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2007-533 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. P20070533 Date Issued: Monday, December 29, 2008 This is to certify that work requested to be done as shown by Permit Number P20070533 has been completed. Location: 106 KNOX Rd Tax Map Number. 523400-239-007-0001-019-000-0000 Owner. ADIRONDACK DESIGNERS & BUILDERS, INC. Applicant: ADIRONDACK DESIGNERS & BUILDERS, INC. This structure maybe occupied as a: Fireplace By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling ,p 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: P20070533 Application Number. A20070 33, Tax Map No: 523400-239-007-0001-019-000-0000 ' Permission is hereby granted to: ADIRONDACK DESIGNERS & BUILDERS, INC. r` For property located at: 106 KNOX 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� Uniform Building Codes aftd the Queedning Ordinance. / T '4 Conste6ction Value Owner Address: ` ADIRONDACK,DESIGNERS &BU/ PO BOX 181 � Fj place LAKE GEORGE 1 8, 5-O w_ age-2 Cars Attached Single FamijyDwelling $300,000.00 Total"aL e� $300,000.00 Contractor or Builder's Name/,Addres fctrical Inspection Agency l� i Plans &Specifications 2007-533 2501 SQ FT SINGLE FAMILY DWELLING 420 SQ FT ATTACHED GARAGE $342.12 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,August 27, 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 e To of e day,August 27,2007 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 .(518)761-8201 Community Development,- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20070533 Application Number. A20070533 Tax Map No: 523400-239-007-0001-019-000-0000 Permission is hereby granted to: ADIRONDACK DESIGNERS &BUILDERS, INC. For property located at: 106 KNOX 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: ADIRONDACK DESIGNERS &BU PO BOX 181 Fireplace LAKE GEORGE,NY 12845-0000 Garage-2 Cars Attached Single Family Dwelling $300,000.00 Total Value $300,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2007-533 2501 SQ FT SINGLE FAMILY DWELLING 420 SQ FT ATTACHED GARAGE $342.12 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,August 27,2008 (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 T eens ry; o a ugust 27, 2007 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement �-�FFICE USE ONLY................................/ %,...., .,._.,..,,...... ',TAX M;,,P NO. PERMIT NO. -- — s-33 FEES: PERMIT Z 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,V�ALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: ��t �'` '� OWNER: ��e_v+1�A , ADDRESS: 12,U. P Y l e i ADDRESS: z PHONE NOS. Cp d PHONE NOS. (-OLfg -O105�3 CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: �y�p� � PHONE: jj 1 '( LOCATION OF PROPERTY: 10 LJP VitjoZ SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT 0 d w LL APPLY TO YOUR Z F- 0 co cn w PROJECT O _ w ¢ a. = U Uj z Q Q c- a Na 0uu- � LL a = as of SINGLE FAMILY TWO-FAMILY O MULTI-FAMILY (NO.of UNITS } TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED ,jam GARAGE(1; 3) '2-CAP. `J OTHER IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: " ESTIMATED CONSTRUCTION COST: ?> �6��� F PE: - P+��¢-►5-� HEAT TYPE: t3T' Alp- *HOW MANY FIREPLACE(S): 2 AND/ OR WOODSTOVES(S): ZONING CATEGORY:\J P_-1 A+ ARE THERE WETLANDS ON THIS SITE? t'12 IS THIS A HISTORIC SITE? t­� , PROPOSED USE OF BUILDING OR ADDITION:_ � A`� t�' *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL t t-05 Town of Queensbury • Community Development Office - 742 Bail Road, Oueensburv, NY 12904 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that 1/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed fa ilities prior to issuance of a certificate of occupancy. I have rea n agr to a ab e. Signed / // Director of Building &_Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) ...................... Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: ' { , i { { , { ' { { 0 0 { 0 { { { BOIL 1 CODES APP L ; ZONING APPROVAL { f { I IT DATE S QUESTIONS? CALL 761-8256 OR EMAIL codes(M-gueensburv.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION Operating Permit Issued: Yes No www.gueensbury.net Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbunj - Community Development Office • 742 Bay Road, Queensbunf, NY 12804 . Community Development Office =Town of Queensbury • 742 Bay Road• ueensbury, Ne rk•1280 e Stamp •David Hatin, Director of Building i Craig Brown,Zoning Administrator-Michael J.Palmer,Fire i r APPLICATION FOR FUEL BURNING APPLIANCE & C S 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: A 01(7tj7" 7'0- -h61 0- f STALLERIBUILDER: 111 r-116P113G-41 1OH ADDRESS: V1 0 , _,X 1 S) ADDRESS: PHONE NOS. LAP&O-D)ef� PHONE NOS. IP&O ' g3 LOCATION OF PROPERTY. I©cP �+. k &-/� Mxr SUBDIVISION NAME: tj LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: mto CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: XC y I t MA'S I PHONE: CpjvB '01 41 OR STOVE ✓ FIREPLACE INSERT FIREPLACE,FACTORY BUILT* ✓ FIREPLACE,MASONRY FURNACE(GARAGE ONLY) IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: T MODEL NO. LISTED BY: NUMBER: QUESTIONS? CALL 761-8205 or 761-8206 OR EMAIL: firemarshal(a— ueensburv.net MASONRY'* CHECK ONE ✓ VISIT OUR WEBSITE FOR MORE INFORMATION www,gueensburv.net FLUE CHECK ONE ✓ CHIMNEY MATERIAL CHECK ONE ✓ **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: T. -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. j r t F.;,r an E°A homeowner's guide: http://www.epa.gov/npdes/pubs/homeowner guide long customize.pdf I------- �- �_'fI-^.____,. OFFICEUSEONLY __________._____________.I _____________________, , TAX MAP NO.U-7 PERMIT NO. PERMIT FEE ; APPROVALS: ZONING TOWN CLERK ; 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. KE,t t ta.t,# iA ♦�v�l�. .1 OWNER: A!�7 LuPP4;��►CK lJC�1�alJE��# IN T� L ER I AC : — To ?� T ELM AIE� ADDRESS: T.O. 5n!?� 8I L.A1C.E C Cyp ADDRESS: PHONE NOS. (O�a —O 1 C>9 I PZHHOONNENOS. LOCATION OF INSTALLATION: V7)eo V1,1d7C �Ab RESIDENCE YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW INFORMATION: BEDROOMS 1980 or older 0 X 150 gallon per bedroom = 0 GARBAGE GRIN ER 1981 -1991 0 X 130 gallon per bedroom = 0 INSTALLED?—NO 1992-present X 110 gallon per bedroom = 04 Ai 0 SPA OR HOT TUB INSTALLED? 1-Lo PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE SLOPE % ✓ SOIL NATURE: SAND LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH?_ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? 7 76 ✓ DOMESTIC WATER SUPLY: I.�KID�'EOizCs� MUNICIPAL WELL (If well:water supply from any septic system absorption is:( ft) ✓ PERCOLATION TEST: RATE IS Z(O PER MIINUTE PER INCH(TEST TO BE COMPLETED BY A LICENSED _ PROFESSIONAL ENGINEER OR ARCHITECT) (Y%,AC-Eu� PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE: 1 Z150 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? C[ALTERNATIVE SYSTEM Bed or other type? 1 7i ErA 15!E; 1'aS L.T:7 ❑HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree QUESTIONS? CALL 761-8256 OR EMAIL to abide by these and all requirements of ti ie Town of QueenSbur y codes(D_queensbury_net Sanitary Sewage Disposal Ordinance. VISIT OUR WEBSITE FOR MORE INFORMATION wvrw.Queensburv.net �ture Person Responsible Date Tozam of Qneensbury • Community Development Office • 74' Bay Road, Queensbiny, NY 22804 Permit Number (town use) - -- Town.of Queetr kqa--- _ Applicatlon for Stormwater Management Permit Under Chapter 147,Stonnwater Manag9m nt,LL 4-99 THIS APPLICATION IS FOR A p Major Project Moor Project i, omeR 13INDMDUAL QP-ARTIVFRSHIP QAMQMTION (IGQRF;QPATION pMUNlClwrrY-.LjAGENCY NAME t o i�E �c PHONE MAILING ADDRESS C17Y IAt{F-�sovx,,,� STATE tL1( ZIP CODE -�'� ..• w'dt Jos 2�A]Cp-: �l�'�'7.ir.4ica'• ,.'�',1�11'r Q i�{i��.�rl- _�,N.•, MWE K-z ` — PHONE ( -gl'T MAILIHG ADDRESS �{ C��-EKE�A�.L.���GII}t�l�Cs4L >.aiZK X `J CITY ey`M,4 STATE ZIP CODE NAME PHONE f r MAILING ADDRESS CITY STATE ZIP CODE FACILITY NAME(if not residential) SECTION Z-OR 7 BLOCK LOT .I - --• — - - STREET ,©�F of I�.t�k�i.4. .��, �?/4•' - - ZONING CLASSIRCATION PROPERTY IS PRESENTLY \A J R I A 0 VACANT Q PARTMLY DEVELOPED EVEi.OPED&OCCUPIED IS PROPERTY PART OF A SUBDIVISION? *b (]Yes,name of subdivision 8: PR :... . :. ; PROJECT -QE M oV A L c;F 1 ac'L TL N� � �o©{yl kke� iE w-tnT IAC - eaF E PROJECT INVOLVES: Zw Mwork/Landscaping p Tree Clearing ')House Construction or Addition `,Driveway Construction ❑Garage Construction 1]Detached Structure Septic System []Modification of a Stormwater Device LACRAiGVEMPLATESISTWATAPPaTOWN STORMWATER APPL..DOC 11/2000 Page 1 of 3 V PkUNvSLU USE U Flesdential(seasonal) esidenlial(year-round) Q Association ❑Public D Commercial PROPOSED STARTING DATE !vU .Y ZD677 PROPOSED COMPLETION DATE�uHE Z�cB __.. . DESCRIBE THE MAXIM.t1M SLOPE OF-THE PROP19LTY IN THE PROJECT ARM, • - )("%(Level) Q 5-10%(Gradual slope) Q 10-15%(Moderate slope) D Greater than 15%(Steep Slope) IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED? es Oft (if yes.phase euvWn) 1 ErAC>LA-n 8^N o(= �7�1�trIG` t�GTU►izES 6. CALCULATIONS& CONTROLS TOTAL AREA OF PROPERTY i)0 ACRES FTZ rcle one) TOTAE.AREA OF LAND DISTURBANCE: Fr(do not bdude area of stormw2ter controls) TOTAL AREA OF NEWLY CREATED IMPERVIOUS SURFACE: ��40 1=f2 cNrt��E �✓ ,�£IZTo TOTAL VOLUME OF STORMWATER TO BE CONTROLLED- ^�c tc,.*• r'l�►� (see instructions) TYPE OF STORMWATER CONTROL MEASURES TO BE USED: i CIA 1 HAS AN EROSION CONTROL PLAN BEEN PRERARED? XYes,plan Is attached p No If no,please contact your County Soil&Water Conservat-m District for assistance: Warren County 623-3119 - During the processing of this appiicatiai FFown'peisorineTMay need to visit this'site for the purpose of!spading;--' measuring and/or photographing site condr't.ions. I authorke town personnel to conduct such&'site inspection yes A no ( l wish to be contacted prior to any site inspection es A no I hereby affirm that the Information on this form and all attachments submitted herewith is true to the hest of mY knowledge and beW. As a condition to the issuance of a permit, the applicant accepts full legal responsbilly for all damage,direct and indirect,or whatever nature,and by whomever suffered,arising out of the ProJect described herein and agrees to indemnify and save harmless the town from suits,aeWns,damages and costs of every name -arAdeswiplion4asuffing pid 4 WNATURE OF OWNER DATE I � r SIG RE OF AGENT DATE 1heLI)DE"TH THIS �.AM., A'Site iacaf bni i,4. ItUlt A Projaet p1a .on 0,&X 11 r1 pa r'> t�L Q . 0 2�.. t� [tames arid•tis�t•�i�ilo�fi`� �aes o �c.�Sd :�aiirr �X A Aftaicfrrnent A-VQT rr V"piajell @uh1 ;. A Sf-orri b"ter.C-POW'AUI P6 OPr a 09 PraPcW-a . A Environmental Assessment;Form(for nia)Or prgject�QnW Fadure io lncfade any one of the mquir94 hems wX result in an ineomplem notloa and delay in processing your appkation- permits and approvals may be requked frnrh gfirer agerid*s. for town use only Page 2 of 3 LACRAOTEMPLATEW WATAPPS7OWN STORMWATER APPLDOC ti 2ow The project is approved as shown on the attached approved plans and subject to the conditions listed on the attached Sched. A. 4 Approved by on ce 2-Yl 7 Permit Evires Z L-a"- ministr. pa CONDITIONS OF APPROVAL ATTACHMENT A to Stormwater Management Permit Application oT ads r. ►�tr, ; n� ;:agency Permit or Approval Date Applied Date Issued -r Tax, Parcel Number Name Maftg Address I L:1Cp,mMTmPLATEb1SSTWATAPPSITOWN STORMWATER APPLDOC MAW Page 3 of 3 _- s35 OFFICE USE ONLY PROJECT NAME: Ijew OF ' STAFF INITIALS ' ivy �,-�� � �� , 01 DATE: 0 BUILDING PERMIT SUBMISSION CHECKLIST FOR: 1 pay � � (ZGA� ' SINGLE FAAMY DWELLING 1. 1: ! �_:Building Permit Application Completed? ES NO 2 Energy Form or CheckMate Energy Code Compliance Forms Complete? (2-copies) i Energy Code Inspector's Report from Checkmate t 3' ! Program? (2-copies) Septic application completely filled out? 4. (if applicable) 5. I Electrical Inspection Form complete? 6. Two (2) sets of the plans each of the following: YES ! NO N /A E ' a. Floor plans (s)? f 3 b. Foundation plan? I j ; ✓ i j c. Cross sections (s)? j L/ + d. Elevations? 3 e. Window and door schedule? i g. Plans signed and sealed by registered architect or engineer? E I h. Window and door schedule? Two (2) site plans showing location of the structure to be 7. built, location of well or water lanes, location of septic 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. Driveway Permit? E E Town o ueensbr - Community Development-Office 7.42 Bay Road, ueensbu , NY 1?804 fQ � � �� �� � Q _._ PROJECT NAME: OFFICE USE ONLY STAFF INITIALS: DATE: BUILDING PERMIT SUBMISSION , CHECKLIST FOR: :____ MUL71P ©W WH or C{) II RCI L PROJECTS 1. Building Permit Application Completed? YES NO N/A Energy Form or CheckMate Energy Code Compliance 2 Forms Complete? (2-copies) Energy Code Inspector's Report from Checkmate ; 3. ` Program? (2-copies) Septic application completely filled out? 4' (if applicable) 3 i 5. Electrical Inspection Form complete? t J I €i. Two (2) sets of the plans each of the following: j YES NO N /A i j 1111_ a. Floor plans (s)? i f i I b. Foundation plan? , C. Cross sections (s)? I I i 3 d. Elevations? e. Design loads including floor, snow load, and wind I load? f. Seismic design (required after January 2003)? g. Plans signed and sealed by registered architect or I engineer? ; f F � h. Window and door schedule? � Two (2) site plans showing location of the structure to be built, location of well or water lines, location of septic 7' system or sewer line with all setbacks and separation I distances shown, and all improvements to the property? 8. Solid Fuel Burning or Gas Appliance Form (if applicable)? I 9. Driveway Permit j _— Town of Q'ueensbury- Community Development Office 742 Say Road,Queenshury, NY 12804 MAP REFERENCE VAIRANCE SITE PLAN APPLICANT: ADIRONDACK DESIGNERS AND BUILDERS BY: ENVIRONMENTAL DESIGN PARTNERSHIP, LLP DATED: MAY 2, 2007 LANDS N/F OF HARRINGTON EARTHEN pO1N STONE PLANTER *rwS0% gOAD cn 11�� OF ^� (pRIVNIE RiGN / cs7 / _ w v\I\,.".:,, f!\\ 5TONE v lf/`/�= FILIAR5 / / ! i rn z M E _ \� lly o IPF / 76039 2 '79, ` ASPHALT N DRIVE w / 14'+ Q w IPF Q � PF PATIO ASPHALT -f� (TIE LINE) DECK 2 STORY // i n^ U DRIVE N10D25'31"w 1 WOOD FRAMED i V �. .j�\ J 31 1 \ 73. 18' �z //i HOUSE 11 I,�� ISO- 9 ..�' 50.53, LAKE o 4 16•+ RF S79°34 101l a o LANDS N/F OF — N AHLERS M twit LU JUL 1 i v & . a c DEs LEGEND: IPFO= IRON PIPE FOUND ttS cD.>= UTILITY POLE „ LAND Date1 Novell er 29, 2007 an,. u S � •uHALrnlaalzm ALTERATHIN 0R ADWTION TO SURYEY .� "AP"EAMNO A L.KV4=LAND SURVEYM SEAL IS A Map of a Survey made for Scale 1'=20' W �/� MOLATMN OF SEC710N 7209,SUB—WV1sm 2,OF 7"E NM YM STATE EWCAnM LAW S S ONLY CO%ES fRpA,NE ORIpNAL OF VLYM NAWIED 1"711 AN ORWWAL CF Tff LAW SU SURVEYORS SEAL SMALL BE=MUM m BE VA1W TRUE COWES' S 1 0=OFMC�WL " 'T Adirondack Designers & Builders MS SURVEY WAS PREPARED W AOCOR MM 1MTH TIE Land Surveyors By 7W W � WAX A O LAND OF ADDP>Eo BY THE NEW YCRK STALE ASSOgAIMN OF PR MM ONAL LAW SURVEYORS SAID CERiiICI1TION4 SMALL RIRI ONLY C M NS B PETV FI WH',NE "M AND ON 2 613%8 NEW TREES HIS BEHALF TO TIE TILE gIPANY,GOVEm"4NTK 169 Haviland Road New York 12804 AGMY MD LENUM0 NSTT'"T'0"LISTED HamW.no Town of 31-EEi'1 OF 1 Queensbury, To THE ASW?MS OF THE UMM RMTRION.• Queensbury, Warren County, New York 1 6113108 ADDITIONAL LOCATION (518) 792-8474 New York Lie. No. 50135 A.D. & B. C2187 NO. DATE DESCRIPTION DWG. NO. 07081 .eck Residential Plan Review: One & Two Family Dwellings N/ %A 2 (2)Full 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: Window Schedule With Glass Size Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade, 5.7 sq. ft. Grade,5.0 sq. ft. / 24"(h) x 20"(w)min. V 44"Max. Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans Foundation Drainage On Plans, if required 6"Drop in 10' Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors Stairway Headroom 6' 8' All Stairs 36" idth Stair Run and Rise v Winder Run and Rise Spiral Not Allowed From 2" Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width, 36"min. Handrails More Than One Riser On Open Sides �Af 4U,L Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4" in Ht. Safety Glazing Notes For Required Areas Garage Fire Separation Garage Floor Sloped Attic Access �E v Roof 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 /U - / ).- Framing / Firestopping Inspection Report Office No.(518) 761-8256 Date Inspe tion quest received: Queensbury Building&Code Enforcement Arrive: tr. m/pm� am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: (fir n (' _ INSPECT ON: 0 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 'h 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 irestopping 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 t Queensbury Building & Code Enforcement - R idential Final Inspection Office No. (518) 761-8256 Arrive: am/p rt:,_ am/pm Date Inspection request received: Inspector's Initials: NAME: \ .. F 1E' �1G,/ + PERMIT#: LOCATION: l a ' DATE: _--tom-- --Z_ TYPE OF STRUCTURE: Comments: Yes No WA 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Wi ow in stairwells safety glAing Interior Smoke actors/Carbon noxid Detectors Every level: Fa Bed m: / Outside every :InterConnected: Batts backu : Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 N.ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing factures _ -� -- Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emergency ress below grade -� Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating t '�, Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 ' Enclosed Stairs Sheetroclk Underside minimum'r4"G sum Basement stairs dosed rise>4 inches Garage Floor Pitched L L Garage fireproofing/%hour fire door/door doser Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C 10 1 Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Forrn_revised_100405.doc;Revised January 7,2008;Revised 6126/08 Queensbu Building & Code Enforcement - Resid4ial Final Inspection rY 9 p Office No. (518) 761-8256 Arrive: am/pm part: •� am/pm Date Inspection request received: r4� Inspector's Initials: NAME: 'S��t��r` ' ; / �... '�F ��c% 1 ���/' PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments: Y No NIA f2 ,V Building Number Address visible from road Chimney Height/W Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches ` Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs deckspatios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more e Handrail Termination at Newell Post or Wall oe � � R �► �"—J Interior/EAerior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant r Grade away from foundation 6 inches with 10 feet 6 inch clearance to silt plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight 0. Safety glazingow in/Wi in stairwells safety glong Interior Smoke 9ftdors/Carbon etectors Every level: ery Bed m: Outside every bedroo area: Inter Connected: Batte backu — Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ftA 50 s .ft.vents Bathroom Fans,if no window 01 Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emeraencv egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/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 doser 00, Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical oe Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septlic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C 10 Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forrns\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: 11 AV t 1 % NAME: Ury tot's LOCATION: 4W Ali� PERMIT#:w,o'7 - S— n Final Surve of Plan Approved Denied The attached final survey has been received by the Dept.of v Community Development. Upon review the survey been: rj - ) Craig Brown,Zoning Administrator Notes: 1.0t L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc eLTown of Qaeeasbary Rm Manbsl 742 Bay Road f vvL 1 ^ Q`eemsb•ry,NY uaoa 761-SM 17614096 i fax 7454437 Factory Built Gas Fbywlace/Stove l usoection Report Netioe: New Youlk State requires that all UL Listed,faebory bash appliances be installed according to the westrudsoms and specdicahans conned in the Ikon Mammal a000�patyinF the appliance.No deviation from the nn■nfactarees instructions or specifications is allowed. #('>�i- �3 sebeadeinwrtion :2-h-WO IS.e an pso aayti m l4ar e M , SG 6 C.0 s K+ Adder (G n 124) , Ron*in Fiat Apptia oe acai+cr �- `�( ��L Model# ��X DV P, AD 7 4� 17`7 Direct Vent Factory BaDt Money Fine She Doable Wa# Triple Wall Lssmlated Y No N/A CeNINNIamis Flour Protection Ckarances to Combustibles(all sides) Fir+estop(s) Vertical Chase Wall Paketl7stioa Vent Clearances to Co®busWes Vent/Chimney'T`ermiaation Cfd ney book mod be 3 feet above roof penetration;2 fed above any comobsmtible WIPE aftnsdion Within to fed Gas Shut-Off Valve Combustion Air Hearth Extension(d any) Mantel 8dgM aboveVp Wawa operation Tank Placement(f LP) ®fi'ii6e—t�DgMt• Yemuw !ik—F9re 11tar�l 1FPV �3-- 00) 2- -,�- 7�r,—Ir-seI7 Septic Inspection Report No. (518) 761-8256 Date In ' n xKuest received: nsbury Building&Code Enforcement Arrive: am/pm part: am/pm day Rd., Queensbury, NY 12804 Inspector's I Is: NAME: S PERMIT NO.: LOCATION: INSPECT ON: 1�2 q RECHECK: Sal T Clay Comments and/or dLa-gram Type of Water: Munid I_I Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft, Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Pits: Number Size: x Stone Size: / Piping Size T Building to tank Tank to Distribution Box n .t Distribution Box field Pit b-Opening Sealed: Y N Partial End Ca 1111�- In Outlet Pipes&Baffles Y N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan A N /,�� Engineer Report and As-Built Y N Lju� T- G.v c'� _ 'e&A" ' Location of System on Property: K�- Front Rear Left Side Right Side t "7 Middle Front Middle Rear System Use Status: roved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Last revised 021006 Last revised 1/6/05 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date'ins ep cti quest received: Queensbury Building&Code Enforcement Arrive: am/ a rt: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: l'v l.�}�•t%q W S/,&/ PERMIT#: 5�3 LOCATION: ^/p V leo— . INSPECT ON: t 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 %2 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 Fi wall 2, 3,4 hour irestopping & 6/ 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 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 request received: Queensbury Building&Code Enforcement Arrive: 1 i0 am/pm Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials:J�� NAME: G PERMIT#: �33 LOCATION: INSPECT ON: 1l b TYPE OF STRUC 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 '/2 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 F' wall 2, 3.4 hour ti Firestopping2 /� Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 'h 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 / Firestoppin g Inspection Report Office No. (518) 761-8256 Date InspeqtioR request received: Queensbury Building&Code Enforcement Arrive:q. r m/pm Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspecto s Initials: C NAME: (AA - ,4 G q C-J 5,Z / PERMIT#: LOCATION: / n& h 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 i Metal Strapping for Notches Top Plate 1 '/2(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 F7e wall 2, 3,4 hour Firestopping 1 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 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�ect,gg�.,n request received: Queensbury Building&Code Enforcement Arrive:`J( am/p� Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspectors Initials. NAME: a / PERMIT LOCATION: KdwzG 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 `/2 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 F e wall 2, 31 4 hour ,re Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/z inch or 5/8 inch Type X I 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 f . I&PIA Rough Plumbing Insulation Ins ection Report 9 91 p Office No. (518) 761-8256 Date Inspe ip request received: Queensbury Building & Code Enforcement Arrive: 1 15 ,am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 14 NAME: K - . S PERMIT #: __ LOCATION: A)L INSPECT ON: 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 / Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes ,., Pressure Test Water Supply Piping 50Hea .S.—If or 1 inutes Insulation Resklential Check Commercial Check Proper V Attic Vent / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace D work sealed prg2erly / No duct tape COMMENTS. ,P Ltd{� 0�— C emu- R ��G��c-l� �� ���' C0L) ,f LAPam Whitinouilding&Codes\lnspection 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 Inspection request received: Queensbury Building &Code Enforcement Arrive: am/p, Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspe or's Initials: `� -- NAME: A SlL PERMIT #: �(j-2 3 LOCATION: /J0 `JJ INSPECT ON: t 0 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 P essure Test- Drain / Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes �ressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation Residential Check Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspection Repo Office No. (518) 761-8256 Date Inspection request received: U Queensbury Building & Code Enforcement Arrive: am/p ,, depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspectors Initials: �_ NAME: M�� 5 � V� r PERMIT #: 33 LOCATION: 0 0 K,r10 Q INSPECT ON TYPE OF STRUCTURE: Y N N/A 4gough 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 / 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 Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Framing/ Firestopping Inspection Report Office No. (518) 761-8256 Date Inspectio request received: 1 �� Queensbury Building&Code Enforcement Arrive:- Dam/p Depart: a pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials:_ NAME: /'' SC' �" �!�l! PERMIT#: ©-7 LOCATION: cJ.[ (L p,qp INSPECT ON: I P7 TYPE OF STRUCTURE: f 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 Fire wall 2, 3,4 hour A irestopping ((324 � P<V 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 / Firestoppmg /isppielin Report ` Office No. (518) 761-8256 Date Insne9tion request received: Queensbury Building&Code Enforcement Arrive: a)- NAME: m Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's InitialnL L.. �S PERMIT At: 02 53 LOCATION: INSPECT ON: TYPE OF STRU 6: Y N N/A COMMENT Framing '` ,�t> ess 22"x 30"minimum L� 1A ate. Jack Studs/Headers *L� �k Vr tb C� & , �c i �' �'• �' , Bracing/Bridging ' Joist hangers i IJ(Z t9J Z-A,� Jack Posts/Main Beams i Exterior sheeting nailed properly 14511ALL Ao� t Tl 0 0 A L 5-rU� 12"O.C. 1 Headroom 6 ft. 8 in. I YAc �N ���� - �z✓— � C_r_; Stairwells 36 in. or more Headroom 6 ft. 8 in. ��� 0 a ti 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 ! f Fire wall 2, 3,4 hour Z- Firestopping Penetration sealed ! / 16 inch insulation in cavity min. Garage Fire Separation House side t/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 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# 333 Schedule Inspection D 2 Time 1)f`3y—dn� pm anytime Inspector 141 Name ?% Address C Rough In J I Final r — i1 Appliance Manufacturer_��r/ Masonry Chimney Factory Built Chimney Flue Size Double Wa — Triple Wall Insulated Yes No N/A Comments Floor Protection A/ Clearances to Combustibles (all sides) x Safety Strip Installation (fireplaces only) Firestop(s) Vertical Chaw' Wall Penetration Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension ` Mantel(height above f/p opening) Fireplace Doors/Screen (required) Wbdte—Buihdhng Dept. Yen* —COA Pnwr Pink—lyre Marshal Town of Queens".Fire Marshal 1cl 742 Bity Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas FiM Ia /Stove Inspection Report Notice: New York State requires that all CJL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or speeifieatio 's alll wed. lam' �� 2'�c� �' ��c Permit# _ Schedule Inspection , Tim w om anytime Inspector Address K��E 16) Baugh In� Fear Appliance Manufacturer.__.._-___._ Model Direct Vent _ Factory Built Chimney _ Flue Size Double Wall Triple Wall Insulated Yes Na NIA _._..�.�Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase ._,__._ Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) Wtdte.-BoOd l Wept. Yetnew C'aet Pink-Fire M&MW Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspe ' n regpest received: Queensbury Building & Code Enforcement Arrive: .� am/p epart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspe ors Initials: NAME: PERMIT #: ! LOCATION: INSPECT ON: 2? D 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 / Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test W er Supply Piping it/ Head 50 P.S.I for 15 minutes Insulation Residential Check Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape COMMENTS: LAPam Whiting\JBuilding&CodesUnspection Forms112ough Plumbing Insulation Rcport.revised Nov 17 2003.doc Revised February 15,2005 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date"Inspectioij request received: 0 7 Queensbury Building&Code Enforcement Arrive: �?10 am/ part: a m 742 Bay Road, Queensbury,NY 12804 Inspector's Initials_ NAME: 1�J i r CLe tjs PERMIT#: — ✓3 LOCATION: d(p 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 t/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 2 inches from wall Fire separation 1,2, 3 hour i 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 Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade (hWo'ce' Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart:�am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: '"� PERMIT#: U T LOCATION: j U& 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 Waterproofmg Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 ' ove footing 6 mipoly for wet areas under sla Vill A 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 Inspecction Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date In do A iv Queensbury Building&Code Enforcement Arrive: t7�• Depart: a 742 Bay Rd.,Queensbury,NY 12804 Inspector's Iiu ' s: NAME: E'/.S P T#: LOCATION: PECT 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 pupp9se on site. Foundation/Wallpour Reinforcement in Place �+ Footing Do eywa place , Foun on bampproofmg Founds 'nn Waterar� g 6 Footing Drain Daylight or Sump in Ston 12 inc width inches above footing 6 et areas under slab (31- ackfill 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\Inspecdon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM � 1 Ir Foundation Inspection Report Office No.(518)761-8256 Date In tionree2dQueensbury Building&Code Enforcement Arrive: ` Depart: ' m742 Bay Rd.,Queensbury,NY 12804 Inspector's InitNAME: ,2 S /Su -7 5-3LOCATION: .-. TYPE OF STRUCTURE: 1912 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 se on site. undation/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 ReporLdoc Last printed 12/20/2005 9:24:00 AM 6-10 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:/, am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:/Y G ` NAME: PERMIT#: /�7- LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purp9se on site. Foundation/Wallpour Reinforcement in Place - Footing Dowels or Keyway in place Foundation Dampproof ng 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 Foam\Building&Codes\Inspecdon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM rul sr:e-el AMC. IMPERIAL SYSTEMS INC 00000000000000 BURGLARY-FIRE-MEDICAL-CCTV-ACCESS CONTROL-HOME THEATER NYS LICENSE NUMBER 1200076706 518-273-SAFE DEC Laaa December 23, 2008 TO: KEVIN MACHEWSKI FROM: LOU FORO RE: 106 KNOX ROAD Dear Kevin: The Imperial Fire Alarm system at 106 Knox Road Queensbury has been activated and inspected as a local alarm. The system was installed following guidelines set forth by the NFPA, NEC, and AHJ. All indicating notification, power supplies and battery back up were tested and working properly according to manufacturer's specifications. The alarm was normal upon departure. If you have any questions, please contact me directly. Sind, Bouie 9. 501W Sales-Installation-Service 621 23rd Street Watervliet NY 12189 xi 41 4d) C-3 VNL 7=- Lr000W�l Permit# Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: New Residence , 106 Knox Road Report Date:08/07/07 Data filename:C:\Program Files\Check\REScheck\Knox Road Rex-Check.rck Energy Code: New York State Energy Conservation Construction Code Location: Warren County,New York F11 ,F (ft;OPY Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: it3% Heating Degree Days: 7635 Construction Site: Owner/Agent: Designer/Contractor: 106 Knox Road Kevin Maschewski Kevin Maschewski Queensbury,NY 12804 Adirondack Designers&Builders,Inc. Adirondack Designers&Builders,Inc. P.O.Box 181 Lake George,NY 12845 (518)668-0109 ADKDESIGNBUI LD@YAHOO.COM Compliance:Passes Maximum U&517 Your Home UA:429-->17.0%Better Than Code(UA) Assembly �•. Flat Ceilings:Flat Ceiling or Scissor Truss: 473 30.0 0.0 17 Cathedral Ceilings:Cathedral Ceiling(no attic): 1053 30.0 0.0 36 West Elevdon•Wood Frame 16" _x i.___._ 239 19.0 0.0 0 Window 9:Metal Frame:Double Pane with Low-E: 120 0.340 41 Window 13:Metal Frame with Thermal Break:Double Pane with 23 0.340 8 Low-E: Window 12:Metal Frame with Thermal Break:Double Pane with 7 0.340 2 Low-E: Window 10:Metal Frame with Thermal Break:Double Pane with 55 0.370 20 Low-E: Window 14:Metal Frame with Thermal Break:Double Pane with 32 0.350 11 Low-E: North Elevation:Wood Frame,16"o.c.: 764 19.0 0.0 38 Window 2:Metal Frame with Thermal Break:Double Pane with 23 0.340 8 Low-E: Window 3:Metal Frame with Thermal Break:Double Pane with 12 0.340 4 Low-E: Window 4:Metal Frame with Thermal Break:Double Pane with 16 0.340 5 Low-E: Window 8:Metal Frame with Thermal Break:Double Pane with 6 0.340 2 Low-E: Window 15:Metal Frame with Thermal Break:Double Pane with 22 0.340 7 Low-E: Window 11:Metal Frame with Thermal Break:Double Pane with 22 0.340 7 Low-E: Door 1:Solid: 24 0.500 12 East Elevation:Wood Frame,16"o.c.: 522 19.0 0.0 28 Window 5:Metal Frame:Double Pane with Low-E: 14 0.340 5 New Residence,106 Knox Road Page 1 of 7 Window 15:Metal Frame with Thermal Break:Double Pane with 22 0.340 7 Low-E: Window 16:Metal Frame with Thermal Break:Double Pane with 16 0.340 5 Low-E: Sputh.Elevation:Wood Frame,16"o c.: _ 984 19.0 0.0 55 Window 6:Metal Frame with Thermal Break:Double Pane with 22 0.340 7 Low-E: Window 7:Metal Frame with Thermal Break:Double Pane with 7 0.340 2 Low-E: Window 8:Wood Frame:Double Pane with Low-E: 14 0.340 5 Window 17:Metal Frame:Single Pane: 22 0.340 7 Basement Wall 1:Solid Concrete or Masonry: 1182 11.0 0.0 77 Bedroom#4 Floor:All-Wood Joist/Truss:Over Unconditioned 380 30.0 0.0 13 Space: 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 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. Builder/Designer Company Name Date I' i New Residence,106 Knox Road Page 2 of 7 r v REScheck Software Version 3.7.3 Inspection Checklist Date:08/07/07 Ceilings: ❑ Flat Ceilings:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: ❑ Cathedral Ceilings:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ West Elevation:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: ❑ North Elevation:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: ❑ East Elevation:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: ❑ South Elevation:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Basement Walls: ❑ Basement Wall 1:Solid Concrete or Masonry,7.8'ht/6.6'bg/7.8'insul,R-11.0 cavity insulation Comments: Windows: ❑ Window 9:Metal 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 13:Metal Frame with Thermal Break: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 12:Metal Frame with Thermal Break: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 10:Metal Frame with Thermal Break:Double Pane with Low-E,U-factor:0.370 For windows without labeled U-factors,describe features: Vanes Frame Type Thermal Break? Yes No Comments: ❑ Window 14:Metal Frame with Thermal Break:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Metal Frame with Thermal Break: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:Metal Frame with Thermal Break:Double Pane with Low-E,U-factor:0.340 New Residence,106 Knox Road �� �� ���� Page 3 of 7 • 1 .= For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 4:Metal Frame with Thermal Break: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 8:Metal Frame with Thermal Break: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 15:Metal Frame with Thermal Break: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 11:Metal Frame with Thermal Break: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:Metal 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 15:Metal Frame with Thermal Break: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 16:Metal Frame with Thermal Break: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:Metal Frame with Thermal Break: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:Metal Frame with Thermal Break: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 8: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 17:Metal Frame:Single Pane,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.500 Comments: Floors: ❑ Bedroom#4 Floor:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation New Residence,106 Knox Road �m �� �Page 4 of 7 r Comments: 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 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. New Residence,J106 Knox Road � ����� �®�•����vry-Wµ'�Page 5 of 7 w 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. New Residence,�106 Knox Road � Page 6 of 7 + 1 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature("F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 15 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 Rangeff) 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) New Residence,106 Knox Road Page 7 of 7