
*Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuanc •f certificate of occupancy.
I have read and age to the abo -
�
Signed _
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
• Revised 4/14/2010
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes a(�queensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.aueensbury.net
Operating Permit Issued: Yes No
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS
Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the
New York State Fire Prevention & Building Code. The applicant or owner agrees to comply with all applicable laws,
ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter
premises to perform required inspections.
Important Note To Applicant: Rouqh-In and Final Inspections Are Required:
Owner:: William Crowell Installer/Builder: Doug McCall
Address: 26 Holly Lane, Lake George Address: 1485 County Rte 29, North Creek, NY 128
Phone Nos.: 656-3038 Phone Nos.: 251-3619
Location of Property: Assembly Point Subdivision Name:
Location of Proposed Construction and/or Installation: Modification to Existing, Extension and Facin
Contact Person for Building & Codes Compliance: Brian Hogan - 377-4057
Fuel Burning Applicance Wood Coal Pellet Gas Oil
Information
Stove
Fireplace Insert
Fireplace, factory built*
X Fireplace, Masonry x
Furnace, (Garage Only)
* If Factory Built, Please Provide: Manufacturer Name: Model No.
Listed By: Number:
Chimney Information BLOCK BRICK STONE
Masonry** Check One✓ x x
TILE STEEL SIZE IN 289
INCHES
Flue Check One ✓
DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY
VENT LINER
Chimney Material Check One✓
** If Non-Masonry, please provide: Manufacturer Name: Model No.
ADDITIONAL NOTE: CONSTRUCTION / INSTALLATION MUST CONFORM TO NYS FIRE
PREVENTION & BUILDING CODE AND/OR MANUFACTURER REQUIREMENTS. CONSULT
AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS
Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804
Queen sbury Building & Code Enforcement - Residential Final Inspection
O%1111ce No. (518) 761-8256 Arrive: am/pm Depart:k J!°Dam/pm
Date Inspection request eived: Inspector's Initials:
NAME: r(,'G PERMIT#:
LOCATION: ..'-jc.L4D/I,67 (7. DATE:
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road - -) _7( '-
Chimney Height/"B"Vent/Direct Vent Location <f fe-n I iK(. - k
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches C.-r` _ f=air,
Roof Complete/Exterior Finish Complete fV
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade ( .) r c S r ,I
Guard at stairwell at 34 inches or more fc (tet VGuard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall o' - --)
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors I Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access,1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet 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/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O[Temporary/Permanent]
0
L:1Building&Codes Forms\Building&Codesllnspection FomissResidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
i' ►► TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
i;► ~ Community Development-Building&Codes (518) 761-8256
Inspections per Permit
Permit# P20100527
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
Residential Addition BRUCE FRANK Staff
Misc Zoning Department Inspection Report
Project Name:William Crowell
Project Location:20 Holly Lane,Queensbury,NY
Tax Map No.:239.12-2-59
Mailing Address:William Crowell,20 Holly Lane,Lake George,NY 12845
Site Plan No.: 12-2010
Area Variance No.:25-2010
Building Permit No.:2010-527
Date:October 18,2011
Dear William Crowell:
During a fmal site plan inspection on October 13,2011,and per the August 1,2011 Zachery Monroe certification
letter and per the October 8,2011 Brian T.Hogan certification letter,your project was found to be developed as
approved.
Should you have any questions or concerns please contact this office.
Sincerely,
Town of Queensbury
Bruce Frank
Code Compliance Officer
_x_Regular Mail _Certified Mail Hand Delivered
L:\Bruce Frank\2011\SPR and AV Reports\Crowell,William SP 12-2010-AV 25-2010 18oct11.doc
11/01/2010 Miscellaneous Residential Addition JENNIFER HENDERSON Staff
Misc 2010-527
permit entered
, � TOWN OF QUEENSBURY
w 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
)� iptaCommunity Development-Building&Codes (518) 761-8256
VPlar
Inspections per Permit
Permit# P20100527
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
11/22/2010 Miscellaneous Residential Addition JENNIFER HENDERSON Staff
Misc 2010-527
permit issued
12/01/2010 Footing Residential Addition CHARLES DYER Staff
Approved 2010-527
1)for bilco
12/01/2010 Reinforcement in Place Residential Addition CHARLES DYER Staff
Approved 2010-527
2#4's cont
02/16/2011 Rough Plumbing Residential Addition JOHN O'BRIEN
Denied 2010-527
went over layout of plumbing w/jack fava&doug mccall on how to insulate overhang for plumbing
02/16/2011 Ice&Snow Sheild Residential Addition JOHN O'BRIEN
Approved 2010-527
03/02/2011 Rough Plumbing Residential Addition JOHN O'BRIEN
Approved 2010-527
PARTIAL-make all fmal connections
03/02/2011 Plumbing Vents Residential Addition JOHN O'BRIEN
Approved 2010-527
2---// rAil0 ras710---
ko NQueensbury Building & Code Enforcement - Reside ' Final Inspection
Npe No. (518) 761-8256 Arrive: am/pm Depart/71 t 0Oam/pm
Date Inspection request received:fiPERMIT Inspector's Initials: '
NAME: 017/.1/4 C' // #: /0-
LOCATION: l`: Lir —2DATE: �
TYPE OF STRUCTURE: � � 1 lel
Comments:
`if N/A
4" Building Number Address visible from road ��
Chimney Height/"B"Vent/Direct Vent Location V •
Fresh Air Intake V
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete %/14
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade rGuard at stairwell at 34 inches or more a� - - lC SA-)1S
Guardaat deck, porcheso6 inches or more V �C Ac'� �
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches 4.1
Deck Bracing/Handicapped Ramp Compliant
V tcgc") -SSC L.az-'5
Grade away from foundation 6 inches with 10 feet CT 5F
6- 11
6 inch clearance to sill plate f �N- _-A 4e"
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches /' \i�— le—Aell
Bathroom/Kitchen watertight ,�/
Safety glazing/Win.•w in stairwells safety gI ing
Interior Smoke De - ors/Carbon noxidtectors
Every level: Eve Bedr m:
Outside every bedroom ea: / r
Inter Connected: Battery backup: t/
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents / /Bathroom Fans,if no window ✓
Plumbing fixtures
Foundation insulation I Insulation Certification/Sticker on Panel /
Floor truss,draft stopping finished basement 1,000 sq.ft. / 4/
Emergency egress below grade 1//
Gas Furnace shut-off within 30 feet or within line of site {/
Oil Furnace shut-off at entrance to furnace area f
Furnace/Hot Water Heater operating i
Y
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 /
Enclosed Stairs Sheetrock Underside minimum W Gypsum ' / �/
Basement stairs closed rise>4 inches
Garage Floor Pitched (7
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly /
Gas Logs in Sealed or Glass Enclosure 1/
Final Electrical /°
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles /
Flex Gas PipeBonding VAI 4 e
As Built SeptiSystem/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if re. ' -• e'p'-2„ll- \G IoI.1
Okay to issue C/C or C I • [Temporary/ ermanent] V —(R••71-1-0S17
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10
IHART SYSTEMALARMS (518)272-2007
FA (518)272-7724
514 FOURTH STREET,.WATERVLIET,NY 12189 �NC° NYS..LIC.NO.120 0111377
July 28,2011
Mr. Brian Hogan
33 Holly Lane
Lake George,New York 12845
RE: CROWELL RESIDENCE
20 Holly Lane
Lake George,NY 12845
Mr. Hogan:
We appreciate this continued opportunity to be of service.
This letter is to confirm the installation of smoke detectors and carbon monoxide
detectors that meet the NYS Building Code requirement.
On July 22,2011, Hart Alarm Systems,Inc. completed the installation of:
Six (6)Photo-electric smoke detectors with built-in 85db sounders;
Three(3)Carbon monoxide detectors;
The above equipment is incorporated with the house alarm control panel.
All devices were tested and are functioning according to residential NFPA requirements.
Please do not hesitate to call or email me with any questions regarding this matter.
Sincerely,
/44-1"
Kenneth J. Hart
Vice-President
ken@hartalarm.com
KJH/dmz
WWW.HARTALARM.COM
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
JM�U)NICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No /0 CZ 7Cert. NO 2 1 7 1 Cut-in Card No.
Owner eeLz--
1 uK X41. 62ael
Location. r ,�,
Installation Consisting '7 of...`.1....[ �i T C�l 7�i r Y O ,(. ! 772"'S
p}NG 6-phi' Pau P F- ''sr
Installed By ' '� 4-6 Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of datc. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege f ing 'ons at any time, and if its
rules are violated,the Company shall have the right to r o tl►tis ce ifi
Date -C— r /I INSPECTOR -
Member N.F.P.A.,I.A.E.I.
t --/(#) C�e6i/te sc
* Queensbury Building & Code Enforcement - Residential Final spection
Office No. (518) 761-8256 Arrive: am/pm Depart ( am/pm
Date Inspection re uest received: Inspector's Initials: 6t
NAME: tri /�� PERMIT#: `/ a"`,),_7
LOCATION: /lc/X/1
JJ _
� C� C DATE: -? //
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road /\/
Chimney Height/"B"Vent/Direct Vent Location Vie
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors , . I ---PP .
. L. !J45 C- - '1.Z
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade ? 4...f--
Guard at stairwell at 34 inches or more ,
Guard at deck,porches 36 inches or more %/
Handrail Termination at Newell Post or Wall >� �1
Interior/Exterior Railings 34 inches to 38 inches '_`
Deck Bracing/Handicapped Ramp Compliant / f—.
Grade away from foundation 6 inches with 10 feet ✓
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade ‘,/.
Interior privacy/trim/doors/main entrance 36 inches ✓/
Bathroom/Kitchen watertight
Safety glazing/Win w in stairwells safety gI: ing
Interior Smoke dors/Carbon M oxid Detectors y
Every level: Ev Bedr / / •
OutsideCo every bedroo rea: i 11
/
Inter Connected: Battery backup: C
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area f
/ �r �0
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents / Com'
Bathroom Fans,if no window �//' � �Z
Plumbing fixtures
Foundation insulation/Insulation Certification/Sticker on Panel V / `V��' '`�"
Floor truss,draft stopping finished basement 1,000 sq.ft. Zr ``
Emergency egress below grade 1/
Gas Furnace shut-off within 30 feet or within line of site ✓ / � C
��
Oil Furnace shut-off at entrance to furnace area / t/ —
Furnace/Hot Water Heater operating • J /
Low water shut-off boiler ,/ _4�L.c`LL
Relief Valve(s)installed/Heat Trap/Water Temp 110 t C�►�
Enclosed Stairs Sheetrock Underside minimum W Gypsum / • �, ,
Basement stairs closed rise>4 inches ^/ (�e t-!4 C-`-!
Garage Floor Pitched
Garage fireproofing 1%hour fire door/door closer f �—
Duct work Sealed properly / / ` j
Gas Logs in Sealed or Glass Enclosure A/ �_
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding /'
As Built Septic System/Sewer Dept. Inspection Sticker /
Site Plan /Variance required
Flood Plain Certification,if required
(0 \/
Okay to issue C/C or C/O[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10
1 At
rxc_aX
International Fireproof TeL Technology Inc. 0 Paint To Protect
_ws DC315 Approved UL 17715 "15 Minute Thermal Barrier"and"Ignition Barrier" 949.975.8588
Material Safety Data Sheet—DC315
1. Product and Company Identification
Product: Water based fireproof paint
Product Code: DC315
Company: International Fireproof Technology Inc.
17528 Von Karman Avenue
Irvine,CA 92614
Phone: 949-975-8588
Fax: 949-724-8898
2. Composition/Information on Ingredients
Ingredient CAS No. Percent
Ammonium Polyphosphate 68333799 25-45 %
Melamine 1008781 10-25 %
Pentaery thritol 115775 10-25 %
PVAC Resin 9003-20-7 5-30%
Titanium Oxide 13463-67-7 5-10%
Water 20-40%
3. Hazards Identification
Hmis Hazard Classification
Toxicity: 0
Flammable: 0
Reactivity: 0
Personal Protection: B
Scale Low: 1
Moderate: 2
High: 3
Extreme: 4
Emergency Overview: None
Potential Health Effects:
General: No Danger
Inhalation: It may result in irritation of throat and lungs if inhaling.
Ingestion: None
Skin Contact: Direct skin contact doesn't cause skin irritation or dermatitis.
Eye Contact: May cause irritation upon direct contact.
4. First Aid Measures
Inhalation: None
Ingestion: Seek medical attention or drinking amounts of water immediately.
Skin Contact: Wash with soap and water
Eye Contact: Flush with water. Consult a physician if necessary.
Note to Physician: None
5. Fire Fighting Measures
Fire: None-Flaming
Explosion: Not considered to be an explosion hazard.
Fire Extinguishing Media: None-Flaming
Special Information: None
6. Accidental Release Measures
Steps to be taken in case of spill or leak.
Maintain adequate ventilation. Prevent runoff to sewers.Use sand or other material to dam or contain
spill. Soak up with an inert absorbent. Store in a closed container
until disposal.
7. Handling and Storage
Handling: Keep containers tightly closed.
Storage: Period<24 months
Special Comments: Store between 5°C- 35°C in a closed container in a protected area.
Wash hands thoroughly with soap and water after handling as a
standard hygienic practice.
8. Exposure Controls/Personal Protection
Airborne Exposure Limits: None
Ventilation: A system of local and/or general exhaust is recommended to keep
employee exposures below the Airborne Exposure Limits. Local
exhaust ventilation is generally preferred because it can control the
emissions of the contaminant at its source,preventing dispersion of it
into the general work area. Please refer to the ACGIH document,
Industrial Ventilation,A Manual of Recommended Practices,most
recent edition, for details.
Personal Respirators: Wear dust mask during work.
Skin Protection: It is good to use protective gloves.
Eye Protection: Wear goggles to avoid splash.
9. Physical and Chemical Properties
Appearance: White liquid
Odor: Odorless
Data relevant to safety:
Changes in physical state: Temperature>60°C; after the pail is opened.
Flash point: Not applicable
Ignition temperature: Not applicable
Self-ignition temperature: Not applicable
Color: White; also available in standard color range
Particle size: <45 µm
Solid Content: Above 65%
Density: 1.30±0.05
Viscosity: >80 KU(at 25°C)
pH: 7.0± 1.0
Thinner: Water
Storage Temperature: 5°C- 35°C
10. Stability and Reactivity
Stability: Stable under ordinary conditions of use and storage.
Hazardous Decomposition Products: Ammonium gas. Vinyl monomers if the temperature is higher than
45°C.
Hazardous Polymerization: Should not occur.
Incompatibilities: Evolution of ammonia under high temperature.
Conditions to Avoid: High temperature condition(>45°C)
11. Toxicological Information
Acute oral toxicity(LD50): None
Irritant effect on skin: None
Irritant effect on eyes: Slightly irritant
Duration of exposure: 24 hours
12. Ecological Information
Ecological effect: Fish toxicity(LC5o);None
Environmental Fate: When released into the soil,this material is not expected to leach into
groundwater. When released into the soil,this material is not
expected to evaporate significantly. When released into water,this
material is not expected to evaporate significantly.
13. Disposal Considerations
Dispose waste by sanitary landfill or incineration in accordance with appropriate regulations.
14. Transport Information
Shipping Name: Product Name: Fireproof Paint
Product Code: DC315
Size: 1 Gallon or 5 Gallon by plastic bucket.
Road transport: Non-hazardous goods
Inland waterways transport: Non-hazardous goods
Marine transport: Non-hazardous goods
Air transport: Non-hazardous goods
Dispatch by post: Permitted
15. Regulatory Information
Health hazardous goods: NO
Environmental hazardous goods: NO
Fire hazardous goods: NO
16. Other Information
Hazard Warning: None
Cautions: Avoid contact with eyes. Use with adequate ventilation. Wash thoroughly after handling.
Label First Aid: Assist person to understand and exactly avail the materials.
Product Use: Fireproof Paint
Remark: This information is based on our present state of knowledge. It should
not therefore be construed as guaranteeing specific properties of the
products described or their suitability for a particular application.
Rough Plumbing I insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: ITT,ci-i—n/prn
742 Bay Road, Queensbury, NY 12804 Inspector's InitialF."/ 17--;
NAME: PERMIT#: ,
/ t
_
LOCATION: /4 Al INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing/Nail Plates 11111
Plumbing Vent/Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum 1111
Cleanout eve 100 feet/chan,e of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above h'•hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check MI III
T ek Sithilar Exterior Sealant
P
• r Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation 1111111
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
t 1" *--"
COMMENTS: :—0:iikelo-rA t. 4 -t -11 t*--
'wh
Rough Plumbing Insulation Reportrevised Nov 17 2003,revised February 15,2005, revised January 7,2008
P4frl .l �'' � s
Framing I Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection =$ -* .= •:
Queensbury Building &Code Enforcement Arrive: V^&a a, iW - = : l2 '2C a)
742 Bay Road, Queensbury, NY 12804 Inspector's In' .- /_1'l
NAME: 1 r • PERMIT#: i
LOCATION: ' ` {; /�� � : INSPECT ON: / _
TYPE OF STRUCTURE:
Framing Y A N COMMENTS:
Attic Access 22'x 30' minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams �� � '
Exterior sheeting nailed properly
12'O.C.
Headroom 6 ft. 8 in. ,<t).
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 S4(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 water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping - r / tAz -� v r
Penetration sealed
16 inch insulation in cavity min. �� '"� --.‘kP
Garage Fire Separation
House side'r4 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:1Building&Codes Fomes-OLDeuilding&CodesUnspection FomtslFraming Firestopping Inspection Repc tdoc Revised January 7,2006
Rough Plumbing I Insulation Inspectio Report
Office No. (518)761-8256 Date Inspection - • , - - .-$ed:
Queensbury Building &Code Enforcement Arrive: Vant/p - (! = •art: a
742 Bay Road, Queensbury, NY 12804 Inspector's InitiaIS`,,: Al _.
NAME: '. ' `_ PERMIT#:
LOCATION: 1 � , y !__, INSPECT ON: -1
)7(PE OF STRUCTURE:
..41110
_ ' Aad
Plu •ing Vent/ nts in Place
1 %in. ' mum Drain Size LA_ c ‘t.. 1..
Washing Machine Drain 2 inch minimum �;`=v��
Cleanout every 100 feet/change of direction
Pressure Test
z„..6=nt
✓/-
5 P.S.I. or 10 ft. above hit hest connection for 15 minutes t
Pressure Test
W Supply Piping /
0
1---- 1:'' '.1for 15 minutes i/
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Fu = -
Duct work sealed prope /No ,uct tape
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008
Rough Plumbing I Insulation inspection Report
Office No. (51 8)761-8256 Date Ins• _«'. request r -
Queensbury Building &Code Enforcement Arrive: ' = ! = • ►: . . �
742 Bay Road, Queensbury, NY 12804 lnspectoes Initia -•
NAME: G.p�SLI P RMIT#: 10 - 52:1
LOCATION: Zip INSPECT ON: Z - 1(D-I\
TYPE OF STRUCTURE:
Y N N/A
> rig
•num•inj Vent T e f. - - *7;
1 r4 inch minimum Drain Size _
Washing Machine Drain 2 inch minimum civ
Cleanout every 100 feet I change of direction \C M .�\
Pressure Test
Drain/Vent t \-1/4�
Air/Head V,t. 190 N,w4
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.i for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent,Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
MENTS:
Rough Plumbing insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: / Z//
f
Queensbury Building&Code Enforcement Arrive: am/pm Depart:f am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:649
NAME: �-��0 f f //7613 ' PERMIT#: / 0 - 527
l-7
LOCATION: a c 1-i-c( ( L con; INSPECT ON: / 7_1/ //0TYPE OF STRUCTURE: --y
Comments
l
.4P°°' tings
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 -Z--
Footing
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspectlon Fortes\Foundatlon Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
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