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2008-622 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. P20080622 Date Issued: Friday, December 04, 2009 This is to certify that work requested to be done as shown by Permit Number P20080622 has been completed. Location: 175 ASSEMBLY PT. Rd Tax Map'Number. 523400-239-007-0001-034-000-0000 Owner. STEVEN CARDONA Applicant: STEVEN CARDONA This structure maybe occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, �'rJ 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: P20080622 Application Number: A20080622 Tax Map No: 523400-239-007-0001-034-000-0000 Permission is hereby granted to: STEVEN CARDONA For property located at: 175 ASSEMBLY PT. 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: STEVEN CARDONA 397 ANTHONY St Fireplace SCHENECTADY, NY 12308-0000 Garage Attached Single Family Dwelling $500,000.00 Total Value $500,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2008-622 4046 SQ FT SINGLE FAMILY DWELLING& 840 SQ FT GARAGE & 2 FIREPLACES $569.52 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, December 09, 2009 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To r=/v T s , December 09, 2008 SIGNED BY A;t� for the Town of Queensbury. r1' Director of Building&Code Enforcement Fire Marshal's Office 'IlOwn of Que-eirsbury- 1742 Bay Roams • Qiieensbur.q' New York --!-,804 Alichacl f, Palmer, Firciklarslial- Gary.S6.1iran. Ocillity Fireklarslml APPLICATION FOR FUEL BURNING APPLIANCE & CIIIAVVEYS Application is hereby made to the Building&Codes Office for the issuance of a Building& Use Permit pursuant to the New York State Fire Prevention&Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances,regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. OWNER: INSTALLER/BUILDER:A'VI00",?AC'� ADVRESS: i7r_-2 o4p. ADDRESS: e?U1L-X>EE7 -_' • PHONE NO$. 70 3 PHONE NOS. e) LOCATION OF PROPERTY: 17* A��� F011J7_RPeSUBDfVIMN NAME: L"T LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 17 CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: !PHONE- ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE. MANUFACTURER NAME: MODEL NO LISTED BY: NUMBER: QUESTIONS? CALL 7614205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: I I firema rsh alQg yeens bury.rye t MASONRY" CHECK ONE V VISIT OUR WEEISITE TILE STEEL SIZE IN FOR MORE INFORMATION I INCHES wwwqueensbury.ne FLUE CNECKONE '/ DOUBLE TRIPLE WALL INSULATED DIRECT CHIMNEY WALL LINER CHIMNEY MATERIAL aimic ONE Ve **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: �6ey;e_ZO MODEL NO. / 4W&Al ADDITIONAL NOTE CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. For an EPA homeowner's guide: httlp://www.eipa.ciov/nipdes/`ipubs/`homeowner guide Iona customize.pdf ` OFFICE USE ONLY + ► 0 r + , r r � , r TAX MAP NO. PERMIT NO. PERMIT FEE rr ; + r + + , r , i APPROVALS: ZONING TOWN CLERK + r r � r , ______________________________________..____ _-________________-___- ,_____________________. 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. �►�jt'R�rti�AGK '�tGJ�IEf� * IrAAA"-jk -5 OWNER: J t E��E� �,© INSTALLER: &=4 '- 11W14 0-3 MA-,- G1-F�l.w7 c'�KI ADDRESS: 1-75 ` Q�L_�C .�►� ADDRESS: ��x S LAKF- 5EO-ZC '- PHONE NOS. 56Q25"-7©1-;'3> PHONE NOS. -5COP I- %Z55 LOCATION OF INSTALLATION: �7 El�+l�'�i1.-`C i"� 1��� 2 59 .1 - 1 -3 RESIDENCE YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW INFORMATION: BEDROOMS 1980 or older X 150 gallon per bedroom = 0 GARBAGE GRINDER r� INSTALLED? s> 1981 -1991 X 130 gallon per bedroom = 0 1992-present �� X 110 gallon per bedroom = �� 0 SPA HOT TUB INSTALLED? t%(.Q_ PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING / STEEP SLOPE SLOPE '� %I' ✓ SOIL NATURE: SAND LOAM ✓ CLAY OTHER to ✓ GROUNDWATER: AT WHAT DEPTH?�4- BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ✓ DOMESTIC WATER SUPLY: L_AKC G1C � MUNICIPAL WELL (If well:water supply from any septic system absorption is:( ft) ✓ PERCOLATION TEST: RATE IS 60 PER MIINUTE PER INCH(TEST TO BE COMPLEJED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT) �E{�1t•ttp t�AG. 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: % `JO GALLON (MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: ABSORPTION FIELD(WITH NO. 2 STONE) Total length ft. Each trench X ❑SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size? LHO'LDING ERNATIVE SYSTEM Bed or other type? F t-JEN jTA-D3 L-A%*1. - �•�O�T't�EHG1�E� L TANK SYSTEM Total required capacity? Tank size? Number of tanks? EIZ 'To`�aQ��uac.aria l�'[lt.t-rt�...A1►Tt':'rSttEEf c'�-� ANi� �r�-att_�-- 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 codes(a aueensburv.net Sanitary Sewage Disposal Ordinance. VISIT OUR WEBSITE FOR MORE INFORMATION vvww.gueensburv.net lit IZ-Z-�'g ature of Person Responsible Date Town of Queensbury - Community Development Office • 742 Bay Road, Queensbuly, NY 12804 ____________________________7--. _...._.._.__...._.._�...._...__...._...__........, �......._............... - — Fj OFFICE USE ONLY 1 ./ ` TAX MAP NO.' PERMIT NO.�;A,,1 .G•%� c,_ � , FEES: PERMITyRECREATION 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: I V4 N{A E OWNER: yEj 6v�pe>" ADDRESS:��©� (�I C�4 � 69006?E ADDRESS: 17!�F> A aMe4 Po r qr l- PHONE NOS. 4. Cng _ O!C)� PHONE NOS. CONTACT PERSON FOR BUILDING & CODES COMPLIANCEA/Ef/114 LOCATION OF PROPERTY: HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL?RYES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: 3 -2006 - /72-: 64 -j PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT APPLY TO YOUR z O Q LO O v) LU u- v� PROJECT w 0 0 I w J 0 = z o U- Q CL 0 z < Q � a N � OLL F- u~- oW. = xs SINGLE FAMILY i 2A5 21 Q I 00 TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) 4/'`�(/OTHER IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST:_ oa DbZ� FUEL TYPE:J217A�1�-I-E HEAT TYPE:11 or Al'O *HOW MANY FIREPLACE(S): 2 AND/OR WOODSTOVES(S): tiL A ZONING CATEGORY:WIZ— ARE THERE WETLANDS ON THIS SITE? 1,16 IS THIS A HISTORIC SITE? - !do PROPOSED USE OF BUILDING OR ADDITION: `Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office Town of Queensbury ! Comniunihj Development Office ■ 742 Bay Road, Queensbury, IVY 12804 B 3-LGL 11-05 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? �b ARE THERE EASEMENTS ON PROPERTY? � 0 1�Ar � 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, 1 or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read aryd agree e o Signed a✓Y11� l 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: , , , BUILDING & CODES APPROVAL oo ZONING APPROVAL , , DATE DATE QUESTIONS 7 CALL 761-8 556 OR EMAIL codesCa,aueensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.aueensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Tozvri of Queensbury . Community Development Office - 742 Bay Road, Queensbury, NY 12804 ------------------------------------ OFFICE USE ONLY ,' PROJECT NAME: I�17d1�� K��iS�E►,1� ; STAFF INITIALS: ; , , BUILDING PERMIT SUBMISSION DATE: CHECKLIST FOR: ._____ SINGLE FAMILY DWELLING 1. i Building Permit Application Completed? YES-) NO N /A Energy Form or CheckMate Energy Code Compliance — t —j------- 2. I Forms Complete? (2-copies) _ __ V i Energy Code Inspector's Report from Checkmate 3' ies Program? 2-cop -- ---- 9 ---�-- ) ---- � Septic application completely filled out?4 -- (if applicable) -_—__-- -------— - --— 7-- 5. Electrical Inspection Form complete? j I 6. Two (2) sets of the plans each of the following: YES NO N /A I 1 a. Floor plans (s)? 3 b. Foundation plan? c. Cross sections (s)? d. Elevations? i e. Window and door schedule? f. Natural Light, Ventilation and Emergency Egress Requirements? _�. ----.____--._—_............ g. Plans signed and sealed by registered architect or engineer? Two (2) site plans showing location of the structure to be 7. ' built, location of well or water lines, location of septic l system or sewer line? _ _____----------- _._ 8. Setbacks from property lines to new structure? —' 8 Setbacks to neighboring wells and septic systems, including onsite well and septic systems (if applicable)? _ 9. 1 Driveway Permit? - -�_---'--'---- 1-------_ --- --- Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 B 12-LTR 11-05 r----------------------------------- , PROJECT NAME: OFFICE USE ONLY , , STAFF INITIALS: ; DATE: BUILDING PERMIT SUBMISSION CHECKLIST FOR: ----: MULTIPLE DWELLING or COMMERCIAL PROJECTS 1. Building Permit Application Completed? YES NO N /A 2 Energy Form or Checkmate Energy Code Compliance Forms Complete? (2-copies) 3 # Energy Code Inspector's Report from Checkmate Program? (2-copies) Septic application completely filled out? 4' if applicable) 5. 3 Electrical Inspection Form complete? 6. Two (2) sets of the plans each of the following: YES ' NO N /A a. Floor plans (s)? b. Foundation plan? c. Cross sections (s)? d. Elevations? e. Design loads including floor, snow load, and wind load? f. Seismic design (required after January 2003)? i g. Plans signed and sealed by registered architect or a engineer? ' h. Window and door schedule? I Two (2) site plans showing location of the structure to be 7 built, location of well or water lines, location of septic system or sewer line with all setbacks and separation distances shown, and all im rovements to the roe - - I 8. Solid Fuel Burning or Gas Appliance Form (if applicable)? x 9. Driveway Permit i Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 J , &Z Check Residential Plan Review: One & Two Family Dwellings Y/N/N/A /11 (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. 21"(h)x 20"(w)min. 4"Max.Height above floor esidential Check Paperwork Compliance and Inspectors Checklist: OK ampproofmg/Waterproofmg Materials On Plans Vtfiatndation Drainage On Plans,if required 6"Drop in 10' Exterior Grade raming 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 Vl,PWforms At Exterior Doors S ay Headroom 6' 8' All Stairs 36"Width Stair Run and Rise Winder Run and Rise 1/1piral Not Allowed From 2 Story S ke Detectors Battery Backup and Proper Location athroom Fixtures Proper Clearance L4yall Width, 36"min. andrails More Than Four Risers On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4" in Ht. Safe y Glazing Notes For Required Areas age Fire Separation lf�rage Floor Sloped Attic Access over 30"—22"x 30"/Crawl Spaces 18"x 24"Access /tbon Monoxide Detector , On Every Level& terconnected Soil Test Results, if required Septic To Well Or Water Line Separation All Paperwork Signed Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart': r:'--am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: ! PERMIT#: 0?) LOCATION: j-jFS INSPECT ON: i TYPE OF STRUCTURE: Comments Y N N/A Footings Piers v Monolithic Slab (� Reinforcement in Place ►V The contractor is responsible for providing protection from freezing for 48 hours following the placement ` l/ of the concrete. Materials for this purpose on site. 1 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 DVC91 l� SURVEYORS•ENGINEERS• LAND CONSULTANTS P. O. Box 388 Dennis L.Dickinson,P.EILS. Telephone:(518)W-4676 Lake George,New York 12845 1 December 2009 Mr. Kevin Ma5chew5kl Adirondack Designers and Builder5, Inc. P.O. Box 181 Lake George, New York 12845 RE: Steve and Kimberly Cardona To Whom it may concern Plans entitled "New Residence for Steve * Kimberly Cardona, 175 A55embly Point Road, Queen5bury, New York", dated April 2008, Sheet 6 of 7 shows conflicting wall footing dimensions. The c imen51on5 I Gw x I OD are, in fact, correct. By this letter, I place my seal and 51gnature, authenticating the " I GW x I OD" dimensions for the wall footing. Respectfully, 1 m d Denn15 L. Dickin506, PE/1-5 , Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: 12is 1(07 NAME: �` z D and 6 LOCATION: 1-7S 0 SSv1 g U/ PERMIT M C ' V -L (z Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of / Community Development. Upon review the survey Cr ' Town,Zoning Administrator Notes: L:ISueHemingway\Building.Codes.hapection.FORMS\Final Survey Zoning Administrator.doc MAP REFERENCES: Z 1 Y o SUBDIVISION MAP v W F= SUNSET HILL FARM cn z v DATED: MAY 22, 1992 LAST REVISED: JULY BY: GIL ERT 3 VANGUIL ER & ASSOCIATES _ (n o 0 2 MAP OF A SURVEY MADE FOR PETER THOMAS o 0 DATED: JANUARY 4, 2000 0 BY: VAN DUSEN & STEVES o ^ o Q N b b ? O LANDS N/F OF HOUSE O � THOMAS N � it Z 0 x O w O a Q) 0 O Cd U c4 Fi 1-� C� D, O ti Cd Cd %4 W O 1� cIR S78037'31"E b 337.47' IPF "A" _ t + cr w O co BROKEN ASPHALT 81± N DRIVE 0 C ,t F LAKE ELEVATION 41OW8 320.14' UNDERGROULANDS N/F OF �ss.�a PROPANE r ' KE PROPANE TANK ( DOCK BEAN = PORCH AREA �J N 35,333± sq.ft. In" OVERHEAD aj 0.81± acres / Z O 11 CANOPY / DECK <W H Wg 04 ����o 1 STORY PORCH WOOD FRAMED a — --- -- HOUSE DOCK �.q g p h ii $F A ��3Lfo >�13N UTILITY ' `��I-,+ `r�r,+ POST V � 70RG PORCH M N m < SHED 1 1 O N 4.22 METIER o CONCRETE �_ �+ %1 TIE LINE "A" - 'B" ;�= + IRF PANEL PAD 5 - IPFA 355. 78' OIPF S13034'08"W I 100.01 ' , IPF kIti SHED — "B. Ott i a I LEGEND CIRFO= CAPPED IRON ROD FOUND HOUSE IRFO= IRON ROD FOUND q { IPFO= IRON PIPE FOUND 1 � = LAMP POST CCU = UTIUTY POLE CO CQ -�—�- = WOODEN FENCE UNE LANDS N/F OF = TREES Vl HARRIS N0 C = STONE WALL /r\; >4 Z 0,� O V z 0 0 ►� p z A � cy IPF V 1 CIRF IPF CIS 7 c� a II ' �CIS cc GRAPHIC SCALE v 20 0 10 20 40 so Date,ape s, Zoos EXCEPTING AND RESERVING TO THE PUBLIC, scale r-20' THE RIGHTS AND USE OF ASSEMBLY POINT ROAD ( IN FEET ) 1 inch = 20 ft S- 1 SHEET 1 OF 1 Cardona D1393 9.07-1-34 7-1-29 DWG. NO. 08039 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/ m , Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: ! NAME: PERMIT NO.: LOCATION: /7, eAtl INSPECT ON: /Z �- �► 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' + 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 CaD I Y N Inlet/Outlet Pipes &Baffles Y— N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. ��j+t'�rC� 40 S"1" ee Conforms as per Plot Plan _Y N Engineer Report and As-Built Y_N old�^` -sy f4k Alw j Cog&e.'L-040X�^1a.- Location of System on Property: 1 Front Re eft Sid Right Side Middle Front Middle Rear System Use s: 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 s ' �\ II�IIIIIIIII OD L� Ill����llll ENVIRONMENTAL DESIGN PARTNERSHIP,LLP December 1,2009 Town of Queensbury Community Development Department 742 Bay Road Queensbury,NY 12804 Attn: Dave Hatin, Director of Buildings&Codes Re: Cardona Residence 175 Assembly Point Road Dear Dave: In compliance with application approvals granted by the Town of Queensbury I offer the following regarding the referenced project. The design plans reviewed and approved by the Town as associated with the wastewater system application are as follows: Proposed Residence and Site Improvements for Steve and Kimberly Cardona 175 Assembly Point Road Town of Queensbury • Sheet S-1 Existing and Proposed Site Plan revised 10-1 S-08 • Sheet S-2 Utility, Grading and Planting Plan revised 1212108 • Sheet S-4 Design,Details&Notes revised 12-2-08 During the course of construction I was on the job site to observe key components of the system installation. Based on this observation and review of the construction I can confirm that the wastewater system was installed using materials as specified and in conformance with the intent of the design plan. Due to the timing of the installation and final grading of the system area the establishment of grass over the absorption field has not yet occurred. I will review the site again in the spring to assure that the area is stabilized. At this time the system is in place and suitable for operation. Please contact me should you require any further information. Sincerely, M � � 1AG�e>--f Dennis MacElroy,PE Cc: Steve and Kimberly Cardona Kevin Maschewski 900 Route 146,Clifton Park, New York 12065 phone(518)371-7621 -fax(518)371-9540 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: NAME: � 2c� LOCATION: PERMIT#: Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of Community / Development. Upon review the surve y'has en: CJ* rown,)Zoning Administrator Notes. 4/ L:\SueHemingway\Building.Codes.Jnspection.FORMS\Fina1 Survey Zoning Administmtor doc Queensbury Building & Code Enforcement - e al Inspection O ce No. (518) 761-8256 Arrive: am/pm part:2 am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments: Y A f 4" BuildingNumber Address visible from road ChimneyHeight/"B'Vent/Direct Vent Location � E Fresh Air Intake ��' ►r 3 inch PlumbingVent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks ios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck, ches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bradn /Handica Ram Compliant Grade away from foundation 6 inches with 10 feet 6 inch dearanoe to sill late Gas Valve shut-off tNxwed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight S§Ny glazina/Window in Interior Smoke D Wtectors Carboni MonoAdOetectors Every level: V Every em: Outside every bed area: nn VV Inter Coected: roo Battery backup: �2- S Attic access 30 inches x 22 inches x 30 inches(height)in accessible area VTF Crawl Spaces 18 inch x 24 inch access i .ft.-150 s .ft.vents -- Bathroom Fans if no window ------ Plumbing factures Y Foundation insulation/Insulation Certification Floor truss,draft st i finished basement 1,600 .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 operating �-rz k r\ � Low water shut-off balers ( ` Relief Valve(sy installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrodk Underside minimum W Gypsum Vor i Basement stairs dosed rise>4 inches Geraae Floor Pitched Gara e fireproofing/%hour fire door/door doser Duct work Sealed properly Gas Logs in Sealed or Glass Endosure Final Electrical � C Final Survey Plot Plan Arc Fault Breaker in Bedrooms iv v Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Ins on Sticker Site Plan /Variance required Flood Plain Certification,if required Oka to issue C 1 C or C/O Tem oraryl Permanent L:\Building&Codes Forms\Building&Codes\Inspection FormsWesidential Final Inspection ForM_revised_100405.4oc;Revised January 7,2008;Revised 6/26/08 Framing / Firestopping nspec on Re re Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: i y am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: v INSPECT ON: - TYPE OF STRUCTURE: N ALA COMMENTS Framing � / ) 1 '0'� cress 22'x 30' minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jadc Posts/Main Beams Exterior sheeting nailed property 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 naus each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center ra Ice and water shield 24 inches from wall _ Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed sealed 16 inch insulation in cavity min. ' Tick GaragePa Fire Separation (� Haase side's inch or 5/8 inch Type X Garage side 518 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:1Buildhg&codes FornwOLMuNing&Codesdnspection FonnsWraminp Fietop ft Inspection Report doc Revised January 7,2008 s - Queensbury Building.& Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pm Depart am/pm Date Inspection request received: inspector's Initials: NAME: PERMIT#: LOCATION. ti DATE: TYPE OF STRUCTURE. _- - Comments Yew N 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 late/Exterior Finish Complete Platform at all exterior doors _ Handrail 4 or more risers Guards at stairs decks ios more than 30 inches above rade Guard at stairwell at 34 inches or more Guard at deck porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off ex sad/regulator 18 inches above grade Interior privacy/trim/doors i main entrance 36 inches 11 Bathroom/Kitchen watertight Safety glazing/W' dow in stairwells safety glazing Interior Smoke tectors/ arbon)Aonoxide electors Every level: E ry Bed Outside every bed ares: oo Inter Connected: Battery backup: ---/ Z 11 Attic access 30 inches x 22 inches x 30 inches(height)in accessible 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 stoppiEg 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 Sheetrock underside minimum'A'Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work SealedProperly- Gas Loge in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bond in As Built Septic System/Sewer De . Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O[Temporary/Permanent L:1Building&Codes FormslBuilding&Codes\lnspectioon ForrnslResidential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 8/2601 Dec 02 09403:57p Lou Foro 5187858215 P•1 Irnprrial O Sccurit� Systcurr, loc. IMPERIAL SYSTEMS INC BURGLARY-FIRE-MEDICAL-CCTV-ACCESS CONTROL-HOME THEATER NYS LICENSE NUMBER 1200076705 518-273-SAFE 4:.itJJ i December 2,2009 TO: CHARLIE DYER FROM: LOU FORO RE: 175 ASSEMBLY POINT Dear Charlie: The IMPERIAL FIRE ALARM SYSTEM installed at 175 Assembly Point Road was completed and inspected today. Photoelectric smoke detectors with thermal were installed in and outside each bedroom area, and in the basement. They are interconnected and wired following guidelines set forth by the NFPA to the fire alarm control panel. There are three carbon monoxide detectors installed in the home tone on each floor)_ These devices are also connected to the fire alarm control panel. All devices were tested and working according to manufacturers specifications. The alarm was normal upon departure. If you have any questions; please contact me directly. sip , .eoula 9.90W Sales-Installation-Service 621 23rd Street Watervliet NY 12189 lo- z Septic Inspection Report Office No. (518) 761-8256 Date Ins .iQn request received: Queensbury Building &Code Enforcement Arrive: r am/pm Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: !;2� 'r%' NAME: PERMIT NO.: G=-C-- LOCATION: _ INSPECT ON: 07 RECHECK: Comments and/or diagram Soil Type: Sand oa / Cla Type of Water: Munici al er Waterline se ration distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + / - Y N_N/A Absorption Field: Total length ft. e c Len th of each trench ft. Depth of trenches ft. 1� Size of Stone /" Seepage Pits: Number Size: x rr Q Stone Size: Piping Size Type / Building to tank L/A Vc Tank to Distribution Box y" Distribution Box to Field / Pit Opening Sealed: Y N End Cap Y N Inlet/Outlet Pipes &Baffles Y N Location Separations Foundation to tank 10 ft. Foundation to absorption 20 ft. Separation of Pits ft. Conforms as per Plot Plan X Y N Engineer Report and As-Built Y N Location of System on Property: Front ear OSide Right Side Middle Front Middle Rear System Use Status: 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-01-1)\Building&Codes\Inspection Forms\Septic Inspection Report.doc Framing / Firestopping Inspectiongeport Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: a Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initiaisl NAME: C"xc'-111. PERMIT#: .z LOCATION: INSPECT ON: - - TYPE OF STRUCTURE: raming N WA COMMENTS: F fte� ss 22"x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jadc Posts/Main Beams Exterior sheeting nailed properly 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 gauge 8 16D nails 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 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 Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASuilding&Codes Forms-OLMuNdkV&CodesNnspedion FomhsTrarning Fwastoppig Inspection Repottdoc Revised January 7,2008 Rough Plumbing / Insulation In ection Report ' 1 Office No. (518) 761-8256 Date Ins lta' m/p request received: Queensbury Building & Code Enforcement Arrive: �art: am/pm 742 Bay Road, Queensbury, NY 12804 Ins is Initialsi NAME: A . PERMIT #: LOCATION: Ad"- ' INSPECT ON: ZL-22 TYPE OF STRUCTURE: Y N N/A Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 Y2 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 t�J .S.I fo 15 minutes Insulation/ sidential Check/Commercial Check T ek ilar 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 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Ins request received: Queensbury Building &Code Enforcement Arrive: am/ rt: am/pm 742 Bay Road, Queensbury, NY 12MM Inspector's I iais: NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Framing Y N WA COMMENTS Attic Access 2T x 30" minimum Jack Studs/Headers �;/-� (�, Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. V ,��� Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing VA Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'h w 16 gauge 8 161)nails 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 separation 1, 2, 3 hour 4 hour Firestopping enetrati 16 inch insulation in cavity min. L Garage Fire Separation �. House side%inch or 5/8 inch Type X Garage side 5/8 inch Type X �c►ti.,.� C�rC' C �'Ci� Ceifingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. CM 5.7 sf above/below grade 5.0 sf grade LABulkift&Codes Forrns-=\Build ft&CodesUnspection FonnsTrarning Fi rq Inspection ReporLdoc Revised January 7,2006 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Ins request received: Queensbury Building&Code Enforcement Arrive: m/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 lnspecto s In ials: NAME: PERMIT#: � LOCATION: INSPECT ON: ' TYPE OF STRUCTURE: Framing Y N WA COMMENTS: Attic Access 22° x 30" minimum Jack 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 Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'h w 16 gauge 8 16D nags 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 separation 1, 2, 3 hour Pre wall 2, 3, 4 hour Firestopping Penetration 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 Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABuiWing&Codes Forrns-OW'SuNding&Codeslinspedion FormsTraming Firestopping inspection ReporLdoc Revised January 7,2008 Framing / Firest pping Inspectlon�rt Office No. (518)761-8256 Date In!pecti gn request received: Queensbury Building &Code Enforcement Arrive: �aml Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspectot's Initials: NAME: —' PERMIT LOCATIJ INSPECT ON: TYPE OF STRUCTURE: Y WA COMMENTS: Framing ss 22"x 30" minimum , Jack 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 Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'f w 16 gauge 8 16D nails each sift Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour ire wall 2, 3, 4 hour Firestopping ^ � �� JVd`7 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. (W) 5.7 sf above/below grade 5.0 sf grade L:Suiid ft&Codes Forms-01-MuildN&CodesUnspeCWn FOMISTrarrinp Firestopping Inspection Reportdoc Revised January 7,20M Tmm of Q■eesdsry Firs;Marsbd 742 Bay Road Queessbary,NY 128M4 761-3205/7614206 fax 74S4437 Factea Built Gals Fireplace/Stove inspection Revort 4obom New York State regaQes tbat ag UL Listed,factory boot appfimm be iced aam*n to the modruchows and osrrtai■ed is the butalbdim Mammal a000,.pa yt■�the appiia oe.No deviatim from the adorer's morns or is a®oweL CL lermok# ' Sciedrde 7-z7 ampmdameLL Yr ,��> AddressBOti�h Final ►ppli,.oe Mamdact:r+er Ac e� �'T C. Model#�� I�u 5 -5 z-P D V K LP V Kr+ect Vest Factory Ikm C"himsey Fie Sine Doable WaN Triple Was Immolated Y No N/A Commemb %or Protection I' learners to Combustibles(all sues) i Fiirestop(s) Vertical Chase / � �, {�> L� WAR l+aadrotim Vest Clearances to Combustibles Vest/Chimney Taw"ation mosey bogbt mint be 3 feet above rod wmcbvdos;2 fed above arty co■dtsmbible smorm`tim witbisr to feet Gas Shut-O8'Valve Combustion Air Hearth Extension(if any) Mantel ffdgM abweUp Witness Operation Tank Placement Cif Ll) WWe-BWUkg Dart- Yebw link-Fits 3lrar*A Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Ins ecuow*uest received: Queensbury Building & Code Enforcement am/pm part: am/ m p 742 Bay Road, Queensbury, NY 12604 Inspector's Initials: � NAME: 0 0�� PERMIT #: 0 � Off. LOCATION: dam' INSPECT ON: ��- TY E OF STRUCTURE: Y NIA ou h Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 i4 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/char a 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 tape COMMENTS: Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008 1/ 11 /r z%�, ___ Rough Plumbing / Insulation Ins ecti Report Office No. (518) 761-8256 Date Inspection request received: QueensburY 9 Buildin &Code Enforcement Arrive: �. am/p Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: '. NAME: PERMIT #: LOCATION: -5pt"- LL INSPECT ON: �3 TYPE OF STRUCTURE: Y N N/A Rough Plumbing / ail Plates ent/Vents in Place Gtc-CK/ 1 Y2 inch minimum Drain Size 1 �' i k WashingMachine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent 1 Air/ Head r/ 5 P.S.I. or 10 ft. above highest connection for 15 minutes "ssure Test .-'Water Supply Piping r� Air/Head V 50 P.S.1 for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/ Hot Water Piping Insulation If uired unheated spaces C bustion Air Su for Furnace ct work sealed properly/No duct tape COMMENTS: i /DUX l� Rough Plumbing Insulation ReporLrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspect! ion Re r, Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm De rt: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: ` �,. l'� -- PERMIT LOCATION: INSPECT ON: . TYPE OF STRUCTURE: Y N jf WA COMMENTS: Framing r ss 27 x W minimum Jack 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 Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D naus 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 separation 1, 2, 3 hair 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 518 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. OM 5.7 sf above/below grade 5.0 sf grade L:\BuikWg&Codes Fonns-OW430cift&CodesYnspection FomisTraming Firsstopping Inspection Report.dr .r 4 ' Foundation Inspection Report Office No.(518)761-8256 Date Ins do I�uest received: Queensbury Building&Code Enforcement Arrive: Y71gm(� , Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector s Initials: LNAME: 'PERMIT#: --� — -- LOCATION: 1 INSPECT ON: TYPE OF STRUCTURE: Comm n 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 eyway p place F tion ro g F n a'ii�proofing Footing Drain D light 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 Innsfials: request received: Queensbury Building&Code Enforcement Arrive: am/p �/�, Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect NAME: OO PERMIT#: LOCATION: XVJ 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 R!'plorceinent in Place Doting Dowels or Keyway in place FT!lotion Dampproofing oundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: l 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 FormsWFounda0on Inspection Report.doc Last printed 12/20/2005 9:24:00 AM { 5 � Yti Qp Foundation Inspection Report Office No.(518)761-8256 Date Ins tt�io�n� uest received: 1 0 Queensbury Building&Code Enforcement Arrive: t=---��am/ Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: -a' NAME: U y1 z') PERMIT#: LOCATION: I SPECT ON: (.1 TYPE OF STRUCTURE: -� Commenb 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 x site. oun 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 r Foundation Inspection Report =' Office No.(518)761-8256 Date InsU request received: Queensbury Building&Code Enforcement Arrive: am/p>i� Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspectoals. NAME: (111-0fo � ep PERMIT#: LOCATION: j INSPECT ON: TYPE OF STRUCTURE: Comments Y N , N/A Footings FC'`'` �� LY Piers Monolithic Slab Reinforcement in Place i '' '�" `W f k- f The contractor is responsibleAr _ providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. 17 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 Back ill 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 /0_/j !� Foundation Inspection Report Office No.(518)761-8256 Date Inspection Wquest received: Queensbury Building&Code Enforcement Arrive: m/ptnl � Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspe�o0s�—a als: �.J NAME: <�ei°� (_ '"�4"0- PERMIT#: ' ���4 `&-' - LOCATION: t 7 S AYR M, INSPECT ON: TYPE OF STRUCTURE: { Commenb 1 Y N N/A Footings / I, ers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 04/14/2009 08:45 4808132449 DEMILEC PAGE 09 1 EVALUATION REPORT - E Report Number: 0123 r �< c� Issued: 07/2008 Expires: 07/2009 Revised: 11/07/2008 TABLE 1—THERMAL PERFORMANCE Sealection Agribalance"" Tested per ASTM C518 Thermal Conductivity(A-value) Thermal Resistance(R-value) Thickness(Inch) (Btu-in/°F-ftZ-h) (°F-fe-h/Btu) 1 0.224 4.5 2 0.223 9.0 3 0.227 13.2 4 0.225 1 17.8 Average 0.225 Calculated R-values based on average A-value 3.5 15.6 5.5 24.5 6 26.7 7.5 33.4 8.75 38.9 10 44.5 TABLE 2--TEST DATA SUBMITTED Sealection Aq ribalanceTM TESTS REQUIRED Requirement Lab Report Date Value ASTM C 518 As reported Intertek 3133593SAT-008 6/30/08 4.5 @ 1"thick Thermal Resistance at ASTM C 518 As reported Intertek 3133593SAT-007 6/30/08 9.0 @ 2"thick 75°F(24°C)mean temperature. ASTM C 518 As reported Intertek 3133593SAT-006 6/30108 13.2 @ 3"thick ASTM C 518 As reported Intertek 3133593SAT-005 6/30/08 17.8 @ 4"thick Tensile Strength:ASTM 0 1623 Note:Closed cell content shall Closed cell content 3 Ibf/in2.minimum PRI DMLC-004-02-05 9/6/07 Closed Cell= be determined in accordance <90% Tens.St.=3.87 psi With ASTM D 2856 Dimensional Stability: ASTM D 2126 15%maximum PRI DMLC-004-02-05 9/6/07 3.16`Y° total change FSI 75 or less Intertek 3118166SAT-005 4/10/071 15 Surface Burning Characteristics: ASTM E 84 or UL SDI 450 or less Intertek 3118166SAT-005 4/10107 400 723 FSI 75 or less Intertek 3118166SAT-007 4110/07 20 SDI 450 or less Inlerlek I 3118166SAT-007 4110/07 400 Air Leakage ASTM E 283 <0.02 Us•mz Intertek 3126751-01 7/27/07 <0.02 L/s-m2 Critical Radiant Flux ASTM E 970 0.12 w/cm2 Intertek 3136383SAT-005 Rev, 1 2/5/08 0.20 w/cm2 Water Absorption ASTM D 2842 Intertek MID3135945-001 12/28/07 15.27% Water Vapor Transmission ASTM E 96 Intertek MID3131186-001 12/28/07 4.95 Perms @ 5 in. Attic and Crawl Space SawRl 99-02 SwRI 7//19/07 Passed Attic and Crawl Space Analysis Koffel KA-03764-004 917/07 Passed Assoc. Fungal Resistance ASTM C 1338 Intertek 3136027COL-001 5/28108 1 Passed Page 4 of 4 04/14/2009 08:45 4808132449 DEMILEC PAGE 04 (FIRM) Section 07216 Spray-in-Place Semi Rigid Urethane Foam Insulation-SEAUCTIOx Agribalanceo Page 3 (Proiect) 3/12/2008 2.1.1 Physical Properties Method . Descri tion Value ASTM D 1622 Density 0.60-0.80 lbs/ft3 ASTM C 518 Thermal Resistance 2 days c7 76 F 4.0 ft 2h°FBTU Thermal Resistance 90 days @ 760 F 4.0 ft.2h.OF/BTU ASTM E 283-04 Air Leakage 3.5"@ 75Pa (25 mph wind) < 0.02 L/s.m2 5.5" cr 751?a(25 mph wind) < 0.02 L/s.m' 10" @75Pa 25 m h wind <0,02 L/s.W Sustained Wind Load for 60 minutes No Damage a 1000 Pa(90 miles/hr. wind) Gust Wind Load Test No Damage 3000 Pa 160 miles/hr.) ASTM D 1621 Com ressive Strength 1.86 psi ASTM D 1623 Tensile Strength 1.96 psi ASTM E 96 Water Vapor Transmission 9.51 Perms CGSB 51.23-92 Off Gassing Tests VOC Emissions Pass No toxic va ors ASTM E84 Surface Burning Characteristics (6") Class I • Flame Spread Index <25 • Smoke Develo meet <450 2.2 Equipment Equipment used to apply the foam insulation shall have fixed ratio positive displacement pumps and approved by foam manufacturer. PART 3 EXECUTION 1Vnte:check the adhesion compatibility with:flashing,I nembranes and coatings: 3.1 Examination 1. Verify that surfaces and conditions are suitable to accept work as outlined in this section. 2. Report in writing, any defects in surfaces or conditions which may adversely affect the performance of products installed under this section to the consultant prior to commencement of work. 3. Commencement of work outlined in this section shall be deemed as acceptance of existing work and conditions. 3.2 Application 1. Spray-application of polyurethane foam shall be performed in accordance with manufacturer recommendations. 2. Apply only when surfaces and environmental conditions are within limits prescribed by Permit# Permit Date UA REScheck Software Version 3.7.3 Compliance Certificate Project Title: Cardona, New Residence Report Date: 11/06/08 Data filename:C:\Program Files\Check\REScheck\Cardona Res-check.rck Energy Code: New York State Energy Conservation Construction Code Location: Warren County,New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: 20% Heating Degree Days: 7635 Construction Site: Owner/Agent: Designer/Contractor: 175 Assembly Point Road Kevin Maschewski Kevin Maschewski Lake George,NY 12845 Adirondack Designers&Builders,Inc. Adirondack Designers&Builders,Inc. PO Box 181 PO Box 181 Lake George,NY 12845 Lake George,NY 12845 (518)668-0109 (518)668-0109 ..- Assembly Ceiling 1:Flat Ceiling or Scissor Truss: 1250 38.0 0.0 38 Ceiling 2:Cathedral Ceiling(no attic): 1313 38.0 0.0 35 North Wall 1:Wood Frame,16"o.c.: 956 19.0 0.0 53 Window 1:Vinyl Frame:Double Pane with Low-E: 12 0.250 3 Window 2:Vinyl Frame:Double Pane with Low-E: 15 0.250 4 Window 3:Vinyl Frame:Double Pane with Low-E: 22 0.250 6 Door 1:Solid: 20 0.250 5 East Wall 2:Wood Frame,16"o.c.: 450 19.0 0.0 7 Window 4:Vinyl Frame:Double Pane with Low-E: 128 0.250 32 Window 5:Vinyl Frame:Double Pane with Low-E: 67 0.250 17 Window 6:Vinyl Frame:Double Pane with Low-E: 30 0.250 8 Window 7:Vinyl Frame:Double Pane with Low-E: 26 0.250 7 Window 8:Vinyl Frame:Double Pane with Low-E: 30 0.250 8 Window 9:Vinyl Frame:Double Pane with Low-E: 26 0.250 7 Window 10:Vinyl Frame:Double Pane with Low-E: 7 0.250 2 Window 11:Vinyl Frame:Double Pane with Low-E: 22 0.250 6 South Wall 3:Wood Frame,16"o.c.: 1133 19.0 0.0 60 Window 12:Vinyl Frame:Double Pane with Low-E: 24 0.250 6 Window 13:Vinyl Frame:Double Pane with Low-E: 24 0.250 6 Window 14:Vinyl Frame:Double Pane with Low-E: 8 0.250 2 Window 15:Vinyl Frame:Double Pane with low-E: 44 0.250 11 Window 16:Vinyl Frame:Double Pane with Low-E: 12 0.250 3 Door 2:Solid: 20 0.250 5 West Wall 4:Wood Frame, 16"o.c.: 430 19.0 0.0 20 Window 17:Vinyl Frame:Double Pane with Low-E: 33 0.250 8 Window 18:Vinyl Frame:Double Pane with Low-E: 24 0.250 6 Window 19:Vinyl Frame:Double Pane with Low-E: 23 0.250 6 Cardona,New Residence Page 1 of 7 Window 20:Vinyl Frame:Double Pane with Low-E: 22 0.250 6 Basement Wall 1:Solid Concrete or Masonry: 1692 19.0 0.0 83 Furnace 1:Forced Hot Air:92 AFUE Air Conditioner 1:Electric Central Air:13 SEER The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submiffe, wi it r plication.The proposed systems have been designed to meet the New York State Energy Conservation Constru Code eifs, hen a Registered Design Professional has stamped and signed this page,they are attesting that to the t f hi \e ef,and professional judgment,such plans or specifications are in compliance with this Code. &Akk /Designer Company Name Date Cardona,New Residence Page 2 of 7 REScheck Software Version 3.7.3 Inspection Checklist Date: 11/06/08 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: ❑ Ceiling 2:Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ North Wall 1:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments:North elevation ❑ East Wall 2:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments:Lake Front Elevation ❑ South Wall 3:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments:South Elevation ❑ West Wall 4:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments:West Elevation Basement Walls: ❑ Basement Wall 1:Solid Concrete or Masonry,8.0'hV6.0'bg/8.0'insul,R-19.0 cavity insulation Comments:&Basement walls Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes_No Comments:Unit#2 ❑ Window 2:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes—No Comments:Unit#16 ❑ Window 3:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Unit#20 ❑ Window 4:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes—No Comments:Unit#3 ❑ Window 5:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes—No Comments:Unit#17 ❑ Window 6:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Unit#4 ❑ Window 7:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 Cardona,New Residence Page 3 of 7 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes,No Comments:Unit#5 ❑ Window 8:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: Wanes_—Frame Type Thermal Break? Yes—No Comments:Unit#6 ❑ Window 9:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: Wanes Frame Type Thermal Break? Yes_No Comments:Unit#7 ❑ Window 10:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes—No Comments:Unit#18 ❑ Window 11:Vinyl Frame:Double Pane with low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes_No Comments:Unit#19 ❑ Window 12:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes—No Comments:Unit#8 ❑Window 13:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Unit#9 ❑ Window 14:Vinyl Frame:Double Pane with low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes_No Comments:Unit#10 ❑ Window 15:Vinyl Frame:Double Pane with low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes_No Comments:Unit#20 ❑ Window 16:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes_No Comments:Unit#2 ❑ Window 17:Vinyl Frame:Double Pane with Low-E,U-factor.0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Unit#14 ❑ Window 18:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Unit#15 ❑ Window 19:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes—No Comments:Unit#21 ❑ Window 20:Vinyl Frame:Double Pane with Low-E,U-factor:0.250 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Cardona,New Residence.. Page 4 of 7 Comments:Unit#20 Doors: ❑ Door 1:Solid,U-factor:0.250 Comments:Unit#1 ❑ Door 2:Solid,U-factor:0.250 Comments:Unit#11 Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air:92 AFUE or higher Make and Model Number: ❑ Air Conditioner 1:Electric Central Air:13 SEER 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 warm-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- ❑ Return ducts in unconditioned spaces(except basements)must be insulated to R-2. .Insulation is not required on return ducts in basements. Duct Construction: ❑ 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 181 B. 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 of the 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 of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: ❑ Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral Cardona,New Residence Page 5 of 7 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/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. Cardona,New Residence Page 6 of 7 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) Cardona,New Residence Page 7 of 7