2009-442 I
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
CERVIXIFICKl"E OF OCCUPANCY
Permit Number: P20090442 Date Issued: Monday, November 19, 2012
This is to certify that work requested to be done as shown by Permit Number P20090442
has been completed.
Location: 7 BIRCHFIELD Dr
Tax Map Number: 523400-308-017-0001-009-000-0000
Owner: JOHN CHOPPA
Applicant: JOHN CHOPPA
This structure may be occupied as a:
Residential Addition By Order of Town Board
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090442 Application Number. A20090442
Tax Map No: 523400-308-017-0001-009-000-0000
Permission is hereby granted to: JOHN CHOPPA
For property located at: 7 BIRCHFIELD 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: JOHN CHOPPA
TAMRA WURZBERGER-CHOPPA Residential Addition $30,000. 0
7 BIRCHFIELD Dr Total value $30,00000
QUEENSBURY,NY 12804-0000
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
BP 2009-442
Residential Addition: 1 st floor: 126 sq. ft. (existing porch to be closed-in and adding stairs/ 2nd floor:
1,265 sq. ft. to be constructed over existing dining room and family room.
$166.92 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, September 29, 2010
(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 of Qu bury; / �uesday, September 29,2009
SIGNED B ,' ; for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
(Et 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090442 Application N mber. A20090442
i
Tax Map No: 523400-308-017-0001-009-000-0000
Permission is hereby granted to: JOHN CHOPPA
For property located at: 7 BIRCHFIELD Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans other informat' n hereto filed
and approved and in compliance with the NYS Uniform Building Codes an Queensbury oning
Ordinance. T o Constructi Value
Owner Address JO CHOPPA Resident' 1 Add' 'on $30,000.00
TA RA WURZBERGER-CHOPPA
7 B RCHFIELD Dr Total v ue $30,000.00
QU ENSBURY,NY 1280 - 0
F'
Contract or uilders N e A dress Electrieil I pection Agency
r`
Plans &Specifications -
BP 2009-442
Residential Addition: 1st floor: 1 q. ft. (existing porch to be closed-in and adding stairs/ 2nd floor:
1,265 sq. ft. to be constructed ov, existing dining room and family room.
$166.92 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,September 29,2011
(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 o ee *4ay, September 29,2009
SIGNED BY f� for the Town of Queensbury.
Director of Building&Code Enforcement
EASEMENT
�. C3 j,
/( This indenture made on April ;to , 1990 betwe nb WEST °MOUNTAIN
LIQUIDATING PARTNERSHIP, having its principal pl4e of business .at RD- #Zj
West Mountain Road, Box 378 in the Town of Queensbury, County of" Warren C61
and State of New York as Grantor
aag'_
and 51YA :
CYNTHIA BULLIS, Stonebridge Road, Town of Glens Falls, County of
Warren and State of New York, as Grantee
W- I —T N E S S E T H 'a ---
The grantor in consideration of Ten ($10.00) Dollars and other good
and valuable consideration given by the grantee to the grantor, the
receipt of which is acknowledged, hereby grants, bargains, sells and
conveys to grantee; her heirs; successors and assigns a permanent easement
to erect, construct, use, maintain and/or repair a swimming pool and/or
fence and/or for all purposes incidental to said use over the following
parcel of land, to wit:
All that certain permanent easement over a triangular-shaped parcel
of land located on the northeasterly side of premises designated as
"Birchfield Road" in the Town of Queensbury, Warren County, New York
which said permanent easement encompasses portions of a board fence and
concrete pool deck'-extending southwesterly across said northeasterly side
of Birchfield Road from Lot No. 3 as shown on "reap of Lands of Northwest
Village," dated February 28, 1974 by Coulter & McCormack, Licensed Land
Surveyors, which said map was filed in the Warren County Clerk's Office
on March 12, 1974, and which said permanent easement is more particularly
bounded and described as follows:
BECT1.7oIIvG at a point in the division line between Lot No. 3, on- the
northeast, and Birchfield Road, on the southwest, as shown on "Map of
lands of Northwest Village," and which said point is located at a distance
of 85.57 feet, measured southeasterly on a course of South 52 degrees 44
:a
,a
minutes 40 seconds East, from an iron pipe found marking an angle point in
ji said division line; running thence from the point of beginning in a
G7 it
southeasterly direction along said division line, South 52 degrees 44
i
minutes 40 seconds East for a distance of 38.73 feet to a point; running
C7
thence in a general westerly direction on a line which is parallel with,
and two feet distant southerly at right angles from a board fence,
CT� ,
South 76 degrees 06 minutes 10 seconds West for a distance of 23.78 feet
to a point; running thence in a general northerly direction on a line
which is parallel with and two feet distant westerly at right angles
w...._ _._ - ..�.�,.- _. ---
from"said' boaid�_fence, North 14 degrees 51 minutes 50 seconds West for a
distance of 30. 17 feet to the point of beginning.
Encompassing 359 square feet, more or less.
In witness whereof the grantor has set his hand the day and year
first above written.
STATE OF NEW YORK, COUNTY OF Z,:i,r ss.
On the day of April, 1990, before me personally came
to me known to be the individual ^-described in and who executed the
foregoing instrument, and acknowledged that --,, _,executed the same.
-
! J Record & Return
Michel P. Haggerty, Esq.
310 Mill St. .
Poughkeepsie, N.Y. 12601
APR 2 7 i990
'...............................' OFFICE USE ONLY -I-, - ..._..._...-.,...__� r� ..._._....._..__....
TAX MAP N J�'8��'"�"/ PERMIT NO.
FEES: PE IT�RECREATION ENGINEERING
(If applicable) -
_ +
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT--
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: ry s� = � +f' 'r OWNER: T'ig l,;.;..
ADDRESS: ': ' I I I z; I-.. f�'t L ._. ADDRESS: t' ..,' .. �`. ': . t= 4'. ,^
PHONE NOS. PHONE NOS.
%�1 � "�' �`�,'"> � �,.� ) i ,�*'
44,
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: PH&4E � `
LOCATION OF PR P RTY: �� ! -. -. f t t € �r' 1 4
�. �..-�',,� ���Imo: �.�`�t
. � 1 tih ,rwc I�
HAS THERE BEEN A SITE PLAN REVIEW; t�ARIANCE OR SUBDIVISI0& ROVAL? (b YES g NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p o
APPLY TO YOUR z I— w O U)
PROJECT O O0 F O d _ _
aU .! u- U.. I- w Q O U
w o I z C� I- O I- w uj
z Q Q u) cn LL
SINGLE FAMILY
TWO-FAMILY �-
MULTI-FAMILY �Y'
L_A
(NO. of UNITS )
TOWNHOUSE `
BUSINESS OFFICE
RETAIL-
MERCANTILE I
I
FACTORY OR I
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST:" i JQ00 FUEL TYPE: ` s �X F' `r s'
B 3-LGL 1 1-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? 40
ARE THERE EASEMENTS ON PROPERTY? `��_-7 '5 -D vi e�0 11t �I �` C r'-.-_-
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 issuance of a certificate of occupancy.
I hav red a.nd agr e to th above.
Signed
Director gf 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)
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(c_gueensbury.net
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I HEREBY CERTIFY to Cynthia Bullim, Citibank (Now York
State), it• succasors and/or assigns, and Commonveeth •sees••••
Land Title Insurance Company that this sap was prepared •• LAND ~••
fro■ an actual survey on the ground, according to • tree e
record descriptions. •� j. Mc��'f'9`��.•ie•
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C'AAndre)J T. NoCoraaok, P.L.S. (Date) ( 0,
N.Y.9. Lio. No. 31739 • w
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•••Sf 311:19 �e �
-aiJnswihortsad alteratdan or-addition - • - d)
•Only copies fror the original of this to a survey rap bearing a Licensed W CD
survey narked with an original of the Land Surveyor's seal in a violation p
Lead Surveyor's seal shall be considered of Section 1209, Sub-Division 2, of N
to be valid true eopies.• the Haw York State P,dwcation Law.• 0-
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Foundation Inspection Report
Office No.(518)761-8256 Date j
nest received:
Queensbury Building&Code Enforcement Arrive: p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12904 Inspector' Initial .
NAME: In goo PERMIT#:
LOCATION: INSPECT ON: r
TYPE OF STRUC
25 7Co,Mmenta
Y N NA
Footings
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 Dampproofmg
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.\Buiiding&Codes Forms\Buiiding&Codesunspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: fC)
Queensbury Building&Code Enforcement Arrive: am/pm Depart:/ pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:Lly-�
NAME: PERMIT#: C)
LOCATION. INSPECT ON:
TYPE OF STRUCTURE: � -
Comments
Y N NA
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
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
1. 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:\BuNding&Codes Fors\Sui{ding&Codes\lnspection Forms\Foundation Inspection Repo t.doc
Last printed 12/2012005 4:24:00 AM
16 �-/&; 14rj'04a;v.
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code En€orcernent Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12&X Inspector's Initiais:/'
NAME: PERMIT#: 6cl-4�
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y A COMM NTS:
Framing
Att s 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging V
Joist hangers
Jadc Posts/Main Beams
Exterior sheeting nailed properly
17 O.C.
Headroom 6 ft. 8 in.
Stairwaft 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Hobs i Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D nds each we
Drat stopping 1,000 sq.fL floor trusses
Anchor Bolts 6 ft. or less on center
lee and water shield 24 inches from wail
Fine separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
-CelflngMall
Windows Habitable Space/Bedrooms
24 In. (H)
20 in. OM
5.7 sf above/below grade
5.0 sf grade
L:t fidkv&Codes Forms-OLDSuNdina&CodesUrapection FOny*Wf&'W%FksdWing inapodion Ropatdoc RovWW January 7,2W8
Framing / Firestopping Inspection Report 7
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ DePa am/pm
742 Bay Road, Queensbury, NY 12804 inspector's initials:
711'�
NAME: PERMIT
LOCATION: r INSPECT ON:
TYPE OF STRUCTURE:
Framing COMMENTS:
Attic Access 22"x 30'minimum
Jack Stud/Headers
Bracing/wing
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed property
17 O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Yletal Strapping for Notches Top Plate
1 % w 16 gauge M 16D naNs tach sift
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
F' 4 hour
Firestopping
sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Cetltn it
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. OM
5.7 sf above/below grade
5.0 of grade
L:16WkMV&Codes Farms-OLD%uildit&CodesUn WUon FWWFfwy4%Fib Msp*ion n"Nxtdoc Revived 18n 7,M
Rough Plumbing 1 Ins ation i ection a ort
g g P
Office No. (518) 761-8256 1 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: ta Ica-miprn
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: ti INSPECT ON:
TYPE OF STRUCTURE:
Y XN NIA
Bou lumbin Nail Plates Vx
Plyftlng Vent/Ifents in Place
1 %inarmivftft Drain Size
Washing Machine Drain 2 inch minimum
Cleanout M 100 feet I cha a 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
MPr 15 minutes Of
IfisuMon i tesidential Checc/Commercial Check Ye
or Sirfiilar Exterior Sealant
P r Vent,Attu Vent
Door/Window Sealed Insulat+
Duct/Hot Water Pipin
if required unheated s
paces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
CO„MM S:
Rough Plumbing Insulation Report mvind Nov 17 2W3,mvked Fabruary 15,2005,revised January 7,2008
Rough Plumbing / Insu 6tionin's'IiViction Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Cade Enforcement Arrive: am/pm Depart am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
n
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing/Nail Plates
Plumbing Vent/Vents in Place
1 %inch minimum Drain Size
Wastdng Maine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 fL above h' hest connection for 15 minutes
Pressure Test
Water Supply Piping
P.S. for 15 minutes
tnsulatio /Residential Chedc/Commercial Check
Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No insulation
Duct/Hot Water Piping Insulation
If Tguired unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation ReporLrevhW Nov 17 2003,rwAsed February 15,2005, revised January 7,2008
Queensbu rY Buildin '9 & Code Enforcement - Re denfiial Final Inspection
'43-
Office No. (518)761-8256 Arrive: am/pm Depart: C!''amipm
Date Inspection requestrqceived: inspector's Initials:
NAME: ' PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments:
7az� r ya
,V Building Number Address visible from road
Chim Height/"B"VenVDirect Vent Location
Fresh Air Intake ,
3 inch Plumbing Vent through roof minimum 6 inches
Roof Ca /Exterior Finish Cam ete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs decks ios 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
10L* ar/ExWior Railings 34 inches to 38 inches
Deck Sfaft/Handicapptd Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off 2yosed!regulator 18 inches above arade
Interior privacy I trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety /Window in stairwells sirlety gliming �V
Interior Smoke Detedors/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 Qvign in accessible area
Crawl Spaces 18 Inch x 24 inch access 1 sq.ft.-150 sq.ft.vents l
Bathroom fans if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss draft stopping finished basement 1,000 SQ.ft. ,,qq
EMM2M agrees below grade
Gas Furnace shut-off within 30 feet or within One of site
00 Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater op2rating
Low water shut-off boiler
Relief Valves installed/Heat Tra Water Tem 110
Enclosed Stairs Sheetrock Underside minimum IN Gypsum_
Basement stairs closed rise>4 inches
Gereas Floor Pitched
Garage fi mofi /%hour fire door/door closer
Duct work Sealed Property
Gas Loos In Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Fisk Gas Pipe Bondiii
As Built Septic System I Sewer Dept.lnsp2oon Sticker
Site Plan /Variance required
Flood Plain Certification if[ aired
Okay to issue C/C or C 10 Temporary/Permanent
L:\Building&Codes Forms\Suilding S CodoWnspeation FormsWesidential Final Inspection Form revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Queensbury Building & Code Enforcement - Residential Final Inspection
a
Office No. (518)761-8256 Arrive: am/p Depart:8 am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#:
LOCATION: i DATE: 17 ��.__.
TYPE OF STRUCTURE:
Com ments
4' Buildina Number Address visible from road
Chimney Hei ht IV Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more secs
Guards at stairs ios more than 30 inches above grade
Guard at stalrumll at Wriches or more
Guard at dea rches 36 inches or more
Handrail Ternihistion at Nkmell Post or Wall
trtterior Raclin s 34'nches to 38 inches
Deck Swing 11-landicappedftmpCompliant
Grade away MM foundation it'inches with 10 feet
6 inch cleararlbe to sill plate
Gas Valve -off exposed Ire ulator 18 inches aboW grade
Interior pdvadv I trim/doors/main entrance 36 inch
Bathrofevbedroorn
watertight
Safetydow in stairwel safeGlazing
Interiorectors/Carbon noxide Detect
Every lEvery Bedroorm
Outside'
utsid area:
Inter CBattery
Attic access 80 inch"x 22 inches x 30 fthes ht in accessible area
Craned Spacek 18 inch x 24 inch access 1 .ft.-150 sq.ft.vents
Bathroom Fabs,if no window
Plumbing res
Foundation in tion/Insulation Ce
Floor truss d stopping finished basement .ft.
Erne below graft
Gas Furnace shut-off within 30 feet or within N of site
Oil Furnace s -off at entrance to furnace
Furnace/Hot W er Heater operating
Law water shut boiler
Relief Valves in Ned/Heat TrW Wate Tem 1
Enclosed Stairs S Underside mi mum W ftsurn
Basement stairs rise>4 inches
Garage Floor Pitche
Garage fireproofing/' hour fire doe 1 door closer
Duct work Sealed proft
Gas Logo In Sealed or GI Enofture
Final Electrical
ical —
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Server Dept. inspection Sticker
Site Plan /Variance required _.
Flood Plain Certification,if re uired
Okay to issue C/C or C 10 Temporary/Permanent
L:\Building ill Codes Forms\Building&Codes\lnspecdon FonnsWesidential Final Inspection Form_revise4_100405.doc;Revised
January 7,2008;Revised 6/AM
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No..0..L....
gq .44 .....Cert. —N° - 10 9 4 5
Cut-in Card No.....................................
Y.Owner........- !....C?n..7 ! '.................................................................................................................
Location...1.................................................................................................................... L;L.er... ..........
3` 9W dt� 32 r....1'0C'1 r7 .,t................
Installation Consisting of.................. 1 ..........
................2 ?.'n/z....... ..! r�! .....................................................................................................
......................................................................................................................................................................................
Installed By.... -1..........<...�'.t .............Li,.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 date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of mak' ' pections at any time, and if its
rules are violated,the Companyshall have the right to evo thi c - �cate. ,
Date./.. �.1—Z1..................... INSPECTOR...................:.........—Txa t4:
/ -._�
Queensbury Building & Code
CJice No (510) 761-8256 Arrive
Date Inspection reqW§t received: Inspectors Initials:
NAME: PERMIT Y
LOCATION: DATE:
TYPE OF STRUCTURE:
Yes N/A
f No
4" Building Number Address visible from road �jjor
Chimney Height/"B"Vent/Direct Vent Location V
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above g de
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 Vol
Deck Bracinq/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 priv2q/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Outside everyb,'e'd-r-oomEv?re"a.
Inter Connected: Battery backup:
Affic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-i 50 sq.ft.vents or
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification/Sticker on Panel
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 Y
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 1/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles LA,1 2�,
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/0[Temporary/Permanent
LABui|dinQ&Codes Fonmn\Bui|din0&Codem\nopaoUonFommokRmodmntko|Final Inspection Fornl_m*xioed_1OD4O5.doc;Revised
January 7.2008; Revised GC26/OG; Revised 12/22/1O
"
OWA
Mo=ury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: _am/p Depart: C` am/pm
Date Inspection request received: Inspector's Initials: an�—
NAME: �'tf.' ��. PERMIT#:
LOCATION: ; <'' 1, r- DATE:
TYPE OF STRUCTURE:
K-5 ttAa - -
Comments:
Yes No NIA
4" Building Number Address visible from road
Chimney,Height/"B"Vent/Direct Vent Location
Fresh Air Intake f
3 inch Plumbing Vent through roof minimum 6 inches
Roof Com late/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers _
Guards at stairs decks atios 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
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 s2ieV glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom: _
Outside every bedroom area: _
Inter Connected: Batte bac ku
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 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures (y��
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency ress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area ^G�
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'A"Gypsum
Basement stairs dosed rise>4 inches
Gera a Floor Pitched
Gara a fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer De t. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 Temporary/Permanent
LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Forrn_revised 100405.doc;Revised
January 7,2008; Revised 6/26/08
-1 hars a v41 (1
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm rt�m/pm V
Date Inspection request received: lnspectoe-s Initials:
NAME: :5 D V 0 a/� � PE IT#: Ya
LOCATION: _ La tic DATE:
TYPE OF STRUCTURE:
Comments:
Yes No N/A �C C
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location --
Fresh Air Intake �� 9
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above giiii
Guard at stairwell at 34 inches or more
Guard at deck,porcMs 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch dearance to silt plate
Gas Valve shut-off ex /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/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 hei ht in awessible area
Crawl Spaces 18 inch x 24 inch access,l 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 ress below grade
Gas Fumace shut-off within 30 feet or within fine of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Tra /Water Tern 110 - f
Enclosed Stairs Sheetrock Underside minimum W Gypsum J
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical;Enqry Saying Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable S aces/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
LABudding&Codes FormslBuilding&Codesllnspedon FormsWesidential Final Inspection Form revised_100406.doc;Revised
January 7,2008;Revised 6/26108;Revised 12/22H0,Revised 04/13/11
Generated by REScheck-Web Software
Compliance Certificate
Energy Code: 2007 New York Energy Conservation
Construction Code
Location: County,New York
Construction Type: Detached 1 or 2 Family
Heating Type: Non-Electric
Glazing Area Percentage: 9%
Heating Degree Days: 6894
Construction Site: Owner/Agent: Designer/Contractor:
Compliance- .
Your UA:
'Assembly Gross cavity Cont. or UA
Area or R-Value R-Value D..
Perimeter U-Factor
Solid Concrete or Masonry 736 30.0 0.0 38
Wall height:4.0' ik�Pv V sC C4v,O— 6•c.,^ tit s..-t 10'11
Depth below grade:;AY 4-'—®" Ys,,-5 c�, 4- ' j
Insulation depth:4.0' vew �G
Inside below-grade depth:,A0
Floor:Ali-Wood Joist(rruss Over tlncond.Space 736 30.0 0.0 24
Wall:Wood Frame,16in.o.c. 1569 13.0 0.0 114
Window:Other 137 0.300 41
Door:Solid 37 0.000 0
Ceiling:Flat or Scissor Truss 2967 30.0 0.0 104
Project Title: Report date:09/11/09
Data filename: Page 1
CGenerated by REScheck-Web Software
NJ/ Inspection Checklist
Ceilings:
Ceiling:Flat or Scissor Truss, R-30.0 cavity insulation
Comments:
Above-Grade Walls:
t�Wall:Wood Frame, 16in.o.c., R-13.0 cavity insulation
Comments:
Windows:
Window:Other, U-factor:0.300
For windows without labeled U-factors,describe features:
#r+Panes Frame Type Thermal Break?Yes No
Comments:
Doors:
'Door: Solid, U-factor:0,000
Comments:
Floors:
Floor:All-Wood Joist/Truss Over Uncond. Space, R-30.0 cavity insulation
Comments:
Crawl Space Walls:
: Solid Concrete or Masonry,4.0'ht/2.5' bg/4.0'ext. insul/0.3'inside bg depth, R-30.0 cavity insulation
Comments: i ;S:� ! -r r.. 3' f tip + L 4e,
Air Leakage:
g Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed.
d Recessed lights are 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from
combustible materials. If non-IC rated,fixtures are installed with a 3"clearance from insulation.
Vapor Retarder:
'( Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
Materials and equipment are installed in accordance with the manufacturer's installation instructions.
0 Materials and equipment are identified so that compliance can be determined.
❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been
provided.
Insulation'R-values and glazing U-factors are clearly marked on the building plans or specifications.
Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and
in a manner that achieves the rated R-value without compressing the insulation.
Duct Insulation: ,-!k
❑ Supply ducts in unconditioned attics or outside the building are insulated to at least R-8.
❑ Return ducts in unconditioned attics or outside the building are insulated to at least R-4.
❑ Supply ducts in unconditioned spaces are insulated to at least R-8.
❑ Return ducts in unconditioned spaces(except basements)are insulated to R-2. Insulation is not required on return ducts
in basements.
Duct Construction: r.I P
❑ All joints,seams,and connections are securely fastened with welds,gaskets, mastics(adhesives),
----------_- ----- - ---- - -----__..,.._--- ---- -- - __n_ --------- ..._- - - ------- --_._--_._...----
Project Title: Report date:09/11/09
Data filename: Page 2
mastic-plus-embedded-fabric,or tapes.Tapes and mastics are rated UL 181A or UL 181 B.
Exceptions:
Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g. (500 Pa).
❑ The HVAC system provides a means for balancing air and water systems.
Temperature Controls:
Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set point of the
largest zone.
Electric Systems:
g Separate electric meters exist for each dwelling unit.
Fireplaces: �-) 4
❑ Fireplaces are installed with tight fitting non-combustible fireplace doors.
❑ Fireplaces have a source of combustion air,as required by the Fireplace construction provisions of the Building Code of
New York State,the Residential Code of New York State or the New York City Building Code, as applicable.
Service Water Heating:
❑ Water heaters with vertical pipe risers have a heat trap on both the inlet and outlet unless the water heater has an integral
heat trap or is part of a circulating system.
tp" Circulating hot water pipes are insulated to the levels in Table 1.
Circulating Hot Water Systems:
❑ Circulating hot water pipes are insulated to the levels in Table 1.
Swimming Pools: N A
❑ All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from
non-depletable sources. Pool pumps have a time clock.
Heating and Cooling Piping Insulation:
g, HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in
Table 2.
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(°F)
_ Up to 1" Up to 1 25' 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-169 0.5 0.5 1.0 1.5
100-139 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Range ff)
Piping System Types 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201450 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0
Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD:(Building Department Use Only)
Project Title: Report date:09/11/09
Data filename: Page 3
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NOTICE:
Smoke detectors are required in bedrooms, Wu'*%1"4p Cal— �=i1M 11_^�
adjacent to bedrooms and on each floor �,�
level including cellar or basement.
All smoke detectors &carbon monoxide
detectors shall be Interconnnected with
battery backup and located on all levels.
Carbon monoxide detectors are required
outside sleeping areas and on all levels.
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