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2014-394 0111111K 41_1101111- TOWN OF QUEENSBURY 4111 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20140394 Date Issued: Tuesday, April 28, 2015 This is to certify that work requested to be done as shown by Permit Number P20140394 has been completed. Location: 16 Mark Dr Tax Map Number: 523400-289-007-0002-016-000-0000 Owner: ANTHONY& KATHRYN CERRONE Applicant: ANTHONY & KATHRYN CERRONE This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property (W f 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. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140394 Application Number: A20140394 Tax Map No: 523400-289-007-0002-016-000-0000 Permission is hereby granted to: ANTHONY&KATHRYN CERRONE For property located at 16 Mark Dr 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: LORI BRITTON 92 TEE HILL Rd Fireplace QUEENSBURY,NY 12804-0000 Garage Attached Single Family Dwelling $250,000.00 Total Value $250,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency ANTHONY&KATHRYN CERRONE 3A SKY LARK Dr SO. GLENS FALLS NY 12803-0000 Plans&Specifications 2014-394 SFD 2,716 sq ft w/Garage 840 sq ft 1 Fireplace(gas) $669.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, September 03,2015 (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 Town f Que bu • 41 Wptember 03,2014 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only Town of Queensbury Building & Codes Received: :, Tax Map`I'D: , 2° -0Le PRINCIPAL STRUCTURE APPLICATION 7_ • Permit No.: A permit must be obtained before beginning construction Permit Fee: $ ��� Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $ �/f units, including single-family dwellings,duplexes or two-family dwellings, multiple family Site Plan No.: ��.sr. dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.: homes,but not including mobile homes. This is in addition to the permit fee. Date f" _ Applicant 7fA.7 41n?li' Tax Map ID 7-a? - / Address L- • Zoning _ _ L • Phone/E-mail Property Owner /1/Y11 njr y 4 /i tJA yN 6;eitv1YE: Contractor/Agent /!M �f Address 3A / /_/9 /1 /2 Address c a/ s F/3 //r /V ,22f0,3 Phone/E-mail ,S 9 ' -5 (9 ,4,etlieNEG &y9h/(/uPhone/E-mail 99r- Wff Building Street Address: A417 L it OA/I/i L12,,,-I/vJ'(7IAI y /vy Subdivision Name: .(}Ndi / Ltt),t lr7N fr c Lot#: aZ Historic Site: Yes K No Estimated cost of construction: $ 75-4600 Type of Construction: Check all that apply Please indicate measurements as required below: = o g d a d 1st Floor 2nd Floor Other Total Height a F a a / /� Single Family Z/7/6 -017 b _` Two-Family Multi-Family(#of units ) Townhouse Business Office Retail-Mercantile Factory-Industrial ,,, Attached Garages(# 3 ) X kg° gvo /01 Other Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 If commercial or industrial indicate name of business Proposed use of building or addition Source of heat(circle one) Gas Oil Propane Solar Other Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" /Yes No Are there structures not shown on plot plan? et) Are their easements on the property? /1/v Site Information a. Dimensions or acreage of lot 7,c-, & eS b. Is this a corner lot? c. Will the grade be changed as a result of construction: _Yes ✓ No d. Public water or Private well 0 / GV c 1� e. Sewer or Private Septic System ft,wr f E s -,/'G 5-y511:1_171 Value of all work to be performed(labor and materials) $ 76.o) et° , Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 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 issuance of a certificate of occupancy. I have read and agree to the above. 9 Signed2. 6r/fs aW Date: FOR OFFICE USE OZ. Operating Permit Issued: _Yes _No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 Office Use Only Received: ,. `6Ik Tax Map ID:;`�. Town of Queensbury Building & Codes Permit No.: (4/1'39 Y SEPTIC DISPOSAL PERMIT Permit Fee: $ A permit must be obtained before beginning construction Approvals: Applicant:/ I4/' C ,,f/1t e/ Installer/Builder Address: 3 A ,6tii t. 279ti• Address 5 6/r/t/r A/[I /74)j Phone: 71tl " ,S7 Phone Owner: L L Location of Installation Address: cill't C Phone 1 //��,,, �/ �/ Contact Person for Building&Code Compliance: � � C�/Z//1h Day Phone: /y7 "7a6 Residence Information: Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow 1980 or older x 150 = Garbage Grinder installed? '' ig 1981-1991 x 130 = Spa or Hot Tub Installed? i R 1992—Present x 110 = 3 A.7 Parcel Information: Topography /let Rolling _Steep Slope _%Slope Soil Nature Sand Loam/ Clay _Other Groundwater At what depth? f. Bedrock/Impervious Material At what depth? t' Domestic Water Supply Municipal Well(if well,water supply from any septic system absorption is /V ft.) Percolation Test Rate- per minute per inch(Test to be completed by a licensed professional engineer or architect) 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). Tank size /0011 gallon(minimum size 1,000 gallons),add 250 gallons to size of septic tank for each garbage grinder,spa or Whirlpool tub Fo. i System Type: Absorption Field(with#2 stone) Total length ID O ft. Each trench X b Seepage Pit(S)(with#3 stone) How many? Size? Alternative System Bed or other type? Holding Tank System Total required capacity? Tank size? #of tanks? NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified Electrical form on Town website;2)Effective as of March 23,2006 Septic System-As Built Plot Plan: The Building Department will no longer allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed system must match the septic system layout on file. There will be no exceptions. 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. ✓1 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 dinance.( /� Print Name: ,r �/1'�y L�,•e/ Date: ir/ //� Signature: Date: Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 Office Use Only Town of Queensbury Building & Codes Received: l •';, Tax Map IDj '� FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Permit No.: Permit Fee: $ Application is hereby made to the Building&Codes Office for the issuance of a Building &Use Permit pursuant to the NYS 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: Date I y • Owner ittM44 ,� � Installer/Builder I r12 Address /Ut /4 a, iL Address a.✓surd/1 /Leo Phone 7Phone Location of proposed construction and/or installation: Contact Person for Building &Codes Compliance: Subdivision Name: Fuel Burning Appliance Information Wood Coal Pellet Gas Oil Stove Fireplace Insert Fireplace,factory built* �� Fireplace, Masonry Furnace,(Garage Only) {��r / * If Factory Built, Please Provide: Manufacturer Name: i' f4j/fi Model No. t4/316 Listed By: Number: Chimney Information Masonry" Vcheck one _Block _Brick _Stone Flue ✓check one _Tile _Steel _Size in Inches / Material ✓check one _Double Wall Triple Wall _Insulated /Direct Vent _Chimney Liner **If Non-Masonry, please provide: Manufacturer Name: Model No. "3 b 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 Building&Codes Principal Structure Packet 518-761-8256 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/pm Depart: `. am/pm Date Inspection request received: S Inspectors Initials: NAME: C F,(" 1 cAA b PERMIT#: 1 —3 I l LOCATION: ‘\v vii Jcct-v- b 1r 1,-e- DATE: `' Al 1 1 TYPE OF STRUCTURE: Comments: Yes.A N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location ✓ Fresh Air Intake ,r 3 inch Plumbing Vent through roof minimum 18 inches ✓/ Roof Complete/Exterior Finish Complete ✓ Platform at all exterior doors V, Handrail 4 or more risers Guards at stairs,decks, patios more than 30 inches above grade j" Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more 1,7�- Handrail Termination at Newell Post or Wall N/� Interior/Exterior Railings 34 inches to 38 inches ✓:,.." �^ Deck Bracing/Handicapped Ramp Compliant 0( Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate V Gas Valve shut-off exposed/regulator 18 inches above grade ‘/..' Interior privacy I trim/doors/main entrance 36 inches ✓ Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety gla}}ing y/ Interior Smoke Det ors/Carbon M oxide,Aetectors Every level: Li Every Bedro : z// Outside every bedroom/area: Inter Connected: .. Battery backup: .-/ i'' 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 r/ /7' Bathroom Fans, if no window Plumbing fixtures v� 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 V 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 V/":„." Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer V r Gas Logs in Sealed or Glass Enclosure r/... Final Electrical; Energy Saving Light Bulbs 50% kr-' Final Survey Plot Plan 7:,.Arc Fault Breaker Habitable Spaces 1 Tamper Proof Receptacles t/ Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required 1//:,/ 1,1Flood Plain Certification,if required Okay to issue C/C or C I 0 f Temporary/Permanent] 0 1t' u 's Lb S (cy koi5 & 14ncwe., L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_re' January 7, 2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11 .RAJNY onsulting, LLC 69 Hayden Point Loop Diamond Point, NY 12824 518 221-3240 04/22/2015 Anthony Cerrone 16 Mark Drive Queensbury,NY 12804 Inspection Address: 16 Mark Drive, Queensbury, NY 12804 Report Number: 0422155 Dear Anthony: At your request, the Blower Door Inspection of the post construction test to verify infiltration rate of the house as per requirements of the NYS 2010 Energy Conservation Construction Code of the above property was performed on 04/22/2015. GRAJNY Consulting, LLC is pleased to submit the following report. The following data was provided: - Square Footage of the house, including conditioned basement=5,270 SF - Volume of the house, including conditioned basement=47,430 CF Based on above,the following test data was collected: - Infiltration Rate. including conditioned basement at 50 Pascal = 1,477 CFM - ACH50, Actual Changes per Hour at 50 Pascal = 1,477X60/47,430=1.9<7 The Instruments used for test were provided by the Energy Conservatory Digital Gauge DG-3 rated accuracy=+/- 1%,calibrated minimum once per year. Thank you for selecting our company. We appreciate the opportunity to be of service. Please call this office if there are any questions. • 5 IOLAUS Sincerely, �y Stan Grajny, PE -s, NYS HERS Energy Rater BER-041 5aoa?, NYS PE 065406-1 10 Queensbury Building & Code Enforcement - Residential Final Inspe tion i fEAOffice No. (518) 761-8256 Arrive: am/pm Depart:C N I !pm Date Inspection request received: 42,3 7-0\5 Inspector's Initials: NAME: CSAc4 - PERMIT##: 1Li 3cll LOCATION: I to IMA-LaL 2-AVt DATE: 112,0-2-Cot TYPE OF STRUCTURE: '' 'i Comments: Yes L:0,41/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Locationt Fresh Air Intake i,/, ft .)4(_ -_354E-* 5 3 inch Plumbing Vent through roof minimum 18 inches � ' Ilr4--1-2--- -- �� Roof Complete/Exterior Finish Complete Platform at all exterior doors • Handrail 4 or more risers >� S3 t ��L� Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more — — Guard at deck, porches 36 inches or more ✓ Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches r✓ Deck Bracing/Handicapped Ramp Compliant / Grade away from foundation 6 inches with 10 feet Yff 6 inch clearance to sill plate ;//// Gas Valve shut-off exposed/regulator 18 inches above grade V27 Interior privacy 1 trim/doors I main entrance 36 inches !� Bathroom/Kitchen watertight /' Safety glazing/Win�dow in stairwells safety glazing ,J Interior Smoke Detectors/Carbon . noxid�'Detectors Every level: ��// Eve edrg6m: C/ Outside every bedroom a: \ / Inter Connected: Battery backup: t/ Attic access 30 inches x 22 inches x 30 inches(height)in accessible area 1/' 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 icker on Panel I Duct work sealed proper) Blower Door Test Certification / Floor truss, draft stopping i ement 1,000 sq.ft. f� Emergency egress below grade r// Gas Furnace shut-off within 30 feet or within line of site •/ / Oil Furnace shut-off at entrance to furnace area /' s/ Furnace/Hot Water Heater operating / Low water shut-off boiler )/ Relief Valve(s)installed/Heat Trap/Water Temp 110 / Enclosed Stairs Sheetrock Underside minimum 1/2"Gypsum 1,7" Basement stairs closed rise>4 inches l/,! Garage Floor Pitched Garage fireproofing/V4 hour fire door/door closer ✓ ,.r Gas Logs in Sealed or Glass Enclosure v. Final Electrical; Energy Saving Light Bulbs 50% o/ Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding S// 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) ICIr u. S S 1� ki /)��� � IcS�rn6cLA)Q. L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised January 7, 2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11 4 Town of Queensbury Building&Code Enforcement Office No. (518)761-8256 Cl -q Rough Plumbing I Insulation Inspection Report Inspection request received: Name: Ce v✓Q. Inspected on: `J 2 20\`,3 Location: 1 to 1'\p,✓1L. b✓\vim Arrive: MARI) a.m. l p.m. Permit No.: )6t " � Inspector's Initials: I Type of Structure: COMMENTS Y N NA r Plumbing under slab �c�Nct °�n r Rough Plumbing/Nail Plates 1 .axv-r—d" Plumbing Vent/Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum CuY\e-c>\O Cleanout every 100 feet/change of direction Pressure Test "A - -'e) Drain /Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head V, 1 50 P.S.I for 15 minutes Insulation/ Residential Check 1 Commercial Check "� /lj— 0 -- Window Sealing n� 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 Blower Door Test Air Sealing 1-22A-L)‘44"4,CilRough Plumbing/Insulation Inspection Report !1 Town of Queensbury Building&Code Enforcement f?) Office No. (518)761-8256 Rough Plumbing / Insulation Inspection Report I / Inspection request received: 11'5 161") Name: Ce 4__SU 1 Inspected on: 3 0 /3 Location: IUCDt Arrive: b 401C, a.m.I p.m. Permit No.: 2011-i- Inspector's Initials: Mir A Type of Structure: COMMENTS Y N NA Plumbing under slab Rough Plumbing / Nail Plates ` (i2 _rl/ /ItJ1e Plumbing Vent/Vents in Place 1 /2 inch minimum Drain Size Y7r- WashingMachine Drain 2 inch minimum �T Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 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 nsulatior Residenfal Check-f-Com'm- :al Check Window Sealing- 'l aAt 6'Wf r Nik Tyvek or Similar x erior Sealant Proper Vent, Attic Vent Door 1 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 Blower Door Test Air Sealing Rough Plumbing/Insulation Inspection Report Afu Town of Queensbury Building&Code Enforcement Office No.(513)761-8256 inspection Report Rough dumbing I Insulation Inspection request received: _ inspected on: - C e r2- 1:2-ON a.m. I p.m. Name: r Arrive: ,:Vl • Location: _ Inspector's Initials: RA Permit No.: Type of Structure: COMMENTS © N NA 1,0 Plumbing under slab , Rough Plumbing/ Nail Plates Plumbing Vent/Vents in Place 1 '/z inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain 1 Vent Air 1 Head 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 I Residential Check I Commercial Check / ' t Window Sealing in 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 Blower Door Test - Air Sealing fra r°-(4-M iN tx..)-4444,5 - R.2 Rough Plumbing 1 Insulation Inspection Report . .% . I ( p ENERG ✓ • GUARD INSULATION SPECIALISTS - Ila ,PY • HOME PERFORMANCE CONTRACTORS 4449 Route 9N • Porter Corners, New York 12859 © (518) 893-2228 ° E-mail: enguard@nycap.rr.com • =-= 1HERMI I ,c Thermal and Acoustical Insulation C�,:..I■`w� :gCttOte L)6 Loose-Fill Cellulose - Pneumatic Application \1�v:•l' `� NAME OF APPLICATOR: • COVERAGE CHART Fon VENTILATED ATTIC Thermal iledsinncc Minimum Applied Minimum Minimum sines par Cevaraeo per One Minimum Ones -" Tldctnoee Sullied Tnlcknaas Unit Mao par Unll mon qt.Fader I •rum.lm'.KVJI In. l mnl !rte I mm In.il.' I Wm: IL' I m' leearl' leo no: f 1_ f�/1, ��` , vg. ADDRESS• : ` �P V u � 11-12 581.2,1 (3,5) (92) 3,2 03 0,43 2,09 57,78 , 5,41 17,3 10,5 • 5.13 581-2,3 (4,0) (101) 3,5 01 0,47 7.,32 52,73 4,90 19,0 20,4 Q l..l-P e_v- egAcVf 5-19 581-3,4 (5,7) (151) 5,2 134 0,69 3,43 35,23 3,30 27,6 30,3 4I q 5-20 581.3,6 (5,9) (155) 5,4 139 0,72 3,55 34,52 3,20 29,0 31,3 5-22 RSI-3,9 (6,0) (173) 6,0 154 0,81 3,04 _ 30,00 2,87 32,3 34,0 5.30 581-5,3 (8,9) (235) 0,1 210 1,00 5,36 23,15 2,11 43,2 47,4 '• 5-32 " 581-5,6 (9,5) (249) 8,6 222 1,15 5,67 21,74 2,00 46,3 50,0 DATE OF APPLICATION: - R-30 RSI-6,7 (11,7) (297) 10,4 266 1,39 6,77 18,03 1,67 55,5 59,13 2 �� R-40 551.7,0 (11,9) (310) 10,8 277 1,44 7,09 17,30 1,60 57,0 52,5 Day: LS Month: Year: RSI-6,6 (14,3) (381) 13,3 340 1,71 0,80 14,12 1,30 70,8 76,9 1 11-50 RSI.0,0_ (14,9) (390) 13,5 348 1,00 8,01 13,89 1,27 71,9 78,7 THICKNESS INSTALLED. (3 Solllod density 1,6 lb.per cubic loot .- 25,40 kg per cubic molar. SIGNATURE: 1.10 X11' A. -C S` This chart bldioatos the minimum number of bogs to use.The final result will vary according to lho application technique,the oqulpment,and the loose used. 41 From R-40 or 581-7,0,it may be necessary to bring a correction according to the application technique. Evaluation report C•C•M.C.No 09232-L As per stnnciurcis CAN/ULC-S703 MANUFACTURED BY: ( Chan created for North America•EUROPE:Sao technical evaluations:CSTU lie 20.(05.77•Fire Classification Ml Ho ES 541.04.0540•Fungicide Action Ho SU-03.050 1 e��a :o In IMO NM ImvMOO a VI.01110, Tho Ihormal rosiatanco and soloed NATIONAL RESEARCH COUNCIL 1451,Nobel St. density for Bono-therm 11+ OF CANADA Ste-Julie(Quebec)J3E 1Z4 Insulation tine boon lostod by: Building Roeaorcls Innlltuta MEMBER REPORT CR 6021.1 WWW.benolec.corn F Wall:The minimum density for injection In cavity Is 3,0 lb.per cubic tool • �p � co O. /71 -fir, Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection r quest received: �/i 7A ,S--) Queensbury Building & Code Enforcement Arrive:01°...-4 `• am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: `/C5��� PERMIT#: gO 14- - 394 LOCATION: 1 G, /1Yetrk- INSPECT ON: / S� TYPE OF STRUCTURE: Y N N/A Plumbing under slab Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 11/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent / f f Air/ Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes • Pressure Test Ct1/44D / 00,,jevLWater Supply Piping ;• Air/ Head 50 P.S.I. for for 15 minutes Insulation / Residential Check/Commercial Check Window Sealing 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 Blower Door Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 05 13 Town of Queensbury Building &Code Enforcement Office No. (518) 761-8256 Framing I Firestopping Inspection Report Inspection request received: Name: C erZ Z5 ' ' Inspected on: 7 3 I IN Location: I °Z-t - '--(_ Arrive: , a.m./p.m. Permit No.: 2 D 1-A"?j 4- Inspector'sInitials: Cr TYPE OF STRUCTURE: <' �— 1) Y N NIA COMMENTS: Framing .�j„ —j--- Attic Access 22"x 30"minimum Jack Studs I Headers k Truss Specification Provided �/ Bracing I Bridging / ✓ k_Ac-L ( s 4XCL; Joist hangers E�'� l Jack Posts/Main Beams t = 2 Exterior sheetingnailedproperly �L �� � 1, �. 12"O.C. . ,f Headroom 6 ft.8 in. Stairwells 36 in.or more / �] + � l Exterior Deck Bracing �i Headroom 6 ft.8 in. Notches/Holes/Bearing Walls di -0.4,i). 0-c. Metal Strapping for Notches Top Plate / 1 '/2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft.floor trusses WL-C2-k17-\ �-- , , ' , , Anchor Bolts 6 ft.or less on center Ice and water shield 24 inches from wall / 1,/cT 1�,a \ -(� Fire separation 1,2,3 hour " Fire wall 2,3,4 hour /� ,�- Firestopping _V ��� v Penetration sealed 16 inch insulation in cavity min. — Garage Fire Separation House side 1/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in.(W) 5.7 sf above/below grade 5.0 sf grade 7 Design Professional Sign-off,if required Framing ! Firestopping Inspection Report �y Town of Queensbury Fire Marshal # 0 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# d014--31 Li- Schedule Inspection l 13011 S Time t./ am pm anytime Inspector Name ;l_. Address ',6 1 4Kow'L Rough In'Final671-1 __ Appliance Manufacturer I4 ` `�` Model# �t 1 --) Direct Vent )( Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection v V i Clearances to Combustibles (all sides) Firestop(s) Vertical Chase X Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination41, Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet /) Gas Shut-Off Valve 1 Combustion Air �( Hearth Extension (if any) Mantel Height above f/p opening or ` Witness Operation Tank Placement(if LP) ' U CO Detection CSST Bonding " White—Building Dept. Yellois—Gust neer Pink—Fire Mars :1 I vs-T. la Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date In • - -j i l r• u uest received: 09/Q6/ Queensbury Building & Code Enforcement Arrive: I . A ) am/pm 742 Bay Road, Queensbury, NY 12804 Inspecto 's Initis' : , NAME: Ce[N--bilta, /J . PERMIT#: /L7Lr39 LOCATION: 16, ILI A(111--) ir_ INSPECT ON: /?--`Ild—e/ TYPE OF STRUCTURE: Y N N/A Plumbin un r slab CeiN ��o gfl Plumbin,g,/Nail Plates �2 Kre Plumbing Vent/Vents in Place 7V 4 r 11/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent rty Air/ Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I. for for 15 minutes Insulation / Residential Check/Commercial Check Window Sealing 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 Blower Door Test •1/Air Sealing COMMENTS: 17---6(< - ("V Rough Plumbing_I nspection_02 05 13 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 --,1(m- cr-) / I/ Date received: NAME: (2e/ /Y)/1.�- LOCATION: e. L G A PERMIT#: (2)11— -29`41 Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of / Community c/ Development. Upon review the survey has been: Craki&B wn, Zoning Administrator Notes: L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc I{ 4 �y yp MAIC uYtm frtwcr•m�u SHE ,S® � Y W105 R fYOF3 jAID RRiIPICAi ON551W1RLN ONLT I � SHEET I OF 1.IO .i. lOi„E PERSON FCfttNHOM IM1f SVftvEYIS PREPPRPD PNO Kathryn Cerrone i � ON HS BLHW iG IIf¶i1P CAMPPNY.GWfRNMENiAL u 1 J 1 � - pLCNGY AN01£NG'." NIITIIION N5if0"1" WJD I w l 1 01/12/15 BUILDING LOCATION cERRONE 169 Haviland Road Queensbury, New York 12804 DiNf SGNeL THE ADW 1 iIW➢O .. Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: .am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:/ NAME: d- PERMIT * /.1 LOCATION: C (7 INSPECT ON: imam TYPE OF STRUCTURE: Y N N/A Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout eve 100 feet/chan•e of direction Pressure Test /� Drain /Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.1 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 lkA,VVYW-)19 —1 2-- COMMENTS: 6t, 1/-tt- t/A — Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: NOV, /0/ a-d Queensbury Building & Code Enforcement Arrive: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: 0301- der-ro4 PERMIT#: 0Z0/L/- 39q LOCATION: ' l 6 M IJ/ r < - INSPECT ON: 4401 Aloviq 0104 TYPE OF STRUCTURE: e)17-fefite Y N A Ce lumbing under slab ���� Rough Plumbing /Nail Plates � 4'' Plumbing Vent/Vents in Place O9-tk& 11/2 inch minimum Drain Size 3j a' Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/ Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I. for for 15 minutes Insulation /Residential Check/Commercial Check Window Sealing 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 Blower Door Test Air Sealing COMMENTS: Rough Plumbing_Insulation Inspection_02 05 13 Town of isburn7 Building & Code Enforcement / Office No. k.,, , 761-8256 ,- ( a Septic Inspection Report Inspection request received: i U1/ >(//y CC�2 ( O� / `- Name: � Inspected on: .) I Location: tt (Q ,"l ' '- V-- 7 1- Arrive: ,4 \ p.0 a.m./p.m. Permit No.: ) Li ! (/ Inspector's Initials: Comments and/or diagram Soil Type: a /Loam/Cla Type of Water: Municipal/ ell Wa Waterline separation distance /161 ft. Well separation distance Ifs_ft. Other wells: ft. Well Casing Length 50'+/- Y N N/A [150'to well required if NO] Absorption Field: Total length i _D____.ft. Length of each trench ft. Depth of trenches -r ft. Size of Stone -01, Seepage Pits: Number Size: ;'��z Stone Size: Piping Size Type Building to tank ��` �c�ck 1k0 Tank to Distribution Box 'VC4 .)Ck Distribution Box to Field/Pit 4C" -Sv 9)C '442" Opening Sealed: N End Cap 44 N Inlet/Outlet Pipes&Baffles VY—N Manholes 12"or less below grade _Y_N(- [provide extension collar if Yes] Y_N{4 Location/Separations Foundation to tank ft. Foundation to absorption '7_t. ft. Separation of Pits ice'ft. Conforms as per Plot Plan _N_ Engineer Report and As-Built _Y X ETU Maintenance Contract provided _Y_N Location mon Property ron Rear 41%),i� fight Si Middle Front Middle Rear System Use Status; 1,'C100634Seki-i k-- Approved ► Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report / a Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: / 69/ 01 Ll Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials• NAME: C S f / C V - PERMIT#: I t,j— V(1 LOCATION: /(r c'Vl 0-1(2— (( I'V (1.-C INSPECT ON: 0/2 1//L/ TYPE OF STRUCTURE: Continents Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing 'CZ Footing Drain Daylight or Sump Footing Drain Stone: jje 12 inch width 6 inches above footing 6 mil poly for wet areas under slab + �� .. 4/Backfill Approval I j, 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\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM WEd Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart: ' m/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: Ce r OO( e PERMIT#: l I 94-1 LOCATION: (p 'l&tc* Ok INSPECT ON: I 1 t V- TYPE OF STRUCTURE: S F 'J L Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. 41 Materials for this purpose on site. Foundation)Wallpour Reinforcement in Place Footing Dowels or Keyway in place 4 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\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: • NAME: C PERMIT#: / `"3q41 LOCATION: INSPECT ON: /b TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. allpour Reinforcement in Place • Footing Dowels or Keyway in place Foundation Dampproofing - -- A 4 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\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM I % LU j 0 (-t7E1--) Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depa • ' /� pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: • NAME: PERMIT#: N- C/ LOCATION: /' m(93`t.2 fi ) .2. INSPECT ON: /0- 3 "/ TYPE OF STRUCTURE: S t� Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wailpour Qd Reinforcement in Place / 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\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM