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2009-563
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 CERTIFICATE 0-1'r OCCUP-AUNI ' Petnvt Number. P20090563 Date Issued: Friday, March 05, 2010 This is to certify that work requested to be done as shown by Permit Number P20090563 has been completed. Location: 16 LAUREL Ln Tax Map Number: 523400-308-005-0001-080-000-0000 Owner. SANDRA LANCE SKOOG Applicant: SANDRA LANCE SKOOG This structure may be occupied as a: Garage Attached By Order of Town Board Single Family Dwelling 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 Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals, TOVN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090563 Application Number. A20090563 Tax Map No: 523400-308-005-0001-080-000-0000 Permission is hereby granted to: SANDRA LANCE SKOOG For property located at: 16 LAUREL 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: SANDRA LANCE SKOOG 12 LAUREL Ln Garage Attached UEENSBURY,NY 12804-0000 Single Family Dwelling $175,000.00 Q Total Value $175,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency THE MICHAELS GROUP LLC 10 BLACKSMITH Dr MALTA,NY 12020 Plans &Specifications 2009-563 $24112 -PERMIT FEE PAID- THIS PERMIT EXPIRES: - - Saturday,December 04, 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 T o ee ryA7cember 04, 2009 SIGNED BY � for the Town of Queensbury. Director of Building&Code Enforcement -------------------------------- OFFICE USE ONLY TAX MAP NO. / PERMIT NO. i FEES: PERMIT RECREATION ENGINEERING . ' f (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:-I"e MkC"A} % CIS OWNER: S) c 1 c� t3u�cacstyt cTN t�rr, k&kxL,,N`f 12c-7zo ADDRESS: ADDRESS: PHONE NOS. `�`1�t -�311 PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: 'T• L0 C-r�Sr-%0 PHONE: g 51 - 314 4- LOCATION OF PROPERTY: SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR O d d Uw LL U) O J PROJECT O o I pa i ti U- w O v ZwW o t LCd O Q Q O� �z cvn a=as SINGLE FAMILY TWO-FAMILY MULTI-FAMILY(NO._) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1 @3) OTHER Toznn of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: / 000 FUEL TYPE: 41�5 HEAT TYPE? F-1-1.A , *HOW MANY FIREPLACE(S) — AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? PROPOSED USE OF BUILDING OR ADDITION: St N4►-EkM��Y5 f ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? *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 Itwe 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 a ove. Signed Director of Building & Codes: 761-8256 (for questions QUESTIONS? CALL 767-8256 OR EMAIL regarding Building Permits, construction codes or septic codes(d1gueensbury.net systems) (: VISIT OUR WEBSITE FOR MORE INFORMATION Zoninq Administrator: 761-8218 (for questions regarding www.aueensbury.net required permits, the permit process, application requirements or to schedule an appointment) ___- -_____________ This application / proposed action described Permission is hereby granted to the above herein is found to be in accordance with the Applicant to erect or alter the building described zoning Laws of the Town of Queensbury. o herein in accordance with said Application: ZONING APPROVAL DATE o BUILDING&CODES APPROVAL DATE10 , 0 , 11 QTown of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 „”For an EPA homeowner's guide:'http://www.ea.gov/npdes/r)ubs/homeowner guide Iona customize.gdf OFFICE USE ONLY ; C � , TAX MAP NO. PERMIT NO. �' PERMIT FEE 00 APPROVALS: ZONING TOWN CLERK ; ' '0 0 APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER: 7"1 M I C-"ka---, t�f MAp >, LLL INSTALLER: ADDRESS: �b 13lNrC�LSMITI-1 'by, M t,,L iL mY ADDRESS: PHONE NOS. Sctcl PHONE NOS. LOCATION OF INSTALLATION: Lzy i e> RESIDENCE YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW INFORMATION: BEDROOMS 1980 or older X 150 gallon per bedroom = 0 GARBAGE GRINDER, INSTALLED? J 1981-1991 0 X 130 gallon per bedroom = 0 1992-present X 110 gallon per bedroom = 0 SPA OR.HOT INSTALLED? TU ty b PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE SLOPE % ✓ SOIL NATURE: SAND LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? BEDROCKIIMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (If well:water supply from any septic system absorption is:! ft) ✓ PERCOLATION TEST: RATE IS PER MIINUTE 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: 1,Wb GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for It each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: BSORPTION FIELD(WITH NO. 2 STONE) Total length r s� ft. Each trench Z_X Sn SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? ❑ALTERNATIVE SYSTEM Bed or other type? ❑HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. I have read the regulations with respect to this application and agree QUESTIONS? CALL 761-8256 OR EMAIL to abide by these and all requirements of the Town of Queensbury codesftueensburv.net Sanitary Sewage Disposal O inan VISIT OUR WEBSITE FOR MORE INFORMATION www.aueensbury.net Signature of P on Responsible ate Town of Queensbury ■ Community Development Office • 742 Bay Road, Queensbury, NY 12804 (73 :00) l- :3 //-r/4 Queensbu Building & Code Enforcement - Residen al , ' I ection Office No. (618) 761-8256 Arrive: '= am/ m it m/pm Date Inspection request received: Inspector's Initials: NAME: r C" -S �►' PE #: LOCATION: ! DA : - TYPE OF STRUCTURE: Comments: N A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Co lete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks tics more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,poroes 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 silt plate Gas Valve shut-off#poled/re ulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazingI Window in stairwells safe I Interior Smoke De ors/Carbon Mlon xide etectors Every level: V Ev Bedroort�' Outside every bedroo rea: �"✓// / Inter Connected: Battery backup: +/ Attic access 30 inches x 22 inches x 30 inches ei ht in acoessible area Crawl Spaces 18 inch x 24 inch access, 1 .ft.-150 s .ft.vents Bathroom Fans if no window Plumbing fixtures 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 Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap(Water Temp 110 Enclosed Stairs Sheetrodk Underside minimum W Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Garage fireproof, /'/.hour fire door/door closer Duct world Sealed proMrly Gas Logo in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Are Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer De . Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C 10 Temporary/ ermanent LABuilding&Codes Forms\Building&Codes\lnspecction Forms\Residenfial Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised SIM08 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: NAME: LOCATION: C 1 Y"2 PERMIT#: Final Survey Plot Plan A roved Denied The attached final survey has been received by the Dept.of Community Development. Upon review the survey has Craig Brown,Zoning Administrator Notes: L:\.SueHemingwaylBuilding.Codes.h►spection.FORMSIFinal Survey Zoning Administratordoc '�A4 � � ..sifN � G � 9 •Li����b �?� �4 �1� �T�Y�b wi � y t%�� ' ;:. �,r''� '.� ,�' ;;�. � ;d c � � b�•fi•.+� �S �y $�7jy$,yo0 �O 6'pRy��.� �' � s ., �� � 11C�99 � �3'�^���$ �� �1y •. Q4G r,.�• �1.3�� �. � x�;=' ¢ yy��''++� �� 99rv11 V �' �4 N a°�`d.$i•�' �'w `'�`d� �� V ��V pgg��g! � q 141 cc �9q � 'S �`d ����wfi� aE•. `C a7 p ' 4 N M Vi vi Id q ti ti B 4 q b o q p o }�i� H 3 3i N 4 c gill =Q zs QDY \ 2i 1 0 ,\ otl \\ a n �v Ail LAUOL L.NE ave¢je°t o q ti o E�ofP 'ig Septic Inspection Report Office No. (518) 761-8256 Date Ins qic��' Quest received: Queensbury Building &Code Enforcement Arrive: am/p part: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector s Initials: NAME: A " PERMIT NO.: r LOCATION: INSPECT ON: -" RECHECK: Comments and/or diagram Soil Type: Sand Loam/ Clay Type of Water: Municipal Well Water f�S— I L T Waterline separation distance ft. Well separation distance ft. `P C'C/0E-b Other wells: ft. Well Casing Length 50' + / - Y N N/A Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y N End Ca Y N Inlet/outlet Pipes&Baffles Y N Location Separations Foundation to tank ft. Foundation to absorption z ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built VY N Location of System on Property: Front R r Left Side Right Side Middle Front Middle Rear System Use Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection r st re ed: _ Queensbury Building &Code Enforcement Arrive: t m a 742 Bay Road, Queensbury, NY 12804 Inspector's of NAME: C__k �>T F_�- P �,E h PE : mot LOCATION: az C,�AAR t A*�,E- INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum 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 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 to COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 i o L Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&c Code Enforcement Arrive: am/pm Depart: - �am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: , NAME: ( C PERMIT#: - LOCATION: -e INSPECT ON: _ TYPE OF STRUCTURE: ' Co._.M Y NA Footings fe .. , 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 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 ff. L:\Buiiding&Cafes FormAQuiiding&Codesunspectlon Forms\Foundatlon Inspectlon Report.doc Last printed 12/20/2005 9:24:00 AM 47 , Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart:am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials NAME: r e- PERMIT NO.: LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil T Loam/ Clay Type of Water: fMunici / Well Water Water a separation distance ft. Well separation distance Other wells: � ft. Well Casing Length 50' + - Y N -N/A Absorption Field: Total length ft. Length of each trench ¢"Z) ft. Depth of trenches Size of Stone 4.. :�-, See a e Pits: Number Size: »- x Stone Size: Piping Size Type Building to tank Tank to Distribution Box --' Distribution Box to Field Pit a` )r t d Opening Sealed: N End Cap 14 N Inlet/Outlet Pipes &Baffles '�. Y N Location Separations Foundation to tank Foundation to absorption y ft. Separation of Pits ' Conforms as per Plot Plan Y .' Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc 1 • t T BE ON Land PROJECT SI AT ALL TIMES FO T. ,S'teph --ter THE DURATION Oh CONSTRUCTION BO Lands Now or Formerly of Andrew & lre4dp Jause Book 714 Page .268 i Pram Comte 1 o _ zap _ ry 0 ,� I ch 1 - � � ? Ir�art RodForu; i f J Aram Comer 1 I �nP�pe Found 1 Lands Now nr FnrmPr/v .sf /- -3 NO - r Rough Plumbing / Insulation Inspec on 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: .f NAME: 10 PERMIT#: LOCATIO INSPECT ON: Z -Z,S--/© . TYPE OF STRUCTURE: 7 Y N NIA Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout ever y 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 Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct i Hot Water Piping Insulation If required unheated spaces Combustion Air SupRly for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing insulation Report.revised Nov 17 2003,reprised February 15,2005, revised January 7,2008 Framing I Firestopping Inspection R rt' Dffice No. (518)761-8256 Date Inspection request received: aueensbury Building &Code Enforcement Arrive: __am/pm Depart: am/pm T42 Bay Road, Queensbury, NY 12804 Inspector's Initials: . NAME: G-10 PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: - -A Y N NIA C.�C Framing Atft—A ccess 22"x 30" minimum Jadc Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Dedc Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'h w 16 gauge 8 16D rims 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 ration 1, 2, 3 hour 12, 3, hour Firestopping �"a 1 in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 518 inch Type X CeilingLnIl Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABuiiding&Codes Fonts-OLD WOding&Codesftpec ion FomwiFraming F'rosbopping inspection Repo;t.docc Revised Januery 7,2006 Rough Plumbing / Insulation Inspection eport Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: .P am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: , A� NAME: S 60 PER;VitIT #: -S LOCATION: ,e INSPECT ON: TYPE OF STRUCTUR'C: Y N NIA Rough Plumbin Nail Plates m i 1 Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum 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 SuPPS/ Piping P 9 Air/Head 50 P.S.I for 15 minutes Insulation/Residential Check/Commercial Check Tyyek or Similar Exterior Sealant ti 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 COMMENTS: 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: Queensbury Building&Code Enforcement Arrive: _am/pm Dep . am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: ] PERMIT#: � J (© LOCATION: ���� T j INSPECT ON: _ r TYPE OF STRUCTURE: -/� Commeub 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 Dowel in place Foundation pproofing ,r Foundation Wa ng Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width inches above footing 1 6'mil&polyfor wet areas under slab Backfill roval -Plumbiffg-Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. U\Building&Codes Forms\Building&Codes\lnspedion Fonns\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM A5 �-'�Gss Foundation Inspection Repo ql6Office No.(518)761-8256 Date Inspection request received: — Z c Queensbury Building&Code Enforcement Arrive: am/pm Depart am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: I'\1 c di 4-e L< lam'-0 PERMIT#: © 3 LOCATION: ayr L A N-('--- INSPECT ON: b 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 purposeon site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofmg Footing Drain.Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab ;43ackfill 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 12/20/2005 9:24:00 AM �rJ�7Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: /��� NAME: AcLdsPERMIT#: ----�/� LOCATION: INSPECT ON: TYPE OF STRUCTURE: Commenta� 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. or s on site. Found! n/Wallpour Reinforce ace Footing Dowels or Keyway in place ff Foundation Dampproofing l Foundation Waterproofing --- Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil po!y for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterier R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\suilding&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM C [OS" I 2� 'X�P ` Foundation Inspection Report ., �_A Office No.(518)761-8256 Date Inspection request received: Queensbury Building do Code Enforcement Arrive: _am/pm Depart .pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:,�� C..�' NAME: Gh /}e (�� ��.�"i PERMIT#: LOCATION: 1102 L Avit e L_ _ INSPECT ON: 2AA Z 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 fr Reinforcement in Place Footing Dowels or Keyway in place } Foundation Dampproofing ----------- Foundation Waterproofing Footing Drain Daylight or Sump � ( ,�� �. -- Footing Drain Stone: 12 inch width �z 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab ~' PVC/Cast/Copper Foundation Insulation Interior/Exterier R- Rough Grade 6 inch drop within 10 ft. L:\Bullding&Codes FormsWuliding&Codesunspection FormsWoundatlon inspection Report.doc Last pdnted 12/20/2005 9:24:00 AM V REScheck Software Version 4.3.0 CNMJ( Compliance Certificate Project Title: Hawthorn FILE C Opy Energy Code: 2007 New York Energy Conservation Construction Code Location: Warren County, New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: 13% Heating Degree Days: 7635 Construction Site: Owner/Agent: Designer/Contractor: Laurel Lane The Michaels Group,LLC Queensbury,NY Malta,NY 12020 Permit Date:November 11,2009 Compliance: Compliance: Maximum UA:411 Your UA:314 AssemblyGross Cavity Cont. Glazing UA D.. Perimeter U-Factor Ceiling:Raised or Energy Truss 1636 0.0 38.0 41 Walls:Wood Frame,16"o.c. 1692 19.0 0.0 87 Entry#1:Solid 21 0.350 7 1x Bed#2(K):Vinyl Frame:Double Pane with Low-E 30 0.340 10 1x Bath(L):Vinyl Frame:Double Pane with Low-E 5 0.340 2 1x Home Office(K):Vinyl Frame:Double Pane with Low-E 30 0.340 10 1x Dining(F):Vinyl Frame:Double Pane with Low-E 13 0.340 4 Dining#7:Glass 40 0.350 14 2x Family(F):Vinyl Frame:Double Pane with Low-E 26 0.340 9 1x Family(P):Vinyl Frame:Double Pane with Low-E 25 0.340 9 1x Master Bed(K):Vinyl Frame:Double Pane with Low-E 30 0.340 10 1x Master Bath(B):Vinyl Frame:Double Pane with Low-E 6 0.340 2 Mud#20:Solid 19 0.240 5 Basement Walls:Solid Concrete or Masonry 1428 0.0 10.0 98 Wall height:7.6' Depth below grade:6.5' Insulation depth:6.0' 3x Std Bsmt Win:Wood Frame:Double Pane with Low-E 10 0.560 6 Furnace 1:Forced Hot Air 92 AFUE The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed systems have been designed to meet the 2007 New York Energy Conservation Construction Code requirements.When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code. 1,Phem, (11 1��.n Yr I TO o Name-Title Signature Date Project Title: Hawthorn Report date: 11/11/09 Data filename: F:\SHARE1DesigMRes-Check\On Your Lot\Laurel Lane.rck Page 1 of 5 REScheck Software Version 4.3.0 Inspection Checklist Ceilings: ❑ Ceiling:Raised or Energy Truss,R-38.0 continuous insulation Comments: Insulation must achieve full height over the plate lines of exterior walls. Above-Grade Walls: ❑ Walls:Wood Frame,16"o.c.,RA9.0 cavity insulation Comments: Basement Walls: ❑ Basement Walls:Solid Concrete or Masonry,7.6'ht/6.5'bg/6.0'insul,R-10.0 continuous insulation Comments: Exterior insulation has a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in.below grade. Windows: ❑ 1x Bed#2(K):Vinyl Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ 1x Bath(L):Vinyl Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ 1x Home Office(K):Vinyl Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ 1x Dining(F):Vinyl Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ 2x Family(F):Vinyl Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ 1x Family(P):Vinyl Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ 1x Master Bed(K):Vinyl Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ 1x Master Bath(B):Vinyl Frame:Double Pane with Low-E,U-factor:0.340 Project Title: Hawthorn Report date: 11/11/09 Data filename: F:\SHARE\Design\Res-Check\On Your Lot\Laurel Lane.rck Page 2 of 5 T For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ 3x Std Bsmt Win:Wood Frame:Double Pane with Low-E,U-factor:0.560 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Entry#1:Solid,U-factor:0.350 Comments: ❑ Dining#7:Glass,U-factor:0.350 Comments: ❑ Mud#20:Solid,U-factor:0.240 Comments: Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air:92 AFUE or higher Make and Model Number: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ 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 and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. ❑ 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,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. Duct Insulation: ❑ Supply ducts in unconditioned attics or outside the building are insulated to at least R-11. ❑ Return ducts in unconditioned attics or outside the building are insulated to at least R-6. ❑ Supply ducts in unconditioned spaces are insulated to at least R-11. ❑ Return ducts in unconditioned spaces(except basements)are insulated to R-2.Insulation is not required on return ducts in basements. Duct Construction: ❑ All joints,seams,and connections are securely fastened with welds,gaskets,mastics(adhesives),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: ❑ Separate electric meters exist for each dwelling unit. Fireplaces: ❑ 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. Project Title: Hawthorn Report date: 11/11/09 Data filename: F:\SHARE\Design\Res-Check\On Your Lot\Laurel Lane.rck Page 3 of 5 f Service Water Heating: Ll 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. Circulating Hot Water Systems: ❑ Circulating hot water pipes are insulated to the levels in Table 1. Heating and Cooling Piping Insulation: Lj HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Swimming Pools: ❑ 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. Project Title: Hawthorn Report date: 11/11/09 Data filename: F:\SHARE\Design\Res-Check\On Your Lot\Laurel Lane.rck Page 4 of 5 f Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water 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 Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 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: Hawthorn Report date: 11/11/09 Data filename: F:\SHARE\Design\Res-Check\On Your Lot\Laurel Lane.rck Page 5 of 5 Land T. Stepb r _ \ Bo Lands Now or Formerly of .Andrew & #'eady Jause Book 714 Page 268 Fmzn cartes - t o � � O I o l z f � +3 i �+ d 1 1 J Aram car 1 3„yV-- -- �6�09'1 F�� 1 I Lands Now nr Fnrmar/v of 1