2007-479 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CE RT I F I CAT E ('".)AFE7 OCCUPANCY
Permit Number. P20070479 Date Issued: Tuesday, September 09, 2008
This is to certify that work requested to be done as shown by Permit Number P20070479
has been completed.
Location: 402 LUZERNE Rd
Tax Map Number. 523400-308-011-0001-038-002-0000
Owner. TERRY BROWN
Applicant: TERRY & CAROL BROWN
This structure maybe occupied as a:
Fireplace
By Order of Town Board
Garage - 2 Cars 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,
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: P20070479 Application Number. A20070479
Tax Map No: 523400-308-011-0001-038-002-0000
Permission is hereby granted to: TERRY & CAROL BROWN
For property located at: LUZERNE 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: TERRY BROWN
CAROL BROWN Fireplace
398 LUZERNE Rd Garage-2 Cars Attached
Single Family Dwelling $120,000.00
QUEENSBURY,NY 12804-0000 Total value
$120,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-479 Legal Address: 402 Luzerne Road
1852 SQ FT SINGLE FAMILY DWELLING& 576 SQ FT ATTACHED 2 CAR GARAGE & 1
FIREPLACE
$279.84 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday,August 17, 2008
(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
:7:7�
F iada August 17, 2007
s
SIGNED BY for the Town of Queensbury.
Director of Building& de E orcement
---------0
PROJECT NAME r� 'I"l"'-OFFICE USE ONLY
/� ; ;
C-t JC.
STAFF INITIALS:
BUILDING PERMIT SUBMISSION DATE:
CHECKLIST FOR: '
SINGLE FAMILY DWELLING
1. Building Permit Application Completed? YES NO N /A
2 Energy Form or CheckMate Energy Code Compliance
Forms Complete? (2-copies)
Energy Code Inspector's Report from Checkmate ---!
a 3' Program? (2-copies) ! r
4 ; Septic application completely filled out? — —
I (if applicable) I
5. Electrical Inspection Form complete?
j 6. Two (2) sets of the plans each of the following: ? YES NO N /A
{
a. Floor plans (s)? 3
3 ' b. Foundation plan? i
c. Cross sections (s)? V ,
1
f i
d. Elevations? V
:
e. Window and door schedule? V` I
11 g. Plans signed and sealed by registered architect or i
l engineer?
h. Window and door schedule?
S _
' j 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?
3
8. Setbacks from property lines to new structure? V�
: 8 Setbacks to neighboring wells and septic systems, ,
_j including onsite well and septic systems (if applicable)? !
3 '
j 9. 1 Driveway Permit?
f ii
Town of Queensbury- Community Development Office - 742 Buy Road,Queensbury, NY 12804
OFFICE USE ONLY f
PROJECT NAME: ,
STAFF INITIALS: ;
BUILDING PERMIT SUBMISSION DATE:
CHECKLIST FOR:
MULTIPLE DWELLING or COMMERCIAL PROJECTS
I
1. Building Permit Application Completed? YES NO N /A
2. Energy Form or CheckMate Energy Code Compliance I
jForms Complete? (2-copies) I ,
3 Energy Code Inspector's Report from Checkmate —
Program? (2-copies)
1 4 Septic application completely filled out? f
(if applicable) f
5. 1 Electrical Inspection Form complete?
f e
6. Two (2) sets of the plans each of the following: YES NO N /A
I a. Floor plans (s)?
b. Foundation plan?
{ c. Cross sections (s)?
. 1 3
j i S
f1 i i
j d. Elevations?
F _
e. Design loads including floor, snow load, and wind
' load?
i
f. Seismic design (required after January 2003)? i
g. Plans signed and sealed by registered architect or ` f
engineer?
I ` S
h. Window and door schedule? I I
x
Two (2) site plans showing location of the structure to be i
built, location of well or water lines, location of septic7.
j
I ! system or sewer line with all setbacks and separation ► l
distances shown, and all improvements to the property? ' !
8. Solid Fuel Burning or Gas Appliance Form (if applicable)?
i � 1
9. Driveway Permit
Town of Queensbury- Community Development Office . 742 Bay Road, Queensbury, NY 121E
Community Development Office 00
own of Queensbury • 742 Bay Road • Queensbury, New York •12804 01 +
+ '
• David Hatin, Director of Building&Codes ;
Craig Brown,Zoning Administrator ;
'
WINDOW SCHEDULE '
1 JOB SITE/ADDRESS: � - C DATE: �a Q
o OWNER: 2 2 /' (,J ",) APPLICATION NO.:
WINDOW- UNIT OR CLEAR
CLEAR
WINDOW STOCK ROUGH ROUGH SQ.FT. OPENING
NO.OR WINDOW SQ.FT. WIDTH OPENING SPECIAL HARDWARE OR
MODEL/TYPE VENT
MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHT
LETTER NAME CALL WIDTH HEIGHT OPENING INCHES S IN INSTRUCTIONS
ON PLAN
SIZE INCHES
awa�ogr0 S„ � y 8 f 5 3�
4A6250,v Tw-11by 3'oi�8 `I`� „ 5% 3ro
6ej YL-3
� E2 (_oA) ag /7 - s
Toil 7�7 ; loot' 7�7
B 26-LTR 11-05
%_______________________I
1 I
I I
I
Commu Q
nity Development Office e ;
own of Queensbury • 742 Bay Road • Queensbury, New York •12804
/
David Hatin, Director of Building&Codes I,
Craig Brown, Zoning Administrator , I
BUILDING PERMIT CALCULATION SHEET:
NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS
REQUIRED ACTUAL
ACTUAL LIGHT REQUIRED SQUARE FOOT
HABITABLE ROOM AREA OF ROOM IN LIGHT , VENTILATION
SQUARE FEET 8"%OF ROOM SQUARE VENTILATION- A SQUARE OPENING FOR REMARKS
} ,ryL, AREA FOOTAGE //OF ROOM AREA / FOOTAGE yrEGR,eESS
(L bon- .._ ....f'� / tl I C: �7 l: � r / i <7,..-,) ` q-�,
�,
U0 h,` f r ?? /C I l 1 �"l l {t , &7 I ( i '4! • K' ^'�, w' i
:.t
QUESTIONS? CALL 761-8256 OR EMAIL
codesngueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.quensbury.net
B 10-LTR 11-20
07 '17
Check Residential Plan Review: One& Two Family Dwellings
Y/NIN/A
(2)FulI sets of plans
-Over 1,500 sq. ft.—Stamped
Design Loads On Plans: 90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations:
inflow Schedule With Glass Size
Ll Door Schedule/Main Entrance 36"Door
mergency Escape Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq.ft.
de,5.0 sq. ft.
24"(h)x 20"(w)min.
44"Max.Height above floor
esidential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofing/Waterproofing Materials On Plans
oundation Drainage On Plans,if required
6"Drop in 10' Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where
Yequired
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
fairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
�a Spiral Not Allowed From 2nd Story
S ke Detectors Battery Backup and Proper Location
B oom Fixtures Proper Clearance
all Width, 36"nun.
Handrails More Than One Riser 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
ge Floor Sloped
Attic Access
oof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access
Carbon Monoxide Detector Lowest Sleeping Level
Soil Test Results, if required
Septic To Well Or Water Line Separation
All Paperwork Signed
......,.,._.•....................................... ---
r
OFFICE USE ONLY ; --- -----I
TAX MAP NO.( 1
PERMIT N0.
FEES: PERMIT;27— RECREATION ENGINEERING
(if applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: Z-,elf- OWNER:"���-xl
ADDRESS: O c t ADDRESS:
PHONE NOS. �.��`- � �"� PHONE NOS. -�f�'` ;1,?-92? R
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: PHONE:
LOCATION OF PROPERTY: 5 /Q
SUBDIVISION NAME: 'l� 1�7��'C1 � � 741D
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p w LL Co
APPLY TO YOUR z0 F- O (n cn U) E..:w
PROJECT O 0-1 t w ¢ CL = v
�
o `�" o 0 mow ?
z <a ¢ � � NU) OL � a = �
LL
/ vz:
SINGLE FAMILY 5a /g,5 0-� ! J
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL J
ATTACHED
GARAGE(1 63)
OTHER
1 2�
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: V
ESTIMATED CONSTRUCTION COST: I r____T o O FUEL TYPE: N p-:1�K 211
HEAT TYPE: ('fJndu'j HOW MANY FIREPLACE(S):I_AND/OR WOODSTOVES(S):
ZONING CATEGORY: S I P� ARE THERE WETLANDS ON THIS SITE?_IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: L e f 6 d F-
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3_LGL 11-05
QTown of Queensbury a Community Development Office - 742 Bay Road, Queensbury, NY 12804
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
Fpe
cknowledge no construction activities shall be commenced prior to issuance of a valid
rmit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read agree to the above.
Signed o «.
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 ZONING APPROVAL01
,
DATE
DATE10
; ;
QUESTIONS? CALL 761-8256 OR EMAIL
codes0gueensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
www.ciueensbury.net
Operating Permit Issued: Yes No
Occupancy Type: _ I
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
QT07vn of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804
0 7 _/V7-
---------------------
"Town
ommunity Development Office
of Queensbury - 742 Bay'Road - Queensbury, New York -12804 0
Date Stamp
-David Hatin,Director of Building&Codes i
Craig Brown,Zoning Administrator-Michael J. Palmer,Fire Marshal i
-------------
APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS
Application is hereby made to the Building &Codes Office for the issuance of a Building S,Use Permit
pursuant to the New York State Fire Prevention 8,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: �q� ISe(7 &1 Al INSTALLERBUILDER: / I 12 fCe ATIft �✓�
ADDRESS: /� K Z.E.E'N E "�' ADDRESS: � ap L u`L,6X U C IC
PHONE NOS. SRO Q c PHONE NOS. ZF
LOCATION OF PROPERTY: .C_. Le Z.E9,V6 Zd, SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: C[ z
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
STOVE
FIREPLACE INSERT
FIREPLACE,FACTORY BUILT*
FIREPLACE,MASONRY
FURNACE(GARAGE ONLY)
*IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: Al dEC 46 MODEL NO.
LISTED BY: NUMBER:
QUESTIONS?
CALL 761-8205 or 761-8206
j OR EMAIL:
.' . firemarshalftmeensburv.net
7FLUE
NRY•* CHECK ONEVISIT OUR WEBSITE
FOR MORE INFORMATION
www.ciueensbury.net
7. CHECK ONE ✓
CHIMNEY MATERIAL CHECK ONE ✓
**IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME:/t/0 0✓ MODEL NO.
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.
�rrrrr rrrrrrrrr_r_rrrr rrrrr.rrrrrrr r.____r________
OFFICE USE ONLY ----------
'
TAX MAP NO. PERMIT NO. PERMIT FEE ; ;
0
APPROVALS: ZONING TOWN CLERK_ '
_________________________ r__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: a 5 7,
g / INSTALLER:
ADDRESS:
ADDRESS:
PHONE NOS. ` � Q- PHONE NOS.
LOCATION OF INSTALLATION: L u ✓Z, � i'� d
I.....-.............................-.......,................................................ ..................................... ...................,......,....... RESIDENCE INFORMATION
NO.OF }• �...
^.., ..,, NC
YEAR BUILT I X COMPUTATION= _ TOTAL DAILY FLOW
�......BEDROOMS......1 ;:............. ...........a......................•......... GARBAGE
� ;......................................_..............................................< E GRINDER
I 1980 or older I ! X 1 150 gallon per bedroom i = INSTALLED?
:.........................................................
...........4...................................................
1981 -1991 X 130 gallon per bedroom I =
».....................•.. ................. t...........;.................................... ..............................,..;...,.......«.........................,....,....... ' , /
I 1992•present t........... .. X 110 gallon per bedroom = _ INSTALLED?, Ll16
T TUB
.............._._......................._...............................................t............{..........................................................................i...........;...........�,..�..�......................................
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLA ROLLING Ji STEEP SLOPE /oSLOPE
✓ SOIL NATURE: SAND �// LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? O BEDROCK/IMPERVIOUS MATERIAL: AT
WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL / WELL
(IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS
✓ 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: 00 GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT.
✓ TOTAL SYSTEM LENGTH: --�00 FT. SEEPAGE PIT(S): HOW MANY? IVON6
✓ SIZE OF EACH da _FT. X FT.
✓ SIZE OF STONE TO BE USED: # /DEPTH OR THICKNESS FT.
✓ BED SYSTEM SIZE: \'t X ¢ ,
✓ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE
✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: /SIZE OF EACH
✓ GALLONS./TOTAL CAPACITY: GAL.
..............-...............................:.:...,.,.:.:.:.:.,...:.:...........:.................................:.,.:.............:.:.:.:.:.:.:.:.:.:.:.,.:.,.:.:.:.:.:.,.,.:.:.;.:.;.....:.,.:.:.,.,.,,..:.:.:.:.,.:.......................:.:.:.:.:,:.,. :.:.:.:.:.•.:.,.,.:.:.,.:.:.,.:.,.:.,.,.:...:.,.:.,.:.............,...:.,................
,,.;
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
1:..:................:.....:....:...........:.....................:.......................:.......:....................:.:...........:.::.::.:...............:.......:::..: :::....:..........................
..:.....
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 to abide by these and all requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL
Queensbury Sanitary Sewage Disposal Ordinance. codes@aueensbury net
VISIT OUR WESSITE FOR MORE INFORMATION
www.aueensbury.net
Signatur t,of Person Responsible �'Dat
Town cf Queensbury- Community Development Office - 742 Bay Road, Queensbury,NY 12804
Queensbury Building & Code Enforcement - ResideT#:
spection
Office No. (518)761-8256 Arrive: L ` ' — : ��" a f�
Date Inspection request received: Inspector's Initial
NAME: C�PtOI��LOCATION: —
TYPE OF STRUCTURE: _h Fn Wnts•
Yes X No
4" Building Number Address visible from road NO
Chimney Height/"W Vent/Direct Vent Location VA
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 Brae / Ramqp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill (� ,
Gas Valve shut-off e /regulator 18 inches above �. \� v//
Interior privacy/trim/doors l main entrance 36 inches )) v
Bathroom/Ktcien watertight J
Safety glazmg/Window in stairwells safety giazmg
Interior Smoke Det3ctors/Carbon Monoa6�de
Every level: V Every Bedrowk
Outside every bedroom aye: ✓
Inter Connected: ✓ Batim backup: ✓
Attic access 30 inches x 22 indies x 30 indies in accessible area
Crawl Spaces 18 inch x 24 inch access,1 sq.ft:150 sq.ft.vents
Bathroom Fans,tf no window
Plumbing fixtures
Foundation insulation
Floor truss,draft st finished basement 1,000 sq.ft
Emergencyress below grade
Gas Furnace shut-off within 30 feet or within fine of site lor
Oil Furnace shut-off at entrance to furnace area
FUmace/Hot Water Heater operating
Low water shut-off boiler
Relief Va s installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum''Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Dud work Seated property
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms 01
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. In n Sticker
Site Plan /Variance recored
Flood Plain Certification,if required
Okay to issue C/C or C/0 Tem nt
LABuilding&Codes FormslBuilding&Codesllnspection FormAlkesidential Final Inspection Form revised_100405.doc;Revised
January 7,2008
Queensbury Building & Code Enforcement - Resi(Wntial Final Inspection
Office No. (518)761-8256 Arrive: b=c)D a
Date Inspection request rece'ved: Inspector's Initials:
NAME: �fJ LJ
�� IT#: O
LOCATION: e- Tl ;,-�r �- �... TE: -
TYPE OF STRUCTURE:
Comments:
Yes No WA
,V 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 g� C)
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 indnes above grade {3C �,Zduta(
Guard at stairwell at 34 inches or more VA _ L�p
Guard at deck,porches 36 inches or more (�j ���ti �� IE
Handrail Termination at Newell Post or Wall
InteriorMAerior Railings 34 inches to 38 inches
Deck Brad /Handkopped Ramp Compliant Vol
Grade away from foundation 6 inches with 10 feet 1 eE
6 inch clearance to sal
Gas Valve shut-off wposed/regulator 18 inches move grade
Interior privacy/trim/doors/main entrance 36 inches l�i=EQl, No
Bathroom/Kitchen watertight
Safety glazing/Wffx"jT stairwells safety glazity L01.\ tJ O
Interior Smoke /Carbon Monoxides
Every level V Every BedrgA:
Outside every bedroom a :
Inter Corrected: ✓ Battery backup: ✓ "�� �,� ���� ��
Attic access 30 inches x 22 inches x 30 inches in accessible area
Crawl Spaces 18 inch x 24 inch access,1 sq.ft:150 sq.ft.vents 100, \-t:v
Bathroom Fans,if no window
Plumbing fixtures -77
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft. T
Emergencybekrw grade V"o `dj c J�
AP
Gas Purace shut-off within 30 feet or within fine of site
Oil Furnace shut-off at entrance to furnace area
FumaceMot Water Heater owatmV VIA t3 \ f t Lk—
Low water shut-off boiler D
Relief Valve(s)installed/Heat Trap/Water T 110 R
Enclosed Stairs Sheetrock Underside minimum W G (4C ONGE
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed property
Gas Logs in Sealed or Glass Enclosure
Final Electrical t D
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe QQN!ng
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Cerfificatkm,if recluked
Okay to issue C/C or C 10 Tem /Permanent
L•\Building&Codes Forms\Building&Codesllnspec ion FormMesidential Final inspection Form_revised_100405.doc;Revised
January 7,2008 '
Final Survey .Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: �� —�
NAME: (� G•__.
LOCATION: QZ 0z'?,Gr
-r-
PERMIT#: `7
Final Survey Plot Plan
AvDroved Denied
The attached final
survey has been
received by the
Dept.of .../
Community
Development.
Upon review the
,has been:
MAP REFERENCE
MAP OF A PROPOSED SUBDIVISION MADE FOR LAND5 N/F OF
TERRY BROWN
NIGHC�LSON 0:MKAGNRTIC AS pER ,gp XEFIs'RENCE
BY: VAN DUSEN & STEVES
DATED: MARCH 8, 2007
LAST REVISED: JULY 19, 2007
LOT I
LAND5 N/F OF
TOWN OF 1p
QUEEN5BURY
sos�2O"w
W
Z
T- `� GRU5HED
o STONE
DRIVE
LOT 2
AREA /
108,943.22 sq. ft. Gp
2.50 acres
1 1/2 STORY
OOD FRAMED
of HOUSE N
I
Ci
0�0
W
NOB�7 800,"
E
N
—�_ LAND5 N/F OF
NIAGARA MOHAWK
POWER CORPORATION
F. k -
LAND
Du Date, August 20, 2008
P BEARING
A L LICENSED
OR ADDITION TO A SURVEY SCale 1'-5O�
& �- VIOL BEARS""�N 72 9ATW 'S SEAL A Map of a Survey made for
VIOLATION OF sEcnDH 7zol.SUB-DIYNSWH z OF THE
S e v s NEW YORIC STATE EWCO TW
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARL S MTH AN ORIGINAL IDME OF THE LAND SURVEYORS
SEAL SHALL BE C0 70 BE VALID TRUE COPS'
�CERTIFICATIONS INDICATED HEREON ,H"T Term' Brown S- 1
1WS SURVEY WAS PREPARED N AOOOROANCE WTH THE
Lan d S L1 V e J o r S IN TING CODE a PRACTICE SO MOM ZONAL
BY S NEE= STATE T*XA7MS S PL RUN ON Y
IATW SURVEYORS SAID C1RiiFlCAl10N5 SHALL RUN ONLY
TO THE PERSON FOR%MMI THE SURVEY IS PREPARED,AHD
ON HIS BEHALF 70 THE'RILE COMPANY.GOVERNMENTAL
169 Haviland Road Queensbury, New York 12804 �'A S OF TW DJSV,UT.* VIVID Town of Queensbury, Warren County, New York SHEET I OF 1
(518) 792-8474 New York Lie. No. 50135 Brown C228G
NO. DATE DESCRlPT10N DWG. NO. 070236,2
—38.2
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheirn,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
e" --) , f -? /
...*/ T -/ I.Cem 2 4575 Pennit No...4,,..' ................. Cut-in Card No.....................................
Owner...........I
..........................................................................................................................* ..........
Location...... ........ ......Ap................................ ...fX..........
ef�; <w—v I
InstallationConsisting of...................................... ....................../.......................................................
0..............................................................................................................................................
....................................................................................................................................................................................
InstalledBy........S. ..........................................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making t, t time, and if its
rules are violated,the Company shall have the right to r - this
Date......... ........... INSPECTOR............ ...................
Tows of Qmeeaslury Fire MmAd
742 Bay Road
Qmeasmbo",NY 12M
761-SM/76142A6
fax 7454437
Factory Built Gas Firealace/Stove Imnectioin Pimort
Notice+New York State mgmm fiat aft UL Limted,factacy balk q*hamees be iced amwdig to the wdmcti and
mpedficalioas cootaimed in the butanadom malonal a000mpam.. the appiam r-No deviati m from the waadacaseer's
or specificatiom is allowed.
prermAit# 'Puce At Pon anytime hupech
R me (moo�"� Addr en L�fi o� L ✓z- X-^Xe P-D Rago
Appgamm Mager
Dimct vent Factory emit C'biumey Fine size Dmble WaM Triple Wan Immolated
Yes I No N/A Coomads
FI"r Protection
Clearances to Combustibles(all sites)
Fiirestep(s) vortical cum
WAR Pc efcatiom
Vent C earanos to CembustiMes 0
Vent/chimney Termination �(/C�NL
C�ey bcgoit mast be 3 feet above rod ��,
pardratia�2 feet above my coodu stMe
nctiom fkbm 19 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension(if any)
Mantel
witness operation
Task Placement(d LP)
WbW-BmIftg Dept. lVdIpw !ik-Fim b&u*A
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspe 'on request received:
�'J
Queensbury Building & Code Enforcement Arriv am/pp Depart. am/pm
742 Bay Road, Queensbury, NY 12804 Ins r' . Initials:_
NAME: �G�� PERMIT #: 0 7 — y7
LOCATION:_ I-� e�z.,�t�_.+�-� INSPECT ON: 0 0
TYPE OF STRUCTURE:
Y
ou h Plumbing Nail Plates jN ,au- �ML
Plumbing Vent Vents in Place
1 /2 inch minimum Drain Size I
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet chan a of direction
0Alr',/
. ure Test
in / Vent
Head
S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
/ Head
0 P.S.I for 15 minutes
In lation Residential Check Commercial Check
Proper Vent Attic Vent
Duct / Hot Water Piping Insulation
y,, red unheated spaces
ion Air Supply for Furnace
k sealed properly / No duct to e
nr616'h 4�1
COMMENTS: 0P or— ��}fj�.
LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspecton request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's initials: Q L.
NAME: irPdG�/� PERMIT #: 7'
LOCATION: Lu2✓E INSPECT ON: r o
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
Cleanout every 100 feet change of direction
Pressure Test
Drain / Venter
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test >2 2-
Water Supply Piping'`
Air/ Head
0 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\BuiWing&CodesVnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
�-// /Pr"4z-7 ,
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection pquest received:
Queensbury Building&Code Enforcement Arriivve: t • ia�pm`1 t7 L Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: _
c
NAME: PERMIT#:
LOCATION: 4M:L L 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
Foundatiow roofm
Foun a oo In
Footing m or ump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/ t 1
Found ion Infflu tion tenor/Exterior ' 1
R- \ _
Rough Gra 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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspect. request received:
Queensbury Building&Code Enforcement Arriv(/O- T am/p �epart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: _ fA
NAME: /?-0&)/ PERMIT#:
LOCATION: t U Z,6-re✓6� peb INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A 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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/z 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
ire wail 2, 3,4 hour
Firestopping Grril'1(
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/z 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
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date In Cho quest received:
')Queensbury Building&Code Enforcement Arrive: ' -7- am/p, Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector s Initials. Cz-4-
NAME: �� PERMIT#:
LOCATION: zin2 INSPECT ON: 42-
T E OF STRUCT
Y N N/A COMMENTS
V Framing HUO
Attic Access 2 "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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/z 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 �` +�CC ' /t V , o p
ire wal , ,4 h ur ��-- \C� �? 7 ! (�L�� (V 4p (r��
Firestopping 1f'Eo C<'�-
Penetrat• ed
16 inch insulation in cavity min.
Garage Fire Separation
House side ''/z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall ,.1
Windows Habitable Space/Bedrooms `,,A0-
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials
NAME: PERMIT#:
LOCATION: b INSPECT ON: / 7? c
TYPE OF STRUCTURE:
Y N , N/A COMMENTS
Framing
V
Attic Access 22"x 30"minimum T
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 `/z 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 %z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H) I
20 in.(W)
5.7 sf above/below grade !
5.0 sf grade _�
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/r Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspecto s Initials:vf
NAME: ,oa/1A PERMIT NO.: 0
LOCATION: U C-Alf _ INSPECT ON:
RECHEC
` Comments anal/or diagram
Soil T Loam AClay
Type of Water: units /Well Water
Waterline seoLftn distAnce ft.
Well separation dk&@p0ft.
Other wells: ft.
Abso tlon Field: Total lenO ft.
Length of each trench d ft.
Depth of trenches
Size of Stone
SeepM Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank Z O
Tank to Distribution Box " yIZ172- 5
Distribution Box to Fi Pit / n
Opening Sealed: Y Partial �(
End Ca
Inlet/Outlet Pipes&Baffles Y N
Location/ separations
Foundation to tank ft.
Foundation to absorption ft.
Se ration of Pits ft.
Conforms as per Plot Plan Y N
Engineer Report and As-Built Y N
Location of Sy n Property:
Front Rea Left Side fight 'de
Middle Front Middle Rear
System Use Status:
proved Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
fir-- il,e)- --
Framing / Firestopping Inspection Report /.
Office No. (518)761-8256 Date Inspecti ;equest received: 27 L'7
Queensbury Building&Code Enforcement Arrive V. am/pm part: am/pm
742 Bay Road, Queensbury,NY 12804 Inspecto 's Initials:
NAME: PERMIT#: O
LOCATION: B 1.✓ INSPECT ON: )7
TYPE OF STRUCTURE:
r
raining
Y N NIA COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly t/�5
12"O.C. '�,4L rf. �,2
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in. �K '
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/z 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 11/z 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
V\ YOUr- Vjay ; bl- ) F-)0 (T �J�-,
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Ins jengonWceQueensbury Building&Code Enforcement Arrive: a%
742 Bay Road, Queensbury,NY 12804 Inspector'
NAME: Q / V PERMIT#:
LOCATION: r n-e INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/z w 16 gauge 8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
chor s or less on center
Ice and water shiel 4 inches from wall
d44w—sapara4a<11, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/z 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
Framing / Firestopping Inspection Report °
Office No.(518) 761-8256 Date Inspection r u re e' ed:
Queensbury Building&Code Enforcement Arrive: e a
742 Bay Road,Queensbury,NY 12804 Inspector's Initia
NAME: PERMIT#: —
LOCATION: — INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers J
Bracing/Bridging l
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/z(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
chor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall 1
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping `` N,
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/z 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) i
5.7 sf above/below grade i
5.0 sf grade
AU �r
Framing / Firestopping Inspection Report
Office No.(518) 761-8256 Date Ins ecti!pjequest received: 00
Queensbury Building&Code Enforcement Arrive: ??NNam/pm C De p rt: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector s Initials.
NAME: PERMIT#:
LOCATION: 14 261 _ INSPECT ON: Atil. cgej 7
TYPE OF STRUCT
Framing Y N N/A 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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 1/z w 16 gauge 8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft.or less on center
ce and water shi—eN 24 inches from wall A-1 .
Fire separation 1, 2, 3 hour /'ASr CY r 6L)4, —
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side `/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall `�� ��' 440-45
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection r u e
Queensbury Building&Code Enforcement Arrive: epart: m
742 Bay Rd.,Queensbury,NY 12804 Inspector's
NAME: E ERMIT#: 1 �_
LOCATION: t k) 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
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\lnspecdon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
1-3
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-6A,�
NAME: Eri)� PERMIT#:
�)�_ Z�7
LOCATION: INSPECT ON: —
TYPE OF STRUC .
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
c s above footing
6 mil MY for wet areas under slab
Backfill Ap6roval
g 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 Fonns\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
/0
Foundation Inspection Report
Office No.(518)761-8256 Date In bon re e 'v : _ L>
Queensbury Building&Code Enforcement Arrive: part:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi
NAME: �Uu� P T#: d 7 —_L 7�
LOCATION: '�� („>-r _� �' PECT ON: l�
TYPE OF STRUCTURE:
Comments
Y N N/A
,'Footings
Piers \�Wz ID
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
TMM of Quenub.iry Iraw dM armb l
742 Bay Bead
Qmeeasbney,NY 12W4
761-SM/76141M
fax 7454437
Factory Built Gas Fier W ace/Stove Inspection Report
Kubota New Yogic Stale me"wes that all UL Imbed,&day ball apoa■ces be mdaved aocordimg to the wsbclioms and
apecd*6-- omn combined in the Instaratim Manual aocootpanyiuv Nte appiaaoe.No deviation fhmn the aeaudadmetr's
or Rmewwatiom is avowed.
11i 7 scwdoie hgNX iom :� fire M put amytbw
c,r
►ppuamoe 11 factwer IM[Wd p
Nred vent h'sctory now C7imey [ire Sine Doable Wav Trip)a Wav [undated
Yes No N/A Co wmwmb
floor Protection
3earanus to Combustibles(all sites)
�'irestop(s) VeaticalOme
WA PeaNnrtiou
Vent Clearances to Combustibles
Vent/Chimney Termmmtion
Duey beig1k=ad be 3 feet above roof
muebmUmn;2 feet above my co•lowdVle
vustnctim Willett 10 feet
Gas Shut-of Valve
Combustion Air
Hearth Extension Or any)
Mantel
MdgW Awe Up
Witness operation
Tank Placement Cif LP)
Waite—»E Dolt, Yainw lieh—Fire Mataid
0�z — 1 7�- 7
REScheck Software Version 4.0.1
Compliance Certificate
Project Title: BROWN RESIDENCE
Report Date:07/14/07
Data filename:C:\Program Files\Check\REScheck\BROWN#595.rek
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: 16%
Heating Degree Days: 7635
Construction Site: Owner/Agent: Designer/Contractor:
Compliance:Passes Maximum UA:361 Your Home UA:327-->9.4%Better Than ..
AssemblyGross Cavity Cont. Glazing UA
D..
Perimeter U-Factor
Ceiling 1:Flat Ceiling or Scissor Truss: 1852 38.0 0.0 56
Wall 1:Wood Frame,16"o.c.: 1584 21.0 0.0 75
Window 1:Wood Frame:Double Pane with Low-E: 57 0.340 19
Window 2:Wood Frame:Double Pane with Low-E: 29 0.340 10
Window 3:Wood Frame:Double Pane with Low-E: 44 0.340 15
Window 4:Wood Frame:Double Pane with Low-E: 9 0.340 3
Window 5:Wood Frame:Double Pane with Low-E: 11 0.340 4
Window 6:Wood Frame:Double Pane with Low-E: 14 0.340 5
Window 7:Wood Frame:Double Pane: 20 0.470 9
Door 1:Glass: 21 0.350 7
Door 2:Glass: 7 0.350 2
Door 3:Solid: 21 0.170 4
Door 4:Glass: 40 0.330 13
Basement Wall 1:Wood Frame: 1744 13.0 0.0 105
Wail height:8.9'
Depth below grade:6.5'
Insulation depth:8.9'
The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted
with this permit application.The proposed systems have been designed to meet the New York State Energy Conservation Construction
Code requirements.When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of
his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code.
Name-'Title Signature Date
Project Notes: '
CUSTOM TWO BEDROOM HOME
Al
.... ._._.,_...,.,. ._ __v.:_z.,..
' ...___..
i yT
BROWN RESIDENCE Page 1 of 5
V
f
CREScheck Software Version 4.0.1
NJ( Inspection Checklist
Date:07/14/07
Ceilings:
❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
Above-Grade Walls:
❑ Wall 1:Wood Frame,16"o.c.,R-21.0 cavity insulation
Comments:
Basement Walls:
❑ Basement Wall 1:Wood Frame,8.9'ht/6.5'bg/8.9 insul,R-13.0 cavity insulation
Comments:
Windows:
❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 2:Wood Frame:Double Pane with Low-E,U-factor.0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 3:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled Ufactors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 4:Wood Frame:Double Pane with Low-E,U-factor,0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 5:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?_Yes No
Comments:
❑ Window 6:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes—No
Comments:
❑Window 7:Wood Frame:Double Pane,U factor:0.470
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?,Yes—_ _No
Comments:
Doors:
BROWN RESIDENCE Page 2 of 5
❑ Door 1:Glass,U-factor:0.350
Comments:
❑ Door 2:Glass,U-factor:0.350
Comments:
❑ Door 3:Solid,U-factor:0.170
Comments:
❑ Door 4:Glass,U-factor:0.330
Comments:
Air Leakage:
❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed.
❑ Recessed lights are 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from
combustible materials.If non-IC rated,fixtures are installed with a 3"clearance from insulation.
Vapor Retarder:
❑ Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions.
❑ Materials and equipment are identified so that compliance can be determined.
❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications.
❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a
manner that achieves the rated R-value without compressing the insulation.
Duct Insulation:
❑ Supply ducts in unconditioned attics or outside the building are insulated to R-11.
❑ Return ducts in unconditioned attics or outside the building are insulated to R-6.
❑ Supply ducts in unconditioned spaces are insulated to R-11.
❑ Return ducts in unconditioned spaces(except basements)are insulated to R-2.Insulation is not required on return ducts in
basements.
Duct Construction:
❑ All joints,seams,and connections are securely fastened with welds,gaskets,mastics(adhesives),mastic-plus-embedded-fabric,
or tapes.Tapes and mastics are rated UL 181A or UL 181 B.
Exceptions:
Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa).
❑ The HVAC system provides a means for balancing air and water systems.
Temperature Controls:
❑ Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set point of the largest
zone.
Electric Systems:
❑ Separate electric meters exist for each dwelling unit.
Fireplaces:
❑ Fireplaces are installed with tight fitting non-combustible fireplace doors.
❑ Fireplaces have a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York
State,the Residential Code of New York State or the New York City Building Code,as applicable.
Service Water Heating:
❑ Water heaters with vertical pipe risers have a heat trap on both the inlet and outlet unless the water heater has an integral heat
trap or is part of a circulating system.
❑ Circulating hot water pipes are insulated to the levels in Table 1.
Circulating Hot Water Systems:
❑ Circulating hot water pipes are insulated to the levels in Table 1.
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Y
Swimming Pools:
0 Al heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable
sources.Pool pumps have a time clock.
Heating and Cooling Piping Insulation:
HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2.
BROWN RESIDENCE '�-� Page 4 of 5
• 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 Up to 1" Up to 1.25" 1.5"to 2.0" Over 2"
Temperature("F)
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
Insulation Thickness in Inches by Pipe Sizes
ange]°F)
Piping System Types R Temp. 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4"
an
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)
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