2009-617 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFI CATE OF OCCUPANCY
Permit Number: P20090617 Date Issued: Tuesday, March 30, 2010
This is to certify that work requested to be done as shown by Permit Number P20090617
has been completed.
Location: 33 CHARLTON Ln
Tax Map Number: 523400-308-006-0002-008-000-0000
Owner: LUZERNE VENTURES, LLC
Applicant: LUZERNE VENTURES, LLC
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090617 Application Number. A20090617
Tax Map No: 523400-308-006-0002-008-000-0000
Permission is hereby granted to: LUZERNE VENTURES, LLC
For property located at: CHARLTON 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. Tyne of Construction Value
Owner Address: LUZERNE VENTURES, LLC
22 SULLIVAN Pky Garage Attached
FT. EDWARD,NY 12828-0000 Single Family Dwelling $175,000.00
Total Value $175,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-617
1426 sq ft single family dwelling& 576 sq ft garage
$228.72 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,January 04, 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 Tomit of(*ensb *14dir-Anuary 04, 2010
SIGNED BY `�"" ' for the Town of Queensbury.
Director of Building&Code Enforcement
_- r.........................i
OFFICE USE ONLY �j� ;
�� '
TAX MAP NO. PERMIT NO. PERMIT FB& 1
00
APPROVALS: ZONING TOWN CLERK 0
I ...................
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: ( �J� �� ?eS�Y� �J�'_!`�lc c�Z-'ZnINSTALLER: ��J �` P�• t'� �/'t�
ADDRESS: ADDRESS: co
PHONE NOS. PHONE NOS.
LOCATION OF INSTALLATION:
RESIDENCE INFORMATION:
NO.OF
YEAR BUILT X COMPUTATION= = TOTAL DAILY FLOW GARBAGE GRINDER
BEDROOMS
1980 or older X 150 gallon per bedroom = INSTALLED? '*—Q—Q-
1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB
1992-present vZ X 110 gallon per bedroom = Zip INSTALLED?_ �'
PARCEL INFORMATION: /
✓ TOPOGRAPHY: Flat rolling 7Z Steep slope %Slope
✓ SOIL NATURE: Sand Loam Clay Other
✓ GROUNDWATER: At what depth?
✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth?
✓ DOMESTIC WATER SUPLY: Municipal Well (If well: Water supply from any septic
system absorption is ft.)
✓ PERCOLATION TEST: Rate is minutes per inch [MPI]
(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: \00 O GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for
each garbage grinder, spa or whirlpool tuba
SYSTEM TYPE:
'gCABSORPTION FIELD.(WITH NO. 2 STONE) Total length J O ft. Each trench X O
❑ 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.
Check Residential Plan Review: One& Two Family Dwe gs
Y /N/A
(2)Full sets of plans
Over 1,500 sq. ft.—Stamped
Design Loads On Plans: 90 Wind Floor Loads 40 psf
50 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations:
Window Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
Above/Below grade, 5.7 sq. ft.
Grade,5.0 sq. ft.
24"(h)x 20"(w)min.
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
ampproofmg/Waterproofing Materials On Plans
Foundation Drainage On Plans, if required
6"Drop in 10' Exterior Grade
Framing Cross Section For Each Roof Line, Vertical Fire Stopping Every 10' Where
Required
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
f/ Stairway Headroom 6' 8' All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
Spiral Not Allowed From 2 Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
11 Width, 36"min.
"ndrails More Than Four Risers On Open Sides
Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4" in Ht.
Safety Glazing Notes For Required Areas
Garage Fire Separation
Garage Floor Sloped
ttic Access
Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access
Carbon Monoxide Detector Outside Lowest Sleeping Area, On Every Level &
terconnected
iI Test Results, if required
Septic To Well Or Water Line Separation
All Paperwork Signed
OFFICE USE ONLY
TAX MAP N0. 0 -
PERMIT N . �'
FEES: PERMIT RECREATION µ
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: Jes- •— --'4�10-c-OWNER:
ADDRESS: _ (92o1�e� 7N le rZ.11 ADDRESS: e
PHONE NOS. -7q 3 72?7 PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: PHONE:_
LOCATION OF PROPERTY:
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 'YES ❑ NO
IF SO, INDICATE APPLICATION NO, AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z OLL
~
PROJECT 0
0O p CO �-:w
t� H -j u- FL U- = Q (L
o H O — Z
NW O � 0 � a = xS
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE( ,2 '3 7 (,c,
OTHER
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: \-I4-5,000 FUEL TYPE: 9ZCL*>
B 3-LGL I 1-OS
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
a
ARE THERE EASEMENTS ON PROPERTY? V
I acknowledge no construction activities shall be Commenced prior to issuance of a valid
complete statement/description of the work proposed, th permit. I certify that the application, plans, and supporting materials are a true and
all work w accordance with the NY State BuildingCodes, at ill be performed in
ding laws and conformance with local zoning regulations. I acknowledge that prior toOccupying
and in
the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an built survey by a licensed land surveyor of all newt
constructed facilities prior to ' uance o a ce 'ficate of occupancy. Y
I have read and agr to the abov
Signed
Director of Building & 'odes.• 761-8256 (for questions regarding Buildin Permits
codes or septic systems) 9 , construction
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 buildin 0
g ; herein is found to be in accordance with the
described herein in accordance with said
Application: zoning Laws of the Town of Queensbury.
,
BUILDING & CODES A ROVAL
10
ZONING APPROVAL
� ,
�,DAT
3L
10 DATE
QUESTIONS? CALL 761-8256 OR EMAIL
Office Us_ a Only codesCc�gueensbury net
VISIT OUR WEBSITE FOR MORE INFORMOTinu
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,Ny 12804
Date received: — .-
NAME:
LOCATION: 3
PERMIT#:
Final Survey Plot Plan
A roved Denied
The attached final
survey has been /
received by the /
Dept.of
Community
Development.
Upon review the
curve has
Brown,Zoning Adminigtrator
Notes:
L:LSueHeming"y\Building.codes,Inspeeaon.FOgMS\Final Survey
Zoning Administrator.doc
MAP REFERENCE
SUBDIVISION PLAN MADE FOR
HA YES AND HAYES
BY., VAN DUSEN&STEVES
DATED:JUNE 15, 2007
L.A1405 N/F OF
MA�.LE LOT 8 LAST REVISED. NOYEMBER 5, 2007
�40 k
4,91 9 S
i
0
LOT 7 1°
AREA
33,804.08 sq.f.
0.78 acres
NOTE= NO DRIVE OR
UTILITIES AT TIME
OF SURVEY.
36.73'
i STORY
WOOD FRAMED
ROUSE
y O
COO
00
r
—' N
` p �. O
M
DECK
A4
a�
N b`
LANDS N/F OF
REDEEMER REFORMED y
4 CHURCt1
ti
LOT 6
a et February 1
� 1KAIDI MMI ALTEAANN OR AM11101 t0 A SURVEY I— I 1W s A L�� "O SM IS A Map of a Survey made for Scate 1 =20
~j "MAua n SWM?M S1,-WYMN%W nE
S eve MM COPS &U DE OF IML AN INK IVIM
uARKaD wAt AN OMONAL a DIE LAND 9UR9 CW �r.ti,
SEAL SMAN.!f OOKpO[RN TO OE VAUD TMIE COt>[S''CMWMT"TIN ACOM James S. & Marilyn A. Williams
6 4°°°E WAS 1'REPAfIW N AOOOM1I A KI AIE 04
Lari.d Surveyors E'�°"° ""'�"M`WN "'
MY AfE Ik1Y YOMt STATE ASSOCIADON 0/YROTE5910NAL
WOO yp wa tf.SAq CpIYIFlW low SON-""OKY
W THE PfASOM r=%WN SE SI1 W M FWAM.AM
ON MS OENAIF m DIE ADd volav .0W.SVOODIT& SHEU 1 OF 1
169 Haviland Road Queensbury, New York 12804 1 OF �,:,371A A"° Town of Queensbury, Warren County, New York
wuuaMg
(518) 792-8474 New York Lic. No. 50135 NO. DATE DESCRIPTION DWG. NO. 04007-7
08.6-2 8
B ildin & Code APorcAentVeWie�t' Inal Inspection
Queensbury u g
Office.No. (518)761-8256 Arrive: am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials: f
NAME: Z PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments:
YewN WA
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 late/Exterior Finish Com eta
Platform at all exterior doors _
Handrail 4 or more risers
Guards at stairs deckspatios more than 30 inches above race
Guard at stairwell at 34 inches or more VZ
Guard at deck, es 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inures
Deck Bracing/Handicapped Ram 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 glazingI Wi cow in%@igglis safe._V glazinL
interior Smoke ecto Carbon Monoxide Detectors �-
Every level: ery room:
Outside every bed roo area:
Inter Connected: Bette backup: f Y,2�
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 N.ft.-150 sq.ft.vents
Bathroom Fans if no window
Plumbing fixtures <"
Foundation insulation/Insulation Certification
Floor truss,draft sto i finished basement 1,000 s .ft.
--A/—
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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed I Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum'A'Gypsum
Basement stairs dosed rise>4 inches J Garage Floor Pitched 0. l "
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logo in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms T
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Ins ction Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C I C or C 10 Temporary/Permanent
L:\Building&Codes Forms\Building&CodeMinspection FormsWesidential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/2601
Queensbury Buiiding & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 IL�arri/prn
4 Arrive: am/pm De rt:
Date Insp
ection request received: Inspector's Initials:
NAME: v LOCATION: PERMIT#: 0 _��
TYPE OF STRUCTU — DATE:
Comments:4' Build! Number Address visible from road N A
Chi mne Hai jht/"B"Venvol rect Vent Location
Fresh Air Intake C�
3 inch Plumbina Vent throw h roof minimum 6 inches
Roof Co late/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs d T,29103 more than 30 inches above race
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interlor/Exterior Railings 34 inches to 38 inches
Deck Brad /Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-offLqNXs2A1regulator 18 inches above reds
Interior /trim/doors/main entrance 36 inches (�
Bathroom/Kitchen waterti ht
S�Iazin stainnreils safe inIn bon noxid Detect rs
Ery Bedro
Outside every bedroom rea:
Inter Connected: Batte badw : l
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl S aces 18 inch x 24 inch access 1 .ft.-150 s .ft '�---
Bathroom Fans if no window
Plumbing fixtures
F
Foundndation insulation/insulation Certification
Floor truss,draft sto in I finished basement 1,000 scl.ft.
Emergency ress below grade
Gas Furnace shut-off within 30 feet or within line of site c'S
Oil Furnace shut-off at entrance to fumace area
Fumace/Hot Water Heater operatina
Low water shut-off boiler f
Relief Valves installed/Heat Tra mp 110
Enclosed Stairs Shee&ock Underside minimum'/"G um
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing !'/,hour fire door/door.closer
Duct work Sealed rl 1 ` /
Gas L s in Sealed or Glass Enclosure !
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas P'De Bonding
As Built Septic S stem/Sewer Dept. Inspection Sticker
Site Plan !Variance required
Flood Plain Certification,if required
Okay to issue C!C or C 10 Tem ra /PerrnanentEll]
LABuilding&Codes FormslBuilding&CodeMinspection FormsWesidential Final Inspection Forrr_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheint,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No.1 7-Cen. N2 10115 Cut-in Card No.....................................
Owner....................C-L&&T-C .................................................... . .......... ...................................
Location.... .....01AA94...7 A....eNg&k.s. .. .... .kj .0....Ix........
......................
Installation Consisting ofA#.:5ktn6H,.9..I.....................'k........... .......
......................................................................
..................................
i5****'**'*'***"****'****'**"'*'***"*"**"*...*"*"**...*'*"*...*******"*"*"**'*"*.....................................................
*...***'*'***'**"*'*"**"*"*"*.....**'****
InstalledBy.........tA?...It.<............................................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of 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 ymakin pections at any time, and if its
rules are violated,the Company shall have the rightke i certificate.
t r 7
.............. INSPECTOR... . ......................�......�........ .....I...........
Date.....3.. ., -
Mn hvr N_F_P.A__1.A_E_
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:
i
NAME: �' - PERMIT M
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Co m u
N
Footings Y N/A
Piers
Monolithic Slab
Reinforcement in Place
Th(,,contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of tha`concrete. I
Materials for this se on site.
Foundation Y Walipour
Reinforcement in Place LZ
Footing Dowelkor Keyway in place
Foundation Dampproofing
Foundation Waterp{oofing
Footing Drain Daylight or Sump
Footing Drain,Stone:
12 inch width
6 inches above footin`
6 mil l for wet are under slab
Backfill Approval
Plumbing under Slab
PVC/Cast/Copper 5
Foundation Insulation Interior/exterior
R- '
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\lnspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received:
NAME:.
LOCATION:
PERMIT#: 6z 2 .
Final Survey Plot Plan
Approved Denied
The attached final
swvey has been
received by the
Dept.of
Community
Development.
Upon review the
surveyhas een:
Craig Brown,Zoning Administrator
Notes:
L.\SueHemingway\Buildmg.Godes.Inspec6ai.FORMS\Final Survey
Zoning Administrator.doc
MAP REFERENCE
SUBDIVISION PLAN MADE FOR
HAVES AND HAVES
BY. VAN DUSEN& STEVES
DATED:JUNE 15, 2007
LANDS N/F OF
MAILLE LOT 8 LAST REVISED:NOVEMBER 5, 2007
ry
h
r
I ?69 79onj "F
�Ory• •49,
0
o'
LOT 7
AREA
33,804.08 sq. ft.
0.78 acres
NOTE: NO DRIVE OR ^
UTILITIES AT TIME ` 1
OF SURVEY.
36.73'
1 STORY r
WOOD FRAMED
HOUSE
O
Ile
r
CV
t+�
3 DECK
Nam?°Sp•pp' m
IV
N b`
LANDS N/F OF °
a REDEEMER REFORMED 4 CoCHURCH
CGW C.
v y
LOT6
LAND J
Date, February 16, 0
. 'UNAUTHORIZED ALTERATR7N OR ADDITION TO A SURVEY /- ,
a� u 'UNAUTHORIZED
'`S~ e )') MAP BEARING A LICENSED LAIR)SURVEYORS SEAL IS A Map of a Survey made for Scale 1 -20
VIOLATION of SECTION 7209.we-DIVISION Z of THE
& NEW YORK STATE EDUCATION LAW."
S `— MARKED
CONIES FROM ORIGINAL
OF THE A THIS SURVEY
V SEAL S WITH AN OPogNAL OF THE LAND SURVEYORS
THIS SHALL W DDN D,a AC ORDANCVAUD UE COPIES.' James S . & Marilyn A. Williams
CERTIFICATIONS INDICATED HEREON%%*Y THAT
THIS SURVEY WAS PREPARED O ACCORDANCE NTH THE
L a 1"1 d S By THE CODE OF PRACTICE FOR LARD SURVEYORS ADOPTED
Llr v e y ors BY THE RVE ORS. STATE ASSOCIATION S LL RU ONLY
LAIR)SURVEYORS.SAID CERTIFICATIONS SHALL RUN ONLY 8F'EET 1 OF 1
To THE PERSON FOR wNaM THE SURVEY IS PREPARED.AND
ON NC AND u TO THE
nTLE COMPANY'GOVERNMENTAL Warren Count New York
169 Haviland Road Queensbury, New York 12804 TO THE SSI LEES OF ITHELE DIN US1ED HEREON.""� Town of Queensb�ry, y,
TO THEHIS ASSIGNEES OF THE LENDING INSTIiUnON.•
Williams
(518) 792-8474 New York Lic. No. 50135 NO. DATE DESCRIPTION DWG. NO. 04007-7
308.6-2-8
~ fA
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 2- /11�
Queensbury Building &Code Enforcement Arrive: am/pm Depart. f. am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: "
NAME: PERMIT #: ° {'
LOCATION: a-5 c A✓av 1 �-� _ INSPECT ON: L7
TYPE OF STRUCTURE:
-- — Y N N/A /�nJ� "P" F rc«�
Rough Plumbing /Nail Plates (cam G %`
Plumbin Vent/Vents in Place r `2..'�-
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout eve 100 feet/change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 fit. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
tT
0 P.S.I for 15 minutes
sulation/Residential Check/Commercial Checkr ek or Similar Exterior Sealant f
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Su for Furnace
Duct work sealed properly/No duct tape
COMMENTS; A�'Q
igh Plumbing insulation ReporLrevised Nov 17 2003,Wised February 15,2005, revised January 7,2008
7 .Framing 1 Firestopping Inspection� ��Report
Office No. (518)761-8256 Date Inspectio
Queensbury Building &Code Enforcement Arrive:`' a� : a
742 Bay Road, Queensbury, NY 12804 Inspector`s In
NAME: F`r PERMIT#: V '�
LOCATION: INSPECT ON:
F STRUCTURE:
y N WA
OMMENT :
22"x 30" minimum
Jack Studs/Headers
✓�
Bracing/Bridging
Joist hangers
Jadk Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in. f %
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in. 1
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D naNs 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
ion 1, 2, 3 hour
riwa 112, 3, 4 hour
Penetration sealed
16 inch insulation in ca ' min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf 9ELde
LABulift&Codes Forms-OLDSMing&CodesUnspection Fors siFraming FrestOpping inspection RspoR.dx Revised jW"ry 7,2000
Framing / Firestoppinpo(^,)
Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pat 'Depart: �r am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials �/ F. T' 1-7
NAME: --
PERMIT#:
LOCATION: INSPECT ON: _�
TYPE OF STRUCTURE:
Framing Y N WA COMMENTS:
Attic Access 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 '/ w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft floor trusses
gbkl6 ft. or less on center �+
ce and water Meld 24 inches from Wall 14 " �
on 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
-Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. OM
5.7 sf above/below grade
5.0 sf gELde
LASuilding&Codes Forms-OMBuNft&Codesunspedion Fom►sTra►ning Fi edopping Impact Repwt.doc Revised January 7,2008
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection
j;t
Queer�sbury Building&Code Enforcement Arrive: ~ a am/
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: L -k i ca- V43ERMIT#: —
LOCATION: �_��-!n R�`�,�J A<�)F INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N WA COMMENTS:
Attic Access 2Y x W minimum
Jadc Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed property
12'O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gouge 8 16D naAs each side
Draft stopping 1,000 sq. fL floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall p}, V XCE1- c j<p
Fire 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
CeifingNmll
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. OM
5.7 sf above/below grade
5.0 sf grade
LASUN&V&Codes F0rm6-0LD0uil hV&C0d93'J WGCwn Fomtawrarninq Fndoppbv inspection Repott.doc Revised January 7,20M
TL�L�i J `�-'`T
r '
Framing / Firestopping 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. PERMIT ( ' l
,/
LOCATION: 24 CT ON: �
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
Framing
Attic Aa ess 22" x W minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jadc Posts/Main Beams
Exterior sheeting nailed properly
IT O.C. .
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D naNs each We
Draft stopping 1,000 sq. ft. floor trusses
Aro
�;6 ft. or less on center
ce 24 inches from wall
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's inch or 5/8 inch Type X
Garage side 5/8 inch Type X
CeRinatwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. OM
5.7 sf above/below grade
5.0 sf grade
L:\Building&Codes F0rma-0I_D\Bui1dM9&CodesUMapedw Form Trarning FndOPPkV Iropedion RsDwtdoc Revised January 7,2008
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection rrCTON:
Queensbury Building &Code Enforcement Arrive: ?, rt: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initial
NAME: C l s-r E E rJ"T-E ��3 5 P09-(Q 17
LOCATION: 3 GN QQL1015. �JE I 1 " 7 Z.— 1�
RECHECK:
Comments and/or diagram
Soil Type: Sand Loam/ Clay
Type of Water: Municipal/ Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + / - Y N N/A L I
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches
Size of StoneE\�1E�
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 Cap Y N
Inlet/Outlet Pipes&Baffles Y N
Location Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per PI Y N
Engineer Re d As-Built 2j Y N
Location of System on Property:
Front R r Left Side Right Side Middle Front Middle Rear
S m Use
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 U\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
671
AS BUIL7
owN OF oU U
BUILDING &
Revie
'
at tl
t7
� e
C7
Septic Inspection Report
Office No. (518) 761-8256 Date Ins coon r u r ve 4
Queensbury Building &Code Enforcement Arrive: a D art:
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials.
NAME: C.--�2� �`�'^ e5 PER IT NO.: `
LOCATION: j ra-r l � L�r�--� IN ECT ON:
RECHECK:
Comments and/or diagram
Soil T S d oam Clay
Ty of Water: unici al ell Water
Waterline se a ion istance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + - Y N N/A
Absorption Field: Total length ISO ft.
Length of each trench ft.
Depth of trenches ft.
Size of StoneZ
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank L4 It
Tank to Distribution Box LA
Distribution Box to Field/ Pit
Opening Sealed: N
End Ca _ _N
Inlet/Outlet Pipes&Baffles _Y_ N
Location Separations
Foundation to tank tv1EV,-�- 1C�P
Foundation to absorption ft. `
Separation of Pits P�-'Pt
Conforms as per Plot Plan _Y
Engineer Report an -Built Y N
Location of System on Property:
Front Rear Left Side Right Side Middle Front Middle Rear
System U 77Approved
rtial 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
(GI.-oo c,s - o,,s - l Aursde?-
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:5VI)
��'--
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STPUC .
Co m n
Y N NA
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
above footing
6 mil 1 or wet areas under slab
Backfill Appm al
der Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Buliding&Codes Forms\Buiiding&Codes\ln$Pectton Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
�3 .-0C) ) 2 - IJ / 6'�
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection req
Queensbury Building&Code Enforcement Arrive: pm Depart: pm
742 Bay Rd.,Queensbury,NY 12804 inspector's Initials
NAME: RMIT#: [�
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
COM MIM
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 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:\Buiiding&Codes Forms\Building&Codes\lnspecbw Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
a -u`�
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheck Software Version 3.6 Release 2
Data filename: \\Clutel\shared data\Clutel\Rescheck\33 CHARLETON IN-QSBY-28X52 RANCH-WILLIAMS.rck
PROJECT TITLE: 28 x 52 RANCH
COUNTY: Warren
STATE:New York
HDD: 7635
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE: Non-Electric
WINDOW /WALL RATIO: 0.14
DATE: 12/23/09
DATE OF PLANS: 12/23/2009
PROJECT DESCRIPTION:
33 CHARLTON LANE
QUEENSBURY, NY 12804
DESIGNER/CONTRACTOR:
CLUTE ENTERPRISES, INC
6 HOLDEN AVE
QJEENSBURY, NY 12804
COMPLIANCE: Passes
Maximum UA= 324
Your Home UA=249
23.1%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R Value U Facto UA
Ceiling 1: Flat Ceiling or Scissor Truss 1426 30.0 0.0 50
Wall 1: Wood Frame, 16" o.c. 1280 19.0 0.0 64
Window 1: Vinyl Frame:Double Pane with Low-E 139 0.320 44
Door l: Glass 39 0.280- 11
Door 2: Solid 39 01
.,130 1 5
Basement Wall 1: Solid Concrete or Masonry 1188 11.0 0.0 75
Wall height: 8.0'
Depth below grade: 7.0'
Insulation depth: 8.0'
Furnace 1: Forced Hot Air, 92 AFUE
COMPLIANCE STATEMENT: 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 New York State Energy Conservation Construction Code requirements. When a Registered Design
Professional has stamped and sign is page, they are attesting that to the best ofhis/her knowledge, belief and
professional judgment, such s or speciffca in compliance with this Code.
Builder/Designer Date
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheck So$ware Version 3.6 Release 2
DATE: 12/23/09
PROJECT TITLE: 28 x 52 RANCH
Bldg.
Dept.
Use
Ceilings:
[ ] I 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
I
Above-Grade Walls:
[ ] I 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
(
Basement Walls:
[ ] ( 1. Basement Wall 1: Solid Concrete or Masonry, 8.0'ht/7.0'bg/8.0' insul,
R-11.0 cavity insulation
Comments:
Windows:
[ ] I 1. Window 1: Vinyl Frame:Double Pane with Low-E, U-factor: 0.320
For windows without labeled U-factors, describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
I
Doors:
[ ] ( 1. Door 1: Glass, U-fictor. 0.280
Comments:
[ ] I 2. Door 2: Solid, U-fictor: 0.130
Comments:
I
Beating and Cooling Equipment:
[ ] I 1. Furnace 1: Forced Hot Air, 92 AFUE or higher
Make and Model Number
I
Air Leakage:
[ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] I Recessed lights must be 1)Type IC rated, or 2)installed inside an appropriate air-tight assembly
with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a
3" clearance from insulation.
I
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and Boors.
I
Materials Identification:
[ ] ( Materials and equipment must be installed in accordance with the manuficturer's installation instructions.
[ ] I Materials and equipment must be identified so that compliance can be determined.
[ ] I Manufacturer manuals f)r all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] I Insulation R values, glazing U-factors, and heating equipment eficiency must be clearly marked on
the building plans or specifications.
I
Duct Insulation:
[ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] I Supply ducts in unconditioned spaces must be insulated to R-11.
[ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-
[ ] I Return ducts in unconditioned spaces (except basements)must be insulated to R-2..
Insulation is not required on return ducts in basements.
I
Duct Construction:
[ ] I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics(adhesives),
mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 18113.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in. w.g. (500 Pa).
[ ) I The HVAC system must provide a means for balancing air and water systems.
I
Temperature Controls:
[ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point ofthe largest zone.
I
Electric Systems:
[ ] I Separate electric meters are required for each dwelling unit.
I
Fireplaces:
[ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] I Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction
provisions ofthe Building Code of New York State, the Residential Code of New York State or
the New York City Building Code, as applicable.
I
Service Water Heating:
[ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of circulating system.
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
I
Circulating Hot Water Systems:
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
I
Swimming Pools:
[ ] I All heated swimming pools must have an on/offheater switch and require a cover unless over 20%
ofthe heating energy is from non-depletable sources. Pool pumps require a time clock.
I
Heating and Cooling Piping Insulation:
[ ] I HVAC piping conveying fluids above 105 T or chilled fluids below 55 T must be insulated to the
levels in Table 2.
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pine Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(Fl lln� to 1" ITn 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 Ty= Range(F1 2"Runmas V and Less 1.25"to 2" 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, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)
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