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2008-466 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20080466 Date Issued: Thursday, December 18, 2008 This is to certify that work requested to be done as shown by Permit Number P20080466 has been completed. Location: 1192 WEST MT. Rd Tax Map Number. 523400-295-006-0001-014-000-0000 Owner. BROOKVIEW PLACID, INC. Applicant: PHYLLIS M HOLTZ This structure maybe 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&MCode 15Worcement 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: P20080466 Application Number. A20080466 Tax Map No: 523400-295-006-0001-014-000-0000 Permission is hereby granted to: PHYLLIS M HOLTZ For property located at: WEST MT. Rd 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: PHYLLIS M HOLTZ 803 CYPRESS GROVE Ln Garage Attached POMPANO BEACH, FL 33069- Single Family Dwelling $150,000.00 Total Value $150,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2008-466 1300 sq ft single family dwelling with 440 sq ft attached garage $200.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 11,2009 (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 To eensb , T grsday, September 11, 2008 SIGNED BY _ for the Town of Queensbury. Director of Building& de&orcernent OFFICE USE ONLY TAX MAP NO. PERMIT NO. 46-4ERMIT FEE ; APPROVALS: ZONING TOWN CLERK_ ; / ...__..,..__...____..________________________r..r___..-rrr.rrr._..rrr.! 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: � � � INSTALLER: ADDRESS: o\c�e� ye ADDRESS: � PHONE NOS. 7a 7-7 PHONE NOS. LOCATION OF INSTALLATION: \9 a %-� .- ,a,:� s..................................................................................................................................:......................................i................._.............................3..............NO.�OE'............. s s RESIDENCE INFORMATION. YEAR BUILT i X COMPUTATION= •. = I TOTAL DAILY FLOW ...................................................,....BEDROOMS I...........s.................................................................,....,....................................................................................... GARBAGE GRINDER 1980 or older X 150 gallon per bedroom i = l INSTALLED? ................. ......................................................... ......................1........... t s 19$1 .1991 X , 130 gallon per bedroom i = .. .. ................................ ;...........a..............,........_.........,.......................... ;........,..«............................,.....`.................................1 SPA OR HOT TUB ................... ,1992-present X j 110 gallon per bedroom i = I - "` INSTALLED o ._..._........ ........ ...........I......................... ............................,...........I................... ... ............................. ? PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING 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 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). Add 250 gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub. ✓ SEPTIC TANK: W00 GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT. ✓ TOTAL SYSTEM LENGTH: ;?OQ FT. SEEPAGE PIT(S): HOW MANY? ✓ SIZE OF EACH FT. X FT. ✓ SIZE OF STONE TO BE USED: # 0 /DEPTH OR THICKNESS FT. ✓ BED SYSTEM SIZE: X ✓ ALTERNATIVE SYSTEM: LENGTH AND10R SIZE ✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: /SIZE OF EACH ✓ GALLONS./TOTAL CAPACITY: GAL. 1,;,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,;,;,,,,,,,,,,,,,,,;,,,;,,,,,,,,,,,,,;,;,,,;,,,,,,,,,,,,,,,,,;,,,,,,,,,,,,,;,;,,,,,;,;,;,;,;,,,;,;,,,;,,;,,,,,,,,,,,,,,,,,,,,,,,,;,,,;,,,;,;,,,,,,,,,;,,,,,;,,,,,;,;,,,,,,,;,;,,,,,;,;,,,;,,,,,;,;,;, ;,;,,,;,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, t; NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN t1 i'• 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 re Ions wit' respect to this application and QUESTIONS? CALL 761-8256 OR EMAIL a ree to abide these and r ul a nts of the Town of g codes QaueensburV.net Queensbur anitary Se isp I rdinance. VISIT OUR WEBSITE FOR MORE INFORMATION www.aueensburv.net na re of Person Responsible Date Town of Queensbury • Community Development Office 742 Bay Road, Queensbury, NY 12804 ,........................ OFF CE USE ONLY TAX MAP NO:2/ PERMIT NO. ' =� 0 0 ' FEES: PERMIT_ RECREATION ENGINEERING '01 ' (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. f APPLICANT/BUILDER: C�j�p-Cr l�s—� -W�OWNER: ADDRESS: C��4o�C�� Noe C 11 ADDRESS: !�=AV-CN-- PHONE NOS. 79 3 7Z)-7-7 PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: �� PHONE: LOCATION OF PROPERTY: k k9I SUBDIVISION NAME: PLEASE INDICATE MEASUREMENT"WiL CHECK ALL THAT 0 a 1. CL APPLY TO YOUR z F- 0 U)PROJECT 0 O r 0 Hw � lz LL O � � z Q Q � 07 Ncn 0u- SINGLE FAMILY �� (pT]k� `ZJ�jp Q—7 j TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHE �� I 'J GARAGE 2, X OTHER IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: ISO,onn FUEL TYPE: L.-P HEAT TYPE: T- *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: \ *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"availab in our office B 3-LGL 1 t-05 Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? do ARE THERE EASEMENTS ON PROPERTY? �b 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 t ssua ce of a certificate of occupancy. I have read and agree to the "ov . Signed // Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) 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: ; &LItLDING & CODES APPROVAL ZONING APPROVAL gd o DATot DATE ; QUESTIONS? CALL 761-8256 OR EMAIL codes(cb-gueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION Office Use Only www.gueensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: QToum of Queensbunj - Community Development Office - 742 Bay Road, Queensbury, NY 12804 Queensbury Building & Code Enforcement - Residential Final Inspection Once No. (518) 761-8256 Arrive: am/ Depart: am/pm Date Inspection request r ived: Inspector's Initials: NAME: PERMIT#: LOCATION: ��i L`Z_ — DATE: UCT TYPE OF STRURE: Comments: Yes No N/A 4" Building Number Address visible from road ryry Chimney Height/"B"Vent/Direct Vent locationl- Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Com ete Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks tins 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 Railin s 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 J regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safe lain /Window in stainmrells safe glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: _ Inter Connected: Batte backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 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 Tess 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 operatin Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/2"G sum 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 in Bedrooms 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 10 Temporary/Permanent LABuilding&Codes Form"uilding&Codes\inspection FormslResidential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6126/08 4 ►. Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: NAME: dL LOCATION: PERMIT Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of Community Development. Upon review the survey has Craij4kdwn,Zoning Administrator Notes: L:ISueHemingwayM3uilding.Codes.Inspmtion.FORMS\Fina1 Survey Zoning Administrator.doc . 6`�M MAP REFERENCE MAP OF A SURVEY MADE FOR RONALD HORNE ENTERPRISES, Inc. & RONALD HORNE BY: VAN DUSEN & STEVES DATED: JUNE 10, 1988 0 LAST REVISED: SEPTEMBER 14, 1995 y � IRF \ �y60 5 QD \ ,%pp' F LEGEND cIRF IPFO= IRON PIPE FOUND \ o�A FOP cIRFO, CAPPED IRON ROD FOUND S� ` 'goo J5� — UTILITY POLE �p eo NW . O d- co ZWWo ��O N o� •� AREA o i'- 22, 157.64 sq. ft. o, 0.51 acres 1pp�`00 o� DEC 1 10 �B �' ��N C• S LANDS N/F OF '� HOLTZ IPF 135 AL Dater eceMber 8, 008 "UNAV,HORRED iERATR7N OR ADDI710N r0" .`can u S` a MAP BEARING A UCENSED LAND SURVEYORS SEAL IS A Map of a Survey made for Scate 1'=3Q' 'n MOLATM OF SECTION 72M.SUB-DIMSIM 2.OF 7W NEW YORK STATE EDUCATON LAW.' S i e v e s WARM COPIES 01 THE DRR.M a THIS SURVEY MARKED MTH AN awaNu OF TTR:LAND SURVEYORS SEAL SHALL BE CQWDERED W W VWD 7RUE COPIES.' GF"VEY WAS PREPARED HEREON DANM THAT CLUTE ENTERPRISES S-- 1 THIS SURVEY WAS PREPARED IN ACCORDANCE WITH AD Lan u r V e y O Y' S By THE NEW OF PRACTICE A FOR LAND SURVEYORS ADOPTED BY THE NEW YOIBC STATE ASSOCIA710N OF PROFESSIONAL LAND SURVEYORS SAID 0MVICATOM SHALL RUN ONLY TO 7ME PERSON FOR*MOM THE"VEY IS PREPARED.AND ON MS EIMA F TO Tff TTLE COMPANY,ODVERNMENTAL SHEET I OF I 169 Haviland Road Queensbury, New York 12804 III IK ' °" AM Town of Qu@ensbury, Warren County, New York WOM CLUTE C2303 (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIP77ON DWG. NO. 88182 295.6-1-14 Queensbury Building & Code Enforcement - Re Idential Final Inspection Office No. (518) 761-8256 Arrive: _ Smlp part: am/pm e Date Inspection request revel ed: Inspector's Initials: NAME: PERMIT#: LOCATION: C . DATE: C% TYPE OF STRUCTURE: Comments: YM No 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 Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade awav from foundation 6 inches with 10 feet 6 inch clearance to silt plate Gas Valve shut-off exposed/nulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing,/Window in stairwells safeglazing 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(height)in accessible area Crawl Spaces 18 inch x 244 inch access, 1 .ft.-150 s .ft.vents Bathroom Fans,if no window Plumbina 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 Fumacell-lot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%"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 End , Final Electrical k Final Survey Plot Plan Arc Fault Breaker in Bedrooms 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 10 1 Temporary/Permanent LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Fob revised_100405.doc;Revised January 7,2008; Revised 6/26/08 Rough Plumbing / Insulation Ins ction Report Office No. (518) 761-8256 Date Inspection-reque Queensbury Building & Code Enforcement Arrive: �l6am/ art: V-*" am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's)nitials- NAME: PER M LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout 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 Wa ply Piping Zead 0 P.S.1 for 5 minutes Insulation I LOsidential Check/Commercial Check V"Tyv ek imilar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/p7 > Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: u `" - " NAME: I L 1!- PERMIT NO.: pro LOCATION: 1T JRd INSPECT ON: RECHECK: Comments and/or diagram Soil T Loam/ Clay Type of Water( Muni Well Water WaterlWe--sepa ration distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + / - Y N /A Absorption Field: Total length ft. Length of each trench .) ft. Depth of trenches ft. Size of Stone 7j Seepage Pits: Number Size: x Stone Size: Piping Size., Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit P+ t Opening Sealed: N End Ca N Inlet/Outlet Pipes & Baffles Y N Location Separations Foundation to tank Z _ ft. Foundation to absorption :ft. Separation of Pits ft. Conforms as per Plot Plan N Engineer Report and As-Built Y N Location of System roperty: Front Rear Left Side Right Side Middle Front Middle Rear S-ystem 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 Foundation Inspection Report Office No.(518)761-8256 Date Inspectiopequest received: Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect Initials:`R� '� flvu oNAME: t, � PERMIT#: t/" - 6 _ LOCATION: INSPECT ON: _ TYPE OF STRUCTURE: Comments Y N N/A Footings Pi 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:\Building&Codes Forms\Building&Codes\inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date In _ ti request received: Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect Fs itials: NAME: l ( PERMIT#: !` LOCATION: /i INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. 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 -molkes above footing 6 ibil 2ft for wet areas under slab Backfill App val PtMftbM-gTJnder 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 Foundation Inspection Report Office No.(518)761-8256 Date Ins Ii est received: Queensbury Building&Code Enforcement Arrive �_ r •� Q part; am/pm 742 Bay Rd.,Queensbury,NY 12804 In tor's Initials: �/� NAME: V�� PERMIT#: CR LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. 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 f 1 for wet areas under slabpproval Under Slabst/Coppern Insulation Interior Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspecdon Forms\Foundation Inspection Reprntdoc Last printed 12/20/2005 9:24:00 AM Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/prp epart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: —� NAME: CEO PERMIT #: LOCATION: t--, . INSPECT ON: 2a TYPE OF STRUCTURE: Y N N/A Rough Plumbing Nail Plates Plumbing Vent Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum CidaffOut every 100 feet change of direction s r Test OA) �. Dra' it/ Head 5 P. . . 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 Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct-tape COMMENTS: LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Foundation Inspection Report Office No.(518)761-8256 Date Ins do r"uest r ceived: Queensbury Building&Code Enforcement Arrive: I . fr p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspectors Initials.�.J /z NAME: �� IT 7i PERMIT#: �S LOCATION: T- 'N T: INSPECT ON: TYPE OF STRUC Con}menb Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation 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 ackf ff Approval c ST Plumbing Under Slab PVC/Cast/Copper Foundation Insulation terio /Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\lnspecdon FormsWoundadon Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: �pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials- / NAME: L L,-, `�—> PERMIT#: � - LOCATION: INSPECT ON: I 12t TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/WallpourtAA Reinforcement in Place boo mg Dowe s r Keyway in place ion 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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM r OPP r Alto ref co :+ <67 0000 i d-s r a mil• ttk b f 1f r bfays, . wose, OMS 14 to tA00 to i s Check Residential Plan Review: One & Two Family Dwellings Y N/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 ampproofing/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 airway Headroom 6' 8' All Stairs 36"Width St " Run and Rise finder Run and Rise Spiral Not Allowed From 2nd Story Smoke Detectors Battery Backup and Proper Location V" Bathroom Fietures Proper Clearance Hall Width, 36"min. Handrails 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 is Access Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Outside Lowest Sleeping Area,On Every Level& 4 Interconnected Soil Test Results, if required Septic To Well Or Water Line Separation All Paperwork Signed Community Development Office "07on of Queensbury • 742 Bail Rend • Queensbury, NeW York •12804 ; J (1 WINDOW SCHEDULE JOB SITE/ADDRESS: C \9 Z SZC� DATE: <Z�(��I� OWNER: [ C—\Jv APPLICATION NO.: WINDOW- UNIT OR CLEAR CLEAR WINDOW STOCK ROUGH ROUGH SFT. WIDTH OPENING NO.OR WINDOW SOFT. O OPENING SPECIAL HARDWARE OR MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHT LETTER NAME MODEL/TYPE CALL WIDTH HEIGHT VENT OPENING S IN INSTRUCTIONS ON PLAN SIZE INCHES INCHES S?3 S.7 3 �5.7-rs B 26-LTR 11-05 .--.---_•----.----_-__ --_.- I Community Development Office 011(111 of Queensberry - 742 Bray Road - Queensbury, New York •12804 ; i.Y __________........ / BUILDING PERMIT CALCULATION SHEET: NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS ACTUAL LIGHT REQUIRED AGTUAL SQUARE FOOT AREA OF ROOM IN LIGHT VENTILATION HABITABLE ROOM SQUARE FEET 8%OF ROOM SQUARE VENTILATION-4% SQUARE OPENING FOR REMARKS AREA FOOTAGE OF ROOM AREA FOOTAGE EGRESS L, \-7% 6� 1S7 400 \\10 qb � a X Li 6A e's k\o 9 is )w Lt co S_- 3 QUESTIONS? CALL 761-8256 OR EMAIL codes(&gueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION www.guensbury.net B 10-LTR 11-20 Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheck Soffware Version 3.6 Release 2 Data filename: \\Clutel\shareddocs\Rescheck\2008 Houses\1192 WEST MT RD QSBY-24X26 COLONIAL.rck PROJECT TITLE: 24x26 Stock Colonial (1274) COUNTY: Warren STATE: New York HDD: 7635 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric WINDOW /WALL RATIO: 0.10 DATE: 08/26/08 DATE OF PLANS: 8/26/2008 PROJECT DESCRIPTION: 1192 West Mountain Rd Queensbury, NY 12804 DESIGNER/CONTRACTOR: Clute Enterprises, Inc. 6 Holden Ave Queensbury, NY 12804 COMPLIANCE: Passes Maximum UA= 375 Your Home UA= 318 15.2%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1274 30.0 0.0 45 Wall 1: Wood Frame, 16" o.c. 1616 19.0 0.0 82 Window 1: Vinyl Frame:Double Pane 163 0.490 80 Door 1: Solid 40 0.230 9 Door 2: Glass 40 0.490 20 Wall 2: Wood Frame, 16" o.c. 512 19.0 0.0 31 Basement Wall 1: Solid Concrete or Masonry 656 11.0 0.0 51 Wall height: 4.0' Depth below grade: 3.0' Insulation depth: 4.0' Furnace 1: Forced Hot Air, 90 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 Stat nergy Conservation Construction Code requirements. When a Registered Design Professional has stamped and si this page, th esting that to the best ofhis/her knowledge, belief and professional judgment, such s or speci cati s in pompliance with this Code. Builder/Designer Date t O W r RES check Inspection Checklist New York State Fnergy Conservation Construction Code REScheck So$ware Version 3.6 Release 2 DATE: 08/26/08 PROJECT TULE: 24x26 Stock Colonial (1274) Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: [ ] 2. Wall 2: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry, 4.0' ht/3.0'bg/4.0' insul, R-11.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Vinyl Frame:Double Pane, U-factor: 0.490 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Doors: [ ] 1. Door 1: Solid, U-factor: 0.230 Comments: [ ] 2. Door 2: Glass, U-factor: 0.490 Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1: Forced Hot Air, 90 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 must be sealed. [ ] 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. If non-IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: [ ] Required on the wane-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values, glazing U-factors, and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R-11. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R- [ ] 4 Return ducts in unconditioned spaces(except basements)must be insulated to R-2.. Insulation is not required on return ducts in basements. 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). [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point ofthe largest zone. Electric Systems: [ ] Separate electric meters are required for each dwelling unit. Fireplaces: [ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] 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. Service Water Heating: [ ] 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 a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] 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. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 °F or chilled fluids below 55 T must be insulated to the 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 lip 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 Pining System Types Range F 2"Runouts 1" 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)