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2007-644 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. P20070644 Date Issued: Monday, December 01, 2008 This is to certify that work requested to be done as shown by Permit Number P20070644 has been completed. Location: HICKORY Holw Tax Map Number. 523400-297-006-0001-018-000-0000 Owner. ELSA SCUDERI Applicant: ELSA SCUDERI This structure may be 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, r7�)AS/j Variance, or other issues and conditions as a result of approvals by the rector of Buil ing de orcement 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: P20070644 Application Number. A20070644 Tax Map No: 523400-297-006-0001-018-000-0000 Permission is hereby granted to: ELSA SCUDERI For property located at: HICKORY Holw 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: ELSA SCUDERI 22 COSTELLOS Dr Fireplace LAKE LUZERNE, NY 12846-0000 Garage-2 Cars Attached Single Family Dwelling $300,000.00 Total value $300,000.00 Contractor or Builders Name/Address Electrical Inspection Agency ANTHONY & CAROL MARCIANO 89 FORT AMHERST Rd QUEENSBURY,NY 12804-0000 Plans &Specifications 2007-644 3350 SQ FT SINGLE FAMILY DWELLING&696 SQ FT GARAGE AND 1 FIREPLACE $471.60 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,November 06, 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 eens es ay,November 06,2007 SIGNED BY for the Town of Queensbury. Director of Building Code orcement CQommunity Development Office Town of Queensbury • 742 Bay Road• Queensbury, New York 1 $04 Dad •David Halin,Director of Building&Codes Craig Brown,Zoning Administrator•Michael J.Palmer,Fire Marshal € ; r , APPLICATION FOR FUEL BURNING AP 'L��E � S Application is hereby made to the Building 8,Codes Office for the issuance of a Budding &Use Perffirt 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 L� I� -Sco o C- INSTALLER/BUILDER: N qMA?-C-t 0 ADDRESS: �a �IC V-0ZLJ I 6 L6 V �3 \��• ADDRESS: 3q rf,` '1-M R D, 4 r-' PHONE NOS._-7YY-"30 O 0 PHONE NOS. '3�Oc;�O LOCATION OF PROPERTY- �� IC e-Q2 i 41U wVQ SUBDIVISION NAME: ` Ll LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: S+� M t CONTACT PERSON FOR BUILDING CODES COMPLIANCE: N N L to 'y U PHONE: 7 V`7 - J d STOVE (REPLACE INSERT FIREPLACE,FACTORY BUILT* -- FIREPLACE,MASONRY FURNACE(GARAGE ONLY) r=,--Iz P(Rc r:- *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: r��fJ�` i N /-i TZ MODEL N0.3(C F LISTED BY: NUMBER: QUES71ONS? CALL 761-8205 or 761-8206 OR EMAIL.' firemarshalft- ueensburv.net MASONRY"' CHECK ONE ✓ VISIT OUR WEBSITE £. FOR2 MORE INFORF A71ON www.aueensbury.net FLUE CHECK ONE ✓ F%r CHIMNEY MATERIAL CHECK ONE ✓ **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: 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. For an EPA homeowner's guide: http://www.eipa.ciov/npdes/­[Dubs/`homeowner guide long customize.pdf ____ �___________________________ _____________________ OFFICE USE ONLY 01% I TAX MAP NO. PERMIT NO. 4ERMIT FEEo ; / , 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. OWNER: CU mt/ \mil INSTALLER: 664 &-XG ADDRESS: 'r-96P- U IDLj XZd ADDRESS: Z3 DD�GH"uGf► f Tj?�i(/n�� PHONE NOS._ q 0 / ATION OF INSTALLATION: 1 f W I ,0D� O� ES DENCE NO.OF _ _ OW INFORMATION: 1980 or older X 150 gallon per bedroom = 0 GARBAGE GRINDER ` INSTALLED? 1981 -1991 0 X 130 gallon per bedroom = 0 1992-present X 110 gallon per bedroom = 0 SPA OR HOT TUB �? INSTALLED V PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE SLOPE % ✓ SOIL NATURE: SAND LOAM CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? � BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTHS_,, > 7 ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL(If well:water supply from any septic system absorption is:( W ft)"t ✓ PERCOLATION TEST: RATE IS �N/N 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). TANK SIZE: 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: �i ABSORPTION FIELD (WITH NO.2 STONE) Total length��ft. Each trench�_X— 401— ❑SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size? [--]ALTERNATIVE SYSTEM Bed or other type? ❑HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. I have read the regulations with respect to this application and agree ? CALL 761-8256 OR EMAILto abide by these and all requirements of the Town of Queensbury codesCa2aueensburv.netS Se a Disposal Ordinance. ;QUESTIONS IT OUR WEBSITE FOR MORE INFORMATION www.gueensbury.net / -1f- 07 Signatu e f Person Responsible Date Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, IVY 12804 '........ .......................................... �........_........._... OFFICE USE ONLY ; TAX MAP NO. PERMIT NO. ' 0 FEES: PEA �RECRE TION ENGINEERING L (If applicable) ; PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUA,JVCE OF A VALID PERMIT FOR CONSTRUCTION. r APPLICANT/BUILDER: C wo OWNER: � C V D 2--1 r ADDRESS: f I C R(Jrrt' �� ��� ADDRESS: � �� �-S ��� PHONE NOS. 7 IN - (5,�) CO) PHONE NO y t CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: HO _ LOCATION OF PROPERTY: SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z O (n �� a ( h w APPLY TO YOUR PROJECT F- 0 � � u~. ¢ O _9 Q I— z <t Q r SINGLE FAMILY lq`) `3 TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) 0 TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACT ORY OR INDUSTRIAL ATTACHED, GARAGE(1,2, OTHER r IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS! CONSTRUCTION COST: �Od a / FUEL TYPE: ESTIMATED (S)�tI d_ nn AND/O HEAT TYPE: � ►� '`HOW MANY FIRE A �6 ARE THER LANDS ON THIS SITE? ZONING CATEGORY: n) IS THIS A HISTORIC SITE? f� 6 �Z�s r'� PROPOSED USE OF BUILDING C�# �N: $�Chimneys"available in our office B 3-LGL 11-OS *please complete a separate Application for"Fuel Burning Appliances eensbur • Community Development Office - 742 Bay Road, Queensbury, NY 12804 Town of Qu y ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? V ARE THERE EASEMENTS ON PROPERTY? All rthat owledge no construction activities shall be commenced prior to issuance of a valid . I certify that the application, plans, and supporting materials are a true and ete statement/description of the work proposed, that all work will be performed in dance with the NY State Building Codes, local building laws and ordinances, and in rmance with local zoning regulations. I acknowledge that prior to occupying the es proposed, I or my agents will obtain a certificate of occupancy. I also understand 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 and a ree to the above. 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 Oo Oo described herein in accordance with said zoning Laws of the Town of Queensbury. Application: 0 00 00 I , 0, , 00 10 01 BUI DING & CODES APPROVAL ZONING APPROVAL , , , / 1 �O * / / / , , DAT DATE 00 1 0 QUESTIONS? CALL 761-8256 OR EMAIL codes0gueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION Office Use Oniv Www.gueensbury.net Operating Permit Issued: Yes No Occupancy Type: �`-� Construction Classification: Q Assembly Occupancy Limit: Special Conditions: '` Town of Queensbury Community Development Office - 742 Bay Road, Queensburyy, NY 12804 Check Residential Plan Review: One& Two Family Dwellings Y N/N/A (2)Full sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf 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. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK proofing/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 R uired Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise ad Winder Run and Rise Spiral Not Allowed From 2 Story Smoke Detectors Battery Backup and ProperLocatio Bathroom Fixtures Proper Clearance Hall Width,36"min. 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 Garage Floor Sloped Attic Access Roof over 30"—22"x 30"/Crawl Spacers 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level 44,L C—�.. Soil Test Results, if required Septic To Well Or Water Line Separation All Paperwork Signed Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: DEC Q 12008 NAME: & LOCATION: G wd,av&� PERMIT#: V 6YV Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of /f Community Development. Upon review the survev has Cr wn,Zoning Administrator 14 Notes: C�y o L:\SueHemingway\Buildmg.Codes.Inspection.FORMS\Final Survey Zoning Administmtor.doc HICKORY .hIOLLOW culvert mailbox telltel culvert OpQp .� S83'4000*E __ to IRF C�OOOCpoo�p culvert IRF 1 44►23 i '�--- -- — S83.40'00'E ox 9 x `- uadsrgr�'6nnote elec. tel 201 .00 tel — a ' ma box S83'40'00'E tel`.... tel / CA IPF �. 4 — iPF box 136. 7' �— toll—-�._� round cable a � under map note 9 ' O o• ' s �. asphalt �$ drive �'• sprinkler ° wasphalt I a i drve I paws CJQ sprinkler sprinkler 0 teJ boulder ;ptcl pavers AREAO o Paten 0.72f ACRE" sprinkler 33-V ix IRF OOD I •'/�i� 1i�.1�i/� /�;�� l waft m IP stone drive / l/i//'�/�•,'%� � �'� % w J ��,:; I �__�✓; /-�� %�/%�%� ��err AC unit porch sprinkler •��rr' r0 ��/�; ..- lam '/ _�../`�� A o avers %%� _ 64I {.- � p =•�l�i. .-- r_ concrete Act � _ i 1 pavers _ � '� � ^_ - �/�j�_ r-' � t sprinkler �/ /_ !%; - �cDdPF r '� -r'!r'j !i/ram `' /�_� O a ,., j . w Z ` '' 04 63.9 deck sprinkler volve s,�d� concrete !%���i.���� ay;. ap •- �%�"`%%/i/_ deck �O O IPF boulder % ' /� i well --ri/ vale o AREA parch'%f�/� f ACRES . avers _�- ,_-, , 0.69 98.98 p ' �_ rr -cat sprinkler Lysct- � % /� r/ f / 'p ---�' N78*24•00•w f�--�f -�� 0 `�• concrete !- nq IPF concrete asphalt � - ..- drive / �" - IRF 1 85.08' IPF �000� stone wall WV AC unitO ii•` value concret $A AC Unit ' can eret shed W o W k 1. Lands n/f .$ $ AREA = Gerardo J. DzManno '1246 P. 69 1.55E ACRES q L. g z , 3 r- I I Lands n/f w John D. AsPland, Jr. & Stacee Aspland © L. 1293 P. 321 stone wall x IRF 249.79' rt84'48'00"w IRF 3 0 Lands n/f Lands n/f Thomas R. Bolen & Gurney 0. Gutekunst Carole M. Bolen L, 558 P. 445 —• — L. 959 P. 302 0 SEC 012�06 NOTES: AP PREPARED FROM A JULY 2007 FIELD SURVEY- ,�gp OF A SURVEY M�F' �'R 1) BASE M 2 NORTH ORIENTATION IS BASED ON MAP REFERENCE 1 ON CONTOUR INTERVAL = 2'• pF NEhi y ScUDERI3 VERTICAL DATUM lS BASED ON AN ASSUMED ELEVATI �C METtF 0,9ELSA S ARE SUBJECT TO CERTAIN COVENANTS ANDBOOKD645STAT P RESTRICTIONS v, State of New York co 4) PREMISE LEGE ND AS RECORDED IN BOOK 668 AT PA * � `x' i � ¢ o Warren pH•IC SCALE d O uee,nabury County f ,S GRA so Town o f Q ANDSOCIAT o IRF IRON ROD FOUND 40 054 h BOLSTL'R IRON PIPE FOUND zo 0 20 C D ANAL J,AND IS DEED REFERENCE* o IPF ELLA & VICTORIA R. DELLABELLA TOWN, COUNTY, AND STATE o IRS IRON ROD SET AN p,RpF�;SSI New York 12839 1) MICHAEL A. DELLAB WARREN COUNTY CLERK _LS OF THE RS UTILITY POLE E WALL on Fall ICE OF THE STONE S42 Main Street, Hudson F ) sheet 01 o f 01 TO FILED IN THE OF ELSA OK 3261, AT PAGE 87, DATED MAY 04, 2007. ( 06107 61 REGARDING THE DEVELOPMENT OF LAND. MAP BEARING A LICENSED LAND � WIRE FENCE 20 It. BOOK 32 SURVEY E 50540 Date: 08 W B — CHAIN LINK FENCE 2C. No. 07067 RATION OR ADDITION TO A URV SUBDIVISION 2. OF THE — 0 1 inch PLS N.Y.S. L• �-sluing # 7 UNAUTHORIZED ALTERATION OF SECTION 7 ____ ❑ — WOOD FENCE Russell E. Howard, 17 08 ORS SEAL IS A W POINT et Revised: 11/ SURVEYLIGATION LA L OF THE ° Scale: 1 'l'n'ch' 20 Sealed- REFERENCE: NEW YORK STATE ED F.P. FENCE POST MAP REFE R RVEY MARKED WITH AN ORIGINAL �ahw— OVERHEAD WIRES Date Sealed: 1) "ROLLING RIDGE ESTATES" DATED JULY 1. 1965 n/f NOW OR FORMERLY 8) ONLY COPIES FROM THE ORIGINAL OF THIS SU N SHOWN FROM LIGHT POST ULTER & MCCORMACK LICENSED LAND SURVEYORS. � SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TREE COP PREPARED By CO LAND SIGN AND MEASUREMENTS OBT S ENCE OF AREELD NOTSURVEY- KNOWN. SIZE, g UNDERGROUND UTILITI AS. STRUCT AND FACILI EES FROM A HAVE BY SURFACE LOCATIONS THERE MAY BE OTHER UTIL►11ESlC AN ALL(CONSTRUCTION. CALL DIG SAFE PRIOR TYPE AND LOCATION OF ALL UTILITIES AND STRUCTHRES MUST BE VERIFIED S TOOANY EXCAVATION. PRIOR TO AN 1 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm 8eepart: am/pm Date Inspection request received: ^ Inspect 's Initials: ,-S, t/NAME: '` PERMIT#: O d LOCATION: DATE: TYPE OF STRUCTURE: Comments . Yes No N/A 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 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 Interior Handrails @ stairs 2 or more risers 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/Window in stairwells safety glazing Interior Smoke Detectors: C K Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, I s .ft,150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures —:)Po Foundation insulation (Z& C-�t] Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical f` Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arriv . - dam/F eppart: am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: `Y LOCATION: DATE: TYPE OF STRUCTURE: Comments: Y No N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs deckspatios more than 30 inches above rade Guard at stairwell at 34 inches or more +� Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches / Bathroom/Kitchen watertight Y Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detqctors Every level: Every Bedroom: , Outside every bedroom area: Inter Connected: Battery backup: i- = Attic access 30 inches x 22 inches x 30 inches hei tin accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures j ' Foundation insulation/Insulation Certification {Ark VDU�7r 13C'-` COL)C 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 Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'r4"G sum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/tl uct work Sealed properly as Logs in Sealed or GlessEod ure Final Electrical J .fl Final SurveyPlot 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 re wired Okay to issue C/C or C 10 Temporary/Permanent LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised 100405.doc;Revised January 7,2008;Revised 6/26108 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIP L ERTIFICATE - ELECTRICAL APPROVAL Permit No.. ,ry►.. ..} .......:Cert. N� 4882 Cut-in Card No..................................... Permit NoL Owner.............../...:!�../!�.!` ....................../.. �....�....�...�.�.... .../...... Location.l.y.....L.T�..�.�..1 .t�. ....C�`'.Ll�fl�� � !.`C -S�......(........ q Installation Consistingof.. 1 ��.�'�1...... ..l� � L l �.�............... .................................: C' . ..,... 1 �. ,.......................................................................................................... .................................................................................................................................................................................... InstalledBy.................... ..�C...rd..............................................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 king inspections at any time, and if its rules are violated,the Company shall have the right t r ke hi certific te. Date....".Z..7..-o....... ........ INSPECTOR.............. .............................x.......................................... ueensbu Building - t1c) Q ry d g & Code Enforcement Residential Final Inspection Office No. (518)761-8256 Arrive: 4 m/ mm m am/ P Date Inspection request received: Inspe or's Initials: W NAME: _ PERMIT LOCATION: P I<- og DATE: TYPE OF STRUCTURE: Comments Yes No N/A Building Number/Address visible from road ��,r ChimneyHeight/"B"Vent/Direct Vent Location Fresh Air Intake av C 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors 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 Interior Handrails @ stairs 2 or more risers 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/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s . ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum''/:"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/.hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical 01, 01 Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O[Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc Septic Inspection Report Office No. (518) 761-8256 Date Ins ion request received: Queensbury Building &Code Enforcement Arrive: am/p ,/> !part: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: /`�`' cJ NAME: I A I PERMIT NO.: 07 LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand/ Loam / Clay Type of Water: Municipal/ Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + - Y N_N/A Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size:-t--- Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field Pit Opening Sealed: Y N End Cap Y N Inlet/Outlet Pipes&Baffles Y N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y_ N Engineer Report and As-Built Y N Location of System on Property: Front Re Left Side Right Side Middle Front Middle Rear S m Use Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc 169 Haviland Road W Queensbury. NY 12804 Hutchins Engineering Phone: (518)745-0307 Fax: (518)745-0308 July 16, 2008 Town of Queensbury Buildings Department 742 Bay Road Queensbury, NY 12804 Reference: Manny Ray Residence, Corners of Hickory Hollow & Lyndon Road Wastewater System Installation This office has inspected the installation of the replacement wastewater system at the referenced property. The system includes a new 1250 gallon precast concrete septic tank and a shallow absorption field with (6) pipe-in-stone trenches at 40' each. To the best of my knowledge, the system is installed in general conformance with the design drawings. Attached is a record drawing. Should you have any questions, please contact us. Regards, J/ a 0'7 G. Thomas utchins, P.E. Cc. Chris Crandall w/drawing G.Thomas Hutchins.P.E. Town of Queensbury Fire Marshal 742 Bay Road low Queensbury,NY 12004 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 accompanymg the appliance.No deviation from the manufacturer's instructions or specifications is allowed. f� Permit# 9 Schedak Inspection III A")°tl Timeh_am pm anytime In Name 144, Cv Ci tM Address ��� Nwy-cry 1"/�,i��.i Rougb in Final Appliance Manufacturer �--f(w+ '^� / Modd# C L Masonry Cbimney Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles(all sides) Safety Strip Installation(fireplaces only) �M Firestop(s) Vertical Chase codl Wall Penetration Chimney Clearances to Combustibles Chimney Termination 3 fed above roof penetration;2 feet above any combustible construction within 10 fed Combustion Air Hearth Extension X Mantd(height above up opening) X Fireplace Doors/Screen(required) Wiite—Budding DeM• Y —C Pink—Fie Marshal r z Town of Queensbury Fire Marshal 742 Bay Road c5b-P 2, ( 1 Queensbury,NY 12804 761-8205/761-8206 fax 7454437 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 -7 instructions or specifications is allowed. Permit# ! Lq 1,t Schedule Inspection 1 b Time b. anytime inspector/G Name 9�q ►2r " Address I Rough In Final Appliance Manufacturer Model# LR l/►�►>' Masonry Chimney Factory Built Chimne3w�C Flue Size Double Walp<Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles(all sides) 7�h re L Ji� g Safety Strip Installation(fireplaces only) Firestop(s) Vertical Chase Wan Penetration Chimney Clearances to Combustibles Chimney Termination 3 feat above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension Mantel(height above Up opening) Fireplace Doors/Screen (required) WMe-guNdin pqK- v -C rmk-Fire Nfn-i r 0 ., 60) Q6ee ry uilding & Code Enforcement - Residential Inal Inspection Office No. (5 -8256 Arrive:: { am/pmLZepart: am/pmDate Inspectuest r ived: Inspector's Initials: NAME: PERMIT#: LOCATION: 1Y, DATE: TYPE OF STRUCTURE: Comments: Ym No NIA 4" Building Number Address visible from road V e U J��fr ChimneyHeight/"B"Vent/Direct Vent Location Fresh Air Intake � b �o���` �I 5 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors d A Handrail 4 or more risers Guards at stairs deckspatios more than 30 inches above grade Guard at stairwell at es or more Guard at deck,pord*M inches or more Handrail Termination at Il 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 silt plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kften watertight Safe glazing/Window in stairwells safeglazingefttidy� 5 � � ! erior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emergency 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 110Enclosed Stairs Stairs Sheetrock Underside minimum'/2"Gypsum Ily Sjr4GL 4,k I_!fl(, VN Basement stains dosed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical �/!d-v �►N�L �E-c . Final Survey Plot Plan Pzv&y 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 key to issue C/C or C/O Temporary/Permanent I L:16uilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised 100405.doc;Revised January 7,2008; Revised 6/26/08 Septic Inspection Report Office No. (518) 761-8256 Date Ins a equest received: Queensbury Building &Code Enforcement Arrive: am/p !part: am/pm 742 Bay Rd., Queensbury, NY 1280Y5cvp Inspector Initials: NAME: PERMIT NO.: LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil Type. Sad L Type of Water: Munici ell Water Waterline se ration ce ft. Well separation distance ft. Other wells: ft. Well CasingLength 50' + / - Y N N/A 0� oe ( � Absorption Field: Total length ft. as Length of each trench ft. Depth of trenches ft. Size of Stone T Seepage Pits: Number Size: x Stone Size: Piping Si e T Buildingto tank L� Tank to Distribution Box Distribution Box to Field Pit R Opening Sealed: N End Cap N Inlet/Outlet Pipes&Baffles Y N Location Separations Foundation to tank ft. Foundation to absorption ft.— SeLmration of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built Y N Location-if System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-01-1)\Building&Codes\Inspection Forms\Septic Inspection Report.doc 169 Haviland Road +� Queensbury, NY 12804 Hutchins Engineering Phone:(518)745-0307 Fax:(518)745-0308 July 16, 2008 lJ � Town of Queensbury Buildings Department 742 Bay Road Queensbury, NY 12804 Reference: Manny Ray Residence, Corners of Hickory Hollow & Lyndon Road Wastewater System Installation This office has inspected the installation of the replacement wastewater system at the referenced property. The system includes a new 1250 gallon precast concrete septic tank and a shallow absorption field with (6) pipe-in-stone trenches at 40' each. To the best of my knowledge, the system is installed in general conformance with the design drawings. Attached is a record drawing. Should you have any questions, please contact us. Regards, G. Thomas utchins, P.E. Cc. Chris Crandall w/drawing G.Thomas Hutchins, P.E. Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Ot-7 � Queensbury Building & Code Enforcement Arrive: am/pmDepart:'�`D am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT #: LOCATION: INSPECT ON: TYPE OF STRUCTURE: ` (� Y N N/A Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 Y2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.1 for 15 minutes Insulation /Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation In pection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm art: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: go � NAME: �_�,:r'- ,� i PERMIT#: LOCATION: , c._ . INSPECT ON: i TYPE OF STRUCTURE: Y N N/A Rough Plumbing/ Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping 0 info 15 minutes Insulation/ esidential Check/Commercial Check Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: � ~ �_ -V*f zxr" Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation IoPection Report rt Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: 1`[ am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 4—" _ NAME: 0 L i PERMIT #: LOCATION: &r INSPECT ON: TYPE OF STRUCTURE: Y N N/A FR��jh Plumbing/N iI Plates Plumbi eats in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/H 5 P.S.I. or 10 ft. above h' t Conn n for 15 minutes Pressure Tes -------- Water Supply Piping r Air/Head 50 P.S.I for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape IF NOS COMMENTS: Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ m Depart: -L aam/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials NAME: b- k PERMIT#: D -(� AA- LOCATION: 6r l �T INSPECT ON: TYPE OF STRUCTURE: Framing Y 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. p� Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate ' 1 %z w 16 gauge 8 16D nails each side I` � — Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center , J7� 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) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade 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: NAME: PERMIT#: �( I LOCATION: > l INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers � Monolithi Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement ofxb�sr. eret� " .Mafe'als for this purpose on site. Foundation/Wallpour (� Reinforcemen Footing Dowels or Keyway in place n Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Framing / Firestopping Inspection Rep Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: �M/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: / PERMIT#: � -!G LOCATION: c. .E INSPECT ON: R_ TYPE OF STRUCTURE: Framing Y N N/A COMMENTS: Attic Access 220 x 31Y minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/ w 16 gauge 8 16D nails each side Draft st 000 sq. ft. floor trusses r-Bolts 6 ft. 4r less on center Ice and waters ' d 24 inches from wall 10 ration 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side'A 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 LABuilding&Codes Forms-01-1)% ilding&Codeslinspection FormsTraming Firestopping inspection Report.doc Revised January 7,2008 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm v Depart: am/pm 742 Bay Rd.,Queensbgry,NY 12804 Inspector's Initials: ' NAME: f� sc, L PERMIT#: LOCATION: INSPECT ON: d a Y- TYPE OF STRUCTURE: C,k6l)4 Comments Y N N/A Footings Piers Monolithic Slab einforcem in Place The contrac or is responsible for providin rotection from freezing fo ours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report 11 ,E Office No.(518)761-8256 Date Inspection equest received: Queensbury Building&Code Enforcement Arrive: �95am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: 'S L v C),t- PERMIT#: LOCATION: AAG Q 9- oCc,C-)tJ INSPECT ON: TYPE OF STRUCTURE: r Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible or providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report I l Office No.(518)761-8256 Date Inspectioluest received: Queensbury Building&Code Enforcement Arrive: �t /p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: ' PERMIT#: LOCATION: p INSPECT ON: TYPE OF STRUCTURE: Comments Y N /A Footings Monolithic Slab 0 Aw 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 Fonns\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 44/4 NAME: 3 de r PERMIT#: LOCATION: YW 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 e ay in place M-a- �v Foundation DdmppLQQfmg \ orzx" Q)—'NQl !S-Y�-1llv Footing Drain y fight 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 to Foundation Inspection Report Office No.(518)761-8256 Date Ins ti request received: Queensbury Building&Code Enforcement Arrive' '- am/Pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:"W NAME: C f eI—t PERMIT#: ((T LOCATION: INSPECT ON: 7 TYPE OF STRUCTURE: r1., -7 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. ; or is site. { Foundation/Wallfxxu ace Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM ROSICK WELL DRILLING L.L.C. 1175 FARLEY ROAD �•-�Y HUDSON FALLS, NEW YORK 12839 �-�Date �� (518)746-0173 —�—�� Customer , Site GPS# � L L SCo De t Of ih Formations Remarks 1 (\7 y Static Level b Gals per min. Well Depth a � " Driller a - _ - Helper or Sample Taken � �,° � Remarks *By signing this document I hereby affirm that: (1)I am certified to supervise water well drilling activities as defined by Environmental Conservation Law§15-1502; (2)this water well was constructed in accordance with BOTTOM i OF HOLE water well standards promulgated by the New York State Department of Health; (3)under the penalty of perjury the information provided in this Well Completion Report is true, accurate and complete,and T e JB3 Consulting Joseph Biss III 553 State Route 149- Suite B Lake George,New York 12845-3515 Phone/Fax(518) 761-9888 JBISS3@AOL.COM NYSDOH Lab ID# 11637 Rosick's Well Drilling ---1_175 Easley Road Hudson Falls,NY 12839 Phone: (518) 746-0173 Fax: (518)746-0175 Client: Tony Marciano Rolling Ridge Queensbury,New York Results: Well Head 071205BOl 12/05/07 12/05/07 12/05/07 Total SM <1 CFU/100 <1 CFU/100 12:00 P 6:30 P Coliform 9222B ml nil The results relate only to the samples)as received by the laboratory. The sample received was analyzed in compliance with NYSDOH and NELAP approved methods and within their accepted holding times. The result(s) is(are)equal to or lower than the State's limits therefore it(they) meets the requirements for NYSDOH Part 5 Drinking Water Regulations. JB3 Consulting's liability for any work performed is limited to the amount billed to the customer leading to the claim of the customer. Joseph Biss, I Analyst/Dire�tor Saturday,December 08, 2007 This is an original Certificate of Analysis,do not duplicate This is page 1 of 1 / - 3 F - Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: / ,moo am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 2-ILD , ) r NAME: e�'l PERMIT#: LOCATION: t07-�O/� - INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Monolithic S Re' cement in Place e contractor is responsible for providing protection from freezing for 48 hours following the placem t of the concrete. Materials for this purpose site. Fo on/Wall 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\Inspecction Forms\Foundation Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM REScheck Software Version 4.1.1 OCT Com liance Certificate£ ` . y 0p e 2007 Report Date: 10/02/07 Data filename:\\Ibmserver\shareddocs\2007\Orders 2007\4044-07 M Ray\5 ResCheck\4044-07 Res Check.rck Energy Code: New York State Energy Conservation Construction Code Location: Warren County, New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: 15% Heating Degree Days: 7635 1� Construction Site: Owner/Agent: Designer/Contractor: Compliance:11.1%Better Than Code Maximum UA:765 Your UA:680 Ceiling 1:Flat Ceiling or Scissor Truss 1828 38.0 0.0 55 Ceiling 2:Cathedral Ceiling(no attic) 304 30.0 0.0 10 Wall 1:Wood Frame, 16"o.c. 4556 21.0 0.0 221 Window 1:Jeld Wen Double Hung 397 0.360 143 Window 2:Jeld Wen Casement 55 0.400 22 Fire Door:Solid 22 0.130 3 Front&Side Doors:Glass 65 0.330 21 Jeld Wen Patio Doors:Glass 146 0.340 50 Basement Wall 1:Solid Concrete or Masonry 2381 11.0 0.0 155 Wall height:8.5' Depth below grade:7.0' Insulation depth:8.5' Furnace 1:Forced Hot Air80 AFUE 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 specifica' ns a coapliance with this Code. t4 M.0►�kg� - to 7 L Name-Title SignatuIV Date Project Title Page 1 of 4 Data filename:\\Ibmserver\shareddocs\2007\Orders 2007\4044-07 M Ray\5 ResCheck\4044-07 Res Check.rck Report date:10/02/07 REScheck Software Version 4.1.1 Inspection Checklist Date: 10/02/07 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: ❑ Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: Basement Walls: ❑ Basement Wall 1:Solid Concrete or Masonry,8.5'ht/7.0'bg/8.5'insul,R-11.0 cavity insulation Comments: Windows: ❑ Window 1:Jeld Wen Double Hung,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Jeld Wen Casement,U-factor:0.400 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Fire Door:Solid,U-factor:0.130 Comments: ❑ Front&Side Doors:Glass,U-factor:0.330 Comments: ❑ Jeld Wen Patio Doors:Glass,U-factor:0.340 Comments: Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air:80 AFUE or higher Make and Model Number: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage 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: Project Title: Page 2 of 4 Data filename:\\Ibmserver\shareddocs\2007\Orders 2007\4044-07 M Ray\5 ResCheck\4044-07 Res Check.rck Report date:10/02/07 0 Materials and equipment are installed in accordance with the manufacturer's installation instructions. Q Materials and equipment are identified so that compliance can be determined. Li Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. 0 Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. Lj 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. Ll Return ducts in unconditioned attics or outside the building are insulated to R-6. 0 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: Lj 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). 0 The HVAC system provides a means for balancing air and water systems. Temperature Controls: Ej Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: Lj Separate electric meters exist for each dwelling unit. Fireplaces: Lj 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: Li 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: LI Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: All 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: Lj HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Project Title: Page 3 of 4 Data filename:\\Ibmserver\shareddocs\2007\Orders 2007\4044-07 M Ray\5 ResCheck\4044-07 Res Check.rck Report date:10/02/07 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Project Title: Page 4 of 4 Data filename:i\lbmserver\shareddocs\2007\Orders 2007\4044-07 M Ray\5 ResCheck\4044-07 Res Check.rck Report date:10/02/07