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2004-569 Anek TOWN OF QUEENSBURY 12804-5902 518 742 Bay Road,Queensbury,NY ( ) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20040569 Date Issued: Friday, October 28, 2005 This is to certify that work requested to be done as shown by Permit Number P20040569 has been completed. Tax Map Number: 523400-279-000-0001-043-000-0000 Location: 1317 RIDGE Rd Owner: SALOMON CONSULTING LLC Applicant: PROVIDENT DESIGN & BUILD LLC This structure may be occupied as a: Fireplace By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling (DJ Issuance of this Certificate of Occupancy DOES NOT relieve the i 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 ON 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040569 Application Number: A20040569 Tax Map No: 523400-279-000-0001-043-000-0000 Permission is hereby granted to:. PROVIDENT DESIGN&RI IIT,I) I,I,C For property located at: RIDGE 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: CARTER& JILL MORRILL PO BOX 2646 Fireplace Garage-2 Cars Attached GLENS FALLS, NY 12801-0000 Single FamilDwellin $275,000.00 Total Value $275,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-569 3434 sq ft SINGLE FAMILY DWELLING $469.08 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, August 11, 2005 (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 tl To f Q nyltry; ,r sday, August 11, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road,Queensbury,NY (518)761.8256 • A permit must be obtained before beginning construction. No inspection will be made until applicant has received a Permit File No. - (p valid building permit. All applicants' spaces on this Fee Paid $ y application must be completed and must appear on the Rec.Fee Paid $ application form. Reviewed By: Applicant: &AI ce Air Owner: Address: 3 ra""�„� • s4 h PCl G Address: Phone#( / ) - / Phone#() .S / C • Property Location: Lot Number: '7-9 / House Number / ; Subdivision Name: Tax Map Number: —• " New Building: '/commercial Estimated Market Value of Construction:$o Addition: residence/ commercial 7 If an Addition,what will use of new addition be? o Alteration: residency/ commercial a No change to exterior size: residence/coral O Other work(describe ) Cheowck Occup Information 1 Floor 2° Floor Other neer Total sq.ft. sq.ft. sq.ft. Square Feet Jr S. e famil dwellin o Two famil dwellin 3 o Townhouse o Multifamily dwelling #of units o Office o Mercantile o Maaufactutin o l oar detached e o 2 car detached garage a 3 car detached ge I. o I car attached garage gr 2 car attached garage S7d 0 3 car attached garage o Storage building- commercial o Storage building- residential • o Other What is the proposed height of the structure ' - d feet 6 inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil / g�/wood orced hot ai ' baseboard/other: Number of firenlaces to be installed / Number of Woodstoves to be installed List below the person(s)responsible for —��supervision of work as regards to building codes: Name Builder ' e Address Phone Number Plumber S r� �c'" 37 Mason Electrician Declaration: please sign below after you have carefully read the statement To the best of my knowledge the statements contained in this application,together with the plans and submitted,are a true and complete pop aspecificationsthatl provisions of the Bull � statement of all proposed work to be done on the described premises and that all Building Code,the Zoning Ordinance and all other laws with,whether specified or noted,and that such work is authorized bythe onpertainingto the proposedr work at I be shall •submit,prior to a Certificate of Occupancy or Certificate of Complince being issu Further,requested y the that °shall Administrator or Director of Building and Codes,an ds Butlt Survey by a licensed surveyor;drawn to scale,showing actual location of all ne ctio Signature: owner,owner's agent,architect ,contractor Application for Permit=Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Location of installation: 2.4 eto Office Use Tax Map No.279 / / / 4/3File Permit No. �) p g Owner's Name: /,-v v‘htJ s,?,, /Ill /LC Fee Paid Address: 3 wP0.9 r. hot, /474., 2. INSTALLER'S NAME : .4 F Se/4 //2 PHONE NO. W/' ..3;? 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply #of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980— 1991 x 130 gal/bdrm = 1991—present 1/ x 110 gal/bdrm = Garbage Grinder Installed yes / no Y Spa or Hot Tub Installed yes ,/ no y 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography So�' ature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat (nco at hat depth at nh at depth municipal Rollin loam C'#4� e h eet /�°nf e feet well eep slope clay if well; water supply %slope other r from any septic-systyn depth: ly absorption is/0 ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank:/256 gallon (min.size 1,000 gal.) Tile Field: each trench /l' ft. Total System Length: 02 fl. Seepage Pit(s): number of size of each: ft. by ft. Size c)f Stone to be used: # � / depth or thickness Z feet / /� r Bed System Size: lg D r x 7 Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: — / Size of each: — gallons /TOTAL Capacity: — gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. I have read the re ations with respect to this application and agree to abide by these and all requirements of th of ns ury S. • e Disposal Ordinance. C2 k 7z ignature of responsible person Date Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date f/ ' , 20 `/ Permit No:"_ f , Application is hereby made to the Building& Codes Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and 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. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: Stove: wood coal pellet gas Fireplace insert Address: Fireplace, factory-built: wood gas Fireplace, masonry: wood gas Furnace: wood gas oil Phone: If non-masonary applicance, please provide Owner: Manufacturer Name: —: Address: =`r "` �, Model Number: / `:i L Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile steel' size: C t inches Exact Address: '"' of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction/Installation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / Insulated / - Direct venting Chimney Liner Ciascheiter'rer.Depaz=tm•extt—Tosisrri. of Qtz,e4exambuor3r, New Yrn't Fire Marshal Code# $Collected $Refunded Received from (refunded to): i., t1 i Le • address: A 173 3389 (190) Public Safety A 233 2655 (230)Minor Sales -- 3 Of, DATE: -..� *-vca - T w,, 644.4,ozram ... y White(Applicant)/ Green(Fire Marshal) / Yellow(Bldg. Dept.) l Pink&Goldenrod(Cashier's Dept.) TOWN OFOUEENSBURY Hxr H WA,Y Richard A.1Kissita Highway Superintendent DEPARTMENT Home(518)798-5127 742 Bay Road • Queensbury,NY 12804 Michael F. Travis Deputy Highway Superintendent Office Phone: 018) 761-8211 (518)798-0413 Fax: (518) 745-4466 DRIVEWAY PERMIT DATE: 7/ /()" APPLICANT NAME: f%octl.L.i Act(' 4 ea,0e/C TELEPHONE NO.: <(k 37 S- - e/7 I I ADDRESS TO BE INSPECTED: ?--k ...279 / - IT/3 4 RETURN ADDRESS: 3 re iJo ' er lY be 0` , j2,-1( ,'1V/ 2.e245-- Applicant must show exact location and width of driveway(s)to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP 1: ( )Preliminary Approval NEED: .( )Slight swale ( )Level with the road ( )Deep swale Size pipe to be used(if necessary) ( )12" ( )15" ( )18" ( )24" ( )36" Preliminary inspection completed by DATE • Approval by Highway Supt. Deputy Supt • Upon completion,please resubmit this approved permit for a final approval. STEP 2: ( )Final Approval • ()Rejected DATE: Richard A. Missita,Highway Superintendent �I► : ENERGY CODE COMPLIANCE APPLICATION W.5 - TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS ._ Compliance Methods:Part 5 -Acceptable Practice Method- 1&2 Family Dwellings(only) Part 6*-Thermal Rating-Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings(3 Stories or less) Part 4*-Design by Component Performance,Commercial Buildings-Hi Rise Residential *Requires submission of worksheets ;�AAPPLICANT'S NAME: PROPERTY LOCATION: /�.)f,,,!J Fh/ Der,4 4, at,./ePze 7 4, ,—p -# .77 9. ° - / - `/3 PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area- 371 4/97 square feet 2. Type of heat- Electric Oil v Gas . Other 3. Is building mechanically cooled? kyes No 4. Percentage of area of windows and doors Over 17% Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS . SHOWN ON PLANS SUBMI!"fbD: a: Roof R 30 b. Exterior walls R /y c. Glazed areas R '3 z/ ? u-F4 ck t- d. Exterior doors R . 3 v e. Floors over unheated spaces R a f. Edge of slab on grade(heated building) R /1 g. Basement/cellar walls(above grade) R I? h. Basement/cellar walls(below grade) R // i. Heating/cooling-ducts-piping in unheated space R /1 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SEl"11NG 140-WILL NOT BE EXEEDED '' Phone Number A..../IVt gn e D3 /, ,/ , 3 ' br INSPECTOR'S REMARKS: i Queensbury Building & Code Enforcement - Residential Final Inspectio Office No.(518)761-8256 / Arrive: am/_jt; art`_am/pm � A741 Date Inspection request received: f U �g Inspector's Initials: v NAME: PERMIT#: 0 < 10 "1`) LOCATION: 13 L DATE: i TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location - � �� Fresh Air Intake C f�GLc r(` 3 inch Plumb Vent through roof minimum 6" 1 Roof Complete/Exterior Finish Complete (1/ (/eL S Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum ''A" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. 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 Valve(s)installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. 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 Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 1 Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents Building No./Address visible from road Final Electrical e'b Zo Site Plane /Variance required G� Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker • ��— Z6-1/ 0 �<,/ a 5 Flood Plain Certification, if required Okay to issue C/C or C/0 [Temporary/Permanent] Tb / S (/ C-7/0 tx-r aJ( C ' r�L/ftNCC L:\PamW\Building&Codes\Inspection Forms\Res.Final Insp. form 2.docLast printed 2/12/04 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: /O(277c NAME: LOCATION: - PERMIT#: © — tag tA T•pd0, Final Survey Plot Plan Approved Denied The attached final survey has been received by the I Dept.ofCommunity Development. Upon revi- the survey .. ,-en: flP 11 Cra !1 i1 ,Zoning Administrator Notes: L:\SueHemingway\Building.Codes-Inspection.FORMS\Final Survey Zoning Administrator.doc ,� Queensbury Building & Code Enforcement - Residential Final Inspection ., Office No. (518)761-8256 Arrive: am! m epart:3' Zm/pm Date Inspection request received: Inspector's Initials: I NAME: QYEN U _c PERMIT#: —/ 0 li� • LOCATION: NA DATE: Jo (�� 7__ TYPE OF STRUCTUl3 l i R Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location a_il Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches 6Rtra6 -77Roof Complete!Exterior Finish Complete611-1 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 �/ n�'��� �� Interior/Exterior Railings 34 inches to 38 inches /1/ ,J K Interior Handrails @ stairs 2 or more risers IQ 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 11.44/}7 G b VC✓1 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 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures 1/ Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.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 Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap!Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%z"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 /,,,/O Final ElectrSurvey Plot J�� /i P01,04‹, 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/0[Temporary/Permanent] i F:j9e6-i2e, r;VA-e L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc -. = Queensbury Building & Code Enforcement - Residential Final Inspection/ —/ 61 ,D�pa Office No.(518)761-8256 / i Arrive: am/pn� ,-�e rt: ` ',/�am/pm Dale Inspection request received: /o//`� %=> Inspector's Initials: ` yL • NAME: ( tz'✓I(76_ f' /-5 n PERMIT#: � �'3 ,, LOCATION. i ' 7 C ��l DATE: / _ TYPE OF STRUCTURE: ( Comments 0.2:�i Y N N/A Chimney Ht./"B"Vent/Direct Vent Location ✓ r Peovit7� St' � ' °Tk 4 Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" ��U L R►SC' 'S.,2 -- Die Roof Complete/Exterior Finish CompleteVi Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more d Guard at deck,porches 36 in. or more Exterior Finish Complete / Interior/Exterior Railings 34 in.to 38 in. / /.✓f i 4-�— R�4') a /! p& Platform at all exterior doors ✓ t Interior Handrails stairs 2 or more risers ✓// A fJc'A0 le_ -1-3A-le--,tT Co tI)IAA__N5 Enclosed Stairs Sheetrock Underside minimum 1/2" r Gypsum (A/5 /41-4— t4A i I S/ J 1g(Or.e)(,a G Grade away from foundation 6 in.with 10 ft. /{ Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade J/ Gas Furnace shut-off within 30 ft.or within line of site t/ Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating // Low water shut-off boiler / / / .� / Relief Valve(s)installed/Heat Trap/Water Temp 110 / fit/401.4- t2ot�v J4Po U 1 I ,4• 1L Interior privacy/trim/doors/main entrance 36 in. i Bathroom/Kitchen watertight / / n 754 Safety glazing/Window in stairwells safety glazing A✓(,�I> j,�4 �- Cal-�S�' L% 24T� S Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: / Carbon Monoxide Detector / ,J&-e b C 0 C\- e"� //si (-Li'Z • Bathroom Fans, if no window Plumbing fixtures 7/ /lob 1T t-,E u G Foundation insulation Floor truss,draft stopping finished basement 1,000 sf I Emergency egress below grade , Basement stairs closed rise>4 inches ✓� Garage Floor Pitched ,/ Garage fireproofing/' hour fire door/door closer Duct work Sealed properly ;/' Gas Logs in Sealed or Glass Enclosure // Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area I �/ '� Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents / Building No./Addr s visible from r ad Final Electrical W 'L� Site Plan /Variance equlced Final Survey Plot Plan A7l/de( l r �V t,e 1/L-'(� As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/0[Temporary/Permanent] L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart 2 am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: Cy\ NAME: i e,Q.,,. PS' c PERMIT #: © -3 V)/ LOCATION: 31 ,)) _ � INSPECT ON: //'-.3-( TYPE OF STRUCYJRE: Y N N/A Li rl4 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 Air/ He d 50 P . for 15 minutes lation / 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: L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 /1/ w Town of Queensbury Fire Marshal *lira j IIIVAmre 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/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 specifications is allowed. �2 ✓' /) V Permit# T_ / Schedule Inspection i Time ,--� am pm anytime Inspector NI Name ¢'(4)v1 L -Or-- Address / 3/ d _ Rough In.___,Final Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles /// eC.i 4-49 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) - ___� White-Building Dept, '— Yellow*Customer Pink—Fire Marshal Town of Queensbury Fire Marshal N"� 742 Bay N Queensbury,NYY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas 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. / RR Permit# 6 " k Schedule Inspection Time am pm anytime Inspector-] Name AK V‘ei i/pf 4lddress 'tc(06' er] . — Rough In Final Appliance Manufacturer _ Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A 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 Valve4// Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) -- White--Building Dept. Yellow-Container Pink-Fire Marshal Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:i `30 am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: C J4' NAME: \a PERMIT#: LOCATION: j 7 ;C INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS mingaiagn•Q(NA 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 'Y2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1,2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/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 C\ Foundation Inspection Report1 ,--- 0 Office No. (518) 761-8256 Date Inspection request received: 1 Queensbury Building&Code Enforcement Arrive: am/pm�_ depart:-i' afnipm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: t , / l C 1 4✓ ( NAME: a''''� (.`,1_I C' t \ ��. `=--,1 y, PERMIT#: v-' l LOCATION: \ V. ? ?,c(, -- c ° INSPECT ON: Li -- _7 -- 4:1 2 TYPE OF STRUCTURE: . Comments Mr _ Y f N/A \ i�.r gs 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 Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil soly 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. •SueHemingwaylBuilding.Codes.Inspection.FORMS\F spection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: // Queensbury Building&Code Enforcement Arrive: am/pmr De art: l'P5am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: N J NAME: //(c)(/6 Gov PERMIT #: LOCATION: /V/ $9.00 "C 1 , INSPECT ON: /Z o TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 4 inch min. Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents �CAC -lam 5 PSI or 10 feet above highest connection for 15 minutes Cleanout ery 100 feet/change of direction Water apply Piping Doper Commercial Cooper,CPVC,Pex One and Two-Family 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: L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 /nif io. Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: • ,) Queensbury Building&Code Enforcement Arrive: am/pm Depart: �' am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: it( �J j� .-ter-,, NAME: / ilO L'l d7CJ/ PERMIT#: O I �5 `-e! LOCATION: /2 1 rj C.C— Y.o INSPECT ON: ) / 4/a c7 TYPE OF STRUCTURE: / TIN NSA COMMENTS Framing 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 V2 (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 snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour% ` irestopping C //� fl C- 145 ae.4/415 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 AAtnn K tet Windows Habitable Space/Bedrooms 24 in. (H) C61Li Az, 1 58 20 in. (W) 5.7 sf above/below grade 5.0 sf grade uzi• I L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping 1 ection Repo t.doc Ja ary 28,2003 Aim/ /, / /_,G AftTown of Queensbury Fire Marshal 51#0 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions an specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# 0 h (L 1 Schedule Inspection I )4y'd Time am pm anytime Inspecto { E t /e i 6 6 'J . RoughIn�' Final Name Roth� N�_ Address '( � � l 7 .,.._, �. Appliance Manufacturer 14 L,L C.f.;')0 Model# 5L— -1SO :J Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) X Ct;_ `r t � r ,$`f c Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles7�'`Ic ` 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 el Combustion Air '^ �•,ti , '-N ,\,`,,: Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White— Building Dept. Yellow—Customer Pink—Fire Marshal • " Framing / Firestopping Inspection Report _t Office No. (518) 761-8256 Date Inspection request received: y Queensbury Building& Code Enforcement Arrive: am/pm Depart: 1 v/j5 am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: 1 Rc t 17C,�7— PERMIT#: 0 6o LOCATION: K 1 C,G 7e� INSPECT ON: 7.-/ " 5/q' TYPE OF STRUCTURE: Y /N N/A COMMENTS Framing / 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 'Y2 (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 snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fre wall 2, 3,4 hour n Firestopping 7 �/( ri— • 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/RCA Ai irti • a ii..-.... _2/ l r- /64-16'j L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 I Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/ a am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial • NAME: PgOtj l t PERMIT NO.: Q LOCATION: 1�j 1'7 t< ramC "7, INSPECT ON: 12—/i 5 !! RECHECK: Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance _ _ft. . il K s J Well separation distance ft. Other wells: _ ft. Absorption Field: Total length ft. Length of each trench T ft. Depth of trenches _ ft. Size of Stone Seepage Pits: Number Size: x Stone Size: aping Size �, Type wilding to tank 4 t.b 0 Distribution Box L.01/6- .&i S Prstbution Box to F•: • /Pit ,f Opening Sealed: Y Partial e/ L-- 9/ad v,,j j Location/Separations Foundation to tank ft. 6-7 P4�, .64 CNs,o, Foundation to absorption ft. Separation of Pits _ ft. Conforms as per Plot Plan Y N O K Co U C✓ Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: proved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:'\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Septic Inspection Report L- L-k - Office No. (518)761-8256 Date Inspection request received: - Queensbury Building&Code Enforcement Arrive: am/pm Depart: `X? am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: e(w N S7. 1jP(.)t PERMIT NO.: LOCATION: 3 \l INSPECT ON: t-- RECHECK: 1 � � �� Comments and/or dik.ra Soil Type: c /Loam/ , —� Type of Water: Munici al/Well Wat,/ Waterline separation dista ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length r ft. Length of each trench _ft. Depth of trenches /R"ft. [ ���f"� 461— Size of Stone .tl trgrprvi S - / '1-- Seepage Pits: Number ySize: x /2(6 Stone Size: Piping Size Type • Building to tank Tank to Distribution Box if A -c.4° ID i1 5�v du '/6 Distribution Box to Fie /Pit 0 I Zd f Opening Sealed: Y artial _$,/, Location/Separations Foundation to tank Foundation to absorption ft. Separation of Pits ✓ Y V.ft. 4Ør O AV$Ul t I Conforms as per Plot Plan N J Location 4 stem on Property: Front r ear Left Side Right Side • iddle Front Middle Rear System Use Status: proved artial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 lift i « CAPPED IRON 1 OF ROD SET 'IALS CORP, LANDS N/F OF BSI' ROGER W. CORKINS & 4,,0- O . ANN M. FREEBERN O O �� c NOTE: 41 F7NAL LAYOUT SUBJECT TO STATE AND LOCAL CODES AND TOWN OF QUEENSBURY REVIEW. d weNed 40 L'ly• ,1 Ili v , •.,,i. -c--:0 • \ OI NN j 111 Q- �O �tP0z-t /:IIf QQ`vO,1 \, �� G�OQ o0 / ,_ , _� .6\ proposed drivewaY , Allipp, •oo 4• AREA O. ,� 20,004+/SQ.FT. ,\O �� VDS N/F OF -2 cbt` LEMERY •cP t?, relieve I saw evidence of, // ts91 Hs trees fen /I A k)t c-I G;e1 r�' �O fences, etc., �o O a represent that I have F� noes set forth on the diagram." �— Qe`` �' 9 1 0 14 ko DATE nci) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY / 1.0.0 44\'‘NV(15‘% MAP BEARING A UCENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB-DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW' "ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES." r- DAVID J. BOLSTER. IL! DATE SEALED - Framing / Firestopping Inspection Report .....:-(atcdo Office No. (518) 761-8256 Date Inspection request received: -- -7' Queensbury Building &Code Enforcement Arrive: am../Am Depart: • am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials NAME: qi 6 IC/•...)C +j ) PERMIT#: 0 4 (9 LOCATION: 1�j\' g INSPECT ON: /,a.— (Cl "() TYPE OF STRUCTURE:NvoiCin `' Y N N/A CUM NTS g` ��k2T1 mor �7 . Z.,v0 /_ 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 'A (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 snow shield 24 inches from wall , Fire separation 1, 2, 3 hour yF' e wall2, 3, 4 our V Firestopping .s.A A`v 2 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) 1 20 in. (W) 5.7 sf above/below grade /"' ��� 5.0 sf grade R-coR , PL k,..,-✓2, ,.� N4 1- r G 4 S L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 L Rough Plumbing / Insulation Inspection Report ,--9 / Office No. (518) 761-8256 Date Inspection request ye ive Queensbury Building&Code Enforcement Arrive: pry Fro art: a p�> 742 Bay Road, Queensbury,NY 12804 Inspector's Initial W61 � \ . NAME: � �,,�� ` PERMIT #: LOCATION: 1.1 l"7 �► \ i c)C, R� INSPECT ON: . L- TYPE OF STRUCTURE: 5-----,- -- -99 Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents r, Ki r\tt.-?L - ' Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates J \�`• W- 1 '/2 inch min.Drain Size - ` , Wmi, ' g Machine Drain 2 inch min. �L . or Air Supply Test" v .:I i rain and Vents— ---_, 5 PSI o feet.ahove highest. ..) connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping __� s � Commercial / ,CPVC,Pex O and Two- d y� Insulation/Residential eck/Comme 'al 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: L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 .)- -.V-_N - ( -` x __.--_, %\-c-Dic) Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection re est ceiv f-^1 Queensbury Building&Code Enforcement Arrive: m/pm ep :'7= ar /pm�//,, 742 Bay Road, Queensbury, NY 12804 Inspector's Initi ` SI:) NAME: O PERMIT#: O _ 9 LOCATION: ) , INSPECT ON: -CI TYPE OF STRUCTURE: 9 Li Li ` ` Y N /A COMMENTS \ aming C\\R_ Jack Studs/ ers I Bracing/Bri • Joist hangers ‘// Jack Posts/Main Beams J 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 An r Bolts 6 ft. or less on center ce and snow shield 24 inches from wall ��` �� Fire separation 1, 2, 3 hour 1r Fire wall 2, 3, 4 hour Firestopping Penetration sealed 1 tic -' 16 inch insulation in cavity min. 17.11. Garage Fire Separation House side V2 inch or 5/8 inch Type X \Vc Garage side 5/8 inch Type X \\CI, (''' i tv„/\\ Ceiling/wall \,' Windows Habitable Space/Bedrooms S'\°v 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 6IO Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Ins ection re. - ecei • Queensbury Building & Code Enforcement Arrive: , ' e rt: -j—s 742 Bay Road, Queensbury, NY 12804 Inspector's Initia s \ x' NAME: cp`r‹-a`) rl QA C} ,a PERMIT#6 V-6(0. LOCATION: `i INSPECT ON: a TYPE OF STRUCTURE: • Y N N/A ,! COMMENTS aming ,✓ Ni Jack Studs/Headers d `' �* — - Fr_C Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly _ a� 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more 7—t ' � t�e. 43, it Headroom 6 ft. 8 in. ¢— -\iNA LD A"A‘.411. (_-•D Notches/Holes/Bearing Walls tti 6�\lam OWTU Metal Strapping for Notches Top Plate 1 %z (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses chor Bolts 6 ft. or less on center • t snow shield 24 inches from wall lAsk, ire 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 /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 L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report 1'3 Qeft, Office No. (518) 761-8256 Date Inspection request received: , Queensbury Building& Code Enforcement Arrive: am/p D art:2. 1 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: �� ,,.�� � '�� " ['� l C PERMIT#: . LOCATION: _ ;C; INSPECT ON. TYPE OF STRUCTURE: f _ ,i-O Y N N/A COMMENTS Framing 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 '/ (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trussesAlt.1-0" Anchor B is 6 ft. or less on center I and snow shield 24 inches from wall Fire separation 1, 2, 3 hour 67/1"...iPZI—�T A r 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 L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 3 -7/ Foundation Inspection Report Office No. (518) 761-8256 Date Inspection re.•est re •' Queensbury Building& Code Enforcement An•ive: .nvpm , Depart: - a p 742 Bay Rd., Queensbury, NY 12804 Inspector's Init : 1-1 NAME: `rQ CJ(2..Ar\) s r KNIT#: LOCATION: __ceN_A-C.) 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 Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inch- bove footing r 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:\Suefemingway\Building.Codcs.Inspection.FURMS\Foundation Inspection Report.doc January 28,2003 *617, Foundation Inspection Report <3 (/. Office No. (518) 761-8256 Date Inspection request received: - r Queensbury Building&Code Enforcement Arrive: anvpl� Depart: ' ' _ pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: — NAME: ricle ti ' - :) 1 cvm PERMIT#: oq LOCATION: bc ' ) _ INSPECT ON: _ — TYPE OF STRUCTTR�E: J �� Comments • r„ a - Y N N/A Footings Piers Monolithic Slab _ I Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of concrete. aterials for this purpose on site.ti oundation/Wallpour Reinf rcement in Place oundation Dampproofing / Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump o eting Drain Stone: Cou W 12 inch width 6 inches above footing 6 mil poly for wet areas under slab I Backfill Approval ____ Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- T_ Rough Grade 6 inch drop within 10 ft. L:\SueHcmingway,Building.Codes.Inspcction.FURMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: / Queensbury Building&Code Enforcement Arrive: am/pm Departs/ •__/ am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: f NAME: 1 PERMIT#: 0 Z1 -5_--,- LOCATION: d _ INSPECT ON: - TYPE OF STRUCTURE: Comments - ------_---- Y N N/A 1 Irtings - - - - --- - - Piers Monolithic Slab Rein : cement in Place e 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 Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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 i Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Sucfemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 /Ad Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: anv rp�l Depart I 4 % ipm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: 'J�DC'—ti k PERMIT#: _ � LOCATION: • VP--.= _ INSPECT ON: ( d TYPE OF STRUCTURE: Comments 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 Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing F oting Drain Daylight or Sump R Footing Drain Stone: 12 inch width / . 6 inches above footing 6 mil poly for wet areas under slab JiBackfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHerningway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 ......., ......),q Foundation Inspection Report Office No. (518) 761-8256 Date In ectio ue rec# : Queensbury Building&Code Enforcement Arrive: 11, nvp Depart: 3'yc a pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initia s• , \ i NAME: _ � 0 v 1 C/ 4' A S 7C P ,KNIT#: 0 S LOCAPION: ,;a r* �Zc INSPECT ON: 91— TYPE OF STRUCTURE: Comments Y N/A otings — — ---- -- — Piers onolithic Slab IReinforcement in Place I Vi — 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 Foundation Dampproofing Foundation /Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 milpojy for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper I � Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. I,:\Sucl-Iemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Job Site Address: 242 IP- Date: 77/4 K Owner: A <ak. e Application No. File No.n 5 (09 Building Permit — Calculation Sheet Natural Light, Ventilation & Emergency Egress Requirements Habitable Area of 1 Req. Light Actual Req.Vent Actual Sq.Ft. Remarks Room Room 8%of Room Light 4%of Room Vent Opening for in Area Square i J Area Square Egress Square Footage Footage Feet / ,47m.A` ;(y r " /2 3z _s 3 41. t Ak' c ZZ( a.0i7 26,6 2 v 7/ $ 76 3 /32- /O, Sf /16V 22' 3 7 j4a /yi� /47L- G. V/ , �, iy /7 /1 .2 ,,,. s'`7 )_a. 2s, �7� �� h. 2.P f� .4/6 s: '7 d 12)‘ /1/6 aG1). �• �e Spy ��• 4r ,x� �` s/. /I //,6z (, 72 ‘. 6 ' Y9 fr � L:\SueHemingway\Building.Permit.FORMS\Nat.Light.V enti l.Calculation.Sheet.doc 7 Job Site Address: e t Date: 7///67 Owner: R-Di/e4 / De 5 1 ,, ii; I L G Application No. File No. WINDOW SCHEDULE :. '' Opening-SpecificaEions Window Window Mfg. Window Unit or -Rough R iu SQ:.FT. SQ.FT. SQ.FT. Clear Clear Special Hardware or Number or Name Model Stock Opening Opening 'Glass/Visib Vent e"gress/Cfear Opening Opening(Height Instructions Letter on Or Type Number Width Height Ic Opening Width In In Inches Plan Call Size Lit 1n hes c -4fQrs' aN i/� ?aye -i 2'4 V' /c3, 3/ <73 ,.- S' 7a 33 .� 3°ya 4 Zy //q C2 y y6-2 ft,,,,:,,v-e,- _ a'';,4,, ,z 4/f66-Z i/'(/f/i" y's' a _ /s-. 36 _ '. 7 4. ,<. ?a 33 4 _ 2 (i /r( 3D0- 2- �� •s<, 1�� ,.�` 3oyj-a" (Q13's�a'' " ' �/� z /� '/ S 70 33 7�8 - '( '4 34' ��®�rsF,, ljWie 3VV6 3' (l�' 9'if%" _// o'y o.w 6, 3 7 ??14 /J'�y 3o� - Z �z,/4Tr.. �' 30SZ z- 6,3%11 5 q'/ , )17!d6 /3.29 ‘. O' Y 33 / 2 Y '1q P.- 36s(e /4a.,9prs-t,. Da t a -3v6-4 3' z/" 'f'/'' pS 7 b // Vb ( 7 3 3 '%� `f 'lc{ 06 p Itje.-sc1 Sl= � oe6? G'`o " o ' ?` 30.1,/0 /C/ko / 60 .272/y" 73/4, 305'2 "3 or1.11erse b►-ow L. 3os,Z-3 47,,1�/ S- lir 3e, o6 2o. 0i 6., av e 33 '/6 Zer Vq 3 05'2. 44-► ei-s t, _ 3052— 3' z,�g„ � y/" /z.e 3 647 6 Y 3 3 'l 2 P ry a. -l?c2 i4-0.,,,f--, P ivi 1-/e z. /' Prb`l �' y'/" II - o z -7. 0 y o, ‘ y 3 3 '4 9-?`/Y THIS LINE HAS EXAMPLES OF SAMPLE EN TRIES A Angler � N 1 µ Y �"62 21/3', •f +;fix`° 15 3! § G " b1 h 34 24 15/35" Tempered �.�': ,z h 3 .r x y�t� r .d'- �,.:, j '.° t "'L ., ' 1�•!16" • Glazing' L:\SueHemingway\Building.Permit.FORMS\Window Schedule.doc Job Site Address: .2412 a Date: ? /4 K Owner: t ' c1 Z c' .. 4 &u,%9 L1 Application No. File No. O q- s („20\ , 1 Building Permit — Calculation Sheet Natural Light, Ventilation & Emergency Egress Requirements i' Habitable Area of 'i Req.Light Actual ' , Req. Vent Actual Sq.Ft. Remarks t� Room Room ( 8%of Room Light = 4%of Room Vent Opening for in Area Square Area Square Egress ,, Square Footage Footage J Feet 3{ 0- /(y /2 3z -== ; ' /� /, -�=- 7� il Acjec 224 /1 c7 ' `2o-o 2 gel 7/ /l S' 76 nf 3 /32- l - s //- Gc,( 3 2? '. #/ G, 37 "'b m/.r+ /fig ' /l s- //. G9' S 7O. �• �/ , 37 Z(i4,- 2/V /7, /2- ,24 E ..c‘ l.?-Yr�' �1,• ' ras, �.<7 2_6i a 2< 7P /o. 2.P /7.44 s; -7 ® � 1 1/A6k f/i i .9 go, r{tl l4/. ‘o /4 oU ai 7t1' ; a d P 36 , S� / 2.0. 4( 4'.Gr i &i - /1? /3-4/� 2 , 72 G L:\SueHemingway\Building.Permit.FORMS\Nat.Light.Ventil.Calculation.Sheet.doc Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc Data filename:C:\Program Files\Check\REScheck\Provident.rck 1T1•LE:The"Hyde Park",Ridge Road,Town of Queensbury COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:07/02/04 DATE OF PLANS:June 30,2004 PROJECT INFORMATION: The"Hyde Park",Ridge Road,Town of Queensbury COMPANY INFORMATION: Provident Design&Build,LLC COMPLIANCE:Passes Maximum UA=669 Your Home UA=526 21.4%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1942 30.0 0.0 68 Wall 1:Wood Frame, 16"o.c. 3524 19.0 0.0 182 Window 1:Vinyl Frame:Double Pane with Low-E 374 0.340 127 Door 1:Solid 58 0.300 17 Door 2:Glass 58 0.330 19 Basement Wall 1:Solid Concrete or Masonry 1380 11.0 0.0 97 Wall height:7.8' Depth below grade:5.8' Insulation depth:7.8' Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 398 24.0 0.0 16 Furnace 1:Forced Hot Air,90 AFUE Air Conditioner 1:Electric Central Air, 10 SEER T,t1'OF1 1464' COMPLIANCE STATEMENT: The proposed building represented in this document is consistent wi a ' - ► .1. _ .' -0 specifications,and other calculations submitted with this permit application. The proposed systems h. ' ••s• v' o ^• +' New York State Energy Conservation Construction Code requirements. When a Registered Desi i. ' ��• ao '7 signed this page,they are attesting that to the best of his/her knowledge,belief,and professional ju specifications are in compliance with this Code. /';; `VAP4:'.`!‘ e ,94) G720 op t�,,, • [ ] 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-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. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] 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. 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: I I I HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the I levels in Table 2. • REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc DATE:07/02/04 111"LE:The"Hyde Park",Ridge Road,Town of Queensbury Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1:Solid Concrete or Masonry,7.8'ht/5.8'bg/7.8'insul, R-11.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Vinyl 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: Doors: [ ] 1. Door 1: Solid,U-factor:0.300 Comments: [ ] 2. Door 2:Glass,U-factor:0.330 Comments: Floors: [ ] 1. Floor 1:All-Wood JoistlTruss:Over Unconditioned Space,R-24.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] I. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number [ ] 2. Air Conditioner 1:Electric Central Air, 10 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: 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 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 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" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) .— ........7)_ 1 .....T_ --t-.) 1 t 3 f 1_ I: ,,,,. 741 t l' C.,r 6, ,,„- I 4,1 g-67. ‘?.(t.111;., _. ." _ ,, III I , .ii., . .... 1 - II II il r::.. -0 ,,04 ,,, 3 .,-1 1 f" ..„ _. al ,.. _ ___ .. 1 I . 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FENCE POST —ohw— OVERHEAD WIRES L, 377 P. 440 Roger W. Corkilrts n/f NOW OR FORMERLY & Ann M Freebur7rn �w L, 758 P. 213 ,,.7 IRA dock IPF +;Aj . � 1�99r�h'aato IPF /i figg4i% Q rw' w 04 AREA = �, 0.46t ACRES `� w 4 04 IRF 98.6' o N, 04 w s�4b asphalt drive / A4 • 0- Lands n/f ,��p/ '�• Michael Lemery & Donna St. John L, 1328 P. 045 DEED REFERENCE: O� 1) C. RAYMOND MORRILL A.K.A. CARTER R. MORRILL AND JILL M. MORILL TO SALOMON CONSULTING, LLC, FILED IN THE OFFICE OF THE WARREN COUNTY IRF r CLERK IN BOOK 1392 AT PAGE 142, DATED JUNE 30, 2004. MAP REFERENCE.- 1) -MAP OF A SURVEY MADE FOR CARTER R. & JILL M. MORRILL- DATED MAY 26, 1995. r PREPARED BY DAVID J. BOLSTER, LICENSED LAND SURVEYOR. 0 NOTES: 1) BASE MAP PREPARED FROM AN OCTOBER 2005 FIELD SURVEY. 2) NORTH ORIENTATION IS BASED ON MAP REFERENCE 1. 3) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF TITLE AND IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS OR RESTRICTIONS OF RECORD ANY STATEMENT OF FACTS SUCH DOCUMENT WOULD DISCLOSE. 4) SUBJECT TO APPLICABLE LAWS AND APPROVALS OF THE TOWN, COUNTY, AND STATE YAP OF A SURVEY MADE FOR REGARDING THE SUBDIVISION OF LAND. 5) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND OF NE:{,l,y 10-11-D%0VIDENT BUILD AND SURVEYORS SEAL IS A VIOLATION OF SEC110N 7209, SUBDIVISION 2, OF THE '< MMETT oDESIGN NEW YORK STATE EDUCATION LAW. � r, '9,� GRAPHIC SCALE y yam' 6) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE "' r i ago LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. 30 0 15 30 60 t20 Tours of Queensbury County of Warren State of New York i r 7) UNDERGROUND UTILITIES, STRUCTURES AND FACILITIES HAVE BEEN SHOWN FROM I Og051�0 .� BOLSTER AND ASSOCIATES SURFACE LOCATIONS AND MEASUREMENTS OBTAINED FROM A FIELD SURVEY. THERE MAY BE OTHER UTILITIES WHICH THE EXISTENCE OF ARE NOT KNOWN. SIZE, ( rN FEET SAND 5� PROFESSIONAL LAND SURVEYORS TYPE AND LOCATION OF ALL UTILITIES AND STRUCTURES MUST BE VERIFIED BY 1 inch = 30 fir 342 Main Street, Hudson Falls, New York 12839 PROPER AUTHORITIES PRIOR TO ANY AND ALL CONSTRUCTION. CALL DIG SAFE PRIOR TO ANY EXCAVATION. Russell E. Howard, PLS N.Y.S. Lic. No. 50540 Date: 1011241105 Tax Map #: 279-1-43 Date Sealed: to(t4l o`� Scale: 1 inch = 30 feet Revised: Dmwing #: 95020a f CAPPED IRON LANDS N/F OF ROD SET PECKHAM MATERIALS CORP. LANDS N/F OF ROGER W. CORKINS & ANN M. FREF,BERN boo Cb N07E.- PWAL LAYOUT SUBJECT TO I I I S TA TF AND LOCAL CODES AND I I I I I TOWN OF QUEENSBURY REVIEW. � IRON PIPEFOUND I I I I I I A\7) ® prposed wed I I I I I I o�ND PIPE ° °Y j , I I I I i l l i Q 0�, 41sV Q poseU se septic \ \ f---- �• CAS riveway _ Proposed d6� O - Ak AREA 20, D04+1—SQ.a{'T. �O �00 NOTE: RECEIVED SUBJECT TO WHA TEVER PACTS LANDS N/F OF �O� nj� AN UPDATED S REY MAY SH� LEMERY •��,, ��� 2 2 2004 TOWN OF QUEENSBURY ,C1 BUILDING AND CODE "I have sea,I or observed, or believe I saw evidence of, CAPPED IRON O all objects ;j!; i „a hvi;Sed, wrl1S, trees, fence's, etc., ROD SET0 ,howl; J� 1 i, ;slug'. I also represent that I have `rSoilidily i,,"sured the diStan.-es set forth on the diagram." aQ� ► PLOT PLAN MADE FOR o� SIGNATURE DATE SALOMON CONSULTING, LLC A TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK DEED REFERENCE: "UNAUTHORIZED ALTERATION ADDITION TO A SURVEY �' DAYID J. BOLSTER BEARING A LICENSED LANDD SURVEYORS SEAL IS A CARTER R. & JILL M. MORRILL VIOLATION OF SECTION 7209, SUB-DMSION 2, OF THE LICENSB'D LAND SURYBY TO NEW YORK STATE EDUCATION LAW.'"ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839 SALOMON CONSULTING, LLC - MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS DATED JUNE 30, 2004 SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES." � DAVID J. BOLSTER, LLS DATE: JULY 20. 2004 SCALE 1" r 30' - N.Y.S Lr- NO. 49W4 k, BOOK PAGE DATE SEALED DWG.:N0. 04-163